Our belief is that anyone with endo should be treated at the first suspicion of the disease. The inflammation that is caused by endo likely slowly damages the ovaries removing eggs at a faster than normal rate – hence infertility and earlier menopause. So instead of birth control pills for the adolescent, surgery with complete excision by a very experienced operator is the best course of action.
- Extremely painful (or disabling) menstrual cramps; pain may get worse over time
- Chronic pelvic pain (includes lower back pain and pelvic pain)
- Pain during or after sex
- Intestinal pain
- Painful bowel movements or painful urination during menstrual periods
- Heavy menstrual periods
- Premenstrual spotting or bleeding between periods
There is usually nothing that can be done to prevent male infertility caused by genetic problems or illness. However, there are actions that men can take to decrease the possibility of infertility. At JCRM, we offer and provide a thorough male evaluation and treatment program geared to identifying and treating all disorders of the male partner that could influence fertility. Potential male infertility will be assessed as part of a thorough physical examination. The examination will include a medical history regarding potential contributing factors.
For male patients who have had a vasectomy, JCRM can perform a Sperm Retrieval as an alternative to a vasectomy.
- A pre-existing genetic condition
- Use of alcohol, tobacco or other drugs
- Severe mumps infection after puberty
- Hernia repairs
- Hormone disorder
- Exposure to poisonous chemicals
- Exposure to radiation
- Blockage caused from a previous infection
- Wearing restrictive or tight underwear
- Injury to the groin area
- Early puberty
- Severe PMS or Premenstrual Dysphoric Disorder (PMDD)
- Unexplained Fatigue
- Premenstrual or Menopausal Migraines
- Breast tenderness & Swelling
- Weight gain
- Cystic Acne, Acne Rosacea, Dry Skin
- Vaginal dryness/Low libido
- Head hair loss/Facial Hair Growth
- Dysmenorrhea & Endometriosis
- Anovulatory Cycles
- Uterine Fibroids
- Ovarian Cysts
- PCOS (Polycystic Ovary Syndrome)
- Recurrent Miscarriage
Age Factor & Diminished Ovarian Reserve
As women age, their natural fertility potential begins to diminish. This phenomenon is universal and can be seen as early as age 30, becoming more pronounced over the next decade.
Diminished Ovarian Reserve (DOR) represents one of the more common causes of infertility and recurrent pregnancy loss and due to delayed childbearing, this has become a more prevalent condition in fertility patients. Simply stated, this process represents premature aging of the ovary. Women are born with their entire complement of eggs. When these are gone, menopause ensues. Each individual has a particular time line of ovarian function, which may not always match chronologic age. We will often evaluate ovarian function if there are signs of problems or in patients over 35 years of age. Signs include, short cycle interval, PMS symptoms, teenage pain with periods, and mother’s age at menopause <47 or so.
Recurrent Pregnancy Loss
Recurrent Pregnancy Loss is most distressing for patients. If this is your diagnosis, a comprehensive diagnostic evaluation will be provided. During this evaluation you will have several blood tests, an x-ray tubal dye study (HSG), ultrasound, and a Clomid challenge test to measure ovarian reserve. Based on the results of these studies we can further define your problem if any exist. Some patients may experience pregnancy loss on the basis of chance alone. We will make recommendations to you based on the results of your evaluation.
When you achieve a pregnancy during treatment, we will follow you very closely. Generally, weekly ultrasounds will be performed to evaluate for appropriate growth and development of the pregnancy. We reassure our patients that in the vast majority of patients, we are able to achieve a successful outcome to this most distressing problem.
We are here for you. JCRM's Infertility & Recurrent Pregnancy Loss Support Group meets the 2nd Thursday of every month from 6:30pm - 7:30pm at JCRM's Southpoint location.