of PCOs, Journey to Fertility and Miracle...

I want to know Puregon so I searched the internet and got this information. I have extracted few facts and posted it here. If you like to read the rest of the material just log on to:

www.betterhealth.vic.gov.au/...nsf/.../shcpureg.pdf -

Puregon solution for injection contains follitropin beta, a hormone known as follicle stimulating hormone (FSH).

FSH belongs to the group of gonadotrophins, which play an important role in human fertility and reproduction. FSH is needed in women for the growth and development of follicles in the ovaries.

Follicles are small round sacs that contain the egg cells.

Women:

* Puregon can be used to cause ovulation in women who have not responded to treatment with clomiphene citrate.

* Puregon can be used to bring about the development of multiple follicles in women undergoing assisted reproduction technologies (ART) such as in vitro fertilisation (IVF).

How is Puregon given:

The very first injection of Puregon should be given by a health professional. Puregon solution for injection in cartridges has been developed for use in the Puregon Pen. The separate instructions for using the pen must be followed carefully. Do not use the cartridge if the solution contains particles or if the solution is not clear.

Using the pen, injections just under the skin (in the stomach or thigh) can be given by you or your partner.

Your doctor will tell you when and how to do this. When the instructions are followed carefully, Puregon will be administered properly and with minimal discomfort.

How much to inject

Your doctor will decide on the dose of Puregon to be given. This dose may be adjusted as your treatment progresses. To find the right dosage, follicle growth is checked by means of ultrasound scanning and measurement of the amount of estradiol (female sex hormone) in blood or urine.

The following is a guide to the usual dose:

Women who are not ovulating

The dose usually starts at 75-150 IU daily. The dose is continued for at least 5 to 7 days. If there is no response, the daily dose will be gradually increased until an adequate response is obtained. The daily dose is then maintained until a follicle of adequate size is present.

An hCG injection (to stimulate ovulation) is given after the last Purgeon injection

Things you must not do

Do not stop using Puregon without telling your doctor.

Do not change the dose unless your doctor tells you to. Changing your dose without telling your doctor can increase your risk of unwanted side effects or can prevent the drug from working properly.

Do not give your medicine to anyone else, even if they have the same condition as you.

Storage

1. Store Puregon in the refrigerator (2 degrees C-8 degrees C). Do not freeze. Use until the expiry date printed on the label.

OR

2. Store at room temperature (at or below 25 degrees C) for a single period of not more than 3 months. Make a note of when you start storing Puregon out of the refrigerator.

Artificial insemination is the name given to any type of procedure that places sperm inside your reproductive tract through a method other than sexual intercourse. Artificial insemination is often used when a male partner is unable to ejaculate during intercourse or when a woman is experiencing difficulties with ovulation or cervical mucus. There are four main types of artificial insemination, including:

• IUI, or intrauterine insemination
• IVI, or intravaginal insemination
• ICI, or intracervical insemination
• ITI, or intratubal insemination

Many couples that are struggling with infertility choose to undergo artificial insemination procedures to help increase their chances of becoming pregnant. By inserting sperm directly into the female reproductive tract, it is much easier for sperm to reach the female egg thus aiding in conception. Intracervical insemination (ICI) is one of the more common types of artificial insemination procedures. It works to increase pregnancy rates by placing sperm directly into a woman’s cervix. This procedure is popular because it is non-invasive, painless, and relatively inexpensive.

And it makes me wonder how fortunate those women who gets pregnant by accident. There are those who mated just ones and immediately conceive!

I was searching net for information about Gonal-F. I wanted to know more about this prescribed medication. This will be the injectable which my OB will use come weekend. so here's what i found out about Gonal-F. i have copied this from a certain website which i indicated at the bottom. If you still want to read further, visit their site.

Follicle stimulating hormone (injectable)

What is the most important information I should know about follicle stimulating hormone?

Treatment with follicle stimulating hormone increases the likelihood of multiple births. Multiple births carry additional risk both for the mother and for fetuses. Discuss the risk of multiple births with your healthcare provider.

What is follicle stimulating hormone?

Follicle stimulating hormone (FSH) is a naturally occurring hormone. FSH is important in the development of follicles (eggs) produced by the ovaries. FSH is also important in the development of sperm.

Follicle stimulating hormone is used to stimulate a follicle (egg) to develop and mature. It is used when a woman desires pregnancy and her ovaries can produce a follicle but hormonal stimulation is not sufficient to make the follicle mature. Follicle stimulating hormone is also used to stimulate the development of multiple eggs for in vitro fertilization. Follicle stimulating hormone can be used by men to increase the production of sperm.

Follicle stimulating hormone may also be used for purposes other than those listed in this medication guide.

What should I discuss with my healthcare provider before using follicle stimulating hormone?

Follicle stimulating hormone will not induce ovulation if the ovaries are not capable of producing an egg. Also, follicle stimulating hormone will not induce the production of sperm if the testes are not capable of producing sperm.

Before using this medication, tell your doctor if you

• might be pregnant;
• have a thyroid problem;
• have adrenal dysfunction;
• have cancer or a tumor of the breast, ovary, uterus, hypothalamus, or pituitary gland;
• have undiagnosed abnormal vaginal bleeding; or
• have ovarian cysts or enlargement not due to polycystic ovary disease (PCOD).

You may not be able to use follicle stimulating hormone, or you may require a dosage adjustment or special monitoring if you have any of the conditions listed above.

Treatment with follicle stimulating hormone increases the likelihood of multiple births. Multiple births carry additional risk both for the mother and for fetuses. Discuss the risk of multiple births with your healthcare provider.

Tell your doctor if you are allergic to neomycin or streptomycin. The Follistim AQ Cartridge may contain traces of these antibiotics and may cause allergic reactions.

NOTE:

FOR MORE information, visit the site indicated below. it is where i copied these facts.

http://health.yahoo.com/reproductive-medications/follicle-stimulating-hormone-injectable/healthwise--d04043a1.html

Polycystic Ovarian Syndrome

Polycystic ovarian syndrome (PCOS) is one of the main causes of infertility in women. It affects anywhere from five to ten per cent of women between the ages of 20 and 40, making it the most common reproductive syndrome for women of this age group. However, a further 30% of women may have some of the symptoms associated with PCOS although they won’t be diagnosed with the syndrome.

Women who suffer from PCOS have cysts (fluid-filled sacs) on their ovaries that prevent the ovaries from performing normally. PCOS affects regular reproductive functions, like the menstrual cycle, as well as fertility. Ovaries of PCOS suffers tend to be from 1.5 to 3 times larger than normal ovaries.
Although PCOS has been recognized as a syndrome for more than 75 years, no one is sure exactly what causes it. Some experts speculate that it may be hereditary but others suspect that there might be a link between PCOS and diabetes. Because so many women who have PCOS also have high insulin levels, this link does not seem unreasonable.
A connection has also been made between the seizure medication, valporate, and PCOS. This particular medication may cause or worsen the symptoms of PCOS. However, doctors are not sure if it is actually the epilepsy that affects PCOS or the valporate, but it is usually recommended to switch seizure medication if you’ve been diagnosed with PCOS.
PCOS Symptoms
While cysts are the most common symptom of PCOS, some doctors will diagnose a woman with PCOS even when cysts aren’t present. In these instances, the diagnosis is based on the presence of other symptoms and hormonal abnormalities.
Symptoms of PCOS include:
• Amenorrhea (cessation of period) or infrequent periods
• Irregular bleeding
• Infrequent or no ovulation
• Cysts on ovaries
• Increased levels of male hormone, like testosterone
• Infertility
• Chronic pelvic pain for six months or more
• Increase in weight or obesity (most women with PCOS are overweight)
• Diabetes; over production and inefficient use of insulin by the body
• Lipid abnormalities (high or low cholesterol, high triglycerides)
• High blood pressure
• Excess facial and body hair growth
• Male-pattern baldness or thinning hair
• Acne, oily skin, or dandruff
• Dark-colored patches of thick skin on neck, groin, underarms or skin folds
• Skin tags in the armpits or neck.
Diagnosing PCOS
PCOS is one of the most under-diagnosed reproductive syndromes in women. Because the symptoms often seem unrelated to each other, doctors may try to treat each problem individually rather than evaluating them together. However, during a pelvic exam, your doctor will be able to feel any cysts that might be on your ovaries. Once these have been identified, a vaginal ultrasound will be performed to help the doctor get a better view of the cysts. PCOS cysts are often referred to as a "string of pearls" because of their resemblance to a pearl necklace. Next, a blood test may be ordered to evaluate your hormone levels as well as your insulin and glucose levels. Tests may also be ordered to measure your cholesterol and triglyceride levels.
Unfortunately, there is no standard criterion for diagnosing PCOS. Some doctors may give a diagnosis once a woman shows a minimum of three PCOS symptoms while others may use exclusion of other problems to narrow it down to PCOS. Regardless, it is important to receive a proper diagnosis in order to receive treatment. Left untreated, PCOS can lead to many health problems including endometrial hyperplasia (excess growth of the endometrial lining), endometrial cancer, Type II diabetes, high blood pressure, high cholesterol, and heart disease.
PCOS Treatment
Traditionally, doctors have only been able to treat the symptoms of PCOS. Since the cause of PCOS is unknown, there is currently no cure. The birth control pill is often prescribed to help regulate the menstrual cycle as well as reduce the levels of hormones and minimize the appearance of acne. Other medications can also be prescribed to help with blood pressure, cholesterol, hormone levels or cosmetic problems.
Because so many women with PCOS have high insulin levels or their body does not use insulin efficiently, insulin medications are also commonly prescribed. Normalizing insulin levels has been found helpful in regulating periods and promoting ovulation. Women who prefer a more natural way of easing the symptoms of PCOS are frequently recommended to do so through diet and exercise. Maintaining a healthy weight has been shown to help insulin and glucose levels as well as promote fertility. Since PCOS can worsen over the years (although it should improve as you approach menopause), living a healthy lifestyle is one of the best ways to protect yourself.
Surgery is available for PCOS however it is not recommended as a first line of defense. Ovarian drilling is an outpatient, laparoscopic procedure that uses a small needle to puncture the cyst. An electric current is then employed to destroy part of the cyst. Unfortunately, the surgery has a success rate of less than 50% and the long-term effects are not known. Plus, there is the possibility of scar tissue forming or other damage being done to the ovaries, thereby compromising your fertility even more.
PCOS and Pregnancy
While it is possible to become pregnant, women with PCOS tend to suffer a much higher rate of miscarriages. Estimates put the rate of miscarriages in women with PCOS at 45% although some believe the figure may be higher. However, experts aren’t sure why exactly this is. Fertility problems experienced by women with PCOS may be related to the elevated hormone, insulin, or glucose levels, all of which can interfere with implantation as well as development of the embryo. Additionally, abnormal insulin levels may also contribute to poor egg quality, making conception more difficult.
Stabilizing hormone levels can help fertility by promoting ovulation. Some doctors may also prescribe ovulation medications, such as Clomid, to encourage ovulation. If you are thinking of conceiving, be sure to discuss the issue with your doctor. Not all of the medications used to help PCOS sufferers are safe to use during pregnancy and may need to be discontinued.
Although getting pregnant can be problematic for women with PCOS, many have found it easier to get pregnant the second time around. Additionally, some women have found that their menstrual cycles regulate themselves after a pregnancy. Following a healthy diet and exercising regularly will also help to promote fertility.

If you want to read the rest of the topic, visit
http://www.fertilityfactor.com/infertility_PCOS.html

or
follow the links i've posted.