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dr-gunjan-agrawal · 3 months ago
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Understanding PCOS: A Beginner’s Guide for Women Facing This Condition
By Dr. Gunjan Agrawal, Obstetrician & Gynaecologist
Polycystic Ovary Syndrome (PCOS) is a prevalent yet often misunderstood condition that affects many women globally. If you’ve recently been diagnosed or suspect you might have PCOS, understanding this condition can be empowering. In this beginner’s guide, I’ll help you navigate the basics of PCOS, including symptoms, causes, and available treatment options. For those seeking specialized care, I’ll also discuss options for PCOS treatment in Malviya Nagar, Jaipur.
What is PCOS?
PCOS is a hormonal disorder that affects the ovaries, leading to the development of multiple small cysts. Despite the name, these cysts are not cancerous but are associated with hormonal imbalances that can cause various symptoms. Understanding PCOS is crucial for effective management and treatment.
Common Symptoms of PCOS
PCOS can present with a range of symptoms, including:
- Irregular Periods: Women with PCOS often experience irregular or absent menstrual cycles. - Excess Androgens: Elevated levels of male hormones can result in symptoms such as acne, excessive hair growth (hirsutism), and thinning hair on the scalp. - Polycystic Ovaries: The ovaries may appear enlarged and contain multiple small cysts on an ultrasound.
Additional symptoms may include weight gain, fatigue, and difficulty conceiving. Not every woman with PCOS will experience all these symptoms, which is why a personalized approach to diagnosis and treatment is essential.
What Causes PCOS?
The exact cause of PCOS is still unknown, but several factors are believed to contribute:
- Genetics: There is a genetic component, as PCOS often runs in families. - Insulin Resistance: Many women with PCOS have insulin resistance, leading to elevated insulin levels and increased androgen production. - Hormonal Imbalance: Imbalances in hormones such as estrogen and progesterone play a significant role in the development of PCOS.
Diagnosing PCOS
Diagnosing PCOS typically involves:
- Medical History Review: Discussing your symptoms and menstrual cycle history. - Physical Examination: Checking for physical signs such as excess hair growth or acne. - Blood Tests: Measuring hormone levels to detect imbalances. - Ultrasound: Performing an ultrasound to visualize the ovaries and identify cysts.
Managing PCOS
Effective management of PCOS often involves a combination of lifestyle changes and medical treatments. Here are some common approaches:
1. Lifestyle Changes: — Diet: Adopting a balanced diet rich in fruits, vegetables, and whole grains can help manage weight and insulin levels. Reducing processed foods and sugary snacks can also be beneficial. — Exercise: Regular physical activity improves insulin sensitivity and helps in weight management, which can alleviate many symptoms of PCOS.
2. Medications: — Hormonal Birth Control: Pills, patches, or rings can help regulate menstrual cycles and reduce androgens. — Metformin: Often prescribed for insulin resistance, metformin can help manage blood sugar levels and improve menstrual regularity. — Anti-Androgens: Medications like spironolactone can reduce symptoms such as acne and excess hair growth.
3. Fertility Treatments: If you are experiencing difficulty conceiving, treatments like Clomid or in vitro fertilization (IVF) may be considered.
4. Hair Removal Treatments: Options such as laser hair removal or electrolysis can help manage excessive hair growth.
PCOS Treatment in Malviya Nagar, Jaipur
If you’re seeking specialized care, there are several excellent options for PCOS treatment in Malviya Nagar, Jaipur. Local clinics and hospitals offer personalized care plans tailored to individual needs. For a comprehensive approach to PCOS management, consulting with a specialist in Malviya Nagar can provide you with access to advanced treatments and ongoing support.
Coping with PCOS
Living with PCOS can be challenging, but there are strategies to help you cope:
- Support Networks: Connecting with others who have PCOS can offer emotional support and practical advice. - Mental Health: Don’t hesitate to seek help from a mental health professional if you’re feeling overwhelmed or struggling with anxiety or depression related to PCOS.
Conclusion
PCOS is a multifaceted condition, but understanding it is the first step toward effective management. With the right combination of lifestyle changes, medical treatments, and professional support, you can take control of your health and improve your quality of life.
If you’re looking for expert care, exploring PCOS treatment options in Malviya Nagar, Jaipur can connect you with the resources and support you need. Remember, you don’t have to navigate PCOS alone — seek out specialized help to manage your symptoms and lead a healthier life.
Dr. Gunjan Agrawal is a dedicated Obstetrician & Gynaecologist specializing in PCOS and women’s health. For personalized advice and treatment, consult with a healthcare professional in your area.
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helthcareheven · 8 months ago
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Living Well with PCOS: Practical Tips and Advice
What is Polycystic Ovary Syndrome? Polycystic ovary syndrome (PCOS) is a common hormonal condition that can affect women during their childbearing years. The two main features of PCOS are higher-than-normal levels of certain male hormones called androgens and irregular or extended menstrual periods. Other common signs and symptoms may include excess body and facial hair growth, acne, difficulty getting pregnant, and irregular ovulation or periods.
Lifestyle Changes and Treatment Options Lifestyle modifications are usually the first-line treatment for managing the symptoms of PCOS. Losing even a small amount of weight through diet and exercise can help restore normal ovulation and period cycles. Here are some of the main treatment options available:
Diet and Exercise Adopting a healthy, balanced diet and exercise routine is critical for managing PCOS. Following a lower carb, Mediterranean-style diet high in lean proteins and fiber is recommended. This has been shown to help reduce insulin resistance, androgen levels and weight. Getting regular exercise, even moderate activity for 150 minutes a week, is also beneficial for weight loss, reducing inflammation and improving insulin sensitivity.
Medications Medications may be prescribed either alone or in combination with lifestyle changes depending on symptoms. Common medication options include:
Oral Contraceptive Pills (OCPs): OCPs help regulate menstrual cycles by suppressing ovulation and reducing excess androgen levels. They can also help ease acne, excess hair growth and other PCOS symptoms.
Metformin: This drug is used primarily to treat insulin resistance, which is common in PCOS. It works to lower blood sugar and insulin levels, making weight loss easier. Metformin may also aid ovulation in those trying to get pregnant.
Spironolactone: For women with excess hair growth (hirsutism), spironolactone works by blocking androgen receptors, leading to reduced hair growth over several months of use. It may cause side effects like breast tenderness or abdominal cramping in some.
Infertility Treatments For individuals looking to conceive, the following options may be used:
Clomid/Letrozole: These medications help stimulate ovulation by inducing the release of eggs from the ovaries. Success rates are higher when combined with lifestyle changes and monitoring with ovulation predictor kits.
IUI: Intrauterine insemination involves inserting washed and concentrated sperm directly into the uterine cavity near the time of ovulation to increase the chances of fertilization. IUI is often performed in conjunction with ovulation induction medications.
IVF: In vitro fertilization is a treatment used when other options fail. It involves carefully controlled ovulation stimulation, egg retrieval from the ovaries, fertilization in the lab and embryo transfer into the womb. While complex, IVF allows for pregnancy in otherwise infertile couples.
Alternative and Complementary Therapies Some natural therapies that may help ease PCOS symptoms when used as adjunct treatments include:
- Myo-inositol: This vitamin B8 derivative supplement supports insulin sensitivity and ovulation but requires at least 3 months to see effects.
- N-acetyl cysteine (NAC): Early research suggests this amino acid derivative may reduce ovarian inflammation, improving PCOS outcomes.
- Probiotics: A healthy gut microbiome plays a role in metabolism. Probiotic supplements may optimize digestive and reproductive health.
- Acupuncture: Needle stimulation at specific points aims to balance hormonal function and alleviate stress, showing some relief for menstrual irregularities, anxiety and general wellness.
- Dietary supplements like omega-3s, inositols, vitamins D and B also offer additional health benefits. However, these should always be discussed with a healthcare provider.
Long-term management is key, as PCOS symptoms often persist or recur. With consistent lifestyle changes and appropriate treatment, women can prevent long-term health complications and have successful pregnancies. Addressing PCOS requires a personalized, multifactorial approach tailored to an individual's specific needs and goals.
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generationfertility · 1 year ago
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Ovulation Induction at Fertility Clinic Newmarket: A Comprehensive Guide
The road to parenthood can be challenging for some couples. One major obstacle that many face is ovulatory dysfunction or the failure to ovulate naturally. If you're one of those couples, you may find comfort in knowing that a variety of medical solutions can help you conceive, one of which is ovulation induction. This treatment is often a first-line approach to treating infertility, and it's widely offered at a fertility clinic Newmarket. Here, we will delve into what ovulation induction entails, who is eligible for the treatment, and the pros and cons of opting for this procedure.
What is Ovulation Induction?
Ovulation induction is a medical procedure aimed at stimulating the ovaries to release eggs for fertilization. It often involves the administration of medication, usually in the form of oral pills like Clomid or injectable hormones such as gonadotropins. The goal is to boost egg production and release, thereby increasing the chances of conception either through timed intercourse or artificial insemination.
Who is Eligible for Ovulation Induction?
This procedure is commonly recommended for women who have irregular or absent menstrual cycles, as this often signifies ovulatory problems. However, it's not solely limited to this group. Women with unexplained infertility or those who have had multiple unsuccessful attempts at natural conception may also be candidates. It is essential to undergo a comprehensive fertility evaluation, including blood tests and ultrasounds, to determine eligibility and rule out other issues that could impede conception.
The Procedure: How it Works
Once eligibility is determined, the medical team will outline a personalized treatment plan. The patient usually begins taking medication on specific days of her menstrual cycle. Regular monitoring through blood tests and ultrasound scans are conducted to track follicle development and hormone levels. Once the eggs are mature, another hormone injection may be given to trigger ovulation. Timing is crucial, as the window for fertilization is limited, usually within 12 to 48 hours after ovulation.
Risks and Side Effects
Like any medical treatment, ovulation induction is not without risks. The most commonly cited risk is Ovarian Hyperstimulation Syndrome (OHSS), a condition where the ovaries swell and produce excessive numbers of eggs. Multiple pregnancies, specifically twins or higher-order multiples, are also more likely when undergoing ovulation induction at a fertility clinic Newmarket. Additionally, some women may experience side effects from the medications, such as mood swings, hot flashes, and abdominal discomfort.
Success Rates
The success rates for ovulation induction vary widely depending on several factors, such as age, cause of infertility, and overall health of the individuals involved. Generally speaking, younger women with fewer fertility issues tend to have higher success rates. Some studies suggest that about 20-60% of women who undergo ovulation induction will achieve pregnancy, but these numbers are not set in stone. Success also hinges on the skill of the medical team and the quality of the fertility clinic.
Ovulation induction is a well-established treatment option for women facing ovulatory dysfunction and unexplained infertility. While it does come with some risks and potential side effects, it remains a widely used and generally effective method for achieving pregnancy. If you're considering this route, it is essential to consult a qualified medical team from a reputable fertility clinic Newmarket for a comprehensive evaluation and personalized treatment plan. By understanding the intricacies of the procedure, you can make an informed decision on your journey towards parenthood.
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shadesogreens · 2 years ago
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My Infertility, Fertility Journey
I want to share my infertility journey. Everyone’s journey is completely different. I'm aware this is a sensitive subject, however I want to share my story to share the information that helped my husband and myself. After trying to get pregnant for close to two years my husband and I finally signed up to start the Infertility program at our hospital. We finally got an appointment. The infertility doctor sent us both to get blood tests. We saw the doctor once the results came back. After she reviewed the results she told us that the best advice for us was to try IVF right away since my egg count was extremely low. She mentioned my egg count was low for my age, I was 35 at the time. Even though she suggested we try IVF right away, I told her I wanted to do the Infertility program from the beginning. So we did.
The first procedure in the Infertility program is to take clomid pills. You follow a set of instructions and if the pills don’t work that first menstral cycle you can try again the next cycle.
After trying two rounds of clomid pills (two months) the next procedure to try to conceive and get pregnant was to try an IUI. An IUI is a type of fertility treatment that involves placing sperm inside a woman's uterus close to the fallopian tubes in order to increase the chances of conceiving. It occurs during ovulation, it takes approximately two weeks after the procedure to determine if the treatment is successful after a positive pregnancy test. We tried 4-5 rounds of IUI’s, we were very optimistic every round we tried, however no pregnancy came out of it. Every round of IUI could only be performed every menstrul cycle, so this took approximately 4 months.
After trying a handful of IUI’s our doctor suggested I get a hysteroscopy done. A hysteroscopy is an exam of the inside of the cervix and uterus using a thin, lighted, flexible tube called a hysteroscope. Our doctor suggested I get this done because through an ultrasound she could see I probably had polyps (non-cancerous growths in the womb) She suggested we remove the polyps because polyps could get in the way of conceiving. So I did, I had the hysterectomy done and our doctor was able to remove as many polyps and other tissue as she could. After performing the hysterectomy you have to wait a month to heal. After I healed I went in for an ultrasound so our doctor could take a look, and she said, “I think we should get another hysterectomy done because I still see some tissue.” So I had a second hysterectomy done the next month. I had to wait another month to heal. Then we went back in for an ultrasound and our doctor said everything looked great. At this point we were close to a year since we started our fertility program at our hospital and our next step was to try IVF. Our hospital doesn’t offer IVF so we were ready to go to a private hospital to start our IVF journey. We thanked our doctor for all her help and left.
We went to a private hospital to start our IVF journey. In IVF an egg is removed from the woman's ovaries and fertilized with sperm in a laboratory. The fertilized egg, called an embryo, is then placed into the woman's womb to grow. IVF is expensive and out of pocket for us. Our new doctor took our blood work and ultrasounds. After seeing our results she came back to us and said that our egg count was very low and that the best advice for us was to consider getting a donor egg to increase our chances to conceive and get pregnant. I told her that I still wanted to try IVF, so we did.
It took a few months to get started because we had to wait for my menstrual cycle to be ready. We purchased our injections and were ready to start. My husband helped me inject all my hormones. Then we waited and went back for an ultrasound. After the doctor saw we had a few mature eggs (3-5 eggs) they scheduled our retrieval date. The retrieval date is when your mature eggs are collected (retrieved) from the ovaries and and then fertilized by sperm in a lab.
I was very optimistic the day of the retrieval. The nurses and the anesthesiologist were really nice and friendly. We went home very happy after the procedure. We had to wait one or two days to get a call with our results. The nurse called me around noon two days later to tell me that my three eggs that got retrieved were granular. Granular eggs mean poor quality eggs that may have an abnormal appearance or dark areas within, and not viable. I was devastated. The nurse asked me if she wanted the doctor to call me to go over these results, and I said, "Um, yes please." I can't believe I wasn't going to receive a call from the doctor after this news if I didn't request it. A few days later the IVF doctor called me and she told me again that the best way to improve my chances of getting pregnant was to consider getting a donor egg. I was devastated. I felt like my husband had done so much and we were nowhere close to getting pregnant.
One day while listening to my podcasts, out of desperation, I searched how to get pregnant in my podcast search. A podcast called "How to Get Healthy and Get Pregnant" appeared. I quickly listened to the first episode and I fell in love! This podcast was about making health and lifestyle changes to improve your chances of getting pregnant. My husband and I listened to all 50 twenty minute episodes that weekend! And we started to apply and make ALL the changes she suggested right away. The list of food, health, lifestyle changes is long. I want to share the top changes that I think are the most important ones.
1. Switch all your Beauty products and household products to products with safe ingredients that don't have toxic chemicals, such as BeautyCounter. I'm a BeautyCounter Consultant and I can help you with any questions you may have about this toxic free beauty line. My link is: https://www.beautycounter.com/gabrielacontreras
I was horrified when I found out that the sunblock I used to apply on my face and body had very harmful toxic ingredients! I switched to BeautyCounter's Sunblock right away when I learned about it on the podcast and absolutely love it!
Download the "Healthy Living" app and scan products to see which products are safe for you to use. You can also get safe products with safe ingredients (such as safer shampoos, soaps and hairsprays) at Clarks, Whole Foods or Sprouts. Use Vinegar, or baking soda to clean instead of using harmful stuff like Ajax, etc.
2. Make or buy bone broth and drink a half a cup of bone broth daily. Bone broth is very rich in vitamins. I could email a recipe if you're interested.  
3. Avoid dairy products because dairy causes inflammation. Limit cheese, milk, ice cream
4. Avoid cold drinks, only warm or room temperature drinks (no iced coffees, frappuccinos)
5. Eat only warm meals, breakfast, lunch and dinner (no shakes or salads) Eat well, don't skip meals. The idea is to get rid of the "cold uterus" and make sure everything we consume is warm. For example: eggs and toast for breakfast, chicken and cooked veggies for lunch, protein, rice, veggies for dinner.
6. Don't eat raw veggies (raw veggies is too much work for the spleen) only cooked veggies, fruits are ok to eat
7. Try to buy all organic vegetables, fruits and meats if possible
8. Avoid fast food and soy sauce
9. I cut out coffee, no alcohol, no soda (I tried to follow a diet like as if I we are already pregnant, so no coffee, alcohol or soda)
10. Try acupuncture once a week. Share with an acupuncturist that you are trying to conceive
11. Use organic coconut oil to take off makeup
12. Switch to everything Fragrance Free. Fragrance Free dish soap, Fragrance Free drying sheets. "Fragrance" has many bad chemicals. Try a brand like Seventh Generation.
13. Don't microwave foods in plastic containers to avoid BPAs. Only use glass or ceramic containers
14. Don't drink from plastic bottles because of BPA chemicals
15. Only use glass or stainless steel bottles, utensils and pots and pans.
Have your partner try to make as many changes as it will be beneficial to them as well
It is recommended to make these changes for at least 3 months +  It takes at least 90 days to make changes in our bodies.
After making all these changes, and really sticking to them we found out we were pregnant with our son 4 months later. We couldn't believe it. It was a miracle. I believe that everything we did at the fertility clinics and lifestyle changes combined helped us conceive.  
There are more health and lifestyle changes. If you are interested in getting more information please visit my website shadesogreen,com or email me at [email protected].
Thank you for reading my story, Gabriela
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dallasfertilitycenter · 2 years ago
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How common are twins after fertility treatments?
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When faced with fertility struggles, some couples think they’d like to have “two at once” by hoping/aiming for a twin pregnancy. This possibility stands out in many people’s minds from celebrities and friends who have had twins after fertility treatments – and it is true that many fertility treatments increase the chance a couple will have twins. While the chance of twins is 1% in pregnancies conceived at home without interventions, almost every fertility treatment has a higher chance than that. However, while twins look cute in Christmas cards and may seem like a time- and cost-efficient way to achieve your desired family size, it isn’t as simple or desirable as it may sound.
How common are twins after fertility treatments?
The likelihood of twins depends on several factors, but primarily the treatment that a couple uses for conception. If a couple uses pills by mouth to augment egg release (either clomid or letrozole for “ovulation induction/stimulation”), the simplest medical approach to increase fertility, the chance of twins (or more!) is around 9%. A more aggressive ovulation induction approach, using injection medications such as Follistim or Menopur, can increase the chance of twins (or more) to more than 20%. In comparison, the modern approach to IVF has decreased the overall twin rate to around 7%, and this risk can be further reduced to as low as 2% by choosing to transfer one embryo at a time and keeping any other embryos frozen for future attempts. So surprisingly to many, IVF is the fertility treatment which can keep the risk of twins at its lowest.
What is the matter with twins?
While many people know twins who are healthy people, they don’t often know how tough their start to life might have been. 3 out of 5 twins are born premature, and around 1 in 4 end up admitted to the ICU after their birth. Stillbirth, birth defects, and dying in the first year of life are all more common in twins than in a single pregnancy. (The rates of all of these complications are even higher with triplets and quadruplets, with the chance of dying in the first year of life almost reaching 10% for quadruplets).
On mom’s side, the risk of a hard pregnancy or a medically complicated one is much higher when she carries twins. Blood pressure problems including preeclampsia and gestational diabetes are almost twice as common with twins. Prolonged hospitalization may be necessary because of these complications or because of the threat of preterm delivery.  More than 75% of women carrying twins will give birth by Cesarean section, which brings its own risks and increased recovery time. Postpartum hemorrhage and placental problems which can increase maternal blood loss are more common with twins. Less risky but still quite bothersome are the increased rates of excess weight gain, anemia, nausea and vomiting of pregnancy, acid reflux, constipation, and chronic back pain.
For the family unit, having a set of twins is associated with higher rates of divorce and financial difficulties. The medical expenses alone are five times higher with twins (and 20 times higher with triplets or more). There are additional expenses which can come with twins, such as addressing chronic illnesses that result from newborn health issues and the need for special education if the child has cerebral palsy or other neurologic impairments.
But what if I still want to have twins?
Even if twins are still desired despite these noted complications, modern medicine is not perfectly capable of achieving twins (with no more, no less) just because it is desired. For instance, choosing an aggressive ovulation induction strategy with injection medications increases the chance of twins, but the majority of patients who get pregnant with this approach still have single babies at a time. On the other hand, while twins may be the hope, a woman may end up with triplets or quadruplets with this strategy, which would be certainly high risk for the health of all involved.
With IVF, some couples may also seek to have twins by requesting that two embryos be placed in the uterus at the same time. The challenge with this is that two embryos transferred may lead to a twin pregnancy, a singleton pregnancy, no pregnancy, or even a triplet or quadruplet pregnancy (if one or both embryos splits into a set of identical twins). There are even multiple published cases of women who ended up with quintuplets after a two-embryo transfer from IVF! Because of the risks associated with these multiple gestations, transfer of more than one embryo at a time goes against national standards of care for most women age 37 and younger. Thus at CRE, we strongly discourage this approach except in rare circumstances.
What if I end up with twins or more when I do a fertility treatment?
Historically, when a woman conceived a multiple gestation, especially triplets or more, she would be offered the option of multifetal pregnancy reduction or selective reduction. Through this medical intervention, one or two embryos in a multiple pregnancy can be terminated, which reduces many of the risks associated with the multiple pregnancy. This backup plan was relied upon by many people before fertility treatments got good enough to avoid many multiple pregnancies. For some women, this approach may still be acceptable and of interest, but other women have significant ethical or religious objections to this. Additionally, under Texas S.B. 8, most Texas providers have stopped offering this procedure due to its similarities to abortion, and we will not be able to refer you for such a service. In light of this, avoiding a multiple gestation is the safest approach, and we are very equiiped to help you to do that.
At CRE, we recognize that your parenthood journey has its own unique needs and circumstances, so please schedule a consultation with Dr. Collins or Dr. Saleh to discuss your specific situation or to answer any questions you may have.
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evafertility · 2 years ago
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Fertility Evolution: Best Fertility Practices Followed For Pregnancy
The natural capacity to conceive an offspring through reproduction after one's sexual maturity is known as fertility. However, in some cases, conceiving via natural course is extremely hard due to fertility problems, either in male or female partners. There are many fertility practices that you can follow to increase the likelihood of pregnancy. Let's look at a few of those practices/treatments.
Oral Medication
These medications are helpful in cases where your fallopian tubes are not blocked, and the male counterpart's sperm tests come back as standard. 
It generally requires you to take small & economic pills once a day for a few days during your menstrual cycle. The most commonly accepted medications are
Anastrozole (Arimidex)
Bromocriptine (Parlodel)
Letrozole (Femara)
Clomiphene Citrate (Clomid)
Metformin (Fortamet)
Intrauterine Insemination (IUI)
One of the most popular fertility practices followed is Intrauterine Insemination. In this treatment, the doctors place specially prepared sperm into the uterus with the help of a thin & flexible catheter. 
This procedure is recommended for couples dealing with low sperm counts, same-sex couples, or someone coping with unknown fertility issues. 
The success rate in IUI depends on maternal age and sperm quality. Generally, this treatment has a 5 to 20% chance of conceiving per try. 
Generally, there is minimal risk in Intrauterine Insemination, but sometimes women may develop some infection, and it may not work for every woman.
In Vitro Fertilisation (IVF)
Couples usually move to IVF when all the other fertility treatments have failed.IVF treatment in Chandigarh can be emotionally and physically demanding. During IVF, doctors extract your eggs and fertilise them with sperm in a fertility clinic or lab. The fertilised embryos are then implanted in your uterus in the hopes that they'll result in pregnancy. 
This treatment is recommended for women with ovulation problems, blocked fallopian tubes, or poor egg quality.
Similar to the IUI treatment, the success rate in IVF is also dependent on the women's age. However, chances of conceiving are higher, with a success rate of up to 50% for women under 35. As the maternal age increases, the success rate drops significantly.
The side effects that may occur during In Vitro Fertilisation are
Multiple births may result in possible complications.
Fatigue, nausea, or infection.
Low risk of congenital disabilities.
Get your infertility treated with the best IVF centre in Chandigarh.
Surrogacy
In this fertility treatment, the parents undergo In Vitro Fertilisation (IVF), and the embryos are implanted in the surrogate's uterus. The woman who carries the child for parents but has no genetic ties to the baby is known as a Surrogate.
Surrogacy is a good fertility treatment option for couples who want a biological child but cannot carry out the pregnancy.
Surrogacy's success rate depends upon the quality of sperm and eggs used. 
In surrogacy, there is not much risk involving the health of the parent couple. However, they may have to deal with a wide range of state-related legal laws on surrogacy, as some states consider it illegal.
Apart from the treatments mentioned earlier, there are a few other fertility practices that couples can use to increase the chances of pregnancy. Those are
Reproductive Surgery
Donor Sperm
Egg Freezing
Donor Eggs
Gamete Intrafallopian Transfer (GIFT)
Zygote Intrafallopian Transfer (ZIFT)
These are almost all the fertility practices that are being used by couples facing fertility issues. Suppose you & your partner are also facing similar issues. In that case, it is essential to find out the problem and consider what kind of treatment may suit your condition by consulting with a doctor who can help you with everything. Consult with our professionals and we assure you the best infertility treatment in Chandigarh with EVA.
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divawomenshospital · 2 years ago
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PCOS and Infertility – How To Get Pregnant With PCOS
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Polycystic ovary syndrome often known as PCOS is a kind of syndrome in women that affects the hormone level in their body. Infertility and PCOS are common in women but this is a condition that tampers with more than just your fertility. It has been identified in the survey that up to 12% of women in India have difficulty getting pregnant due to untreated PCOS. This ratio can be bigger because many women don’t even know that they are having PCOS as it is not diagnosed correctly. For your information, having PCOS doesn’t mean you can’t get pregnant but it might be trickier and you might need to take some extra careful steps to have a safe and healthy pregnancy. There are so many options for the right medication and you must consult the best fertility counselor in Ahmedabad to experience motherhood. Also, if you are facing complications in getting pregnant, then must visit Diva Women’s Hospital, as we offer ovulation induction drugs.
What is the Treatment of PCOS?
Getting pregnant with PCOS involves some steps that are needed to be followed by the women to have a safe and healthy pregnancy:
Following healthy lifestyle
Women need to have healthy lifestyle routines to avoid pregnancy complications and menstruation issues. This is because many health issues occur due to an unhealthy lifestyle pattern. Women with PCOS require special care and they must adopt a healthy diet and regular exercise to reduce the upcoming complications of getting pregnant. You can also consult the best OB/Gynec near you or can chalk out a diet plan from a dietician or nutritionist. After all the efforts, if you still are facing the same issue then here, you need to consult an IVF specialist. You can also practice yoga daily to get relief from stress and anxiety.
Medication
There are various medication treatments that are useful in treating PCOS while reducing the complications that can occur in pregnancy. PCOS can affect your reproductive system and therefore, timely treatment and proper medication are required to have a safe and healthy pregnancy. Many infertility specialists suggest that Clomid treatment, metformin treatment, and Letrozole treatment are the best for women with PCOS and this also helps them get pregnant without facing any complications. All these three treatments help in balancing proper blood sugar levels which is highly essential in getting pregnant. This is because women with PCOS experience fluctuation in blood sugar levels as it changes how their body uses insulin. Birth control pills can also be consumed by women with PCOS as it helps in balancing estrogen and testosterone levels.
Fertility Help
Even after all the efforts and adopted changes, if you still are facing complications in getting pregnant then here you need to take fertility help. There are several fertility help options available due to advanced medical technology such as IVF, borrowing eggs, or surrogating. Women can go for these options to experience healthy and safe pregnancies and to experience motherhood. In-Vitro-Fertilization often called IVF is a treatment in which women can get pregnant artificially where eggs from the woman are taken and combined with the sperm taken from her male counterpart. If a woman is not able to produce healthy eggs, then she can borrow eggs to get pregnant. Moreover, if the woman can produce healthy eggs but can’t hold a pregnancy, then she can opt for surrogacy treatment. If you are looking for ovulation induction drugs, then don’t look further and visit Diva Women’s hospital today.
PCOS symptoms and complications
Women with PCOS may face difficulties in getting pregnant due to a disturbed menstruation cycle. Some major symptoms of PCOS involve:
Having bleeding for longer than usual
Light bleeding flow than usual
Not getting your period on time
Very heavy periods
Severe acne and pimples
Facial hairs and extra hairs at other body parts
Fewer eggs released
Small cysts or bundles of fluid
You might face some health issues, if you don’t get treated properly for PCOS, like:
Insomnia
Type 2 diabetes
Sleep Apnea
Stroke
High cholesterol
High blood and sugar level
Heart disease
No one knows the reason why women get PCOS and what caused them to have this condition. But if this is diagnosed on time and treated properly while having all the precautions and following a healthy lifestyle may help women get pregnant. This will also prevent health complications that can occur in women due to PCOS. If you are trying to get pregnant with PCOS, then you only need to follow proper medications and treatment. Visit Diva Women’s Hospital and talk to our fertility specialists, they will guide you efficiently to treat PCOS while facing minimal complications.
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budgetfertilitycentre · 2 years ago
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How to Get Pregnant with PCOS: Treatment options
Polycystic ovary syndrome (PCOS) is a hormonal condition that interferes with more than just your fertility; you might first be diagnosed with PCOS when trying to get pregnant. This is because it’s a common and treatable cause of infertility in women.
PCOS doesn't mean that you can never get pregnant; it just means that fertility is a little bit more complicated. With medical treatment and self-care, PCOS symptoms can be controlled so you're more likely to conceive healthy babies.
Our best fertility doctors in Mumbai recommend following these steps to help you get pregnant as a woman with PCOS:
Maintain a Healthy weight
While many (but not all) people with PCOS struggle with obesity, this is because the condition negatively affects how insulin is processed by the body and causes weight gain.
One of the main reasons people with PCOS can’t get pregnant is that they don't ovulate, or if they do it's only irregularly. And because PCOS sufferers who are overweight tend to take longer to shed their pounds than other groups, they might go months between periods while trying for a baby.
Unfortunately, research has shown that losing weight on its own does not improve fertility. However, people who lose weight may have a higher chance of becoming pregnant with infertility treatments than heavier individuals.
Proper Diet and Exercise
People with PCOS face a higher risk of becoming overweight and having trouble metabolizing insulin. So it’s unsurprising that eating healthily is important for them—but there's no one diet that's perfect for everyone who has the condition.
While some studies have indicated that a low-carb diet is best for PCOS, other research has not found such an advantage. It's important to make sure your diet provides plenty of nutrients and protein—and eliminates sugary junk food.
Exercise has also been shown to help with PCOS symptoms. Whether diet and exercise alone will help you conceive is unclear, but a healthy lifestyle can certainly benefit your fertility treatments and make it easier for you to feel good overall.
Maintain blood sugar levels
Insulin, a hormone that plays an important role in metabolism by moving sugar out of the bloodstream and into cells, becomes less effective as a result of PCOS.
Getting your blood sugar levels under control may improve your chances of getting pregnant. A healthy diet that includes fiber, protein, and unsaturated fats can help you better manage the fluctuations in blood glucose caused by insulin use. Regular exercise can also lower those glucose spikes from happening as often or for as long and it's a good idea to get plenty of strength training while at it!
Medication for PCOS Fertility Treatment
Women with PCOS have high levels of male hormones and female hormones that affect fertility. Medication can be prescribed to balance hormone levels and help you get pregnant.
Medications used for PCOS fertility treatment that help a woman to get pregnant with PCOS include Metformin helps balance insulin levels. Clomiphene citrate (or Clomid) can help balance estrogen levels and birth control pills are used to regulate hormone production in women before beginning fertility treatment. Fertility medications stimulate the ovaries to release more eggs than normal.
Fertility Procedures
If gonadotropins aren’t successful, IVF (in vitro fertilization) or IVM ( in vitro maturation ) is the next step. You are likely familiar with IVF: it involves using injectable fertility drugs to stimulate ovaries so they will provide a good number of mature eggs. 
One of the risks associated with IVF, especially for people with PCOS (polycystic ovary syndrome), is that their ovaries may be overstimulated. In this case, IVM (intra-mural insemination) can lower the risk of such a problem by providing more control over how many sperm are used during each procedure.
With IVM, you will receive either no fertility drugs or very low doses of them. This allows your eggs to mature in a natural way rather than being forced by high hormone levels.
Key Takeaway
If you have a diagnosis of PCOS, you can get pregnant. It may take some extra time and effort, but it is certainly possible. Our Budget Fertility Centre have a team of the best fertility doctors in Mumbai for personalized advice for PCOS fertility treatment.
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infertility-tv-blog · 6 years ago
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https://goo.gl/1fjjOfhttps://goo.gl/1fjjOfFertility pills to get pregnant - TTC - InfertilityTV
Which fertility pills to get pregnant work? More importantly, which ones don't work or are dangerous? Dr Randy Morris MD-The BOARD CERTIFIED fertility expert with weekly TTC tips on InfertilityTV
Fertility pills to get pregnant
The are several different #fertilitypills you can use to get pregnant. I’ll discuss the ones that work first but stick around to the end to hear about the ones that don’t work or are dangerous.
#Clomid, or clomiphene citrate, is probably the most widely used fertility pill in the world. Clomid is used to help women who don’t ovulate but also for women who already ovulate to produce more eggs at one time.
A typical course of Clomid goes for five days. Monitoring for ovulation is important. With clomid you can use a home ovulation predictor test or be monitored in the doctor’s office with blood tests and ultrasound.
Like all fertility treatments, the success rate with Clomid decreases as women get older. Plus, out of every hundred pregnancies on Clomid, about 15-20 will be twins. Triplets and more are pretty rare.
Clomid will not work for everybody. If clomid is going to work for you, you will usually get pregnant in the first four months. So if you are not pregnant by then, think about moving on to something else.
#Letrozole, also known as #Femara, is another fertility pill. Like Clomid, letrozole is also given over five days. Its most common use is to induce ovulation in women with PCOS. In fact, well done studies have shown that for PCOS patients, letrozole is better than Clomid. More women will successfully ovulate and more will get pregnant.
You may hear about women using letrozole for other reasons. But there is no good evidence that it works any better than Clomid in other instances.
The risk for multiples with letrozole is about the same as it is with Clomid.
Metformin or Glucophage is a pill that was originally used to treat people with Type 2 diabetes. Metformin helps treat a problem called insulin resistance. Insulin resistance in women can interfere with ovulation. The two groups of women are most likely to have ovulation problems due to insulin resistance are women with PCOS and very overweight women with a BMI over 30.
If your doctor wants to start you on metformin, here are some quick tips. The optimal dose of metformin is 2000 mg a day. But don’t start at that dose. Metformin can cause side effects such as bloating, cramping and diarrhea. Start on 500 mg or one pill a day and work your way up gradually. Also, there are long acting versions of metformin. These will have the letters XR or ER which stand for extended release. We recommend extended release to make your life a little easier and further lower side effects.
The biggest benefits to metformin are that it does not increase your risk for multiple pregnancy and even if you don’t get pregnant, it will lower your chance for getting Type 2 diabetes
Which pills don’t improve fertility?
First, although prenatal vitamins are recommended before you conceive, they don’t actually do anything to help with fertility. You should absolutely take them, however, because they will reduce the chances for birth defect and help with fetal brain, eye and heart development
Supplements such as CoQ10 and DHEA are often sold on the internet as fertility pills but there is little evidence for any benefit for fertility
Herbal supplements should also be avoided. A review of scientific evidence failed to find a benefit of herbal supplements. People using herbal supplements, especially women trying to conceive, should be aware of the possible risks associated with lead exposure from herbal supplements.
Exposure of a fetus to high lead concentrations in the uterus could result in neurological defects, lower birth weight, premature birth, and an increase in birth defects. Adverse effects may even occur at lower levels than previously thought. All patients should consult their physician before beginning any such treatment.
Increase your "Infertelligence"  TM
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://goo.gl/1fjjOf
Or call: 630-357-6540
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steen-to-live-life · 4 years ago
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If you know us, please dont say anything to family, we are going to talk to them on the weekend.
So I dont know what I've shared with you all but you all know weve been struggling to conceive a baby. This will be long..
THE BEGINNING
We started trying in July last year, I have had very regular cycles since day 1 off the pill, 5 months later I went to the doctor about my stomach pain and in april I had my 9mm cyst removed. In March we found out Joel sperm was fine - amazing surprise considering he has cancer, and did a range of bloods- all fine too.
Anyway, april came - cyst removed, GP referred us to the fertility clinic and we had our first appointment in august.
FERTILITY CLINIC
Fertility doc did an ultrasound and said 'hmm, you have a small amount of left ovarian tissue but it's very hard to find'.. soo cyst removal also meant half the ovary removed and they had told me after surgery it went well!!
Anyway, I had to pay $100 for a blood test that checks your AMH levels, your ovarian reserve. My result came out not what we wanted - its the level of a 43 year old - it meant my time was ticking. He pretty much said we needed to take a proactive approach.
So 2 months on clomid (this shit is awful awful.. I had terrible headaches, I didnt sleep at night because of hot flushes and I was so low), 2 'perfect' rounds (with 3 follicles and timed sex) and still no two lines.
IVF
In November we began IVF..gotta be proactive right. We knew with my ovarian reserve we wouldnt get many eggs.. many my age get 12-30, we were aiming for 5.. which after 15 days of injection is what we got. 5 little, very expensive eggs, these became 2 the next day and I seriously thought our round was over.. however
We transferred a 'perfect grade' on day 3 (last sunday) and the other was left till day 5. Amazingly it made it to top grade so we are very proud to have that in the freezer.
Today we found out our day 3 officially failed. Once again, we are still not pregnant and we are sad, we are really sad and hurting. We knew IVF wasnt a guarantee but we felt hopeful and so this fukn sucks.
DECISIONS
Now we have a decision to make - do we drop another $17k on another IVF cycle to have some frozen for in the future knowing that next time our IVF results will be a worse because my reserve is going to get lower and lower.
Or do we transfer embie in March and then if it sticks we have the risk of possibly having one child (or spending many many many more thousands to possibly get another). But as we are unexplained we may still conceive naturally anyway but we also may not. Pretty much we would have to try straight after baby is born, and if it worked earlier than expected we would financially be in crap (but at least not another IVF round haha).
FEELINGS
I'm angry and hurt about it all. Its getting harder and harder to see my friends with kids knowing how easy they have had it to conceive that child while we are spending thousands, crying a lot of tears and having a crap load of heart ache to try and get one very very wanted baby. And of course I dont want to feel angry but I do. Its crappy, it really is.
Tbh, I want to give up. I dont want my heart to break anymore, I dont want Joel's heart to break anymore, telling him the test was negative was the hardest thing I had to do through this whole IVF journey- harder than injections, blood tests, ultrasounds, egg collection pain, days of school, the mind fuk of it all.. breaking his hearts the worse. I feel like I've let him down, like its my fault. Its shit.
SUMMARY
That's what's happening for us.. 19 negative cycles, a failed round of IVF, my ovaries are a ticking time bomb, we are spending money we need to build a house (but dont need a house without kids), and our relationship is getting tested but is thankfully getting stronger and stronger.
First cancer, then a cyst removal in lock down (lol its minor but leads to the situation we are in now) and now infertility 🤦‍♀️🤦‍♀️🤦‍♀️
I dunno guys, it just feels like our child is so close but also so so far away.
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px7primalflowpills · 4 years ago
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dearlittledot · 5 years ago
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the next chapter begins
i feel a little silly resorting back to my teenagehood with a blog on Tumblr, but have quickly come to realize how detrimental it is to my own mental health if i keep this all bottled up inside. 
after months of trying with no luck, i sought out the help of a top fertility specialist in the area and was able to get started on clomid. seems almost counterintuitive but getting on a drug that ensured i would ovulate was a great option since we are stuck inside during this pandemic anyway. 
the first day i got the bottle, i felt like it was christmas morning. it felt like a surreal next step of the journey. i didnt tell anyone about it, only my husband knew and my sister knew on the surface that i was prescribed something. i took my 5 little pills as directed. i noticed very minimal side effects thanks to my own research that convinced me to take the pills shortly before bed each time. i woke up with a few headaches, and some days of feeling some cramping in my left side - but that was it. 
tomorrow i’m going in for my ultasound to check if the clomid is doing what it is supposed to do. i finally let it slip (ok, maybe i was a little excited) to my mom that i was going to my obgyn. i didnt even tell her it was a fertility specialist but i did tell her i took clomid, hoping she would be excited about this next step. however instead, she told me to cancel it and resorted to fear mongering - in a way - telling me how babies born during the period of zika were born with birth defects. rather than being disappointed with my mom as i usually am, i am instead angry, frustrated, offended. it just feels like one barrier to another during this journey and i’m just hoping for some good news. 
i’m still going to go to tomorrow’s appointment, ensuring that i am cautious about washing my hands, practicing safe distances from others, etc. i need to know if the clomid worked, and i need to know if i can still count us in for march. i dont want to keep waiting.
little dot, will this be your month? 
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suspen5-blog · 5 years ago
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genericshop23-blog · 6 years ago
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breehunny · 5 years ago
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We want a baby!
My husband, Cam, and I have been trying to make a baby for over one year now. I had a history of ovarian cysts so I was worried about fertility even before we started trying. I overthink things a lot and get stuck in my head, but I also love going to the doctor, so I figured why not go get checked out. My mom got pregnant with my sister and I very quickly. My sister got pregnant very quickly with all three of her kids. Other than the occasional cyst, there was no reason for me to worry. In Fall of 2017 I went to my family doctor and asked if there were any preliminary tests I should do to see if I’ll have a high risk pregnancy or have trouble getting pregnant. We did a pap smear and progesterone test and that was it. I was told my progesterone was low but aside from that everything was totally normal and we should have no issue getting pregnant. Cam and I were engaged at the time, but knew we wanted to start trying for kids pretty early on in our marriage. We started in February 2018 with the mindset of “if it happens, it happens.” We were both pretty uninformed at that point. I wasn’t really tracking ovulation or any other daily symptoms, we weren’t scheduling sex, it was literally just not using any kind of birth control method. We got eloped in April, and my next period was due at the beginning of May. I missed it! I took a pregnancy test every day from the first day of my missed period for a week….all negative. I called my OB and scheduled a blood test, there’s no way my cycle is this long, it’s been almost 40 days, I’m for sure pregnant. I was so excited. I started planning how I was going to tell Cam, my family, his family, how I was going to hide it for the next 8 weeks, everything! The blood test came back...also negative. My OB told me I was not pregnant and that since my cycles usually lasted 32-37 days this was “normal.” Turns out I just didn’t ovulate that month, my cycle lasted 58 days. That crushed me. That was not normal. While I was waiting for my next period I decided we should buckle down more. I did my research and we started trying every other day during ovulation. This new schedule threw Cam off a bit, he was under the impression that I was fertile every single day. I blame California sex ed, I had the actual sex talk with one of his friends a few months later. When Cam and I were both on the same page we both agreed we would officially start trying. I scheduled another appointment in July after I’d had another full cycle. I wanted to know what to do next. Am I just not going to ovulate regularly anymore? Are my eggs bad now? I’m only 27, why is this happening? My OB gave me a list of tests and medicines we could do before referring me to a fertility specialist. Insurance doesn’t usually cover anything with fertility and if we did everything it would cost in the thousands.I had a thyroid test, hormone tests, an ultrasound, and HCG test where they insert a dye into the uterus and see if it there are any blockages (that one hurt effing bad) all between July and January. I started Clomid in November, a hormonal pill to induce egg production. We did two rounds, with no luck. By this point I was frustrated and crying every time I got my period and it was taking a toll on our relationship. Every period felt like a loss. Between being sad a lot of the time, losing drive to help out around the house, and not talking about how I was feeling with Cam, we struggled. We had some long conversations, and what I was reading as him not caring, was him trying to be strong for both of us. We have gone to couples counseling previously so we were able to use tools from that to help us through this. I asked to be referred to a fertility clinic. My OB prescribed me one more round of clomid and sent us on our way to our local fertility clinic. Even though I had specifically asked for one more round of clomid, I didn’t end up taking it. After such a long period of time of scheduling intercourse...it was taking a negative toll on our relationship. We took a one month break from trying before seeing the specialist. Before we could go to our first appointment, Cam had to go get tested. He was bizarrely excited to go and bragged to his friends that he was going to the “spank bank.” LOL His results came back great and we were ready to get started on our fertility treatment plan. Our doctor is great, we were pretty positive about our chances of conceiving and laid out a plan for the next few months. He also explained why exactly we were having trouble...which I had never really received a clear answer from my OB so I didn’t know it was even figured out! I have PCOS which is commonly misdiagnosed as Endometriosis. I have acne, struggle with weight gain, have irregular periods, and I don’t always release fully developed eggs or an egg at all (hence 58 day cycle). My cysts were being caused by underdeveloped eggs essentially burying themselves in my ovaries. For the next 3 months I would take Femara (another fertility drug). The first month we would try on our own, the next two would be with intrauterine insemination, or IUI. The doctor seemed very confident that we would be able to conceive on the first try. We left feeling confident and with lots of fun paperwork outlining our instructions. -Take Femara as prescribed on days 3-7 of your cycle -Have intercourse on day 10 or 11 -Abstain until you see a surge on an ovulation test -Take ovulation tests days 12-15 -Have intercourse every 36 hrs once you surge - If you do not surge, call the office Romantic, right? We got to day 13 and I was getting nervous. What if we missed it? What if my surge doesn’t read? Did I do this round of Femara for nothing? Cam called the fertility clinic, they told us to go ahead and start trying every 36 hours, and continue testing. Day 16 came and I still hadn’t had a surge, I called in and they told me to come to the office that morning for an ultrasound. The tech said I had “a very good looking egg ready to release any day now.” Perfect! I went in for another progesterone test the following week and it was higher than it ever had been before! This is the month, it had to be, everything was looking good! 11 days later my period started. I was crushed again, but I didn’t cry much this time. I don’t know how to explain exactly how I felt. All I know is this meant we were done trying on our own. It was the end of the road for conceiving even a little bit naturally. We were one step closer to IVF, or surgery, or adoption. Don’t get me wrong, we’re open to all of those, and want to adopt in the future regardless. But not yet, I want this.
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prayingforthatpositive · 5 years ago
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CD9
So Ive decided instead of telling mg boss to hire another person I would help pick up her hours. Extra money always helps but this means I get to work all weekend. But it's fine, it keeps me active and moving around.
I've done some research on Lunar Conception. Turns out on all of my lunar Fertile dates I haven't had sex and this month my lunar Fertile date lines up with my regular Fertile days so we'll see how this goes! 🤞
I wont lie, the last 3 weeks I've been extremely depressed. I really just wanted to be someone else, someone who has no problem getting pregnant. I want so badly to make my husband daddy and I cant and I feel like a failure.
I'm also looking into holistic treatments, I'm trying to wait until we get to JBER to start more extensive testing. It doesn't make sense to spend the entire drive through Canada feeling like shit because they have me on clomid. So first step is a diet change, again. I'm also going to buy more red rasberry leaf tea and Lady luck tea. Than I'm probably gonna break down and buy those stupid expensive pills and drink mixes.
❣K
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