Cover image for What to do when you can't get pregnant : the complete guide to all the options for couples facing fertility issues
Title:
What to do when you can't get pregnant : the complete guide to all the options for couples facing fertility issues
Author:
Potter, Daniel A. (Physician), author.
Edition:
First Da Capo Press edition.
Publication Information:
Boston, MA : Da Capo Press, a member of the Perseus Books Group, 2013.
Physical Description:
xxii, 329 pages : illustrations, maps ; 24 cm
General Note:
"The completely revised and updated second edition"--Cover.

Includes index.
Language:
English
Contents:
Are you infertile? -- Your fertility workup -- What your doctor might find in men -- What your doctor might find in women -- Twelve weeks to maximize your fertility -- DIY or IUI? -- Supersizing your chances (inducing ovulation) -- The art of art -- Sometimes it takes four -- Preventing relationship meltdowns -- When to consider moving on -- Buying more time -- Safeguarding your child -- Designer babies -- To tell or not to tell? -- Where is reproductive medicine heading? -- Appendix. A fertility forecasting chart.
ISBN:
9780738216911
Format :
Book

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Summary

Summary

The complete guide to all the options for couples facing fertility issues, now revised and updated

Newsweek praised What to Do When You Can't Get Pregnant for guiding readers through "the medical maze" of infertility treatments. In this completely revised and updated edition, world renowned fertility expert Dr. Daniel A. Potter and journalist Jennifer Hanin have revised their step-by-step guide to walk readers through their best options for conception and birth. Updates include:

Advances in natural products for women
New supplements, medications, and treatment protocols
Advice from leading experts on all areas of infertility treatment
The latest in egg freezing, vitrification, gender selection, and genetic testing
The future of IVF and reproductive medicine

Drawing on the latest science, Potter and Hanin offer sound advice for choosing the right doctor, asking the right questions, and living a healthy, fertile lifestyle. Complete with advice on how to handle the frustrations of not being able to conceive, What to Do When You Can't Get Pregnant remains a couple's best guide to making informed decisions about fertility issues.


Author Notes

Daniel A. Potter, MD, was named one of 2012's top reproductive endocrinologists by U.S. News and World Report. Jennifer Hanin, MA, is a freelance journalist and mother of twin girls. Learn more at www.cantgetpregnant.com.


Table of Contents

Pamela Madsen
Forewordp. xv
Introductionp. xvii
Acknowledgmentsp. xxi
1 Are You Infertile?p. 1
What Is Infertility?p. 2
Why Is Infertility So Common?p. 4
What Has to Happen for Fertilization to Occur?p. 5
How Many Eggs Do You Have?p. 10
What Can We Do?p. 12
Worrying about Infertilityp. 13
What Kind of Doctor Should You See?p. 14
Doctors Who Can Helpp. 15
When Should You Seek a Subspecialist?p. 17
Communicating with Your Practitionerp. 18
Shopping for a Practicep. 19
Trusting Online Sourcesp. 20
Finding the Right Matchp. 21
What Questions Should You Ask?p. 21
In an Eggshellp. 22
2 Your Fertility Workupp. 23
Discovering the Truthp. 23
The Male Evaluationp. 24
Semen Analysisp. 24
The Female Evaluationp. 27
Confirming Ovulationp. 28
Ovarian Reserve Testingp. 29
The Clomiphene Citrate Challenge Test (CCCT)p. 32
Miscarriages and Abortionsp. 32
When Everything Looks Normalp. 33
When You've "Made the Cut"p. 34
Your Fertility Regimenp. 35
Fertility Mythsp. 35
What about Financing?p. 37
Does Insurance Cover Anything?p. 38
Are Fertility Treatments Tax Deductible?p. 39
What Questions Should You Ask?p. 39
In an Eggshellp. 40
3 What Your Doctor Might Find in Menp. 41
Understanding Your Partnerp. 41
Varicocelep. 44
Varicocele Repair Is Effectivep. 46
Idiopathic Infertilityp. 47
Considering Vasectomy Reversalp. 47
Collecting Spermp. 50
Considering Freezing Spermp. 53
Supplements That May Increase Male Fertilityp. 53
What Questions Should You Ask?p. 53
In an Eggshellp. 54
4 What Your Doctor Might Find in Womenp. 55
Ovarian Factorsp. 57
Cervical Factorsp. 61
Tubal Factorsp. 63
Uterine Factorsp. 64
Peritoneal Factorsp. 66
What Questions Should You Ask?p. 69
In an Eggshellp. 69
5 Twelve Weeks to Maximize Your Fertilityp. 71
Optimize Your Chancesp. 72
Twelve-Week Fertility Programp. 72
Living a Fertile Lifestylep. 73
Fertility Foods: Are They Real?p. 74
Fit Foodsp. 74
Shrinking Your Waistlinep. 77
What to Know about Exercisep. 77
Why Supplements Matterp. 78
Ideal Weight for Pregnancyp. 80
How Does BMI Affect Fertility?p. 81
Can Obesity Keep You Infertile?p. 81
Finding a Balancep. 82
Making the Commitmentp. 82
Drugs that Decrease Fertilityp. 83
Lifestyle Choicesp. 84
Counteracting Stressp. 85
Why Do You Feel Like Everything Is Falling Apart?p. 85
Stress Managementp. 85
Complementary Therapiesp. 85
What If Nothing Seems to Work?p. 93
What Questions Should You Ask?p. 94
In an Eggshellp. 95
6 DIY or IUI?p. 97
Tossing the Pillp. 98
What about Natural Techniques?p. 99
Are You Ovulating?p. 100
Natural Fertility Forecastingp. 101
Gauging Your Cervical Mucousp. 103
Ovulation Predictor Kitsp. 104
Fertility Monitorsp. 105
Saliva Fertility Monitorp. 106
In-Home Sperm Testsp. 108
Intrauterine Insemination (IUI)p. 109
What to Know Before Going Low or High Techp. 112
What Questions Should You Ask?p. 113
In an Eggshellp. 114
7 Supersizing Your Chances (Inducing Ovulation)p. 115
Natural Ovulationp. 115
What Is Ovulation Induction?p. 116
Superovulationp. 119
Risks of Ovarian Hyperstimulationp. 120
Multiple Birthsp. 122
Multifetal Pregnancy Reductionp. 124
Do Fertility Drugs Cause Cancer?p. 126
Fertility Medicationsp. 127
Administering Injectionsp. 130
Injections Made Simplep. 131
What Questions Should You Ask?p. 132
In an Eggshellp. 133
8 The Art of Artp. 135
What Is ART?p. 136
IVFp. 136
Your IVF Protocolp. 137
Preparing for Egg Retrievalp. 141
Retrieval Dayp. 144
Fertilization: Creating an Embryop. 146
ICSI: Reversing Male-Factor Infertilityp. 147
Assisted Hatching: Cracking the Shellp. 149
Transfer Dayp. 150
Picking Your Teamp. 150
Its Timep. 152
Baby Restp. 153
The Callp. 155
What If Your Cycle Fails?p. 156
What Questions Should You Ask?p. 157
In an Eggshellp. 158
9 Sometimes it Takes Fourp. 159
What to Know about Third-Party Reproductionp. 159
When to Consider Sperm Donationp. 160
When to Consider Egg Donationp. 160
What You Need to Know about Egg Donationp. 162
Why Egg Donors Do What They Dop. 163
Selecting Your Egg Donorp. 165
Personalizing Your Donorp. 167
When to Consider Embryo Donationp. 167
When to Consider Surrogacyp. 168
What You Need to Know about Surrogacyp. 170
Why Do You Need Professional Guidance?p. 171
Your Professional Teamp. 172
Why Do You Need a Contract?p. 174
What Screening Applies to Donors and Surrogates?p. 175
Why Use a Large Agency?p. 176
Why Surrogates Do What They Dop. 176
Why Is Matching So Important?p. 179
Selecting Your Surrogatep. 180
Understanding Everyone's Perspectivep. 180
Does Your State Permit Surrogacy?p. 181
When to Reconsider Third-Party Reproductionp. 184
What Questions Should You Ask?p. 184
In an Eggshellp. 185
10 Preventing Relationship Meltdownsp. 187
Smoothing Out Relationship Kinksp. 187
Infertility Stressorsp. 189
Understanding Your Emotional Realitiesp. 189
Avoid Playing the Blame Gamep. 191
Know Your Comfort Quotientp. 192
Baby or Bust?p. 192
Avoiding Holiday Headachesp. 194
Communicating What Mattersp. 195
Spicing Up Your Relationshipp. 196
What Questions Should You Ask?p. 197
In an Eggshellp. 199
11 When to Consider Moving Onp. 201
When Is It Time to Stop Trying?p. 201
Owning Your Decisionp. 202
Devising a Game Planp. 204
Closing the Doorp. 205
Considering Adoptionp. 205
Foster Parentsp. 208
Child-Free Livingp. 210
What Questions Should You Ask?p. 212
In an Eggshellp. 213
12 Buying More Timep. 215
A Frozen Morula Hatching Timelinep. 216
A Game Changerp. 217
A New Kind of Insurancep. 218
Stopping Your Biological Clockp. 218
Embryos on Icep. 220
Reasons You May Want to Freeze Your Embryosp. 220
Frozen Embryo Transferp. 222
Hormone Replacement Cyclep. 222
Stimulated Cyclep. 222
Natural Cyclep. 223
Freezing Spermp. 223
Situations That May Require Sperm Freezingp. 224
What Questions Should You Ask?p. 224
In an Eggshellp. 225
13 Safeguarding Your Childp. 227
Family Balancingp. 227
Spotting an Imperfect Embryop. 228
Genetics and Disease: A Brief Overviewp. 228
Meeting Your Genetic Counselorp. 230
Does Genetic Testing Affect Embryos?p. 232
PGS: Counting Chromosomes-and Morep. 232
What Are the Advantages of PGS?p. 236
Who Needs PGS?p. 236
PGD: Digging into the Genesp. 237
Who Needs PGD?p. 239
What Questions Should You Ask?p. 244
In an Eggshellp. 245
14 Designer Babiesp. 247
Can You Trust Online Donor Websites?p. 248
Science Is Technology: A Historical Accountp. 248
What Is a Designer Baby?p. 249
Kids A La Carte?p. 250
Bioengineered Babiesp. 250
Blurring Originsp. 251
Treatment of Last Resortp. 252
Making Your Own Choicep. 252
What Questions Should You Ask?p. 253
In an Eggshellp. 253
15 To Tell or Not to Tell?p. 255
Conceived with Lovep. 256
Truth or Consequences?p. 256
Making It Okayp. 257
Are There Benefits to Disclosure?p. 257
What Is the Appropriate Age to Tell Your Child?p. 259
Don't Give Blow-by-Blow Accountsp. 260
What to Say to Your Preschooler: Ages Three to Fivep. 260
Interacting with Curious Minds: Ages Six to Tenp. 261
Discussions with Your Adolescentp. 262
What If You Want to Bring God into the Conversation?p. 262
What If My Child Finds Out by Accident?p. 262
Knowing When to Not Make a Big Dealp. 263
Making the Right Decision for Your Familyp. 264
When to Withhold the Truth?p. 264
What Do Experts Recommend?p. 264
What Questions Should You Ask?p. 264
In an Eggshellp. 266
16 Where is Reproductive Medicine Heading?p. 267
Probablep. 268
Possiblep. 276
Plausiblep. 279
Ever-Changing Insurance Lawsp. 286
Can We Police a Future Society?p. 287
Where Do We Draw the Line?p. 287
What Questions Should You Ask?p. 288
In an Eggshellp. 289
Appendix: A Fertility Forecasting Chartp. 290
Glossaryp. 293
Resourcesp. 313
Indexp. 317
About the Authorsp. 329