Understanding Infertility Causes and Investigations
A simply and visual explanation of infertility causes and baseline investigations. I go through the basic anatomy and physiology of ovulation, conception and implantation and the ways in which pathology can prevent someone from becoming pregnant.
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DISCLAIMER: This video is for education and entertainment only, and is not medical advice. This video should NOT be used for medical advice or to guide clinical practice. The Zero to Finals content should not be used in any way to guide medical decision making. Zero to Finals takes no responsibility for any actions taken or not taken based on the information provided. Local and national guidelines and senior clinicians are there to help you make decisions, not YouTube videos. If you need medical advice or information, seek it from an appropriately trained and licenced doctor or healthcare provider that can address your individual needs. Zero to Finals cannot guarantee the accuracy of information in this video. Please highlight any errors you notice in the comments below - thank you.
Gynaecology - Infertility in Women (causes and pathophysiology)
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Reasons for infertility
Infertility affects many couples worldwide. This video walks through the background, causes of and treatments for infertility from both the male and female perspectives.
This video was made by Nicole Liu, Zoe Mackintosh, Aaron Hayat Imran and Leena Al Shenaiber in collaboration with the McMaster Demystifying Medicine Program
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This video is provided for general and educational information only. Please consult your health care provider for Information about your health.
Copyright McMaster University 2018
What I Learned From Struggling With Infertility
One mom shares what she learned from infertility struggles.
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WATCH MORE PLAYFULL EVERY SATURDAY: Calling all parents who need a laugh break, hacks and advice you’ll actually use, and the viral stories you’ll hear about at the school drop-off. From kids dressing up their dads to reviewing maternity clothes, consider Playfull your go-to playdate friends! We’re all in this together.
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Infertility in Men and Women: Causes, Diagnosis, and Treatment | Infertility Treatment for Women
Infertility manifests itself differently in men and women. The symptoms, causes, and treatment options vary for both male and female infertility. Before treatment, it is best to understand them.
Let’s talk about the #infertility symptoms in female first. These can include painful or irregular periods, pain during sex, non-occurrence of periods, symptoms of hormone fluctuations like thinning hair and skin issues. Infertility causes in women relate to the abnormal functioning of the uterus, ovulation disorders, or endometriosis.
Women infertility diagnosis can be conducted by looking at their medical and sexual history. The doctor can also opt for physical examination through ovulation and ovarian reserve testing, hysterosalpingogram (HSG), transvaginal ultrasound, or hormone testing. If a patient is diagnosed with infertility, women infertility treatment can be done through medication to boost fertility, surgical procedures, or ovulation induction. They can also undergo surgeries tubal surgery, myomectomy, or transvaginal ultrasound aspiration to restore fertility.
Infertility symptoms in men are different. They may notice reduced sex drive, testicle pain or swelling, or have trouble maintaining an erection, which can be symptomatic of infertility. Sometimes, it is caused due to genetic conditions. More frequently, infertility causes in men are hormonal disorders, sexual disorders, or abnormal production of sperms.
If you suspect infertility, it would be best to consult a doctor. They may recommend semen analysis, hormone testing, ultrasound (TRUS), scrotal doppler, genetic testing, or testicular biopsy to make accurate male infertility diagnosis. The primary mode of treatment could be medication to boost sperm count. Otherwise, some surgical options available for male infertility treatment are varicocele surgery, vasovasostomy, vasoepididymostomy, and transurethral resection of ejaculatory duct (TURED).
Today, there are Assisted Reproductive Techniques (ART) that can help to boost fertility and lead to pregnancy. Some of them are:
Intrauterine Insemination (IUI) - transferring sperm into the woman’s uterus
In-vitro Fertilization (IVF) - Fertilizing an egg in a lab by using natural selection.
Intra-cytoplasmic injection (ICSI) - Fertilizing an egg in a lab by using manual selection.
Vitrification - freezing eggs or sperms to be used later.
Currently, the success of the above procedures depends on the woman’s age, and they are most successful in women below 35 years of age.
Infertility can also be prevented by adopting healthier habits. To maintain good fertility, one should exercise regularly, engage in regular intercourse, avoid alcohol and smoking, reduce caffeine intake and exposure to toxins, and maintain a healthy weight.
Watch the video to learn more about medical technology that can help combat infertility.
Like the video and share it with your friends and family to spread awareness!
Chapters:
0:00 Intro
0:34 Infertility
0:46 Infertility Causes in Men
1:03 Infertility Causes in Women
1:25 Infertility Diagnosis
3:16 Infertility Treatment for Women
4:55 Intrauterine Insemination, IVF, ICSI
5:50 Fertility Tips
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Get Pregnant Fast with Unexplained Infertility
Unexplained infertility is frustrating but there are fertility treatments to help you get pregnant fast.
Dr Randy Morris MD-The BOARD CERTIFIED fertility expert with weekly TTC tips on InfertilityTV
Unexplained infertility is perhaps the most frustrating diagnosis to have. You have been trying to get pregnant, have done a whole bunch of tests and everything comes back normal. So what do you do? Find out on today’s episode of infertility TV
First make sure you have completed all of the standard infertility tests. You should have checked to make sure you ovulate, that your uterus is normal and fallopian tubes are open, that your ovarian reserve is normal, an ultrasound of your pelvis is normal, your thyroid is functioning as it should and your husband has a normal semen analysis and CapScore
If all of those tests are normal, then you can consider a few different treatments to speed up the time it takes for you to get pregnant. All of these treatment have two things in common. They use some kind of fertility medication and some method to increase the chance of getting his sperm to meet your egg.
Let's start with the easiest treatment. This uses the fertility medication called Clomid or clomiphene citrate. The idea here is that normally you release only one egg each month. USing Clomid, you can increase the number of eggs released and have a better chance that one of those eggs will get fertilized and implant in your uterus.
It's very important that your doctor monitors you to determine when you ovulate. At the time of ovulation, instead of just having intercourse alone, consider having an IUI or intrauterine insemination. This will increase the number of sperm that gets into your fallopian tubes and increase the chance for pregnancy. This is true even if your partner has normal sperm testing.
You can try clomid with IUI up to four times. If you are still not pregnant, consider moving to a different treatment.
Another option is to use injection of fertility medication instead of clomid. Injections, like Follistim or Gonal F are more potent than Clomid. It is common to get more eggs to develop. As a result, the pregnancy rates with injections are higher than for Clomid. You should also do IUI with injections.
A word of caution here. The pregnancy rates are better which is great but there is a higher risk of having a multiple pregnancy compared to Clomid. And we are not just talking twins. There is a higher chance for having triplet quadruplets or even more.
One of the best treatments for unexplained infertility is IVF. The pregnancy rates are higher than they are for any other treatment. An added advantage is you get more control over your risk of multiple pregnancy. The best IVF programs in the world in 2019 put one embryo at a time into the uterus and so the risk for a multiple pregnancy is only a few percentage points.
There you have it! Three great tips for how to get pregnant fast with unexplained infertility.
#unexplainedinfertility #infertilitytreatment #fertilitytreatment
Infertility TV is your weekly source for the best medical information if you have infertility, recurrent miscarriage or are just trying to conceive. (TTC). InfertilityTV covers infertility testing, fertility treatments such as Clomid, Follistim and Crinone and fertility treatments like IUI and IVF (in vitro fertilization)
One of the most popular playlists on InfertilityTV are the TTC tips which are great even you are not struggling with infertility
Dr Morris is a practicing IVF and infertility expert who sees patients at IVF! located in the Naperville Fertility Center.
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Gabrielle Union Opens Up About Infertility
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Actress and author Gabrielle Union reveals why she wanted to go public about her fertility struggles and her personal experience with unsuccessful IVF treatments and multiple miscarriages.
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Unexplained Infertility: A Fertility Doctor Explains the Treatment Options
Board certified OBGYN and REI, Dr. Natalie Crawford, MD, reviews unexplained infertility. Unexplained infertility is when couples do not have a known reason for their infertility. After testing sperm, ovarian reserve, ovulation, and uterus, tubes - and everything comes back normal, many couples are frustrated! Learn about the research guiding us on making infertility treatment decisions.
Reviewed in this video:
What is unexplained infertility?
How is unexplained infertility diagnosed?
Can you still get pregnant with unexplained infertility?
What are your treatment options with unexplained infertility?
Clomid
Injectable hormones (gonadotropins)
Intrauterine Insemination (IUI)
In vitro fertilization (IVF)
In this episode discussed:
Fritz and Speroff, Clinical Gynecology Endocrinology and Infertility, 8th edition, 2011
Reindollar, Richard H. et al. A randomized clinical trial to evaluate optimal treatment for unexplained infertility: the fast track and standard treatment (FASTT) trial. Fertility and Sterility, Volume 94, Issue 3, 888 - 899.
Goldman, Marlene B. et al. A randomized clinical trial to determine optimal infertility treatment in older couples: the Forty and Over Treatment Trial (FORT-T). Fertility and Sterility, Volume 101, Issue 6, 1574 - 1581.e2
#fertility #infertility #nataliecrawfordmd
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Sharing fertility facts to educate women about trying to conceive, getting pregnant, ovulation, fertility treatments, IUI, IVF, becoming a doctor, life as a woman in medicine, and more.
What to know about male infertility l GMA
Dr. Jennifer Ashton discusses what to know about male infertility, which is a factor in approximately 35% of couples struggling to conceive.
#GMA #IVF #Fertility #Baby #Pregnancy #goodmorningamerica
Male infertility: The secret shame of having no sperm - BBC News
Male infertility is now the most common reason for couples to seek IVF - but men often feel alone.
And the stigma is such that – despite male infertility being as common as female infertility – men feel alone and suffer in silence.
The Victoria Derbyshire programme’s Adam Eley looks at what needs to be done.
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Every Step of My 8 Year Journey With Infertility and Surrogacy | Glamour
Candace shares her experience with infertility, IVF, adoption and surrogacy.
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Every Step of My 8 Year Journey With Infertility and Surrogacy | Glamour
PREGNANT AFTER 15 YEARS OF INFERTILITY - Q&A
Hey guys!! I cannot even believe this is a video that I am able to film, today is a Q&A about finally getting pregnant after YEARS of infertility!!! I am going to answer all of your frequently asked questions, and I will timestamp them as well below in case you want to skip around.
I sort of answer things here and there throughout, discuss my symptoms, how i've been feeling mentally, coming to terms with never being a mother and then having to come to terms with the fact that I AM going to be a mom. This has been an absolute emotional rollercoaster, and getting to the point where I can even begin to accept that I am going to have a baby.. we are going to be parents.. is the hardest thing I can explain. I KNEW in my heart and soul I would NEVER get pregnant, so this is a shock to say the absolute least.
I know when I am speaking about this, shock is the main emotion I convey - But DO KNOW that we are SO SO SO unbelievably happy, elated & SO excited. I think when we can FINALLY see that the baby is growing, happy and healthy (at the 20 week ultrasound) I will be able to be FULLY relaxed and be able to accept that this is FULLY HAPPENING. Right now, I still have a LOT of anxiety about my body failing me and causing problems for the baby, so every time I see or hear the baby, its like music to my ears!
I have such bad health related anxiety, that I was SO certain something might go wrong. Before the first ultrasound, I was certain it would either be ectopic or no heartbeat - I was wrong. Before we heard the heartbeat, I was certain they wouldn't find it - they did. When they did the genetic testing to see if I was a carrier of something that could be passed on to the baby, I was SURE I would be - and I wasn't. My anxiety stops me from fully enjoying anything, because of the fear of the unknown - but I am now trying to FULLY allow myself to enjoy and embrace this pregnancy, and that is an unbelievable and amazing feeling.
I am 16 weeks pregnant *my weeks turn over on Saturdays, the day I filmed this video*
Everything else is answered in the video!
TIMESTAMPS BELOW
1:45 - Infertility History - did we try for this? Why was I infertile? Was this planned, Why did I test, How long have I known?
15:54 - Did keto help me get pregnant?
18:40 - Are me and baby high risk due to the infertility history?
19:37 - How am I handling/treating cluster headaches while pregnant?
22:42 - Did I film my husband/families reactions?
22:54 - Are my cats treating me any differently? Do they notice?
23:08 - I know you accepted not being a mom, do you feel its the right time in your life to have a baby or do I wish It happened at another time?
29:19 - What is my due date?
29:31 - Pregnancy Symptoms - how am I feeling?
44:17 - Do we know the s*x of the baby yet?
44:37 - Would I ever consider daily vlogging/being a fam vlogger?
45:53 - Any baby names?
46:04 - What are we the most excited about/nervous about?
48:38 - My rare condition in pregnancy
50:00 - How did my doctors react?
50:26 - Any weird food cravings?
51:11 - Birth plan?
53:46 - What is the strangest or most surprising thing physically you have felt?
54:27 - Will you be filming the process of creating the nursery/babies room?
55:16 - Crazy how you wouldn’t be where you are today if you were able to get pregnant when you were TTC back in 2011 - Thoughts?
56:09 - What do you think the s*x of the baby is if you had to guess?
56:57 - Belly shot at 16 weeks pregnant
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Infertility: Preconception Health
This video focuses on being healthy before, during, and after ART treatment, with a special consideration of health behaviors that could enhance fertility treatment outcomes and promote health after ART success (e.g., pregnancy and live-birth).
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Permanent Sterilization and Infertility - Preconception - Maternity Nursing @Level Up RN
Meris Shuwarger, BSN, RN, CEN covers permanent sterilization and infertility. The Maternity Nursing video tutorial series is intended to help RN and PN nursing students study for nursing exams, including ATI, HESI, and NCLEX.
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#Preconception #Sterilization #Infertility
00:00 Intro
00:32 Permanent Sterilization
3:50 Infertility
7:18 What's next?
7:47 Personal note..
Infertility when everyone else is pregnant | Kati Morton
I'm Kati Morton, a licensed therapist making Mental Health videos!
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An Approach to Male Infertility
A discussion of the causes and evaluation of male infertility.
0:00 Introduction
2:39 Overview of normal reproductive physiology and anatomy
6:36 Causes of male infertility
13:14 Evaluation of a patient with infertility
19:15 Summary
#infertility #clinicalreasoning #FOAMed
Can the COVID-19 vaccine cause infertility?
Dr. Jen Ashton answers your latest coronavirus and health questions.
What It's Like To Get Diagnosed With Infertility In Your 20s | Bustle
Imagine learning of your infertility diagnosis before you've even had an opportunity to think about whether or not you want to have kids. Jordan Davidson, an NYC based journalist and author, was 24-years-old when she learned that she was premenopausal.
Getting a clear diagnosis for any chronic condition is rarely a straightforward process. We're sharing stories from people like Jordan to help shed light on people's relationships to their health.
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If you or someone you know is seeking guidance on infertility concerns, visit the
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Infertility - CRASH! Medical Review Series
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(Disclaimer: The medical information contained herein is intended for physician medical licensing exam review purposes only, and are not intended for diagnosis of any illness. If you think you may be suffering from any medical condition, you should consult your physician or seek immediate medical attention.)
Infertility: The Hidden Struggle | Jessica Bourke | TEDxDunLaoghaire
With fourteen years of clinical experience dealing with fertility issues, Jessica has gained a reputation for helping people to conceive where everything else has failed. Jessica is co-author of the ‘Guilt Free Gourmet’, and regularly features in Irish media. She has also featured as the ‘Ask the Expert’ on herfamily.ie and rollercoaster.ie. As your ‘Fertility Detective’, Jessica’s goal is to help her clients get pregnant and stay pregnant!” With fourteen years of clinical experience dealing with fertility issues, Jessica has gained a reputation for helping people to conceive where everything else has failed. Jessica is co-author of the ‘Guilt Free Gourmet’, and regularly features in Irish media. She has also featured as the ‘Ask the Expert’ on herfamily.ie and rollercoaster.ie. As your ‘Fertility Detective’, Jessica’s goal is to help her clients get pregnant and stay pregnant!” This talk was given at a TEDx event using the TED conference format but independently organized by a local community. Learn more at
What causes infertility in men and what treatments are out there?
Male infertility is the inability of a man to cause pregnancy in a woman. Infertility in men can be caused by numerous factors, including underlying medical conditions or a naturally low sperm count. Mr Michael Booker, a fertility expert, explains male infertility and how it can be treated.
To discuss male infertility treatment options, make an appointment with Mr Booker:
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Acupuncture Treatment for Infertility: Elizabeth's Story
Acupuncture is a safe and effective tool to help in the pre-conception, pregnancy and post-delivery phases of a fertility journey. Read more about Elisabeth's story:
Reproductive Endocrinology And Infertility | Why Choose UCLA Health?
The global pandemic has rendered many elements in life challenging - especially for you. How do you choose the next step in your journey without stepping foot on an academic medical center's campus?
Experience for yourself what the David Geffen School of Medicine and UCLA Health have to offer, the people you would know, and the life you would lead.
This Is What Infertility Really Looks Like | Shara Hutchinson | TEDxColumbusWomen
Infertility and pregnancy loss are often taboo subjects, however, after an 8 year battle with both, Shara Hutchinson, author of I Still Want To Be A Mom, breaks her silence on these topics. She shares her gripping story and introduces the concept that it takes a “village” to support those dealing with infertility and loss. She gives advice to “the village” on how to interact with those struggling to conceive or to maintain a pregnancy. Shara Hutchinson is the author of I STILL Want to Be a Mom: An Inspirational Guide to Help Women Struggling with Infertility. She is also the founder of the I Still Want To Be A Mom Foundation . This organization was founded to educate, inspire, and support women diagnosed with infertility. After an 8-year journey with infertility and loss, she is on a mission to raise awareness on these topics while encouraging those affected. This talk was given at a TEDx event using the TED conference format but independently organized by a local community. Learn more at
The Reproductive Endocrinology and Infertility Fellowship at Mount Sinai
Can the COVID-19 Vaccine Cause Infertility?
There is currently no evidence that any vaccines, including COVID-19 vaccines, cause female or male fertility problems—problems getting pregnant.
For more information, visit
Topic 48: Infertility
The Association of Professors of Gynecology and Obstetrics (APGO) Medical Student Educational Objectives define a central body of women’s health knowledge, skills and attitudes that are fundamental to the practice of a general physician, and are intended to provide clerkship directors, faculty and students with a resource for curriculum development, teaching and learning. The companion videos to the APGO Objectives are meant to supplement the interactive online Objectives, teaching cases and outlines available to APGO members at apgo.org/educational-resources/apgo-medical-student-educational-objectives.
Reproductive Endocrinology & Infertility - Fellowship Keck School of Medicine o
What are the common signs of infertility in women? | Cloudnine Hospitals
Cloudnine Expert, Dr. Meghana D Sarvaiya shares her insights on how to know the signs of infertility in women. Watch this video to know more.
To know more, visit cloudninecare.com.
#CloudnineExpert #C9HealthTalk
Male Infertility Causes and Treatments | Fertility Doctor Explains
In approximately 40 to 50 percent of infertility cases, a male factor is present and is either causing the couple’s inability to conceive, or contributing to the cause. This can include a low sperm count (oligospermia), no sperm count (azoospermia), or decreased sperm motility (asthenospermia). Dr. Paul Shin, Reproductive Urologist at Shady Grove Fertility, answers the following questions:
0:00 How common is it?
0:54 Lifestyle changes
2:38 Testing
5:19 Age
7:55 Treatments
9:29 Why see a Reproductive Urology
**This video and all content on this channel are for educational purposes only and are not a substitute for professional medical advice, treatment, or diagnosis. If you would like to speak with one of our fertility specialists you can schedule an appointment at