Posts

25
May

Hydrosalpinx

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A hydrosalpinx is a condition in which one or both fallopian tubes are blocked and filled with a clear fluid. To detect whether a patient has hydrosalpinx, a specialist may perform an ultrasound, HSG (Hystersalpingogram), or a laparoscopic surgery. At CNY Fertility Center, most hydrosalpinx are discovered through an HSG, during which a special dye is injected into the uterus and fallopian tubes, and then viewed through a fluoroscope (similar to an x-ray machine). If the fluid spills out of the fallopian tubes, they are not blocked. If the fluid remains, then the patient has a hydrosalpinx. Hydrosalpinx can be the result of endometriosis, previous pelvic infections, or can be due to a developmental abnormality. Some patients have recurrent abdominal pain, whereas others experience no symptoms at all. If both fallopian tubes have hydrosalpinx, then the sperm cannot reach the egg in the fallopian tube, and conception is thus prevented.
The best option for women with two hydrosalpinx is IVF (invitro fertilization), because fallopian tubes are not necessary for the process. Some studies indicate that the fluid in a hydrosalpinx decreases conception by about 50%, and increases miscarriage, when undergoing IVF. Therefore, your specialist may recommend that your tubes (with hydrosalpinx) be removed through laparoscopic surgery done in the office to enhance your success. Women who have one hydrosalpinx and one open tube can also benefit from removing the hydrosalpinx, and will increase their chances of conceiving on their own.

25
May

All About Injectables

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Injectable medications are used for IVF or IUI cycles. One of the main processes in an IVF or IUI treatment cycle is the controlled stimulation of the ovaries, to produce eggs. The medications used in ovulation induction are called gonadotropins. Brand names include Follistim, Gonal-F, Menopur, Bravelle, and Repronex. Gonadotropins are primarily used to treat two types of women: 1) those who do not ovulate, ovulate irregularly, or have failed to conceive using Clomiphene citrate (Clomid) and 2) women who ovulate on their own, but may need help in producing multiple eggs, and whose bodies would benefit from the enhanced hormonal environment.
How do they work?
Gonadotropins are natural hormones that trigger the ovaries to make eggs. They are generally safe to use, but do require experience and careful monitoring.In a natural menstrual cycle without any medications, a woman produces one or two follicles, which are fluid filled sacs that contain an egg. The growth of the eggs and their release from the follicles are influenced by the secretion of two hormones from the pituitary gland: Follicle Stimulating Hormone (FSH); and Luteinizing Hormone (LH), both known as gonadotropins.When a woman becomes menopausal, her pituitary gland secretes large amounts of these hormones in an attempt to stimulate the ovaries, which no longer function. Gonadotropins (other than Follistim and Gonal F) are manufactured by extracting FSH and LH from the urine of post-menopausal women. Menopur contains both FSH and LH, while Bravelle contains only FSH.For a woman going through infertility treatments, these extracts must be injected and cannot be taken orally, because they would be digested by the stomach.Recently, gonadotropins (Gonal-F, Follistim) have been manufactured in the laboratory using recombinant technology, which allows a pure form of FSH to be produced. This is not a human tissue or urinary by-product, it is a recombinant FSH. Since it is more pure, it may be self-injected, using a small needle just under the skin.