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Infertility FAQ (part 4/4)

( Part1 - Part2 - Part3 - Part4 )
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Archive-name: medicine/infertility-faq/part4
Posting-frequency: weekly
Last Modified: May 14, 2001
URL: http://www.fertilityplus.org/faq/infertility.html

See reader questions & answers on this topic! - Help others by sharing your knowledge
This FAQ is maintained and updated by Rebecca Smith Waddell.

Copyright (c) 1997, 1998, 1999 by Rebecca Smith Waddell, Meg Fiegenschue, Lynn
Diana Gazis-Sax, William F. Panak, Rachel Browne, Jennifer Clabaugh, Kate
MacKenzie, and Ian Scott Speirs. All rights reserved. Information in this FAQ
may be distributed as long as full copyright information is attached, including
URL, and use is strictly not for profit.
______________________________________________________________________
______________________________________________________________________

SECTION 12 - LINKS TO MORE FAQS AND INTERNET RESOURCES

------------------------------------------------------------------------

12.1 - PLACES TO START

FertilityPlus
http://www.fertilityplus.org
FAQs and information written by infertility patients.

FIRL -- Fertility Information Resource List
http://www.vais.net/~travis/firl.html
Travis Low has put together an extensive list of resources, including
newsgroups, mail lists, chat sessions, web sites, books, periodicals, clinics,
etc. The best one-stop place for infertility links.

RESOLVE
http://www.resolve.org
RESOLVE is an infertility support organization with chapter throughout the U.S.
The web site gives contact information for the main chapter in each state.
RESOLVE is a great place to ask about doctors in your area and to get involved
with other couples going through infertility. Many printed materials available.

INCIID -- International Council on Infertility Information Dissemination
http://www.inciid.org
Web site contains information about what to expect from infertility workup,
immune problems, beta hCG levels, and much more.

Atlanta Reproductive Health Centre
http://www.ivf.com
Dr. Mark Perloe has put together a very comprehensive site, including an online
copy of his _Miracle Babies & Other Happy Endings_ book. This site offers a
wonderful search engine to help you find information on the ARHC site as well as
links to off-site pages.

IHR Infertility Resources
http://www.ihr.com/infertility/index.html
Information on treatments and drugs, lists of clinics and sperm banks, and links
to other resources.

Fertile Thoughts
http://www.fertilethoughts.net/main.html
Information and chat sites for infertility and adoption.

------------------------------------------------------------------------

12.2 - INFERTILITY FAQS

DES Information Page
http://www.teleport.com/~skeely/
Sally Keely has put together a page with Diethylstilbestrol info and links to
FAQs. Also includes information on newsgroup and mail list.

Endometriosis FAQ
http://www.bioscience.org/books/endomet/babaknia.htm
Dr. Ari Babaknia presents a long FAQ about endometriosis with extensive
information.

Home Pregnancy Test HCG Levels & Mini-FAQ
http://www.fertilityplus.org/faq/hpt.html
Lets consumers know which tests are the most sensitive and should give the
earliest positive result. Also includes contact information and answers a short
list of questions.

Hormone Levels
http://www.fertilityplus.org/faq/hormonelevels.html
This chart gives an idea of when hormone levels should be run and what the
desired level should be. Standards vary from lab to lab, but this should give
you an idea of what to expect.

Infertility FAQ for Women of Size
http://www.fertilityplus.org/faq/bbwfaq.html
Q&A plus journal abstracts about large-size fertility issues. Includes
suggestions on how to find a weight friendly physician, and explains what the
real issues are.

Invasive Infertility Tests FAQ
http://www.fertilityplus.org/faq/itests.html
HSG, EMB, laparoscopy and hysteroscopy procedures defined followed by personal
experiences to let you know what to expect.

IVF Hints
http://www.fertilityplus.org/faq/ivfhints.html
Rachel Browne put together a list of tips for handling the various stages of
IVF. Includes suggestions on medication, shots, traveling, etc.

Low-Tech Ways to Help You Conceive FAQ
http://www.fertilityplus.org/faq/lowtechfaq.html
Compiled by Roger A. Hunt, Ph.D., using information off the alt.infertility,
misc.health.infertility, and misc.kids.pregnancy newsgroups. Explores the
methods couples can use to help themselves get pregnant before seeking medical
help.

Male Infertility Assessment, Diagnosis, and Treatment
http://www.ivf.com/shaban.html
Discusses assessment and treatment of male factor infertility. Not a very easy
read, but valuable information.

Misc.Kids Miscarriage FAQ
http://scalos.mc.duke.edu/~brook006/miscarriage.html
Maintained by Laura Brooks, Support and medical information.

Miscarriage Support and Information Resources
http://www.fertilityplus.org/faq/miscarriage/resources.html
List of newsgroups, mail lists, web pages and books for support of those who
have had miscarriages.

Ovulation Predictor Kit FAQ
http://www.fertilityplus.org/faq/opk.html
This page include a Q&A regarding OPKs, contact information for the companies
and places to order kits, and followed up with a letter-writing campaign
designed to get companies to lower prices or at least offer coupons for more
OPKs.

PCOS FAQ
http://www.inciid.org/faq/pcos.html
Frequently asked questions about symptoms, diagnosis, treatment, and longterm
health concerns.

PCO Support
http://www.pcosupport.org
Information on Polycystic Ovarian Syndrome. Includes articles, links,
bibliography (including medical journal articles).

Recurrent Pregnancy Loss Testing
http://www.fertilityplus.org/faq/miscarriage/rpl.html
A listing, with description, of suggested testing for those with 2 or more
miscarriages.

Soc.Support.Pregnancy.Loss Information
http://web.co.nz/~katef/sspl/
Includes FAQ on Tips & Suggestions for Coping after Pregnancy Loss and the
soc.support.pregnancy.loss charter. A medical FAQ is in the works.

Turner's Syndrome FAQ
http://www.onr.com/ts-texas/faq.html
Information about Turner's, newsgroups, resources.
________________________________________________________________________
________________________________________________________________________


SECTION 13 - STATISTICS

Please note that statistics are in no way individual, so our real odds of
success may be much different from what is listed below.

------------------------------------------------------------------------

13.1 - PREGNANCY RATES FOR AVERAGE COUPLES

It often takes a number of perfectly timed cycles before pregnancy is achieved.
The chances of getting pregnant each cycle varies a bit with age. If you are
20-25, your chance per cycle are about 25%. From there they begin to fall off.
At 25-30 your chances are about 20%. At 30-35 they are about 15%. After 35 they
may be about 10% per ovulatory cycle, and the chances continue the downward
trend.

This means that the average woman under 30 will get pregnant within 6 cycles.
Women in their early 30s get pregnant on average by the end of 9 cycles. Mid-30s
would be a year. At any age you are considered infertile if you have been having
regular unprotected intercourse for a year without conception; however, women
over 35 should seek treatment after 6 months.

------------------------------------------------------------------------

13.2 - SUCCESS RATE FOR ICI, IUI, ITI

Intra-cervical insemination (ICI): "Success rates with intracervical
insemination have varied widely, but unfortunately, only 10 to 15% of couples
will obtain a pregnancy following 4 to 6 well timed cycles of insemination."
From http://www.ivf.com//insem.html

Intra-uterine insemination (IUI): Searching through about a dozen medical
journal articles and a number of web sites resulted in a rather wide-range of
statistics. Basically the odds of success are reported to be just under 8% and
as high as 26% per cycle. The low statistics are with one follicle, while
multiple follicles resulted in as high 26% success. Another influencing factor
is sperm count. Higher sperm counts increase the odds of success, however, there
was little difference between success with good-average counts and those with
high counts. The overall success rate seems to be between 15-20% per cycle,
judging from the articles which will be abstracted as part of the IUI FAQ at
http://www.fertilityplus.org/faq/iui.html. The rate of multiple gestation
pregnancies was 23-30%.

Intra-tubal insemination (ITI): Similar to IUI only the sperm is deposited in
the fallopian tube. Atlanta Reproductive Health Centre reports only a slightly
higher success rate with ITI over IUI, and a great deal more discomfort to the
patient. One journal article was found, calling this fallopian tube sperm
perfusion, suggesting that this procedure doubles the chances of success. The
citation is:

Fanchin R, Olivennes F, Righini C, Hazout A, Schwab B, Frydman R, A new system
for fallopian tube sperm perfusion leads to pregnancy rates twice as high as
standard intrauterine insemination., Fertil Steril 64: 3, 505-10, Sep, 1995.

------------------------------------------------------------------------

13.3 - SUCCESS RATES FOR IVF, GIFT AND ZIFT

According to the Center for Disease Control and Prevention, the 1996 live births
rate per retrieval on fresh cycles for IVF was 25.9%, GIFT was 28.7%, and ZIFT
was 30.3%. Check http://www.cdc.gov/nccdphp/drh/art96/sec2_q5.htm for more
details and a graph. You can find clinic specific success rates at
http://www.cdc.gov/nccdphp/drh/art96/index.htm

------------------------------------------------------------------------

13.4 CUMULATIVE ODDS OF SUCCEEDING THROUGH MULTIPLE CYCLES

Sort of a roll of the dice. If your doctor says you have about a 20% chance of
success, look across the table to see how many cycles it might reasonably take
to get pregnant.

Vertical axis is the percentage odds per cycle

Horizontal axis is the cumulative odds over total cycles so far



 Number of cycles trying (cumulative odds of success)

 ________________________________________________________________________ 

       1    2    3    4    5    6    7   8   9  10   11   12   13   14

 5%   5%   10%  14%  19%  23%  26%  30% 34% 37% 40%  43%  46%  49%  51%

 10%  10   19   27   34   41   47   52  57  61  65   69   72   75   77

 15%  15   28   39   48   56   62   68  73  77  80   83   86   88   90

 20%  20   36   49   59   67   74   79  83  87  89   91   93   95   96
 
 25%  25   44   58   68   76   82   87  90  92  94   96   97   98   98

 30%  30   51   66   76   83   88   92  94  96  97   98   99   99   99

 35%  35   58   73   82   88   92   95  97  98  99   99   99   .......

 ________________________________________________________________________ 

________________________________________________________________________
________________________________________________________________________


SECTION 14 - ACRONYMS AND ABBREVIATIONS

------------------------------------------------------------------------

14.1 - NEWSGROUP SPECIFIC ACRONYMS AND ABBREVIATIONS

2WW = 2-Week Wait
47XXY = Klinefelter's Syndrome

ACA = Anti-cardiolipin Antibodies
ACTH = Adrenal Corticotropic Hormone
AF = Aunt Flo (menstruation)
AH, AZH = Assisted Hatching
AHI = At-home Insemination
a.i = alt.infertility newsgroup
a.i.a, aia = alt.infertility.alternatives newsgroup
a.i.p, aip = alt.infertility.primary newsgroup
a.i.s, ais = alt.infertility.secondary newsgroup
AI = Artificial Insemination
AIH = Artificial Insemination from Husband
ANA = Anti-nuclear Antibodies
AO = Anovulation
AOA, AVA = Anti-ovarian Antibody
APA = Anti-phospholipid Antibodies
APTT = Activated Partial Thromboplastin Time
ART = Assisted Reproductive Technology
ASA = Anti-sperm Antibody
ASRM = American Society of Reproductive Medicine
ATA = Anti-thyroid Antibody
AWOL = A Woman On Lupron

B2 = Baby Two (mailing list)
BA = Baby Aspirin
BBT = Basal Body Temperature
BCP = Birth Control Pills
BD = Baby Dance (sex)
BG = Blood Glucose
BMS = Baby-making Sex
BSE = Breast Self-Exam
BT = Balanced Translocation
BW, b/w = Bloodwork

C# = Cycle Number
CAD = Carbohydrate Addict's Diet
CB = Cycle Buddy
CAH = Congenital Adrenal Hyperplasia
CASA = Computer-assisted Semen Analysis
CBAVD = Congenital Bilateral Absence of the Vas Deferens
CCCT = Clomiphene Citrate Challenge Test (Clomid Challenge)
CD = Cycle Day
CD56+ = Natural Killer Cells
CF = Cervical Fluid
CM = Cervical Mucus
CMV = Cytomegalovirus
CNM = Certified Nurse Midwife
COH = Controlled Ovarian Hyperstimulation
COW = Curse of Womanhood (menstruation)
CP = Cervical Position
CVS = Chorionic Villae Sampling

D&C = Dilation & Curettage
D&E = Dilation & Evacuation
DE = Donor Eggs
DES = Diethylstilbestrol (a synthetic estrogen)
DHEAS = Dihydroepiandrosterone Sulfate
DI = Donor Insemination
DIPI = Direct Intra-peritoneal Insemination
DOST = Direct Oocyte-Sperm Transfer
DPO = Days Post-Ovulation
DPR = Days Post-Retrieval
DPT = Days Post-Transfer
DP3DT = Days Post 3-Day Transfer
DP3DT = Days Post 5-Day Transfer
Dx = Diagnosis

E2 = Estradiol
EB, EMB = Endometrial Biopsy
EDD = Estimated Due Date
ENDO = Endometriosis
EPO = Evening Primrose Oil
EPT = Early Pregnancy Test
ET = Embryo Transfer
ETF = Embryo Toxic Factor
ETA = Embryo Toxicity Assay
EW, EWCM = Eggwhite Cervical Mucus

FASIAR = Follicle Aspiration, Sperm Injection and Assisted Rupture
FBG = Fasting Blood Glucose
FET = Frozen Embryo Transfer
FHR = Fetal Heart Rate
FP = Follicular Phase
FSH = Follicle Stimulating Hormone
FTTA = Fertile Thoughts To All
FUR = False Unicorn Root
FV = Fertile Vibes

GD = Gestational Diabetes
GIFT = Gamete Intra-fallopian Transfer
GnRH = Gonadotropin Releasing Hormone
GP = General Practitioner
GTT = Glucose Tolerance Test

HbA1c = Glycosylated Hemoglobin (also called Glycohemoglobin)
hCG, HCG = Human Chorionic Gonadotropin
HCP = Health Care Practitioner
HEPA = Hamster Egg Penetration Assay
hMG, HMG = Human Menopausal Gonadotropin
HP = Hannah's Prayer (Christian infertility / pregnancy loss group)
HPT = Home Pregnancy Test
HRT = Hormone Replacement Therapy
HSC = Hysteroscopy
HSG = Hysterosalpingogram

IBT = Immunobead Binding Test
ICI = Intra-cervical Insemination
ICSI = Intra-cytoplasmic Sperm Injection
IF = Infertility
IGTT = Insulin and Glucose Tolerance Test
IM = Intra-muscular (WRT injections)
INCIID = International Council on Infertility Information Dissemination
IOR = Immature Oocyte Retrieval
ITI = Intra-tubal Insemination
IR = Insulin Resistant
IUFD = Intra-uterine Fetal Demise
IUGR = Intra-uterine Growth Retardation
IUI = Intra-uterine Insemination
IVC = Intra-vaginal Culture
IVF = In Vitro Fertilization
IVIg = Intravenous Immunoglobulin

LAD = Leukocyte Antibody Detection Assay
LAP = Laparoscopy
LH = Luteinizing Hormone
LIT = Leukocyte Immunization Therapy
LMP = Last Menstrual Period (start date)
LO = Love Olympics (sex)
LP = Luteal Phase
LPD = Luteal Phase Defect
LSP = Low Sperm Count
LUF, LUFS = Luteinized Unruptured Follicle Syndrome

MAI = Miscarriage After Infertility (mail list)
MC, m/c, misc. = Miscarriage
MESA = Microsurgical Epididymal Sperm Aspiration
MF = Male Factor
m.h.i, mhi = misc.health.infertility newsgroup
MIFT = Micro Injection Fallopian Transfer
m.k.p, mkp = misc.kids.pregnancy newsgroup
MMR = Measles-Mumps-Rubella Vaccine
MRI = Magnetic Resonance Imaging

NEST = Non-surgical Embryonic Selective Thinning
NK = Natural Killer Cells (CD56+)
NORIF = Non-stimulated Oocyte Retrieval In (office) Fertilization
NP = Nurse Practitioner
NSA = Non-surgical Sperm Aspiration

O, OV = Ovulation 
OASIS = Overweight & Seeking Infertility Support (mail list)
OB = Obstetrician
OB/GYN = Obstetrician/Gynecologist
OC = Oral Contraceptives
OD = Ovulatory Dysfunction
OHSS = Ovarian Hyperstimulation Syndrome
ONNA = Oh No, Not Again (mail list)
OPK = Ovulation Predictor Kit
OPSS = Overweight & Pregnant Support (mail list)
OPT = Ovulation Predictor Test
OTC = Over The Counter
OTTC = Overweight & Trying To Conceive (mail list)
OW = Overweight

P4 = Progesterone
PA = Physician's Assistant
PAI-1 = Plasminogen Activator Inhibitor-1
PANFERT = Pregnancy After Infertility (mail list)
PCO, PCOD = Polycystic Ovary Disease
PCOS = Polycystic Ovarian Syndrome
PCP = Primary Care Physician
PCT = Post Coital Test
PESA = Percutaneous Epididymal Sperm Aspiration
PG = Pregnant
PI = Primary Infertility
PID = Pelvic Inflammatory Disease
PIO = Progesterone in Oil
PLI = Paternal Leukocyte Immunization
PMS = Pre-menstrual Syndrome
PNM = Perinatal Mortality
PNV= Pre-natal Vitamin
POC = Products of Conception
POF = Premature Ovarian Failure
PROM = Premature Rupture of Membranes
PTSD = Post-traumatic Stress Disorder
PZD = Partial Zona Dissection

RE = Reproductive Endocrinologist
R-FSH, R-hFSH = Recombinant Human Follicle Stimulating Hormone
RI = Reproductive Immunologist
RIP = Reproductive Immunophynotype
ROS = Reactive Oxygen Species
RPL = Recurrent Pregnancy Loss
RSA = Recurrent Spontaneous Abortion
Rx = Prescription

SA = Semen Analysis
SART = Society of Assisted Reproductive Technology
s/b, S/B = Stillbirth
SCORIF = Stimulated Cycle Oocyte Retrieval In (office) Fertilization
SHG, SonoHSG = Sonohysterogram
SI = Secondary Infertility
SIS = Saline Injection Sonogram
SLE = Systemic Lupus Erythematosus
SPA = Sperm Penetration Assay
SPALS = Subsequent Pregnancy After a Loss Support (mail list)
s.s.p.l, sppl = soc.support.pregnancy.loss newsgroup
STD = Sexually Transmitted Disease
SUZI = Sub-zonal Insertion

T4 = Thyroxine
TEBG = Testosterone-Estradiol Binding Globulin
TESA = Testicular Sperm Aspiration
TESE = Testicular Sperm Extraction
TET = Tubal Embryo Transfer
TL = Tubal Ligation
TNF = Tumor Necrosis Factor
TORCH = Toxoplasmosis, Other, Rubella, Cytomegalovirus and Herpes test
TR = Tubal Reversal
TRH = Thyroid-releasing Hormone
TSH = Thyroid Stimulating Hormone
TTC = Trying to Conceive
TTCAR = Trying to Conceive after Reversal
TTYTT = To Tell You The Truth
TUFT = Trans-uterine Fallopian Transfer
Tx = Treatment
TZD = Thiazolidinediones

UR = Urologist
US, u/s = Ultrasound
UTI = Urinary Tract Infection

V = Vasectomy
VR = Vasectomy Reversal

WBC = White Blood Cells
WHR = Waist to Hip Ratio
WNL = Within Normal Limits

ZIFT = Zygote Intra-fallopian Transfer

------------------------------------------------------------------------

14.2 - GENERAL INTERNET ABBREVIATIONS

AMAP = As Much As Possible
AFAIK = As Far As I Know
ASAP = As Soon As Possible
AOL = America Online
BB = Bulletin Board
BBL = Be Back Later
BBW = Big Beautiful Women
BTW = By The Way
DD = Dear Daughter, Darling Daughter
DH = Dear Husband, Darling Husband
DHAC = Don't/Doesn't Have A Clue
DITD = Down In The Dumps
DP = Dear Partner, Darling Partner
DS = Dear Son, Darling Son
DW = Dear Wife, Darling Wife
FAQ = Frequently Asked Question(s)
FWIW = For What It's Worth
HTH = Hope This Helps
IIRC = If I Recall/Remember Correctly
IMHO = In My Humble Opinion, In My Honest Opinion
IMO = In My Opinion
IRC = Internet Relay Chat
LMK = Let Me Know
LOL = Laughing Out Loud  (or Lots Of Luck)
MIL = Mother In-law (also FIL, SIL, BIL for the others)
NBD = No Big Deal
NG = Newsgroup
OT = Off Topic
OTOH = On The Other Hand
PITA = Pain In The Ass
POA = Plan Of Action
POV = Point Of View
PV = Postitive Vibes
ROTFL = Rolling On The Floor Laughing
ROTFLOL = Rolling On The Floor Laughing Out Loud
ROTFLMAO = Rolling On The Floor Laughing My A** Off
SO = Significant Other
TIA = Thanks In Advance
TTFN = Ta Ta For Now
TTYS = Talk To You Soon
WB = Welcome Back
WF = Warm Fuzzies
WRT = With Respect To
WWW = Wise Women of the Web
YMMV = Your Mileage May Vary

Also check glossary at: 
http://www.inciid.org/glossary.html

This section Copyright (c) 1996, 1997, 1998, 1999, 2000, 2001, 
by Rebecca Smith Waddell. All rights reserved. 
The text from this acronym list may be distributed as long as copyright is
attached and the use is not for profit.


________________________________________________________________________
________________________________________________________________________


SECTION 15 - APPENDIX

------------------------------------------------------------------------

15.1 - CHARTER FOR MISC.HEALTH.INFERTILITY

CHARTER: misc.health.infertility

This group would discuss all matters related to infertility (inability to become
pregnant or the inability to sustain a pregnancy) from emotional support to
medical problems and treatments.

END CHARTER.

Original discussions and votes can be found at:
http://www.landfield.com/usenet/control/misc/misc.health.infertility
http://www.landfield.com/usenet/news.announce.newgroups/misc/misc.health.infertility


Have any comments? Contact mailto:bec@fertilityplus.org



______________________________________________________________________
______________________________________________________________________

end of Infertility FAQ

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