دانلود کتاب Getting Pregnant for Dummies

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Title Page\nCopyright Page\nTable of Contents\nIntroduction\n About This Book\n Foolish Assumptions\n Icons Used in This Book\n Beyond the Book\n Where to Go from Here\nPart 1 Are We There Yet? Wondering Why You’re Not Pregnant\n Chapter 1 Where, Oh Where, Can My Baby Be?\n Defining Infertility\n Looking at Infertility Statistics\n Making babies: An inefficient process at best\n Age and infertility\n Race and infertility\n High-tech treatments and infertility\n Shaking Down the Family Tree\n Putting together a family birth history\n Finding out important information\n Checking the stats of your race\n Seeing What Causes Infertility\n Diagnosing Infertility\n Recognizing Why Getting Pregnant Seems Harder Today\n Calculating the Cost of Infertility\n Preparing for the emotional toll\n Recognizing how infertility affects your partnership\n Adding up the financial cost\n Chapter 2 What Does Anatomy Have to Do with It?\n Reviewing the Female Anatomy\n The vagina\n The cervix\n The uterus\n The ovaries\n The eggs\n The fallopian tubes\n The breasts\n Controlling your hormones\n In Sync: How Female Reproductive Parts Work Together\n Taking a spin on the menstrual cycle\n Recognizing the importance of regular periods\n Understanding the causes of malfunctioning menstrual cycles\n Hanging Out with the Guys\n The penis\n The testicles\n Sperm — 200 million of them!\n Putting Male and Female Parts Together\n Recognizing signs of ovulation\n Timing and fertility\n Conceiving a Baby: How Sex Should Work\n Figuring Out How Often to Have Sex\n Chapter 3 Blame It on My Genes! The Role of Genetics and Family History\n Grasping Genetics Basics\n What are genes and chromosomes?\n What do genes do?\n Inheriting Infertility — Really?\n Inheriting Diseases that May Impact Fertility — Different Story!\n Shaking the Family Tree for Information\n Finding Out What’s in Your Genes\n Karyotyping\n Spotting single gene defects\n Looking for other anomalies\n Looking at What’s on the Horizon\n Chapter 4 Before the Baby: Exploring Lifestyle and Behavioral Factors\n Making Healthy Lifestyle Changes\n Giving up smoking\n I’ll drink to that!\n Give me my coffee!\n Saying no to drugs\n Understanding Common Infections That Can Cause Uncommon Results\n HPV: The most common STI\n Chlamydia: The most reported STI\n Cytomegalovirus (CMV)\n Gonorrhea\n Syphilis\n Genital herpes\n HIV\n Trichomoniasis\n Ureaplasma and mycoplasma\n A new kid on the block: Zika\n STIs May Cause PID: More Than Just a “Pain in the Derriere”\n Exploring Specific Lifestyle Choices and Busting Some Common Myths\n Gauging the truth about hot tubs — and other “short” stories\n Balancing the yin and yang of exercise\n Dumping the douche\n Avoiding toxins at home and away\n Making the connection between stress and fertility\n Getting Checked Out from Top to Bottom\n Having a full physical\n Checking your blood levels\n Checking your medications\n Deciding if you need a mammogram\n Seeking other prepregnancy medical counseling: Do you need it?\n Chapter 5 It Worked the First Time! Tackling Secondary Infertility\n Facing Secondary Infertility\n Wanting an Heir and a Spare?\n Facing Secondary Infertility\n Wondering whether it will feel as bad as it did the first time?\n Dealing with disbelief: But it worked before . . .\n Looking for What’s Different This Time Around\n Changes in age\n Changes in health\n Changes in partners\n Dealing with the Emotional Pain\n Longing for another child\n Losing support the second time\n Planning Treatment for the Second Time Around\nPart 2 Taking the Initiative\n Chapter 6 DIY Methods to Increase Your Chances\n Reading Your Body’s Signals and Signs — An Incomplete Story\n Checking for signs that really matter: Your menses\n Did I ovulate or not? That is the question\n Recording your basal body temperature (BBT)\n Observing cervical mucus\n Feeling your cervix\n Keeping a Fertility Chart\n Predicting Ovulation: Kits, Sticks, and Software\n Using an ovulation predictor kit\n Adding computer power with a fertility monitor\n Just spit here — the saliva test\n Sperm testing at home\n Getting through the Two-Week Wait\n Looking for a Positive with Home Pregnancy Tests (HPTs)\n Getting to know HPTs\n Using HPTs\n Understanding false positives\n Understanding false negatives\n Chapter 7 Considering Special Circumstances\n Calculating Your Fertility Odds as an “Older” Mom\n Checking out the statistics\n Understanding how much age matters\n What’s “older” these days?\n But I don’t look my age!\n Putting age in its (proper) place\n Modern ways to fight an “age”-old problem\n Calculating Your Fertility Odds as an “Older” Dad\n Living with Diseases That Affect Fertility\n Polycystic ovaries\n Endometriosis\n Diabetes: More than a “sugar” problem\n Lupus and other immune disorders\n Cancer and Fertility: The News Is Cautiously Optimistic\n The cancer-fertility connections for women\n The cancer-fertility connection for men\n Considering cryobiology\n Chapter 8 Harnessing the Power of Modern Medicine: Finding a Doctor and More\n Exploring Your “Doctor” Options\n When not to wait — even a few months\n Choosing between a family doctor and an OB/GYN\n Bringing your partner along: Four ears are better than two\n Making a list of questions for your first visit\n Filling out forms and answering questions\n Moving Up to Dr. Specialist\n Getting Help from National Organizations\n Going Online for More Resources and Information\n Chat rooms and bulletin boards\n Doctors’ websites: Separating the glitter from the goods\n Discussing Dollars with the Doctor\n Understanding What Your Doctor Says\n Knowing When to Switch Doctors\n Keeping Your Own (Hit) Records\n Facing the Stranger in Your Sex Life — Treatment and Your Loss of Privacy\n Talking sex with clinic staff\n Figuring out who gets to know what\n Chapter 9 Improving Your Odds with Diet, Supplements, and Exercise\n Eating for Fertility\n Considering BMI\n So, what should I put on my plate?\n The Controversy over Estrogen\n Considering Supplements — Vitamins, Minerals, Herbs, and More\n Taking vitamins\n Herbs\n Folic acid\n Wheatgrass\n L-arginine\n Vitamin D: Is all the hype justified?\n Myoinositol and PCOS\n Coenzyme Q10 (CoQ10)\n Supplements for better sperm production\n Exploring Alternative Medicine from China and Beyond\n Traditional Chinese medicine\n Help from herbal formulas\n On pins and needles — acupuncture for infertility\n Chanting Your Way to Conception: Meditation and Yoga\n Seeking Help from On High\n Putting Your Body in Motion: The Benefits of Exercise\n Chapter 10 Are We Having Fun Yet? Managing Your Emotions and Relationships\n Holding Your Relationship Together during Treatment\n Easy does it when conceiving gets harder\n Avoiding the blame game, round one: It’s not my fault\n Avoiding the blame game, round two: We should have started sooner\n Same game, more blame: Why one of you just isn’t into it\n Healing Your Relationship: Band-Aids and Longer-Term Solutions\n Remembering the joy\n Coming together as a team\n Dealing with Buttinskies (a.k.a. Friends and Relatives)\n Bringing friends and family onboard\n Surviving the holidays\n Declining invitations\n Forecast: Baby showers likely\n Getting Professional Help for Very Personal Hurts\n Being in the club you didn’t ask to join\n Consulting a professional therapist\n Seeking social support from your world and the rest of the universe\n Taking a Break from Your Fertility “Job” — You Deserve It\nPart 3 Seeking Answers, Identifying Causes, and Dealing with Disappointments\n Chapter 11 Ladies First: Female Testing Basics\n Understanding the Limits of Testing\n Testing Your Blood for Clues\n Baseline blood tests\n Progesterone\n Prolactin\n Thyroid tests\n Testosterone (Yes! For women, too.)\n DHEA-S\n Fasting insulin\n Testing for immune disorders\n Vitamin D\n Infectious diseases\n Addressing Female Structural Problems\n Picturing a healthy uterus\n Clearing out the fallopian tubes\n Addressing scar tissue\n Reversing a Tubal Ligation\n Testing to Diagnose Structural Problems\n Transvaginal ultrasound\n HSG (Don’t even try to spell out the word)\n Saline infused hysterosonogram (SIS)\n Hysteroscopy (HSC)\n Laparoscopy (LSC)\n Checking for Endometriosis\n Considering Ovulation Disorders: Symptoms, Diagnosis, and Prognosis\n Metrorrhagia — Irregular periods\n Amenorrhea — No periods\n Anovulation — Failing to ovulate\n Chapter 12 Your Turn, Honey! Back to the Boys\n What is Male Factor Infertility?\n Sizing Up the Semen\n Obtaining a high-quality specimen\n Development of the semen analysis and what the numbers mean\n Interpreting the SA Test Results\n Making too few sperm\n When there’s no sperm in sight\n Considering the sperm’s shape and movement\n Checking for Structural Problems\n Correcting Varicoceles\n Looking for Clues in Your Blood\n Testosterone\n Other strategic hormones\n Considering Potential Functional Issues\n Help for erectile dysfunction\n Intervention for retrograde ejaculation\n Undoing a Vasectomy: Is it Worth It?\n Analyzing the Effects of Age and Lifestyle\n Chapter 13 Riding the Roller Coaster of Early Pregnancy Loss\n Defining What Being Pregnant Really Means\n Taking a home pregnancy test\n Getting a blood test\n Scanning the uterus\n Being “A Little Bit” Pregnant: Chemical Pregnancies\n Understanding chemical pregnancies\n Testing for possible fixes\n Suffering a Miscarriage\n Understanding the language of loss\n Knowing if you need a D&C\n Recognizing possible causes\n Evaluating chromosomes\n Testing products of conception\n Chromosome testing of the parents\n Navigating an Ectopic Pregnancy\n Recognizing the signs of an ectopic pregnancy\n Other origins of ectopic pregnancies\n Experiencing Recurrent Pregnancy Loss\n Exploring common causes\n Answering the question, “Why me?”\n Suffering insensitive remarks\n Knowing what to do next\n How is Recurrent Implantation Failure Different?\n Picking Yourself Up after a Loss\n What to do while you’re waiting\n What not to do\nPart 4 Moving from No-Tech to High-Tech Conception\n Chapter 14 First: The Lower-Tech Options\n Seeking Personalized Fertility Treatment\n Discussing options with your fertility specialist\n Deciding what’s more likely to work for you\n Jump-Starting Your Ovaries\n “Take two Clomid and call me in three months”\n Comparing Clomid and letrozole\n Side effects of oral stimulation meds\n Will oral meds work?\n Deciding whether to monitor\n Getting a “trigger” shot\n Considering Artificial Insemination\n Comparing your options\n Collecting and prepping the sperm\n Getting the timing right\n Considering a few risks of IUI\n Checking out the Controlled Ovarian Hyperstimulation Option\n Understanding the need for injections\n Defining gonadotropins\n Injecting hCG to Mature Your Eggs\n Ensuring Proper Monitoring throughout Your Cycle\n Deciding When to Pursue Higher-Tech Options\n Growing sick of getting stuck\n Being sensitive to your partner’s feelings\n Chapter 15 Going High-Tech: Welcome to the In Vitro Fertilization (IVF) Club\n What IVF Means for You\n Getting real about what it costs and the chances for success\n Looking at the risks of IVF\n Switching Doctors: Will a Change Really Matter?\n Choosing the Best Clinic for You\n Surfing IVF websites\n Sorting through SART statistics\n Looking for a clinic\n Evaluating a clinic’s personality\n Addressing the High Costs of IVF\n Figuring out what your insurance plan really covers\n Changing jobs or changing insurance to get infertility coverage\n It’s the Law! States That Mandate Fertility Coverage\n Fighting City Hall: Insurance Appeals\n When Having Insurance Doesn’t Help\n Getting Creative When You’re Out of Other Options\n Donating eggs to reduce costs\n Joining a drug study\n Getting Your Medications for Less\n Shopping at mail-order pharmacies\n Making a quick trip over the border\n Scoring freebies from the drug companies\n Shopping for “sales”\n Going overseas for IVF\n Chapter 16 Ready, Steady, Go! Starting Your IVF Cycle\n Preparing for a Roller Coaster Ride of Emotions\n Experiencing the emotional ride\n Looking at your protocol and dealing with schedules\n Dealing with a disappearing doctor\n Taking your medications without having a nervous breakdown\n Monitoring your progress (more poking and prodding)\n Is hyperstimulation avoidable?\n Getting your next-step marching orders\n Dealing with the loss of control, or not being the best in the room\n Why feeling blue is normal\n Taking a Shot in the Dark: Time for hCG\n Understanding the purpose of hCG\n Setting the alarm: Timing is everything with hCG!\n Heading to the Big Dance: The Egg Retrieval\n Looking at retrieval schedules\n Signing here . . . and here . . . and here . . .\n Meeting the retrieval team\n Previewing what happens in an egg retrieval\n Sleeping on the job: Anesthesia’s role in egg retrieval\n Your Partner Is Busy Too\n After the Dance: Do’s and Don’ts for a Happy Recovery\n Answering Common Post-IVF Questions\n Post-Retrieval Pills and Potions\n The Waiting Game: Knowing What’s Next\n Chapter 17 The Care and Feeding of an Embryo: Amazing Teamwork in the Lab\n Recognizing a Good Egg When You See One\n Prepping Sperm to Meet the Egg\n Conventional sperm insemination\n High-tech sperm injection\n Looking at What Can Go Wrong When Egg Meets Sperm\n The High-Tech Meet-and-Greet: Doing ICSI\n Answering the Call About the Embryos\n What “day” is it for the embryo?\n Understanding when embryos are checked\n Grading an embryo\n Why are there fewer embryos than eggs?\n Testing That Embryo: Checking Genetics Before the Transfer\n Considering your preimplantation testing options\n How is PGT (any kind) done?\n Does PGT improve my pregnancy chances?\n Choosing an embryo to transfer\n Hatching Embryos — Come on Out of There!\n Looking at the Embryos’ Next Home: Your Uterine Lining\n Undergoing the Embryo Transfer\n Knowing what to expect: How many embryos to transfer?\n What’s a good transfer day? Day 3? Day 5? Any other?\n Describing the “oh-so-much-easier” procedure\n “Fresh” transfer prep\n Choosing the “frozen” path to a transfer\n Post Transfer Tips and Boosts\n Chapter 18 Keeping Your Head in the Game: Successfully Waiting after an IVF Cycle\n Not “Not Pregnant” — But Waiting for Proof\n Meds without monitoring and feeling a little left out by the clinic\n Keeping busy: do’s and don’ts\n Making your to-do or not-to-do list\n Sensing Every Little Twinge: The Truth about Pregnancy Symptoms\n Checking on Your Own: Home Pregnancy Test Traps\n Waiting for the News\n Deciding how and where you want the news\n Understanding what the test results really mean\n Responding to Good News: OMG!\n Cautiously pregnant and continuing tests\n Expect ongoing monitoring\n Graduating from your fertility clinic\n Knowing when high-risk monitoring may be necessary\n Taking the Next Step if IVF Doesn’t Work\n Grasping the importance of follow-up after bad news\n Figuring out what happened\n Questioning God and your doctor\n Grieving your loss\n Taking time out for you and your partner\n Keeping Embryos on Ice\n Regrouping and Future Planning\n Chapter 19 Staying Afloat When You’re Drowning in a Sea of Fertility Data\n Exploring the Link Between Information and the Care You Receive\n Knowing how medical decisions are made\n Sifting through medical studies: All data is not created equal\n Stacking the deck: why diagnosis matters\n Choosing What’s Best for You\n Figuring out your true conception goal\n Teaming up to decide what is best\n Knowing where to go for useful information\n Go one-on-one with your doctor\nPart 5 Exploring Alternative Routes to Conception\n Chapter 20 Considering Third-Party Reproduction Options\n Deciding to Use Donor Eggs, Sperm, or Embryos\n Why do I need to do this?\n Getting started down the third-party road\n Protecting Yourselves When Considering a Donor for Anything\n Asking key questions\n Researching companies that find donors\n Recruiting a family member or friend\n Getting the lawyer involved\n Heading to the Bank — the Sperm or Egg “Cryo” Bank, That Is\n Why fewer couples are using donor sperm\n Reviewing donor sperm requirements\n Testing donors and taking precautions\n Ordering sperm\n Shopping at an Egg Bank\n Selecting a Donor for a “Fresh” Donor Egg Cycle\n Matching with a “fresh” egg donor\n Keeping the facts in mind\n Finding donor eggs\n Funding the donor egg cycle\n Checking out your donor\n Signing the documents: Lawyering up, again\n Coordinating your Donor Oocyte Recipient “DOR” cycle\n Getting support\n Enlisting the Aid of a Surrogate\n Finding that special woman\n Using matching companies\n Looking for your own surrogate\n Traveling abroad for more options\n Sharing “your” pregnancy\n Medical clearance of your surrogate\n Legal issues to follow to make sure your baby is really yours\n Embryo Donation\n Telling your Pregnancy Story (or Not)\n Deciding whether family and friends really need to know\n Telling the child (or not): When and how to do this\n Using a registry\n Modern Families: Getting Pregnant\n When you’re single or LBGTQIA\n Transgender fertility issues\n Chapter 21 Moving On: Not Necessarily the End of The Road\n Letting Go of the Dream\n When medicine can no longer help\n Going through the grief process\n Knowing when to get help (and what kind of help)\n Opting to Adopt\n Considering traditional domestic adoption\n Looking into private domestic adoption\n Exploring international adoption\n Adopting a special-needs child\n Starting as a foster parent\n Deciding to be a “Family of Two” — Living Child-Free\n Chapter 22 The Future is Now! New Advances, New Concerns in Fertility\n Looking into the Future: Long-Term Health Effects of Fertility Medication\n Effects on the mother\n Effects on the baby\n Gathering Steam: The Genetics Tool Train\n Brushing up on the latest genetic capabilities\n Sex selection: When you absolutely, positively want a boy (or a girl)\n Transplanting Body Parts to Improve Fertility\n “New” ovaries?\n Permanently “borrowing” a uterus\n Putting Your Plans on Ice\n Giving hope to patients with diseases that threaten their fertility\n Social freezing: Stalling parenting until you are “ready”\n Deciding the future: Disposition documents are a must\n Getting Up to Speed on Reproductive Law\n Posthumous conception: When your family wants to have your baby\n Divvying up leftover embryos after the “Big D”\n Ethics and extra embryos\n Getting your baby home: Passports, parents, and government interference\n Saving Stem Cells for Research: Raising Ethical Concerns\n Cloning and Human Concerns\n Forcing Clinics to Decide Who’s Fit to Parent\n Realizing that Machines and People are Fallible\n Looking Beyond IVF\nPart 6 Part of Tens\n Chapter 23 Ten “Fake News” Stories about Fertility\n News for Rodents\n Reading about Medical Miracles\n Celebrity Fecundity (also known as Fertility)\n Cell Phones Decrease Male Fertility\n Increased Longevity Means a Larger Fertility Window\n Men Don’t Undergo Menopause\n Looking Good Means Your Fertility Is Good\n You Can Glue Your Embryos to Your Uterus\n Procreation Vacations Work\n Adopt and You’ll Get Pregnant\n Chapter 24 Ten Things to Know in Early Pregnancy\n Good Pregnancy or Not?\n Bleeding Is Bad, Right?\n What About Exercise?\n Can I Fly When I’m Pregnant?\n Should I Quit My Job?\n Should I Get a Flu Shot?\n When Should I See My Ob/Gyn?\n Do I Have to Stay on My Medication?\n Dealing with a UTI\n What Is Happening to My Skin?\nIndex\nEULA