A 32-year-old female, comes to our office for evaluation after three consecutive early pregnancy losses. Her first pregnancy was an anembryonic gestation diagnosed at 8 weeks, her second an early embryonic demise diagnosed at 8 weeks, and the most recent pregnancy ended in spontaneous abortion at 7 weeks. She has had no difficulty conceiving. She had early prenatal care for the first two pregnancies. Her initial prenatal visit for the third pregnancy was scheduled several days after the miscarriage. Read more
I know many of you personally, but for those I have not been acquainted with yet, let us do it now. My name is Dr. Irina, Ph.D., and I am a co-founder and a Medical Director of the international Surrogacy Agency Parents Life. Just a few words about me… In 1999, I graduated from the National medical university in Ukraine with a degree in “Obstetrics and Gynecology” and defended a Ph.D. thesis on Endocrine infertility. So far, I have 20 years of general work experience with 10 years of service in the maternity hospital. For over 15 years, I have been dealing with the female reproductive health and infertility management.
A 32-year-old woman presents to our office regarding difficulty conceiving. She and her partner have been attempting conception for 13 months. The patient reports regular every 28-day painful menstrual cycles since menarche at age 13. She reports her cycles have become more painful. Usually, her dysmenorrhea is relieved with nonsteroidal anti-inflammatory medications. However, while still happening occasionally, she is more frequently absent from work during menses due to pain. She denies a history of sexually transmitted infections and prior pelvic surgery. Her partner has no children. The referring provider initiated an evaluation and sent you results of a normal semen analysis demonstrating normal morphology, hysterosalpingogram demonstrating bilateral tubal patency and normal endometrial morphology, and day 21 progesterone consistent with ovulation. Pelvic ultrasonography showed a 6.8 cm retroverted uterus with a 3.4 cm left complex ovarian cyst with a “ground glass” background and one thin septation suggestive of an endometrioma cyst. The patient previously used barrier contraception and withdrawal. She used oral contraceptives for a brief interval, but discontinued them due to side effects. Read more
A 27-year-old woman presents to our office to discuss her fertility. She and her husband have been trying to conceive for the past year, and she has not yet become pregnant. She reports her menses have always been irregular, coming every 30 to 90 days and lasting about 7 days. Her last menstrual period was 8 weeks ago. Although they have been actively trying for 1 year, they have not used any contraception since their wedding 2 years ago. She denies any pelvic pain or dyspareunia. Read more
A 33-year-old woman presents to our office with her husband for an infertility evaluation after trying to conceive for 18 months without success. Her husband has not fathered a pregnancy before. She has a history of regular menstrual cycles and she has used ovulation predictor kits, which turn positive around cycle days 14-16. They time intercourse appropriately. She passed tests for thyroid-stimulating hormone (TSH), prolactin, follicle-stimulating hormone (FSH), and semen analysis, which were normal. Read more
A 32-year-old never having been pregnant woman presents to our office with her husband for infertility evaluation. They have been trying to conceive for 12 months without success, despite having intercourse 2 to 3 times per week. They have not sought infertility treatment until now because they are concerned about the cost of care. Read more
It gives us the opportunity to pause a bit and reflect on the important things around us – a time when we can look back on the year 2018 that has passed and prepare for the year 2019 ahead of us! Throughout the year passed, we took time to reflect upon the great things we had … Read more
Recurrent miscarriage is defined as the loss of all pregnancies detected in the intrauterine cavity. In human beings, the incidence of embryo wastage is estimated to be 30% before implantation, 30% before 6 weeks of gestation (biochemical pregnancy loss), and 10-15% of clinical pregnancies (miscarriages, mainly before 12 weeks of gestation). The accidental recurrent miscarriage rate can be estimated as a common clinical miscarriage rate, i.e. 10-15%. Patients with a history of recurrent miscarriage require screening for the risk factors for miscarriage. Read more
Unsuccessful pregnancy without a specific reason is stressful and unpleasant for most infertile couples, as well as their gynecologists. Candidates for unexplained infertility treatment are found in almost 15-30% of infertile patients who may not be able to become pregnant due to undetected causes after major fertility investigations. Candidate causes for unexplained infertility treatment are: a) oviduct dysfunction with tubal patency, incl. gametes and embryo transport disorder, as well as oocyte retrieval failure at the tube fimbria, b) fertilization failure, and c) implantation failure without organic lesion. Read more
Parents Life is the leading provider of fertility treatments to couples from Ukraine and abroad since 2013.