Infertility

Causes of infertility and treatment methods

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Recurrent miscarriage

Causes of miscarriage in women

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Laparoscopy

Laparoscopy and its role in gynecological diseases

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دکترسهیلا عارفی

Dr. Seyedeh Soheila Arefi, Surgeon and Specialist in Obstetrics, Gynecology, and InfertilityBoard certified in Obstetrics and Gynecology from Tehran University of Medical Sciences, with fellowships in Infertility and Advanced Laparoscopy from London, and Hysteroscopy from Tehran University.Author of two books and over 60 scientific articles in national and international journals.Faculty member of Avicenna Research Institute.

اینستاگرام دکترسهیلا عارفی
1
Pre-pregnancy tests depend on the patient's age and any existing conditions. It is best to consult a gynecologist before pregnancy, and if the patient has diabetes or high blood sugar, they should definitely discuss it with their doctor.
2
No, primary amenorrhea means the patient's ovaries have become fibrotic or prematurely aged and have stopped functioning. The only way to get pregnant is by using donor eggs.
3
Primary amenorrhea is diagnosed with tests related to ovarian reserve. If the person is under thirty years old, genetic testing should also be done.
4
Exercising before IVF is not harmful, but when the specialist gives you medication for ovulation induction until the egg retrieval, you should not do heavy exercise because the ovaries are heavy at that time. However, walking and brisk walking do not cause any problems.
5
Patients with recurrent miscarriages should definitely have their tests and evaluations done, and medications should be started one to two months prior, depending on the tests.
6
There is no age limit for IVF, but the way IVF is performed and what we want to do in IVF depends on the person's age.
7
The best time to try for pregnancy is two days before and two days after the approximate time of ovulation. Ovulation time is usually in the middle of each person's cycle.
8
Considering that frozen embryos are stored at a specific temperature, long-term freezing does not cause any problems for the embryos, and they can be kept frozen for a long time.
9
Lazy ovaries may be caused by various reasons. Depending on the cause, medication may be effective in some people and ineffective in others.
10
Usually, at least three months are needed after a miscarriage for hormonal changes to regulate and for the uterus to be ready for embryo transfer
11
Yes, because the factor for successful pregnancy with IVF is that the head of the sperm, which contains the sperm's genetics, is healthy
12
An AMH below one does not indicate that the patient cannot get pregnant and only serves as a warning for the patient to pursue fertility treatment more quickly. If the patient is married, faster conception is recommended; if the patient is single, fertility preservation and egg freezing are suggested.
13
Treatments like uterine PRP and endometrial scratching are investigational treatments, and their 100% effectiveness has not been proven for all patients.
14
Common vaginal infections do not have an impact, but there are asymptomatic infections that are only diagnosed by a specialist and can affect the outcome of the transfer. (These infections are also treatable.)
15
If the adhesions are inside the patient's uterus, the necessary lining for implantation will not exist due to the presence of fibrotic tissue, and the transfer result will be negative. However, when the adhesions are outside the uterus and around the fallopian tubes and ovaries, as long as these adhesions do not affect the function of the tubes, they will not cause a problem in the success of IVF.
16
Embryo transfer is a simple and quick procedure that does not require anesthesia. The gases and anesthetic drugs used might have unknown effects on implantation.