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Path To Fertility Blogger Lisa Rosenthal  

Lisa Rosenthal has over twenty-five years of experience in the fertility field, including her current roles as Coordinator of Professional and Patient Communications for RMACT and teacher and founder of Fertile Yoga, a class designed to support, comfort and enhance men and women's sense of self. Her experience also includes working with RESOLVE: The National Infertility Association and The American Fertility Association, where she was Educational Coordinator, Conference Director and Assistant Executive Director

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Secondary Infertility? Watch Dr. Shaun Williams Discuss

  
  
  

Dr. Williams Speaks About Secondary Infertility and More

If you've had a baby and are having trouble becoming pregnant again, you will be interested in hearing what Dr. Shaun Williams, physician at RMACT (Reproductive Medicine Associates of Connecticut), has to say about secondary infertility.

 

In this video, Dr. Williams participates in Modern Moms, a series of table top discussions for women in Fairfield County, CT. He answers questions and discusses secondary infertility, male infertility, supplements and fertility, egg maturity, age and fertility, IVF, and embryo biopsy (also know as SelectCCS or Comprehensive Chromosome Screening). Let us know if you have questions.

 

 

 

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Infertility Answers for Medical Monday - FAQs When Trying to Become Pregnant

  
  
  

Infertility Answers When Trying to Become Pregnant

infertility answers when trying to become pregnantTrying to become pregnant can become just that: trying.

 

Month in and month out, assuming that mother nature will work her magic and poof, the lines on the stick that you've just peed on turn blue (or pink or whatever they are supposed to do).

 

That's what we do, we assume it will all work properly and in a timely fashion. 

 

We can excuse the first month not working (sometimes) and prepare again. The second month it doesn't work, it still may be ok. And it may not be. The third month it doesn't work and quite a few of us out here are now freaking out.

 

We read and know about infertility and that it's more and more common, especially as we get older. 

 

By the fourth, fifth, sixth month, we are concerned.

 

And we're right to be. 

 

Over 35, and six months is long enough to wait to seek qualified medical attention.

 

What does that mean?  

 

Below, straight from our RMACT website, you can read just a few of the frequently asked questions (FAQ's) and the answers written by our clinical staff.

 

What is infertility?

Infertility is a disease or condition of the reproductive system often diagnosed after a couple has had one year of unprotected, well-timed intercourse, or if the woman has been unable to carry a pregnancy that results in a live birth. Is infertility a “women’s problem”? Infertility is a medical problem. Approximately 35% of infertility is due to a female factor and 35% is due to a male factor. In the balance of cases, infertility results from problems in both partners or the cause of the infertility cannot be explained.


How long should we try before we see a doctor?

In general, if you are less than 35 years old and have been trying for more than one year you should schedule an appointment with a fertility specialist. If you are greater than 35 years old we would like to see you after at least six months of timed, unprotected intercourse. However, if you have a reason to suspect you may have a problem getting pregnant such as a history of pelvic inflammatory disease, painful periods, miscarriage, irregular menstrual cycles, or if your partner has a low sperm count, you should seek help sooner. Many couples have a hard time admitting that there may be an infertility problem, but be reassured there are often many things we can do to help.


What is a Fertility Specialist or Reproductive Endocrinologist?

A fertility specialist, or Reproductive Endocrinologist, is a medical doctor who has been specially trained in the complex issues that can contribute to infertility. In addition to being trained as an Obstetrician/Gynecologist, which requires a four-year residency, a fertility specialist must complete an additional two to three year fellowship in reproductive endocrinology.  This fellowship training is highly specialized to focus on the diagnosis and treatment of infertility and female endocrinology.  A physician can become Board Certified in Reproductive Endocrinology by successfully completing the fellowship as well as written and oral examinations. Currently in the Unites States, there are only about 1,000 Board Certified Reproductive Endocrinologists.  Specifically for infertility related to males, Urologists with a sub-specialty in Andrology are the most qualified experts as they have often completed two-year fellowships and passed exams to become Board Certified in Andrology.


Click for more infertility answers.


Stay tuned for next week's Medical Monday to find more tips about becoming pregnant and carrying the pregnancy successfully.

 

We know it's tough to wait when all you want is your baby in your arms. 

 

We're here to wait with you. 

 

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You Are Most Fertile the Day Before Ovulation- When is That?

  
  
  

Wednesday test
Straight from our FAQ's (frequently asked questions)

At what time of the month is a woman fertile?
The most fertile time of the month is just before or the day ovulation. Ovulation usually occurs two weeks before a period starts, so it is necessary to count backwards from the anticipated start of the next period in order to find the most fertile time. Take the number of days in the usual cycle (from the beginning of one period to the beginning of the next) and subtract 14. For example, a woman with a 32 day period would likely ovulate around day 18 (32-14=18), while a woman with a 28 day cycle would ovulate around day 14 (28-14=14). We recommend every other day intercourse around the day of ovulation. That would mean days 12, 14 and 16 for women with 28 days cycles.

It is best to have intercourse before ovulation rather than afterwards, so a woman who ovulates on day 14 would have a good chance of conceiving if she has intercourse on either day 13 or 14. For women with irregular cycles you can extend the period of every other day sexual relations.

Alternatively, women with irregular cycles may want to use an ovulation predictor kit, which can be purchased over the counter at most local pharmacies. This involves testing your urine around the time of ovulation using a detector stick which give you a visual reading. Additionally, there are electronic monitors which detect ovulation by tracking two hormones (estrogen and luteinizing hormone) starting with urine testing on day one of your menstrual cycle. The methods that utilize urine predictor sticks or urine ovulation detector machines are usually highly sensitive, accurate, and reliable.

Some literature recommends following your basal body temperature. One important fact to note is that if a woman is using a basal body temperature chart, that the temperature will rise after ovulation, and therefore after the most fertile period. The couple should therefore not wait until the temperature has risen to start to have intercourse, as they will have missed the most fertile time. Therefore this is useful in the first few months of trying to confirm ovulation and time it before the temperature rises.

What is a Fertility Specialist? What is Infertility?

  
  
  


Reproductive Medicine Associates of Connecticut
(RMACT) have put together a section on our website of most frequently asked questions. Here is where we begin, for those of you out there wondering about the basics. Simple questions, simple answers. Please let us know if you would like a more indepth answer and one of our board certified reproductive endocrinologists will answer your question right here on our blog.

What is Infertility?
Infertility is a disease or condition of the reproductive system often diagnosed after a couple has had one year of unprotected, well-timed intercourse, or if the woman has been unable to carry a pregnancy that results in a live birth.

Is infertility a "women's problem?"
Infertility is a medical problem. Approximately 35% of infertility is due to a female factor and 35% is due to a male factor. In the balance of cases, infertility results from problems in both partners or the cause of the infertility cannot be explained.

How long should we try before we see a doctor?
In general, if you are less than 35 years old and have been trying for more that one year you should schedule an appointment with a fertility specialist. If you are greater than 35 years old we would like to see you after at least 6 months of times intercourse. However, if you have a known reason to have a problem getting pregnant such as: a history of pelvic inflammatory disease, painful periods, miscarriage, irregular cycles, or if your partner has a low sperm count, you should seek help sooner. Many couples have a hard time admitting that there may be an infertility problem, but be reassured there are often many things we can do to help.
What is a Fertility Specialist?
A fertility specialist, or Reproductive Endocrinologist, is a medical doctor who has been specially trained in the complex issues that can contribute to infertility. In addition to being trained as an Obstetrician/Gynecologist, a Reproductive Endocrinologist must complete highly specialized training in all aspects of female endocrinology and infertility. A physician can become Board Certified in Reproductive Endocrinology by completing the required training and passing a series of nationally certified exams. Below are the educational and training requirements that an Ob/Gyn and Reproductive Endocrinologist must complete.

Obstetrics and Gynecology (Ob/Gyn)
• four years of medical school
• four year residency program in Ob/Gyn Reproductive Endocrinologist
• four years of medical school
• four year residency program in Ob/Gyn
• Three year fellowship in Reproductive Endocrinology and Infertility To Become Board Certified in Ob/Gyn, the doctor must:
• graduate from college & medical school
• complete 4-year residency in Ob/Gyn pass written exam in ob/gyn
• complete 2-years of practice
• pass oral exam in Ob/Gyn

To Become Board Certified in Endocrinology, the doctor must:
• complete all requirements for Ob/Gyn board certification (see above)
• attend 3-year fellowship in reproductive endocrinology
• pass written exam in reproductive endocrinology
• complete 2-years of practice
• pass a 3-hour oral exam in reproductive endocrinology
Currently in the Unites States, there are only about 1000 Board Certified Reproductive Endocrinologists. Specifically for infertility related to males, Urologists with a sub-specialty in Andrology are the most qualified experts as they have often completed 2-year fellowships and passed exams to become Board Certified in Andrology.

What are your questions? The ones that you really wish you had answer to? Here’s a perfect place to ask. RMACT has four board certified reproductive endocrinologists who would be happy to answer your questions. So feel free to post them!

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