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Subject: Infertility FAQ (part 4/4)

This article was archived around: Mon, 03 Apr 2006 12:43:08 -0400

All FAQs in Directory: medicine/infertility-faq
All FAQs posted in: alt.infertility, misc.health.infertility
Source: Usenet Version

Archive-name: medicine/infertility-faq/part4 Posting-frequency: weekly Last Modified: May 14, 2001 URL: http://www.fertilityplus.org/faq/infertility.html
This FAQ is maintained and updated by Rebecca Smith Waddell. Copyright (c) 1997, 1998, 1999 by Rebecca Smith Waddell, Meg Fiegenschue, Lynn Diana Gazis-Sax, William F. Panak, Rachel Browne, Jennifer Clabaugh, Kate MacKenzie, and Ian Scott Speirs. All rights reserved. Information in this FAQ may be distributed as long as full copyright information is attached, including URL, and use is strictly not for profit. ______________________________________________________________________ ______________________________________________________________________ SECTION 12 - LINKS TO MORE FAQS AND INTERNET RESOURCES ------------------------------------------------------------------------ 12.1 - PLACES TO START FertilityPlus http://www.fertilityplus.org FAQs and information written by infertility patients. FIRL -- Fertility Information Resource List http://www.vais.net/~travis/firl.html Travis Low has put together an extensive list of resources, including newsgroups, mail lists, chat sessions, web sites, books, periodicals, clinics, etc. The best one-stop place for infertility links. RESOLVE http://www.resolve.org RESOLVE is an infertility support organization with chapter throughout the U.S. The web site gives contact information for the main chapter in each state. RESOLVE is a great place to ask about doctors in your area and to get involved with other couples going through infertility. Many printed materials available. INCIID -- International Council on Infertility Information Dissemination http://www.inciid.org Web site contains information about what to expect from infertility workup, immune problems, beta hCG levels, and much more. Atlanta Reproductive Health Centre http://www.ivf.com Dr. Mark Perloe has put together a very comprehensive site, including an online copy of his _Miracle Babies & Other Happy Endings_ book. This site offers a wonderful search engine to help you find information on the ARHC site as well as links to off-site pages. IHR Infertility Resources http://www.ihr.com/infertility/index.html Information on treatments and drugs, lists of clinics and sperm banks, and links to other resources. Fertile Thoughts http://www.fertilethoughts.net/main.html Information and chat sites for infertility and adoption. ------------------------------------------------------------------------ 12.2 - INFERTILITY FAQS DES Information Page http://www.teleport.com/~skeely/ Sally Keely has put together a page with Diethylstilbestrol info and links to FAQs. Also includes information on newsgroup and mail list. Endometriosis FAQ http://www.bioscience.org/books/endomet/babaknia.htm Dr. Ari Babaknia presents a long FAQ about endometriosis with extensive information. Home Pregnancy Test HCG Levels & Mini-FAQ http://www.fertilityplus.org/faq/hpt.html Lets consumers know which tests are the most sensitive and should give the earliest positive result. Also includes contact information and answers a short list of questions. Hormone Levels http://www.fertilityplus.org/faq/hormonelevels.html This chart gives an idea of when hormone levels should be run and what the desired level should be. Standards vary from lab to lab, but this should give you an idea of what to expect. Infertility FAQ for Women of Size http://www.fertilityplus.org/faq/bbwfaq.html Q&A plus journal abstracts about large-size fertility issues. Includes suggestions on how to find a weight friendly physician, and explains what the real issues are. Invasive Infertility Tests FAQ http://www.fertilityplus.org/faq/itests.html HSG, EMB, laparoscopy and hysteroscopy procedures defined followed by personal experiences to let you know what to expect. IVF Hints http://www.fertilityplus.org/faq/ivfhints.html Rachel Browne put together a list of tips for handling the various stages of IVF. Includes suggestions on medication, shots, traveling, etc. Low-Tech Ways to Help You Conceive FAQ http://www.fertilityplus.org/faq/lowtechfaq.html Compiled by Roger A. Hunt, Ph.D., using information off the alt.infertility, misc.health.infertility, and misc.kids.pregnancy newsgroups. Explores the methods couples can use to help themselves get pregnant before seeking medical help. Male Infertility Assessment, Diagnosis, and Treatment http://www.ivf.com/shaban.html Discusses assessment and treatment of male factor infertility. Not a very easy read, but valuable information. Misc.Kids Miscarriage FAQ http://scalos.mc.duke.edu/~brook006/miscarriage.html Maintained by Laura Brooks, Support and medical information. Miscarriage Support and Information Resources http://www.fertilityplus.org/faq/miscarriage/resources.html List of newsgroups, mail lists, web pages and books for support of those who have had miscarriages. Ovulation Predictor Kit FAQ http://www.fertilityplus.org/faq/opk.html This page include a Q&A regarding OPKs, contact information for the companies and places to order kits, and followed up with a letter-writing campaign designed to get companies to lower prices or at least offer coupons for more OPKs. PCOS FAQ http://www.inciid.org/faq/pcos.html Frequently asked questions about symptoms, diagnosis, treatment, and longterm health concerns. PCO Support http://www.pcosupport.org Information on Polycystic Ovarian Syndrome. Includes articles, links, bibliography (including medical journal articles). Recurrent Pregnancy Loss Testing http://www.fertilityplus.org/faq/miscarriage/rpl.html A listing, with description, of suggested testing for those with 2 or more miscarriages. Soc.Support.Pregnancy.Loss Information http://web.co.nz/~katef/sspl/ Includes FAQ on Tips & Suggestions for Coping after Pregnancy Loss and the soc.support.pregnancy.loss charter. A medical FAQ is in the works. Turner's Syndrome FAQ http://www.onr.com/ts-texas/faq.html Information about Turner's, newsgroups, resources. ________________________________________________________________________ ________________________________________________________________________ SECTION 13 - STATISTICS Please note that statistics are in no way individual, so our real odds of success may be much different from what is listed below. ------------------------------------------------------------------------ 13.1 - PREGNANCY RATES FOR AVERAGE COUPLES It often takes a number of perfectly timed cycles before pregnancy is achieved. The chances of getting pregnant each cycle varies a bit with age. If you are 20-25, your chance per cycle are about 25%. From there they begin to fall off. At 25-30 your chances are about 20%. At 30-35 they are about 15%. After 35 they may be about 10% per ovulatory cycle, and the chances continue the downward trend. This means that the average woman under 30 will get pregnant within 6 cycles. Women in their early 30s get pregnant on average by the end of 9 cycles. Mid-30s would be a year. At any age you are considered infertile if you have been having regular unprotected intercourse for a year without conception; however, women over 35 should seek treatment after 6 months. ------------------------------------------------------------------------ 13.2 - SUCCESS RATE FOR ICI, IUI, ITI Intra-cervical insemination (ICI): "Success rates with intracervical insemination have varied widely, but unfortunately, only 10 to 15% of couples will obtain a pregnancy following 4 to 6 well timed cycles of insemination." From http://www.ivf.com//insem.html Intra-uterine insemination (IUI): Searching through about a dozen medical journal articles and a number of web sites resulted in a rather wide-range of statistics. Basically the odds of success are reported to be just under 8% and as high as 26% per cycle. The low statistics are with one follicle, while multiple follicles resulted in as high 26% success. Another influencing factor is sperm count. Higher sperm counts increase the odds of success, however, there was little difference between success with good-average counts and those with high counts. The overall success rate seems to be between 15-20% per cycle, judging from the articles which will be abstracted as part of the IUI FAQ at http://www.fertilityplus.org/faq/iui.html. The rate of multiple gestation pregnancies was 23-30%. Intra-tubal insemination (ITI): Similar to IUI only the sperm is deposited in the fallopian tube. Atlanta Reproductive Health Centre reports only a slightly higher success rate with ITI over IUI, and a great deal more discomfort to the patient. One journal article was found, calling this fallopian tube sperm perfusion, suggesting that this procedure doubles the chances of success. The citation is: Fanchin R, Olivennes F, Righini C, Hazout A, Schwab B, Frydman R, A new system for fallopian tube sperm perfusion leads to pregnancy rates twice as high as standard intrauterine insemination., Fertil Steril 64: 3, 505-10, Sep, 1995. ------------------------------------------------------------------------ 13.3 - SUCCESS RATES FOR IVF, GIFT AND ZIFT According to the Center for Disease Control and Prevention, the 1996 live births rate per retrieval on fresh cycles for IVF was 25.9%, GIFT was 28.7%, and ZIFT was 30.3%. Check http://www.cdc.gov/nccdphp/drh/art96/sec2_q5.htm for more details and a graph. You can find clinic specific success rates at http://www.cdc.gov/nccdphp/drh/art96/index.htm ------------------------------------------------------------------------ 13.4 CUMULATIVE ODDS OF SUCCEEDING THROUGH MULTIPLE CYCLES Sort of a roll of the dice. If your doctor says you have about a 20% chance of success, look across the table to see how many cycles it might reasonably take to get pregnant. Vertical axis is the percentage odds per cycle Horizontal axis is the cumulative odds over total cycles so far Number of cycles trying (cumulative odds of success) ________________________________________________________________________ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 5% 5% 10% 14% 19% 23% 26% 30% 34% 37% 40% 43% 46% 49% 51% 10% 10 19 27 34 41 47 52 57 61 65 69 72 75 77 15% 15 28 39 48 56 62 68 73 77 80 83 86 88 90 20% 20 36 49 59 67 74 79 83 87 89 91 93 95 96 25% 25 44 58 68 76 82 87 90 92 94 96 97 98 98 30% 30 51 66 76 83 88 92 94 96 97 98 99 99 99 35% 35 58 73 82 88 92 95 97 98 99 99 99 ....... ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ SECTION 14 - ACRONYMS AND ABBREVIATIONS ------------------------------------------------------------------------ 14.1 - NEWSGROUP SPECIFIC ACRONYMS AND ABBREVIATIONS 2WW = 2-Week Wait 47XXY = Klinefelter's Syndrome ACA = Anti-cardiolipin Antibodies ACTH = Adrenal Corticotropic Hormone AF = Aunt Flo (menstruation) AH, AZH = Assisted Hatching AHI = At-home Insemination a.i = alt.infertility newsgroup a.i.a, aia = alt.infertility.alternatives newsgroup a.i.p, aip = alt.infertility.primary newsgroup a.i.s, ais = alt.infertility.secondary newsgroup AI = Artificial Insemination AIH = Artificial Insemination from Husband ANA = Anti-nuclear Antibodies AO = Anovulation AOA, AVA = Anti-ovarian Antibody APA = Anti-phospholipid Antibodies APTT = Activated Partial Thromboplastin Time ART = Assisted Reproductive Technology ASA = Anti-sperm Antibody ASRM = American Society of Reproductive Medicine ATA = Anti-thyroid Antibody AWOL = A Woman On Lupron B2 = Baby Two (mailing list) BA = Baby Aspirin BBT = Basal Body Temperature BCP = Birth Control Pills BD = Baby Dance (sex) BG = Blood Glucose BMS = Baby-making Sex BSE = Breast Self-Exam BT = Balanced Translocation BW, b/w = Bloodwork C# = Cycle Number CAD = Carbohydrate Addict's Diet CB = Cycle Buddy CAH = Congenital Adrenal Hyperplasia CASA = Computer-assisted Semen Analysis CBAVD = Congenital Bilateral Absence of the Vas Deferens CCCT = Clomiphene Citrate Challenge Test (Clomid Challenge) CD = Cycle Day CD56+ = Natural Killer Cells CF = Cervical Fluid CM = Cervical Mucus CMV = Cytomegalovirus CNM = Certified Nurse Midwife COH = Controlled Ovarian Hyperstimulation COW = Curse of Womanhood (menstruation) CP = Cervical Position CVS = Chorionic Villae Sampling D&C = Dilation & Curettage D&E = Dilation & Evacuation DE = Donor Eggs DES = Diethylstilbestrol (a synthetic estrogen) DHEAS = Dihydroepiandrosterone Sulfate DI = Donor Insemination DIPI = Direct Intra-peritoneal Insemination DOST = Direct Oocyte-Sperm Transfer DPO = Days Post-Ovulation DPR = Days Post-Retrieval DPT = Days Post-Transfer DP3DT = Days Post 3-Day Transfer DP3DT = Days Post 5-Day Transfer Dx = Diagnosis E2 = Estradiol EB, EMB = Endometrial Biopsy EDD = Estimated Due Date ENDO = Endometriosis EPO = Evening Primrose Oil EPT = Early Pregnancy Test ET = Embryo Transfer ETF = Embryo Toxic Factor ETA = Embryo Toxicity Assay EW, EWCM = Eggwhite Cervical Mucus FASIAR = Follicle Aspiration, Sperm Injection and Assisted Rupture FBG = Fasting Blood Glucose FET = Frozen Embryo Transfer FHR = Fetal Heart Rate FP = Follicular Phase FSH = Follicle Stimulating Hormone FTTA = Fertile Thoughts To All FUR = False Unicorn Root FV = Fertile Vibes GD = Gestational Diabetes GIFT = Gamete Intra-fallopian Transfer GnRH = Gonadotropin Releasing Hormone GP = General Practitioner GTT = Glucose Tolerance Test HbA1c = Glycosylated Hemoglobin (also called Glycohemoglobin) hCG, HCG = Human Chorionic Gonadotropin HCP = Health Care Practitioner HEPA = Hamster Egg Penetration Assay hMG, HMG = Human Menopausal Gonadotropin HP = Hannah's Prayer (Christian infertility / pregnancy loss group) HPT = Home Pregnancy Test HRT = Hormone Replacement Therapy HSC = Hysteroscopy HSG = Hysterosalpingogram IBT = Immunobead Binding Test ICI = Intra-cervical Insemination ICSI = Intra-cytoplasmic Sperm Injection IF = Infertility IGTT = Insulin and Glucose Tolerance Test IM = Intra-muscular (WRT injections) INCIID = International Council on Infertility Information Dissemination IOR = Immature Oocyte Retrieval ITI = Intra-tubal Insemination IR = Insulin Resistant IUFD = Intra-uterine Fetal Demise IUGR = Intra-uterine Growth Retardation IUI = Intra-uterine Insemination IVC = Intra-vaginal Culture IVF = In Vitro Fertilization IVIg = Intravenous Immunoglobulin LAD = Leukocyte Antibody Detection Assay LAP = Laparoscopy LH = Luteinizing Hormone LIT = Leukocyte Immunization Therapy LMP = Last Menstrual Period (start date) LO = Love Olympics (sex) LP = Luteal Phase LPD = Luteal Phase Defect LSP = Low Sperm Count LUF, LUFS = Luteinized Unruptured Follicle Syndrome MAI = Miscarriage After Infertility (mail list) MC, m/c, misc. = Miscarriage MESA = Microsurgical Epididymal Sperm Aspiration MF = Male Factor m.h.i, mhi = misc.health.infertility newsgroup MIFT = Micro Injection Fallopian Transfer m.k.p, mkp = misc.kids.pregnancy newsgroup MMR = Measles-Mumps-Rubella Vaccine MRI = Magnetic Resonance Imaging NEST = Non-surgical Embryonic Selective Thinning NK = Natural Killer Cells (CD56+) NORIF = Non-stimulated Oocyte Retrieval In (office) Fertilization NP = Nurse Practitioner NSA = Non-surgical Sperm Aspiration O, OV = Ovulation OASIS = Overweight & Seeking Infertility Support (mail list) OB = Obstetrician OB/GYN = Obstetrician/Gynecologist OC = Oral Contraceptives OD = Ovulatory Dysfunction OHSS = Ovarian Hyperstimulation Syndrome ONNA = Oh No, Not Again (mail list) OPK = Ovulation Predictor Kit OPSS = Overweight & Pregnant Support (mail list) OPT = Ovulation Predictor Test OTC = Over The Counter OTTC = Overweight & Trying To Conceive (mail list) OW = Overweight P4 = Progesterone PA = Physician's Assistant PAI-1 = Plasminogen Activator Inhibitor-1 PANFERT = Pregnancy After Infertility (mail list) PCO, PCOD = Polycystic Ovary Disease PCOS = Polycystic Ovarian Syndrome PCP = Primary Care Physician PCT = Post Coital Test PESA = Percutaneous Epididymal Sperm Aspiration PG = Pregnant PI = Primary Infertility PID = Pelvic Inflammatory Disease PIO = Progesterone in Oil PLI = Paternal Leukocyte Immunization PMS = Pre-menstrual Syndrome PNM = Perinatal Mortality PNV= Pre-natal Vitamin POC = Products of Conception POF = Premature Ovarian Failure PROM = Premature Rupture of Membranes PTSD = Post-traumatic Stress Disorder PZD = Partial Zona Dissection RE = Reproductive Endocrinologist R-FSH, R-hFSH = Recombinant Human Follicle Stimulating Hormone RI = Reproductive Immunologist RIP = Reproductive Immunophynotype ROS = Reactive Oxygen Species RPL = Recurrent Pregnancy Loss RSA = Recurrent Spontaneous Abortion Rx = Prescription SA = Semen Analysis SART = Society of Assisted Reproductive Technology s/b, S/B = Stillbirth SCORIF = Stimulated Cycle Oocyte Retrieval In (office) Fertilization SHG, SonoHSG = Sonohysterogram SI = Secondary Infertility SIS = Saline Injection Sonogram SLE = Systemic Lupus Erythematosus SPA = Sperm Penetration Assay SPALS = Subsequent Pregnancy After a Loss Support (mail list) s.s.p.l, sppl = soc.support.pregnancy.loss newsgroup STD = Sexually Transmitted Disease SUZI = Sub-zonal Insertion T4 = Thyroxine TEBG = Testosterone-Estradiol Binding Globulin TESA = Testicular Sperm Aspiration TESE = Testicular Sperm Extraction TET = Tubal Embryo Transfer TL = Tubal Ligation TNF = Tumor Necrosis Factor TORCH = Toxoplasmosis, Other, Rubella, Cytomegalovirus and Herpes test TR = Tubal Reversal TRH = Thyroid-releasing Hormone TSH = Thyroid Stimulating Hormone TTC = Trying to Conceive TTCAR = Trying to Conceive after Reversal TTYTT = To Tell You The Truth TUFT = Trans-uterine Fallopian Transfer Tx = Treatment TZD = Thiazolidinediones UR = Urologist US, u/s = Ultrasound UTI = Urinary Tract Infection V = Vasectomy VR = Vasectomy Reversal WBC = White Blood Cells WHR = Waist to Hip Ratio WNL = Within Normal Limits ZIFT = Zygote Intra-fallopian Transfer ------------------------------------------------------------------------ 14.2 - GENERAL INTERNET ABBREVIATIONS AMAP = As Much As Possible AFAIK = As Far As I Know ASAP = As Soon As Possible AOL = America Online BB = Bulletin Board BBL = Be Back Later BBW = Big Beautiful Women BTW = By The Way DD = Dear Daughter, Darling Daughter DH = Dear Husband, Darling Husband DHAC = Don't/Doesn't Have A Clue DITD = Down In The Dumps DP = Dear Partner, Darling Partner DS = Dear Son, Darling Son DW = Dear Wife, Darling Wife FAQ = Frequently Asked Question(s) FWIW = For What It's Worth HTH = Hope This Helps IIRC = If I Recall/Remember Correctly IMHO = In My Humble Opinion, In My Honest Opinion IMO = In My Opinion IRC = Internet Relay Chat LMK = Let Me Know LOL = Laughing Out Loud (or Lots Of Luck) MIL = Mother In-law (also FIL, SIL, BIL for the others) NBD = No Big Deal NG = Newsgroup OT = Off Topic OTOH = On The Other Hand PITA = Pain In The Ass POA = Plan Of Action POV = Point Of View PV = Postitive Vibes ROTFL = Rolling On The Floor Laughing ROTFLOL = Rolling On The Floor Laughing Out Loud ROTFLMAO = Rolling On The Floor Laughing My A** Off SO = Significant Other TIA = Thanks In Advance TTFN = Ta Ta For Now TTYS = Talk To You Soon WB = Welcome Back WF = Warm Fuzzies WRT = With Respect To WWW = Wise Women of the Web YMMV = Your Mileage May Vary Also check glossary at: http://www.inciid.org/glossary.html This section Copyright (c) 1996, 1997, 1998, 1999, 2000, 2001, by Rebecca Smith Waddell. All rights reserved. The text from this acronym list may be distributed as long as copyright is attached and the use is not for profit. ________________________________________________________________________ ________________________________________________________________________ SECTION 15 - APPENDIX ------------------------------------------------------------------------ 15.1 - CHARTER FOR MISC.HEALTH.INFERTILITY CHARTER: misc.health.infertility This group would discuss all matters related to infertility (inability to become pregnant or the inability to sustain a pregnancy) from emotional support to medical problems and treatments. END CHARTER. Original discussions and votes can be found at: http://www.landfield.com/usenet/control/misc/misc.health.infertility http://www.landfield.com/usenet/news.announce.newgroups/misc/misc.health.infertility Have any comments? Contact mailto:bec@fertilityplus.org ______________________________________________________________________ ______________________________________________________________________ end of Infertility FAQ