As part of the normal aging process, our body’s hormonal function slowly declines. In addition, many medications (pain meds, antacids, marijuana, cholesterol lowering meds) and lifestyle factors (sedentary lifestyle, illicit drugs, anabolic steroids and excessive alcohol) and environmental toxins can contribute to suboptimal testosterone levels and symptoms. Other hormones (elevated cortisol and prolactin) can contribute to an imbalance in our Hypothalamic-Pituitary-Adrenal axis, leading to fatigue and weight gain. A man’s testosterone usually peaks in his late teens to early 20’s, then begins to drop by approximately 1% every year. Male testosterone optimization therapy in Cincinnati can be extremely beneficial to a male’s health, as well as help alleviate many symptoms. Our practice offers several options for testosterone optimization or replacement. Testosterone can be delivered via topical creams, injections and subcutaneous inserts (pellets). During this time of the year many of us are still thinking about our recent New Year’s resolutions and for most Americans, losing weight and getting in better shape topped that list. Couples who are trying to get pregnant, however, may have a different priority for weight loss- doing whatever is in their own power to improve their chances of having a baby. Well, it turns out that weight and fertility are so intimately linked that these two goals might just as well become one. Whether you are trying on your own or you’re starting fertility treatment, getting your BMI as close to the normal range as possible will improve your chances – not only of getting pregnant but of having a safe and healthy pregnancy.” When healthcare professionals talk about weight, they usually refer to Body-Mass Index or BMI. Studies have shown that losing as little as 5% of body weight can dramatically improve chances of pregnancy- and we’re not just talking about the female partner here – men can improve their fertility by losing weight too. Jeffrey Mc Keeby of Shady Grove Fertility’s Annapolis office says that most of the couples he sees are so determined to have a baby that it can motivate them to lose weight even if their previous attempts have failed. BMI is a calculation based on your height and weight. “Women are always asking, what can I do to improve my chances of becoming pregnant? A BMI within the 19-25 range is considered normal while a BMI in the 25-30 range is considered overweight. “Unfortunately, most of us in the US don’t have a BMI of 25,” says Dr. Mc Keeby, “so I always tell my patients that a good goal is to try to get under 30 before we start treatment. Your weight loss doesn’t have to be dramatic to improve your chances of success. Any movement toward the normal BMI range will help.” Doctors have known for a long time that women with a condition called Polycystic Ovarian Syndromeor PCOS can improve their fertility by losing weight.
With the suspension of Cincinnati Reds pitcher Edinson Volquez for performance enhancing drug use and a swirl of rumors that the agent involved was clomiphene (also known as Clomid,) I thought it timely to write about how clomiphene works and how it’s used. From what I read on the internets, there is an enormous amount of misinformation floating around out there. To understand how clomiphene works, you need to know how the pituitary controls the making of testosterone in the testis. Testosterone is made by Leydig cells in the testis, which I explained in my last post. The pituitary releases a hormone called luteinizing hormone (“LH”) that stimulates the Leydig cells to make testosterone. Testosterone is converted to the female hormone estrogen, (which I also explained in my last post,) and estrogen tells the pituitary to stop making more LH. This kind of negative feedback system is common when it comes to how hormones work. As the room gets warmer, the thermostat sends less electricity to the heater. Last year when I was pregnant I had serious problems with my legs. By the end of the day they used to get thick and swollen. I couldn't wear shoes and it was unpleasant for me to move. I not only looked ugly but my doctor told me that it was not good for me and for the baby as well. I did my best not to drink too much liquids but the problem wouldn't go away. Then my doctor put me on Lasix and since that time I forgot about ankle edemas. The medication made it so easy for me to control the amount of water in my body and get rid of the horrible leg edemas. You can't even imagine what in costs me to hold them in leash.
Excessive weight gain on clomid is a sign of serious side effect. Overstimulation or hyperstimulation of the ovaries. but I can tell you when I was on progesterone pills for 21 days. they made me eat like an insane person. I did not lose a ton of weight on the Metforim but it did regulate my cycles making it possible for us to conceive. Clomid was the devil to me - it made me crazy and i didn't want to take it again. It is very possible you just didn't respond to 50mg and need a higher dose so i would try with the montoring and trigger shot to see if you are.