Ελενα κοντογιάννη: 10 Things I Wish I'd Known Earlier

You might be a target of poor diagnosis. As an example, the number of of you have had a fluid ultra audio? If you have not, elevate your hand. Did you understand ... one polyp staying in the uterine tooth cavity can avoid implantation? Did you recognize that frequently a transvaginal ultra noise can not find a polyp but a fluid ultra audio constantly can?

Let's consider a common circumstance with each other. You are thirty-nine years of ages and also you have an fsh of 17 and you have endometriosis. Your physician believes that you are not getting pregnant because you have an inflammatory condition (endometriosis), and that you have inadequate egg quality, and low ovarian reserve suggested by your age as well as fsh levels specifically. However, if you have a regular period, the odds are that you still have some excellent eggs and also might have a chance to conceive, else why would your medical professional agree to wage an IVF embryo transfer.

The fact that you have actually been identified with endometriosis suggests that you have had it operatively dealt with and so currently its medical relevance is diminished. Now its to egg quality and also ovarian book. If you still menstruate on a regular basis, you still have some good eggs even if your fsh is 17.

So why are you not developing? Possibly because of a physical obstruction, i.e., a polyp or even worse, numerous polyps. Polyps are easily, painlessly and also swiftly removed using a hysteroscopy. So, instead of remaining to have ivf after ivf and failing after failure why not rule out feasible concealed root causes of your problem with simple treatments? I am not trying to insinuate that all infertility stems from inappropriate diagnosis; often female can't conceive for factors which are beyond the range of present analysis tools. I am, nonetheless, recommending that numerous situations of the inability to conceive can be effectively treated where heretofore, they have not.

Did you know that day 3 embryos with less than 6 cells and also greater than 10 cells are often a measure of bad sperm quality? Yes I understand: your husband had a typical sperm analysis. However, has he had a sperm DNA fragmentation assay? This examination can disclose a hidden sperm pathology that may be contributing to your lack of ability to develop?

If his sperm examinations normal from the point of views of quantity, count, motility, as well as volume and also you are producing day 3 embryos with much less than 6 cells or greater than 10 cells, he ought to have this examination. Frequently this examination is not performed since your physician does not rely on this test and wouldn't know what to do with the results anyhow. Doctors will inform you that the only challenge that sperm with fragmented DNA positions is their failure to pass through an egg, so the solution is straightforward: do ICSI. ICSI is a procedure whereupon the sperm is injected into the egg making it possible for forced fertilization. So your egg is being fertilized with a sperm that couldn't, on it's own, have actually done this. Basically, by default, you are ending up with a less than optimal embryo which might generate a maternity which might either cause miscarriage or generate a male child with the very same issue as his father with his future household planning calling for IVF with ICSI.

So, are we not, via these 'band-aid' procedures facilitating a country of damaged children and also actually contributing to a generation of infertile pairs?

You're wondering what the option is. Well that results in an inquiry. If you had type 2 diabetes as well as were really overweight and had insulin resistance you might do 2 points to get better: 1) take Metformin as well as feasible various other medications or you can alter your diet regimen, reduce weight, workout as well as cure your-self.

One method is a 'band-aid' method as well as one strategy is to address the issue at its origin. The service lies ahead.

Back to sperm DNA fragmentation. Prior to we can hope to deal with a 'root' treatment we initially require to know what triggers the issue. Responsive oxidative types or 'ROS' triggers fragmentation of the DNA in the sperm. ROS is caused by environmental assault such as direct exposure to certain chemicals, contaminants, and so on, which can come from smoking cigarettes marijuana or cigarettes, testicular injury or testicluar surgical treatment allowing antibodies to go into the testicular setting and create damages.

The intensity of DNA fragmentation is determined by the amount of sperm that is influenced. 0 to 15% is a measure of excellent outcomes in IVF treatments; 15% to 29% indicates that possibilities are fair to good; numbers above 29% usually do not cause real-time births.

In the idiopathic (no recognized cause) infertile pair, a complete medical diagnosis has not been rendered without a sperm DNA fragmentation test. What is the treatment? The obliteration of free radicals which manifest as an outcome of ROS.

Just how? acupuncture (promotes blood to the testis helping to send out even more oxygen as well as nutrients and resolve dead cells), herbs which have anti oxidant residential properties, vitamins C and E which have strong anti oxidant residential properties as well as day-to-day consumption of wheatgrass juice. There is no standard Western medical technique to the successful therapy of sperm DNA fragmentation.

Is clinical vanity probably a contributing factor to the paucity of screening done for this considerable pathology? To put it simply: if the medical professional doesn't 'think' in the examination then it will not be done. Can you see air? Can you see microorganisms? Can you see God? Can you see power? No, no, no as well as no. Do you count on their presence? Is your day to day actions not based upon your idea in these entities despite the fact that you have never ever seen also among them?

There are some individuals that do not count on the existence of God or bacteria. Does their lack of belief indicate the lack of presence of these things? It is the smart individual that, though idea may not be held, comprehends that there is an opportunity of presence nevertheless.

Did you recognize that endometriosis is an autoimmune disease than can cause the inability to conceive even in the lack of damaged fallopian tubes? One more fascinating point that you need to recognize is that when one has an autoimmune illness such as endometriosis there are frequently various other autoimmune aspects which can add to the inability to conceive which have not been detected; however they must have been. I always advise a complete autoimmune analysis when among my people offers with a well-known autoimmune disease to dismiss the possibility of other, asymptomatic autoimmune disorders which can create the inability to conceive.

The factor for the paucity of screening for autoimmune disorders which are understood to add to infertility is that many doctors don't believe that autoimmune problems can contribute to inability to conceive. The terms yin and also yang according to conventional Chinese medicine, means, among other points balance. Equilibrium, according to the traditions of Chinese medication is required for wellness, and also inequality is what brings about health issues. Would you agree that an immune system which acts inappropriately versus it's host represents a discrepancy? As well as, does it make clinical sense to attempt to rebalance the habits of organ/endocrine systems to re-institute health and wellness?

Allow me inform you an interesting story: when the surgeon general very first suggested the nation that there was a straight web link in between lung cancer and other cancers cells with cigarette smoking, the majority of physicians who smoked (numerous, several did) continued to do so due to the fact that they didn't think what the cosmetic surgeon general said. Now, years later on, the majority of medical professionals do not smoke because they became convinced of the credibility of the specialist general's record. So, maybe, years from now, several reproductive endocrinologists will finally comprehend the clinical importance of particular autoimmune conditions in up until now as their role in inability to conceive is concerned.

An example of an autoimmune condition which can cause infertility is triggered natural killer cells. These cells are meant to eliminate cancer in the uterus. They do so by spraying something called TNF-alpha or lump necrosis factor on lumps, eliminating them, and also in the best instance scenario, conserving the person from endometrial cancer cells.

Nevertheless, in one with an autoimmune alleviated attention deficit disorder of turned on NK cells, these cells spray εξωσωματικη γονιμοποιηση κοστος TNF-alpha on the embryos, instantly killing them creating the inability to conceive. This again is a concealed pathology as it provides without any signs or symptoms.

The ideal treatment is intralipid therapy or intravenous immunoglobulin therapy, both of which have actually been revealed to positively effect maternity end results in patients offering with extremely triggered NK cells.

Once more, this is the band-aid technique as well as, in most cases a band-aid method is not a poor thing; if it functions, it functions as well as at the end of the day that's all we want.

To consist of a method of medicine which can manage immune function to make sure that the body can act generally once again also makes sense. Acupuncture and also natural medication can frequently manifest in this policy of the immune system. This is just how acupuncture and also natural medication assists individuals who are HIV+ or in full blown help to really feel much better and also stronger - by immune feature guideline to whatever degree possible.

Infertility treatment is still in its infancy stage. There have been more than three million children born as a result of IVF. Yet this resembles the principle that many individuals with cancer have been saved by medical treatment. Both hold true, yet the truth remains many more people pass away from cancer than that are conserved and much more IVF's have actually been done without the production of a baby.

As time goes on, a growing number of study will certainly produce better therapy methods as well as possibly eventually inability to conceive will not exist. In the mean time nevertheless it is my contention that all screening, even examining that might offer a better understanding into the source of a pairs the inability to conceive should be rendered and also, the source of the issue ought to at the same time be treated with alternative medicine such as acupuncture and also natural herbs.

Western medication transcends to Chinese medication in treating the manifestation of an underlying disregulation or lack of harmony in the performance of the body however standard Chinese medicine is, in my point of view (based upon clinical experience and 3 thousand years of data) remarkable in treating the human body as well as spirit at the inmost degrees. Consequently, the best method to therapy of the sterile couple is to utilize both modalitities of treatment. This is the option!

Effective IVF at 42 can and does take place. There are lots of examples of women that have attained a pleased result after undergoing this treatment. However, we can not conceal from the truth that our fertility declines as we age and we might need to put in that little additional initiative to make points job.

The high quality of our eggs wears away as we obtain nearer to the menopause and this can occur with startling speed, the nearer we get. Until just recently, it was thought that there was absolutely nothing which can be done about this. Currently although it is not feasible to "turn around" this aging, one recent research study has actually indicated that consuming particular foods can boost the high quality of the continuing to be eggs as well as aid to stop further damage.

One such superfood which can assist in regard of egg quality to aid you attain effective IVF at 42 is Royal Jelly. This dense, nourishing food is created by worker bees and aids with the change of the queen , therefore allowing her to lay dual her weight in eggs daily.

Along with concentrating on specific foods, what you eat generally handles a brand-new significance when you are attempting to conceive-particularly over the age of 40. You have to make certain that the foods you eat are healthy as well as nourishing which your diet regimen is based around fresh vegetables and fruits, wholegrains, lean meats as well as fish as well as complete fat dairy foods. Wherever possible, your food should be natural and you should prevent all recognized "baddies" such as polished carbs, sugar, artificial ingredients, chemicals and trans fats. Likewise deserving of mention is Soy. Although not an issue usually, when you are trying to develop this appears to prevent the process somewhat.

I mentioned earlier concerning egg quality. What is also vital is the amount of eggs. Successful IVF at 42 counts on there being sufficient eggs to harvest as well as a feasible prevention of both high quality and amount is stress and anxiety. Stress can disrupt your hormonal degrees which can influence egg production. Although this can be a problem at any type of age, it takes on a boosted significance as we mature as our chances are lowered anyhow as well as we must do everything possible to protect the quality and also amount of our eggs.

You require to think carefully concerning whether you are impacted by stress and anxiety as well as take aggressive actions to deal with this. It may indicate decreasing your working hours or taking time out daily for a stroll, or to check out a book-anything which unwinds you. You might even desire to try alternate therapies such as massage therapy.

Other treatments which may help you achieve effective IVF at 42 include acupuncture as well as Reiki.