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ICSI or IVF?

  These two terms are very frequently mentioned during each one of your visits to the fertility clinic. Both of them imply different techniques using the same gametes, sperm and egg.   ICSI stands for Intra Cytoplasmic Sperm Injection. This is a technique, which takes one sperm inside a needle, and the sperm is then injected into the egg.   IVF stands for the In Vitro Fertilization technique, which is the placement of a sperm sample on a dish containing one or more eggs. This way the sperm will naturally penetrate de egg.   Both techniques are complex and require to be performed in an embryology laboratory.   Doctors usually have different criteria to decide if a patient goes to ICSI or IVF. Some of the criteria to do ICSI are:   Poor quality sperm. This can be shown either in the quantity, motility or morphology. Patients over 40 years old Prior IVF failures Borderline sperm DNA fragmentation   Criteria to consider IVF:   Good quality sperm. This has to be shown

Surrogacy. The true gesture of kindness.

There is a whole lot of information regarding this procedure online. There are books informing patients and doctors experiences with it. Leaflets can be found in fertility clinics explaining about it. However, we do receive many weekly emails asking about the procedure, what does involves, how is it done, the risks, tests needed, etc., and it makes me think there is still too much more to be known. I can start by saying surrogacy is a kindness gesture a human can shown to life. It is the way a woman collaborates with other in order to make possible the growth of a baby. A woman gets pregnant with the future known intention of handing over the child to someone else after gibing birth. It is usually done using someone else’s gametes.   Today several patients need surrogacy, because of many reasons, they might not have uterus, they have a disease, they are a same sex couple, etc. A team of professional experts in surrogacy evaluates the need of the procedure and will advice the steps

Fertility Spa.

It will be the ultimate, luxurious relaxing experience. As a fertility specialist I always though there was a gap in the field for patient’s wellbeing. I used to treat patients that underwent fertility procedures and asked me if there was a range of products dedicated to anxiety, stress-management and to help them prepare for the procedure, during the procedure and even after the procedure was performed. I decided to look for alternatives and none of them seemed to work well with the intention we had, which was offering the patient relaxation and wellbeing. There is no need to buy expensive products with claims of increasing the chances of success, or to undergo stressful therapies for getting miraculous results. The patient’s needs are specific and vary with each step of their fertility procedure. It is different a patient who is just coming to the clinic for consultation than one already being prepared for a procedure, and one that finished the procedure. The anxiety levels are

Biological and Non-biological causes of Infertility

  There is an extensive information regarding the main causes of infertility. There are biological physical causes related to our bodies and non-biological causes related to our energy and well-being. Regarding to biological causes we can separate them in female and masculine causes. The female causes are: – Ovulation disorders: these ones can be related to hormonal disorders, which prevents the egg to be released from the follicle of the ovary. These hormonal disorders may be related to genetic predisposition, disorders in our diet, tumours, injuries. Causes of these disorders can be related to polycystic ovarian disease, hyperprolactinemia, hypogonadotrophic hypogonadism, hypergonadotrophic hypogonadism. – Endometriosis: which is presence of endometrial tissue outside the uterus. This can be painful and affect the function of the ovaries. – Fallopian tube damage or blockage:.. Continue reading The post Biological and Non-biological causes of Infertility appeared first on

What is fertility online for?

  Through this blog I will communicate the discoveries I’ve made during my fertility experience. It has been a broad experience fulfilled with new discoveries, understanding and respect for the field of life. I am sure many of the patients coming here will find comfort to several questions they may have, as a way to learn to understand what is the best way to prepare for a fertility treatment. There is too much information out there, textbooks, magazines, internet; they all are a rich source of information. However, this information might be misinterpreted or confusing for most patients, even discouraging. There is no need to feel that way if you can find a resource with most of the answers to basic questions. We all feel a negative sensation when something is not working properly in our bodies. We are afraid of changes and trying new things. But is important to learn it does not have to be so difficult. It can be accomplished. What is life? it is the opportunity we have to live

A bridge between Worlds. Witnessing life and death.

A bridge between Worlds. Witnessing life and death. By Lucy Coleman, MD. How to describe the feeling of witnessing what I call “the bridge” between dimensions and realizing that feeling was always there, waiting to be explored further and understood in a deeper spiritual sense. The feeling is unimaginable. And this was my experience. I am a doctor, specialist in Reproductive Medicine, a scientist, a former believer that everything could be demonstrated, even the things that have not being demonstrated yet, because their time to be demonstrated it is about to come. Now I know everything has a time. I dedicated my entire life to science and medicine, believing that science had most of the answers. And most times found the explanation I was looking for, because it seemed they had the correct and scientific logic for most of the phenomena occurred in nature. My beliefs were that we had all the tools to find answers, explanations, reasons and logic. That was a fact until now, because

Fertility treatments for gays, lesbians and unmarried persons. Is it a matter of ethics?

In occasions we have to make decisions that will definitely impact the future of the world in many ways. Some people argued that being gay comes with genetics. There is a great article about this topic I would like to refer to ( In this study Kenrick Vezina makes a pretty good work at understanding the claims of some geneticists regarding genetics homosexuality. Michael Bailey, a geneticists from Northwestern University and Kevin Mitchell from Trinity College in Dublin claimed homosexuality has a very strong genetic component linked to the Y chromosome. For what I understood in their work there is a difference between sexual preference and sexual orientation, being the later related to the Y chromosome. Preference is whether you are attracted to males or females, however orientation is the one linked to that Y chromosome and it is moderately heritable. There are regions on this chromosome that influence the development of sexual orientation in men. They say there is no universal pat

“The non-biological causes of Infertility”

  To read this, I recommend you to have a look at some of my other articles, that way it will be easier to understand. I need you to have an open mind. The article “Biological and non-biological causes of infertility” there contains explanations about all the biological causes. However, even though many patients present with biological causes, an increased majority are aware there is something else involved, and is not biological. Once the non-biological causes are acknowledge, it will be easier to understand. We humans are composed of matter. There is matter everywhere inside us. Matter is the connection with the physical world we live in. As we are submerged in our material or physical world there are ways to connect with the non-material world. It is possible to feel that connection with the non-physical world in several ways. Most people do not know this, or they prefer to ignore it because it makes it easier for their lives. I was one of them, one of the most skeptical of al

Principles of Oocyte and Embryo Donation

Principles of Oocyte and Embryo Donation | Review by Lucy Coleman. Interesting book for professional practicing in human reproduction Amazon Review: This is the definitive reference on the medical, surgical, legal, and ethical aspects of establishing and maintaining an office-based egg donation program. The editor has assembled an international list of authors with known expertise in this rapidly expanding field. The clinical procedures are clearly depicted in the book`s many line drawings and photographs. Category: Books .. Continue reading The post Principles of Oocyte and Embryo Donation appeared first on Fertility Online

The Little Book of MEDICAL Breakthroughs Hardcover – 2010

The Little Book of MEDICAL Breakthroughs Hardcover – 2010 | Review by Lucy Coleman. Comment: Useful and interesting little book that covers interesting facts we sometimes forget that exists today, and they are possible thanks to our amazing researchers. Amazon Review: professional and everyday resources in healthcare Category: Books .. Continue reading The post The Little Book of MEDICAL Breakthroughs Hardcover – 2010 appeared first on Fertility Online

The Science of Interstellar 1st Edition

The Science of Interstellar 1st Edition | Review by Lucy Coleman.   Comment: I watch the movie Interstellar and believe it is the best movie ever. I had to watch the movie several times to understand most of the physics involved on it. When I got this book, Kip Thorne explained everything in so much detail, that I understood absolutely everything. Amazon Review: A journey through the otherworldly science behind Christopher Nolan’s highly anticipated film, Interstellar, from executive producer and theoretical physicist Kip Thorne. Interstellar, from acclaimed filmmaker Christopher Nolan, takes us on a fantastic voyage far beyond our solar system. Yet in The Science of Interstellar, Kip Thorne, the physicist who assisted Nolan on the scientific aspects of Interstellar, shows us that the movie’s jaw-dropping events and stunning, never-before-attempted visuals are grounded in real science. Thorne shares his experiences working as the science adviser on the film and then moves on t

Bob Harper: Pure Burn Super Strength

Bob Harper: Pure Burn Super Strength | Review by Lucy Coleman. This is a great routine for people looking to loose weight on a healthier way Amazon Review: Bob Harper: Pure Burn Super Strength No muscle goes untrained. A Get Cut Revolution for the upper body, lower body and core. 35 power surging moves, set to a dynamic pace, delivering an intensified burn that works to aggressively increase metabolism, attack fat, and exhaust calories so you lose weight and gain pure muscle. Get the results you have been looking for. Category: Books .. Continue reading The post Bob Harper: Pure Burn Super Strength appeared first on Fertility Online

Skinny Meals: Everything You Need to Lose Weight-Fast! (Skinny Rules)

Skinny Meals: Everything You Need to Lose Weight-Fast! (Skinny Rules) | Review by Lucy Coleman.   Comment: This is exactly a how-to-book. It is a continuation of the first book about the skinny rules and covers again his skinny rules with recipes and ways to learn how to stick to those. As quoted in amazon: In The Skinny Rules, super-motivator Bob Harper introduced the twenty nonnegotiable eating and lifestyle principles that pave the way to quick and permanent weight loss. Since then, thousands of fans asked for more guidance and inspiration! Skinny Meals answers the call, delivering 100 new Skinny Rules–abiding recipes (all of them under 350 calories!) and a month’s worth of new menu plans that will satisfy you at every meal. From an Apple Pie Shake for breakfast to Zucchini Noodles with Avocado Cream Sauce for dinner, Bob has done all the tricky calorie, protein, carb, sodium, and fiber counting so you can meet his Rules goals without even thinking about them! With easy, prepar

The Skinny Rules: The Simple, Nonnegotiable Principles for Getting to Thin

The Skinny Rules: The Simple, Nonnegotiable Principles for Getting to Thin | Review by Lucy Coleman. Comment: Bob Harper has been my trainer guru. A friend recommended me his book a few years ago, and my life changed. I feel I live with his rules in my head all the time. I learned to respect my body, and to think before eating anything about how much good or bad it will do for me. The great fact about this book is that covers every one of the rules with detailed explanations, this way it makes it easier to follow because we do know now what really happens when we do or eat anything. I read it all and sometimes read it again to refresh a few topics. I have recommended this book to most of my friends and they have it now. Amazon Review: With so much conflicting weight-loss advice out there to confuse your efforts, it’s no wonder you haven’t been successful losing weight and keeping it off. But with Bob Harper, superstar trainer and co-host of NBC’s hit show The Biggest Loser as

Answers about the Afterlife: A Private Investigator’s 15-Year Research Unlocks the Mysteries of Life after Death

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Understanding Bioethics and the Law

Understanding Bioethics and the Law: The Promises and Perils of the Brave New World of Biotechnology | Review by Lucy Coleman. xxxxxxxx Amazon Review: In this book, Schaller provides a thorough examination of the impact of biotechnology and biomedical advances on the everyday lives of people in modern society. Individuals and institutions are increasingly faced with a growing number of critical personal and ethical decisions that present themselves at all stages of life, from birth to death. These issues include the physician-patient relationship, informed consent, confidentiality and privacy, reproductive choices, end-of-life choices, health care, drug choices, and the allocation of scarce resources such as human organs, sperm, and eggs. In the absence of policies, we turn increasingly to the courts to resolve these issues. Schaller illuminates the role of the law in bioethics controversies. Category: Books .. Continue reading The post Understanding Bioethics and the L

Understanding Bioethics and the Law: the promises and perils of the brave new world of biotechnology

Comment: quoting amazon: In this book, Schaller provides a thorough examination of the impact of biotechnology and biomedical advances on the everyday lives of people in modern society. Individuals and institutions are increasingly faced with a growing number of critical personal and ethical decisions that present themselves at all stages of life, from birth to death. These issues include the physician-patient relationship, informed consent, confidentiality and privacy, reproductive choices, end-of-life choices, health care, drug choices, and the allocation of scarce resources such as human organs, sperm, and eggs. In the absence of policies, we turn increasingly to the courts to resolve these issues. Schaller illuminates the role of the law in bioethics controversies.     .. Continue reading The post Understanding Bioethics and the Law: the promises and perils of the brave new world of biotechnology appeared first on Fertility Online

10 things patients undergoing fertility treatments should not listen to.

  It is already hard to decide to undergo a fertility procedure. Long waits at the clinic, facing difficult tests, questioning your lifestyle, making assumptions of the percentage of success, etc. There are so many things that we can mention here and the list is endless. However, there are recommendations I give to all my fertility patients, based on experience with other patients and based on my own experience as a fertility doctor. There are things that you need to avoid listening to once you become a fertility patient. It is highly recommended you follow my advice.   What is your diagnose? Do you have any changes? this is a very common one when patients wait at the clinic. The room is filled with patients undergoing fertility procedures, filled with doubts and questions, and a good form of validation is to listen they have been given the same diagnose or treatment as the others. Remember, every patient is different and you might not receive the same treatment as your colleague

Biological Thermodynamics

Biological Thermodynamics | Review by Lucy Coleman. I wrote an interesting article regarding thermodynamics thanks to this book. I am glad Dr. Donal Haynie took the time to make notes of so many biological events and their relationship with physics and thermodynamics. He related most of the biological events with the reason of biophysics. This book provides an introduction to the study of energy transformation in the biological sciences. He also uses basic concepts that will be easy to grasp by any medical or scientific student. Amazon Review: This inter-disciplinary guide to the thermodynamics of living organisms has been thoroughly revised and updated to provide a uniquely integrated overview of the subject. Retaining its highly readable style, it will serve as an introduction to the study of energy transformation in the life sciences and particularly as an accessible means for biology, biochemistry and bioengineering undergraduate students to acquaint themselves with the ph

Reproductive Endocrinology and Infertility: The Requisites in Obstetrics & Gynecology

Reproductive Endocrinology and Infertility: The Requisites in Obstetrics & Gynecology | Review by Lucy Coleman. This is my favourite book in human reproduction. It is very concise, complete and explains the exact subjects that every specialist in human reproduction needs to know. I carry it with me everywhere. The section about steroids and prostaglandins is really great and helped me understand about their receptors and the role of each one of them in every tissue of the human body. Amazon Review: During the last decade, health care providers have made great strides in the diagnosis and treatment of infertility-a condition that affects 50-80 million people worldwide. This first volume in the new Requisites in Obstetrics and Gynecology Series thoroughly examines every aspect of reproductive endocrinology and infertility from normal menstrual cycle and pubertal development, through to management of a full range of common pathologic conditions and the role of human sexuality

A Textbook of in Vitro Fertilization and Assisted Reproduction

A Textbook of in Vitro Fertilization and Assisted Reproduction: the Bourn Hall Guide to Clinical and Laboratory Practice | Review by Lucy Coleman. I trained mostly in United Kingdom and, as many specialists in the reproductive field know, it is one of the most regulated countries with respect to human reproduction. This book covers most of the protocols used in the United Kingdom, and I believe many specialists should read through and take most of the content. It is a book that includes several different protocols and laboratory settings. Having worked and several countries I know it is sometimes difficult to get used to different laboratories. After reading the book I took my own ideas of my own protocols of work, according to the Human Fertilisation and Embryology Authority and it has been the same way since. It has a new version and I believe it might be as good as this edition. Amazon Review: This is an enlarged, updated, color-illustrated new edition of the definitive cli

Thermodynamics and reproduction. Where the energy comes from?

How can we describe energy? Energy is a property that cannot be created or destroyed. It is also a mechanical work or heat in thermodynamic language. However, it is really difficult to describe what is energy in biological systems. British physicist Lord Kelvin once said: “There is nothing new to be discovered in physics now. All that remains is more and more precise measurement.” Thermodynamics is mainly a matter of discovering and then using the principles, or laws, that govern energy transformations and working out the relationship between those principles (1). The First Law of Thermodynamics related heat, work and internal energy. It tells us that energy can neither be created nor destroyed, despite being able to change form; the total energy of a reaction, and indeed of the universe, is constant. The First Law tells us with breathtaking generality that a boundary on the possible is a basic characteristic of our universe (2).     The Second Law of Thermodynamics makes biolog

Clinical Reproductive Medicine and Surgery. My Review

Clinical Reproductive Medicine and Surgery. My Review by Lucy Coleman. This is an oldest edition but it is one of my favourite ones. This book was my guide through all my learning about the scientific and medical field in human reproduction. I believe every future specialist should have it. Amazon review: Clinical Reproductive Medicine and Surgery is the new, definitive resource in reproductive medicine. This unique text offers detailed discussion on both the medical and surgical management of reproductive disorders, as well as coverage of associated imaging modalities. Included are chapters on Reproductive Genetics, Management of Endometriosis (including interventional radiology), Ultrasonography and Sonohysterography, Preservation of Fertility, and Recurrent Pregnancy Loss. A resource every practitioner interested in Reproductive Endocrinology and Infertility needs! Offers detailed discussion of medical and surgical management of reproductive disorders … No other text offer

The Reproduction Bundle: Human Preimplantation Embryo Selection. My Review

The Reproduction Bundle: Human Preimplantation Embryo Selection. My Review by Lucy Coleman. Handy book that pays special attention to all the areas of human embryo development to help scientific – embryologists with the best section of embryos to be implanted. It has lots of good illustrations and comparative guides with different types of human embryos and their performance while in the embryology laboratory. Amazon Review: The most profound dilemma in assisted reproduction to date is the inability to recognize potentially viable embryos before their replacement into the reproductive tract. Application of increasingly advanced new technology has allowed the field of embryo evaluation to evolve rapidly and dramatically over the past five years. Human Preimplantation Embryo Selection assembles the leaders in the field of assisted reproduction to discuss their visions of dealing with the topic of embryo selection in the light of the limitations involving the fragility of the ea

My Review of the Textbook of Assisted Reproductive Techniques

My Review of the Textbook of Assisted Reproductive Techniques by Lucy Coleman. This is a book that every student in the scientific or medical field, with high inclinations in the fertility area should have. It is very comprehensive and Dr. Gardner has paid lots of attention to several important factors involved in the laboratories of reproduction. It is handy for scientific personnel working in the embryology field, as it has good key guides of how to set up the laboratory properly. About the Author David K Gardner DPhil is Chair of Zoology at the University of Melbourne, Australia Ariel Weissman MD is a senior physician at the IVF Unit, Department of Obstetrics and Gynecology. Edith Wolfson Medical Center, Holon, and Sackler Faculty of Medicine,Tel Aviv University, Israel Colin M Howles PhD, FRSM is Vice President, Regional Medical Affairs Fertility, Global Business Unit Fertility and Endocrinology, Merck Serono. SA, Geneva, Switzerland Zeev Shoham MD is Director, Reprodu

Ovulation Calculator 2

Ovulation Calculator 2 .. Continue reading The post Ovulation Calculator 2 appeared first on Fertility Online

Ovulation Calculator

Introduce los siguientes datos: Fecha de tu última menstruación Días de tu ciclo: 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 Edad: (años) 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 Peso: (kg) 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 Estatura: (cm) 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 19