Spring Update 2015
Hello Spring! The sunshine and warmer temperatures have been so nice lately! The flowers and tress are blooming, which is a good reminder that Spring is generally considered a fertile period. Have you been dealing with infertility? Or, do you need to do some "Spring cleaning" of your own general health? Call today to schedule an appointment for infertility or for an annual exam. (865)777-0088.
Money, Money, Money...Money!
We are happy to announce that we now have two new financing options for fertility treatments. With these options, financing for fertility medications is also included! The two lending partners are Lending Club and American Healthcare Lending. If you have questions, please be sure to contact our practice manager, Juliana Stanley at (865)777-0088, extension 2.
Join us in welcoming our new Administrative Assistant, Niki Soules. Niki will be assisting our receptionist Bonita at the front desk as well as performing other administrative tasks. She and her husband recently relocated to the Knoxville area from Central Florida. They have a cute little Shih Tzu named Marlee. Niki has a background in property management and event coordinating. She is enjoying the wonderful East Tennessee climate and beautiful mountains. Niki is always welcoming with a smile and will be happy to assist you in any way.
April is Adenomyosis Awareness Month
What is adenomyosis you ask? Adenomyosis is a condition in which the endometrial tissue, which normally lines the inside of the uterus, grows into the muscular wall of the uterus. Symptoms can be silent, but more commonly include: heavy or prolonged menstrual bleeding, severe cramping or sharp pelvic pain during menstruation, menstrual cramps that last throughout the period and worsen with age, pain during intercourse, and blood clots during menstruation. Symptoms typically start late in the childbearing years after having children. The uterus often times becomes enlarged. The cause of adenomyosis is unknown and the only cure is hysterectomy, although this condition usually resolves on its own after menopause. If you have questions or think you may be suffering from this condition, make an appointment today! Although hysterectomy is the only cure, there are treatment options available to manage the symptoms.
Calling All Eggs!
So, you, or someone you know, are in your late 20s. You've finished school and landed the perfect career and are climbing the corporate ladder. You haven't met Mr. Right yet, or you have and you're enjoying spending the Newlywed stage with just the two of you. You know you want kids someday, but just not today. Is it okay to wait? Let our Women's Health Nurse Practitioner, Autumn Galbraith, determine your fertility score so you'll have a better idea if it's safe to wait to have those kids you've always dreamed about and to discuss what options you have. She'll evaluate your egg supply, determine if your weight is a factor, and use historical and physical infertility factors to determine your relative fertility score. This is the only service of its kind in the Southeast! Call (865)777-0088 to schedule an appointment!
- April is Sexually Transmitted Infection (STI) awareness month.
- April 19th-25th is Infertility Awareness week.
- May 10th-16th is National Women's Health week.
- May 11th is National Women's Check-Up day.
- June 7th is National Cancer Survivors' day.
Clotting Disorders and IVF Outcomes
A recent study published in the journal, Blood, performed a systematic review of thrombophilias and failures of assisted reproduction technologies (ART). They found that factor V Leiden was significantly more prevalent among women with ART failure compared with fertile women who previously had children or those achieving pregnancy after ART. Neither the prothrombin gene mutation, methylenetetrahydrofolate reductase mutation (MTHFR), deficiency of protein S, protein C, nor anti-thrombin were associated with ART failure. Women with ART failure tested more frequently positive for anti-phospholipids antibodies. Although some studies suggest that women experiencing ART failures are more frequently positive for factor V Leiden and anti-phospholipid antibodies, the evidence is still preliminary. The bottom line? The relationship between ART failure and thrombophilia remains largely inconclusive and further studies are warranted.
Clomid or Femara? That is the Question!
A study published in Fertility and Sterility examined whether Clomid or Femara was the preferred drug for inducing superovulation (more than one follicle) in cases of unexplained infertility with intrauterine insemination (IUI). The study involved 412 infertile women with unexplained infertility. 207 patients were given Clomid 100 mg cycle days (CD) 3-7 and 205 patients were given Femara 5 mg CD 3-7. The average number of cycles per woman was 1.95 in both groups. The results of the study revealed that the Clomid group achieved more follicles and had higher estradiol and progesterone levels; however, there was no statistically significant difference in endometrial thickness, the days to hCG injection were similar, and the number of pregnancies per group were similar. Two twin pregnancies occurred in the Clomid group with none in the Femara group. Provided with these findings, the authors concluded that there is no superiority of either Clomid or Femara for inducing ovulation in women with UNEXPLAINED infertility before IUI. Clomid was found to be less expensive, thus it may be considered the optimum choice for an oral agent in an IUI cycle.