This page contains a Flash digital edition of a book.
Q – I want to get pregnant now. What’s next? A – Your physician will outline a specific, step by step course of action that makes sense for you. Sometimes, your doctor will recommend beginning with intrauterine insemination and clomid to bolster ovulation, and progressing onto in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI). In IVF, sperm and eggs are placed together in a petri dish in an attempt to achieve fertilization, and then, once an embryo is formed, transferred into the woman’s uterus to begin a pregnancy or possibly cryopreserved for future use. In ICSI, sperm is injected directly into an egg to achieve fertilization. You should discuss the benefits and risks of all of these procedures with your physician.


Additional questions to ask your doctor about infertility treatment and endometriosis include: • How many cases of endometriosis do you treat annually?


• How many laparoscopies and laparotomys do you perform annually?


• How many IVF cycles do you perform annually? • What are your success rates for women with my diagnosis in my age group?


• What are your overall live birth success rates? • How will you help me to not conceive multiples? • How many rounds of each type of treatment do you recommend trying?


• Do you offer support groups for patients? • Can I pursue alternative treatment during my medical treatment, such as acupuncture?


• If necessary, do you have access to donor egg, embryo and surrogacy programs?


• Will insurance cover the cost of my endometriosis treatment? My infertility treatment?


• If my insurance is not sufficient to cover the costs, can I work out a payment plan with you?


• What are your office hours and are you available after hours and on weekends?


• How is communication handled at your clinic? Will I be contacting you directly or the nursing staff?


Q – How will my endometriosis affect my pregnancy? Will the pain increase or decrease? A – Pregnancy tends to be a very comfortable time for women who have endometriosis. During pregnancy the growth of the endometrium stops, since ovulation is not taking place. Endometrial pain may be eliminated during this time.


Endometriosis can be a difficult diagnosis to live with. Through knowledge, life style changes and proactive support, women often find that they can control and alleviate their symptoms, as well as often achieving motherhood.


Attain FertilityTM provider of the Attain®


Centers, an IntegraMed Specialty and IVF Programs, is a proud


sponsor of The American Fertility Association’s commitment to fertility education and community support. Talk to a fertility expert at an Attain Fertility Center: 800-649-5315. www.attainfertility.com


ENDNOTES


1. Endometriosis Research Center. March 2010. http://www.endocenter.org/awarenessmonthPR2010.htm. 2. Surrey, Eric. April 14 2009. http://www.healthywomen.org.


3. Eisenberg, Esther. November 16 2009. http://www.womenshealth.gov/faq/endometriosis.cfm#d


4. Vitonis AF, Hankinson SE,et al. “Adult Physical Activity and Endometriosis Risk.” PubMed.gov http://www.ncbi.nlm.nih.gov/pubmed/19901838. January 21 2010.


5. Fjerbaek A, Knudsen UB. “Endometriosis, Dysmenorrhea and Diet –What is the Evidence” PubMed.gov http://www.ncbi.nlm.nih.gov/pubmed/17210218?itool=EntrezSystem2.PEntrez .Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum&ordinalpos=16. January 8 2007.


6. Mier-Cabrera, J,Aburto-Soto T, et al. “WomenWith Endometriosis Improved Their Peripheral Antioxidant Markers After the Application of a High Antioxidant Diet.” PubMed.gov. http://www.ncbi.nlm.nih.gov/pubmed/19476631?itool=EntrezSystem2.PEntre z.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum&ordinalpos=4 May 28 2009.


7. Karen Spencer Dees, “Eating Right for Your Hormonal Health”. 2007 ed. 8. Morris, Christina. http://www.endo-resolved.com/acupuncture.html


9. General Health Topics. “Endometriosis and Infertility: Can Surgery Help?” Patient Fact Sheet by ASRM. http://generalhealthtopics.com/endometriosis- and-infertility-can-surgery-help-patient-fact-sheet-asrm-1085.html


THE RESOURCES LISTED IN THIS DIRECTORY ARE UNSCREENED AND SHOULD NOT BE VIEWED AS RECOMMENDATIONS OR ENDORSEMENTS, EITHER EXPRESS OR IMPLIED, BY THE AFA. 28


Page 1  |  Page 2  |  Page 3  |  Page 4  |  Page 5  |  Page 6  |  Page 7  |  Page 8  |  Page 9  |  Page 10  |  Page 11  |  Page 12  |  Page 13  |  Page 14  |  Page 15  |  Page 16  |  Page 17  |  Page 18  |  Page 19  |  Page 20  |  Page 21  |  Page 22  |  Page 23  |  Page 24  |  Page 25  |  Page 26  |  Page 27  |  Page 28  |  Page 29  |  Page 30  |  Page 31  |  Page 32  |  Page 33  |  Page 34  |  Page 35  |  Page 36  |  Page 37  |  Page 38  |  Page 39  |  Page 40  |  Page 41  |  Page 42  |  Page 43  |  Page 44  |  Page 45  |  Page 46  |  Page 47  |  Page 48  |  Page 49  |  Page 50  |  Page 51  |  Page 52  |  Page 53  |  Page 54  |  Page 55  |  Page 56  |  Page 57  |  Page 58  |  Page 59  |  Page 60  |  Page 61  |  Page 62  |  Page 63  |  Page 64  |  Page 65  |  Page 66  |  Page 67  |  Page 68  |  Page 69  |  Page 70  |  Page 71  |  Page 72  |  Page 73  |  Page 74  |  Page 75  |  Page 76  |  Page 77  |  Page 78  |  Page 79  |  Page 80  |  Page 81  |  Page 82  |  Page 83  |  Page 84  |  Page 85  |  Page 86  |  Page 87  |  Page 88  |  Page 89  |  Page 90  |  Page 91  |  Page 92  |  Page 93  |  Page 94  |  Page 95  |  Page 96  |  Page 97  |  Page 98  |  Page 99  |  Page 100  |  Page 101  |  Page 102  |  Page 103  |  Page 104  |  Page 105  |  Page 106  |  Page 107  |  Page 108  |  Page 109  |  Page 110  |  Page 111  |  Page 112  |  Page 113  |  Page 114  |  Page 115  |  Page 116  |  Page 117  |  Page 118  |  Page 119  |  Page 120  |  Page 121  |  Page 122  |  Page 123  |  Page 124  |  Page 125  |  Page 126  |  Page 127  |  Page 128  |  Page 129  |  Page 130  |  Page 131  |  Page 132  |  Page 133  |  Page 134  |  Page 135  |  Page 136  |  Page 137  |  Page 138  |  Page 139  |  Page 140  |  Page 141  |  Page 142  |  Page 143  |  Page 144  |  Page 145  |  Page 146  |  Page 147  |  Page 148  |  Page 149  |  Page 150  |  Page 151  |  Page 152  |  Page 153  |  Page 154  |  Page 155  |  Page 156  |  Page 157  |  Page 158  |  Page 159  |  Page 160  |  Page 161  |  Page 162  |  Page 163  |  Page 164  |  Page 165  |  Page 166  |  Page 167  |  Page 168