IVF When is it ok to stop progesterone?

Progesterone is critical to maintaining a pregnancy but when is it okay to stop progesterone in IVF and frozen embryo transfer cycles? Find out on today’s episode of InfertilityTV

In order for an embryo to implant in the uterus, the uterine lining must first be prepared with estrogen followed by progesterone. In order to prevent a miscarriage, progesterone must continue to be present after the embryo implants. In a natural pregnancy, progesterone is initially produced by the ovaries. Eventually, the placenta will take over production of progesterone from the ovaries.

In an IVF cycle, some of the medications used to prevent early ovulation. Like Lupron or Ganirelix can compromise the progesterone production from the ovaries. Also, doing an egg retrieval can further reduce progesterone production. In a frozen embryo transfer, all of the hormones used to prepare the uterus are given to a woman so there is no progesterone production from the ovaries at all. So in both cases, extra progesterone must be taken by a woman until the progesterone production from the placenta is adequate to support the pregnancy.

But when does this shift of progesterone production from the ovaries to the placenta occur? Scientists were able to figure this out by doing studies in monkeys. They found that if you remove the ovaries of a pregnant monkey before the 7th week of pregnancy, progesterone levels dropped and then the pregnancy always miscarried. On the other hand, if the ovaries were removed after the 8th week, progesterone levels stayed about the same and miscarriages didn’t occur. However, if you removed the ovaries before the 7th week but you gave the monkey progesterone - then the progesterone levels didnt drop and the pregnancies continued just fine.

The same timing occurs in humans. Its always possible for there to be a little variation from one woman to the next so at top IVF programs like ours at the Naperville Fertility Center, we keep progesterone going until about 9 to 10 weeks.

Here is how to determine how many weeks your pregnancy is. If you are doing a blastocyst transfer, then you are 2 weeks and 6 days along on the day of transfer so you should continue progesterone for another 6-7 weeks.

I didn't talk about the different types of progesterone in this video. You need to learn about the specific types of progesterone and how to use them to maximize your chances for IVF success. Check out this video about Crinone vaginal progesterone next.

Before you go --like this video. If you have questions or an idea for a future episode, leave it in the comments. and you should definitely subscribe to infertility TV now for new episodes weekly. It's like having a fertility specialist in your phone.


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

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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Battle of the Fertility pills - Letrozole vs Clomid - Which is the best?

There are two fertility pills. Letrozole and Clomid. But which one is best? When should you use one versus the other? Find out on today's episode of InfertilityTV

In this corner, the granddaddy of all fertility drugs we have Clomid. First to come to market in 1967, Clomid has been used more than any other fertility drug in history.

In this corner, sassy newcomer -- Letrozole - known by fans as Femara. Letrozole was first approved for medical use in 1996 - almost 30 years after Clomid. Initially used as a treatment for breast cancer, letrozole has only been used as a fertility medication since 2001 and only used commonly since 2006

Both contenders are given as an oral medication. Both can be monitored at home with an ovulation predictor test or in the doctor’s office with blood tests and ultrasounds.

In Match #1 - Letrozole faces off against Clomid for the treatment of women with PCOS. A massive study of almost 800 women with PCOS found more women ovulated with letrozole, more women got pregnant and delivered with letrozole with no difference in the rate of multiple pregnancies. The winner: Letrozole

Match #2 - Clomid versus letrozole for women with unexplained infertility. In a study of 900 women, less women got pregnant with letrozole and less women had a delivery with letrozole. There was no difference in the risk for multiple pregnancies

Your InfertilityTV bottom line - There is no universal winner! Letrozole is better for PCOS patients and Clomid is better for unexplained infertility.

This has been a great introduction but you need to learn more about these and other fertility pills check out this video next.

Before you go --like this video. If you have questions or an idea for a future episode, leave it in the comments. and you should definitely subscribe to infertility TV now for new episodes weekly. It's like having a fertility specialist in your phone.

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

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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#letrozole #clomid #letrozolevsclomid

When is the first ultrasound after IVF?

If you have become pregnant after IVF or FET, when does the first ultrasound occur? Dr Randy Morris MD-The BOARD CERTIFIED fertility expert with weekly TTC tips on InfertilityTV



A pregnancy cannot be seen immediately. A certain amount of development must occur before a pregnancy after IVF can be seen on ultrasound. This is also true for a pregnancy ultrasound after FET, IUI or a spontaneously occurring pregnancy.



The key is to follow the hCG levels. However, certain factors can change the timing. sound confusing? Dr Morris makes it easy to understand



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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#IVF #IVFfirstultrasound #IVFultrasound

Where to inject fertility drugs for maximum IVF success

Using fertility drugs incorrectly can ruin your chances for IVF success. Today, on InfertilityTV we will discuss the right locations to inject fertility drugs.



With a few exceptions the fertility drugs used during IVF are injections that are taken every day for a few weeks. There are two types of fertility drugs - those that are given in the muscle and those that are given beneath the skin.



Intramuscular fertility drugs are the older type of fertility drugs. These medications contain hormones that are isolated from the urine of older women. Because they come from urine and are not purified very much, there are contaminants mixed in with the actual medication. Examples of these medications include Menopur and Repronex. These contaminants can be very irritating when they are injected into your body. The can cause redness of the skin, swelling, itching and pain at the injection site. In order to reduce these irritating symptoms, these fertility drugs are injected into the muscle where less irritation will occur. Although any muscle will work, the two largest groups of muscles are the shoulder and the buttocks. The buttocks are by far the largest group of muscles so this has been the main location for giving intramuscular fertility drugs. The medications require a longer needle to reach the muscle.  You want to make sure you avoid most of the larger nerves and blood vessels so always give these fertility drugs in the upper outer portion of the buttocks. Even when you do it correctly, placing a needle deep in the muscle is going to be more painful and may result in bruising. For more specific injection instructions, watch this video.



Many IVF fertility drugs are now able to be given under the skin without having to inject into the muscle. These newer IVF fertility drugs do not come from urine and are highly purified. They dont contain the contaminants found in the older class of fertility drugs and so are far less irritating. IVF fertility drugs which can be given subcutaneously include Follistim and Gonal F. These medications can be administered using a much smaller needle into the fatty area just below the skin. There is a rich network of blood vessels there that are ideal for letting the fertility drugs to get absorbed into your circulation. One of the best areas is under the skin of your abdomen. The skin here is pretty loose and easy to inject. Try it now. Take a pinch of skin and lift it up. See how easy that is? There is plenty of room here so that you can give each injection in a slightly different place to avoid one area getting too sore. You may see a little bruising here and there but it will be much less than with an intramuscular injection.



Watch this video for specific instructions on giving subcutaneous injections.



Before you go --like this video. If you have questions or an idea for a future episode, leave it in the comments. and you should definitely subscribe to infertility TV now for new episodes weekly. It's like having a fertility specialist in your phone.

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



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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IVF - When is the egg retrieval?

The IVF egg retrieval requires anesthesia which means you miss work or school on that day. Can you plan ahead for that day? When will the IVF egg retrieval occur?

Dr Randy Morris MD-The BOARD CERTIFIED fertility expert explains how doctors determine when the IVF egg retrieval will occur for the best possible outcome



Dr Morris has  weekly TTC tips on InfertilityTV



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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#IVF #eggretrieval #IVFeggretrieval

IVF ICSI Procedure - Important things you need to know

The basic idea behind IVF is that the eggs are removed from the ovaries and fertilized outside of the body in the laboratory. There are two techniques for fertilizing eggs. The older method is called standard insemination. With this technique, a few thousand sperm are placed in a laboratory dish near the egg. The sperm have to penetrate the egg on their own. This method has largely been replaced by ICSI.



ICSI stands for Intracytoplasmic Sperm Injection. With this technique, a single sperm is injected into a single egg. There are a number of reasons why ICSI is preferred over standard insemination. First of all, if a man has low sperm counts or poor sperm movement then the chances are higher that fertilization will fail. Sometimes, standard insemination can fail even when the sperm numbers are normal. This is likely due to a specific problem with the sperm not being able to fertilize eggs on their own. Unfortunately, we are not able to predict ahead of time which men have sperm that might fail to fertilize an egg. ICSI bypasses those types of problems,  so the chances of an IVF cycle failing because of fertilization failure is a lot lower with ICSI than with standard insemination.



When an egg is removed from the ovary it is surrounded by a dense group of cells called cumulus cells. These cells make it difficult to see the egg under the microscope. This makes it harder to determine if the egg is mature or not. Immature eggs cannot be fertilized. So when there is poor fertilization, it could be in part due to there being many immature eggs rather than a problem with the sperm



When we do ICSI, these cumulus cells are stripped away. This allows us to know with certainty whether an egg is mature and allows more precise evaluation of the egg retrieval.



Finally, ICSI is needed when we are doing genetic testing on embryos. With standard insemination, there may be sperm that didnt fertilize the egg still stuck to the outside of the egg after fertilization. This can cause an incorrect result  when trying to do genetic testing of the embryo so ICSI is mandatory when doing genetic testing.

What is the First Sign of an Ectopic Pregnancy?

An ectopic pregnancy is a dangerous complication. It is extremely important for YOU to know the first signs of an ectopic pregnancy. Learn what you need to know from Dr Randy Morris MD-The BOARD CERTIFIED fertility expert with weekly TTC tips on InfertilityTV



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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#firstsignofectopic #ectopic #ectopicpregnancy

TTC? 10 Things NOT to do when trying to get pregnant

If you are trying to conceive - TTC - there are lots of tips for things you SHOULD do when trying to get pregnant, but what SHOULDN'T you do? Dr Randy Morris MD-The BOARD CERTIFIED fertility expert breaks it down in 2 minutes!!

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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Do you want to become a patient at IVF1?
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Register online here:
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#ttc #tryingtoconceive #ttctips

You had an early miscarriage! TTC tips for your next pregnancy

At InfertilityTV, we get lots of questions from you the viewers. A common question we get is, what to do after an early miscarriage. The first thing we recommend? DON’T PANIC!! For what to do next stay tuned.

It turns out that early miscarriages are extremely common. The majority of women will have at least one early miscarriage at some point during their lives. In fact, many women have had an early miscarriage and didn’t even know it. Sometimes, that period that you had which was a week late was really an early miscarriage. Often, you may have had a positive pregnancy test at home or in the doctor’s office and then start bleeding a day or two later. This is also an early miscarriage.

The first thing to do is to make sure that the pregnancy has passed completely. This is especially important if you were able to see the pregnancy on ultrasound. One way to do this is to have your doctor get blood tests to follow your hCG levels until they are negative.

Once you are sure you have completed the miscarriage, wait for your period to come and then start trying to get pregnant right away. This is important. In the past, doctors used to tell patients to wait for several months to try to get pregnant again. Now, however, we have very good evidence that your chances for getting pregnant again and your chances for having a live birth are BETTER if you don’t wait.

Women who have had one early miscarriage are NOT at greater risk for a second early miscarriage compared to women who have never had an early miscarriage at all. So don’t assume that just because you miscarried once that it will happen again.

Monitoring in your doctor’s office can help reassure you that your next pregnancy is doing well. As soon as you think you might be pregnant, contact your OB or fertility specialist. Blood tests every few days and then ultrasounds can help determine whether you might be at risk for another early miscarraige.

Out InfertilityTV Bottom line is that most women who have an early miscarriage will be able to have a baby. Trying again immediately is an easy an effective way to increase your chances to get pregnant


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

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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Do you want to become a patient at IVF1?
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Can you get pregnant if one tube is blocked? TTC Tips

Can a woman get pregnant with one blocked fallopian tube? If you are trying to conceive with one blocked tube, what can be done to improve your chances? Dr Randy Morris MD-The BOARD CERTIFIED fertility expert explains with this weeks TTC tips on InfertilityTV

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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#blockedtubes #IVF #ttctips

What's the best time of year to get pregnant? TTC Tips for MAX fertility

Scientists have known for a long time that there is a considerable difference in how many babies are born in different seasons. Today on InfertilityTV we are going to use this information to show you when you are most likely to be able to get pregnant.



The first thing you need to know about when your peak seasonal fertility is that geography matters. Women who live in warm temperature climates have a different fertility pattern than women who live in colder climates.



In warm climates, such as the southern states in the USA, there are less births in the spring. This means that conceptions in the previous hot summer were lower. The same pattern is seen in India, Israel and Taiwan.



August is usually the hottest month in the northern hemisphere. Scientists have found that in a warm climate, a hotter August produces less babies than a more moderate August.



This impact of temperature does not seem to occur in cooler climates like the northern United States, Canada and European countries or at least its not as important



It is not known why these temperature fluctuations affect fertility. One explanation may simply be that couples are not having intercourse as frequently in the hotter summer months. Another theory points to the possibility that heat can reduce sperm numbers and movement.



So our InfertilityTV Bottom line is this. If you live in a warm region, concentrate your efforts on trying to get pregnant when its a little cooler such as the fall or spring. If you live in a cooler climate,. Don’t worry about the time of year, it probably wont have much effect.



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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IVF - Why Eggs Don't Fertilize

Sometimes during IVF, the eggs don't fertilize.. Why does this happen? Find out in this episode of InfertilityTV with IVF Expert, Dr Randy Morris.

We can divide fertilization failure into three categories. 1) Problems with the sperm  2) Problems with the egg and 3) A combination of problems.



#IVF  #ICSI #FertilizationFailure



So there are three major barriers that sperm must get past in order to release their contents into the egg. There are abnormalities that can occur in sperm that can cause one or more of these steps to fail.



Fortunately, we have a technology called ICSI that can bypass these problems. ICSI involves injected a sperm directly inside the egg. As a result, ICSI is an excellent technique for bypassing any problem which makes it harder for a sperm to get inside the egg



Even if a sperm is injected into an egg using ICSI, problems within the egg may still prevent the process of fertilization from being completed.



Unfortunately, we do not have accurate testing which can identify which sperm or eggs may have abnormalities that will prevent fertilization. Using ICSI, we can bypass most if not all of the SPERM problems but not the EGG problems.



There are no known technologies that can fix these sperm or egg problems. Unless technology changes dramatically, attempts at fertilization are never going to be perfect.



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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https://patient.ivf1.com/PatientPortal



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Why do IVF cycles fail after transfer? Part 2 - The Carrier

There are two categories of IVF failure. Problems with the embryo and problems with carrier. On today’s episode of InfertilityTV, we will talk about problems with the carrier.



A carrier is any woman who has an embryo transferred into her uterus.



#IVF #invitro #ERA



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



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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Register online here:

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IVF Frozen embryo transfer (FET) vs Fresh - Which is best in 2019?

Why are more and more IVF experts across the world no longer doing IVF fresh embryo transfers and instead performing FET - frozen embryo transfers only? Find out on today’s episode of InfertilityTV



In the USA and other countries. doctors are reducing the number of fresh transfers and increasing the number of frozen cycles.



We now have nationwide data on the chances for pregnancies and live births. That data shows the chance for having a baby is about 10% higher when we don’t put the embryos into the uterus immediately. Why does this happen?



Think about two different factors, how fast the embryo develops and how fast the uterine lining is maturing.





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



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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Do you want to become a patient at IVF1?

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Register online here:

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



Or call:

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Letrozole - Femara vs Clomid for Unexplained Infertility | Which is best?

Fertility pills are often used to treat unexplained infertility. Which one works best letrozole (Femara)? Or Clomid

Research has shown the letrozole (Femara) works better for women with polycystic ovary syndrome (PCOS). Until now, there hasn't been high quality research to determine whether Clomid or letrozole works better for women trying to conceive who have unexplained infertility - until now.

Watch this episode as Dr. Morris reviews the scientific evidence.

#letrozole #femara #clomid

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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Do you want to become a patient at IVF1?
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Or call:
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Avenger’s Black Widow Sterilization | Is fertility possible? Real Doctor...

The Avenger's Black Widow was sterilized. How did it happen? Could she still get pregnant? In today's episode of InfertilityTV will explore whether it is possible to conceive after "sterilization".



In the movie Avenger’s - Age of Ultron. The only female Avenger (at the time) was Natasha Romanoff - also known as Black Widow. Natasha reveals to Bruce Banner (the Hulk) that she was forcibly sterilized during her training to be be a master assassin.



We never find out how she was sterilized. We might find out in the upcoming Black Widow solo movie but until then a real Fertility Expert - Dr Randy Morris discusses the possibilities.



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?

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Register online here:

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



Or call:

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IVF tips | Are more eggs better for IVF Success?

Doctors usually give women fertility medications during IVF to mature multiple eggs. Are IVF Success rates better if you have more eggs?  Tune in to this episode of InfertilityTV to find out.



The eggs sitting in your ovaries right now are immature eggs. Normally, only 1 egg matures each month. This means that you have 1 chance that this is a healthy, good quality egg. One chance that it will be fertilized. 1 chance that it will grow and develop into a healthy embryo and one chance that it will implant into the uterus to produce a pregnancy. Chances are pretty good that with only 1 egg, it will not get past all of those hurdles necessary to produce a pregnancy.



Ultimately, you only have to have one healthy embryo to produce that pregnancy. Now, lets say you have 10 eggs and 8 of them are mature eggs, 5 of them fertilize and two of them grow and develop into healthy good quality embryos. With 10 eggs, we have a much better chance of finding the good healthy embryo that we want.



So, yes! If you are doing IVF, getting more eggs is better than having fewer eggs. This is the reasons that women who tend to produce fewer eggs, such as older women or women with poor ovarian reserve, get pregnant less often. Its a numbers game.



If getting 10 eggs is better than 1, wouldn’t 100 eggs be better than 10? In theory, yes, it would be better but we run into some problems. Women who mature a large number of eggs in response to fertility medications are at greater risk for a problem called ovarian hyperstimulation syndrome or OHSS.



Women who develop OHSS can develop some serious medical complications. While these complications can usually be treated, it is better if we could avoid OHSS in the first place. So, the best IVF doctors, will try to come up with some middle ground. Get enough eggs to increase the chances of finding some healthy embryos but not so many that a woman develops OHSS. This can be a tricky balance.



The InfertilityTV bottom line?  Its possible that 1 egg can get you pregnant and its possible that 100 eggs wont. But it general, the more you get, the higher the probability of success. You just have to find a way to do it safely to keep your risk for OHSS low.



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.



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



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How do I know if I am ovulating?

If you are trying to conceive, it is absolutely required that you ovulate. But how do you know if you are ovulating? It can be very confusing. Today on InfertilityTV we will clear up the confusion.
There are a number of different methods that can indicate if you ovulate. Some are more reliable than others.

First the methods you use without the need for a doctor.

1) Are your periods regular?
Generally speaking, if you are getting your period regularly about every 28 to 30 days, you can say with a high degree of certainty that you are ovulating. Subtract 14 from the length of time from one period to the next and that is likely the day you ovulated. So if you have a 28 day cycle from the beginning of one period to the beginning of the next, then you probably ovulated around day 14. If it was 29 days, then you likely ovulated on day 15 and so on

2) Use a home ovulation predictor test.
There are several different kinds of ovulation tests. The most commonly used tests and the least expensive ones, are the urine tests. They measure a hormone in your urine called LH which triggers ovulation. Start checking your urine each morning before you think you will ovulate and keep checking until it turns positive. It is a very accurate and highly reliable way to determine ovulation. There are tests that use saliva but they can be trickier to interpret. More recently, there has been an explosion of high monitors that you put in your bed, wrap around your wrist, place in your bra or even in your vagina. These high tech devices measure a variety of things such as temperature, heart rate, electrical resistance in your skin. Its tough to determine how well these instruments work since the only evaluation of their effectiveness comes from the company selling them. They are however, very expensive and there isnt any data yet to say they work better than cheaper methods

3)A thermometer
Some of the high tech devices measure changes in body temperature. Another way to do this is with a special thermometer called a basal temperature thermometer. Its very inexpensive but can be tricky since there are many things that can cause your temperature to fluctuate. It is only accurate in telling you if ovulation happened after the fact. So its good for documenting ovulation but poor for trying to predict ovulation beforehand

Methods that do require a doctor
1) Follicle monitoring
When an egg matures before ovulation, it does so inside of a small cyst called a follicle, doctors can use ultrasound to measure how big a follicle is getting. At the same time, she can do blood tests to check your estrogen and LH levels. To predict when you are going to ovulate

2) Progesterone blood test
After you ovulate, the levels of another hormone called progesterone will increase. A blood test in the doctors office can look at the level of progesterone and tell you if ovulation occurred. In most labs, a progesterone level over 2.5 or 3 indicates ovulation. Like the temperature changes, progesterone only increase after ovulation so its good for documenting if ovulation occurred but not for predicting ovulation.

Documenting ovulation isn't the only thing you should be doing to investigate infertility. Make sure you are performing all of the testing in this playlist but remember to like this video first. If you have a question leave it in the comments. click the link in the description if you want to become a new patient. Or just subscribe to infertility TV now you'll get new episodes weekly. It's like having a fertility specialist in your phone.

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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Early Miscarriage vs Chemical Pregnancy: 3 Things to Know

There are multiple types of Early Miscarriage. It is important to learn which type you are having for optimal treatment.



A chemical pregnancy (also known as biochemical pregnancy) is a pregnancy that has been confirmed by a blood or urinary pregnancy test.



A biochemical pregnancy loss is a type of early miscarriage that is lost before it reaches the point there it can be seen on ultrasound.



Biochemical pregnancy losses appear to be much different than clinical pregnancy losses.



A clinical pregnancy losses is a type of early miscarriage that occurs after being verified with ultrasound. You should know the difference as it has important implications for your treatment.



It is well known that clinical pregnancy losses are most commonly due to chromosome abnormalities. Testing embryos for chromosome abnormalities during IVF will reduce the number of clinical miscarriages. The older a woman gets, the bigger the decrease in clinical miscarriage will occur with PGS.

However, a number of studies have found that the use of PGS does not reduce the risk for biochemical pregnancies in IVF. Stated another way, most biochemical pregnancy losses are not due to chromosome abnormalities



Chemical pregnancies are not just a result of fertility treatment



Many women become aware they have had a chemical pregnancy because fertility doctors closely monitor them for the occurrence of a pregnancy. Sensitive blood tests can detect a biochemical pregnancy even before a woman misses her period. Women who are not involved with fertility treatments miss these very early pregnancy losses or attribute them to something else - like stress causing her period to be late.



In 2015, doctors from Canada compared the rate of biochemical pregnancy loss in women doing IVF to women who conceived on their own without fertility treatment. They found that the biochemical pregnancy loss rate was actually a little lower in the IVF patients. This shows us that biochemical pregnancies are not just the result of fertility treatments.



Doctors don't understand recurrent biochemical pregnancy losses



The vast majority of the studies that have been done on couples with miscarriage or recurrent miscarriage have specifically excluded couples with biochemical losses. So all of the recommendations for testing and treatment that you see about the antibodies and other problems - do not apply to recurrent biochemical losses. The bottom line is that doctors do not understand recurrent biochemical losses at all and therefore doing the same thing we do for recurrent clinical losses is not warranted at this time.



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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#earlymiscarriage  #chemicalpregnancy #chemicalpregnancymiscarriage

Male Fertility Supplements - Do They Work?

Fertility supplements are often recommended to boost male fertility. Can they increase sperm counts naturally? Surprising new research from Dr Randy Morris MD-The BOARD CERTIFIED fertility expert.



This video covers how natural fertility supplements (sometimes called fertility foods ) like CoQ10, pycnogenol or vitamin E might work Hint: it has to do with free radicals!



Check out our Supplements Playlist!



#malefertilitysupplements #fertilitysupplements #malefertility



Subscribe to InfertilityTV now! It's like having a Fertility Specialist in your phone!



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 IVF1 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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More tips for 1st Time IVF Success - Will Endometrial Scratch improve em...

There have been lots of different techniques described to improve the chances for 1st Time IVF Success. One of those techniques is called endometrial scratching. But will this help an IVF embryo implantation?



The basic process is pretty simple. A doctor puts some sort of instrument or catheter into the uterus. The uterine lining is then intentionally damaged by scraping it or sucking some pieces into a catheter or other methods.



Sounds kind of crazy, right? Why would anybody want to intentionally damage the uterine lining? Well, there is a theory that by doing this, that maybe you can get a big release of growth factors or other beneficial molecules that might help increase the chances for an embryo to implant.



In fact, there have been some studies that seemed to show an improvement in the chance for implantation in couples who had multiple failures. But what about couples who are doing their very first IVF transfer?



In early 2019, researchers searched for a bunch of studies that have looked at endometrial scratch for 1st time IVF success. They combined all of the data into one giant study called a meta analysis. What did they find? Unfortunately, it didnt work. Couples who had the scratch didn't do any better than couples who didn't.



Our InfertilityTV Bottom line. If you are going to be doing your very first IVF embryo transfer - dont do the scratch- it doesn't help



Make sure you check out THIS playlist for more first time IVF success tips.



#IVFImplantationTips #FirstTimeIVFSuccess #EndometrialScratch





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



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?

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Register online here:

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



Or call:

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IVF Frozen embryo transfer - FET - What is the best way to prepare the u...

IVF FET or Frozen embryo transfer is associated with an almost 10% better chance for pregnancy than fresh transfer. The benefit is thought to be in the preparation of the uterus. But what is the best way to prepare the uterus?



In order to prepare the uterus for implantation, you need two hormones: estrogen and progesterone. Simply put, the estrogen makes the uterine lining thicker and progesterone changes the lining so it can accept an embryo.



The most common method for uterine preparation has a woman taking medications containing estrogen and progesterone to prepare the uterus. The estrogen is given commonly by a pill orally but can also be given vaginally. Some doctors like to give estrogen patches or even estrogen injections. Progesterone is given typically as a vaginal suppository in combination with progesterone injections.



Less commonly, doctors may choose to use the estrogen and progesterone that a woman makes naturally when she develops an egg and ovulates. This is known as Natural cycle FET. Obviously, if a woman does not ovulate, this method is not an option



Which way is better? Several studies have compared the two methods. As happens many times with medical studies, the studies did not all agree on the same conclusion. In other words, some studies indicated that natural cycle FET was better. Some studies concluded that hormone FET was better and some said it didnt matter



When this happens, we at InfertilityTV will look for a type of study called a meta analysis. With a meta analysis, multiple smaller studies can be combined into one larger study. The greater number of patients studies, the greater the chance that you will get valid conclusions



So, in 2019, a group of doctors from Brazil performed a meta analysis comparing natural cycle FET to hormone FET. In the end, the meta analysis looked at 5 studies involving nearly 9000 FET cycles. What did they find?  Neither natural cycle or hormone prepared FET could be proven to be better.



So, if you are planning to do an FET cycle. Its probably ok to choose either one of these methods. However, I will point out that doing a natural cycle can be much more difficult because of the close monitoring that is required to determine the exact time of ovulation. For these reasons, at IVF1, we prefer to do do FET cycles with hormone preparation



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:

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First Time IVF Success Tips : Does Embryo Testing (PGD / PGS / CCS ) Ma...

Abnormal embryos could be affecting your chances for First Time IVF Success. Embryo testing, using PGD or PGS, can help identify abnormal embryos. But does the type of testing make a difference? Find out in today’s episode of InfertilityTV.



Here is the simple explanation. Most of the embryos that humans make are abnormal. Normal embryos have certain number of chromosomes. 23 from the mother and 23 from the father. A total of 46. If an embryo has more or less than that - it is considered abnormal. Three things happen to abnormal embryos if they are placed into the uterus.

They fail to implant and you don’t get pregnant

The embryo implants but later miscarries. Chromosome abnormality is the most common cause for miscarriage

The embryo implants but doesn’t miscarry. These will result in babies with birth defects like Down syndrome



We have excellent evidence that testing embryos for chromosome abnormalities in older women will increase the chance for pregnancy, reduce the risk for miscarriage and reduce the chance for those birth defects.



However, there are different technologies for testing embryos and they don't all work the same.

The oldest technology, known by its acronym “FISH” only looks at a few chromosomes. It really has no place for chromosome screening today



A newer technology known as array CGH was a significant improvement over FISH in that it looked at all 23 pairs of chromosomes. It is still in common use today.



The most recent technology is known as Next Generation Sequencing which also has the ability to look at all 23 pairs of chromosomes but has the further ability to identify some types of structural abnormalities and cases when an embryo has a mixture of different chromosome types - a problem known as mosaicism.



In 2018, researchers looked at nearly 1000 cases in which couples had a single embryo transfer after chromosome testing by either aCGH or NGS. Their findings are very important for you. They found that the ability of an embryo to implant in the uterus and continue as a normal pregnancy was better for NGS than for aCGH.



Our InfertilityTV recommendation for our patients is (until a better technology comes along), Next Generation Sequencing is the best method for embryo testing and results in nearly a 10% increase in the chance for an ongoing pregnancy.



#FirstTimeIVFsuccess  #PGS #NGS



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

First Time IVF Success - Should you have your tubes removed?

Will removal of blocked fallopian tubes improve your chances for First Time IVF Success? In some cases, this can result in doubling of your chances for IVF Success. IVF expert Dr Randy Morris explains in this episode of InfertilityTV.

You may have heard that some doctors recommend removal of blocked fallopian tubes prior to embryo transfer in order to improve first time IVF success. Is this something you should consider?

Getting pregnant with #IVF requires a lot of things to be perfect. For starters, you have to have a healthy, normal embryo and the uterine lining has to be at the right stage stage of development. But there could be other things that interfere with pregnancy. For example, if there is fluid in the uterus at the time of the transfer or shortly after. 

IVF experts have known for a long time that when it comes time to put an embryo into the uterus, fluid in the uterine cavity will lower the chances of success. In some cases, the cause for fluid in the uterine cavity is not known. In other cases, however, fluid in the cavity can be the result of blocked fallopian tubes.

This is important because blocked fallopian tubes is a common reason why couples need to do IVF in the first place. There are two categories of blocked tubes. Proximal blockage occurs when the tubes are blocked right where they attach to the uterus. Distal blockage is a block that occurs at the far end of the fallopian tube. Distal blockage is the kind that can result in fluid in the uterine cavity. You see, the tubes normally produce fluid that can escape out the end but if the end if blacked, that fluid can accumulate inside the tube and eventually leak into the uterine cavity. This is known as a hydrosalpinx.

This has a dramatic impact on pregnancy rates. Women with #hydrosalpinx have a 50% lower chance for pregnancy compare to women without. 

So how do you know if you have a hydrosalpinx? There are three methods

1) Ultrasound can sometimes find a swollen fluid filled fallopian tube 

2) An x-ray test called a hysterosalpingogram is an excellent non invasive way to find a hydrosalpinx

3) A surgical procedure, such as a laparoscopy, is invasive but is also an accurate way to find a hydrosalpinx.

At IVF1, we recommend that all women who are going to be treated with IVF should be assessed for hydrosalpinx. If found, then we recommend that she have her fallopian tubes surgically removed before attempting to have an embryo transfer.

However, women who do not have hydrosalpinx will not benefit from fallopian tube removal.

#FirsttimeIVFSuccess

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:

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First Time IVF Success: The surprising facts about low dose aspirin

Today’s video is about the use of low dose aspirin to help with IVF success. Should you take a low dose aspirin every day to increase your chance for first time IVF success.



Why aspirin you ask? Isn’t heparin for headaches? Actually, aspirin has a lot of different effects. At standard doses, it can help reduce the pain of headaches and is also effective for reducing fevers. In low doses, aspirin can also reduce the risk for blood clots and improve circulation in the tiniest blood vessels.



Specifically, low dose aspirin has been found, in various studies, to improve blood flow to the ovaries during the use of fertility medications and improve the thickness of the uterine lining which could help with implantation.



But, does the use of low dose aspirin actually get more couples pregnant and more couples to deliver a baby.



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 low dose aspirin 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 bottom line? In 2017, a meta-analysis of 13 studies which included over 3000 women was published. Compared to women who didn’t receive any, women given low dose aspirin during their IVF cycle had the same number of eggs retrieved, the same fertilization rate, the same uterine lining thickness, the same percentage of embryos implanted and the same delivery rate.



So the bottom line is this. Low dose aspirin is unlikely to improve your chances for IVF success or if it does, the effect is probably really small. So why do doctors still recommend low dose aspirin? WEll, the data didn’t show any harm to using low dose aspirin. In addition, it is inexpensive and doesn’t have any significant side effects. The hope is that there might be some rare patients that might still benefit. 

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

*******************************************
Do you want to become a patient at IVF1?
*******************************************

Register online here:
https://patient.ivf1.com/PatientPorta...

Or call:
630-357-6540

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.



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