The Clomiphene Citrate Challege Test or CCCT is a test done on a fertility patient to see how their ovaries respond to stimulation. By testing Estradiol and FSH levels it will give information about how the ovaries are responding and help determine if a fertility patient has diminished ovarian reserve, or a decrease in the overall pool of eggs and a reason for infertility.
Here is how the CCCT is done:
Added by Rafat Abbasi on February 10, 2013 at 2:30pm — No Comments
I had the pleasure of doing a video interview with Dr. Abbasi of Columbia Fertility Associates a couple weeks ago. As an Expert Bridger on Bridge To Baby she has been providing great content in her blog. She expressed interest in discussing DOR in more detail so a video interview seemed appropriate.
She feels that many women come into her clinic at an older age and are surprised that their chances of having…Continue
I was notified of a Bridge To Baby member that had a question about thin uterine lining and it's effects on infertility and pregnancy. I happy to provide some information about how a thin uterine lining as well too thick of a lining, can cause issues with a woman trying to conceive.
The endometrium, or uterine lining, responds to the hormones estrogen and progesterone. These hormones are produced by the ovary or taken exogenously, orally, vaginally or by skin…Continue
Added by Rafat Abbasi on November 11, 2012 at 6:30pm — No Comments
I recently attended the annual American Society for Reproductive Medicine conference in San Diego, California.
ASRM's Mission: ASRM is multidisciplinary organization dedicated to the advancement of the art, science, and practice of reproductive medicine. The Society accomplishes its mission through the pursuit of excellence in education and research and through advocacy…
Added by Rafat Abbasi on November 4, 2012 at 9:00am — No Comments
Since the first in vitro fertilization baby was born, over 30 years ago, there have been very significant advances in the field of reproductive technology. Improved drugs, stimulation protocols, culture media to name a few. However, pregnancy rates, although much higher are still not optimum.
Several factors are responsible for this. The most significant is the egg and embryo quality. However, attention has recently focused on the receptivity of the uterus and its impact on…Continue
Are you or someone you know trying to have A Family of their Own? Family Forward Surrogacy and Bridge To Baby are proud to be participating at the upcoming Family of My Own Fertility & Adoption Conference on Saturday, May 12 at the Hilton McLean Tysons Corner in McLean, VA.
Join us from 8:00am – 2:30pm for…
Added by Sandra Lippard on May 4, 2012 at 10:30am — No Comments
Originally described in the medical literature as Stein-Leventhal Syndrome, it is now commonly referred to as Polycystic ovarian syndrome or disease. (PCOS, PCOD).
What is PCOS?
It is a condition caused by an excess of androgen secretion in the female. It is a common condition affecting between 4-18% of reproductive age women. It has a genetic component, because several studies have shown a familial occurrence, a greater incidence in monozygotic twins,…Continue
Added by Rafat Abbasi on May 2, 2012 at 6:00pm — No Comments
Endometriosis is a chronic disease. It affects about 6-10% of women in their reproductive life. Infertility occurs in about 60% of women with endometriosis.
Due to its high recurrence rates, we are often faced with a dilemma between performing ART (assisted reproductive technology) or using a surgical approach initially.
There is continued debate as to the merits of surgery in endometriosis. The question remains whether surgical…Continue
Added by Rafat Abbasi on March 28, 2012 at 9:30am — No Comments
Endometriosis is defined as the presence of the normal endometrial (lining of the uterus) tissue in an abnormal location. (As in other than the uterine cavity). It is found in about 8-10% of women , although in the infertile population the rates may be as high as 20-70%.
This tissue responds to the same hormonal stimuli as the normal lining in the uterine cavity, and hence bleeds every month with menstruation. This sets up an inflammatory response in the pelvis,…Continue
Added by Rafat Abbasi on March 14, 2012 at 1:30pm — No Comments
Diminished Ovarian Reserve is a condition characterized by a low number of residual oocytes in the ovary, as well as impaired development of the oocytes.
It is found in younger women and usually accompanied by a higher FSH (Follicle Stimulating hormone) level than is normal for their age. This is different from age related decline in ovarian function as seen in women above 40.
Causes of diminished ovarian…Continue
Added by Rafat Abbasi on February 29, 2012 at 7:30pm — No Comments
Although a semenanalysis is the gold standard for initial male testing, it is of limited value in predicting a couple’s chances of conceiving. The question remains, whether a better test would improve results.
Diagnostic tests for sperm DNA quality:
Sperm DNA damage appears to be more predictive and more reproducible than a semenanalysis.
Studies have shown that sperm DNA damage is associated with lower implantation rates, impaired embryo…Continue
Added by Rafat Abbasi on February 13, 2012 at 12:30pm — No Comments
Following treatment for Asherman's Syndrome, the resumption of normal cycles is generally high ranging from 45-50%.
The pregnancy rate is around 30-40%, but the term birth rate is usually about 30-40%. Ashermans’ syndrome is a difficult condition to treat with good results.
What are the obstetrical complications of pregnancy with…Continue
Added by Rafat Abbasi on January 25, 2012 at 10:00pm — No Comments
The occurrence of scar tissue in the uterine cavity was first described in 1894. However, the term Asherman’s syndrome did not come about until 1948. The syndrome included the presence of scar tissue in the cavity, coupled with the absence of a period. The scarring caused the walls to stick together, obliterating the cavity.
The definition was altered to include the presence of scar tissue together with light periods, absence of periods, and…