To schedule your initial consultation with Dr. John Zhang at New Hope Fertility Center, click the icon below – or – call 917.525.5496.
I recommend women in their prime childbearing years (25 to 35) get 7 to 9 hours of quality sleep every night during a work week. The National Sleep Foundation has found through studies that sleep has a powerful influence on a woman’s reproductive hormonal system.
Sleep deprivation adversely affects your BMI, your mood, and your stress level. Your Follicle Stimulating Hormone (FSH) level is directly affected by lack of sleep. Your FSH level should ideally be at its highest level just before you ovulate.
Women averaging 7 to 9 hours of sleep each night had a 20 percent higher FSH level than those who go 6 or fewer hours – regardless of age, BMI, mood, or stress level.
A healthy adult Body Mass Index (BMI) is between 18.5 and 24.9. Look: A 2016 review of studies shows that not getting enough sleep leads women to consume an average of 385 more calories the next day.
Here’s the real story about women who don’t get enough sleep.
Over a five year period, women can gain 2.1 BMI points for every hour of sleep they lose. Why is this important? A two pound weight gain can easily throw a woman off of her healthy BMI.
The takeaway. Sleep is an important moderator of neuroendocrine function and glucose metabolism. Sleep loss alters metabolic and endocrine alterations.Read more: How Sleep Increases Fertility
ICSI – Intracytoplasmic Sperm Injection – is a specialized egg fertilization technique used during the IVF process. Look: ICSI bypasses a number of common reproductive conditions preventing sperm from fertilizing an egg. A single sperm cell is injected directly into an egg under the guidance of a microscope. ICSI has revolutionized the treatment of male-factor infertility.
ICSI is recommended for most couples undergoing IVF – especially these candidates:
Today, ICSI is routinely recommended to improve fertilization in all IVF cases – regardless of diagnosis.
When a man has a low sperm count and/or motility, a semen sample is collected through masturbation. The semen sample is processed in a special solution to obtain optimum ICSI results.
When a man is suffering from azoospermia – no sperm in ejaculate – sperm is microsurgically retrieved from the testicle or epididymis. This is commonly known as testicular sperm retrieval. Microsurgery to remove sperm from the testicles or epididymis can be performed under local or general anesthesia and requires short recovery periods.
Obstructive Azoospermia (no sperm in semen) can be corrected by the surgical removal of sperm directly from the testis or epididymis of the testicle.
Non-Obstructive Azoospermia (sperm count with impaired sperm) may be caused by hormonal problems, testicular failure, varicocele, or varicose veins in the testicles. Non-Obstructive Azoospermia can be corrected through TESE – testicular sperm extraction. TESE is a surgical technique using fine needle aspiration performed with local anesthesia.Read more: How ICSI Technology Enhances IVF Egg Fertilization
We are proud to offer our patients a new, simple and convenient IVF treatment protocol. Look: Needle-Free IVF! This revolutionary IVF protocol eliminates the fear, pain, and anxiety many patients experience with needles. Our Needle-Free IVF protocol stimulates a woman’s ovaries into producing multiple egg follicles through the use of oral fertility medications. The best part? Hormone levels are measured through urine and saliva tests during a Needle-Free IVF cycle.
Through Needle-Free IVF, patients are able to administer hormone stimulation in a less-invasive manner.
Why Needle-Free IVF is patient-friendly.
Depending on the woman’s medical needs, an oral fertility medication – typically Clomid – is prescribed to gently stimulate her ovaries into producing multiple eggs. Synarel is delivered nasally 36 hours prior to surgical egg retrieval.
IVF in conjunction with egg maturation in a laboratory setting (IVF/M) increases a woman’s chances of using at least some of her immature eggs for in vitro fertilization and transfer. Look: Through In Vitro Maturation (IVF/M or IVM) technology, Dr. John Zhang is able to retrieve and bring some of your immature eggs to maturation in vitro. Why does this make a difference? Typically in past conventional IVF procedures, only mature eggs were surgically retrieved to be fertilized in vitro.
A Conventional IVF procedure requires a woman to undergo multiple hormone injections to help produce 10 to 15 egg follicles as they reach maturity while they are still in her ovaries. In addition, the patient must endure multiple, regular ultrasounds and blood tests during a one month fresh IVF cycle.
The IVF/M procedure matures a woman’s eggs in vitro – in the laboratory – after they have been surgically retrieved in an immature stage. Here’s the deal: IVF/M requires fewer fertility medications and only a couple of ultrasound and blood tests during a typical one month cycle.
IVF/M cycle fertility medications are typically available in pill and suppository form. The best part? Because fertility medications are scaled back through the IVF/M process, the patient’s cost is reduced.Read more: How In Vitro Maturation (IVF/M) Helps to Increase IVF Pregnancy Success Rates
Measuring a woman’s AMH level – Anti-Mullerian Hormone – is crucial to achieving a successful pregnancy through a fresh IVF transfer, as well as for an optimal egg freezing cycle. Why does this matter? AMH testing measure a woman’s ovarian reserve. A woman’s ovarian reserve determines the chances for conceiving and giving birth to a healthy baby using her own eggs. That’s not all. A recent study has found that fertile women having a low AMH level became pregnant less frequently than those with a higher AMH level.
As a woman ages – post-35 – the count of her egg follicle (ovarian) reserve decreases. Did you know? Obese women have low AMH levels and poor ovarian reserves.
Bottom Line: As shown in the chart below, older women have lower AMH levels than their younger counterparts.
Age 10th Percentile 50th Percentile
18 – 24 1.10 3.60
25 – 29 1.10 3.20
30 – 34 .52 2.10
35 – 39 .20 1.50
40 – 41 .10 .80
42 + .09 .50
Because women with lower AMH levels have less of an ovarian reserve than women with high AMH levels, AMH testing is key to predicting how a woman will respond to fertility medications. Here’s the deal: AMH testing helps Dr. Zhang predict your fertility level – that is – your chances of a successful pregnancy.
Women having low AMH levels do not respond well to fertility medications. These women are classified as poor responders because their bodies to not produce a sufficient number of high quality eggs using fertility medications.Read more: How AMH Plays a Key Role in Predicting a Woman’s Fertility