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American Society for Reproductive Medicine (ASRM) released a Committee Opinion on evaluation of the infertile female in August 2012. This new Committee Opinion focuses on testing that is cost-effective, expedient, and minimally invasive. Here is the first installment of a three part summary:
When is testing appropriate?
85% of women will be pregnant within a year of trying, so testing is indicated for the other 15% who have not yet conceived after a year. Testing may start sooner if you suspect a fertility concern: age over 35 years, history of irregular periods, suspected scar tissue or endometriosis, suspected sperm problems. Women planning to use a sperm donor may also desire some level of pre-insemination testing.
Questions your doctor will ask you:
How long have you been trying?
Describe:
- · your periods (how many days from first day to first day, any pain?)
- · any prior pregnancies
- · any prior birth control
- · frequency of intercourse
- · surgery, injury, infection to the reproductive tract
- · treatments for abnormal pap smears
- · family history of birth defects, mental retardation, menopause, reproductive problems
- · use of cigarettes, alcohol, recreational drugs.
Reasons for the tests your doctor may offer:
Do you release an egg?
15% of infertile women do not ovulate robustly. Many times women with ovulation problems will have abnormal bleeding or irregular periods, however in some instances ovulation problems can be more subtle.
Evidence that you are ovulating:
- · regular predictable periods occurring within the interval 25-35 days
- · greater than ten days of basal body temperature elevation each cycle
- · positive mid cycle ovulation predictor kit
- · Blood progesterone test greater than 3, 1 week before the period
Testing that may be offered if you are not ovulating well:
- · Thyroid
- · Prolactin
- · Follicle stimulating hormone with estradiol
My next installment with cover How many eggs do you have? And how do test fallopian tubes?
Have a great week!View Thread
Hope the tip works for all of us
View Thread
We had been ttc for 4 months now but we had no luck,i was ovulating right on time and we were bding religiously on the days but still BFN.so i then read an article saying if you don't have sufficient ewcm theres very little chance of conception becoz the sperm wont survive!i wasnt so what i did was use real egg white(yes its gross but it works if dryness is your only problem)as suggested in place of preseed.it worked a charm i got a BFP at 9 dpo!!!so try it out ladies or preseed but be really careful with the egg white,look it up on google and it'll tell you how to do it properly and safely!!
baby dust t alll...View Thread
How can I chart my BBT if I work shifts?
It is not impossible to take your BBT if you work shifts, but it will be more challenging. Take your temperature at the time you wake up when you are most likely to have had the most sleep. Be as consistent as you can. On your days off, take your temperature after you wake up as well, even if it is at a different time. Make a note on your chart of changes in your waking schedule. You may take your temperature in the afternoon before you go to work if that is your usual waking time and the time after which you are most likely to have had the most sleep. It is not useful to take your temperature when you are already awake and active.
How can I take my BBT when I am traveling?
If you travel within your own time zone, just keep on taking your temperature at the same time. You may notice a slight fluctuation if the climate is warmer/colder but this should not have a huge impact on your chart. Make a note in the notes section that you were traveling so you can explain unusual temperature patterns.
If you are traveling to a different time zone, the disturbance is usually only limited to the day of travel and the day after. Keep taking your temperature as before, using the same time in the local time. We recommend not adjusting any temperatures, but again, make a note of the circumstances. Unless you are traveling right around the time of ovulation, you should still be able to discern your pattern. When BBT is less reliable because of such a special circumstance, pay extra close attention to your other fertility signs to avoid missing a potential fertile opportunity.View Thread
Thanks again, and good luck with your journey
my blog:
http://www.squidoo.com/lensmasters/keita28269View Thread
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