Trying To Conceive A Child? TTC - Health (43) - Nairaland
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| Re: Trying To Conceive A Child? TTC by ketubah: 5:04pm On Jul 29, 2011 |
Babe,not sure about bridge having the highest success rate o ,they are a pioneer though i've had a lot of people go to Bridge,Nordica,Nisa etc,what we do not know for sure is how many attempts did they achieve success,i had posted earlier about a friend who was +ve first time at bridge and two days later ,was _ve,the reason Bridge gave was that the linning of her womb was thin.I was so upset cos at the time they started stimulation they should have checked the linning of the womb, i know someone abroad whose Fs had to freeze the embryo cos her linning was so thin and she had to treat that and then asked her to come back for a FET. That singular stuff with my friend put me off o,after spending 1milla ,so there are so many scenarios ,one thing i tell people is you just need to be informed and i hear bridge does only 2 embryo transfer cos of some Uk regulation,i understand the multiple risk thing but i do not think there's any clinic in Nigeria that has a UK standard yet,regulation is good but we should have a UK standard before we start regulating,UCH london does only Eset(Elective single embryo transfer ) and i hear they have fantastic results.So a lot depends on God,and the expertise of the personnel 1 Like |
| Re: Trying To Conceive A Child? TTC by osiyemia: 5:27pm On Jul 29, 2011 |
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| Re: Trying To Conceive A Child? TTC by drhaastrup1: 4:48pm On Jul 30, 2011 |
The success of IVF depends on a lot of factors, not necessarily on the FS. And the better the surgeon the less painful he's able to make the procedure . |
| Re: Trying To Conceive A Child? TTC by osiyemia: 4:57pm On Jul 30, 2011 |
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| Re: Trying To Conceive A Child? TTC by drhaastrup1: 10:06pm On Jul 31, 2011 |
osiyemia:The common factors as I know them are, 1.egg/Embryo Quality, there are a lot of factors affecting Egg quality, A, Age and Ovarian reserve--A woman is born with all the eggs she will ever produce. She uses them up through her reproductive life and when they are gone, her reproductive potential ends. It is interesting that a woman’s eggs are already stored in her ovaries 6 months before she is born. In fact, she starts losing her eggs at a furious rate from the get-go such that by the time she is born, more than half of her eggs have already been re-absorbed. By the time she reaches puberty and then start to ovulate her egg population will have dropped from about 5million to less than 1 million. Another factor is that less than 40% of embryos resulting from fertilization of even young women’s eggs are capable of making a healthy baby. As women get older, this gets progressively worse, such that by her mid-40’s the number drops to less than 10%. osiyemia:The common factors as I know them are, 1.egg/Embryo Quality, there are a lot of factors affecting Egg quality, A, Age and Ovarian reserve--A woman is born with all the eggs she will ever produce. She uses them up through her reproductive life and when they are gone, her reproductive potential ends. It is interesting that a woman’s eggs are already stored in her ovaries 6 months before she is born. In fact, she starts losing her eggs at a furious rate from the get-go such that by the time she is born, more than half of her eggs have already been re-absorbed. By the time she reaches puberty and then start to ovulate her egg population will have dropped from about 5million to less than 1 million. Another factor is that less than 40% of embryos resulting from fertilization of even young women’s eggs are capable of making a healthy baby. As women get older, this gets progressively worse, such that by her mid-40’s the number drops to less than 10%. 2 Poor Uterine Receptivity , he uterine factors are just as critical to the equation as the quality ofthe embryo. There are a number of factors that contribute to the receptivity of the uterus including the contour of the uterine cavity, thickness of the uterine lining, 3 Embryo Transfer, 1 Like |
| Re: Trying To Conceive A Child? TTC by lullabi: 12:54pm On Aug 02, 2011 |
Hi, Dr Haastrup, I went for Hvs and Urine mcs and it says i have scanty growth of Candida Albicans, yeast +++. My blood preg test was -ve. now my af showed up yesterday. Does it mean i have not been infected with the bacteria my husband had(is it possible). So i dont have to be treated for that only for the yeast? What should we do next concerning TTC, i really am confused now. Pls help Arlly, weve not heard from you for a while, just hoping you r okay. Mypeace, hope you r fine too. |
| Re: Trying To Conceive A Child? TTC by drhaastrup1: 6:18pm On Aug 02, 2011 |
lullabi:Yeah you both need to get treated . Your gyn might give you a broad spectrum. Antibiotics. And he might also do another test to confirm complete clearance . As for the TTC let's chat or call me so we can talk privately and if need be for consult . |
| Re: Trying To Conceive A Child? TTC by drhaastrup1: 3:01am On Aug 03, 2011 |
Stress can be a factor with infertility and has been shown to decrease pregnancy rates in IVF patients, however, I do not think that it is adequate to be a cause of sustained infertility. Therefore, I don’t think that is the issue. Based on the information you gave, I don’t think you have completed an infertility evaluation. Just for your reference, these are the tests usually done in a basic infertility evaluation: Cycle day #2 or 3 hormone panel (FSH, LH, Estradiol, Prolactin, TSH) Hysterosalpingogram Hysteroscopy or Hysterosonogram Cycle day # 20,21 or 22 Progesterone level (mid- luteal phase) Cycle day #26,27 or 28 Endometrial biopsy for Endometrial dating Pelvic ultrasound, expecially to view ovaries and adnexa. Antral follicle count is sometimes done with this scan. Semen Analysis (Repeat to verify if the first one is abnormal) Laparoscopy to evaluate the pelvis. First, I think you need to know that you now have at least one recognized reason for your inabiility to become pregnant, and that is an abnormal semen analysis. A “morphology” of 3% is a severe abnormal semen analysis. It should be 33% or more. That means that only 3% of to total count are actually normal sperm and only those sperm have the potential to fertilize an egg. So how many is that? Take the total count and multiply by 0.03 then multiply that by the motility percentage and that will give you the number of available sperm. If that number is less than 20 million but higher than 10 million, then IUI would be a potential treatment option. If it is less than 10 million, then ICSI in conjunction with IVF would be the treatment of choice. Of course, before making this decision, a second semen analysis should be done to verify the result. Many fertility specialists, including myself, believe that the semen analysis is merely a reflection of the sperm potential. After all, the function of a sperm is to fertilize your egg, but that test does not exist. It has been shown in IVF cycles prior to the development of ICSI, that when there is an abnormal semen analysis, there is often a functional defect i.e. the sperm do not fertilize well. That is why ICSI was developed. With that in mind, it might be better to proceed with IVF and ICSI. In light of this fact, I don’t think that the laparoscopy is necessary because IVF will bypass the normal pathway. Secondly, I think that you need to see a fertility specialist. You need one that does ALL levels of evaluation and treatment, including IVF. If you do to someone that does less, they will often defer to the treatment that they can do rather than refer you to a higher specialist. IUI in this case would probably not be worthwhile and would waste time and money. Just like Gynecologists who say they do infertility but in reality can do only a small portion of infertility, Someone who has done additional training in Male infertility can then do additional testing if need be and make additional treatment recommendations if there are any. But, word of caution. Most male infertility will require ICSI with IVF. There are very few male infertility cases that can be treated with medication or surgery, so going to see a Male infertility specialist would be more to explore all options and do all testing, rather than hope for a treatment less than ICSI. |
| Re: Trying To Conceive A Child? TTC by udoka2: 3:26pm On Aug 03, 2011 |
Hello Doctor l have a colleague who aborted 4months pregancy in 2006, and since then she has not seen her period. However if she takes drug to induce period, it comes, but without drugs she doesnt see it. she is married now since 2008, still same problem. The whole thing is making her to add unecessary weight on her waistline. Pls what can she do? She has tried gyneas. without success. they most times place her on family planning to correct it, while on it the period will flow. it stops as soon as she stops the family planning or drug to induce it. |
| Re: Trying To Conceive A Child? TTC by drhaastrup1: 2:33am On Aug 04, 2011 |
udoka2:Its quite unfortunate but I think your friend might e suffering from a condition know as Asherman's Syndrome . Its a post abortion complication. Asherman's Syndrome causes a decrease in menstrual flow, abdominal pain, cessation of menstruation and infertility. In females with the disorder, such symptoms and findings occur due to inflammation of the lining of the uterus (endometritis) and the development of bands of scar tissue abnormally joining portions of the uterus. The scar tissue becomes so dense that is impossible for a baby to grow. The condition can be very mild, or it can be severe and irreversibly damage the uterine cavity. These intrauturine damages can occur spontaneously or as a result of trauma to the uterus, such as surgical scraping or cleaning of tissue from the uterine wall (popularly known as known as D & C .) Tell her to talk to me privately I will see her or make referral as appropriate. She would need surgery and fertility treatment. 1 Like |
| Re: Trying To Conceive A Child? TTC by Beetle: 10:12am On Aug 04, 2011 |
Ketubah, I beg to differ UCH doesn't do ESET, it's the NHS side that does that. Most Fertility clinic in UK puts back 2 apart from NHS that puts back 1. Hope everyone is doing good! |
| Re: Trying To Conceive A Child? TTC by Beetle: 10:14am On Aug 04, 2011 |
Udoka, Your friend needs to go for Hysteroscopy to remove all the scarring |
| Re: Trying To Conceive A Child? TTC by osiyemia: 10:49am On Aug 04, 2011 |
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| Re: Trying To Conceive A Child? TTC by ketubah: 10:56am On Aug 04, 2011 |
Beetle, i did not know that,i already consulted with them last year and they said it was going to be Eset cos of my age and medical history |
| Re: Trying To Conceive A Child? TTC by drhaastrup1: 10:58am On Aug 04, 2011 |
osiyemia:The decision to clip or remove lies with the surgeon with the patients consent. But be well informed before deciding on what you want. |
| Re: Trying To Conceive A Child? TTC by Arlington(f): 2:51am On Aug 06, 2011 |
Dr Haastrup has taken over the thread  ? Where is everyone ohhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh General Abiop,my peace stages everyone where una don waka go ohhhhhhhhhhhhhhhhhhhhhhh. I am guilty as well Hope everyone is doing ok. |
| Re: Trying To Conceive A Child? TTC by Nobody: 7:33am On Aug 06, 2011 |
Me , iam still around oh!! hi everyone  |
| Re: Trying To Conceive A Child? TTC by oduamine: 7:36am On Aug 06, 2011 |
dr haastrup should start another thread not here pls. |
| Re: Trying To Conceive A Child? TTC by drhaastrup1: 7:55am On Aug 06, 2011 |
oduamine:Point of correction Oduamine, am not here to take over the thread . I don't have to. Do you have anything against me or the fact that I guidevpeople and educate them on what to do concerning their fertility issues? |
| Re: Trying To Conceive A Child? TTC by oduamine: 5:22pm On Aug 06, 2011 |
@dr haastrup i dont av anytin against u,just that this thread is meant to bring ttc 2geda,to share our pains,help n heal eachoda. If u want to give advice on fertility u can do it on anoda thread. |
| Re: Trying To Conceive A Child? TTC by drhaastrup1: 6:06pm On Aug 06, 2011 |
oduamine:Share pains?, heal each other? Is that a way out?, Pity party or knowledge about what you have and a way to get treatment and where to get one. |
| Re: Trying To Conceive A Child? TTC by camrygmail: 12:47am On Aug 08, 2011 |
Hmm. I think dr haastrup and other members have the right to post and respond to questions. ( as long as they are not breaking any group rule, which as far as i am aware the group as no rules) I do not need a pity party and I do not believe that the dr is taking over the disussion thread in anywa. Just my two cents.(if u don't feel the same way, I can understand that) @odu if u want talk about something else please feel free to post and am sure everyone who has an opinion will respond to ur post (even if they r a doctor Or not) for some of the ladies that post questions and get a response from dr. Am sure they are glad , they enjoy the support, which is the reason they joined the group. . I wish everyone well and I pray we all get our miracles. Shalom! . |
| Re: Trying To Conceive A Child? TTC by osiyemia: 7:38am On Aug 08, 2011 |
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| Re: Trying To Conceive A Child? TTC by member67023: 10:01am On Aug 08, 2011 |
| Re: Trying To Conceive A Child? TTC by Rondo1: 1:29pm On Aug 08, 2011 |
Just joining and finding right answers to questions. 1 Like 1 Share |
| Re: Trying To Conceive A Child? TTC by drhaastrup1: 9:11am On Aug 09, 2011 |
Frequency of intercourse. And its effect The simple rule is - as often as you like; but the more often you do the better your chances. Thus, for couples who get intimate only on weekends (often the price they pay for a heavy work schedule) the chance of Being Intimate on the fertile preovulatory day is only one-third that of couples who are Intimate every other day - which means they may take three times as long to conceive. I think its much more fun making a baby in your bed room than coming to me! (And think of all the money you’ll be saving !) Also remember that you cannot "store up" Fluid, which means that there is really no advantage to abstaining from sex if you are trying to conceive. In this case, more is better, and in fact studies have shown that fresh Fluid have a better chance of achieving a pregnancy than Fluid which have been stored up for many days. And for the older woman, Women who are more than 30 and who wish to postpone childbearing should get their FSH levels checked on Day 3 of their cycle. This is a simple blood test which allows the doctor to check your ovarian reserve ( the quantity and quality of the eggs in your ovaries). A high level suggests poor ovarian reserve and should be a wake-up alarm that your biological clock is ticking away rapidly. It's important that this test should be done in a reliable laboratory |
| Re: Trying To Conceive A Child? TTC by drhaastrup1: 12:29pm On Aug 09, 2011 |
LOW SPERM COUNT-in the absence of any medical problem little can be done with conventional therapy to improve the sperm count, today we usually offer them one of the assisted reproductive technologies. This might seem unfair , since the wife is being treated for what is essentially the husband's problem, but the fact of the matter is that there is very little effective therapy for a low sperm count. Since the fertility of the couple is the sum of the fertility potential of both the partners, a male factor problem can often be treated by treating the wife ! The modern protocol for managing male infertility is based on the man's motile sperm count; and on a simple test, called a sperm survival test. The sperm are washed, and their recovery assessed; the washed sperm are then kept in culture medium in the incubator for 24 hours and then rechecked. If there are more than 3 million motile sperm per ml, this is reassuring. If, however, none of the sperm is alive after 24 hours, this suggests that they may be functionally incompetent. Treatment depends upon how low the count is. If it is only moderately decreased (total motile sperm count in the ejaculate being 20 million), it makes sense to try to improve the fertility potential of the wife, and the easiest treatment for men with moderately low sperm counts is superovulation plus intrauterine insemination. If after doing this and trying for 4 treatment cycles (the reason 4 is the "magic" number is that most patients who are going to become pregnant with any method will usually do so within 4 cycles) and if no pregnancy ensues, you need to go on and explore further alternatives, such as IVF. |
| Re: Trying To Conceive A Child? TTC by drhaastrup1: 12:58pm On Aug 09, 2011 |
The diagnosis of a low sperm count can be such a blow to one's ego --- it is so totally unexpected, because it is not associated with other symptoms or signs. Men react differently - but common feelings include anger with the wife and the doctor; resentfulness about having to participate in infertility testing and treatment since they feel having babies is the woman's "job"; loss of self-esteem; and temporary sexual dysfunction such as loss of desire and poor erections. Many men also feel very guilty that because of "their" medical problem, they are depriving their wife the pleasures of experiencing motherhood. So he is forced to put up a brave front and show that he doesn't care. Since he is a man, he is not allowed to display his emotions. He is expected to provide a shoulder for his wife to cry on - but he needs to learn to cry alone. However, remember that the urge for fatherhood can be biologically as strong as the urge for motherhood - and we should stop treating infertile men as second class citizens. 2 Likes |
| Re: Trying To Conceive A Child? TTC by mypearl: 2:06pm On Aug 09, 2011 |
In Oct 2010 I had a miscarriage. the pain was so bad the Dr had to evacuate with a D&C. Since then i've not ben able to get pregnant again In June this yr i went for again to be sure nothing was wrong with me. i did pelvic scan, vagina swab test and sampls of blood and urine was taken i had this very bad smelling vagina discharge. it doent even let me know whn i ovulate. the result of the test showed yeast and staphilococus infection. no VDR was discovered. i was given diflucan and norfloxacine for 10days and a repeat after a week. even after the treatment i still have the discharge. lately i have this monor pelvic pain though the pelvic scan scan came up ok I still feel bad about the miscarriage as my husband was really looking forward to the baby. this delay is really getting to us. what do i do. lest i forget my husband was treated too. 1 Like 1 Share |
| Re: Trying To Conceive A Child? TTC by drhaastrup1: 3:06pm On Aug 09, 2011 |
mypearl: |
| Re: Trying To Conceive A Child? TTC by mypearl: 3:45pm On Aug 09, 2011 |
Thank you Dr Haastrup when i first complained about the discharge to my Gyn he waived it off as normal i went back again and he gave me metronidazole and Clotrimazole. it stopped and came back after a month. he later stepped me up to tinidazole yet it didnt work. i cant afford to have a PID. my husband really loves kids i want want to give him some pls do u have any suggestions of a lasting solution? i dont douch though i use tampoons sometimes but d gyn told me to stop which i did. |
| Re: Trying To Conceive A Child? TTC by Nobody: 4:06pm On Aug 09, 2011 |
If ur treating discharge try to avoid sugar bcoz it creates a more condusive environment for bacteria 1 Like 1 Share |
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