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Diagnosis of Infertility From Letter A - Z
Infertility is defined as inability of a couple to conceive after 12 months of unprotected sexual intercourse or can not carry the pregnancy to full term. It effects over 5 millions couple alone in the U. S. and many times more in the world, because of unawareness of treatments, only 10% seeks help from professional specialist. In fact, More than 40% of infertility of a couple is caused by male inability to fertilize. Diagnosis is a analytics approach, after initial consultation and medical history and personal information have been taken from a patient or couple. The main objective conventional diagnosis is to find the causes of infertility, but unfortunately, it has less than 1% successful rate. We will try to give you the definitions of type of diagnosis in alphabet order.
Before reading the definition of types of diagnosis, you may want to know briefly what important information will be record on your personal file
I. General medical history
1. Any miscarriage, previous pregnancies and abortion.
2. Any ectopic pregnancy
3. Any previous surgery
4. Have you now on HRT.
5. Use of conceptive method, type of use
6. Any reproductive chronic pain including STD. urinary tract infection ad chronic diseases.
7. Medication you are taking now
8. Any medication of your mother during pregnancy to rule out infertility caused by birth defect
9. Your lifestyle.
II. Physical Exam in Female Patients
a) reproductive organs infection
b) Any previous reproductive organ surgery
c) Pelvic exam
d) Question related to genetic defect.
e) vagina exam
f) Uterus and cervix
g) Fallopian tube
l) Other general exam depending to your specialist (herbalist or others)
III. Diagnosis or test From Conventional Perspective from letter A to Z in Female patients
1. Antisperm antibody test
The antisperm antibody test is one of procedure which helps to see the antigens in the body to see the immune system function toward sperm invasion through blood test. If the immune system recognized or not the sperm as the foreign object and produces white blood cells to kill them.
2. Blood test
Routine blood test is not necessary for infertility women, but sometimes blood test is ordered to check for anaemia, blood type and antibody. Or sometimes to check estradiol, LH, FSH and progesterone.
3. Cervical test
Cervical test is the study of the cervical mucus thoughtout menstrual ccycles and to see the mucus is friendly to sperm invasion or not, there are 2 types of cervical test
With the Spinnbarkit is a self help kit, it can be done by the women at comfort at her own home to exam the mucus characteristics, because the mucus consistently change throughout menstrual cycle.
b) Postcoital test
This test is done just before ovulation to see the cervical mucus is friendy to sperm invasion.
4. Endometrial biopsy
Endometrial biopsy removes some tissue from the infertile women uterine lining to chech for any endometrial adhesion and implants.
It is a study of infertile women uterine abnormality by placing a small, thin with small telescope through the cervical canal to check the inside of uterus.
6. Ovulation test
Since failure of ovulation is account for over 25% of female infertility, your doctor may order ovulation test right after first visit. It helps to determine" Are the eggs produced each month?".
7. Progesterone test
Since progesterone is produced with high amount right after the eggs has emerged to stimulate ovulation because low levels of progesterone interferes with the ovulation of women menstrual cycle, causing infertility. Blood test is done at the 4 -9 days after predicted ovulation for women with 28 days cycle.
8. Radioimmunoassays (RIAs)
Radioimmunoassay (RIAs) is a very sensitive technique used to measure concentrations of antigens including levels of testosterone, LH, FSH, prolactin. It helps your doctor to determine that the infertility is not or caused by hormone imbalance of certain hormones during menstrual cycle.
9.Tubub patency test
It is the test to check the health of Fallopian tube and make sure there is no blockage in the tube with X ray examination. Normally, dye is injected through the cervix, it then fill the uterus and flows into the Fallopian tube, if there is blockage, the pressure may build up causing pain.
The use of high frequency in ultrasound exam to check for any abnormality in the region including the ovulation scan which is see when egg mature and when a women ovulates and the thickness of the uterine lining, etc.
11.Urinaryluteinizing hormone ( LH) test
This is an urinary test which is used to check the levels of LH to igentify the surge of LH just before ovulation. It usually use to determine the best time for a couple to have sex and the female partner getting pregnant. Pregnancy Miracle
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