DOCSLIB.ORG

Improving Male Sexuality, Fertility, and Testosterone — a Handbook Based on the Medical Literature Also by Dan Purser MD

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Improving Male Sexuality, Fertility, and Testosterone — a Handbook Based on the Medical Literature Also by Dan Purser MD Improving Male Sexuality, Fertility, and Testosterone — A Handbook Based on the Medical Literature Also by Dan Purser MD Resolving Osteoporosis: The uC re & Guide Book Improving Male Sexuality, Fertility and Testosterone Progesterone the Ultimate Women's Feel Good Hormone Program 120 Female Handbook A Program 120 Female Handbook B Program 120 Male Handbook A Program 120 Male Handbook B Real Fibromyalgia Rx The rB east Cancer Patient's Survival Guide: Amazing Medical Strate- gies for Winning Natural Therapies for Autism: Updates on the Research The 85% Solution Essential Oils & Healthy Menopause: History and Research Secrets No More Cold Hands, Cold Feet 12 Traits Of The Best Doctor Copper Toxicity & Fibromyalgia: A Report Menopause, Estrogen, Estradiol - A Medical Guide Progesterona La Hormona Definitiva del Bienestar Femenino Vitamin Deficiency Symptoms & Cures Watch for more at www.danpursermd.com. Dedication To those poor men who have been damaged and don’t even know it – instead they’ve been diagnosed as having a fluoxetine or alprazolam de- ficiency and are treated until they end their lives in desperation. This book is for you, with a prayer that you are in the future treated properly and that you get happy and whole again, at least as whole as those of us who are broken can ever get. And to my best bud, Mike, God rest your soul. Your life and dedi- cations will not be forgotten. Thanks for being an example for those of us who are not as capable. Dan Purser, MD 1 My Legal Protection Do not use the information contained in this book to treat yourself. Please consult with a knowledgeable physician in your area before start- ing any treatment as might possibly be suggested in this book. I will not be held responsible if something goes wrong. So BE CAREFUL! Thank you. Please check out Dr. Purser's other books – get them now before you forget! 2 GreatMedEBooks.com Foreword I am a physician in Utah with a small practice that deals with hormonal issues. I take on very few new patients, if ever. My practice is actually closed to new patients but some still get through. Well, I guess my practice also deals with more than just hormone issues; I’m part of a plastic surgery group where I deal with complex wound and healing issues. Some days I wonder if I’ve seen it all and then something new comes along. Most of my patients tend to be physicians. This is the tenth book I’ve written on hormonal or preventive med- icine issues. In the last few years I’ve spoken in almost every state in the USA, often to large groups of physicians who are very interest in what I know, or what I might know. I just finished a book tour of Aus- tralia. And Japan. And Singapore. Europe is coming next, or so I’ve been told. Recently I also spoke at Disney World, a dream come true, royal treatment and all. Maybe Euro Disney is next. My books are now being translated into other languages such as Japanese, Spanish, Man- darin, and German to name a few and are also being sold in Kindle ver- sions. My office hours are filled full of research for various health related companies. And I’m still involved with my research in Los Angeles and my team from USC—all the pituitary endocrinology stuff. That re- search is done with a former Assistant Surgeon General (who is THE smartest, most curious doctor on the planet) and other very intelligent people whom I refer to as THE Brainiacs of Pharmacology on the West Coast. I also create health related products with THE Brainiacs who teach at USC Medical School and we sell them all over the world. But I’ll begin back where it all started—my small office practice. 3 Chapters The Problem 1. Why Am I No Longer Horny? (Why Do I Have Decreased Libido?) 2. What is Low Testosterone? 3. How Does Low Testosterone Occur and Further Diagnostic Info? 4. “Man-opause” vs “Trauma-opause” 5. What Causes Low Libido? 6. Can A Vitamin Deficiency Really Cause All of This? 7. My Wife/Girl Friend is Hot—Why Aren’t I Horny Any More? 8. Why Can’t We Get Pregnant? 9. What is ED and Why Me? 10. Misdiagnoses Commonly Made When Low Testosterone Is Probably the Cause 11. My Wife/Girlfriend Does, Why Can’t I Have Multiple Orgasms Any More? 12. How to Really Have a Blast in Bed! 4 The Therapy 1. I Still Want to Father Babies, What Should I Use For Therapy? 2. I Still Want to Father Babies, What Should I Avoid? 3. Why Is Human Chorionic Gonadotropin 3D for Male Infertility Issues? 4. Compounded Testosterone Creams vs Testosterone Gels 5. Plan D: Injectable Testosterone Cypionate 6. Natural Therapies That May Help Elevate Testosterone Elevate Testosterone Levels? 7. What Other Therapies Should I Consider Besides Testosterone? 5 Complications 1. Will Taking Testosterone Increase My PSA or Risk of Prostate Cancer? 2. Are There Other Health Reasons to Do All of This? 3. I’ve Had Prostate Cancer, am I Doomed? 4. I’ve Had Testicular Cancer, am I Doomed? 5. I’ve Got Migraines, Should I Take Testosterone? 6. I’ve had a Heart Attack, am I Doomed? 7. I’ve Had A Stroke, Am I Doomed? 8. I Have MS, am I Doomed? 9. I Have Male Fibromyalgia, am I Doomed? 10. My Doctor Says You’re Crazy, am I Doomed? 11. Male Contraception Options That Won’t Hurt Me? 12. Will HCG give me “Man Boobs”? Aaargghh! (And other potential side effects) Ideas For Better Performance 1. Stronger and Better Natural Erection Secrets? 2. Are Male Multiple Orgasms Possible? 3. Improving Sperm Viability and Amount 4. Frequently Asked Questions (And Answers) 6 Guest Chapter 36. Injectable Pre-Mix for Impotence and ED for Diabetics By Nayan Patel, Doctorate in Pharmacology 7 Appendices/Important Websites References Index 8 IMPROVING MALE SEXUALITY, FERTILITY AND TESTOSTERONE 9 Chapter 1 Why Am I No Longer Horny? (Why Do I Have De- creased Libido?) Men come in my office all the time (mainly because their wives’ sent them – real men would never go to the doctor without a gun OR their wife’s finger being pointed at their heads) and tell me they are tired, or even exhausted. They tell me that they’re depressed and sad, and don’t know why. They ask why they’ve gained weight and can’t lose it. They mention how they’re muscles are going away – shrinking—and when they work out they just can’t get them back and how they can’t recover from their workouts. They also complain about how they have to take naps now just to make it through the day. But they never tell me their libido is in decline – they say THAT’s always okay (but behind or beside them their wives are shaking their heads NO!). Then they tell me how they hurt all over. How they can’t sleep well at night and how they hate the alprazolam they have to take just get to sleep at night for a few hours. They also complain how they have re- cently developed digestive problems and gut problems. But they never say they have low testosterone, instead they tell me that their doctor checked it and it was “fine.” Then they tell me how their headaches have gotten worse and worse and sometimes they even get migraines. They tell me how bad the headaches are – and I admit they can be horrible. They also tell me how they now have high blood pressure problems, and how they have numbness and tingling in their fingertips. And they talk about the weird heart palpitations that worry and their high cholesterol. They also say their wives made them come in because they used to see 50 patients in an 18 hour day and now they can barely see 25 and 10 DAN PURSER MD they’re exhausted (a lot of my patients are physicians since that’s who I usually speak to in educational events). Got it? Because I do – when I take on new male patients, I hear this all the time, over and over and over. And I get it. These are all symptoms of low libido. And low testosterone. I am usually polite about this, and after a brief exam (guys, especial- ly docs, are a little touchy up front when they don’t know you very well – so I am very careful and discreet here), I suggest we look at some labs. These labs need to be fasting labs, just a 12 hour fast and water is okay. Also, no nuts or peanut butter or peanut oil for three days before – nuts, especially almonds, contain ghrelin which can cause some false lab elevations thus skewing these labs (making them look better then they really are). Also, off Provigil™, Nuvigil™, and any of the new anti- depressants such as Lexapro™ or Effexor™ (for just a day or two, so they don’t flip out) as these medications will also skew the results. What labs do I want to look at in this situation? Luteinizing Hormone (LH) – LH comes from your anterior (front) section of your pituitary and stimulates your Sertoli cells in your testicles in order for you to make testosterone. It is clearly critical and lack of this hormone is by far the #1 reason why I see hypogo- nadism (low testosterone) patients in my office. Follicle Stimulating Hormone (FSH) – FSH comes from your anterior (front) section of your pituitary and stimulates your Leydig cells in your testicles in order for you to make viable sperm and sper- matic fluid.
Load more

Recommended publications
  • Criteria and Application for Women
    Criteria and Application for Women Retu Rn completed fo Rm via fax o R email to LIVESTRONG Foundation attn LIVESTRONG Fertility fax 512.309.5515 email [email protected] Made possible by participating reproductive endocrinologists and EMD Serono, Inc. © LIVESTRONG, a registered trademark of the LIVESTRONG Foundation. The LIVESTRONG Foundation is a 501(c)(3) under federal tax guidelines. The Foundation and its partners reserve the right to review patient profiles and to grant requests based on patient need. Goal The goal of LIVESTRONG Fertility is to increase access to fertility preservation services and treatments for qualified women who are diagnosed with cancer during their reproductive years. We are proud to offer assistance to qualified female applicants by providing access to fertility medications donated by EMD Serono, Inc. and discounted services from reproductive endocrinologists across the country. oveRview LIVESTRONG Fertility does not grant direct financial contributions to individuals. Instead, the LIVESTRONG Foundation has partnered with key organizations to increase access to procedures and treatments intended to preserve the possibility of fertility for qualified cancer patients whose medical treatments present the risk of infertility and who meet the criteria set forth below. For a list of participating facilities, please call 855.220.7777. what is included LIVESTRONG Fertility helps reduce the cost of embryo freezing and egg freezing procedures. A limited quantity of certain medications prescribed by a reproductive endocrinologist to assist in the development of multiple follicles through ovarian stimulation will be provided through a donation from EMD Serono, Inc. to qualified applicants (see eligibility criteria). Additionally, partnering local reproductive endocrinologists will offer embryo and egg freezing services at a significantly discounted rate.
    [Show full text]
  • The Teen–Longitudinal Assessment of Bariatric Surgery (Teen-LABS) Study
    Supplementary Online Content Inge TH, Zeller MH, Jenkins TM, et al; Teen-LABS Consortium. Perioperative outcomes of adolescents undergoing bariatric surgery: the Teen–Longitudinal Assessment of Bariatric Surgery (Teen-LABS) Study. JAMA Pediatr. Published online November 4, 2013. doi:10.1001/jamapediatrics.2013.4296. eAppendix. Research Plan and eCRF Data Collection Forms eTable 1. Central Laboratory Measures by Reference Category eTable 2. Laboratory Measures Summarized eTable 3. Reasons for Readmission Within 30 Days of Operation This supplementary material has been provided by the authors to give readers additional information about their work. © 2013 American Medical Association. All rights reserved. Downloaded From: https://jamanetwork.com/ on 09/27/2021 eAppendix Research Plan A. Design Summary: The study used a prospective, observational cohort design in which the majority of the data are collected at the same time that routine clinical care of bariatric patients is occurring. Teen-LABS is an approved ancillary study of the LABS consortium, with the research methodology and instruments of the LABS-2 study for collection of longer term outcomes adapted for use in adolescents, including clinical assessments, detailed interviews, questionnaires, and laboratory tests at baseline, 30 days postoperatively, and at six months and annually following surgery. Adolescents were recruited prospectively from five clinical sites. Detailed data about the surgical procedure and peri- and postoperative care was collected by the investigators. Adjudication of pre-specified clinical events was performed by an independent committee in order to determine the relatedness of the events to the bariatric procedure. Biospecimens (serum, plasma, DNA, urine) were obtained to address hypotheses relevant to this study and to provide a resource for future biological studies.
    [Show full text]
  • Safety and Quality Aspects of IVF - Neonatal and Maternal Outcomes Following Advanced Techniques
    Safety and quality aspects of IVF - neonatal and maternal outcomes following advanced techniques Erica Ginström Ernstad Department of Obstetrics and Gynecology Institute of Clinical Science Sahlgrenska Academy University of Gothenburg Gothenburg, Sweden Gothenburg 2020 Cover illustration: Tubies by Stina Rosén Safety and quality aspects of IVF – neonatal and maternal outcomes following advanced techniques © Erica Ginström Ernstad 2020 [email protected] ISBN 978-91-7833-782-8 (PRINT) ISBN 978-91-7833-783-5 (PDF) http://hdl.handle.net/2077/63272 Printed in Borås, Sweden 2020 Printed by Stema Specialtryck AB "If we knew what it was we were doing, it would not be called research, would it?" Albert Einstein Safety and quality aspects of IVF - neonatal and maternal outcomes following advanced techniques Erica Ginström Ernstad Department of Obstetrics and Gynecology, Institute of Clinical Science Sahlgrenska Academy, University of Gothenburg Gothenburg, Sweden ABSTRACT Background: Singletons born following assisted reproductive technology (ART) have adverse neonatal outcome compared to singletons born following spontaneous conception (SC). Moreover, the women undergoing ART are at an increased risk of hypertensive disorders in pregnancy (HDP) and placental complications. Aim: To study the neonatal and maternal outcomes following the introduction of advanced techniques in ART. Material and methods: All papers were population-based register studies in Sweden with cross linkage of the national ART registers and national health data registers. In paper III also Danish register data were included. Paper I Singletons born after blastocyst transfer (n=4819), singletons born after cleavage stage transfer (n=25,747) and singletons born after SC (n=1,196,394) were included.
    [Show full text]
  • Patient Orientation Guide
    Patient Orientation Guide Mar 2015 Table of Contents Welcome to PCRM ...................................................................................................................... 3 Our Mission ................................................................................................................................. 3 Our Vision .................................................................................................................................... 3 Clinic Hours .................................................................................................................................. 3 Treatment Monitoring Guidelines .............................................................................................. 4 Treatment Reminders ................................................................................................................. 4 Infertility ...................................................................................................................................... 5 Treatment Options ...................................................................................................................... 7 Ovulation Induction ..................................................................................................................... 7 Intrauterine Insemination (IUI) ................................................................................................... 9 In Vitro Fertilization (IVF) .........................................................................................................
    [Show full text]
  • Phd Thesis Ninagran Egeland.Pdf (3.008Mb)
    Discovery and Validation of Biomarkers in Breast Cancer by Nina Gran Egeland Thesis submitted in fulfilment of the requirements for the degree of PHILOSOPHIAE DOCTOR (PhD) Faculty of Science and Technology Department of Chemistry, Bioscience and Environmental Engineering 2020 University of Stavanger NO-4036 Stavanger NORWAY www.uis.no ©2020 Nina Gran Egeland ISBN: 978-82-7644-953-2 ISSN: 1890-1387 PhD: Thesis UiS No. 546 Scientific Environment The present PhD-project was conducted in its entirety at the Department of Pathology, Stavanger University Hospital, Stavanger, Norway. In affiliation with the Department of Chemistry, Bioscience and Environmental Engineering, Faculty of Science and Technology, University of Stavanger, Stavanger, Norway. Supported by generous grants from the Folke Hermansen Foundation, in 2013 and 2019. Acknowledgements Acknowledgements First and foremost, I would like to express my deepest gratitude to my main supervisor Professor Emiel Janssen. Ever since I knocked on your door in search for employment in 2012, you have supported and motivated me throughout this long journey. I admire your vast knowledge and insight in the complex world of breast cancer research and pathology. You are an inspiration to me, I highly respect your professional competence, and I could not have hoped for a better mentor. But most importantly, I will never forget your understanding, kindness and compassion after I fell ill, and how you kindly encouraged me to complete this thesis thereafter. I am forever grateful. The best boss in the world! To my committed co-supervisor Kristin Jonsdottir, who equally appreciate the utmost importance of accuracy in formatting, straight lines, and symmetry in powerpoints and word-documents.
    [Show full text]
  • Download Our Welcome Packet
    Welcome Welcome to Village Fertility Pharmacy. Thank you for choosing our pharmacy to fulfill your medication needs. With more than 30 years in the fertility pharmacy business, we understand that starting a family can be a challenging and emotional journey. Your care is very important to us. We have developed this welcome letter to introduce you to our services. We are here to support you through your medication therapy — any time you need us. Our toll-free phone line, (877) 334-1610, is staffed by dedicated and experienced Patient Care Coordinators, Nurses and Pharmacists from 8:00am-8:00pm ET Monday through Friday, and from 8:30am to 5:00pm on Saturday. We offer on-call clinical support 24 hours a day for your after-hours emergency services and questions. You may also reach us on the same toll-free phone line for questions regarding: • How to fill and/or refill prescription; • The status of an order; • To Request transfer of prescription to or from the pharmacy; • Information about order delays; • Suspected medication issues; • Complaints (including medication, errors or adverse drug events); or, • Emergency preparedness Please visit our website: www.villagepharmacy.com for a complete overview of our service offerings, including helpful injection teaching videos and links to many supportive services. Walk-in service is available at our pharmacy, located at 335 Bear Hill Road, Waltham, MA. We are pleased that you have entrusted Village with your pharmacy care. We will do our very best to support you through your therapy. - Your Village Fertility Pharmacy Care Team Please review the Village Fertility Pharmacy Welcome Kit, including the information listed below on our website www.villagepharmacy.com under Patient Resources.
    [Show full text]
  • The Impact of Biosimilar Competition in Europe Contents
    May 2017 The Impact of Biosimilar Competition in Europe Contents 01 Introduction 02 Definitions 03 Four Observatons by QuintilesIMS 09 The country and therapy areas KPIs 09 Epoetin (EPO) 11 Granulocyte colony-stimulating factor (G-CSF) 13 Human growth hormone (HGH) 15 Anti-tumor necrosis factor (Anti-TNF) 18 Fertility (Follitropin alfa) 20 Insulins 23 Reading guide 27 Appendices 27 EMA list of approved Biosimilars 28 Methodology 29 QuintilesIMS source of volume data 30 QuintilesIMS source of price data The Impact of Biosimilar Competition in Europe Page 2 Introduction This document sets out to describe the effects on price, volume and market share following the arrival and presence of biosimilar competition in the European Economic Area (EEA). The report consists of a set of Key Performance Indicators (KPI’s) to monitor the impact of biosimilars in European markets, using full year 2016 data. This report has been prepared by QuintilesIMS at the request of the European Commission services with initial contributions from EFPIA, Medicines for Europe, and EuropaBio. The European Medicines Agency (EMA) has a central role in setting the rules for biosimilar submissions, approving applications, establishing approved indications and monitoring adverse events, and if necessary issue safety warnings. We have, when appropriate, quoted their information and statements. The Impact of Biosimilar Competition in Europe Page 1 Definitions The report uses some basic terms defined as follows: • Accessible category: products within the same ATC4 code including the following three product categories: • Referenced Medicinal Product: Original product, granted market exclusivity at the start of its life, exclusivity has now expired and the product has been categorised as referenced.
    [Show full text]
  • Munich - Germany 29 June to 2 July 2014 FINAL PROGRAMME 2
    00-ESHRE 2014Couverture+Dos12,5_ESHRE26/05/1409:16Page1 Munich - Germany 29 June to 2 July 2014 FINAL PROGRAMME 2 912235_Final Programme 2014.indd 2 23/05/14 09:34 p3.pdf 1 27/05/14 11:40 CONTENTS Welcome Letter 05 CONTENTS Committees 07 Pre-congress courses 11 Scientific Program: Monday, 30 June 2014 30 Scientific Program: Tuesday, 1 July 2014 62 Scientific Program: Wednesday, 2 July 2014 98 Posters 125 Author Index 215 General Information 239 Agenda Annual General Assembly of Members 243 Social Programme 245 Corporate Members 247 Industry Sponsored Symposia 248 FINAL PROGRAMME I MUNICH, GERMANY - 29 JUNE TO 2 JULY 2014 3 4 912235_Final Programme 2014.indd 4 23/05/14 09:34 WELCOME Dear Friends and Colleagues, On behalf of the Local Organising Committee it gives me a great pleasure to welcome you to the 30th Annual Meeting WELCOME of ESHRE in Munich, Germany from 29 June to 2 July 2014. After Bonn 1985, Hamburg 1995 and Berlin 2004, Munich is the fourth city in Germany to host an ESHRE Annual Meeting. Munich is known throughout the world as a dynamic and economically successful city in the southern part of Germany, with many traditional attractions. The Bavarian capital, set in a beautiful landscape, offers all the advantages you would expect of a leading international congress and exhibition venue in the heart of Europe. Art, culture, recreational activities and sightseeing provide enjoyable possibilities every day. Munich in the summer is a charming and exhilarating place. The venue chosen for this event is the ICM - International Congress Centre Munich - one of the most modern and successful congress centres in the world well equipped to satisfy all the requirements of an event such as our Annual Meeting.
    [Show full text]
  • Fertility Drugs and Multiple Births.Qxd
    AMERICAN SOCIETY FOR REPRODUCTIVE MEDICINE 1209 Montgomery Highway • Birmingham, Alabama 35216-2809 • TEL (205) 978-5000 • FAX (205) 978-5005 • E-MAIL [email protected] • URL www.asrm.org PATIENT FACT SHEET Fertility Drugs and the Risk of Multiple Births Infertility treatments make it more likely that you will You may need to stay in bed or even stay in the hospital for become pregnant with twins, triplets, or more. This is weeks before delivery. This is especially likely if you go called multiple gestation. You might think it would nice to into labor early. have many babies at once, but this may not be good for their health and your health. You may have problems delivering your babies. You will be more likely to need a C-section, which is when the babies How likely is multiple gestation? are delivered through a surgical opening in your belly. Very possible. Depending on the type of fertility treatment used, if more than one follicle is produced, the risk of What can I do to ensure that I reduce the risk of multiple multiple gestation can occur in more than 1 out of 3 births? women successfully getting pregnant. During a fertility treatment cycle when fertility drugs are used with timed intercourse or insemination, your doctor What could happen to the babies? will monitor your cycle very carefully. The use of fertility The babies could be born too early, which is called premature medications will make your body produce more eggs than birth. Half of all twins and 90% of all triplets are born pre- usual.
    [Show full text]
  • Breast Cancer in Young Women
    Breast Cancer in Young Women Oreste Gentilini Ann H. Partridge Olivia Pagani Editors 123 Breast Cancer in Young Women Oreste Gentilini • Ann H. Partridge Olivia Pagani Editors Breast Cancer in Young Women Editors Oreste Gentilini Ann H. Partridge Breast Unit, San Raffaele University and Dana–Farber Cancer Institute Research Hospital Department of Medical Oncology Milan Harvard Medical School Italy Boston, MA USA Olivia Pagani Geneva University Hospitals Swiss Group for Clinical Cancer Research (SAKK) Institute of Oncology of Southern Switzerland Bellinzona Switzerland ISBN 978-3-030-24761-4 ISBN 978-3-030-24762-1 (eBook) https://doi.org/10.1007/978-3-030-24762-1 © Springer Nature Switzerland AG 2020 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made.
    [Show full text]
  • Demystifying Infertility Fundamentals, Tests, Treatment, Medications
    Demystifying infertility Fundamentals, Tests, Treatment, Medications Click to continue Specialty Pharmacy ? Welcome to fertility education: Demystifying infertility This section provides an overview of Fundamentals infertility, including the fundamentals, Diagnostic testing medications, testing, treatment Treatment options options, and additional information. Medications Select any of the topics on the right Additional information for more information. References Terms of use Main menu > Fundamentals ? Fundamentals Select any of the topics for more information. Fundamental questions Female anatomy Male anatomy Reproductive cycle Causes of infertility References Terms of use Main menu > Fundamentals > Fundamental questions ? Fundamental questions What is infertility? Whom does infertility affect? Infertility is defined as not being able to become pregnant after Infertility can affect women or men individually or as a couple regular unprotected (without contraception, like condoms or oral with 1 of 7 couples having trouble getting pregnant during their birth control) sexual intercourse.1,2,3 childbearing years.1 About 10-15% of couples have a medical condition that interferes with conception.2,3 • 1 year if < age 34 • 6 months if > age 35 Causes: • Female related 30-40%2,3 • Male related 20%2,4,5 • Both 30-40%2,3,5 • Unknown 10%1,3 Continued > References Terms of use Main menu > Fundamentals > Fundamental questions ? Fundamental questions Does age matter? Additional resources Women • Booklet: Infertility: An Overview Most fertile in their 20’s to early 30’s • Age and Fertility- A Guide for Patients • Age 30 - Healthy women have a 20% chance of becoming pregnant each month • Age 40 - Healthy women have a 5% chance of becoming pregnant each month The decline of female fertility happens because both the quality and the quantity of eggs gradually decline as a woman ages.6 Men There is no maximum age at which a man cannot father a child.
    [Show full text]
  • Recent Advances in Fertility Preservation and Counseling for Reproductive-Aged Women with Colorectal Cancer: a Systematic Review Lisa M
    CURRENT STATUS REVIEWS Recent Advances in Fertility Preservation and Counseling for Reproductive-Aged Women with Colorectal Cancer: A Systematic Review Lisa M. Shandley, M.D., M.Sc.• Laurie J. McKenzie, M.D. Division of Reproductive Endocrinology and Infertility, Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, Georgia BACKGROUND: The incidence of colorectal cancer RESULTS: There are limited data regarding the impact among reproductive-aged women is increasing. Concerns of colorectal surgery on fertility. The gonadotoxic effects regarding future fertility are secondary only to concerns of chemotherapy on reproductive capacity depend regarding survival and may significantly impact quality on age at the time of chemotherapy administration, of life among reproductive-aged female cancer survivors. cumulative chemotherapy, radiation dose, type of agent, Fertility preservation counseling reduces long-term regret and baseline fertility status. Chemotherapy-induced risks and dissatisfaction among cancer survivors. Health care for colorectal cancers are considered low to moderate, providers counseling patients with colorectal cancer must whereas pelvic radiation with a dose of 45 to 50 Gray understand the impact of cancer treatment on future induces premature menopause in greater than 90% of reproductive potential. patients. Ovarian transposition may reduce but not eliminate the damaging effect of radiation on the ovaries. OBJECTIVE: This review aims to examine the effects that Embryo and oocyte cryopreservation are considered colorectal cancer treatments have on female fertility and standard of care for women desiring fertility preservation, summarize existing and emerging options for fertility with oocyte cryopreservation no longer being considered preservation. experimental. Ovarian tissue cryopreservation remains DATA SOURCES: EMBASE, National Library of Medicine experimental but may be an option for select patients.
    [Show full text]