National Infertility Awareness Week

April 19th to April 25th is observed as Infertility Awareness Week, a week dedicated to breaking the stigma around infertility, amplifying the stories of those who have and are experiencing infertility, and advocating for equitable access to care to help treat it. 

Infertility is the condition that causes the inability to get pregnant after one year of trying to conceive. 

The World Health Organization (WHO) estimates that roughly one in six people worldwide is affected by infertility. 

Infertility may happen because of a health issue with either you or your partner, or a mix of factors that prevent pregnancy. However, many safe and effective treatments can boost your chances of getting pregnant.  

The main symptom of infertility is not getting pregnant. There may be no other clear symptoms. Some women with infertility may have irregular menstrual periods or no periods. Some men may have some symptoms of hormonal problems, such as changes in hair growth or sexual function.  

Many couples will conceive eventually with or without treatment.  

Women should talk with a healthcare professional about infertility if they have been trying to get pregnant for at least a year. Sooner if they: 

  • Are 35 years or older and have tried to conceive for six months or longer 
  • Are over the age of 40 
  • Have had no periods or irregular or very painful periods 
  • Have known fertility problems 
  • Have endometriosis or a history of pelvic inflammatory diseases 
  • Have had one or more miscarriages  
  • Have received cancer treatment such as chemotherapy or radiation 

Men should talk to a healthcare professional if they have: 

  • A low number of sperm or other problems with sperm 
  • A history of testicular, prostate, or sexual conditions 
  • Had treatment for cancer, such as chemotherapy 
  • Had hernia surgery 
  • Testicles that are smaller than the typical adult size, or swollen veins in the scrotum 
  • Had infertility with a partner in the past 
  • Relatives with infertility problems 

Sometimes, the issues that cause infertility in couples are present at birth. Other times, they develop in life.  

Infertility can affect one or both partners. In some cases, no cause can be found. Some causes of male infertility can include: 

  • Conditions that can affect how much sperm is made or sperm quality 
  • Problems with sperm reaching the female reproductive tract 
  • Certain environmental factors 
  • Damage related to cancer and its treatment 

Some causes of female infertility can include: 

  • Ovulation disorders 
  • Uterine conditions 
  • Fallopian tube damage or blockage 
  • Endometriosis 
  • Primary ovarian insufficiency 
  • Pelvic adhesions 
  • Cancer and its treatments 

Many risk factors for both male and female infertility are the same. They include: 

  • Age 
  • Tobacco use 
  • Marijuana use 
  • Alcohol use 
  • Being overweight or underweight 
  • Exercise issues 

Some types of infertility cannot be prevented. However, the following tips may boost your chances of pregnancy: 

  • Couples should have sex often and soon after menstrual bleeding stops. One of the ovaries usually releases an egg in the middle of the cycle, which is midway between menstrual periods, for most people with menstrual cycles, that is about 28 days apart. It is ideal to have sex every day, starting five to seven days before an egg is released. Continue until two days after ovulation.  
  • Before you are tested for infertility, your healthcare team or clinic will work to understand your sexual habits. They might make recommendations to improve your chances of getting pregnant. Unfortunately, for some couples, no cause for infertility is found. This is called unexplained fertility.  

Men’s treatment for infertility may include: 

  • Lifestyle changes 
  • Medicines 
  • Surgery 
  • Sperm retrieval procedures 

Some women need only one or two treatments to improve infertility. Others may need a few types of therapies to become pregnant, including: 

  • Fertility medicines 
  • Intrauterine insemination (IUI) 
  • Surgery to restore fertility 

Assisted reproductive technology (ART) is also used. In vitro fertilization (IVF) is the most common ART technique.  

At Jamaica Hospital’s Department of Women’s Health Services, we are passionate about meeting the various needs of women in our community. We proudly treat women from all walks of life and provide a warm and welcoming environment. To learn more about our OB/GYN services or to make an appointment, contact us at 718-291-3276. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Could Smoking Be The Cause Of My Infertility?

The last week in April has been designated National Infertility Awareness Week (IVF). The observance is meant to bring awareness to the millions of Americans who are facing challenges when becoming pregnant; while removing any stigmas and barriers that remain in the way of having a child using IVF.

Some causes of infertility in women are issues with ovulation (Polycystic Ovary Syndrome (PCOS), endometriosis, sexually transmitted infections and unhealthy body weight. However, there have been multiple studies to support the theory that smoking has an adverse effect on fertility. Research has found that the prevalence of infertility is higher, and the time it takes to conceive is longer in smokers as compared to nonsmokers. It has also been proven that smoking can affect every stage of the reproductive process in both sexes because the chemicals in cigarettes can cause damage to both male sperm and female eggs.

In women, smoking can lead to many fertility problems, including:

  • Problems with the fallopian tubes, including blockages (preventing egg and sperm from meeting) and an increased risk of ectopic pregnancy.
  • Damage to the eggs as they develop in the ovaries.
  • Increased risk of miscarriage, possibly due to damaged eggs, damage to the developing fetus, or unfavorable changes in the uterine lining, which may make healthy implantation of an embryo less likely.

In addition, smoking can cause a woman’s eggs to age prematurely, leading to an earlier onset of menopause and a shorter window to conceive.

The good news is that the damage done to the female reproductive system as a result of smoking is reversible. Typically, after quitting smoking, your chance of natural fertility should become viable within a year or less.

If you want to have a baby, but you are a smoker, quit now! If you need help, Jamaica Hospital Medical Center offers smoking cessation services to help you. For more information, please call 718-206-8494.

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Can Lifestyle Choices Affect Infertility

Did you know that infertility affects 10-15% of couples in the United States.  Although it is commonly assumed that this condition occurs only in women; it affects both genders.

Infertility is usually diagnosed after a couple has tried to conceive for over one year without success.  In women this problem can be the result of several problems such as ovulation disorders, pelvic inflammatory disease, blocked Fallopian tubes or uterine fibroids.  Factors that can cause infertility in men may include oligospermia (very few sperm cells are produced) or azoospermia (no sperm cells are produced).

There are also lifestyle practices that can increase the risk of infertility. Smoking, consuming too much alcohol, mental stress and poor diet are all known to affect fertility.

Excess stress can affect the function of the hypothalamus gland; which regulates the hormones that tells the ovaries to release eggs.  Recent studies have also indicated that women experiencing greater amounts of stress were more likely to produce high levels of alpha-amylase and had a more difficult time getting pregnant.

The toxins inhaled from cigarette smoke can affect fertility by causing damage to reproductive organs, eggs and sperm.  Heavy and prolonged alcohol consumption can also cause imbalances in the hormones of the reproductive systems of women and can also damage sperm in men.

Adopting a healthy diet that includes foods known to improve reproductive health and boost fertility can increase the chances of healthy ovulation. Dietitians often recommend eating organic foods and cold water fish such as salmon, increasing the intake of whole grains and drinking freshly squeezed fruit juices to couples who are trying to conceive.

If you have been trying to conceive for at least one year without success, it is possible that your lifestyle could be a contributing factor. It is recommended that you consult an Ob/Gyn to explore the possible causes of your infertility.

To learn more about infertility and treatments please call the Women’s Health Center at Jamaica Hospital Medical Center at 718-291-3276.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Infertility – Causes, Treatments and Tips for Coping

Tablet with the diagnosis Infertility on the displayInfertility is more common than many realize. It is estimated that 1 in 8 couples have trouble getting pregnant or sustaining a pregnancy.

Infertility affects both men and women equally. There are several factors that can contribute to infertility. In men some of these are:

  • Problems with the delivery of sperm
  • Exposure to toxic chemicals
  • Damage resulting from chemotherapy or radiation
  • Abnormalities in the production of sperm
  • Use of tobacco or alcohol

Some causes of infertility in women may be the result of:

  • Hormonal abnormalities
  • Ovulation disorders
  • Damage to reproductive organs
  • Uterine or cervical abnormalities
  • Use of tobacco or alcohol

Although these conditions can impair a person’s ability to conceive, seeking medical assistance as soon as possible can greatly increase their chances of conception.  A physician who specializes in infertility will conduct several tests to determine probable causes and explore several treatment options. Treatment can be surgical or medicinal and may include:

  • Intrauterine insemination
  • In vitro fertilization
  • Clomiphene citrate (Clomid)
  • Gonadotropin-releasing hormone (Gn-RH)
  • Human menopausal gonadotropin or hMG
  • Follicle-stimulating hormone or FSH
  • Metformin
  • Bromocriptine
  • Sperm extraction

While coping with infertility can be challenging, it is important for individuals to remember not to blame themselves, lean on their partner or loved ones for support, acknowledge stress and practice stress-reducing techniques, gain knowledge by utilizing resources such as the National Infertility Association’s website-www.resolve.org.

The National Infertility Association also founded National Infertility Awareness Week, which is observed each year to increase public understanding and awareness of the reproductive disease. People who are trying to conceive are encouraged to learn the guidelines for seeing an infertility specialist. For more information about this observance, please visit http://www.resolve.org/national-infertility-awareness-week/home-page.html

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

What You Need to Know About Endometriosis

endometriosis-488786798Endometriosis affects approximately every one in ten girls and women worldwide.  This condition occurs when the tissue that normally lines the inside of the uterus- grows outside the uterus. This abnormal growth of tissue can commonly be found on the ovaries, fallopian tubes, ligaments that support the uterus, as well as areas between the rectum and vagina.  Areas where endometriosis is less commonly found, are the lungs, thighs, arms and other areas beyond the reproductive organs or lower abdomen.

Endometrial tissue develops into growths or clumps called implants.  These clusters of tissue respond to the menstrual cycle the same as they would inside the uterus.  Meaning, each month the tissue builds up, breaks down then sheds.  Unlike the tissue that lines the inside of the uterus; endometrial tissue cannot be discharged from the body through vaginal bleeding.  This results in inflammation, swelling,  the formation of scar tissue or internal bleeding.

The symptoms of endometriosis typically present themselves during reproductive years- on average between the ages of 12 to 60 years old.  Symptoms include:

  • Painful sexual intercourse
  • Pain during pelvic examinations
  • Severe pain during menstruation
  • Pain during urination or a bowel movement
  • Excessive bleeding
  • Infertility

The cause of endometriosis is unknown but several factors such as genetics, retrograde period flow, immune system disorders and hormones are being researched.

Most cases are diagnosed in women between the ages of 25 to 35 years of age; however, some women with endometriosis remain undiagnosed because they do not have symptoms and the disorder is sometimes mistaken for other conditions.

Women who do experience symptoms should speak with their doctor about receiving tests such as pelvic examinations, laparascopy and imaging tests, to find out if they  have endometriosis.

Although there is no cure for endometriosis, effective treatments including medication, surgery and alternative therapies are available.

If you are experiencing the symptoms it is recommended that you make an appointment to see your doctor as soon as possible. To make an appointment with a gynecologist at Jamaica Hospital, please call 718-291-3276.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.