The Middletown Press (Middletown, CT)

Figuring out fertility issues

- Dr. Mehmet Oz and Dr. Michael Roizen Mehmet Oz, M.D. is host of “The Dr. Oz Show,” and Mike Roizen, M.D. is Chief Wellness Officer and Chair of Wellness Institute at Cleveland Clinic. To live your healthiest, tune into “The Dr. Oz Show” or visit www.shar

Success rates of the various fertility treatments vary depending on the cause of infertilit­y, a women’s age and health, and other factors, but in-vitro fertilizat­ion results in pregnancy in around 54% of women under 35 and 26% to 40% for women ages 35 to 40. The effectiven­ess of medication­s that stimulate ovulation vary depending on the woman’s age and what is used: It ranges from 18% with Femara (letrozole) to 32% for hormone shots.

And for low sperm count or motility, artificial inseminati­on results in pregnancy after six tries about 40% of the time for women under the age of 40. Intrauteri­ne inseminati­on (a more targeted version of AI) succeeds from 5% to 20% of the time per try. Adding this technique of sperm delivery to the administra­tion of Femara increases chances of success.

Who’s a candidate for fertility treatments? Women younger than 35 who want to conceive and who have not become pregnant after 12 months of unprotecte­d intercours­e should be offered an infertilit­y evaluation — those over age 35 should consider evaluation after six months. For women 40 and older, immediate evaluation by a doctor should be considered, say the Yale researcher­s. Fertility evaluation is also recommende­d for women with infrequent or absent periods and known or suspected uterine, tubal or peritoneal disease, including stage III or IV endometrio­sis.

Before you start: A couple of new studies add informatio­n about the smartest techniques to use for fertility treatment. We want to share those so you are on the best path to success.

We love this one: You can eat your way to significan­tly increased fertility with a diet loaded with supplement­al folic acid, vitamins, fruits and vegetables with low pesticide residue, whole grains, seafood, dairy and soy, according to an observatio­nal study of 357 women undergoing assisted reproducti­ve technology.

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