First Time IVF Success Tips: Should you use Heparin?

The internet is full of supposed tips and tricks to achieve 1st time IVF success. At InfertilityTV we will explore whether using heparin is helpful in achieving 1st time IVF success

The first question to answer is why was heparin recommended for IVF? Heparins are a group of medications which are primarily used to reduce the chance for blood clots to form in blood vessels. Some studies found a relationship between blood clots forming in the uterus and the risk of miscarriage or recurrent miscarriage. In addition, some women have a medical problem called thrombophilia which means they are at greater risk for having blood clots form.

As a result, some doctors started using heparin in couples with recurrent miscarriage, especially those with thrombophilias, with some success. This led to the question of whether using heparins would also improve the chance for implantation in patients attempting pregnancy with IVF.

A number of studies have been published which have tried to answer this question. The results have been mixed. This means that some studies showed a benefit to using heparin and some studies found no benefit.

This happens fairly often in medicine where studies reach different conclusions. One way to figure out what is going on is to combine all of the smaller studies into one very big study. This is called a meta-analysis. Think of it this way, doctors can be more confident about the results of a study if you have 1,000 patients compared to say 100. Meta-analyses can also weed out studies that were not of very good quality.

So what’s the InfertilityTV bottom line?

In 2018, a meta-analysis of five high quality studies involving nearly 1000 total patients found no benefit in using heparin for IVF. Women given heparins during their IVF cycle didn’t get pregnant more often, they didn’t miscarry less and they didn’t have a baby more often than women who didn’t use heparins. This study did not find a benefit even in couples that had two previous failed IVF cycles or 3 previous failed IVF cycles.

One important thing to note, these studies looked specifically at women who did not have a thrombophilia - a blood clotting problem.

#IVFSuccess #IVFSuccessTip #IVF

Infertility TV is your weekly source for the best medical information if you have infertility, recurrent miscarriage or are just trying to conceive. (TTC). InfertilityTV covers infertility testing, fertility treatments such as Clomid, Follistim and Crinone and fertility treatments like IUI and IVF (in vitro fertilization)

One of the most popular playlists on InfertilityTV are the TTC tips which are great even you are not struggling with infertility

Dr Morris is a practicing IVF and infertility expert who sees patients at IVF! located in the Naperville Fertility Center.

Increase your "Infertelligence" ™

Subscribe to Infertility TV now!!!
A new episode of Infertility TV is broadcast weekly every Thursday afternoon

or visit our website at IVF1.com

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How to get pregnant fast with ovulation problems

If you want to get pregnant fast, but you have ovulation problems, there are a number of steps you can take. Watch this episode of infertility TV to learn the best tips.



There are several ways you might know if you are having ovulation problems. The most obvious is if you are not getting your period at all or if your period is coming infrequently. Normally, your period should come roughly every month.



You can also diagnose a problem if your home ovulation tests fail to turn or positive and of course if your doctor tells you that you are not ovulating based on blood testing.



Some types of ovulation problems can be fixed directly. The most common fixable causes for ovulation problems are

Thyroid problems. If your thyroid is over or under active, medication to treat the problem will usually result in your ovulation returning



High levels of prolactin. Prolactin is a hormone produced in your pituitary gland. If you are not pregnant or breast feeding, your prolactin levels should be low. If they are high, that can prevent you from ovulating. There are very effective medications that are available to lower your prolactin levels and using these medications will result in ovulation and pregnancy



Insulin resistance. Many women with ovulation problems have a disorder called PCOS or polycystic ovary syndrome. Women with PCOS usually don’t ovulate because their bodies are resistant to the hormone insulin. Reducing insulin resistance through weight loss or medications like metformin can result in regular ovulation



What do you do if your doctor cannot find the cause for your ovulation problem? Or your cause for not ovulating can’t be fixed directly?  Luckily, we have another group of medications that can help women to ovulate. We called these fertility medications.



There are two groups of fertility medications:  pills and injections

Pills include medications such as letrozole, which works best for women with PCOS and Clomid which works well for most other women. There are several different brands of injections. The most commonly used fertility injections are Follistim and Gonal F but there are others.



Its always best if you can fix your underlying ovulation problem directly. If you do need to use fertility medications,  it will increase your risk for having a multiple pregnancy. Multiple pregnancies are riskier because the chance for serious complications is higher so you have to be willing to accept those risks if you are going to use fertility medications.

Get Pregnant Fast with Unexplained Infertility

Unexplained infertility is frustrating but there are fertility treatments to help you get pregnant fast.



Dr Randy Morris MD-The BOARD CERTIFIED fertility expert with weekly TTC tips on InfertilityTV



Unexplained infertility is perhaps the most frustrating diagnosis to have. You have been trying to get pregnant, have done a whole bunch of tests and everything comes back normal. So what do you do? Find out on today’s episode of infertility TV



First make sure you have completed all of the standard infertility tests. You should have checked to make sure you ovulate, that your uterus is normal and fallopian tubes are open, that your ovarian reserve is normal, an ultrasound of your pelvis is normal, your thyroid is functioning as it should and your husband has a normal semen analysis and CapScore



If all of those tests are normal, then you can consider a few different treatments to speed up the time it takes for you to get pregnant. All of these treatment have two things in common. They use some kind of fertility medication and some method to increase the chance of getting his sperm to meet your egg.



Let's start with the easiest treatment. This uses the fertility medication called Clomid or clomiphene citrate. The idea here is that normally you release only one egg each month. USing Clomid, you can increase the number of eggs released and have a better chance that one of those eggs will get fertilized and implant in your uterus.



 It's very important that your doctor monitors you to determine when you ovulate. At the time of ovulation, instead of just having intercourse alone, consider having an IUI or intrauterine insemination. This will increase the number of sperm that gets into your fallopian tubes and increase the chance for pregnancy. This is true even if your partner has normal sperm testing.



You can try clomid with IUI up to four times. If you are still not pregnant, consider moving to a different treatment.



Another option is to use injection of fertility medication instead of clomid. Injections, like Follistim or Gonal F are more potent than Clomid. It is common to get more eggs to develop. As a result, the pregnancy rates with injections are higher than for Clomid. You should also do IUI with injections.



A word of caution here. The pregnancy rates are better which is great but there is a higher risk of having a multiple pregnancy compared to Clomid. And we are not just talking twins. There is a higher chance for having triplet quadruplets or even more.



One of the best treatments for unexplained infertility is IVF. The pregnancy rates are higher than they are for any other treatment. An added advantage is you get more control over your risk of multiple pregnancy. The best IVF programs in the world in 2019 put one embryo at a time into the uterus and so the risk for a multiple pregnancy is only a few percentage points.



There you have it! Three great tips for how to get pregnant fast with unexplained infertility.





#unexplainedinfertility #infertilitytreatment  #fertilitytreatment



Infertility TV is your weekly source for the best medical information if you have infertility, recurrent miscarriage or are just trying to conceive. (TTC). InfertilityTV covers infertility testing, fertility treatments such as Clomid, Follistim and Crinone and fertility treatments like IUI and IVF (in vitro fertilization)



One of the most popular playlists on InfertilityTV are the TTC tips which are great even you are not struggling with infertility



Dr Morris is a practicing IVF and infertility expert who sees patients at IVF! located in the Naperville Fertility Center.



Increase your "Infertelligence"  ™



Subscribe to Infertility TV now!!!

A new episode of Infertility TV is broadcast weekly every Thursday afternoon



or visit our website at IVF1.com



*******************************************

Do you want to become a patient at IVF1?

*******************************************



Register online here:

https://patient.ivf1.com/PatientPortal/NewPatient



Or call:

630-357-6540