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Natural Treatments for PCOS

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December 12, 2012

There is good news for women with polycystic ovarian syndrome (PCOS) who have experienced previous intolerance to prescription treatments of insulin resistance. More and more data is surfacing on the ability of natural supplements to regulate endocrine function, and ovulation, in women with PCOS with little to no gastrointestinal side effects.

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Should You Take Fertility Supplements for Male Infertility?

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Do supplements help make men more fertile?

October 2, 2012

If you are struggling with male infertility you may have been tempted by advertisements for fertility supplements. But do they really work? It’s important to look at the ingredients of each male fertility supplement you are considering to see if their claims are backed up by science.

While evidence is still limited, some fertility supplements, including those below, have shown promise for improving sperm count or sperm motility.

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Tubal Reversal Surgery or IVF?

by Leigh Ann Woodruff, September 25, 2012

There are many women who have had their "tubes tied" (tubal ligation) and then decide they do, in fact, want another child. In the tubal ligation surgery, a woman's fallopian tubes are separated in a surgical manner to prevent eggs from reaching the uterus for fertilization.

If you have had tubal ligation surgery and then decide you want another child, in vitro fertilization (IVF) is one option. With IVF, the eggs are retrieved from a woman's body, fertilized in the lab and then transferred back into the uterus — bypassing the fallopian tubes altogether. Another option, however, may be tubal ligation reversal, a surgical procedure to reconnect or reopen the fallopian tubes.

So how do you know if you should consider tubal reversal before proceeding to IVF?

"Depending on the age of the patient and type of tubal ligation, if the patient is younger than age 39 and has adequate tubal length for reversal, surgery is a viable alternative to IVF," says Donald C. Young, D.O., FACOG, medical director of Mid-Iowa Fertility. "It is very helpful for the tubal reversal surgeon to have the sterilization operation reports and/or pathology report from the surgery to give appropriate recommendations for a reversal versus IVF."

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Men: Increase Nutrient Intake for Healthy Sperm

Healthy Sperm

by Leigh Ann Woodruff, September 19, 2012

For healthy sperm, men should increase their intake of antioxidants, particularly if they are older or have fertility issues. Two recent studies have found that increased antioxidant intake is linked to improved sperm quality.

"Americans spend billions of dollars every year on vitamins and other supplements. Evidence of the benefit is lacking. The problem is that proving the efficacy of one type of treatment for multiple diseases with multiple causes is nearly impossible," says Joe Massey, M.D., a founder of Servy Massey Fertility Institute in Atlanta, GA. "In male infertility, the situation is parallel. In a modern society, dietary deficiency is unlikely to have caused male infertility. With this understanding, in cases of male subfertility, there is new evidence that there is some improvement in DNA strand breaks by high consumption of certain vitamins or by supplementation at levels difficult to reach with food."

Older Men and Sperm Quality

These days more older men over 35 are becoming fathers, and as men age, their sperm are likely to have more sperm DNA fragmentation. chromosomal rearrangements and DNA strand damage. In addition, studies have found that the age of the father when a baby is conceived does matter with regard to passing on gene mutations.

Now, researchers have found that improving one's diet may be a way to protect against some of this damage. in a study led by scientists from the U.S. Department of Energy's Lawrence Berkeley National Laboratory and reported in the journal Fertility and Sterility, researchers analyzed 80 healthy male volunteers between 22 and 80 years of age. They found that men older than 44 who consumed the most vitamin C had 20 percent less sperm DNA damage compared to men older than 44 who consumed the least vitamin C. They found the same was true for vitamin E, zinc and folate. However, they did not see the same effects in younger men — higher intake of micronutrients didn’t improve their sperm DNA.

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Raise Your Awareness of PCOS

by Leigh Ann Woodruff, September 11, 2012

In 1935, American gynecologists Irving F. Stein, Sr., and Michael L. Leventhal first described a syndrome in which they associated the presence of ovarian cysts with anovulation (absent ovulation) in women. The syndrome, originally named Stein-Leventhal syndrome, and is now a subset of a more encompassing disorder called polycystic ovarian syndrome (PCOS).

September is PCOS Awareness Month, and today the syndrome is understood to be a complex disorder that is characterized by an elevated level of male hormones (androgens) and anovulation. Not all women who are diagnosed witih PCOS have the polycystic ovaries — ovaries with small, immature egg-containing follicles that are called "cysts."

"In the United States, polycystic ovarian syndrome is one of the most common endocrine disorders of women in the reproductive age group, with a prevalence of 4 to 12 percent," says John Payne, M.D., a fertility doctor with Piedmont Reproductive Endocrinology Group (PREG) in South Carolina. "In various European studies, the prevalence of PCOS was 6.5 to 8 percent."

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Do YOU Know when You're Fertile?

by Leigh Ann Woodruff, September 6, 2012

It seems there may be a "fertility awareness gap" among women, according to Australian researchers. A new survey, published in the International Journal of Advanced Nursing, finds that the majority of women don't know when they are fertile and when they are most likely to get pregnant.

Researchers at Monash University surveyed 204 infertile women seeking fertility assistance at two fertility clinics in Melbourne. Only 13 percent could correctly identify which specific days of their menstrual cycle that they were fertile and could become pregnant; however 68 percent of the women believed they had accurately timed intercourse within the fertile days of their menstrual cycle before seeking help from a fertility doctor.

So, the majority of the women seeking fertility treatment had insufficient knowledge of when to time sex to optimize natural conception. The researchers ay that this kind of poor fertility awareness could be a contributing to infertility.

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Method of Anesthesia May Matter for Fertilization Rates

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by Leigh Ann Woodruff, August 22, 2012

In the majority of cases, when a woman's eggs are retrieved during in vitro fertilization, she receives anesthesia. This may take the form of general anesthesia or conscious sedation in which patients are sedated, but they are able to respond to stimuli such as verbal questioning.

Interestingly, a new retrospective study by Argentinean scientists compared fertilization rates among nearly 450 patients who had undergone either general anesthesia or conscious sedation during egg retrieval and found significantly higher rates of fertilization and embryo development among those who received general anesthesia. However, there were no differences in pregnancy rates.

The findings were presented at the 2012 World Congress of Anesthesia.

"The study is interesting, but we should be cautious not to over-interpret the findings of a retrospective trial," says Alan Copperman, M.D., medical director of Reproductive Medicine Associates of New York. "There are numerous possible confounding variables."

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Add Walnuts to Your Baby-Making Recipe

by Leigh Ann Woodruff, August 16, 2012

When trying to get pregnant, it may be helpful for men to go a little (wal)nuts for their … ahem … well, for their "nuts."

Researchers at the UCLA School of Nursing have found that the nutrient-rich walnut may improve men's fertility. Eating about two handfuls of walnuts a day improved sperm health in their study

"Women are not the only ones who should be paying attention to what they eat when they are trying to get pregnant," says Wendie Robbins, a professor at the UCLA School of Nursing and UCLA's Fielding School of Public Health and lead author of the study. "This study shows that what men eat is important too."

"We’ve known for a long time that increased oxidative stress, measured in the laboratory as ‘Reactive Oxidative Species' or ‘ROS’ and more recently related to increased rates of DNA fragmentation, has an adverse effect on sperm function and sperm fertilizing capacity," says George M. Grunert, M.D., medical director of Fertility Specialists of Houston. "Reducing ROS and DNA fragmentation improves fertility. A number of anti-inflammatories and antioxidants have been found to be of value, specifically vitamins C, D and E and omega-3 fatty acids. Pharmacologic treatments have focused on non-steroidal anti-inflammatories. As this article points out, walnuts may be another good, natural source of antioxidants and omega-3 fatty acids."

The Nut Study

The study — "Walnuts Improve Semen Quality in Men Consuming a Western-Style Diet: Randomized Control Dietary Intervention Trial" — has been published in the journal Biology of Reproduction. The study set out to look at the effects of a plant source of omega-3 on sperm and involved 117 men between the ages of 21 and 35. The researchers divided the men into two groups. One group added 75 grams (around 2.5 ounces) of whole-shelled walnuts to their diet daily, and the other group continued their usual diet, but they avoided eating tree nuts.

Both groups of men ate a typical Western-style diet, but the researchers found significant improvements in sperm parameters in the men who ate the walnuts. The men who ate no tree nuts had no change in their sperm.

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Childhood Obesity Could Lead to Adult Infertility

by Leigh Ann Woodruff, August 10, 2012

According to the American Heart Association, in the United States, one in three children ages 2 to 19 are overweight, and one in six are obese, which means their body mass index for their age is at or above the 95 percentile of the Centers for Disease Control and Prevention (CDC) growth charts. Not only is this concerning because overweight and obese children are more likely to stay this way into adulthood and develop diseases such as diabetes and heart disease at younger ages, but they are also more likely to have reproductive problems.

A recent report published in Frontiers in Endocrinology suggests that the dramatic increase in childhood obesity is related to growing problems with infertility. From1980 to 2008, the percentage of U.S. children ages 6–11 years who were obese increased from 7 percent to nearly 20 percent, and the percentage of adolescents ages 12–19 years who were obese increased from 5 percent to 18 percent.

"It certainly adds to the already numerous adverse health problems associated with obesity," says Robert Matteri, M.D., a fertility doctor and medical director of Oregon Reproductive Medicine. "Anovulation is probably the most common side effect of obesity itself. If the reproductive 'thermostat' is not set properly at the time of menarche, something that usually happens only with thin women like athletes, then this could be a lifelong problem even with further weight loss."

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Shopping Urge? It Might Be Your Fertile Time!

by Leigh Ann Woodruff, August 1, 2012

Are you feeling that urge to go shopping or have a pedicure? It's probably your fertile time!

Shopping for potato chips and groceries? It's probably not.

A new study out of Concordia University in Montreal suggests that the hormonal fluctuations that come with a woman's menstrual cycle affect shopping and eating patterns. the study was published in the Journal of Consumer Psychology.

The scientists selected 59 women to keep detailed diaries on their beauty routine, clothing choices, calorie consumption and shopping purchases over the course of 35 days. They also kept track of activities such as sunbathing and eating high calorie foods.

When researchers analyzed the data, they found that there were distinct patterns in women's behavior.

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