9/05/2011

Infertility counseling how to maximize your reproductive endocrinologist

Are experts in managing other diseases may prevent infertility, recurrent pregnancy loss and female and male reproductive function is a reproductive endocrinologist. Appears to achieve further training can effectively handle the problem of those reproductive endocrinologists associated with female hormones to stay after and pregnancy. Couple opposite or same sex, single women and single men's reproductive endocrinologists reason numerous consultation please. Describes a systematic approach of reproductive endocrinologist and consulting to here, my time achieving maximum benefit from a consultation in the shortest possible time.


Before the consultation


Is the first step in answering this question-why the reproductive endocrinologist and consultation? Advised for the following reasons people seek.


1. Infertility defined as regular unprotected sexual intercourse 12 months ago, medical history, age or find you cannot imagine represents the rating previously. Wise women pursue the 35-year-old more than six months after consultation. Exposed pregnancy without using a method of contraception sometimes months, how to track. Also particularly intercourse 2 to 3 times or more per week, if you have several months to keep history time intercourse to Ovulation prediction kit.


2. Risk of disease and ill treatment for infertile couples. Women, men and children, especially in chemotherapy, disease Lupus these or similar diagnostic need and then to mention the women carrying the chemotherapy treatment have BRCA1 or 2 mutation, some examples, diagnosed with cancer the ovary removal instructions to reduce the risk.


3 Carry a risk for transmission to the disease mutations in some future children


4. Single women or men or the same sex are some third-party reproduction donor eggs, donor sperm and pregnancy career interested.


Repeat 5. recurrent pregnancy loss, miscarriage after the establishment of the first or second trimester of pregnancy.


6 Select other signs tubal sterilization, thyroid or prolactin failures, excessive hair, eggs of amenorrhea or freeze, fetus gender, to flip as a fertility treatment extended irregular cycles.


7. Reproductive surgery.


After defining the reasons for collecting semen analysis before starting a consultation, or saga report and film records, ultrasound, laboratory reports test before IVF and IUI cycle, genetic counseling and genetic testing results, the report sterilization surgery report inspects, laparoscopy, and fallopian tubes.


Office forms ask e sent or mailed to visit ago. In the form of medical treatment usually includes questions about menstrual history, history of man, advance medical or surgical intervention and family history. Family history is a critical component of the visit may point to specific genetic problems. In addition to seeking Office in General, your id and insurance card, form one of your partner. If you write me would like to ask your doctor questions come in Notepad.


The timing of the consultation


Useful if possible please contact hours. In front of the fertility of women seeking the essence of time, such as in some situations is the advice on conservation. You must your reproductive endocrinologist who can promise to 24 to 48 hours. Using ultrasound, as well as appointment whenever possible, the third day of the second schedule or if possible as a cycles this drawing basal serum FSH and LH, estradiol opportunity gives to visualize the ovaries in the early stages of the cycle. Also if the male partner submits the semen analysis is his drugs where possible and should stop 3-day abstained from. All this is easy, if not received test can save your time past, fertility.


During consultation


Consult appropriate reproductive endocrinologist at 90 minutes 1-includes several components. Questioning past clinical medicine, surgery, obstetrics, society, family history, medications, allergies, birth control, breast and the related prior infertility testing and treatment of ovulation, fallopian tubes, uterus, cervix, male factor infertility. The purpose is to identify the factors most likely fertility pregnancy safety. You can evaluate and advance processing purposes one more how to improve. You can include a method to improve ovarian stimulation, 2. General and pelvic examination and 3. Vaginal ultrasound. Purpose of ultrasonic, detect uterine position and size estimation of uterine cervical, ovarian reserve, as well as the map size accessibility ovarian, uterine lining abnormalities.


Reproductive endocrinologist who gives his impressions of further testing and treatment plans, including the following steps. As ICSI sophisticated time may vary from the simplest things these are sexual intercourse in vitro fertilization and PGD pre-implantation genetic diagnosis. Describes the possibility of treating multiple pregnancies and ovarian hyperstimulation syndrome as a complication of the likelihood of success. You may take place after visiting drawing or semen analysis as some blood tests.


Specifies the time for questions after hearing the plan should be enough. Tell your doctor what to accept based on the value system and a moral commitment. Includes team may meet after the consultation of other people or financial, psychological consultation of third-party replication and genetic counseling.


After the consultation


You may be able to conclude all necessary fertility test within 10 days of when you run the plan outlined in your fertility specialist. This will end or treatment plans to change discussion at the follow-up visit or phone your reproductive endocrinologist and his time. Preparation for follow-up giving enough time to discuss reproductive endocrinologist more attention with a couple of visits by close conclusion, just as benefits from consultation to maximize, before treatment of reduces the preparation phase. It also configures the basis for a strong relationship of trust and male and female reproductive endocrinologist.


Is the Board to certify a fertility specialist of many scientific publications IVF AMR Azim reproductive endocrinologist and New York City and author of fertility and fertility conservation area. Professional and endometriosis, IUI, IVF, ICSI, simple and complex infertility treatment including the infertility counseling & testing, PCOS and infertility-male factor issues.

1 comment:

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