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Women with heavy periods should have scans to prevent infertility

The health watchdog Nice wants GPs to refer many more patients for accurate hospital tests to establish why they suffer from heavy periods in a bid to detect underlying problems that may result in infertility.
Source: the Mail online | Health - Category: Consumer Health News Source Type: news

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Publication date: Available online 17 April 2018 Source:The Journal of Steroid Biochemistry and Molecular Biology Author(s): Seema Patel Polycystic ovary syndrome (PCOS) is an endocrine disorder, afflicting females of reproductive age. This syndrome leads to infertility, apart from a gamut of other metabolic co-morbidities such as insulin resistance, obesity, cardiovascular problems, including a litany of other health issues. PCOS is a polygenic, polyfactorial, systemic, inflammatory, dysregulated steroid state, autoimmune disease, manifesting largely due to lifestyle errors. The advent of biochemical tests and ultrasound...
Source: The Journal of Steroid Biochemistry and Molecular Biology - Category: Biochemistry Source Type: research
Patients undergoing gender affirming surgery (GAS) from male to female may consider future fertility. However, little is known regarding spermatogenesis potential in these patients treated with estrogen supplementation therapy (EST). Sperm production is androgen dependent, and EST may affect spermatogenesis and maturation. Furthermore, there is scant literature regarding the testicular changes after EST. There is also no published literature assessing the role of testicular sperm extraction (TESE) at the time of GAS.
Source: The Journal of Urology - Category: Urology & Nephrology Authors: Tags: Infertility: Epidemiology & Evaluation I Source Type: research
Diabetes Mellitus (DM) can induce long-term damages, dysfunctions and failures of various organs, including male reproductive system. Previous studies showed the impact of DM on semen parameters, nuclear DNA fragmentation and chromatin quality. Conversely, the association between prediabetes (pDM), a precursor to diabetes characterised by impaired fasting glucose or tolerance, and reproductive function has been scantly analysed. We investigated the risk of prediabetes among men presenting for couple's infertility.
Source: The Journal of Urology - Category: Urology & Nephrology Authors: Tags: Infertility: Epidemiology & Evaluation II Source Type: research
After getting cheated by doctors at local IUI and IVF clinics, we had lost trust in doctors.But we took one chance and visited Malpani clinic for their opinion. When we met Dr Anirudha he was very patient and understanding. He spoke to us in a very friendly manner and asked us not to blame ourselves.He clearly explained the procedure at Malpani clinic and all the costs involved. He also explained that IVF takes time and we should not lose hope. He also explained the number of times we have to visit the clinic. This was very less as compared to other clinics and doctors which allowed us to go on with our usual lives. W...
Source: Dr.Malpani's Blog - Category: Reproduction Medicine Tags: dr malpani complaint Dr Malpani complaints dr malpani compliments dr malpani reviews Source Type: blogs
I am 28 and my girl friend is 33.We want to get married, but my mother is worried about her fertility, because she is older than I am Can you help ?While I can do some simple tests to check her fertility, I am very reluctant to do tests without  any good reason.If you are both healthy and active, then the odds are stacked in your favour that you will have  no problems at all - the human race has proved to be quite efficient at reproducing itself !If your girl friend is worried about her fertility because of her age, please share this with her.Please test your AMH level (  read more at http://www.dr...
Source: Dr.Malpani's Blog - Category: Reproduction Medicine Source Type: blogs
AbstractPuberty is a critical age for patients with Turner syndrome (TS): infertility is reported to be linked to karyotype and spontaneous puberty and menarche occur in approximately 30% of patients, especially in mosaicism. However, it is not always predictable considering hormonal pattern and pelvic transabdominal ultrasound scan (US).The aim of the study is to compare the accuracy of Magnetic Resonance Imaging (MRI) and US to evaluate uterine and gonads volume, to visualize the presence of follicles and to predict spontaneous puberty and menarche in girls with TS. In a retrospective study, we evaluated 19 TS patients (...
Source: Italian Journal of Pediatrics - Category: Pediatrics Source Type: research
ConclusionsSpontaneous conceived twins have worse pregnancy outcome compared to twins after assisted conception, probably due to a lower incidence of monochorionicity in the assisted conception group. The already increased perinatal risks in monochorionic twins are even higher in monochorionic twins conceived after infertility treatments compared to spontaneous conceived monochorionic twins which warrants extra attention to these high risk pregnancies.This article is protected by copyright. All rights reserved.
Source: Acta Obstetricia et Gynecologica Scandinavica - Category: OBGYN Authors: Tags: Original Research Article Source Type: research
Publication date: Available online 31 January 2018 Source:European Journal of Obstetrics & Gynecology and Reproductive Biology Author(s): Christophe Vayssière, Adrien Gaudineau, Luisa Attali, Karima Bettahar, Sophie Eyraud, Philippe Faucher, Patrick Fournet, Danielle Hassoun, Marie Hatchuel, Christian Jamin, Brigitte Letombe, Teddy Linet, Marie Msika Razon, Alexandra Ohanessian, Hélène Segain, Solène Vigoureux, Norbert Winer, Sophie Wylomanski, Aubert Agostini The number of elective abortions has been stable for several decades. Many factors explain women's choice of abortion in cases of un...
Source: European Journal of Obstetrics and Gynecology and Reproductive Biology - Category: OBGYN Source Type: research
Being infertile is bad enough, and an IVF cycle is stressful because you are never sure whether it's going to work or not. Not only is the uncertainty difficult to handle, the fact that it's so expensive just adds to your anxiety. While we can't reduce the uncertainty which plagues IVF , the tragedy is that IVF doctors often add insult to injury , by making the treatment unnecessarily stressful .For one thing, they subject patients to lots of useless tests, which are completely unnecessary , because they don't change the treatment options we can offer to patients. They justify these by doing it under the garb of being &quo...
Source: Dr.Malpani's Blog - Category: Reproduction Medicine Source Type: blogs
ConclusionsIn this population‐based cohort study, not restricted to women seeking pregnancy, we found no association between coffee, tea or total caffeine consumption and the risk of primary infertility in women.This article is protected by copyright. All rights reserved.
Source: Acta Obstetricia et Gynecologica Scandinavica - Category: OBGYN Authors: Tags: Original Research Article Source Type: research
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