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Written by Randy Morris
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Monday, 26 October 2009 |
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Questions
About the H1N1 (Swine Flu) Vaccine
Dr. Morris understands there is much concern about the swine flu. This particular type of influenza is a new variety. Because Dr. Morris doesn’t have experience or research on this type of the flu, he is relying on the opinion of the Center for Disease Control and Prevention (CDC), whose experts have been sudying this infection since its outbreak this spring. The following information is from the CDC and addresses many of the questions about the H1N1 vaccine. Like the seasonal flu vaccine, the H1N1 vaccine is being recommended for women who are, or will be pregnant during the influenza season (October-March). The H1N1 vaccine is expected to become more available in the next few weeks. The seasonal influenza vaccine should already be available.
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Written by Randy Morris
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Monday, 26 October 2009 |
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Researchers have recently found that professional cyclists should consider the risks involved with the combination of cycling and infertility. In theory, riding a bicycle or motorcycle could cause abnormalities in either sperm concentration, sperm motility or sperm appearance or morphology.
In a recent study, 15 male triathletes around the age of 33 were asked not to have sex for 3 days prior to giving a sperm sample. Semen samples were assessed for morphology by using the Kruger Method. This is also known as strict morphology. In this method for looking at sperm, fertile men typically will have more than 14% of their sperm look “normal”. Some studies have identified fertility problems when men have only between 4 and 14% normal appearing sperm. There is agreement that a normal morphology rate of less than 4% is strongly associated with a decrease in male fertility.
Their semen results of the triathletes were compared with their training routines. Only cycling- not swimming or running- was shown to have an adverse effect on the sperm morphology.
- Cycling for an average of 9 times/ week for 8 years was linked to <10% normal looking sperm
- Men that cycled for >186 miles /week were linked to a morphology of 4% normal sperm
What could be causing the problem?
- Heat from the tight clothing
- Friction or pressure on the testes from the bicycle seat
- Stress from the high amounts of energy used during rigorous exercise
- Increase in free radicals in the male reproductive tract
Researchers are doing further research to investigate how cycling may affect metabolic processes in the body which lead to the development of abnormal sperm.
Solutions:
In order to avoid fertility problems, elite cyclists could consider several options
- Decreasing the time actually on the bike
- Freezing sperm before any problems occur
- Antioxidants – to reduce the levels of free radicals
- Modify training regimens to adjust for recovery
Unfortunately, there is no data to indicate whether any of these measures will have a positive impact of sperm morphology in these cyclists.
Don't Worry!
The average man bicycles for recreation only would be unlikely to suffer from fertility problems. Only extremely high levels of exercise and cycling may contribute to decreased sperm quality. Men training for triathlons are spending a lot more time on their bikes than average.
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Written by Randy Morris
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Wednesday, 14 October 2009 |
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An infertility
doctor from Ireland presented research at the 25th annual
conference of the European Society of Human Reproduction and
Embryology in July 2009 that appears to show that IVF
success may partly depend on genetic factors.
IVF is a treatment that more couples
are trying due to the overall high success rate
compared to other treatments. IVF involves stimulating a woman's
ovaries with fertility medications so that multiple eggs mature. The
eggs are then extracted from the ovaries and put together with sperm.
Those eggs which fertilize are grown in the laboratory for several
days. A few embryos are then selected and placed into the woman's
uterus. In the uterus, the embryos must continue to grow and develop
and eventually implant into the uterine lining for a pregnancy to be
established.
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Written by Randy Morris
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Thursday, 01 October 2009 |
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Daily sex (or ejaculating daily) for
seven days improves men’s sperm quality by reducing the amount of
DNA damage, according to an Australian study presented recently to
the 25th annual meeting of the European Society of Human Reproduction
and Embryology in Amsterdam. This study made headlines around the
world. However, there is still no evidence that frequent
ejaculation will improve the actual chances to have a baby.
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Written by Randy Morris
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Sunday, 13 September 2009 |
Patients who come to a fertility specialist want to become pregnant as soon as possible. There are various treatment options now available for infertility; some have higher pregnancy rates and some have lower pregnancy rates. These treatments have markedly different costs and differing levels of complexity.
Very commonly patients may start with a less effective treatment because it is easier to do or less expensive. It is not unusual to see a couple first try treatment with clomid , perhaps combined with IUI (intrauterine insemination) for three or four attempts. If not pregnant, they may proceed to using injectable fertility medications , known as gonadotropins, also combined with IUI. In vitro fertilization, IVF , is sometimes viewed as the treatment of last resort despite the fact that it has the highest chance for success. The reason for this is that IVF is the most expensive treatment and the most complex.
A randomized clinical trial was recently done to determine whether it would be more beneficial for infertile women aged 21-39 years to shorten the standard infertility procedure protocol.
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