Currently Viewing Posts in Clinical

How to Improve Low Sperm Count

February 16, 2023

How to Improve Low Sperm Count

Infertility affects millions of couples worldwide, with approximately 15% of couples struggling to conceive. When it comes to male infertility, a low sperm count is a common concern that can hinder the chances of conception. If you’re wondering how to improve your low sperm count, this article will explore various factors that contribute to this issue and offer practical solutions to enhance sperm production and quality.

Illustration of normal sperm count vs low sperm count

Understanding the Causes of Low Sperm Count

Before diving into the ways to improve low sperm count, it’s crucial to understand the underlying causes. Several factors can contribute to this condition:

  1. Lifestyle choices: Unhealthy habits such as excessive alcohol consumption, smoking, drug use, and poor diet can all impact sperm count and quality.
  2. Hormonal imbalances: Conditions like hypogonadism, obesity, and thyroid disorders can disrupt the hormonal balance and affect sperm production.
  3. Genetic disorders: Certain genetic conditions, such as Klinefelter syndrome and Y-chromosome microdeletions, can lead to reduced sperm production.
  4. Infections: Past infections, like sexually transmitted infections, can cause inflammation and damage to the reproductive system, leading to low sperm count.
  5. Varicocele: This condition occurs when veins in the scrotum become enlarged, increasing testicular temperature and affecting sperm production.

Moreover, environmental factors can also play a significant role in contributing to low sperm count. Exposure to toxins such as pesticides, heavy metals, and radiation can have detrimental effects on sperm production and quality. Prolonged exposure to these substances can lead to oxidative stress in the body, which can damage sperm cells and reduce their motility.

Additionally, age is another crucial factor to consider when discussing low sperm count. As men age, the quality and quantity of their sperm tend to decline. This decline in sperm quality is attributed to the gradual decrease in testosterone levels and the accumulation of DNA damage in sperm cells over time. Therefore, advanced paternal age is associated with an increased risk of infertility and a higher likelihood of producing sperm with genetic abnormalities.

Dietary Changes to Boost Sperm Production

Fortunately, many lifestyle modifications can positively impact sperm production and count. One of the most significant changes you can make is adopting a healthier diet. Include the following nutrients in your daily meals:

  • Antioxidants: Foods rich in antioxidants help combat oxidative stress, which can damage sperm cells. Include colorful fruits and vegetables, such as berries, spinach, and tomatoes.
  • Zinc: This essential mineral plays a critical role in sperm production and testosterone levels. Incorporate zinc-rich foods like oysters, beef, pumpkin seeds, and legumes into your diet.
  • Omega-3 fatty acids: Found in fatty fish like salmon and sardines, as well as flaxseeds and walnuts, omega-3 fatty acids contribute to healthy sperm production.
  • Vitamins: Ensure sufficient intake of vitamins C, E, and D, as they have been linked to improved sperm count and motility. Citrus fruits, nuts, and fortified dairy products are excellent sources.

In addition to incorporating these fertility-friendly foods into your diet, make sure to stay hydrated, limit processed foods, and maintain a healthy weight to optimize your sperm count.

Expanding on the importance of hydration, it’s crucial to understand that water is essential for overall health, including reproductive health. Staying hydrated helps maintain the volume and consistency of semen, which is vital for sperm motility. Aim to drink at least 8-10 glasses of water per day to support your body’s natural functions and promote optimal sperm production. Furthermore, reducing the intake of processed foods and sugars can have a significant impact on sperm quality. Processed foods often contain high levels of trans fats, which have been linked to decreased sperm count and motility. Opt for whole, nutrient-dense foods like lean proteins, whole grains, and fresh fruits and vegetables to provide your body with the necessary vitamins and minerals for healthy sperm production. By making these dietary adjustments and adopting a holistic approach to your lifestyle, you can enhance your fertility potential and support overall reproductive wellness.

Improving Low Motility

The Role of Exercise in Male Fertility

Regular physical activity not only improves overall health but also plays a vital role in male fertility. Engaging in moderate exercise can:

  1. Enhance testosterone levels: Exercising regularly helps balance hormone levels, promoting healthy sperm production.
  2. Improve circulation: Physical activity increases blood flow to the reproductive organs, ensuring the delivery of essential nutrients and oxygen to support sperm health.
  3. Reduce stress: Exercise is an excellent stress reliever, which is crucial since high-stress levels can negatively impact sperm quality and quantity.

Engage in activities like brisk walking, cycling, swimming, or weight training for at least 30 minutes a day, most days of the week. However, avoid excessive exercise, as it may lead to increased scrotal temperature, negatively affecting sperm production.

It’s important to note that maintaining a healthy diet alongside regular exercise can further boost male fertility. Foods rich in antioxidants, such as fruits, vegetables, nuts, and whole grains, can help protect sperm from damage caused by free radicals. Additionally, staying hydrated by drinking plenty of water is essential for sperm health and motility.

Furthermore, getting an adequate amount of sleep is crucial for male fertility. During sleep, the body repairs and rejuvenates itself, including the production of sperm. Lack of sleep can disrupt hormone levels and sperm production, so aiming for 7-9 hours of quality sleep each night is recommended for optimal fertility.

Stress Management Techniques for Better Sperm Health

Chronic stress can have a detrimental impact on sperm health. When stress levels are high, the body releases stress hormones like cortisol, which can interfere with reproductive function. Fortunately, various stress management techniques can help improve sperm count and quality:

  • Meditation and mindfulness: Practicing meditation or mindfulness techniques can reduce stress and promote relaxation, positively influencing sperm health.
  • Regular sleep: Prioritize getting enough sleep each night, as lack of sleep can increase stress levels and hinder reproductive function.
  • Yoga or tai chi: These mind-body exercises combine physical movement, deep breathing, and mental focus, helping alleviate stress and improve overall well-being.
  • Seeking support: Talking to a therapist, joining support groups, or sharing concerns with loved ones can provide emotional support, minimizing stress levels.

Experiment with different stress management techniques to find what works best for you. Incorporating such practices into your lifestyle can positively impact your sperm count and quality.

Additionally, engaging in regular physical activity can also play a significant role in reducing stress levels and improving sperm health. Exercise releases endorphins, which are known as the body’s natural stress relievers, helping to combat the negative effects of chronic stress on reproductive function. Whether it’s going for a run, practicing weight training, or participating in team sports, finding a form of exercise that you enjoy can contribute to better overall well-being and sperm quality.

Furthermore, maintaining a balanced and nutritious diet is essential for supporting optimal sperm health. Consuming foods rich in antioxidants, such as fruits, vegetables, nuts, and seeds, can help reduce oxidative stress in the body, which is linked to poor sperm quality. Additionally, staying hydrated by drinking plenty of water and limiting intake of processed foods and sugary beverages can further support reproductive function and overall health.

The Impact of Alcohol and Smoking on Sperm Count

Unhealthy habits like alcohol consumption and smoking have a profound impact on male fertility. To improve your chances of conceiving, consider the following:

  1. Limit alcohol intake: Excessive alcohol consumption can reduce testosterone levels, lower sperm count, and affect sperm quality. Moderation is key, so aim to limit alcohol to a reasonable amount.
  2. Quit smoking: Smoking introduces harmful toxins into the body, which can damage sperm cells and hinder their movement. Quitting smoking is crucial for optimizing sperm count and quality.

Consult with a healthcare professional if you need assistance in overcoming addiction or seeking strategies to reduce alcohol consumption. They can provide guidance and support tailored to your specific needs.

Furthermore, it’s important to note that the impact of alcohol and smoking on sperm count is not just limited to the quantity of sperm produced. These habits can also lead to DNA damage in sperm cells, potentially affecting the genetic health of offspring. Research has shown that alcohol consumption and smoking can increase the risk of genetic mutations in sperm, which may contribute to infertility or birth defects.

In addition, the negative effects of alcohol and smoking on sperm count can be long-lasting. Even if you quit these habits, it may take several months for sperm production and quality to improve. Therefore, making healthy lifestyle choices early on is crucial for maintaining optimal fertility. Consider incorporating regular exercise, a balanced diet, and stress-reducing activities into your daily routine to further support sperm health and overall well-being.

Supplements and Vitamins That May Help

In addition to dietary changes, certain supplements and vitamins have shown promise in improving sperm count and quality:

  • Coenzyme Q10 (CoQ10): This antioxidant helps protect sperm cells from oxidative damage. CoQ10 supplements may enhance sperm count and motility.
  • L-carnitine: This amino acid is involved in sperm metabolism. L-carnitine supplementation has been associated with increased sperm count and improved motility.
  • Folic acid: Adequate folic acid intake is crucial for sperm health. It may improve sperm DNA integrity and reduce the risk of genetic abnormalities.
  • Vitamin D: A deficiency in vitamin D has been linked to poor sperm quality. Consider getting your levels tested and supplement if necessary.

Remember, it is essential to consult with a healthcare professional before starting any supplementation regimen, as they can assess your specific needs and recommend appropriate dosages.

Environmental Factors Affecting Sperm Quality

Environmental factors can also impact sperm quality significantly. Take the following precautions to reduce exposure to harmful substances:

  1. Avoid exposure to toxins: Limit exposure to harmful chemicals, like pesticides, heavy metals, and industrial pollutants. Wear protective clothing and follow safety guidelines if working in a potentially toxic environment.
  2. Reduce heat exposure: Excessive heat can interfere with sperm production. Avoid hot baths, saunas, and tight underwear to keep the testicles at a cooler temperature.
  3. Protect against radiation: Limit exposure to radiation from X-rays, laptops, and mobile phones, as high levels of radiation can affect sperm quality.

Implementing these precautions can help safeguard your sperm health and optimize your chances of conception.

In Conclusion

Improving low sperm count is achievable through various lifestyle changes and adopting healthier habits. By understanding the causes of low sperm count, making dietary changes, engaging in regular exercise, managing stress, quitting harmful habits, considering supplements, and reducing exposure to environmental factors, you can enhance your sperm production and significantly increase your chances of conceiving. Remember to consult with healthcare professionals for personalized advice and guidance based on your specific circumstances.

What is a Trigger Shot?

February 14, 2023
trigger shot ivf

HCG Trigger Shots, what is it?

Wondering what a trigger shot is? Let’s dive in to understand better. A trigger shot, also known as a trigger injection, is a hormonal injection that medical experts use in fertility therapy. The shot is rich in a hormone known as human chorionic gonadotropin (HCG) that triggers the ovaries to mature and release an ovum. Trigger shot is part of gonadotropin therapy, a fertility treatment many people have trusted for a long time. 

Gonadotropin is useful for fertility under the following circumstances:

  • If you have a problem ovulating
  • If you have weak ovulations
  • If your doctor needs to control your ovulation due to other treatment procedures 

After a careful examination of your fertility problem, your doctor can recommend either a human chorionic gonadotropin (hCG) or Lupron medication trigger shots. Additionally, your condition can necessitate a combination of the two. 

hCG trigger shots- Human chorionic gonadotropin is much similar to the luteinizing hormone that causes ovulation in women of reproductive age. Your doctor will recommend this treatment if your tests show a history of ovulation problems. 

Lupron trigger shots– medical experts recommend this trigger shot medication to offset the surge of LH hormone. The LH hormone enables the eggs to mature during a long antagonist protocol. Most doctors choose this treatment because it reduces the risk of ovarian hyperstimulation syndrome. 

How Does a Trigger Shot Work?

The primary function of a trigger shot is to stimulate the release of mature eggs during ovulation. Furthermore, your fertility team monitors your ovulation in a way that they can outline the time in which your ovum will be released. Unlike the LH and Follicle Stimulating Hormone (FSH) that work in the egg’s growth and maturity, the HCG trigger shot helps release the mature ovum. 

How to Administer Trigger Shots 

Some people prefer to have their trigger shots at the clinic, but you can administer them at home. You must be ready with all the requirements to have the shot on your own. Here is a guideline for injecting yourself with trigger shots at home:

  • Clean your hands thoroughly with soap and warm water, then dry them with a clean towel. 
  • Get the pre-filled trigger shot syringe. 
  • Remove the needle cap while facing the needle upward. 
  • Tap the sides of the syringe to get rid of any air bubbles from the needle.
  • Push the syringe plunger until a small medication drop appears at the needle tip; this helps to remove all the trapped air. 
  • Identify the injection spot on your lower abdomen near but at least an inch away from the belly button. Use an alcohol swab to disinfect the area. Let it dry, but avoid drying it faster by blowing, as this can introduce germs.
  • Hold the needle in one hand, your thump on the plunger and pinch the skin on the injection spot with the other hand. Ensure you grasp a significant amount of fatty tissue for the injection. 
  • Inject the entire needle into the fatty tissue at an angle between 45 and 90 degrees.
  • Release the skin once the needle is in. Now slowly push the plunger until you dispense all the medication in the needle. 
  • Gently, remove the needle from your belly. You might have slight bleeding but it shouldn’t last long. Use gauze to apply pressure to the injected spot. 
A woman injects hormones into the stomach with a syringe with a thin ogre. Concept IVF (in vitro fertilization)

If you rather prefer to see a video here is an excellent overview on how to administer a trigger shot

How to inject Ovidrel Trigger Shot

Does a Trigger Shot Help You Get Pregnant? 

HCG trigger shot research shows that it can help you get pregnant and have a successful birth. Nonetheless, to maximize your pregnancy odds, you must use the trigger shot in a time when you’re having sexual intercourse. It helps in releasing a mature egg ready for fertilization. Moreover, it is crucial to follow your doctor’s guidelines on when to use the trigger shot to avoid cases of mistiming. These cases are common with individuals who use IVF trigger shots. 

According to medical experts, Choriogonadotropin alfa injection, which is another name for a trigger shot, is an ideal treatment protocol for fertility. It is useful for cases such as ovulatory infertility or any unexplainable infertility. Nevertheless, most doctors will give you trigger shots alongside other fertility drugs to increase your chances of conceiving. The doctor will decide on a suitable accompanying treatment depending on the severeity of your condition. 

When to Avoid Trigger Shots When Trying to Get Pregnant

Trigger shots are not advisable for use in people with primary ovarian insufficiency or women with poor ovarian reserves. The medication may not bear results in people with such conditions. Further, your doctor may advise against this medication if you have a high risk of ovarian hyperstimulation syndrome(OHSS). 

The following cases indicate a high risk of OHSS:

  • If your past fertility treatment cycles had episodes of ovarian hyperstimulation syndrome.
  • If your estrogen levels shoot too high before the trigger shot treatment 
  • If your ovaries overreact to the fertility drugs you receive, they produce numerous follicles. Your doctor’s opinion and treatment protocol will determine how many are too many. 

Sometimes, your doctor can alter your fertility treatment cycle halfway depending on the results from ultrasound monitoring of your ovaries. They may also make such a decision depending on hormonal blood work outcome. Therefore, if your doctor advises you to stop your ovidrel trigger shot treatment, it is essential to obey lest you risk severe health complications. 

Can a Trigger Shot Increase Pregnancy Success Rate? 

A trigger shot can increase your pregnancy success rates if you follow your doctor’s guidelines. You can use it with IVF or IUI, but it is also advisable to use it with timed intercourse. Suppose you need to use it with other procedures, such as timed intercourse; your doctor will advise you on when to use it and the time difference to observe. 

In addition, your doctor will also tailor your trigger shot protocol according to what works best for you from past experiences. The procedure increases your pregnancy success rates by triggering the release of an egg if your body does not ovulate on its own. But, if you have had a trigger shot treatment in the past, your medical practitioner might tweak your dosage for effectiveness and optimal responsiveness. It also helps in counteracting any adverse side effects. 

How Long After a Trigger Do You Ovulate? 

It takes about 36 to 40 hours for you to ovulate after administering a trigger shot. Since this treatment differs from other fertility procedures, it is advisable to time it correctly in relation to any other procedure you use. It is therefore recommended to schedule any other procedure from 36 hours after the trigger shot because this is the approximated ovulation duration. Even so, cooperate with your doctor for any other procedures, such as IVF or IUI treatment. 

What is The Purpose of the Human Chorionic Gonadotropin (hCG) Trigger Shot?

Human chorionic gonadotropin hormone is crucial, especially for the early stages of pregnancy. An hCG trigger shot boosts progesterone, ensuring a successful pregnancy throughout the first trimester. The main purpose for the trigger shot is to prompt the ovulation cycle to attain the optimal period to get pregnant. 

How to Prepare for an hCG Trigger Shot 

Before undertaking the procedure, both anticipating parents will undergo medical tests to ensure that their bodies are ready for the treatment. Once the doctor ascertains that your body is fit for the procedure, you will take a hormonal blood test and transvaginal ultrasound. Your gynecologist then checks your ovarian follicles until they reach the desired size before giving you the first hCG trigger shot. 

After a maximum of 42 hours, your egg should be ready for fertilization. After this, the mother-to-be undergoes the following tests:

  • Blood tests 
  • Ultrasound to determine the ova supply 
  • Ovarian function checkups
  • A thorough checkup on her reproductive organs’ health and condition 

The father-in-waiting also undergoes some tests, it includes:

  • Sperm count
  • Sperm concentration
  • Sperm shape
  • Sperm movement 

If you need continued trigger shot procedures, your doctor will direct you on how to go about the treatment. 

Possible Side Effects of hCG Trigger Shots 

Medical research indicates that an hCG trigger shot is safe and does not pose any risk to the mother or the unborn child. Also, you should not anticipate any future abnormal developments when you have the baby. However, there are some mild side effects that comes with it. Below are some side effects of hCG trigger shot:

  • You may have tenderness in your ovaries within the first week after the shot. 
  • High chances of multiple births, such as triplets or twins 
  • Ovarian cysts 
  • Ovarian hyperstimulation syndrome. The ovaries enlarge, interfering with the abdominal cavity as it accumulates the excess fluid from the ovaries. 
  • Blood clots 

While these side effects are rare, it is advisable to consult your doctor in case you have any health concerns after the shot. 

How Long Does a Trigger Shot Last? 

It takes approximately ten to fourteen days for the trigger shot to leave your system. What’s more, if you are on any other ART procedures, your gynecologist may recommend a beta or initial blood test to check for any traces of the shot. Besides, if you fear getting false results, it would help to wait for the blood draw to receive results you can trust. 

How to Test Out the Trigger Shot in Your System 

If you are unsure how long a trigger shot stays in your system, it would be wise to confirm. The best way to do this is by taking a pregnancy test daily and observing as the line becomes lighter. The hCG hormone contains pregnancy hormone, so the lighter the line gets, the lesser the trigger shot in your system. 

As you continue with the test, the line starts to fade away. Yet, if it changes and gets darker, it shows that you might be pregnant. While you can consider a blood test from your doctor, this self-test is still effective. Still, it would be best to use similar test kits with all the tests, so the sensitivity remains the same for reliable results. 

Again, the test time will also determine the reliability of the results. Experts recommend taking the tests around the same time every day, preferably in the morning when you wake up. Taking too much water could alter your urine concentration and consequently interfere with the results. 

Human Chorionic Gonadotropin (hCG) Trigger Shot Mistakes 

Some mistakes can interfere with the effectiveness of the hCG trigger shots resulting to undesirable outcomes. Below are some common mistakes to avoid when using hCG trigger shots:

  • Do Not Panic 

If needles scare you, you might panic when self-administering trigger shots, leading to incorrect administration. Therefore, you must be as comfortable as possible; you can lean on your loved one or partner for assurance. If you cannot overcome your fears, it would help to have your shots with the help of your doctor. 

  • Missing the Trigger Shot Timing 

The success of hCG trigger shots depends on the correct timing. If you have your trigger shot medication protocol from your doctor, ensure you administer the shot at the right time, better still you can note it down for refrence. It also helps to set a timer to avoid forgetting if you want a positive outcome. 

Your ovulation occurs approximately 36 hours after the first trigger shot, meaning; timing is key. It would be prudent to contact your physician for advice Incase you forget to administer the shot at the right time

  • Bending the Trigger Shot Needle 

It is a common mistake among newbie trigger shot users. The needle administering these medications is thin and can bend while you put it in the medication vial. If you accidentally make this mistake, try getting the needle out or disconnecting it from the syringe. Thereafter, you can consider using a new needle. 

  • Using a Needle with Air 

Getting air into the needle prior to injecting the medication can interfere with the administration. If this happens, the most straightforward fix is ensuring that the needle goes so deep up to the vial that the tip is just above the liquid level. Suppose you keep it under the liquid level; ensure that you pull the liquid into the syringe.

Also, if you cannot correct the mistake, and the syringe is cracked. It would be best to remove the needle from the vial and try a new syringe and needle. 

  • Lack of Preparation 

Fertility medication, which includes trigger shots, can test your mental, physical, and emotional limits. It helps to prepare yourself well before the procedure. Having a candid discussion with your gynecologist about possible outcomes and your expectations is imperative. In addition, your doctor can help you with the preparation by giving the necessary guidelines, which includes dos and don’ts before the procedure. Proper preparation will help you avoid mistakes. 

Does trigger Shots Guarantee You Ovulation? 

Trigger shots do not guarantee ovulation, but they increases your chances. According to your timing, you can expect an ovulation about 35 to 40 hours after the first shot. 

However, in some instances you may fail to ovulate within this duration due to mistakes made while administering the trigger shots. Suppose this happens, it would be prudent to consult your doctor for guidance. Sometimes your gynecologist can suggest a repeat of the trigger shot or prescribe accompanying fertility treatment methods for optimal results. 

Trigger Shot Success Stories 

Determining the success rate of trigger shots is sometimes challenging, as most medical experts prescribe them alongside other fertility treatment medications. But still, many women who use it as the only solution to fertility share interesting success stories to ascertain its legitimacy. 

Most women battling infertility issues find trigger shots a viable solution. Here are some success stories relating to trigger shots:

In February 2022, a woman shared having taken fertility treatment medications without success until her doctor prescribed trigger shots. She credits trigger shots for her three children. She had her first child on her third cycle and the last one on her second cycle. 

Another woman says she got pregnant after receiving trigger shots in her third round of Letrozole, fertility medication. She says the trigger shots lasted eight days in her system, as she tested out on day 10. Still, she discourages testing the trigger as the positive line may give you a pregnancy impression. It can be mentally devastating when the line starts fading out as the shot leaves your system. 

Trigger Shots Side Effects 

Trigger shots do not pose any notable side effects except the discomfort at the point of injection, which lasts not longer than a week. According to medical studies, one out of three women using ovidrel as fertility medication experience the side effect. For women using it as an ovulation trigger only, one out of four victims experienced adverse side effects. 

The following are some side effects that you may experience:

  • Stomach upset 
  • Abdominal pains
  • Nausea and vomiting 
  • Bruising at the point of injection 
  • Moderate to severe bloating
  • Severe pelvic pain
  • Decreased urine
  • Shortness of breathing
  • Swelling of lower body and legs 
  • Rapid weight gain 
  • Indigestion 

Additionally, women who use trigger shots as a sole treatment for infertility have a higher risk of ovarian hyperstimulation syndrome. These cases are lower in women who use other fertility medications. Still, the risks are higher in women who use trigger shots with gonadotropin hormones. 

How Long Does the Trigger Shot Stay in Your System?

HCG trigger shots last up to ten days in your system, though some people record eight days. That means you can detect it in any urine or blood test. While some people may opt to test for the medication’s presence at home, some medical experts discourage that as the inaccurate results can be frustrating. 

How Long After Trigger Shots Can You Test for Pregnancy? 

Molecularly, trigger shots are much similar to the hormone responsible for pregnancy. Taking a pregnancy test a few days after the shot can give you false positive results as the medication is still in your system. Ideally, the best time to take a pregnancy test is fourteen days after the trigger shot and the accompanying procedures.  Suppose you are nervous about taking the test for fear of disappointment. You may visit your gynecologist for the test. 

Reasons Trigger Shots is the Ideal Solution to Ovulation Issues 

Trigger shots can help with your ovulation and fertility issues. If you work hand in hand with your gynecologist, you can achieve your goals easily. Here are some reasons why ovulation trigger shots are the solution:

Anovulation means you infrequently ovulate, which makes it hard to get pregnant. Trigger shots work best for women under the following categories:

  • Infrequent ovulation
  • Not sure if or when they are ovulating
  • Those under other fertility treatment medications that require ovulation at a particular time 

2. Ideal for Unexplained Infertility Issues 

Sometimes you or your doctor may be unable to define the cause of your infertility. The trigger shots helps to make the ovum mature faster and facilitate ovulation. It gives you an ovulation window of about 36 hours. 

3. It Increases the Chances of IVF Effectiveness 

If your gynecologist recommends IVF for health reasons, it will require them to collect an egg from your ovaries for fertilization. Unfortunately, your ovaries may not be ready to ovulate at a particular time, which calls for a trigger shot. According to the tests, your doctor will determine when to administer the trigger shot for egg retrieval. 

Bottom Line 

Trigger shots are a reliable solution to many infertility concerns for women in their reproductive age. However, its effectiveness depends on your cooperation with your doctor. It would be best to consult your gynecologist to determine the cause of your infertility issues before deciding on any treatment. Suppose your gynecologist recommends trigger shots; you must time them properly and adhere to guidelines. 

Danger of Self Medication when trying to get pregnant

February 6, 2023
Is Letrozole the Best Drug for Infertility? | Fertility Cloud

Danger of Self Medication when trying to get pregnant

When it comes to trying to conceive, many couples turn to self-medication without fully understanding the risks and realities involved. Over-the-counter drugs and herbal remedies may seem harmless. They can have a significant impact on fertility and the overall health of both partners. We will explore the common medications to avoid during conception. We will also try to understand the effects of over-the-counter drugs on fertility. The safety of herbal remedies for pregnant women, the role of prescription medications in preconception health, how self-medication can affect male fertility, the importance of consulting healthcare professionals, and recognizing symptoms that require medical attention.

Prescription medication when trying to get pregnant

Understanding Self-Medication: Risks and Realities

Self-medication refers to the practice of using drugs or treatments without the guidance of a healthcare professional. While it may seem convenient, self-medicating when trying to get pregnant can pose serious risks. Many over-the-counter drugs and herbal remedies have not been studied extensively in relation to fertility, and their effects on conception and early pregnancy are largely unknown. Additionally, self-medication can mask underlying health conditions that may be hindering fertility, making it difficult to identify and treat the root cause of infertility.

Moreover, self-medication can lead to incorrect dosages or combinations of drugs, potentially causing harm to both the mother and the developing embryo. It is crucial to approach the process of conceiving responsibly and seek professional guidance to ensure the best possible outcomes for both parents and baby.

When considering self-medication, it’s important to recognize that the internet is filled with misinformation and unverified claims about the efficacy of various remedies for fertility. What works for one person may not work for another, and without proper medical advice, individuals may inadvertently jeopardize their chances of conception. Consulting with a healthcare provider specializing in reproductive health can provide personalized recommendations based on individual circumstances and medical history.

Furthermore, self-medication can also have psychological implications. This is because the stress and anxiety associated with fertility issues may lead individuals to seek quick fixes without fully understanding the potential consequences. It’s essential to address any emotional concerns and seek appropriate support throughout the journey to parenthood. By prioritizing both physical and emotional well-being, individuals can make informed decisions that support their overall health and fertility goals.

Common Medications to Avoid During Conception

When trying to conceive, certain medications should be avoided due to their potential negative impact on fertility. Non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen and aspirin, can disrupt ovulation and reduce the chances of successful conception. It is advisable to consult with a healthcare professional before taking any NSAIDs during the preconception period.

Certain antibiotics and antifungal medications have been associated with decreased fertility in both men and women. It is essential to discuss any prescribed medications with a healthcare provider. This is to determine their potential effects on fertility and whether alternative options are available.

In addition to medications, it’s important to consider the impact of lifestyle factors on conception. Smoking, excessive alcohol consumption, and high levels of stress can all contribute to decreased fertility. Smoking, for example, has been linked to lower sperm count in men and can also affect egg quality in women. Cutting back on alcohol and finding healthy ways to manage stress. Things like exercise or meditation, can help improve fertility outcomes.

Moreover, maintaining a healthy weight through proper diet and regular exercise is crucial for optimizing fertility. Both underweight and overweight individuals may experience difficulties with conception, as weight extremes can disrupt hormone levels and menstrual cycles. Developing a personalized diet and exercise plan can be beneficial for those trying to conceive.

The Impact of Over-the-Counter Drugs on Fertility

Over-the-counter drugs, commonly used for pain relief, allergies, and other minor ailments, may also pose risks to fertility. Antihistamines can cause dryness in cervical mucus, making it difficult for sperm to travel through the reproductive tract. Similarly, decongestants present in cold and flu medications can have a drying effect on cervical mucus, potentially impairing fertility.

It is important to read the labels and consult healthcare professionals when choosing over-the-counter medications. This is because some may contain ingredients that could interfere with conception. Additionally, avoiding unnecessary medication during the preconception period is advised to reduce potential risks and optimize chances of successful conception.

Furthermore, it’s not just antihistamines and decongestants that can impact fertility. Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and aspirin have also been linked to fertility issues. Prolonged use of NSAIDs can disrupt ovulation and implantation, affecting the delicate hormonal balance necessary for conception.

Moreover, certain over-the-counter medications containing pseudoephedrine, a common decongestant, have been associated with decreased sperm motility and male infertility. This underscores the importance of being vigilant about the potential effects of seemingly harmless medications on fertility, for both men and women.

Herbal Remedies: Safe or Risky for Pregnant Women?

Many individuals turn to herbal remedies as a natural alternative to conventional medications. However, herbal remedies should be approached with caution when trying to conceive or during pregnancy. While some herbs are considered safe in moderation, others may have adverse effects on fertility and pregnancy.

For example, certain herbs, like black cohosh and ginseng, have estrogen-like properties that can disrupt normal hormonal balance, potentially interfering with ovulation and reducing fertility. Additionally, some herbal remedies may interact with medications or have unknown effects on the developing embryo, making it essential to consult a healthcare professional before using any herbal remedies while trying to conceive.

It’s important to note that the potency and purity of herbal remedies can vary greatly between brands and sources. This lack of standardization can make it challenging to determine the exact dosage and potential side effects of herbal supplements. This is especially prevalent during pregnancy when the stakes are higher. Pregnant women should only use herbal remedies that have been specifically recommended by a qualified healthcare provider with expertise in prenatal care.

Furthermore, the lack of regulation in the herbal supplement industry means that some products may contain contaminants or undisclosed ingredients that could pose risks to both the mother and the developing fetus. This underscores the importance of conducting thorough research and seeking guidance from a healthcare professional before incorporating any herbal remedies into a pregnancy regimen. Remember, the well-being of both mother and baby should always be the top priority when considering the use of herbal remedies during pregnancy.

The Role of Prescription Medications in Preconception Health

Prescription medications, such as antidepressants, anticonvulsants, and hormone therapies, may also impact fertility and the ability to conceive. It is important to consult with a healthcare provider, particularly for women with underlying medical conditions that require ongoing treatment.

In some cases, alternative medications or adjustments to the current medication regimen may be recommended prior to conception. It is crucial to have open and honest conversations with healthcare professionals to ensure the safety of both the mother and the potential baby during the preconception period.

Furthermore, it’s essential to consider the potential effects of prescription medications on the developing fetus. Some medications can cross the placenta and affect the baby’s growth and development. Healthcare providers may need to weigh the risks and benefits of continuing certain medications during pregnancy to protect both the mother’s health and the baby’s well-being.

Additionally, women who are planning to conceive should discuss their medication history with their healthcare provider. This is in order to evaluate any potential risks or interactions that could affect fertility or pregnancy. It’s important to be proactive in managing medication use during the preconception period to optimize the chances of a healthy pregnancy and baby.

How Self-Medication Can Affect Male Fertility

Self-medication does not only affect female fertility but can also have a significant impact on male fertility. Certain medications can suppress natural testosterone production, leading to decreased sperm count and fertility issues.

Moreover, excessive alcohol consumption, tobacco use, and illegal drug use can also impair male fertility. It is important for men to understand the potential effects of self-medication and lifestyle habits on their ability to conceive and consider seeking medical advice if encountering difficulties when trying to get their partner pregnant.

Another factor that can influence male fertility is environmental exposure to toxins and chemicals. Pesticides, heavy metals, and certain industrial chemicals have been linked to sperm abnormalities and reduced fertility in men. It is crucial to be mindful of their surroundings and minimize exposure to harmful substances.

In addition to external factors, stress and mental health can also play a role in male fertility. High levels of stress can disrupt hormone levels and sperm production, affecting fertility. Engaging in stress-reducing activities such as exercise, meditation, or counseling can help improve overall reproductive health for men.

The Importance of Consulting Healthcare Professionals

When trying to conceive, it is crucial to involve healthcare professionals in the decision-making process. Seeking guidance from experts in the field can provide valuable insights and help individuals make informed choices about medication use and overall preconception health.

A healthcare professional can assess individual circumstances, identify potential risks, and suggest appropriate medications or alternatives. With their expertise, healthcare professionals can provide personalized recommendations that align with each person’s unique health profile and goals.

Moreover, consulting healthcare professionals can also help in addressing any underlying health conditions that may impact fertility. Conditions such as polycystic ovary syndrome (PCOS), endometriosis, or thyroid disorders can affect a person’s ability to conceive. By working closely with healthcare providers, individuals can receive proper diagnosis and treatment for these conditions, improving their reproductive health and overall well-being.

Additionally, healthcare professionals can offer guidance on lifestyle modifications that can positively influence fertility. Factors such as diet, exercise, stress management, and environmental exposures can all play a role in reproductive health. By collaborating with healthcare experts, individuals can develop personalized strategies to enhance their fertility potential and create a supportive environment for conception.

Recognizing Symptoms That Require Medical Attention

During the preconception period, it is essential to be aware of symptoms that may indicate underlying health issues requiring medical attention. Irregular menstrual cycles, severe pelvic pain, unusual vaginal discharge, or signs of hormonal imbalances should not be ignored.

If experiencing any of these symptoms or other unexplained changes, it is crucial to consult with a healthcare professional. Timely diagnosis and appropriate treatment can contribute to a faster resolution of health concerns and enhance the chances of a successful pregnancy.

In conclusion, self-medication when trying to conceive can pose significant risks to both fertility and the overall health of prospective parents. It is important to understand the potential negative effects of common medications, over-the-counter drugs, and herbal remedies on fertility. Seeking guidance from healthcare professionals, avoiding unnecessary medications, and being aware of symptoms that require medical attention are key to ensuring a safe and successful journey towards parenthood.

How likely is it to get pregnant with PCOS?

December 7, 2022

How likely is it to get pregnant with PCOS?

An Introduction to Polycystic ovary syndrome

While probability of childbirth is similar between groups, women with PCOS need longer time to get pregnant.  Earlier diagnosis and intervention can shorten the time to get pregnant with PCOS and improve the chances for live birth. You need to educate yourself and seek care from fertility specialists. It is also important that you start as early as possible. Let’s take a deeper look at the introduction to PCOS.

Getting pregnant with PCOS, but what is it?

PCOS, as the name implies, is a syndrome, a collection of symptoms. These symptoms vary between individuals.  Your reproductive endocrinologist specialist (REI) will conduct a thorough health history review and order hormone analysis that can help with a diagnosis.  

The three features of PCOS are:

  1. High levels of “male” sex hormones, such as testosterone
  2. A large number of immature ovarian follicles (fluid-filled sacs that develop and release eggs)
  3. Irregular menstrual cycles (typically less than 10 per year)

If you have two out of three, yes you do have PCOS. Later we will explain how to find out.

How likely is it to get pregnant with PCOS

How many people suffer from PCOS?

Millions. 1 in 10 women. Moreover, 70% of people with PCOS are either misdiagnosed or undiagnosed. So you may suspect you have PCOS, but still not know for sure. Get checked.

What causes PCOS?

Although we do not currently know the exact underlying cause of PCOS, we think it is due to abnormal hormone secretion in the brain along with abnormal insulin sensitivity in the muscles, and here is how it works:

1. Your cells are not responding normally to insulin which leads to its high levels of insulin. It’s called insulin resistance. Insulin controls how food is changed into energy. As a result of resistance, your insulin blood levels become higher.

2. Insulin resistance can also lead to high levels of androgens (male hormones) can prevent the ovaries from releasing an egg during each menstrual cycle, also causing extra hair growth and acne.

Chances of Getting Pregnant with PCOS

Polycystic Ovary Syndrome (PCOS) is a common condition that affects a woman’s hormone levels, menstrual cycle, and ability to conceive. Many women with PCOS wonder about their chances of getting pregnant. Let’s take a closer look at the factors that can impact fertility in women with PCOS.

Factors Affecting Fertility in Women with PCOS

There are several factors that can affect the chances of getting pregnant with PCOS:

  • Irregular menstrual cycles: Women with PCOS often have irregular periods, which can make it difficult to predict ovulation and conceive.
  • Insulin resistance: Many women with PCOS have insulin resistance, which can lead to high levels of insulin in the body. This can disrupt the normal balance of reproductive hormones and affect fertility.
  • High levels of androgens: Women with PCOS may have higher than normal levels of androgens, which can interfere with the development and release of eggs from the ovaries.

Improving Fertility with PCOS

While getting pregnant with PCOS may present some challenges, there are steps that women can take to improve their chances of conceiving:

  • Healthy lifestyle: Maintaining a healthy weight, eating a balanced diet, and getting regular exercise can help improve fertility in women with PCOS.
  • Medication: Fertility medications such as clomiphene citrate or letrozole may be prescribed to help induce ovulation in women with PCOS.
  • Assisted reproductive technologies: In some cases, procedures such as in vitro fertilization (IVF) may be recommended to help women with PCOS conceive.

PCOS and Pregnancy Rate

Women with Polycystic Ovary Syndrome (PCOS) often face challenges when trying to conceive. However, it is important to note that pregnancy is still possible for women with PCOS, and there are various factors that can influence the pregnancy rate.

Effect of Weight

One of the key factors that can impact the pregnancy rate for women with PCOS is weight. Research has shown that 5-10% of body weight loss can significantly improve the chances of conceiving for women with PCOS. This is because excess weight can disrupt hormone levels and ovulation, making it harder to get pregnant.

It is important for women with PCOS to maintain a healthy weight through a balanced diet and regular exercise to improve their chances of conceiving.

Role of Hormonal Imbalance

Another factor that can affect the pregnancy rate for women with PCOS is hormonal imbalance. Women with PCOS often have higher levels of androgens, which can interfere with the regularity of their menstrual cycles and ovulation. This can make it more difficult to get pregnant.

Managing hormonal imbalance through medication and lifestyle changes can help regulate menstrual cycles and improve the chances of conceiving for women with PCOS.

How do I know I have PCOS?

Help us to help you:

  1. Track your menstrual cycles. How frequently they occur and how long they last ( and how painful or heavy they are). Report if your cycles are greater than 45 days apart or less than 10 per year
  2. Complete the work up recommended by your REI: get bloodwork done or order home test kits to check certain hormone levels
  3. Confirm polycystic ovaries using an ultrasound

Remember! PCOS is a spectrum and will have variable presentation and symptoms. The diagnosis is made when two of the three criteria are present.

Chances of Getting Pregnant with PCOS Naturally

Many women with Polycystic Ovary Syndrome (PCOS) wonder about their chances of getting pregnant without medical intervention. While PCOS can make it more difficult to conceive, it is still possible to get pregnant naturally with PCOS.

Understanding PCOS and Fertility

PCOS is a hormonal disorder that can cause irregular periods, high levels of androgens (male hormones), and cysts on the ovaries. These factors can make it harder for women with PCOS to ovulate regularly, which can affect their fertility and introduce fertility problems.

However, it’s important to note that not all women with PCOS have difficulty getting pregnant. Some women with PCOS are able to conceive without any issues, while others may need medical assistance.

PCOS and Pregnancy Success Rate Naturally

Many women with Polycystic Ovary Syndrome (PCOS) struggle with infertility, but there are natural methods that can help improve the chances of getting pregnant.

Healthy Diet and Exercise

Eating a balanced diet and maintaining a healthy weight can help regulate hormones and improve fertility in women with PCOS. Incorporating regular exercise into your routine can also help manage symptoms of PCOS and increase the likelihood of conceiving naturally.

Consider adding more fruits, vegetables, and whole grains to your diet while reducing processed foods and sugary treats. Aim for at least 30 minutes of moderate exercise most days of the week.

Stress Management

High levels of stress can negatively impact fertility, so finding ways to manage stress is crucial for women with PCOS who are trying to conceive naturally. Consider practicing yoga, meditation, or deep breathing exercises to help reduce stress levels.

Additionally, getting enough sleep and taking time for self-care can also contribute to overall well-being and improve the chances of getting pregnant.

Is it possible to get pregnant with PCOS quickly?

Is it hard to conceive with PCOS? Yes. However, getting pregnant in general is not a quick process. While a completely healthy young couple has a 25% chance of getting pregnant during a single cycle, chances of “absolutely healthy” individuals reduce with aging. PCOS makes it even more complicated. A few of our patients have conceived on their first cycle using standard medicated treatment. Although this is a rare case, Charity W from Oklahoma decided to share her experience with you:

Can I get pregnant with PCOS and no periods?

Is it impossible to conceive with PCOS without having periods? No. As you’ve seen in the testimonial above, Charity didn’t have periods at all and she got pregnant during her first cycle of treatment. Although medical miracles are rare, women with PCOS have one of the best prognosis when undergoing fertility treatment and most of them will eventually become pregnant. Even if they didn’t have periods before the treatment.

How to get pregnant with PCOS?

The good news is that with treatment, most patients would get pregnant. If the initial lifestyle changes like losing weight are not successful in initiating regular menses or you are not able to delay treatment, we recommend you start acting immediately, especially if you are over 35 years old, as the chances of pregnancy begin to decline. Also, there are some medical disorders that can mimic PCOS, so we strongly recommend you visit a Reproductive Endocrinologist with experience in evaluating and managing women with PCOS. Please, do not wait and do not lose your precious time.

There are two types of medicines used in fertility treatments for patients with PCOS:

Clomiphene or Letrozole

are usually the first medication type recommended for women with PCOS who are trying to get pregnant. Both medicines induce ovulation by encouraging recruitment, growth, and the monthly release of an egg from the ovaries (ovulation).

Metformin

Makes the body more sensitive to ovulation inducing medications if Clomiphene or Letrozole are unsuccessful in encouraging ovulation.

We can also recommend as appropriate supplements  from Theralogix™ that have been proven to help with fertility.  They include CoQ10, Inositol, and prenatal vitamins.  There are also supplements available for men to improve sperm quality.

Metformin is often used to treat type 2 diabetes, but it can also lower insulin and blood sugar levels in women with PCOS. As well as stimulating ovulation, encouraging regular monthly periods, and lowering the risk of miscarriage, metformin can also have other long-term health benefits, such as making cholesterol levels lower.

Are there any real success stories of getting pregnant with PCOS?

There are millions of stories like this, including our own patients. The following one is also real and very complicated at the same time. Keep in mind that you should not take it as treatment advice. Every case can be individualized.

Tiffany came to Fertility Cloud after three cycles of Clomid and two cycles of Letrozole ovulation induction. She was a 28-year old woman who had not been pregnant previously, diagnosed with PCOS at age twenty-one and has been on birth control until she started trying to get pregnant.

Testing confirmed the diagnosis of PCOS. Unfortunately, she did not ovulate on clomiphene and her initial trial of letrozole. Our approach was to make her ovaries more sensitive to ovulation induction. We started her on metformin and a small dose of dexamethasone. Then we increased her dose of letrozole. She ovulated in the first month and became pregnant after three cycles. 

So, what does it mean for me?

Although while it is hard to get pregnant with PCOS, the good news is that women with PCOS typically have some of the best forecast when undergoing fertility treatment. Most of them will eventually become pregnant. Treatment has improved significantly and has become more effective as well. The general rule in fertility treatments is the sooner you begin, the more likely you are to succeed. And it’s smart to choose an experienced doctor with an understanding of PCOS.  Don’t delay!  A consultation with a qualified REI can clear up any confusion or concerns you may have about getting pregnant with PCOS.

 

How likely is it to get pregnant with PCOS

Getting Pregnant after 30, 35 or even 40

December 5, 2022

Uncover all the information you need about getting pregnant at a late age

The relevance of age

According to research over the last 40 years, a healthy 30 year old woman has about a 20% chance of getting pregnant each month. A healthy, ovulatory 40-year-old woman’s chance per month is 5% (1,6). The decline is slow and steady up until the age of about 35. After that the decline becomes steeper. These ranges and time frames have been established through multiple studies and have been consistent for the last 30+ years. Getting pregnant after 40 the decline in fertility is attributed to depletion of ovarian oocyte (eggs) reserve and is determined by genetic, environmental, and lifestyle factors.(2).

how to get pregnant after 40
How likely is to get pregnant at certain age

What makes it hard to get pregnant after 35 or 40?

Although your changes of getting pregnant after 35 or 40 are decreasing, there are good news. Age at conception does have bearing on time to pregnancy in a healthy, ovulatory woman. In general, fecundity (a woman’s physiological ability to have a child) is reported as age ranges because it is difficult to correlate a specific age to a specific chance of success. There are also factors that can affect reproductive aging. These include other medical conditions that can have an effect such as endometriosis, fibroids, genetic conditions (errors in number of chromosomes), environmental influences, obesity, smoking, thyroid gland dysfunction, history of sexually transmitted diseases (STDs), and ovulatory dysfunction, to name a few (2,3).

PCOS stands for Polycystic Ovarian Syndrome, it is the most common form of ovulatory ovarian dysfunction.  The pathology of PCOS makes ovulation irregular and unpredictable, making the timing of intercourse for conception difficult and mostly trying to get pregnant after 40.

There could also be issues with male fertility such as erectile dysfunction and sperm quality issues. Male evaluation initially consists of a semen analysis and potentially other endocrine blood testing to evaluate any severe sperm abnormality.

How can fertility specialist can help to conceive after 35 or 40?

Most of the factors other than extreme reproductive age are usually treatable. When you start you journey to get pregnant after 40, the first step is a comprehensive evaluation of both you and your partner (if applicable). We test your ovarian reserve to gauge likelihood of adequate number of eggs produced per cycle, prolactin levels since the elevated levels can affect regularity of ovulation, and PCOS testing. If there are any positive findings, we can offer prescription medications or supplements beneficial for conception (5).

There are supplements that both partners can take that have been shown to be beneficial for conception and getting pregnant after 40.  Lifestyle modification and diet changes (such as following the Mediterranean diet) can also positively impact your chances to get pregnant after 40. Controlling your stress and regular moderate exercise also confer benefits (3,4).

The journey

Getting pregnant after 40 years old, especially in the face of infertility challenges, is a complex and emotional journey that many individuals and couples find themselves navigating. The desire for parenthood does not diminish with age, and the longing to conceive and welcome a child into one’s life remains strong. While fertility may decline with age, it’s essential to acknowledge that getting pregnant after 40 is not impossible, and there are various avenues to explore on this remarkable path.

In the midst of infertility concerns, it is crucial to seek expert guidance and remain informed about the available options. Fertility treatments, such as in vitro fertilization (IVF) and the use of donor eggs, have proven to be successful for many individuals in their 40s, offering renewed hope and possibilities. Additionally, maintaining a healthy lifestyle, including a balanced diet, regular exercise, and stress management, can positively impact fertility, no matter one’s age.

Moreover, the relevance of emotional support cannot be overstated. The emotional toll of facing infertility and the challenges of getting pregnant after 40 can be overwhelming. Finding a support network, whether through friends, family, or support groups, is crucial in navigating the ups and downs of this journey.

Conclusion

In conclusion, while getting pregnant after 40 may present unique challenges, it is a goal within reach for many. Infertility should not be a deterrent, but rather a call to explore the many available options and seek professional advice. With perseverance, emotional support, and the right approach, individuals can overcome obstacles and realize their dreams of parenthood even at an age when conventional wisdom might suggest otherwise.

Please click the link below for a consultation with an experienced Reproductive Endocrinologist. You can also follow us on Facebook or return to our website for updated information about your fertility journey.

how to get pregnant after 40

Understanding Your Menstrual Cycle

November 14, 2022
Menstrual Cycle

Learn everything you need to know about your menstrual cycle

Understanding Your Menstrual Cycle

Written By Fertility Cloud Specialist and Head Nurse Svetlana Izrailevsky, BSN, RN.

What is a menstrual cycle? 

In reality, a menstrual cycle consists of 3 broad categories of cycles:  Ovarian (follicular) cycle, Endometrial lining cycle, and Cervical mucus development cycle.  It is important to understand that these cycles are taking place in tandem, and in relationship to each other.  That means that what happens in one of these cycles will affect the developments in the other ones.  

What is a Normal Cycle Length?

First, lets review the hormones involved in the menstrual cycle:

FSH – FSH helps control the menstrual cycle and stimulates the growth of eggs in the ovaries. FSH levels in women change throughout the menstrual cycle, with the highest levels happening just before an egg is released by the ovary. This is known as ovulation.

LH – LH helps control the menstrual cycle. It also triggers the release of an egg from the ovary. This is known as ovulation. LH levels quickly rise just before ovulation.

Estradiol, also called E2, is the main estrogen in nonpregnant females of childbearing age. It’s mostly made in the ovaries and is important for uterine lining development.

Progesterone is a hormone that’s made mainly by the ovaries. Each month, progesterone prepares your uterus for pregnancy. During a normal menstrual cycle, an ovary releases an egg and your progesterone levels begin to rise. Progesterone makes the lining of your uterus grow thicker so that a fertilized egg can attach (implant) inside of the uterus and grow into a baby. If you don’t become pregnant, your progesterone levels will fall. The lining of your uterus will become thinner again. When your uterus starts to get rid of the extra blood and tissue, your menstrual period will begin.  If you become pregnant, progesterone levels will continue to rise to about 10 times higher than usual to support the pregnancy.

3 main time frames of the cycle:

menstrual cycle
menstrual cycle
menstrual cycle
menstrual cycle
menstrual cycle
These different cycles communicate via hormone messengers. For example, when the egg inside the follicle is mature, it sends a signal to the pituitary gland via the increased levels of Estradiol hormone. This stimulates the rise in LH hormone levels which finishes the maturation of the egg and allows it to break out of the follicle–ovulate. At the same time, Progesterone level rises to support the uterine lining and the uterine lining undergoes a transformation where the receptors for the embryo become activated and stand ready.

The connection between different menstrual cycles

menstrual cycle

menstrual cycle

LET’S LOOK AT SOME COMMON QUESTIONS THAT COME UP

What is the best time to get pregnant during my cycle?

When we are speaking of a regular 28-30 day cycle, your fertility window is between cycle day 10-15.  We would recommend intercourse every other day starting on cycle day 10.  Once you note your LH surge by using ovulation predictor kits, you should have intercourse daily on the day of the LH peak/surge and the subsequent 2 days.  

Please remember that LH hormone stays elevated for a very short time, just about 24 hours so we do not recommend that you keep checking your LH after you see the peak.  

Male partners, if applicable, should do ejeculation every 2-3 days starting with your cycle day 1.  We would like to have the freshest sperm sample available for insemination.  Please do not hold off on regular ejaculation because that increases the number of dead and dying sperm in the sperm sample that will be produced for the insemination.

Wait!  What if my menstrual cycle is not regular?

For some patients, the cycles are regular and predictable, but long.  It is possible to have a regular ovulatory cycle with the overall length of 35 days, for example.  However, there are also women who have irregular ovulatory cycles due to ovarian dysfunction.  This dysfunction is usually related to improper hormone levels of Estradiol and FSH.

What does the follicle stimulating hormone (FSH) do again?

FSH – FSH helps control the menstrual cycle and stimulates the growth of eggs in the ovaries. FSH levels in women change throughout the menstrual cycle, with the highest levels happening just before an egg is released by the ovary. This is known as ovulation.  

How Estradiol helps my menstrual cycle?

Estradiol, also called E2, is the main estrogen in nonpregnant females of childbearing age. It’s mostly made in the ovaries and is important for uterine lining development.  As you can see in the diagram above, Estradiol rises slowly before ovulation and stays elevated for a period of about 7 days after the ovulation.  This is so that there is no ovarian follicular recruitment happening during the period of potential fertilization and implantation.   Elevated levels of Estradiol can interfere with production of FSH so if the Estradiol levels are high at the beginning of the cycle it impacts the regular growth and development of the follicles. 

Estradiol can be elevated as a result of conditions such as polycystic ovarian syndrome (PCOS) or presence of elevated levels of BPA in the system. Bisphenol A (BPA) is a chemical produced in large quantities for use primarily in the production of polycarbonate plastics. It is a part in various products including shatterproof windows, eyewear, water bottles, and epoxy resins that coat some metal food cans, bottle tops, and water supply pipes. https://www.niehs.nih.gov/health/topics/agents/sya-bpa/index.cfm.  

What about Ovidrel?

Ovidrel, also known as chorionic gonadotropin (r-hCG), is a recombinant form of human chorionic gonadotropin hormone. It is created using recombinant DNA technology, which allows for the production of a biologically identical hormone to the one produced naturally by the human body.

I ovulated 2 days past normal ovulation days

The next menstrual cycle will start once the Progesterone and Estradiol levels fall, if there is no conception.  They typically occur 10-14 days after ovulation occurs.  If you ovulate 2 days later than you usually do, your menses mostly likely will be 2 days late.

I have been taking Progesterone to support my uterine lining

Yes!  If you are taking Progesterone, you are not likely to start menses even if you are not pregnant. Take a home pregnancy test, and if it is negative stop taking the Progesterone. You can expect your menses 2-5 days after stopping the medication.  Some patients may begin spotting even before stopping Progesterone.  The spotting/bleeding you will get after the Progesterone may be a little heavier than your usual menses and the first day of bleeding will count as cycle day 1 for next treatment.

Is it normal that I expect menses to be delayed even with negative HPT?

Clomid does not directly impact the length of menses.  However, it does help regulate the ovulatory process so your menstrual cycle will look different.  For some patients, cycles are a bit shorter and for others they are longer as Clomid works to increase production of FSH hormone.

What does LH hormone timing look like in the cycle?

LH rises slowly only a few days before ovulation and then has a sharp rise known as LH peak or surge, 24-36 hours before ovulation.  It only stays elevated for about 24 hours and then drops sharply.  It does not begin to rise again with the start of the menses, at least not right away.

Can Geritol directly regulate my menstrual cycle?

No, Geritol cannot directly regulate your menstrual cycle. However, by contributing to overall health, it could indirectly influence your cycle.

menstrual cycle