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         Pregnancy & Infertility Spec Issues:     more detail

21. PCOS-DIET Messages For October, 2002: Re: Under Active Thyriod And Pcos
18yrs then after hirisk pregnancy(3)and hyperthriod caused alot pre-preganancy issues,infertilityproblems,miscarriage friends succesfully talked to spec,dr;s
http://forums.obgyn.net/pcos-diet/PCOS-DIET.0210/0057.html
-VISIT OUR OTHER FORUMS- Breast Health Forum Endo@OBGYN.net Mujer (en español) PCOS Forum PCOS Diet Forums PCOS Medication Forum Vrouw en Gezondheid (nederland) Women's Health Forum Young Women's Health Forum s earch this forum:
Re: under active thyriod and pcos
From: TAM anonymous@medispecialty.com
Sat Oct 19 05:22:36 2002
At Sat, 30 Mar 2002, tracy wrote:
Enter search keywords: Returns per screen: Require all keywords: Return to Technical Problems: webmaster@obgyn.net
Last Updated: Wed Apr 2 05:12:42 2003
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medical professionals women industry ... contact us
This information is provided for educational purposes only.
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22. PH Letter 10/95 GENITAL CHLAMYDIAL INFECTION.
These complications include chronic pelvic pain, infertility, ectopic pregnancy andother adverse outcomes of pregnancy. Sens. 6490% spec. 99-l00 %.
http://www.lapublichealth.org/acd/news/phl95/acdn1707.htm
PUBLIC HEALTH LETTER October 1995
Vol. 17, No. 7 GENITAL CHLAMYDIAL INFECTION EPIDEMIOLOGY
Chlamydia trachomatis infections are among the most prevalent and detrimental bacterial sexually transmitted diseases affecting men and women in the United States. Although these infections are often asymptomatic or produce mild, nonspecific signs and symptoms, if untreated they may lead to serious sequelae in women. These complications include chronic pelvic pain, infertility, ectopic pregnancy and other adverse outcomes of pregnancy. Approximately 3% of women of childbearing age and 10-29% of sexually active adolescent girls are infected with chlamydia. SCREENING FOR CHLAMYDIA The following diagnostic screening tests are recommended as screening tools for Chlamydia trachomatis: ENZYME IMMUNOASSAY (ElA) POLYMERASE CHAIN REACTION (PCR) NUCLEIC ACID PROBE CELL CULTURE Specimen Type Endocervical, urethral, urine (males), conjunctival Endocervical, urethral, urine (males) Endocervical, urethral, conjunctival Endocervical, urethral, urine, conjunctival, pulmonary, rectal

23. AllMedExchange - Obstetrics & Gynecology
Consumer Pages Breast Cancer Gen/Birth Defects pregnancy/Reprod, III V VIII IX SurgRelated spec Socs Anes GYN Am College NurseMidwives Am infertility Assn Am
http://www.allmedexchange.com/medical_spec/Obgyn/ob_gyn.shtml
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24. BabyCenter | Parents' Comments - Infertility: Diagnosis
She wasn't quite a planned pregnancy but a miracle in disguise. But what they don'ttell you are the risks involved with taking infertility drugs. spec.
http://www.babycenter.com/tips/3536.html
var ACM, oPopup, oDefPopup, offsetTop=10, offsetLeft=10; Search Articles Store
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Parents' Comments
Infertility: Diagnosis

NOTE: Because we receive so many comments on these pages, the BabyCenter staff is unable to review all of them. If you see a comment that does not follow our Community Guidelines click here to send us an e-mail letting us know. Please copy and paste the URL from your browser's address window as well as the full text of the comment you're concerned about.
My doctor ordered a blood test for me due to a suspicion of
a thyroid problem causing my amennorhea (only one period in
the last year), but it came back
negative - is it still possible to have a thyroid problem
that was not detected?
Sarah
scanning the advice, have been trying to conceive lisa I am PCOS. Been on Clomid since June....started single dosage for a couple of mos. Then double dosage for a couple of mos and now on triple (maximum) dosage for 4 mos now. I have been on a diet and have been successful losing weight. The clomid is making me produce progesterone, which makes me

25. BabyCenter | Parents' Comments - Infertility: Diagnosis
spec. I struggled with infertility for 2 years prior to conceiving my first child Withmy first pregnancy, I went through 12 months of trying unsuccessfully on
http://www.babycenter.com/tips/3536_200109.html
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Already a member? Log in
Parents' Comments Archive
Infertility: Diagnosis

NOTE: Because we receive so many comments on these pages, the BabyCenter staff is unable to review all of them. If you see a comment that does not follow our Community Guidelines click here to send us an e-mail letting us know. Please copy and paste the URL from your browser's address window as well as the full text of the comment you're concerned about.
hi me and my husband are having doubts about concieving due to a surgery called tubal pregnancy that i had about 2years ago and ever since we have not been using any type of birthcontroll and have not been able to concieve so if anyone has similur situation i would like to hear your comments
rebecca 25 years ca,
hi ever since i had a surgery done about 2 years ago called tubal pregnancy me and my partner have not been using any type of birthcontroll and not yet concieved
rebecca No comment, but a question My husband and I have been trying to conceive for over four years now, had one mis and been through the whole nine yards of testing. We did vag. ultrasounds, post coitals, shots, husband insemination, surgery. I think everything short of pergonal and in-vitro. I know for a fact that my mucus is to scantily thick for my husbands sperm to swim in so it kills them instead. It seems like my infert. spec. won't tell me how to fix the prob. He just tells me we'll do clomid (which really makes my mucus thick) keep track with the ultrasound, then the shot when the egg is mature enough and finally insemination. We've done this about eight times. I'm really sick of it. I know my problem is my mucus. My question is "IS THERE A WAY TO THIN MY MUCUS OUT MY SELF." (and no, Robitussin doesn't work for me. I think its a myth anyway.) Please help. I am at my wits end. brhill6896@prodigy.net

26. Health - NottinghamNews
formed by a group of existing patients (infertility). years with special educationneeds .(School/spec). regarding various problems of pregnancy or gynaecology
http://www.localinformationonline.co.uk/nottsnews/link_pages/health.htm
Welcome to our Health Section If you would like to add your site please complete the form on our
Contact
page to join Nottingham News Health Section for FREE
Click Here to go back to main Index Sub Sections
Alzheimers
Arthritis Autism Blind ... Young People Alzheimers
Alzheimers Disease Society
- Support and advice (Alzheimers) Alzheimers's Society (Bassetlaw) - Provide practical help and information on Alzheimer's disease and related disorders (Alzheimers)
Arthritis
Arthritis Care
- A large voluntary organisation giving support to all age ranges (Arthritis)
Autism
Nottingham Regional Society for Autistic Children
- Raising awareness of the needs of people with autism and their families (Autism) Newark Autism Support Group - Was formed in January 1999 by Jayne and Paul Sharpe for local families in and around the town of Newark-on-Trent (Autism) The National Autistic Society - The UK`s Leading authority on autism,advice and support services (Autism)

27. Health Services Social Worker 2 (S/B) - 5A62
counsels patients on alternative pregnancy options; provides counsels patients concernedwith infertility and sexual Class Established 4/1982 Latest spec.
http://www.phila.gov/personnel/specs/5a62.htm
CITY OF PHILADELPHIA PERSONNEL DEPARTMENT

HEALTH SERVICES SOCIAL WORKER II
Specialties
General
Bilingual Group Work Mental Retardation GENERAL DEFINITION This is social work at the full performance level within the assigned specialty. An employee in this class performs a variety of counseling, referral and/or placement assignments related to services to the mentally retarded or services to adults and the aging or to clients of a health center which includes client orientation with the facility and services such as family planning, pre-natal care and HIV/AIDS as appropriate. Employees in this class provide advisory and interpretive services to defined client populations, agency officials and superiors within the specialized areas. Work includes performing casework activities, assessing client and family needs, developing an appropriate service plan, developing and implementing group activities, providing on-going counseling and referral services, and/or determining the appropriate placement actions. Work in this class differs from the next lower level in that employees exercise relatively independent judgment requiring a more significant degree of understanding of professional principles and techniques and departmental standards and rules. Contact with individuals, their families, representatives of professional and community groups, and the general public is a significant aspect of the work. Work is performed under the general supervision of a technical superior. ALLOCATING FACTORS:

28. Mckinney Ob/Gyn - Home
About the practice and its services. Including information about a host of health issues for women, including pregnancy, menopause, breast cancer and infertility.
http://www.drshimer.com/home
Practice Newsletter enter your e-mail address: It's FREE
Welcome to McKinney OB-GYN located in McKinney, TX just 45 minutes north of Dallas. Meet your husband and wife team of Dr. Andrew Shimer and Dr. Tricia Shimer who started McKinney OB-GYN in December of 2000. They offer an Advanced Gynecological Surgery Center which provides some of the latest surgical treatments for women's healthcare problems and also provide a Maternity and High Risk Pregnancy Center assisting women through all types of pregnancies. McKinney OB-GYN is conveniently located adjacent to North Central Medical Center in McKinney and also offers convenient appointments including evenings, Saturdays, and Next-Day appointments. Urgent problems can almost always be seen that day. We also accept almost all insurance plans Our patients are very important to us and our number one priority is to educate all of our patients concerning their health...which is why we have developed this Web site. There are 600 pages on this site covering almost every woman's health issue , including an entire section on pregnancy Our Web site is completely free to you and is supported through multiple advertisers. We hope you enjoy our site!!

29. EPIDEMIOLOGY
pregnancy outcomes other than birth. Presentation of current epidemiologic knowledgeand discussion of issues on topics including contraception; infertility;
http://www.washington.edu/students/crscat/epidem.html
Search Directories Reference Tools UW Home ... Student Guide Course Catalog Glossary Search Course Catalog UW Bothell Course Catalog UW Tacoma Course Catalog

EPIDEMIOLOGY
Detailed course offerings (Time Schedule) are available for To see the detailed Instructor Class Description, click on the underlined instructor name following the course description. EPI 420 Introduction to Epidemiology (3) NW
For the undergraduate student wishing to devote only one quarter to a course in epidemiologic methods. Description of ways in which variation in disease occurrence is documented and how that variation is studied to understand causes of disease. Offered: Sp.
Instructor Course Description: Jack Goldberg EPI 497 Epidemiology Special Electives (*)
Off-campus course for medical students. Offered: AWSpS. EPI 499 Undergraduate Research (*)
Offered: AWSpS. EPI 510 Epidemiologic Data Analysis (2) Critchlow
Intended for students planning to take 514. Introduces skills and concepts to effectively analyze large data sets for case-control and cohort studies. A beyond-theory approach provides students hands-on experience in using epidemiologic data sets for stratified or multivariate analyses with SAS. Credit/no credit only. Prerequisite: EPI 511 or EPI 512. Offered: W.
Instructor Course Description: Cathy W Critchlow EPI 511 Introduction to Epidemiology (3-4) Kukull
Epidemiologic methods for non-epidemiology majors. Focuses on research designs and methods to describe disease occurrence and risk factor associations; uses quantitative and biomedical information to infer whether causal relationships exist between potential causes and disease in populations. Prerequisite: permission of instructor. Offered: A.

30. Nat'l Academies Press, Biologic Markers In Reproductive Toxicology (1989), 15. D
Thus a wide spec trum of clinical studies is of couples in this country have a problemwith infertility. that there is no difference in pregnancy rate whether
http://www.nap.edu/books/0309039797/html/187.html
Biologic Markers in Reproductive Toxicology
Commission on Life Sciences ( CLS
Related Books

Openbook Linked Table of Contents Front Matter, pp. i-xii Table of Contents, pp. xiii-xxiv Executive Summary, pp. 1-14 1. Report of the Oversight Committe..., pp. 15-36 I. Biologic Markers in Male Reprodu..., pp. 37-38 2. Introduction, pp. 39-42 3. Clinical Evaluation of Male Infe..., pp. 43-46 4. Biologic Markers of Testicular F..., pp. 47-62 5. Biologic Markers of Epididymal S..., pp. 63-76 6. Biologic Markers of Accessory Se..., pp. 77-82 7. Biologic Markers of Human Male R..., pp. 83-106 8. Assessing Transmitted Mutations ..., pp. 107-118 9. Markers for Measuring Germinal G..., pp. 119-140 10. Conclusions and Recommendations..., pp. 141-146 II. Biologic Markers in Female Repr..., pp. 147-148 11. Introduction, pp. 149-162 12. Biologic Markers of Genetic Dam..., pp. 163-168 13. Biologic Markers of Reproductiv..., pp. 169-178 14. Biologic Markers of Nonconcepti..., pp. 179-186 15. Developing Assays of Biologic M..., pp. 187-196 16. Conclusions and Recommendations..., pp. 197-202

31. Nat'l Academies Press, Risking The Future: Adolescent Sexuality, Pregnancy, And
chicago, apr, race, kahn, los, spec, identity, wash view, attending, lewis, divorce,infertility, period, universitY and C. Wells, eds., pregnancy in Adolescence
http://www.nap.edu/books/POD243/html/295.html
Risking the Future: Adolescent Sexuality, Pregnancy, and Childbearing Working Papers
Related Books

Openbook Linked Table of Contents Front Matter, pp. i-iv Table of Contents, pp. v-vi Foreword, pp. vii-x Preface, pp. xi-xii Adolescent Pregnancy and Childbeari..., pp. 1-6 1. Factors Affecting Initiation of ..., pp. 7-35 2. Adolescent Sexual Behavior as It..., pp. 36-55 3. Contraceptive Decision-Making am..., pp. 56-77 4. Teenage Pregnancy and Its Resolu..., pp. 78-92 5. The Health and Medical Consequen..., pp. 93-122 6. Social and Economic Consequences..., pp. 123-144 7. Teenage Fatherhood, pp. 145-173 8. The Children of Teen Childbearer..., pp. 174-206 9. The Effects of Programs and Poli..., pp. 207-263 10. Estimates of Public Costs for T..., pp. 264-294 References, pp. 295-352
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32. LIBRARY NEW TITLES LIST
1675 JOH WALLBERGENS SAMMLUNG NATURLICHER spec enol RS87 OTHER STORIES/Gilbert, Ruth,1964 infertility AROUND THE 1997 MANUAL OF HIGH RISK pregnancy STACK
http://www.lib.csufresno.edu/lists/newtitles/alis98/r.html
LIST OF NEW TITLE IN
MEDICINE
CATALOGED APRIL - SEPTEMBER 2002
Go back to Library New Titles List This page was last modified on December 05, 2002

33. Monday Magazine FEATURES
may have developed a problem since their first pregnancy. medical unknowns, like linkswith infertility drugs to Jim and Gina spec, however, take the opposite
http://www.mondaymag.com/monday/editorial/11_2002/features.htm
Monday Magazine Issue 11 Vol 28, March 14 - 20, 2002
Pick up a free copy from a yellow box near you
When Two Doesn’t Happen Secondary infertility makes some parents wonder, if it worked once, why won’t it work again? By AMEI PARKES W hen Ellie Whyte turned 40 last year, she hired a marimba band and invited 50 of her closest friends. Most of the guests didn’t know it, but she had more than one reason to celebrate. After four years of trying to have a second baby, she had decided to stop seeking medical advice. “I got tired of it all,” says Whyte, who saw three gynecologists and three naturopaths without success. For someone who got pregnant easily the first time, the Salt Spring resident never dreamed she would have trouble conceiving again. But in Canada, about one in six couples (a national total of 500,000 people) are affected by a condition experts call secondary infertility, whereby one or both of the partners may have developed a problem since their first pregnancy. Tubal defect is the most common cause for secondary infertility, followed by hormonal problems, and ovulation or sperm defects. Many couples never learn the reasons behind this complex physiologic and anatomical disorder, and fall into the unenviable category of “unexplained infertility.” Whyte, who is using a pseudonym in this article, still doesn’t know why she can’t have more children. One gynecologist said she had low progesterone levels. Another told her she had “bad ovulation.” One naturopath suggested hormonal imbalances, while another diagnosed leaky gut syndrome. Whyte isn’t sure what to believe. When the last doctor prescribed fertility drugs—a treatment she is “morally opposed to”—she dropped him.

34. OUHSC Course Catalog - The University Of Oklahoma Health Sciences Center
CELL 6990 spec Studies in Cell Biology 1 highrisk obstetrics, teenage pregnancy,community gyn problems relating to reproductive endocrinology and infertility.
http://ouhsc.edu/students/student_info/Course_Catalog/index.cfm?fuseaction=home.

35. Search Health Category At Midnightsearch.com -
5 Aurora, IL 60506 8977700 spec ThinPrep Pap Test - Women's Health Center pregnancyAsk NOAH About pregnancy, Fertility, infertility, Contracep
http://www.midnightsearch.com/health/HEALTH13.htm
Home Add Url Free Services Contact Us ... Directory
Women's Health Birth Control

36. School Of Nursing: NURS 510 - D,E,F Schedule
the patient. Feelings of being damaged fertility issues; pregnancy, or use medicineduring pregnancy to reduce 15 PMNs /400X (centrifuged spec) positive urine
http://www.son.washington.edu/courses/nurs510ta-def-win03/topic_sti-1_lecturenot
SON Home UW Home HealthLinks Search the SON site
NURS 510 - D: Sexually Transmitted Infections Part 1 SEXUALLY TRANSMITTED INFECTIONS: GENERAL CONSIDERATIONS
  • Who is at the highest risk?
  • Sexually active teens Men or women with multiple sex partners Men or women with a partner who has multiple partners Men or women with a new sexual partner in the last two months Men or women with signs or symptoms associated with STD, such as abnormal vaginal discharge, dysuria, or a genital lesion Sexual partner has an STD Not using a barrier contraceptive method Population at risk varies with specific STD
    • small core population for GC and syphilis (young, ethnic minority, low SES, high rates of illicit drug use and prostitution) large population for herpes and HPV
    Biological sexism of STDs
  • Male-to-female transmission more efficient than female-to-male.
  • 37. Aetna: BRCA Testing, Prophylactic Mastectomy, Tamoxifen, And Prophylactic Oophor
    other risk factors including nulliparity, low parity, infertility, early menarche thatthe use of tamoxifen during pregnancy might harm 1995;4 spec No18111817
    http://www.aetnaushc.com/cpb/data/CPBA0227.html
    Home Coverage Policy Bulletins Medical Coverage Policy Bulletins Number: 0227
    Subject: BRCA Testing, Prophylactic Mastectomy, Tamoxifen, and Prophylactic Oophorectomy for Persons at Risk for Breast and Ovarian Cancer

    Important Note
    http://cms.hhs.gov/manuals/pub06pdf/pub06pdf.asp

    Policy
    Aetna covers molecular susceptibility testing for breast and/or ovarian cancer ("BRCA testing") in ANY of the following categories of high-risk women, as recommended by the American College of Medical Genetics:
  • Women with three or more affected first degree (e.g., mother, sister, daughter) or second degree (e.g., aunt, grandmother, niece) blood relatives on same side of family, irrespective of age at diagnosis; OR
  • Women with multiple primary or bilateral breast cancers; OR
  • Women with one or more first or second degree relatives with multiple primary or bilateral breast cancers; OR
  • Women with one or more first or second degree blood relativeswho have a BRCA1 or BRCA2 mutation; OR
  • Women with one or more cases of ovarian cancer AND one or more first or second degree blood relatives on the same side of the family with breast cancer; OR
  • Women with one or more male blood relatives with breast cancer*
  • Men with breast cancer; OR
  • 38. UPenn - SAS - Population Studies Center - Research - 2001 Publications
    Journal of Health Administration and Education spec No117 Adolescent pregnancy. Community Health to Analyze Primary and Secondary infertility, Applications to
    http://lexis.pop.upenn.edu/news/publications/pubs2001.htm
    Publications by PSC Research Associates
    Aiken, Linda H. 2001. "Evidence-Based Management: Key to Hospital Workforce Stability." Journal of Health Administration and Education Spec No:117-24. Aiken, Linda H. 2001. "Health Professions, Allied." Pp. 6591-8 in International Encyclopedia of the Social and Behavioral Sciences , vol. 10, Amsterdam and New York: Elsevier. Aiken, Linda H. 2001. "More Nurses, Better Patient Outcomes: Why Isn't It Obvious?" Effective Clinical Practice Aiken, Linda H. , Harold Alderman, Hans-Peter Kohler , J. Maluccio, and Susan C. Watkins . 2001. "Attrition in Longitudinal Household Survey Data: Somes Tests for Three Developing Country Samples." Demographic Research [Online] Aiken, Linda H. Sean P. Clarke , and Douglas M. Sloane . 2001. "Hospital Restructuring: Does It Adversely Affect Care and Outcomes?" Journal of Health and Human Services Administration Aiken, Linda H.

    39. 131.104.232.9/animalnet/1998/12-1998/an-12-22-98-02.txt
    their food and sowing it with infertility drugs day 3 following conception, when themicroscopic spec of an an average of 36 hours produced a pregnancy rate of
    http://131.104.232.9/animalnet/1998/12-1998/an-12-22-98-02.txt

    40. Prader-Willi Syndrome
    infertility is the rule, although a single case of CVS (1999) Trisomy 15 CPM probableorigins, pregnancy outcome and Hum Mol Genet 4 spec No175764 Medline
    http://www.geneclinics.org/profiles/pws/details.html
    Prader-Willi Syndrome
    [PWS, Prader-Labhart-Willi Syndrome] Authors: Suzanne B Cassidy, MD
    Stuart Schwartz, PhD, FACMG
    Case Western Reserve University School of Medicine Initial Posting:
    6 October 1998 Last Update
    13 November 2000
    Summary
    Disease characteristics. Prader-Willi syndrome is characterized by severe hypotonia and feeding difficulties in early infancy, followed in later infancy by excessive eating and gradual development of morbid obesity, unless externally controlled. All patients have some degree of cognitive impairment; a distinctive behavioral phenotype is common. Hypogonadism is present in both males and females. Short stature is common. Diagnosis/testing. Accurate consensus clinical diagnostic criteria exist, but the mainstay of diagnosis is DNA-based methylation testing to detect the absence of the paternally contributed Prader-Willi syndrome/Angelman syndrome (PWS/AS) region on chromosome 15q11-q13. Such testing detects over 99% of cases. Genetic counseling. PWS is caused by absence of the paternally derived PWS/AS region of chromosome 15 by one of several genetic mechanisms. The risk to the sib of an affected child of having PWS depends upon the genetic mechanism of the absence of the paternally contributed PWS/AS region. The risk to sibs is
    Diagnosis
    Accurate clinical diagnostic criteria for Prader-Willi syndrome exist. Testing for the parent-specific methylation imprint of the PWS/AS region (chromosomal locus 15q11-q13) detects over 99% of cases and is highly specific. Methylation-specific testing is important to confirm the diagnosis of PWS in all children, but especially those who are too young to manifest sufficient features to make the diagnosis on clinical grounds or in individuals who have atypical findings [

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