When to Consult a Reproductive Endocrinologist

When the basic treatment for fertility related problems as recommended by an obstetrician/ gynecologist (OB/GYN) do not seem to work, it may be time to start seeing a Fertility Specialist, also called a Reproductive Endocrinologist (RE) who may recommend advanced treatments and medications. The OB/GYN treating infertility usually recognizes the limits of their capabilities and makes appropriate referrals to more specialized care whenever necessary.

Who is a Reproductive Endocrinologist?

Reproductive Endocrinologists complete the same education and medical requirements as OB/GYNs. In addition, they also finish a two- to three-year fellowship in reproductive endocrinology, pass specialized examinations (board certified) and complete a two-year practice in reproductive endocrinology. Thus they are the physicians with the broadest range of qualification, training, specialization and experience in treating reproductive disorders. In fact Board Certification in reproductive endocrinology infertility is the only sure identifier of a trained fertility specialist.

Reproductive Endocrinology combines reproductive medicine and endocrinology, which focuses on organs of the endocrine system and the hormones they produce. These specialists also deal with issues related to menstrual disorders, puberty-related problems and sexual dysfunction as well as the treatment of transsexuals and intersexed individuals undergoing hormone treatment.

A Positive Step towards Infertility Treatment

The decision to consult a RE is a proactive, tangible step towards addressing fertility issues. Board certification is important when choosing a reproductive endocrinologist. At the first visit the RE will ask about the patient’s medical history, any diagnostic procedures that have been done so far, and procreative efforts to date. The RE then specifies the tests which are necessary to be performed.

Who Should Consult a Reproductive Endocrinologist?

In general, women aged thirty-five or older if experiencing fertility issues should seek specialty care from a reproductive endocrinologist as their fertility can decline rapidly.  Staying with their OB/GYN for far too long expecting positive results is the error most couples make, thus wasting valuable time. Younger women can also experience premature menopause, termed “declining ovarian reserve”.  Such a condition, as also disorders like polycystic ovarian syndrome (PCOS), male factor infertility, fallopian tube disease and severe endometriosis all warrant immediate consultation with a reproductive endocrinologist.

Often patients hesitate to consult a fertility specialist due to cost concerns. But since appropriate diagnostic tests and treatment are ordered early in the evaluation during a consult with a specilist, it leads to effective treatment options and ultimately to overall savings in cost. Patients under the care of a reproductive endocrinologist are more likely to conceive, and in a much shorter period of time.

East Bay fertility clinic (http://www.ebfertility.com/) specializes in the comprehensive evaluation and treatment of infertility. Their experienced medical staff is headed by Dr. Ellen U. Snowden, Medical Director and physician. Dr Snowden is Board Certified in Obstetric, Gynecology, and Reproductive Endocrinology with advanced Fellowship training in the treatment of infertility, recurrent miscarriages and hormonal disorders in women. A former infertility patient herself, Dr. Snowden brings to her patients a rare and valuable firsthand empathy for the personal pain and emotional stress of dealing with infertility. Call 925.828.9235 for a free initial consultation.

Female Infertility Due to Fallopian Tube Damage

A common cause of female infertility is due to blockage and scarring of the fallopian tube. This condition prevents the egg from travelling to the fallopian tube and onward to be implanted in the uterus. Blockage of the tube increases the chance of ectopic pregnancy, where the fertilized egg settles in the fallopian tube rather than the uterus.

Fallopian tube block can be caused by untreated pelvic inflammatory disease (PID), endometriosis and sexually transmitted diseases. Sometimes it can be caused by scar tissue that forms after pelvic surgery. Other potential causes of blocked fallopian tubes include a previous history of uterine infection caused by an abortion or miscarriage, a history of abdominal surgery or a ruptured appendix.

The common tests to diagnose infertility due to fallopian tube damage include

• A hysterosalpingogram (HSG) which is a medical procedure where radio opaque dye is injected through the cervix into the uterus and fallopian tubes. A special X-ray machine then scans the pelvic region to diagnose fibroid tumors, scar tissue, an unusually shaped uterus or blockages in the fallopian tubes.
• Laparoscopic surgery is sometimes performed in order to diagnose tubal factor infertility. This involves making a small incision in the abdomen. A tiny camera is then inserted into this incision, allowing the surgeon to view the fallopian tubes.

Treating Tubal Factor Infertility

Tubal factor infertility can be treated through IVF or fallopian tube surgery.

Invitro Fertilization (IVF)

IVF is recommended for women suffering from tubal factor infertility. IVF involves fertilizing an egg outside the fallopian tubes and then implanting the embryo inside the uterus. Chances of pregnancy through this process are quite high.

Fallopian Tube Surgery

Surgery to remove scar tissue, adhesions and fallopian tube blockage is another option although subsequent pregnancy rates do vary.

A reproductive endocrinologist (fertility specialist) is best suited to take the decision about which of these therapies are to be opted based on several factors, the most significant factor being the degree of tubal damage, the age of the female, and whether other infertility factors (male or female) are present.

For women with significant damage to the ends (fimbria) of their tubes, one IVF attempt offers a better chance of a viable pregnancy than surgery ever will and at a lower overall cost.

East Bay fertility Center Dublin California, (www.ebfertility.com) specializes in the comprehensive evaluation and treatment of infertility providing a complete mind-body experience for fertility couples. East Bay’s experienced medical staff is headed by Dr. Ellen U. Snowden, Medical Director and physician. Dr Snowden is Board Certified in Obstetric, Gynecology, and Reproductive Endocrinology with advanced Fellowship training in the treatment of infertility, recurrent miscarriages and hormonal disorders in women. East Bay Fertility Center performs tests to check the extent of fallopian tube blockage or damage and recommends tubal surgery if necessary.  Call 925.828.9235 for a free initial consultation.

Azoospermia – A Cause of Male Infertility

Azoospermia is the complete lack of sperm in the ejaculate and is one of the most severe forms of male factor infertility. Since azoospermia does not have any symptoms, it often comes as a surprise to a couple planning parenthood. This condition does not rule out the possibility of fathering a child. New techniques are now being perfected to help men with azoospermia become a parent to biological children.

Azoospermia is of two types:

• Obstructive Azoospermia that occurs when a blockage in the duct system prevents sperm from mixing with the semen.
• Non-Obstructive Azoospermia occurs when there is a problem with the actual production of sperm within the body and is generally attributed to hormonal imbalances.

Causes of Azoospermia

Failed sperm production is often the result of hormonal abnormalities, undescended testicles or vascular trauma to the testes or to the blood vessels within the testes.

Sperm transport problems are often caused by infection including STDS, by congenital absence of Vans Deferens which are tiny tubes that carry sperm to the urethra for ejaculation or due to a previous vasectomy procedure that prevents the sperm from mixing with the ejaculate.

Diagnosis

The initial semen analysis reveals if there is a problem with sperm production or there is a blockage preventing sperm from reaching the ejaculate. A medical evaluation of a male suspected to be suffering from azoospermia includes:

• A thorough physical examination
• Semen analysis
• Blood tests that include a testosterone and FSH level
• A complete review of medical problems, past surgeries, medications and family history

A testis biopsy under local anesthesia may be performed if the above procedures fail to throw light on the sperm production problem.

Treating Azoospermia

There are ways to treat azoospermia and possibly restore fertility in men suffering from the condition. Treatment options include:

• removing blockages in the duct system
• using medications to restore hormonal balances

New methods of surgical sperm removal are now available, wherein small quantities of sperm can be removed from the testes or around blockages. These include:

• PESA (Percutaneous Sperm Aspiration), in which sperm is taken directly from the epididymis.
• MESA (Microsurgical Epididymal Sperm Aspiration), in which sperm is retrieved in higher numbers from the epididymis.
• TESE (Testicular Sperm Extraction), in which a small tissue sample is taken from the testicles in order to retrieve viable sperm.

Thus even if there are no sperm in the ejaculate, sperm can often be harvested and used to achieve fertilization. Assisted Reproductive Techniques (ART) like IVF and ICSI manipulate sperm in a controlled manner and greatly facilitate infertility treatment.
It is important not to give up hope when confronted with azoospermia. A consultation with an infertility specialist for treatment options is the immediate step to be taken. East Bay Fertility Center located in Dublin, California (www.ebfertility.com) is well equipped with the latest technology and offers comprehensive infertility consultation. The Center is headed by Dr. Ellen U. Snowden a Board Certified Reproductive Endocrinologist and offers a complete mind-body experience for couples with fertility issues including male infertiity.

Call 925.828.9235 for a free initial consultation.

How Pesticides Can Impact Fertility Levels

Environmental threats to male reproduction was first discovered around 30 years ago when sperm formation was shown to be severely impaired among agricultural workers and pesticide manufacturers. It is a well documented fact that exposure to environmental toxins such as pesticides, insecticides and herbicides can decrease sperm production and quality. Among men seeking infertility treatment, those who were exposed to pesticides were most likely to have a very low sperm output.  What’s more, sperm concentration, output and morphology were all significantly worse in men more frequently exposed to pesticides.

Those living and working on a farm land, mixing and applying pesticides – including insect killers, weed killers as well as fungal killers and fungicides are potentially in danger of experiencing a low sperm count.

The Pesticide-Fertility Connection

It is important to note that many of the studies conducted on pesticides only examined people who live in an agricultural area or regularly work with pesticides. Therefore, an average person is not likely to have such a high-exposure to these chemicals. However the danger lies in the fact that even a low-level of exposure to pesticides has been found to cause health problems.

As infertility rates continue to rise in many countries, more and more studies are directed at possible environmental factors such as the effect of various chemicals, toxins and pesticides as a potential cause of infertility. Most tests have revealed alarming results. Pesticides have an adverse effect of causing health and reproductive problems in people who are continuously exposed to these strong chemicals. Here is a sampling of various findings:

• Chlorpyrifos has been found to cause autoimmune responses whereby the body attacks the sperm or egg
• DDT and chlordane are of particular concern as they have both been found to reduce sperm counts
• Many pesticides have proven links with reduced sperm counts, including ethylene dibromide (pesticide), kepone (pesticide) and DBCP (agricultural nematocide)
• Exposure to pesticides also leads to decreased levels of testosterone in men.

Pesticides in the home include indoor insect repellants and pesticides used in the garden. The combined exposure of using both types can be significant.

It’s not just men, but women also whose fertility may be disrupted by pesticide exposures. Women who live near crops on which pesticides have been sprayed may have anywhere from a 40 to 120% increased risk of miscarriage.

Tips for Safeguarding Fertility from Pesticide Exposure

• If your work involves handling chemicals consider if you can reduce the number of hours you are exposed to them. If this is not possible always wear gloves and a mask for protection.
• If you intend to put pesticide on your lawn and you are planning a baby see if there is someone else who can do the job for you
• Consider using organic fertilizers since they don’t carry a chemical risk.

Fertility Treatment Options

There has been growing concern about the effect pesticides may have on the delicate human reproductive system, and particularly on the quality of sperm. If you discover you are pregnant and you live near an agricultural area where pesticides are being used, it is advised you remove yourself to avoid exposure to these chemicals.

East Bay fertility Center, Dublin, California, (www.ebfertility.com) specializes in the comprehensive evaluation and treatment of infertility, providing a complete mind-body experience for fertility couples. Treatment options are pursued based on all known parameters and the preferences of the couple.

East Bay’s experienced medical staff is headed by Dr. Ellen U. Snowden, Medical Director and physician. Dr Snowden is Board Certified in Obstetric, Gynecology, and Reproductive Endocrinology with advanced Fellowship training in the treatment of infertility, recurrent miscarriages and hormonal disorders in women. Call 925.828.9235 for a free initial consultation.

Secondary Infertility – Causes and Remedies

Secondary infertility is a term used to describe a condition where a woman who was able to conceive naturally in the past has difficulty conceiving another child. This is a fairly common problem that can be attributed to a number of factors such as low sperm count, endometriosis, damaged fallopian tubes, ovulation problems, fibroids or change in partner.

In some cases, medical tests indicate that the cause of secondary infertility is a combination of factors shared by both partners.

Age as a Cause of Secondary Infertility

The most common cause of secondary infertility may be age. There is a marked decrease in fertility by 35 years of age. By age 45 the chances of natural conception are extremely low. Thus the possibility of becoming pregnant decreases with rising age. Moreover, a woman’s eggs suffer chromosomal damage as they age; the older the eggs, the less likely they are to become fertilized or go to term. Some women also go through menopause at an early age; this may also be a cause of secondary infertility.

Some experts in the field of human reproduction have suggested that male fertility is also affected by age and that male fertility starts declining after the age of 35.

Stress and Secondary Infertility

Stress may also be a factor affecting fertility. Studies show that if a man already has a low sperm count, stress worsens this condition. While stress itself does not cause infertility, the process of “trying” to become pregnant can be stressful, especially on your relationship. The stress levels are often the result of infertility, not the cause of it.

Diet and Lifestyle

Being either underweight or overweight can affect fertility. Smoking and excessive consumption of alcohol has also been found to affect fertility.

Chronic Illness

Chronic illness can also lead to secondary infertility. High blood pressure, diabetes and asthma can affect fertility. Sometimes chemotherapy or radiation treatments for cancer can reduce a person’s fertility.

Remedies for Secondary Infertility

There are a number of steps that can be taken when confronted with secondary infertility to improve chances of conception. The first obvious step is for both the partners to get a complete medical check up done.

Things may change after the birth of the first child. For instance one of the partners could now have a low sperm count; hormones could be out of sync etc. Taking control of the situation and opting for the right line of treatment will help in surmounting the condition.

If faced with fibroids, endometriosis, vaginal infections and pelvic adhesions – all potential causes of secondary infertility – get treatment for these issues which can sometimes successfully cure infertility.

Fertility treatments may be the next line of treatment for curing secondary infertility. A referral to a reproductive endocrinologist for appropriate treatment may be necessary. Initially the fertility specialist will prescribe medications to help conceive another child. If this proves ineffective, more advanced treatments may be necessary.

On a Positive Note

The good news is that secondary infertility is more likely to be treatable than primary infertility. Consult with a specialist, and faithfully follow the prescribed treatment plan, and you can be sure that you’ll have another baby soon.

East Bay Fertility Center, Dublin, California (www.ebfertility.com) has an experienced team of doctors headed by Board Certified Reproductive Endocrinologist Dr Ellen Snowden and offers the most comprehensive line of treatment and intervention for secondary infertility. East Bay Fertility Center makes sure that couples who have been facing problems conceiving a second time will successfully overcome the problem in the shortest possible time and realize their dreams of having a healthy baby. Call 925.828.9235 for a free initial consultation.

Infertility Support Groups

For couples dealing with infertility, it is extremely important to connect with other people who understand exactly what they are going through. Family and friends at best can only offer solace. Infertility support groups provide the link to interact with others who are dealing with similar challenges and medical conditions. The emotional and physical strains that the infertility treatment process brings about and the anguish of putting up with continual cycle failures are extremely overwhelming for couples.

Professional counseling groups and online infertility forums prove to be of great support and help in coping with infertility. Sometimes just knowing other people are in related situations helps. Infertility support groups can be either a local group that meets at regular intervals or an online forum offering a channel to express concerns and get information from others in a similar situation.

How Can Infertility Support Groups Help?
• Support groups foster positive feelings and inspire hope in those suffering from infertility or have endured pregnancy loss
• They provide members with resources and information about different fertility treatment options
• These support groups help foster long-lasting friendships with like minded people who can offer emotional support and comfort
• They guide you on how to cope with infertility and provide a safe environment to talk
• Members are able to discuss their experiences more openly and freely with other individuals.

There are numerous online fertility support groups providing support and encouragement to those struggling to cope with infertility related issues. Many online support groups also conduct workshops and classes and occasionally have group meetings.

Infertility support groups are ideal for both primary and secondary infertility cases as well as those who have the hope that some day they will experience parenthood. Members get support on issues such as adoption options, becoming foster parents and getting up to date knowledge about the latest treatment options all of which propel them back into a positive frame of mind.

You are not alone!

There are hundreds of different infertility support groups to guide couples through their infertility journey. Many are run by trained social workers while others are run by people who have themselves been diagnosed with infertility. Local health care practitioners and infertility specialists are useful resources to locate a good support group. It also helps to check online and to check the hospital bulletin boards and the local press.

It is crucial that infertility issues are addressed on time or they may leave couples feeling utterly worthless and cast a shadow over their self-esteem and confidence. Infertility support groups are an important part of the healing process for individuals and couples coming to terms with their condition. Most support groups are run by people with a genuine desire to help ease through this difficult time and get on with life, offering hope that some day, pregnancy will become reality.

East Bay Fertility Center (www.ebfertility.com) located in Dublin, California is well equipped with the latest infertility treatment options and offers comprehensive consultation in the field of Reproductive Endocrinology. The Center is headed by Dr. Ellen U. Snowden a Board Certified Reproductive Endocrinologist and offers a complete mind-body experience for couples with fertility issues. A former infertility patient herself, Dr. Snowden brings to her patients a rare and valuable firsthand empathy for the personal pain and emotional stress of dealing with infertility.

To learn more about East Bay’s infertility treatment options and counseling sessions, please log on to http://ebfertility.com/Infertility_Counseling.html

Unexplained Infertility

Unexplained infertility is a fairly common medical condition which indicates a failure to determine a credible underlying cause of infertility despite a thorough evaluation of both the male and female partner. Knowing that you’re infertile is tough enough, but not knowing the underlying cause for the problem can be extremely painful to reconcile with.

The diagnosis of unexplained infertility is a difficult process involving a series of exclusion and elimination based on a large number of infertility tests making it an extremely frustrating experience.

Doctors are now of the opinion that unexplained infertility is probably caused by a small problem in each partner, affecting the chances of getting pregnant. These problems are so subtle that they don’t show up on current tests. This means that a clinical problem exists but the probable cause for this problem remains elusive.

Possible Factors Leading to Unexplained Infertility

Abnormal fallopian tubes
Abnormal eggs
Prematurely Aging Ovaries Syndrome
Weak sperm
Immune System Problems
Emotional Distress

Possible Treatment Options for Unexplained Infertility

Intrauterine Insemination (IUI) – Under this assisted reproductive technology, the fertilization process is initiated by collecting sperm from the male partner and releasing it into the female partner’s uterus.

In-vitro Fertilization (IVF) – This process is followed for women who have faulty fallopian tubes or ovaries. The process involves placing the egg and the sperm in a dish and once fertilized, the embryo is placed into the woman’s uterus.

Controlled ovarian hyperstimulation - Intrauterine insemination in conjunction with controlled ovarian hyperstimulation is often used as first-line treatment for couples with unexplained infertility. The treatment involves using drugs to make the woman’s ovaries produce eggs and inserting her partner’s sperm directly into her womb.

For those grappling with a diagnosis of unexplained infertility, the good news is that medical science has made great inroads in cutting down the incidence of this condition. On-going research is tipped to further reduce the incidence of unexplained fertility in the coming years. Moreover studies reveal that very often such couples conceive naturally over a three year period.

East Bay fertility Center, Dublin, California, (www.ebfertility.com) specializes in the comprehensive evaluation and treatment of infertility, providing a complete mind-body experience for fertility couples. At East Bay, our reproductive endocrinologists conduct a detailed review of the entire infertility evaluation when couples approach us with a prior diagnosis of unexplained fertility. This can sometimes reveal an error made in either testing or interpretation in which case we recommend further investigation into questionable fertility factors. Treatment options are pursued based on all known parameters and the preferences of the couple.

East Bay’s experienced medical staff is headed by Dr. Ellen U. Snowden, Medical Director and physician. Dr Snowden is Board Certified in Obstetric, Gynecology, and Reproductive Endocrinology with advanced Fellowship training in the treatment of infertility, recurrent miscarriages and hormonal disorders in women. Call us at 925.828.9235 for a free initial consultation.

Intracytoplasmic Sperm Injection for Infertility Treatment

Intracytoplasmic sperm injection, or ICSI, is used to treat couples who have fertilization issues if the male partner has very low sperm count, low sperm motility or poor-quality sperm. ICSI is used to enhance the fertilization phase of in-vitro fertilization (IVF), giving couples a better chance of achieving conception. ICSI may also be used to treat a condition called azoospermia, which is the complete absence of sperm in the man’s ejaculate. In such a scenario, Epididymal Sperm Aspiration and Testicular Sperm Extraction (TESE) may be used to obtain sperm from the male’s reproductive tract. These sperm are then used in conjunction with IVF and ICSI.

The ICSI Process

The first step in ICSI involves selecting a normal-appearing sperm for injection into a mature egg. The woman is given fertility drugs to stimulate her ovaries to develop several mature eggs for fertilization. Once the eggs are ready, the sperm is inserted into the egg using a micropipet. The eggs and the sperm are fertilized in the laboratory. If fertilization occurs after ICSI, the embryo may then be transferred into the uterus on either Day 2, 3 or 5 of embryo development. The number of embryos to be transferred will vary depending on age, quality and prior experience with IVF. Extra embryos, if there are any, may be frozen in case this cycle isn’t successful or can be used for a future pregnancy. Around two weeks later, the woman can take a pregnancy test.

The Genetic Issue in ICSI

Doctors advise men who have little or no sperm in their semen to conduct genetic testing before the ICSI procedure. Intracytoplasmic sperm injection carries with it a small probability of bringing about genetic risks. Although the likelihood of congenital malformations in children conceived with ICSI is marginally low, it is nevertheless important to share this information with couples opting for ICSI. Some genetic disorders can be identified with specialized testing before an embryo is transferred. Therefore, couples are advised to consider genetic counseling to learn their potential for having a child with birth defects.

With increasing number of clinics opting for ICSI, the clinical pregnancy rates for ICSI is much higher than those achieved using conventional IVF methods. This technique has opened the doors of parenthood to many couples who were confronted with male infertility issues. ICSI has revolutionized treatment for severe male factor infertility since the procedure requires only one healthy sperm to potentially achieve fertilization.

East Bay Fertility Center (www.ebfertility.com), California, offers a wide range of infertility treatments along with expert medical counseling to couples facing difficulty in conceiving. Under the guidance of Dr. Ellen U. Snowden, Medical Director and physician, medical staff at East Bay provides dedicated treatment for infertility and reproductive endocrine issues. East Bay Fertility Center specializes in providing infertility treatments such as in-vitro fertilization, insemination, Intracytoplasmic sperm injection, egg donation and gestational surrogacy.

With the right type of treatment and intervention, East Bay Fertility Center assists couples who have been having problems conceiving to overcome those difficulties in the shortest possible time in order to realize their dreams of having a healthy baby.

Call us at 925.828.9235 for a free initial consultation or visit our website at www.ebfertility.com for more details about infertility treatments and more.

Polycystic Ovary Syndrome Affecting Infertility

Polycystic Ovary Syndrome, also called PCOS, is an endocrine or hormonal disorder and is the most common cause of infertility in women. PCOS may affect a woman’s menstrual cycle, hormones, insulin production, heart blood vessels. and finally appearance. If the quantity of male hormones is more than that of female hormones in a woman’s body then she is likely to suffer from PCOS. This growth of PCOS adversely affects the ovulation rate of a woman and can cause irregular ovulation.

PCOS restricts the growth of ovarian follicles and as a result these follicles are not able to release eggs. The follicles are left with less time to reach maturity and they continue to grow as small size cysts (fluid-filled sacs) in the ovaries. However women with cysts need not necessarily have PCOS.

Symptoms of Polycystic Ovarian Syndrome (PCOS)

The main symptoms of PCOS that doctors look for while diagnosing the causes of infertility include:

• Irregular and/or no ovulation which means no eggs to be impregnated
• Irregular and/or no menstruation
• Increased growth of hair on the face, chest, stomach, back, thumbs, or toes
• High levels of male hormones, also called androgens
• Severe acne, oily skin, or dandruff
• Considerable pelvic pain
• Weight gain or obesity, especially extra weight around the waist
• High cholesterol level and high blood pressure
• Type 2 diabetes
• Male-pattern baldness or thinning of hair
• Skin discolorations around the genitals, chest and arm pits
• Growth of skin tags, or tiny flaps of skin in the armpits or neck area
• Sleep apnea i.e. excessive snoring and occasional stoppage of breathing while sleeping
• Insulin resistance

All of these symptoms need not be present for the diagnosis of PCO. The tests to confirm the suspected diagnosis include:

1. A reverse FSH/LH ratio performed on Day 3 of the menstrual cycle
2. Characteristic appearance of the ovaries on a pelvic ultrasound
3. Characteristic appearance of the ovaries when visualized surgically by laparoscopy or laparotomy

Treatment for Polycystic Ovarian Syndrome (PCOS)

As per the U.S. Department of Health & Human Services, treatment procedures for PCOS differ from one patient to another based on symptoms and whether the woman wants to conceive or needs contraception. A detailed look at the symptoms and family history is essential to start appropriate treatment. Controlling the symptoms of PCOS is the best cure to reduce the risks associated with it.

To control the side effects of PCOS a healthy diet and regular exercise are crucial. The remedies for Polycystic Ovarian Syndrome (PCOS) include:

• Contraceptive pills: Not exactly a cure for PCOS, these pills regulates menstrual periods, reduce male hormone levels and acne growth. But once the pills are discontinued, the menstrual cycle tends to again become abnormal.
• Diabetes Medications: Medicines for type 2 diabetes such as Metformin, also called Glucophage, regulates glucose, decreases testosterone production, slows down abnormal hair growth and normalize ovulation after a few months of use.
• Fertility treatments: The lack of ovulation is the main fertility problem for women with PCOS. However, before starting with fertility treatment it is essential that sperm count and the partner’s tubes are checked to make sure they are open.
• Ovarian Drilling Surgery: This surgery, considered the last treatment option, is used to induce ovulation. This helps in reducing male hormone levels and aids ovulation. However, the surgery carries a risk of developing scar tissue on the ovary.
• Maintaining a healthy body weight: Healthy weight lowers glucose levels, restores regular periods and uses insulin more effectively. It has been proved that losing even a small amount of weight can help balance hormones and restore fertility.

If the normal course of treatment for PCOS does not yield positive conception results, it is essential to seek out the care of a Reproductive Endocrinologist. East Bay Fertility Center (www.ebfertility.com), California, offers a wide range of infertility treatments along with expert medical counseling to couples facing difficulty in conceiving. Under the guidance of Dr. Ellen U. Snowden, Medical Director and physician, medical staff at East Bay provides dedicated treatment for infertility and reproductive endocrine issues. East Bay Fertility Center specializes in providing infertility treatments such as in-vitro fertilization, insemination, Intracytoplasmic sperm injection, egg donation and gestational surrogacy.

With the right type of treatment and intervention, East Bay Fertility Center assists couples who have been having problems conceiving to overcome those difficulties in the shortest possible time in order to realize their dreams of having a healthy baby.

Call us at 925.828.9235 for a free initial consultation or visit our website at www.ebfertility.com for more details about infertility treatments and more.

Smoking Vs Infertility

Infertility arises because of many reasons such as problems in the ovaries and uterus and fluctuations in hormone levels which reduce the chances of conceiving. In addition there are external factors that could contribute to infertility. Smoking is one of them.

The link between Smoking and Infertility

Latest studies show that a considerable amount of infertility cases are the after effect of smoking. Smoking can cause severe side effects both in men and women. Women smokers have higher risk of affecting their reproductive ability and further increasing the chances of cancer in their offspring because of alterations in the genes and chromosomes.

Women who have tried to get pregnant with In Vitro Fertilization (IVF) and those who have been smokers in the past produce fewer eggs with IVF than non smokers. In addition, smokers also experience reduced capacity of fertilization of the eggs and increased chances of miscarriages with IVF. The reason might be nicotine, found in cigarettes, which have adverse effects on the follicles that are necessary for the induction of IVF.

Smoking during Pregnancy

The pregnancy rates of women smokers are greatly affected by nicotine. Moreover, smoking negatively influences not just the mother, but the baby as well. Even before delivery, smoking can harm a fetus exposed to nicotine while in the womb causing low birth weight, poor lung function and several other problems. The nicotine in cigarettes obstructs the flow of oxygen needed for healthy growth to the baby’s blood. Needless to say the chances of a healthy pregnancy can be improved by keeping the body smoke free.

Effects of Smoking on Female and Male Fertility

Some of the negative consequences of smoking on the female reproduction ability include:

• Damage to the fallopian tubes that produce healthy eggs
• Lower rates of fertilization of the eggs with IVF
• Chances of reaching menopause early by 1 to 4 years
• Increased risk of unprompted abortion and ectopic pregnancy
• Alterations in ovum
• Likelihood of occurrence of cancer in the babies of smoking parents

Significant consequences of smoking contributing to male infertility include:

• Decreased sperm count in men
• lterations in the sperm morphology, sperm strength and quantity of ejaculated semen
• Infertility caused by changes in the series of DNA in sperm cells

Infertility itself can be cured with the help of treatments and medications and IVF success rates are higher in women that have quit smoking. Fertility improves considerably in women who have quit smoking. Couples planning on starting a family and particularly those experiencing problems while conceiving should make a maximum effort towards cessation of smoking..

East Bay Fertility Center, Dublin, California (www.ebfertility.com) offers personalized medical counseling and treatments for infertile couples. The clinic’s experienced medical staff is headed by Dr. Ellen U. Snowden, Medical Director and physician who is Board Certified in Obstetrics, Gynecology, and Reproductive Endocrinology. East Bay Fertility Center provides comprehensive infertility services and motivates infertile patients throughout their course of infertility treatment. East Bay specializes in providing infertility treatments such as in-vitro fertilization, insemination, Intracytoplasmic sperm injection, egg donation and gestational surrogacy.

Visit our website http://ebfertility.com/ to know more about different treatment options that we provide.