Infertility

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Twins

Multiple gestation is the medical term that refers to a woman who is pregnant with twins, triplets, or other higher-order multiple pregnancies. This will occur in slightly less than 2% of all pregnancies. Within the category of multiple gestation, twin births are by far the most common, accounting for 95% of all multiple pregnancies.

The word "ectopic" means "out of place." An ectopic pregnancy is a pregnancy that is not growing in the usual location (the uterine cavity). Ectopic pregnancies can occur in a number of abnormal locations, each with different characteristic growth patterns and treatment options.

Ectopic Pregnancy

Ectopic pregnancy, or preembryo implantation outside the endometrial cavity (i.e., fallopian tube, cervix, abdominal or pelvic cavity), is a potentially fatal condition with an incidence of ~1:150 diagnosed pregnancies.

As soon as a pregnancy becomes recognized, each (prospective) parent generally starts to accept and plan for their new arrival. If the pregnancy is lost, this is often considered a "death within the family" and the couple will go through an intense grieving process. The loss of a pregnancy can be devastating for a couple, regardless of the number of children in the family or the cause for the loss.

"What is the hardest of all to do? To see with our eyes what our eyes lay before us. (Paraphrased, with apologies from Goethe) That essentially is the message of the innovative efforts of Ms. Deborah Bush, Chairperson of the New Zealand Endometriosis Foundation. She has developed an interactive Menstrual Health and Endometriosis Education Program that has been presented to over 40,000 young women (ages 15-24), educators and clinicians.

Hospital Cuttings

I’m just back from holiday which as all OBGYN’s know is never a complete break. The usual scenario at the beach/bar/restaurant; Interested person "Oh so you’re an OBGYN, I know you’re on holiday but what do you think about my/our periods/fertility problems/pelvic pain?"

Endometriosis is a disease in which endometrial glands and stroma implant and grow in areas outside the uterus . The most common place to find implants is in the peritoneal cavity, but they can be found in any other place.

A pain score is being used to monitor women with a history of chronic pelvic pain. The total score for each day of the month is plotted into a graph and is later correlated to patient's daily activities in order to help with the diagnosis of baseline gynecological conditions.

Adhesions occur after almost every abdominal surgery and are the leading cause of intestinal obstruction. Here, tips for adhesion prevention and how to correct them when they do occur are provided.

Osteoporosis at any age can have devastating consequences. Fortunately, a number of bone-preserving measures can go a long way toward preventing this disease--not only in postmenopausal women, but also in young women at high risk.

Diethylstilbestrol, or DES, a synthetic form of estrogen, was prescribed from the early 1940s until 1971 to help women with certain complications of pregnancy, primarily miscarriages. Use of DES declined in the 1960s after studies showed that it might not be effective in preventing pregnancy complications.

Infertility is a disease that affects the reproductive organs of both men and women. It impairs one of the body’s most basic functions: the ability to have children. Infertility affects about 6.1 million people in the United States alone; ten percent of the reproductive-age population-both men and women.

The process of having a miscarriage can be frightening, painful, and tremendously disappointing. If you had just had a miscarriage, you may be upset and confused about what you have just been through. You may feel that something you did brought on your miscarriage. You may be fearful that you will never have a baby--or another baby, if you already have children.

Recent studies show that 90 percent of surveyed adults who are online would like to be able to communicate with their doctor via the Web, and 77 percent said they'd like to be able to ask their doctors questions where no visit is necessary. Now, an online service is helping people take care of their basic medical needs without ever leaving their home or office.

By some estimates, as many as 80% of women will have fibroids at some point in their lives. And, although many women are asymptomatic, their presence can cause extreme pain in some women and also may be a factor in infertility issues, with submucosal, intramural and subserosal fibroids (in a decreasing order of importance) impacting infertility. Moreover, some research has linked the presence of uterine fibroids with recurrent miscarriage in women, but the data thus far had been inconclusive.

The International Consensus adopted by the IFFS is an up-to-date focus on modern techniques of Assisted Medical Procreation (AMP), with respect to the reasons for which they have been proposed, the conditions for their realization and their possible risks.