Saturday, August 1, 2009

Estradiol

The estradiol test is a very common diagnostic procedure used to help evaluate your ovarian reserve. In combination with the Day 3 FSH test, the estradiol test can help to determine the quantity and quality of your eggs, helping you to become pregnant.

What is Estradiol?

Estradiol is actually a type of estrogen, which is the major female reproductive hormone. Estradiol is the primary type of estrogen, and it is produced in your ovaries. As they grow and develop, your egg follicles secrete estradiol, helping to trigger the rest of the reproductive cycle.

What is the Estradiol Test?

The estradiol test is a diagnostic procedure used to measure the levels of estradiol in your blood stream. It is performed in conjuction with the Day 3 FSH test. A simple blood test, the estradiol test is performed in order to determine a woman's ovarian reserve. It is also performed in order to confirm a woman's FSH test

Performed on Day 3 of your menstrual cycle, the estradiol test is one of the most common fertility testing procedures. Most women undergoing fertility treatments will receive the estradiol test. Women have particular levels of estradiol during different stages of their menstrual cycle. By analyzing these levels on Day 3, your reproductive endocrinologist can determine your ovarian reserve. The amount of estradiol in your blood on Day 3 can also indicate whether or not your FSH test was accurate or not.

Estradiol and Infertility

High estradiol levels can have an impact on your infertility. Elevated levels of estradiol tend to indicate a problem with ovarian reserve. In high amounts, estradiol can suppress the amount of FSH in your system. This can cause your Day 3 FSH test to be inaccurate. In many cases, a high estradiol level indicates a complication with FSH and ovarian reserve. This can lead to:
  • lower pregnancy rates
  • poor ovulation
  • poor response to ovulation-inducing fertility drugs
  • poorer success rate with IVF

Who Can Benefit from the Estradiol Test?

All women undergoing fertility treatment can benefit from the estradiol test. Because it is secreted by your ovarian follicles, the amount of estradiol can indicate how far along you are in your follicular cycle. However, certain women are more likely to be offered the estradiol test, including:

The Estradiol Test Procedure

The estradiol test procedure is extremely safe and straightforward. On Day 1 of your menstrual cycle, contact your fertility clinic and make an appointment to have the test. On Day 3 of your cycle, you will have your blood drawn from your arm. This blood sample will be sent to your clinic's laboratory for testing. Results should be available within a few days.

The Results

Normal Day 3 estradiol levels tend to be around 80 pg/mL or lower. If your estradiol levels are higher than this, than this could indicate a problem with your ovulation. You may be further into your follicular phase than you should be, or your estradiol may be masking a problem with your FSH levels.

After the Estradiol Test

Your reproductive endocrinologist will discuss your test results with you. She will also suggest any further treatments that may be helpful in achieving pregnancy. These could include the use of birth control pills or other hormonal medications.



source: http://www.sharedjourney.com

sana magkaroon ng magandang pagbabago ang ating bansa

The late national hero Benigno “Ninoy” Aquino, Jr., wrote this poem for his wife, former president Corazon C. Aquino, decades ago. Composer and singer Jose Mari Chan later set the piece into music and included it in his album, Constant Change.


I have fallen in love
with the same woman three times;
In a day spanning 19 years
of tearful joys and joyful tears.

I loved her first when she was young,
enchanting and vibrant, eternally new.
She was brilliant, fragrant,
and cool as the morning dew.

I fell in love with her the second time;
when first she bore her child and mine
always by my side, the source of my strength,
helping to turn the tide.

But there were candles to burn
the world was my concern;
while our home was her domain.
and the people were mine
while the children were hers to maintain;

So it was in those eighteen years and a day.
’till I was detained; forced in prison to stay.

Suddenly she’s our sole support;
source of comfort,
our wellspring of Hope.
on her shoulders felt the burden of Life.

I fell in love again,
with the same woman the third time.
Looming from the battle,
her courage will never fade

Amidst the hardships she has remained,
undaunted and unafraid.
she is calm and composed,
she is God’s lovely maid.

My husband and I were up early this morning for my appointment in the hospital laboratory. The first thing we heard on the news is that our beloved Pres. Corazon C. Aquino died at 3:18 a.m. I cried. I felt sad. She had been an epitome of peace, a unifying factor, a “mother figure” to us, Filipinos. She had been in the politics and yet she did not succumb to the immoralities and corruption so perfectly lived by many leaders of our country. She always stayed calm and peaceful despite the many trials she encountered.

When what seemed to be insurmountable ordeal came, she urged Filipinos to stay calm and to pray and pray for guidance. She was an instrument for the restoration of our democracy. She effect change in government without violence. This is her legacy not just to the Filipinos but to the world.

She will be envied by many politicians for her passing revealed that she is indeed loved by so many people. Many of us never even saw her in person. We wept for the passing of a good and gentle person. Tonight as I watched the news, people are continuously going to her wake. Some of them came from far places. They wanted to pay their respect to the person who never even laid an eyes on them. What a love for our departed president.

She will forever remain in our hearts. Her works will forever be remembered.

To our current leaders, and to those coming leaders, may you emulate her good examples.

Stand only for what is right and just…
To step down from the power when your term is up.
To give others a chance to serve our country.
That when you serve, may you always put in mind and deed, first and foremost, the welfare your people.
May you emulate her morale excellence and integrity.

It took about 5 minutes to extract blood for my Estradiol Level test. My husband was waiting outside the laboratory. Since we still have more than 2 hours of waiting left, we went to the Carmelites’ Monastery. We prayed the rosary before the altar. We offered many petitions. We prayed for the success of this fertility treatment with the Puregon injections. If ever I get pregnant, we prayed for the health of our child and that there will be no infection to occur during my pregnancy and childbirth. We also prayed for our family who are currently living in distant cities and country. For our guidance and strength to this ordeal.

When my husband uttered..”your will be done, Lord”… that’s when I felt a lump on my throat and I cried. Yes, Lord you are powerful. If it is your will, it will be done. And to this prayer, I felt sad and I felt so helpless. I’m always begging the Lord to have mercy on us and give us our own child. We have done all that we could do as human. And this is the farthest thing we could afford. We are not millionaire; we cannot afford “test tube” babies. My family has spent so much with this procedure. If this fails, we cannot afford another procedure like this. So, today we lift it all up to the Lord, the Almighty. Only He could give us miracle. So from this moment on, it is the Lord’s work and may He show us His mercy by blessing us with our own child.

Before leaving the monastery, we dropped our petition and lighted a candle.

30 July 09

My husband gave me my 3rd shot of 75 iu of Puregon. This time it was injected on the right side of my belly. He was quite shaky. Even without openly admitting that he was nervous, I could sense he was. In fact, when he drove the needle to my skin, he wasn’t aware he was drawing out the needle again so I held his hand steady . And again we counted 10 before withdrawing the needle. I’m quite used to being poke with needles. LOL.

31 July 09

The 4th shot of 75 iu of Puregon. He came home early to give me my injection. He gave me shot on the left side of my belly. The procedure went smoothly. I slept after the shot.

01 August 09

This morning we left home before 7 a.m. We headed straight to the hospital to have my laboratory test. Today I had my Estradiol Test and paid P/1,200 (pesos). Since the result will be available after 3 hours we headed to the market and bought food for this week’s consumption. We bought papaya, grapes, and green lemons. For vegetables we had string beans, eggplant, squash and spices.

After claiming my Estradiol result we went to my OB’s clinic. The result is 103.29 pg/ml. Then I had my ultrasound again which is done inside the clinic. She checked the size of my eggs. The result is quite good since the eggs increased in size. She then prescribed 50 iu of Puregon/ day for 3 successive days starting today, August 1-3. Then we will be back to the clinic on August 4 for the next check-up. She has to closely monitor the development of the eggs so as not to over stimulate it. Her clinic assistant administered the shot. This time she did not use the Puregon pen. Instead, she used syringe. She sucked the solution from the vial then replaced the needle with a thinner one. She said we have to make sure that there is no longer bubble inside the syringe before injecting it. She then pressed and held a portion of the right side of my belly before injecting the solution. Since the needle of the syringe is slightly wider than the Puregon pen, it is more painful. I lingered quite long in the private lounge rubbing my belly to ease the pain. For this morning session and procedure we paid P/ 8,100.

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