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Pregnancy After Tubal Ligation

It was not all that long ago a woman would choose to have her fallopian tubes “tied” being absolutely sure her baby making years are over and they were, in fact … truly over. Today, that has changed and women can once again get pregnant. There are two procedures to assist her. As a physician who practices fertility medicine, I am fortunate to have at my disposal both accepted techniques to help women who lament their tubal ligation — Tubal Reversal Surgery or In Vitro Fertilization. Each process has its own benefit, success rate and risks. I’d like to share my thoughts about how I approach these patients.

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Elective Human Egg Freezing on the Rise

Human egg freezing is going mainstream. The biggest reason: it works. A handful of studies suggest the success rate for women undergoing in vitro fertilization (IVF) is just as high when using frozen eggs as fresh ones. The results increase the flexibility and control women can have in their reproduction and their careers.

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Parents Peek into Gene Pool

PARENTS who fear the prospect of abortion due to genetic problems are going to extraordinary lengths to ensure that unborn children are free of genetic diseases.

Hundreds of parents with no fertility problems are making appointments at Monash IVF and – before going through the artificial pregnancy process – are having embryos tested to ensure genetic conditions plaguing their families like Huntington’s disease, cystic fibrosis or spinal muscular atrophy are not passed on to their children.

The testing process is known as as pre-implantation genetic diagnosis (PGD) and has a 98per cent success rate.

Couples who do not go through the PGD process have a 50per cent chance of passing on a genetic disease if they conceive naturally.

PGD co-ordinator Dr Elissa Osbourne from Monash IVF says it’s hard for parents to see family members suffer from a genetic condition.

“They want to know they’ve done everything to prevent their children from going through the same thing, ” Dr Osbourne said.

“A lot of them struggle with the concept of termination of pregnancy and they’d rather know that if they do get pregnant, that the pregnancy is unaffected.”

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Failed IVF attempt tied to depression, anxiety

NEW YORK (Reuters Health) – Women who are stressed and anxious before in vitro fertilization (IVF) are no less likely to have a baby, new research suggests. But if the treatment fails, it may take a toll on their mental health.

In two separate studies in the journal Fertility and Sterility, researchers found women with anxiety or depression symptoms were just as likely as others to become pregnant.

One study focused on women undergoing IVF and the other followed women trying to conceive naturally.

“Our findings are consistent with the most recent research,” said Lauri A. Pasch, a clinical psychologist at the University of California, San Francisco Center for Reproductive Health, and the lead researcher on the IVF study.

Based on that body of research, she told Reuters Health, “I think we can safely say to women, “Stop worrying about being worried.”

Women should not feel pressured to be a “good IVF patient” who’s free of stress, Pasch said. And they should not blame themselves if they feel stressed out and their IVF attempt fails.

The other study, from the UK, looked at 339 women who were trying to become pregnant naturally.

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