Letrozole i’m gonna trap in our climate in for unexplained infertility definitions letrozole is an oral non-steroidal inhibitor for the treatment of hormonal response of breast cancer after surgery bernard shopping i like writing polypeptide hormones secreted by gonna drop cells of the interior visit re of vertebrates his family includes the mammalian hormones
Folic stimulating hormone lh and placental chorionic hormone clomiphene is a selective estrogen receptor modulator of the triangle ethylene group that has become the most widely prescribed drug for ovulation induction to reverse an evolution or olive evaluation you are doing the village pharmacy med series chorionic gonadotropin also known as hcg the supplies you
Will need are the vials of hcg or human chorionic gonadotropin the three cc syringe with one and a half inch needle attached half inch needle for subcutaneous injection or one and a half inch needle for intramuscular injection alcohol wipes sterile gauze pads sharps container remove the plastic caps from the vials of powdered medication and dillion clean the rubber
Stoppers of the vials with an alcohol wipe open your 3 cc one and a half inch syringe and a twist needle to secure remove cap withdraw one cc of air into the syringe and inject into the vial of dill you went as one complete unit turn the vile upside down so that the tip of the needle stays below the liquid level and pull back on the plunger to withdraw one cc the
Dill you whant has 10 cc’s in the vial you only need one cc inject the dilly went slowly into the vial of powdered medication swirl the bottle to allow the powder to dissolve once again as one complete unit turn the vial upside down so that the tip of the needle stays below the liquid level and pull back on the plunger to withdraw the entire contents carefully
Replace the cap on the one and a half inch needle and remove replace with a half inch needle for subcutaneous injection or a one-and-a-half inch needle for intramuscular injection this concludes the mixing for hcg now proceed to either subcutaneous or intramuscular injection instruction application in medicine we are rolled cockles with unexplained infertility
In a multicenter randomized trial ovulatory women 18 to 40 years of age with at least one pet patent fallopian tube were randomly assigned to ovarian stimulation with gonna drop in plymouth in our lecture so the primary had come outcome was a rate of multiple hesitations among woman with clinical pregnancies for a drug developed to treat one specific problem to
Actually a positive effects in other areas it’s happened again this time women having trouble getting pregnant could soon get help from a cancer drug katie was jim bergamo husband terry tyler a recent study reveals that femara medication its fda approved to treat breast cancer may be more effective than current fertility drugs for some women you know this was the
Ultrasound basically when we did them we were monitoring your ovaries lie used to low still gets overwhelmed when she looks at early ultrasound photos of her daughter zoey you don’t have a baby yet so you kind of think ah is this really for real and then all the times you feel like kicking in then you’re just so happy they’re like i’m really gonna have a baby she’s
Now six months pregnant but it didn’t happen easily dello has been trying for two years she suffers from polycystic ovary syndrome or pcos it occurs when excess insulin causes the ovaries to produce large amounts of testosterone that stimulates the growth assists in the ovaries and leads to infrequent ovulation which leads to infertility dr. shari are kavoussi our
Reproductive endocrinologist at st. davids south austin medical center recommended to low begin taking femara this is actually really a first-line treatment for women who don’t ovulate every month if you think about it the women who don’t grow their egg every month just need a row neck previously women suffering from pcos used clomid but a recent study involving 750
Women at multiple test sites found femara and fda-approved breast cancer treatment produce far more effective results when it comes to ovulation conception and birth rates these women actually they take this medicine actually they have a lower side effect profile and they’re able to grow eggs more efficiently than the traditional medicine that was previously used
For this purpose de lo says femara work for her almost immediately she couldn’t be more happy and thankful and then find out that something that was not designed for this has been helping people like me and women like me get pregnant it’s just uh just amazing dr. kavoussi says patients only have to take femara as directed there’s no in vitro fertilization or other
In office procedures involved pros and cons pros there were no significant differences among groups in the frequency congenital anomalies are major fetal and neonatal complications comes in woman with unexplained infertility ovarian stimulation with letrozole resulted in a significantly lower frequency of multiple gestation hi i’m dr. raja lobo for the american
Society for reproductive medicine today we’re talking about causes of female infertility there are three main causes of female infertility problems with ovulation structural problems and unexplained infertility the most common cause of female infertility has to do with ovulation which is a process during rich and egg is released up to a third female infertility
Cases are due to ovulation problems for many of these women age plays the role another condition is normal female aging as women get older sometimes the pattern with which woman ovulates might be altered and that can also lead to more difficulty conceiving because of changing hormones and decreasing numbers of eggs in addition eating disorders and excessive stress
And exercise can negatively affect hormones and result in an ovulation which means not releasing eggs another factor is structural problems and a woman’s reproductive tract typically affecting the fallopian tubes or uterus this can interfere with transporting and implantation of the fertilized egg some women are born with problems in these organs such as an
Abnormally shaped uterus others may have fibroids which are benign tumors growing in the walls of the uterus this can affect the ability the embryo to implant but damage can also occur with conditions such as sexually transmitted diseases infections and previous surgeries leading to blocked andale scar tubes scar tissue can also involve the ovary and other public
Organs endometriosis is a condition in which the tissues normally found only inside the uterus are deposited in other places in the woman’s body this process affects many aspects of reproductive function and typically causes pelvic pain as well the last cause is unfortunately the most frustrating because it cannot be explained for some women that cause for infertility
Cannot be found however research is being conducted to find answers finally it is important to remember that for many women infertility is often due to more than one cause to learn more check out our other videos and fertility including causes of male infertility is your network the sun our therapy for a woman with unexplained infertility is an entrepreneur clomiphene
Citrate ovarian stimulation with letrozole has been proposed to reduce multiple gestation while maintaining great birth rates if you’re having trouble getting pregnant a drug called clomiphene maybe your doctor’s first recommendation clomiphene is a fertility medication sold under the brand’s clomid and sarafine this drug is usually prescribed for women who ovulate
Irregularly or not at all here’s how clomiphene works for women several days into the menstrual cycle you will take a pill every day for five days the medication encourages your brains hypothalamus to produce luteinizing hormone or lh which tells your ovaries to release eggs into your fallopian tubes you’ll generally ovulate between five and 12 days after you finish
The last pill between the time when you take clomiphene and when you ovulate your doctor will monitor you carefully to see whether your ovaries are preparing to release an egg clomiphene is quite effective at stimulating ovulation in eighty percent of women who take it will ovulate within several cycles but ovulation does not guarantee conception and only about
Forty percent of women taking clomiphene actually get pregnant clomiphene can also help men who have a low sperm count or who have poor sperm quality when a man takes clomid it encourages his pituitary gland to make lh which tells the testicles to produce more testosterone and possibly more sperm men take clomiphene in cycles that lasts from three to six months
Clomiphene is less expensive and less invasive than other fertility treatments and can be a good first line of attack against infertility collisions among ongoing pregnancies week with fetal heart activity the multiple gestation rate with letrozole did not differ significantly from the raid would gonna drop lenore clomiphene or oracle moving along but was lower
Than the raid with gonna truckin alone all multiple choice stations in the promo phenyl natural books worth treats where r es canar trumping treatments resulted in 24 twins and 10 tree of legislations you the menstrual cycle of fertile women usually last about a month during this time and under the influence of the body’s own natural hormones a tiny sac within
The ovary containing an egg grows to about the size of a grape at a point midway in the cycle this egg is released from the ovary and ovulation occurs population is also regulated by hormones the egg which from this moment on is ready for fertilization then passes into the uterine tubes to await the arrival of fertile sperm ovulation is a naturally occurring event
And the desire to have children is a similarly natural instinct but that instinct cannot always be fulfilled the causes of unwanted childlessness and numerous but so other means of treating them with the technique of intrauterine insemination sperm is provided either by the male partner or by a third-party donor whose sperm has been stored in a deep freeze sperm
Bank before insemination the sperm samples are prepared in the laboratory they’re assessed for safety quality and quantity and then passed through a filtering system for grading and washing with a syringe and fine tube the prepared sperm cells are then introduced directly into the cavity of the uterus beyond the mouth of the womb and the cervix they immediately
Make their own way towards the uterine tube the objective of i ui is to bring these sperm cells as near as possible to the egg nevertheless only the most mobile sperm cells will actually reach the egg and only one will penetrate the outer layer of the egg to achieve fertilization but just as in everyday life there are many times that fertilization fails and the
Cycle passes without a pregnancy thank you
Transcribed from video
Letrozole, gonadotropin or clomiphene for unexplained infertility By Maria Jose Parra Gutierrez
