Tuesday, October 1, 2013
presents an informational seminar on
Nutrition and Pregnancy
October 9, 2013
Penn Fertility Care presents an informational seminar on Nutrition and Pregnancy
Join Samantha Butts, MD and Celeste Durnwald, MD for an informational seminar about the impact of nutrition on fertility and how the role of weight, diet, vitamins, and exercise during pregnancy plays a direct role in the health and well being of both mother and baby.
Date: October 9, 2013
Time: 6 to 7:30 pm
Place: Biomedical Research Building (BRB) Auditorium
421 Curie Boulevard
Philadelphia, PA 19104
Assistant Professor of Obstetrics and Gynecology Dr. Butts
received a medical degree from Harvard University School of Medicine, and completed her residency in obstetrics and gynecology and a fellowship in reproductive endocrinology at the Hospital of the University of Pennsylvania. Her special interests include reproductive aging, nutrition, environmental exposures and reproductive outcomes, and neonatal/perinatal outcomes related to in vitro fertilization.
Assistant Professor of Obstetrics and Gynecology
Dr. Durnwald received a medical degree
from Northeastern Ohio Universities College of Medicine. She completed a residency in obstetrics and gynecology at Summa Health System in Akron, Ohio and a fellowship in maternal fetal medicine at Case Western Reserve. Dr. Durnwald area of clinical focus is maternal fetal medicine and she specializes in the management of diabetes during pregnancy
Monday, July 1, 2013
Urology in Surgery and Obstetrics and Gynecology
Penn Medicine is pleased to welcome Puneet Masson, MD
to the Division of Urology and the Department of Obstetrics and Gynecology. Dr. Masson will serve as Director of the Male Fertility Program for Penn Fertility Care. Dr. Masson specializes in male-factor infertility, andrology, male sexual dysfunction, and general urology. He provides specialized care for men with fertility problems and performs microsurgical procedures for the treatment of male infertility and vasectomy reversals.
Monday, June 10, 2013
Egg donors give a couple the opportunity to experience pregnancy, childbirth, and most importantly, the chance to build a family. Criteria to be an egg donor candidate include:
- Healthy female
- Normal ovarian reserve and no indication of impaired fertility
- Between the ages of 21 and 30
Before becoming an egg donor, a candidate receives a complete health evaluation by a fertility specialist. Penn Fertility Care’s team of specialists offer a full range of egg donation services all in one convenient location. Egg donors receive generous compensation. Please note that donors will remain anonymous throughout the process.
How to Become an Egg Donor
A woman interested in becoming an egg donor candidate can make a confidential inquiry by visiting PennMedicine.org/donor-egg to complete a screening form, or contact Penn Fertility Care at 800.789.PENN or 215.615.4218.
Sunday, June 9, 2013
The process involves using a focused beam of light of a specific wavelength designed to selectively target the pigment in the hair follicle. When the laser beam is absorbed by the pigment (melanin) in the hair follicle heat is generated, and the ability of the follicle to produce a hair is disrupted. Because these lasers target pigment, traditionally, light skin and dark, coarse hair have been the ideal combination. Newer lasers are available for patients with skin of color. Its safety and effectiveness is highly dependent upon the skill and experience of the person operating the laser, along with the choice and availability of the appropriate laser equipment at the center, which is performing the procedure.
There are many ways to watch calories. Here are a few that may work for you.
- If you are going to dine at a restaurant or attending a party, have a healthful snack, such as a cup of light yogurt or a piece of fruit, before leaving home. If you are less hungry when you arrive at the restaurant/party, you are more likely to make careful choices.
- Eat your calories, don't drink them. Choose low calorie beverages, such as sparkling water, diet soda, or sugar-free iced tea, rather than beer or mixed drinks with alcohol, which can have hundreds of calories per serving.
- If there is a buffet, look over the entire buffet table. Consider all of your choices before making your selection.
- Try the plate method of meal planning: half a plate of low calorie vegetables; one-fourth plate of lean protein foods (about the size of a deck of cards); and one-fourth plate of starchy foods (a cup--about the size of a woman's fist).
- Eat mindfully. Enjoy your food slowly; savor the aromas, flavors, and textures of special treats.
- If you are attending a party, rather than staying near the food, take a seat across the room and focus on the guests and the conversation.
- When you are the hostess, provide a selection of healthful choices for your guests: vegetables, fruits, and lean protein foods. When you are the guest, ask the hostess if you can bring a healthy dish to share with the other guests.
Ingredients:4 to 6 small zucchini, cut into ¾ inch chunks
1 large or 2 small (3/4 pound total) sweet onion(s), cut into ¾ inch chunks
2 large yellow and/or orange bell pepper, stemmed, seeded, and cut into ¾ inch pieces
3 tablespoons olive oil
¼ teaspoon kosher salt
Freshly ground black pepper
Six 5- or 6- inch sprigs fresh rosemary or 2 Tbsp dried rosemary
Preheat the oven to 375
degrees. Have a large roasting pan ready for use. Combine the zucchini, onions and bell pepper pieces in the pan. Add 2
tablespoons of the oil; season with salt and pepper to taste, then toss to coat them. Add the remaining tbsp. of oil as
needed. Place the sprigs of rosemary on the vegetables then continue to roast foranother 20-25 minutes,
or until vegetables are tender and lightly browned. Discard the rosemary sprigs and any loose rosemary
leaves. Transfer to a large bowl, serve warm or at room temperature.
Recipe serves 6
Ingredients:1 Large head of Romaine Lettuce, torn
2 cups chopped,cooked, skinless chicken-breast
1 cup fat-free or low fat croutons
¼ cup freshly grated parmesan cheese
Dressing:1/3 cup plain non-fat yogurt, drained (or fat-2 free mayonnaise)
2 tsbp fresh lemon juice
1 tsp olive oil
1 tsp white wine vinegar
1 tsp anchovy paste (optional)
1 tsp Worcestershire sauce
1 garlic clove,crushed
Preparation:Arrange torn Romaine lettuce in a big serving bowl. Top with chicken, croutons and sprinkle with cheese.
Whisk dressing ingredients together and drizzle over salad. Gently toss until combined. Add freshlyground black pepper to taste. Serves 4
Per Serving: Calories 188,
Calories from Fat 39, Total Fat
4.5g (Sat 1.5 g), Cholesterol
54mg, Sodium 328 mg,
Carbohydrates 11.3g, Fiber
2.3g, Protein 25.9g
Saturday, June 8, 2013
Depression is a common mood disorder with significant impact on daily life. Approximately 5% of the general population is dealing with depression at any given time. Women are twice as likely to suffer from depression as men, although men are less likely to get help. Depression may be related to experiencing a major life event such as a loved one’s death, or not situational and may recur over the course of an individual’s life.Major depressive disorder causes many symptoms that result in an inability to function in daily life in contrast with feeling “sad,” or “down in the dumps.” People experiencing major depression cannot simply “lift themselves out of it,” and usually require psychotherapy and/ or medication to feel better.
Depression and WomenAs many as one in four women will suffer from depression throughout their lifetime,and often will experience it during the childbearing years, during pregnancy and within the first year after delivery.Deborah Kim, MD, a Psychiatrist at Penn Center for Women’s Behavioral Wellness and Assistant Professor of Psychiatry in the Perelman School of Medicine states, “If a woman is experiencing prolonged sadness guilty feelings, hopelessness or low self esteem,she may be suffering from depression or an anxiety disorder.”
Depression and PCOSDepression, anxiety and eating disorders often occur in women with PCOS. A 2005 research study of 206 women conducted by Anuja Dokras, MD, PhD and Elizabeth Hollinrake, MD found that 35% of women with PCOS had depression. The study found that women with PCOS are more likely to develop depression or depressive symptoms. Dr. Dokras noted that depression in PCOS patients is significantly associated with both high body mass index (BMI) and insulin resistance. This may have some correlation with the psychological and metabolic effects of obesity. Women with PCOS often have abnormal levels male
hormones such as testosterone but there is no clear evidence to link these to depressive symptoms.
Another possible contributing factor to depression is that women with PCOS often struggle with the physical symptoms of the disorder such as weight gain, acne, increased facial hair and hair loss. These symptoms can often lead to feelings of frustration, lack of control over one’s appearance and isolation. Whatever the cause, both Drs Kim and Dokras believe that PCOS women should be treated with a holistic approach. Women with depression and anxiety disorders show improvement when treated with psychiatric medications and to some extent, with a healthy diet and exercise program, nutritional supplements and stress management. Weight loss also helps reduce insulin resistance.
Women with PCOS should be screened regularly for depression and anxiety. According to Dr. Dokras, "Between 50 and 70 percent of women who are treated for depression recover completely, so this is an important target population that we should be both screening and treating." If you are experiencing some of the physical signs of depression (depressed mood, loss of motivation, insomnia, overeating, sleeping
too much and not eating) and feel that you are very overwhelmed with PCOS, you may benefit from seeing a therapist with experience in reproductive issues, infertility or women’s health.
The Penn Center for Women's Behavioral Wellness is a collaboration between the Departments of Psychiatry and Obstetrics/Gynecology in the Perelman School of Medicine at the University of Pennsylvania. The center provides clinical consultation and treatment, as well as opportunities to participate in research focusing on conditions related to women’s behavioral health across the lifespan.
Friday, June 7, 2013
Many women wonder what the right amount of time is to wait before seeing a fertility specialist.
At a glance, follow these general guidelines to determine when the time is right:
• Women under age 35 unable to conceive after a year of unprotected intercourse.
• Women age 35 and over and unable to conceive after six months of unprotected intercourse.
• Women who have lost two or more pregnancies to miscarriage.
• Women with a history of irregular ovulation/menstrual cycles.
• Men with a low sperm count, poor motility (movement), or poor morphology (structure).
• Men, women or both who have health conditions affecting reproduction or when other infertility treatments have not been successful.
One in seven couples experience infertility, but today there are more options to conceive than ever before, and Penn Fertility Care is ready to help you get started.
From Kristen Dowell, Fitness Instructor and Personal Trainer
The long days and warm weather is a welcome change for those of you who rely on walking as your main source of exercise. You can safely navigate the streets without fear of slipping on ice, and without the extra prep time needed to arm yourself with the endless layers of clothing, and of course, tissues! Walking is an easily accessible (and free!) form of exercise, and it can be an effective tool for increasing your level of fitness. However, at some point during your walking career you are bound to hit a plateau when you no longer see the results you once enjoyed. When this happens, there are 3 categories of adjustments you can make to your routine, each one of them having the ability to rev up your results:
1. Adjust the frequency. This one is a no-brainer. If you typically walk twice a week,
add a third session. To prevent boredom, research other routes. Visit local parks outside of your neighborhood, if you’re used to walking at a track, switch things up and try the town.
2. Adjust the duration. If your legs have been traveling the same
distance walk after walk they are begging for change! Sneak in an extra 10 minutes each day,
or challenge yourself once a week and double your mileage.
3. Adjust the intensity. This is the category in which you can get the most
creative. If you don’t have the extra time in your week to tackle #1 or #2 above,
then you must work smarter during the time you have.
Here are a few ways to spice up the jaunts:
- Grab a stopwatch and prepare to break up your walk into timed sections:Let’s say you typically walk for 30 minutes. This time walk at your normal pace for 40 seconds,and then speed up your pace for 20 seconds. Repeat this over the course of the entire trip.
- Get inclined! Adjust your route so that the same 30 minutes contains more hills than usual.
- If you’re feeling brave, center the entire session at the base of one large hill or staircase.
- Count how many times you can go up and down the hill in those 30 minutes. Try the same route in a month to see if you have improved.
- Play! When was the last time you skipped down the street? If it’s been a few decades, you’re missing out! This activity might be best done at a walking/jogging track or park where uneven sidewalks aren’t a safety hazard. Substitute your regular gait with measured bouts of skipping, galloping, side shuffles or backward walking. These fun substitutions will wake your muscles from their boredom and burn more calories in the same amount of time.
Even with the implementation of the above changes, you will eventually hit another plateau.
Never fear! Refer back to the above list and make another tweak to the frequency,
duration, or intensity.
No matter your strategy, be sure to include a warm up period in the beginning of the walk.
Here you travel at a slower pace and allow the muscles to prep for the workout ahead.
And whatever you do, be sure to allow time at the end to adequately stretch the lower body.
Lengthening the muscles after they’ve been working will help prevent soreness, and the
increased flexibility will make your next walk that much more enjoyable!
Monday, June 3, 2013
We are interested in IVF and the gestational carrier program, but have many questions. Can you help?
Sunday, May 26, 2013
“Third-party reproduction, also called assisted reproduction, is a process where a person provides eggs, sperm or embryos to another person so that they may become pregnant,” says Anuja Dokras, MD, PhD, medical director of Penn Fertility Care’s in vitro fertilization program. “Another scenario includes surrogacy, where a woman provides her uterus to carry another woman’s baby to term. In vitro fertilization (IVF) is the most common treatment used to initiate this third-party pregnancy and involves implanting an embryo into a woman’s womb.”
“The third party’s assistance is limited to the reproductive process and does not involve raising the child,” explains Dokras. “This may not be a traditional method to have a baby, but these services have helped to build families around the world.”
When to Consider Third-Party Reproduction - Learn more...
Thursday, August 30, 2012
225mg sodium, 11 grams carbohydrate
1/2 cup plain nonfat yogurt
1/3 cup reduced fat mayonnaise
2 tsp dried dill weed
1 tbsp lemon juice
1 tsp dijon mustard
1 tsp honey
1/2 tsp garlic powder
6 cups raw carrots, bell peppers,
broccoli or cauliflower florets,
celery, cherry tomatoes, etc.
Whisk together all ingredients except veggies. Chill several hours to blend
PCOS Summer 2010 Newsletter recipe
Thursday, August 23, 2012
- Cardiovascular training
- Resistance training and
- Flexibility exercises.
one of the easiest ways to get regular cardiovascular exercise. Just dress in layers and head out of the door!
Start with 15 minutes and work your way up to 30 minutes. Maintain a pace that allows you to complete
the time, and use the Talk Test to determine your intensity. If you can sing asong then you will need
to work harder. If you cannot hold a conversation, then decrease your intensity.
- Resistance training may be done 2-3 times per week and exercises should cover all of the major muscle groups. Shallow squats over a chair, push ups on a kitchen counter, and some abdominal exercises on the floor or a plyo-ball will get you started and can be done in just a few minutes.
- Flexibility exercises may be done daily and will help increase range of motion and decrease joint pain. Hold each stretch for 30 seconds or more. Put it all together by heading out for a walk, run through 1-2 sets of 10-15 repetitions of each resistance exercise then reward yourself with some relaxing stretching at the end. Getting started can be tough but with a little knowledge and patience you will be successful!
Vicki Amon is a degreed and nationally certified personal trainer with over 15 years of experience. She is the owner of Fit 4 You, Inc. Personal Training and strives to help her clients feel comfortable with their own individualized workouts while achieving great results!
*PCOS NEWSLETTER SUMMER 2010
Wednesday, April 11, 2012
We suspect you mean FSH (follicle stimulating hormone). Each person is different. To advise you properly, we would have to review your health history to get a complete picture of what is going on — i.e. other hormone values, weight loss, etc.
If you would like to have an evaluation, we would be happy to help. To schedule a consultation, please call 1-800-789-PENN (7366) or request an appointment online.
Monday, March 5, 2012
Tuesday, February 14, 2012
Friday, February 10, 2012
Saturday, October 1, 2011
Friday, September 16, 2011
I look at my daughter every day and still can't believe she is mine. I went through so much to have her and it was worth every bit of it. Never, never, give up!"
Thursday, September 15, 2011
Monday, July 25, 2011
Monday, July 18, 2011
Skipper asks: Is it possible for me to be a surrogate for my girlfriend - meaning I carry her biological baby? Can I do this if I have never carried a child before?
Samantha Butts, MD MSCE responds: In order to determine if you could carry a child for your girlfriend, you would both have to be evaluated by a fertility specialist. At a meeting like this, the doctor would obtain a medical history on you both to understand what your reproductive needs are and will provide you with information about what treatment options are available and what they require from you both.
Thursday, July 14, 2011
What occurs at the first appointment at the fertility center? Does the couple attend the first appointment together?
Thursday, June 23, 2011
Monday, June 6, 2011
I had a tubal ligation in 2003 and got married. I can’t afford to get my tubes untied. What is my best plan for me and my husband to have a baby?
Wednesday, June 1, 2011
Tuesday, May 24, 2011
Clarisa R. Gracia, MD, MSCE responds: There are a variety of reasons why you might be having trouble getting pregnant. If your menstrual cycles are irregular, you could have an ovulation problem (not be releasing an egg). There could be a blockage in your fallopian tubes, or your husband may have a low sperm count. Other factors may also be playing a role such as your age. I recommend that you see a physician who treats women for infertility to find out what might be going wrong. Best of luck!
If you would like to schedule an appointment with a Penn Fertility Care specialist, please contact 1-800-789-PENN (7366) or request an appointment online.
Tuesday, May 17, 2011
IVF did not work for us. What services can Penn Fertility Care offer to give us hope of becoming parents?
A urologist prescribed my partner clomid. Is it time for us to see a fertility specialist or should we wait to see if the clomid works?
Thursday, May 12, 2011
Samantha Butts, MD, MSCE responds: If your husband has a normal semen analysis (normal concentration of sperm, normal amount moving and normal shapes of the sperm) it is unlikely that his anti-seizure medication is a problem. If the medicine were effecting his fertility in a substantive way, this would be detected on the semen analysis.
That being said, there is clinical evidence that some medications used to treat epilepsy (such as valproic acid, oxcarbazepine, and carbamazepine) might negatively impact hormonal levels in a way that increases sperm morphologic defects. Again, in anyone with a normal semen analysis, I would find it difficult to explain a couple's infertility by exposure to anti-seizure medications.
If you would like to schedule an appointment with a Penn Fertility Care specialist, please contact 1-800-789-PENN (7366) or request an appointment online.
Wednesday, May 11, 2011
I had a miscarriage and haven't been able to get pregnant since. When should I see a Reproductive Endocrinologist?
Thursday, May 5, 2011
I have been having a hard time conceiving and I don’t know why I’m not able to have a baby. Can you help?
Thursday, April 28, 2011
Wednesday, April 20, 2011
I am a 35 year old female that has been trying to get pregnant for 1 year. What could be the problem?
Monday, April 18, 2011
Friday, April 15, 2011
The Penn Ovarian Cancer Research Center (OCRC) would like to express it's sincere thanks to the Philadelphia Antiques Show as this year’s proceeds benefit the program. The center aims to make innovative immunotherapeutic ovarian cancer treatment available to more women in the Philadelphia region. Immunotherapy uses T-cells from patients' own tumors to develop vaccines that help fight the disease. This personalized therapy improves survival rates and offers women affected by ovarian cancer a better quality of life.
Wednesday, April 13, 2011
I am 41 and have been diagnosed with unexplained infertility. Am I able to get pregnant without ARC?
Friday, April 8, 2011
Wednesday, April 6, 2011
If you have had 5 surgeries to remove endometriosis and scar tissue and it keeps coming back, will it keep coming back and getting worse?
Wednesday, March 30, 2011
K asks: How much are the egg donors paid?
Penn Fertility Care responds: Generous compensation is offered to donors for their time and travel. Compensation is reviewed during the applicant process.
For more information, visit PennMedicine.org
Tuesday, March 29, 2011
Monday, March 21, 2011
Tuesday, January 18, 2011
I have had three consecutive miscarriages this past year. My husband has been under a lot of stress. Can a husband's stress cause miscarriages? P.S. I had a healthy pregnancy before these three.
Your husband's stress cannot cause a miscarriage but it may add to your stress, which could adversely affect your health. Penn Fertility Care advises women to seek a fertility specialist if they have lost two or more pregnancies due to miscarriage, have been trying to conceive for over a year (under age 35), have been trying to conceive for over six months (age 35 and over) or if you have any other underlying gynecologic issues (ie. endometriosis or PCOS). We wish you luck. Feel free to contact us if you decide to be evaluated by a fertility specialist.
If I am turning 21 in October is it possible for me to donate my eggs now?
Penn Fertility Care responds:
To start the screening process to become an egg donor you must be 21-years-old.
For more information or to talk to a Penn Fertility Care specialist please call 1-800-789-PENN (7366) or request an appointment online
Tuesday, November 30, 2010
My husband and I are both 34. We tried for almost two years to get pregnant. Finally, we went to the fertility doctor. After what seemed like 100 different tests, I was diagnosed with endometriosis. After a couple of months of Clomid treatments, the doctor decided to do surgery. For two months after the surgery, I was taking Follistim shots.
We were pregnant within two months. Our son is now 16 months old. Our only concern throughout the process was why the doctor waited five months to do the surgery. I was told about the endrometriosis in November, and the surgery was not done until March. We feel that five months was wasted on Clomid treatments. If they knew I needed surgery, that should have been on the top of the list.
For anyone with a similar situation, I suggest you ask every question about every treatment, and do not let the doctor delay anything. When dealing with infertility, time is of the essence. We are now trying to conceive a second child, however, we are trying the old-fashioned way this time.
Good luck to all who are trying, and do not give up. We were ready to look in to adoption (which we still might). Congratulations to all who have the little one they were waiting so long for. I thank God everyday for my son.
I spent so much time ignoring my body calling for help, I wish I could go back and change things but I know I can't. I found out that I had scared tubes that where clubbed at the ends and were blocked. When I heard this I felt dead inside. All that I could think is that my husband isn't going to want to be with me now and that I'm cheating him out of his life. We both wanted children and I knew he wanted to be with someone that could give him a child.
Before I found out that my tubes were blocked, we had tried for over a year and someone from my job told me about her fertility doctor. The fertility specialist did a laparoscopy and he said that he removed the adhesions and that my tubes where closed and damaged and I need to have IVF done to conceive. I thought ok when can I do it? I didn't know what IVF was. I just wanted a baby so when I found out how much it can cost I was disheartened since I couldn't afford the procedure.
My friend told me that she had the same thing. I was shocked and I didn't believe it because she has three kids. So I asked her what she did and she got a second opinion (since all of the doctors are different). The second doctor she saw had another course of treatment for her. I took her one year to conceive her first child, six months for the second child and two years for her third child. She said you have to have a doctor that really care about you.
So I went to see her doctor and gave him my past surgery pictures and info and he looked at me and said "who the heck told me that this isn't repairable?" I was shocked from his reaction and felt like this is the doctor for me. He told me he can fix my problem with another laparoscopy. I remember being put under sedation for the procedure and he was telling me that I'm not going wake up unless my problem was fixed.
When I woke up he had this sad look on his face and I wanted to just cry because I believed him when he said he was going to help me. He looked at me and said well your tubes are opened but it might take you a while to conceive. Well it didn't...I'm now four months pregnant with a healthy baby. I just want to say that some treatments are good for infertility they are not for everyone. A second opinion helped instead of me hiding from my problem. Good luck to everyone.
Well like any other young woman I got married and wanted to start a family. I found out after I got married that I had polycystic ovary syndrome (PCOS). Fast forward about two years and my son was born. Now I'm 29 soon to be 30 the end of this month and the baby bug bit again. I so want to have another child. I came to Penn Fertility Care in hopes of good news.
Today I got a mix. Yesterday I had a HSG test and just received the results, both of my tubes are open and everything else looks good with the exception of a little scar tissue in my left tube. I will go for an insemination in the next few weeks and I'm currently taking clomid.
Hopefully this will work because my insurance won't cover IVF. No need to say that my spirits in spite of the good side of things are very low. But in the mean time I've been doing a lot of praying.
Well my story is long, true and still hurtful to this day, but I'll make it short. My mission is on a good track now so hopefully my story will help someone out in some way. I always thought I could have a baby. When I was younger I got an rude awakening when I thought I had the man of my dreams. When I was 18 or 19 years old, I thought we were going to leave each other so I planned to get pregnant. I tried and tried and nothing happened. I was confused so I stopped at that age. I didn't know anything about a fertility doctor. Anyway he wasn't "the one" and I'm glad I didn't get pregnant then.
I met another man and before we got married he made it clear that he wanted children as did I. We decided to stop using contraception but I wasn't getting pregnant. I started asking my gyn about this and she told me to see a fertility specialist. I had blood work and a laparoscopy and I found out from him that my tubes were blocked. In his opinion, I needed IVF. I found that was too expensive. I showed my ob/gyn the pictures and told her what the specialist said. My ob/gyn looked at the pictures and said the fertility doctor was wrong and to get a second opinion. She referred me to a doctor she went to and she was right. The new doctor fixed on of my tubes and the other is opened a little.
I didn't take no for an answer and even though IVF is a good treatment, I just couldn't afford it. Now, one month after my second laparoscopy, I am pregnant but they are checking to see if it is tubal or normal. I will find out in two days so please pray for me.
The problem I see with a lot of women is that they accept what they are told without fighting, they do not do research on the doctors or success rates, they don't know that there are other treatments than IVF. Trust your heart and know that your husband may act tough be he wants the same thing that you do, a baby. Talk about things and relax and determine the best plan for you. I wish you all well and I'm praying for you all.
My husband and I have been trying to conceive for two years. My ob/gyn kept telling us to have intercourse on days 12-14 of my cycle, but it was not working. In September of 2006, I left work, sat at the dining room table and cried. I told my husband I did not want to try anymore, and that the stress and disappointment were too much. We cried together.
Then, in October, I had a blood spot a week before my period. I remember thinking, "This is odd," because that had never happened before. The next week, I bought a pregnancy test and tested. We had two lines! I ran into our bedroom shouting, "We have two lines! We have two lines!" We celebrated and our families were ecstatic!
Three weeks later, we miscarried. The worst part was the dilation and curettage (D and C). We had to be in the maternity ward, with all of the healthy babies and healthy moms. My appointment was for 11:00, but I did not get into the operating room until 1:30. There were two emergency C-sections ahead of me. Those babies were more important to the hospital because those babies were alive. I was fine that night and the next night. But, the third day was horrible. The anesthetic wore off and I was in a lot of pain – physical and emotional.
I cried the whole month of November. I cried all the way to work and all the way home. December was good; I had been given the go-ahead to try again in January. When January came, so did the tears. I was terrified that we wouldn't be able to conceive or that we would miscarry again. As luck would have it, we got pregnant in January. At the end of the month, I began spotting again. On Super Bowl Sunday, as we were leaving church, I felt the baby come out. I saved her, and took her to my doctor's office on Monday. The tests revealed nothing conclusive – just a spontaneous abortion. (I hate that term. Why use abortion?) I cried and was angry.
At the same time, I was taking a grief counseling class for my degree. I shared my experience with my class. During a break, a woman who was a pediatric nurse came up to me and said, "I know someone who can help you. There is a doctor I work with who is a fertility specialist." She gave me his name, and I went home and looked him up on the internet. I made an appointment the following week. I consulted my ob/gyn, and she was angry with me. She said, "I do not recommend this until you have had three miscarriages." I asked her why she would want to put me through that again, and she did not have an answer.
She and my specialist began working together. She ordered 22 blood tests (all negative) and then did a hysterosalpingogram (HSG) – also fine. She faxed all of the results to my specialist and he analyzed them. He determined that all I needed was a shot, gonal-f, to keep my ovaries from releasing an egg until the follicles were mature. I had been ovualting at day ten, and he wanted my body to hold off until day twelve. I took gonal-f injections for five days.
When I returned for an ultrasound, the follicles were not quite ready, so I continued for two more days. This time, the follicles were mature, and my luteinizing hormone (LH) blood count was rising, so I was instructed to take 500 mg of ovidrel that night with intercouse and 250 mg of ovidrel the next night with intercourse. The timed intercourse was very difficult for me. I was worried that something might go wrong, and I could not relax. All that I could think about was, "We paid a lot of money. We have to do it." The second night was much better, and I was able to relax.
I am still waiting for the results of this cycle. I am concerned that because my LH was already rising, we might have missed the egg. I will not know for another week. I am excited that I have a doctor who is skilled and who knows what he is doing, but I am disappointed that I have to go through all of this.
I am 26 years-old and have a 5-year-old son. I started trying to conceive for our second child at the end of June 2008. I got a [positive result] BFP on 7/17/08, but 8/4/08 an ultrasound showed it was ectopic. I’ve been trying to conceive since and nothing.
I used over the counter ovulation predictor kits, regularly took my temperature, and used a microscope all at the same time to detect ovulation, and only detected it once in December 2008. I can’t find any doctors who want to really help me quicker.
In October of 2009 I will be getting laparoscopy done if I’m not pregnant by then. I really feel I should get a hysterosalpingogram (HSG) done first because of the ectopic pregnancy. It’s one of those instinct feelings. So I’m currently looking for an HSG to be done. I have three sources I have to call yet and if they won’t help I’m done trying to conceive until the summer is over. This makes me very sad.
My husband and I got pregnant after four months of being off of the pill. I was 22 at the time. At eight weeks I lost the pregnancy and was very upset, understandably.
The very next month we got pregnant again. I spent the first three months of the pregnancy just waiting for "it" to happen again. I felt unable to get excited because I was afraid it would all be over. We ended up having a healthy baby boy and we were told by the ob/gyn that a miscarrage is normal.
When our son was two we decided to try again. We got pregnant after six months of trying and unfortunately, I had another miscarrage. It has been over a year now of trying and nothing, no pregnancies. I am 26 now and feeling like this is the prime time to have a baby and disappointed that it's not happening!
Now I am worried that I will never have another baby and I don't want them to be too far apart in age (my son is 3). We are on a limited budget for infertility treatment and right now I am feeling helpless.
I am 35 and my husband is 38. I am currently pregnant with our first child following infertility treatment. I had intrauterine insemination performed at Penn Fertility Care. I was so unhappy with my former doctor and really believe that I/we would still be suffering if I had not contacted Penn Fertility last spring. You are entitled to good care and must seek it out, especially if you are older (like me).
While we were trying, I found a lot of solace and support online. Many of the infertility blogs (deadbug, barrenmare) I came across made me cry very hard, but they also made me laugh, gave me hope, and reassured me that I wasn't alone. I wasted a lot of time (1.5 years) with my OB-GYN and then the reproductive endocrinologist I was seeing before.
I had endured tons of blood tests and an HSG (all normal) but was told I wasn't ovulating (even though some home urine tests indicated that I was). When I was given a prescription for a high dose of Clomid last spring & told, in response to a question about what that recommended course of treatment was based on, that it was "based on 15 years of clinical experience", I decided it was time to find a new doctor.
A friend from work told me about Penn Fertility. Shortly after my first visit, they did PCT (which the other doctor had never done) and suggested, based on the results, that we try a few cycles of IUI. The first attempt didn't work, but the second one did. Less than 3 months after my first appointment I was finally pregnant!
We are expecting a baby girl in the spring and we are thrilled. My advice to others suffering through infertility is to be proactive: switch doctors if you don't like yours/don't feel he/she is taking you seriously/giving you good care--and above all, do not lose hope! You WILL have the family you are dreaming of, even if it doesn't happen as fast as you would like.
We had been trying unofficially for about 2+ years, when I knew that something was wrong. I was 27 when I was referred to Penn Fertility Care by my ob/gyn. After being evaluated and tested - they discovered that both of my tubes were blocked. I took it quite hard, but I had faith in science.
So after much thinking I decided to try to have my tubes repaired — after surgery they told me that there was a lot of damage and that my chances of conceiving was about 20% — to me that was alot better then 0%. So we had fun trying, until I realized that maybe things weren't going to well in there. Test confirmed that scar tissue had blocked one of the tubes completely and about 3/4 of the other. So back to the operating room I went to have both tubes removed (an option that I was given the first time but I chose to try to have them repaired first).
After surgery I was having surgery remorse — like why didn't I get a second opinion, why didn't I ask if there was any other alternatives? But I got my self together, after I enjoyed my summer and took my mind of "babies" we decided I was up for a dance with IVF (we waited until September).
After having my case reviewed the clinic also decided that I was a good candidate and off to the consultation and drugs I went — early October. The drugs threw me for a loop I was so darn moody, and anxious that I could not get myself together. However, after a while I adjusted to the "needle schedule" and before I new it I was getting the blood draws and ultrasounds every other day.
It was time for the egg retrieval and I had produced 24 eggs. Out of the 24 eggs, 22 fertilized. Out of the 22 that fertilized, 20 went to "blast" — I waited five days instead of three days. They informed me I had all quality "blast", so they would put the one in that had matured first. So, on December 21st, I was closer to pregnancy then I had ever been. I continued my meds and then the dreaded 2 week-wait begin, which was to end on Jan 2.
I was extremely anxious. I was so edgy and snappy - I believed in my heart that it had worked, but I was also scared to get my hopes up. Happy New Year! We rang in the New Year together and I did not drink "just in case." On the way home I begged him to stop at Walgreen's so I could get a test...I could not bare to wait!
We arrived home and after I said a little prayer, to give me strength, I ran up to the bathroom. Seconds past and I saw the faintest second pink line appear. However, I thought I had willed my brain into seeing something that was not there. I screamed for Hubby to check the results. "What do you see?" I asked frantically. "Is that another line?" I waited as he carefully examined the test. He looked over and said to me with a smile, "Congratulations!"
I did not know if I should, scream or what... I waited until Jan. 2 and it was confirmed through blood work that I was pregnant, I continued the progesterone. We could not be happier; my due date is September 8th. If it were not for the many wonderful people in the office that helped us create life, I do not think this would have been possible on my own. We sincerely thank each and everyone I have had the pleasure of meeting.