Archive for Male Reproduction

A Message from Dr. McBride

Okay, here is my first attempt at blogging. I had an inspiring visit with a patient today and wanted to share what she had to say with other CARE patients trying to lose weight. This patient is a young, African American woman diagnosed with PCOS two years ago. She was told that obesity is a factor in the development of PCOS, and was instructed by her physician to lose weight if she wanted to increase her ability to become pregnant. To date, she has lost 80 lbs., has no more cysts on her ovaries, and has normal menstrual cycles. She is so happy with her weight loss, and with the news that she can move forward with her plan to have a baby. I congratulated her, but also picked her brain about how she managed to be so successful with her weight loss efforts. Here is what she had to say: 1. She did not go on a “diet.” She just started making small changes that had a huge impact. For example, she gave up soft drinks and started drinking more water. 2. She started moving — playing Guitar Hero and Dance Revolution and took the long way to carry out the trash. 3. She started eating more vegetables and fruit and less candy and junk food. 4. She switched from white to whole wheat bread and pasta. More fiber fills you up and “keeps things moving.” 5. She stayed motivated by seeing the pounds melt off. 6. She viewed her new eating habits and exercise approach as a permanent lifestyle change, not a temporary starvation diet that you “stop” down the road. 7. The exercise and healthy eating had unanticipated benefits — she developed more self-confidence. 8. Her partner lost 60 pounds along with her! 9. She feels confident in her ability to eat healthy and manage her weight during pregnancy. 10. Do not give up! You can eat well and still lose weight. Deprivation is not part of the equation. I think the most important message here is that losing weight does not have to feel like a chore. This person had phenomenal success with a good attitude and reasonable dietary changes. No marathons, no weight lifting, no eating only grapefruit or cabbage soup. And she developed a healthy relationship with food along the way. Great job! Dr. McBride CARE Psychologist

Bed Rest

I went to the Dr. and she became very concerned because my cervix was shorter than it should be at this point. She has put me on bed rest for a few days and wants me to come back so she can measure again. She said it either is naturally short or it has already started thinning for delivery. She explained that if it has already started shortening, she will perform a cerclage. So, I will go back in a few days with my fingers crossed that everything is okay but for now, I’m on bed rest.

Front Office Entry Level Position

1. Patient Greeter – Looking for articulate, caring, professional staff member to greet and check in patients. Responsibilities also include: taking payments, telephone triage skills, multi-tasking, and patient follow up for wait times.

2. PBX Operater – Looking for friendly, articulate operator to triage incoming phone calls quickly and efficiently. Experience is a plus. Additional duties will include data entry, scanning, faxing, and putting together patient packets.

To apply, please email resumes to meredithf@embryo.net or fax to Attn: Meredith Fogleman at 817-545-2164.

We are having…

…one of each! How lucky we are to experience the best of both worlds.

Scare

I had an episode of bright red bleeding, something that I never expected. I called my OB immediately and she told me to come to the office. She put me on bed rest for a week. The bleeding subsided after a few hours, but she says that all we can do is cross our fingers.

Watch out for the new MaleExtra penis pills

male-extra

They are coming in town and they will rock your libido and sexuality.

They are the new MaleExtra penis pills, made of an extract of the famous 70% ellagic acid of the pomegranate fruit.

This extract is known as a natural viagra and indeed, with 500mg of pure pomegranate ellagic acid, they really want you to enjoy great and fast results.

Moreover, they are the first to explore this side of male enhancement pills by offering a mix between MaleExtra pills and inside the offer, the manual penis enlargement program known as PenisHealth.

Known as the natural viagra, pomegranate can increase the blood flow inside the genital area, making easier to have and keep an erection.

For men suffering from erectile dysfunction that kind of pill could really make a difference.

Combine the extract of pomegranate with l arginine, muira pauma, tongkat, flaxseed and maca as other ingredients in the mix making the pill and you’ve a formulation that makes the difference.

Comments

Another Sono Etc.

I’ve had another sonogram and can’t believe how fast they are growing. I was also able to finally stop the IM progesterone injections after having to continue an extra two weeks because my level wasn’t high enough. It is such a relief that my level finally went up. My husband and I are so excited and feel so fortunate. I would never have imagined when we started this whole process that it would take us almost a year to get to this point, but I’m glad we finally made it. It was well worth the effort.

Repeat Pregnancy Test

After my IVF cycle resulted in a biochemical pregnancy, I didn’t think it would ever happen for me. I was surprised when my repeat pregnancy test went up just the way it was supposed to! I am shocked and still don’t quite believe it. We are both very excited but don’t want to get carried away until my first sonogram next week. I think seeing something will make it seem more real.

My First Sono

We had our first sonogram and imagine our surprise when Dr. Nackley said we are having twins!!! We knew it was a possibility, but I never imagined we would be that lucky. After getting over the initial shock, we are both very excited.

FET and IM Progesterone

My husband and I met with Dr. Nackley after our biochemical pregnancy and decided to proceed with an FET. I was surprised to learn that an FET calender is 1.5 months. I thought it would be the same as an IVF cycle, about 3 weeks. I have been on Lupron and Estrace and it’s been the same as it was with my IVF cycle. I have a huge needle phobia and have been counting the days until I needed to start IM progesterone. Last night was my first progesterone injection. I expected excruciating pain. I followed the online instruction video and the injection was no worse than any others. The progesterone stings a little, but not as bad as I thought it would. The nurse recommended that after I give myself the injection, I move around for about 20 minutes to help the oil disperse through the muscle. The injection site feels a little bruised, but I’ve had no other reaction. I never thought I would be able to do something like this. Maybe it’s beginners luck, but I feel very optimistic.

Lumps and Bruises

With the exception of being longer than an IVF cycle, this FET cycle has been so much easier that I can hardly believe it. My transfer was the same as the IVF cycle. I have continued the progesterone injections with a few incidents. The nurse recommended that after the injection I move around for about 20 minutes. Twice I have not followed this advice and lived to regret it. When I don’t move around, I get a hard lump that feels very sore and lasts for 4-5 days. The nurse recommended a heating pad which I have been using every night and it has really helped, even when I stay active after the injection. I have also had a few that have bled and created dark bruises. They don’t hurt, but look quite garish. I decided to be brave one night and try injecting into my thigh. It wasn’t as bad as I thought it would be and has given me two more injection sites to rotate. And a few times, some of the progesterone has leaked out after the injection. The nurse has assured me this is normal. My pregnancy test is this week and I am anxious to get the result, but I am not cheating this time. I learned my lesson last time.

Pregnancy Test

My pregnancy test came back positive! My husband and I are both excited, but considering what happened last time, we are very cautious.

Threats to Male Fertility

p2g4n004If you have decided that the time is right for you and your partner to have a child, then you need to make sure that you are both healthy. If you find that you are struggling to conceive, and have been unable to get pregnant despite a year of trying, they might be having infertility problems. Research suggests that around 10% of people in America suffer from infertility. The same research shows that in around a third of cases are due to male infertility factors.

There are a number of factors that can cause infertility in men including a low sperm count, problems with ejaculation, and even sperm that is “abnormal”. These are sperm that are malformed and have a short life span.

Your general health has a lot to do with fertility. A healthy lifestyle makes your sperm healthier, and by avoiding drugs such as nicotine, cocaine, and as well as alcohol, you can avoid reducing your sperm count, and also boost your overall fertility.

Having a poor diet inevitably contributes to male infertility. Particular attention should be paid to getting enough vitamin C and zinc in your diet to boost fertility. If you contract certain diseases such as tuberculosis, and mumps in adulthood you can increase certain infertility risks through reproductive system infections such as epididymitis, Prostatis and orchitis.

Sexually transmitted diseases like chlamydia or gonorrhea can cause a great deal of damage to the spermatic ducts. These diseases can also affect women, and by passing on such diseases to your partner, particularly in the early stages, when the symptoms are minimal, can cause infertility.

There are a number of medications that can cause male infertility. Cancer-treating agents such as chemotherapy, and anabolic steroids can both cause testicular shrinkage and infertility, while sulphur based treatments for diarrhoea and ulcerative colitis can all cause male infertility.

Injury to the testicles and infections or even varicose veins in the testicle called varicoceles can increase the heat of the scrotum, and this will harm sperm, and reduce the production of more sperm, thereby reducing fertility levels.

Lifestyle issues such as stress, or too much exercise, even wearing tight trousers and spending time in a hot environment can all reduce the production of sperm. If you work in an industrial environment, where there are chemicals such as benzene, lead, and certain pesticides, you can suffer from infertility, but thankfully many of these causes are short term, and will be reduced as soon as you change your ways.:D

Comments

Starting FSH

Last night was my first FSH injection. I had decided that I was going to inject the Lupron last since I’ve done it before and the Menopur first since the nurse told me it may sting. I got out everything I would need and my kitchen table was covered in syringes, needles, vials, and instruction sheets. Just by looking at the table, the injections seemed overwhelming. I was also very nervous about making a mistake. I mixed the 2 vials of Menopur and injected them. It did sting a little, but not near as much as I thought it would. Next I primed then injected the Gonal-f. The needle is so small and the medication didn’t sting at all. Then the Lupron and I was done! I’m sure I’ll get more confident in a few days as I get used to the new routine.

FSH Continues

I have gotten much better at the FSH injections and the process has become very streamlined. It no longer seems intimidating, which is very exciting. My first Estradiol level was yesterday and Dr. Nackley said it was exactly where it should be. My first sonogram is scheduled for tomorrow. I don’t feel any different since starting FSH and I am anxious to see what is happening.

Trigger Time

I have now had 3 sonograms and it has been amazing to watch all the follicles develop. I have felt good, but the past few days I’ve felt bloated. It has been mildly uncomfortable. I talked to the nurse about it today and she said I needed to increase my sodium intake. The nurse also gave me trigger instructions, pending my E2 result. Sure enough, Dr. Kevin decided to trigger me today for a Wednesday retrieval. I’ve gotten really comfortable with the FSH injections. Now those are all gone and I have a new set of instructions to follow. I feel like I’m starting over and am all confused again.

Sodium Quest and Trigger Reaction

By the end of the day yesterday, I was so bloated that I felt miserable and was having difficulty breathing. I decided to take the nurse’s advice and increase my sodium intake. My husband and I reviewed online menus for nutritional information and found something to fit the bill. We were on a sodium quest. I cannot say enough about how much better I felt after eating so much sodium. It has made all the difference and I have continued a high sodium diet today with much success.

I took my trigger last night, elated that it was my last injection. I mixed it the way the nurse instructed, but I had a difficult time drawing all of the medication out of the vial. I worked the needle around and shook the vial several times and finally got all of it except a small drop. By the time I was finished the needle was bent, so I got a new one for the injection. The injection felt the same as it has with the other medications. However, I have had more of a reaction to it. The injection site feels bruised and I have some mild breast tenderness. It seems hard to believe that time has gone by so quickly. If anyone had told me a year ago that I would be capable of giving myself injections in the stomach I would not have believed them. It is so much easier than I thought it would be. I am fully convinced that if I can do this, anyone can! I am very nervous about my retrieval tomorrow. I have never had any type of surgery or even an IV. It’s a big day for me.

My Egg Retrieval

My retrieval was everything and nothing I thought it would be. I was very nervous about the IV which ended up being the easiest part of the day. I had the best nurse start my IV and I didn’t feel a thing after the mild sting of the lidocaine. When they were ready for the retrieval, they walked me back to the OR. The next thing I knew, Dr. Kathy woke me up telling me they had retrieved 22 eggs. I had moderate abdominal pain and felt very nauseated. The recovery nurse gave me crackers and Tylenol and let me up to get dressed. I vomited a few times and slept for the rest of the day. I cannot say enough about the care and compassion I received.
The day following my retrieval, I woke with mild abdominal pain. I took two Tylenol that did the trick. I started my Endometrin and Estrace with no real side effects to speak of. Despite maintaining a high sodium diet, I became so bloated by lunch that I was having difficulty breathing and had gained 5 lbs. The nurse asked me to have a sonogram and I-stat. They recommended that I keep up the high sodium diet. Day by day the bloating has gotten better. I feel a little bloated, particularly in the afternoon, and a little nausea that comes and goes. I am anxious to see how our embryos develop.

Embryo Transfer

We had good embryo development and were able to transfer two and freeze a few for future treatment. Despite the mock transfer, I was extremely nervous when we arrived for the embryo transfer. I took the valium and within 20 minutes my nervousness dissipated. The transfer went very smoothly and felt just like the mock transfer. We returned home and I spent the day reclining like I was instructed.  I felt a little bloated the day after the transfer, but since then I’ve felt normal.  Now we are anxiously awaiting the pregnancy test.

My Pregnancy Test

I cheated. The anxiousness was overwhelming and I decided to take a home pregnancy test yesterday. It was negative. I was very upset and frustrated. My husband has been very supportive during this entire journey and he continued during my meltdown. He kept reminding me that the whole process had probably been a shock to my body and we had frozen embryos to try again. I went to CAR this morning for my real pregnancy test. Imagine my shock and surprise when the nurse informed me it was positive. We are both so excited. My advice to anyone: save yourself the heartache and don’t cheat. It does no good.

Repeat Pregnancy Test

My repeat pregnancy test did not rise the way it was supposed to. Dr. Nackley wants me to repeat the test tomorrow. She says at this point that it could go either way. My husband and I have all our fingers crossed and we are both anxious and nervous to see what happens.

Biochemical Pregnancy

My HCG level dropped considerably and the nurse informed me my pregnancy is biochemical. My husband and I are disappointed, but knew this was a possibility when the repeat test didn’t rise appropriately. Luckily, we have frozen embryos to try again. We have a consultation with Dr. Nackley this week to talk about an FET. Despite the disappointment, we are looking forward to the next step because it will be one step closer to our goal.

Patient Orientation

Please join Dr. Rinku Mehta for her Infertility Orientation at our Frisco location. She will review the causes of infertility, diagnostic testing and treatment. Space is limited. Reserve a seat by calling 817-540-7094 or email dusteem@embryo.net.

Following are the scheduled dates and times:

Saturday, October 31st at 10am
Saturday, November 14th at 10am
Saturday, December 19th at 10am

Advice about Foreplay

concentrating_on_girthPerhaps the most crucial part of the lovemaking experience is foreplay. It refers to everything that comes before the actual penetration, and is required for a couple to become aroused fully, but adds spice to sex and massively heightens the pleasure enjoyed by both partners.

Men are from Mars.

Men sometimes need longer and gradual foreplay in order to become aroused and get an erection. Foreplay for men is fairly straightforward, and simply touching the genitals will usually do the trick. Women who want to tease and tantalise their men into pleasurable submission should always remember these five foreplay-for-him reminders.

1. Bring him the brink with whatever you are doing before easing up to hold him back from actually reaching orgasm. Keep going until he screams for mercy, and then do it all again.

2. Touch him to excite him. When relaxed and warm, men are especially touchy, so by giving him gentle butt massages and making long and gently scratches up and down their back will turn him on.

3. Roam his body with your parted lips, draw your lips over his stomach and chest, before slowly breathing out to raise the temperature of his skin and increase his arousal.

4. Take absolute control with your animal magic, be seductive, and sexually aggressive to show him how much you are into the whole lust of sex as he is.

5. Visuals are vital, so wear sexy clothes and show off your body with a few steamy moves to give him a real thrill with a sexy strip tease.

Women are from Venus.

Proper foreplay is essential for women to become properly lubricated. It is a slower process to turn a woman on, and you should build up towards touching her genitals, Go everywhere on her body and gradually get her stoked up, make her feel wanted, and let her know that you want her.

1. Kiss her. Make your kisses long and slow, sensual and romantic and you will find that you will both get more hot and bothered as you both get more and more excited.

2. Ask her questions and tell her secrets, being intimate with her does not necessarily mean touching her, by opening up to her more, she will be more open to you.

3. Tell her how you feel and make a connection with her, let the words lead her into a conversation, and let the conversation lead to a physical connection when the time is right rather than moving too soon.

4. Women find kissing to be an incredible turn on. For women kissing is a deep and intimate moment, so build up gently as you would with anything else, a great trick is to imitate her kissing style so you can be sure that you are doing what she likes.

5. Make physical contact something that begins before you get to the bedroom, hold her hand, and be gentle with her. Touch her as much as possible to build your connection, but don’t just maul her, as this will undermine the rest of your good work

You can never have too much foreplay, and the longer you can go on for, the better the sex is because your bodies are far more sensitized and ready. The more aroused you get, the hotter the sex will be and the more explosive the ultimate orgasm. Remember that foreplay will encourage more experimentation with new positions and new pleasures to open up more techniques over time and further improve your sex life. Discover the new top sex guide from lovecentria.

Comments

Women and penis size : what about the base and the head of the penis ?

Do you think that size has so much importance for women ? If this was not the case, why are still millions of men looking for means to enlarge their penis ? Knowing that most women are really turned on when they see a large big penis and that a majority of men are unhappy with their penis size, these two factors lead to the rise of the male enhancement industry.

This new industry is really flourishing, with some men caring about the sexual pleasure of their partners and others purchasing these penis enlargement programs to enhance their self-esteem and gain confidence. Anyway, pleasure and happiness are the two issues ! It could be sexual pleasure shared by both partners or simply a gain in self esteem.

Multiple kinds of enlargement products exist and can make a man’s penis bigger. E.g there are manual exercises, penis enlargement pills or patches, sex toys like pumps or stretchers. Various products also will yield different results, this depends on the way men use them…

But Hell ! An average size could also make the pleasure of a lady…because an oversized organ could cause her some pain. Especially when the “horse” don’t know how to gently handle his partner. You know, if you go “bhlam bhlam bhlam and splashhh”, it’s maybe not the good way to please her. More than a big penis, you probably need some seducing lessons and tips.

Should you speak with another man about the importance of the head and of the penis base, you could probably say that the head is more important than the base. In fact, this statement could be right, but also wrong because the important thing is the couple both sexual satisfaction.

And women will tell you that the base is the more important than the head. Even a penis with a bigger head is really good to look at, a penis with a bigger base feels better during the penetration. Indeed, the head when inside cannot stimulate the clitoris, while the base takes the role of giving the most pleasure by brushing the clitoris during the intercourse. This friction between the base and the clitoris gives a marvelous feeling to the woman.

Sometimes, some couples simply do not fit together. The penis could be too small for the vagina or the vagina could be too tight for the size of the penis. In this case, creativity will be their best friend and they will have to try various positions to find out which one will please them.

Comments

Copyright @ 2001 and Beyond Fertility Portal: Fertility and Infertility Research News
Web Design By Dynamic Creator | Web Hosting by Trade Web Hosting