Sunday, October 25, 2009

Ovulation and Trying to Get Pregnant

Ovulation and Trying to Get Pregnant

When trying to get pregnant, a couple ideally should have frequent intercourse (hopefully increasing the chances of exposing the egg to active sperm) just before and around the time that the egg is released from the ovary (ovulation). Trying to get pregnant, rather than simply finding out that you are pregnant “by accident,” can seem unnatural for some couples and this can add stress to a relationship. Initially, keeping things as natural as possible may be beneficial, since stress is rarely helpful.

Ovulation generally occurs about 14 days (2 weeks) prior to the onset of the next menstrual flow. If the menstrual cycle intervals are normally 28-30 days, then ovulation usually will occur around cycle day 14-16. If the menstrual cycle intervals are every 60 days (2 months), then ovulation usually will occur around cycle day 46. If the menstrual cycle intervals are very irregular, then detecting when ovulation is occurring using tests like ovulation predictor kits, serial blood work, or serial ultrasound exams can be helpful.

If ovulation is rare or extremely irregular, then fertility medication may be helpful in inducing or enhancing ovulation. An infertility doctor should be considered when fertility medications are being selected and administered.

Dr. Eric Daiter at The NJ Center for Fertility and Reproductive Medicine, LLC is board certified in Reproductive Endocrinology and Infertility and he has extensive experience with ovulation problems and menstrual irregularities. Dr. Daiter would be happy to help. For an appointment to discuss your situation with Dr. Daiter, please call the office at 908 226 0250. Please visit us on the web at http://www.drericdaitermd.com http://infertilitytutorials.com and http://www.ericdaiter.com

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Tuesday, October 13, 2009

Female Pelvic Pain

Female Pelvic Pain

Most women will occasionally have some sort of pelvic pain, which can be alarming. Pelvic pain can be caused by many different problems, most of which are transient (short lived and resolve spontaneously). Some causes of pelvic pain represent ongoing long-term problems within the pelvis, most of which can be successfully repaired.

The sudden onset of moderate to severe female pelvic pain during the reproductive years can be caused by gynecological, gastrointestinal, urological or musculoskeletal problems. Gynecological problems include menstrual cramps, pelvic endometriosis, ovarian cysts, degenerating fibroids, pelvic infections, pelvic adhesions (scar tissue), and pregnancy (including ectopic pregnancy). Temperature with a thermometer, a pregnancy test, and bouncing on the heels to gently jar the abdomen can suggest the cause. Any history of fever, positive pregnancy test, or generalized pelvic pain with bouncing on the heels should be reported to your Gynecologist immediately. If there are problems with nausea, vomiting, diarrhea or other intestinal symptoms then you should report this to your primary doctor or Gastroenterologist. If there are problems with urination or bloody urine then this should be reported to your primary doctor or Urologist. If there are problems with moving your legs or back then you should report this to your primary doctor or Orthopedic doctor.

Sometimes the female pelvic pain will last for longer periods of time, such as several months or years. When this is the case, gynecological problems such as endometriosis, pelvic adhesions, persistent nonfunctional ovarian cysts and fibroids are common causes. When the discomfort reaches a level where further investigation and treatment is desired, then a laparoscopy should be considered. Finding an experienced laparoscopic surgeon, and ideally finding a Reproductive Endocrinology and Infertility doctor with specialization in pelvic repair, often allows effective treatment to be completed with only one minimally invasive day stay surgery (laparoscopy).

Dr. Eric Daiter at The NJ Center for Fertility and Reproductive Medicine, LLC has extensive experience with laparoscopy and pelvic repair. He would be happy to help you. For an appointment to discuss your situation with Dr. Daiter, please call the office at 908 226 0250. Visit us on the web at http://www.drericdaitermd.com/or http://www.ericdaiter.com/

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Saturday, October 10, 2009

What is Endometriosis?

What is endometriosis?

“What is endometriosis?” is a common question since endometriosis occurs in roughly 10-15% of all reproductive age women.

Endometriosis is an abnormal condition that afflicts women, in which tissue that normally lines the cavity of the uterus (called endometrium) implants and develops in other areas of the body.

Endometriosis can cause pelvic pain, including but not limited to dysmenorrhea (painful and sometimes disabling pelvic or lower back pain during the menstrual flow), persistent pelvic pain (pelvic or lower back pain that occurs throughout the menstrual cycle), chronic pelvic pain (pain in the pelvis or low back that has persisted for over 6 months), dyspareunia (pelvic and lower back pain with sexual intercourse), dyschezia (painful bowel movements) or dysuria (discomfort with urination).

Endometriosis can also cause reduced fertility or infertility. All stages of endometriosis, from minimal endometriosis (stage I) to severe endometriosis (stage IV), cause a problem with becoming pregnant. Infertility caused by endometriosis is best treated with surgical removal (ablation) of the endometriosis implants. Medical management of endometriosis has been shown to be useful in controlling pain caused by this disorder but has not been shown to be useful in enhancing fertility.

Dr. Eric Daiter at The NJ Center for Fertility and Reproductive Medicine, LLC has extensive experience in the treatment of endometriosis and would be happy to help you. For an appointment to discuss your situation with Dr. Daiter, please call the office at 908 226 0250. You can also visit us on the web at http://www.drericdaitermd.com/or http://www.ericdaiter.com/

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