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1/3 of Child Cancer Patients May be Infertile in Adulthood

Childhood cancer patients face an uncertain future regarding whether they have remained fertile, and a recent German study makes this abundantly clear.

According to findings published inDeutsches Arzteblatt International, as many as 30 percent of childhood cancer survivors are suspected of being rendered infertile because of their anti-cancer treatments.

Researchers collected data from 2,754 participants (1,476 of whom had been treated for a leukemia subtype, and the rest, for solid tumors). Of those, 210 agreed to undergo fertility testing, and infertility was suspected in thirty percent. Read full article.

Fertility Clock Headlines, Fertility Headlines

Can’t Get Pregnant? Consider These 5 Tests

Fertility has become a very hot topic these days with the surge in both assisted reproductive technology (ART) and adoptions.

ART typically consists of medications, intrauterine insemination (IUI) or in vitro fertilization (IVF) with the sole purpose of becoming pregnant.

In general, experts tell women under 35 years old to try regularly to get pregnant at ovulation for 12 months before considering additional work-up. Women between 35 and 40 years old should try for six months.

Whether you are in your first month or your first year without success, here are five tests to talk about with your doctor….

Read full article.

Fertility Clock Blog, Fertility Headlines

What is the Process for Fertility Testing?

Nine out of ten couples with a female partner under the age of 35 who are actively trying to get pregnant succeed within one year. The chance of a pregnancy is about 25% per month. For couples who fail to achieve pregnancy after one year (and for women over the age of 35 after 6 months) fertility testing is recommended to identify any obstacles that could prevent pregnancy.

A full medical history and physical examination can reveal problems related to pelvic surgery, cancer treatment, or menstrual disturbances that cause infertility.

Fertility testing is done to rule out specific problems in four areas:

Sperm Testing

For approximately one out of four couples, the quality or quantity of the male partner’s sperm is the underlying cause of infertility. Semenalysis can reveal issues with the sperm count, the motility of sperm (its ability to swim), and the morphology (shape) of the sperm.

Ovulation

For women with a history of irregular menses who do not ovulate regularly, underlying medical conditions may be the cause of low fertility. Common problems include thyroid imbalances, high levels of a hormone called prolactin, or polycystic ovarian syndrome (PCOS). Blood tests and ultrasound exams are used to diagnose these conditions.

Uterus and Fallopian Tubes

Fallopian tubes that are closed can interfere with fertility by making it impossible for an embryo to reach the uterus. Causes of blockage may include previous pelvic surgery or complications from STDs. The uterus may also contain fibroids or polyps that limit the chances of pregnancy. An exam called a hysterosalpingogram (HSG) is used to detect structural problems with the fallopian tubes and uterus. It involves the injection of a contrast dye into the cervix to make the patient’s internal reproductive organs visible in x-rays.

Eggs

The quality and quantity of a woman’s eggs plays a vital role in fertility. Egg quality cannot be determined with fertility testing, but it is strongly correlated with age. The quantity of eggs can be estimated using blood tests such as the FSH (follicle stimulating hormone) and AMH (anti-mullerian hormone). AFC (antral follicle count) is an ultrasound test that can also assist in estimating the number of eggs available.

by: Dr. John Jain