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Give yourself the best-possible odds for getting pregnant and having a baby with this concise, expert, and encouraging companion as your guide.
In the only general guide to infertility written by a medical doctor who specializes in the subject, Mark Trolice, MD—who is board-certified in both OB/GYN and REI (Reproductive Endocrinology and Infertility)—shares the practical knowledge he has gained from working in infertility medicine for years, with many hundreds of patients, along with the warmth and wisdom he has acquired from getting to know prospective parents from all kind of backgrounds.
The journey from infertility to fertility, from childlessness to a brand-new baby, can be long and arduous. It involves complicated medical diagnoses, a wide range of treatment options, a host of potential lifestyle changes, lots of emotional ups and downs, and—even with the best medical insurance—challenging financial decisions. Your doctors cannot decide everything for you, and that is why an authoritative and comprehensive book, written in clear and understandable language for the layperson, is essential. This is that book.
The book opens with an exploration of all the possible causes of infertility, covering both couples who have never been pregnant and ones who have had recurrent losses of pregnancies. Unique among infertility guides, this volume gives roughly equal weight to male and female causes, which is important because about 40% of infertility cases are due to men’s issues—and some couples need to address issues in both the prospective mother and prospective father. It covers endometriosis, fibroids, POS (Polycystic Ovarian Syndrome), tubal factor, male factor, and other possible causes.
Next it looks at your treatment options. Importantly, these are not just medical interventions, but they also include lifestyle changes you alone can make, involving sleep, diet, exercise, and other forms of self-care. Among medical options, IUI (Intrauterine Insemination), IVF (In Vitro Fertilization), and various surgical procedures are covered in detail.
Some couples are lucky to have a short journey to fertility. For others, the process takes years. With a gentle and sure hand, and non-judgmentally, Dr. Trolice guides you through the many decisions you need to make along the way, such as whether or not to continue treatments, whether to change practitioners or treatments, and whether it is a good idea to continue to spend money on procedures not covered by your insurance. He understands that these are emotionally weighty decisions that involve the future of your family, and he provides ample grounds for optimism and hope, empowering you as you take this journey.
From the Publisher
Health Checks to Have Before Becoming a Parent
An expecting mom wants the best for the delicate new life developing in her womb. However, many couples are not aware that the health of both parents plays a key role both before conception and throughout pregnancy. The health of the mother-to-be especially is intricately linked to the health of the fetus throughout the pregnancy. According to the ACOG, all women planning to have a child should undergo a preconception checkup. This enables your OB/GYN to determine whether there are issues that could negatively impact you or your baby’s health and correct these issues to optimize the outcome.
The most critical health factors for prospective parents are
Diet and lifestyleCurrent medicationsUpdating vaccinationsMedical and family history
Age
While there is no clinical consensus as is the case for women, a reasonable definition of advanced paternal age is greater than 40 to 45 years. Studies have consistently reported that increasing male age is associated with an increased time to pregnancy and decreased pregnancy rates. Increasing paternal age is associated with changes in sperm DNA integrity, genetic variations (mutations) that can impact chromosomes structure and increase the risk of genetic diseases in the offspring. The risk of embryo chromosomal abnormalities does increase as men age but not to the known degree or at the same dramatic rate seen with increasing maternal age.
Advanced paternal age is associated with declining fertility and increasing miscarriages as well as increased risks of preterm births, and offspring with birth defects, autism, and schizophrenia.
Currently, there is no evidence to suggest an age above which you should not biologically procreate. However, given the increasing evidence, you may want to consider these risks in your family planning and/or look into freezing your sperm while you are in your 20s and 30s.
You Are Not Defined by Your Ability to Conceive Naturally
I believe we were all chosen to be someone special and unique. So, why do some of you have as much disappointment toward undergoing fertility treatment as you do toward your disease—because many of you view treatment as representing failure of your plan for the way it was meant to happen.
In over 20 years of talking to infertility patients just like you, I have yet to meet anyone—and I mean anyone—whose life is exactly as they planned it! It just doesn’t happen that way. Nevertheless, I believe we are defined by how we overcome adversity and maximize the success of our life irrespective of the bumps and bruises along the way. The ability to procreate is not a talent or a skill to boast. Rather, how we parent, contribute to our world, and/or bounce back from adversity are the characteristics to awe.
Publisher : Harvard Common Press; Illustrated edition (January 7, 2020)
Language : English
Paperback : 216 pages
ISBN-10 : 1558329587
ISBN-13 : 978-1558329584
Item Weight : 1 pounds
Dimensions : 6 x 0.63 x 9 inches
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