[{"_id":"project-settings","settings":{"translateMetaTags":true,"translateAriaLabels":true,"translateTitle":true,"showWidget":true,"customWidget":{"theme":"custom","font":"rgb(255,255,255)","header":"rgb(0,0,0)","background":"rgba(0,0,0,0.8)","position":"right","positionVertical":"bottom","border":"rgb(204,204,204)","borderRequired":false,"widgetCompact":true},"widgetLanguages":[],"activeLanguages":{"fr-CA":"Français (Canada)","es":"Español","en":"English"},"enabledLanguages":["en","es","fr-CA"],"debugInfo":false,"displayBranding":true,"displayBrandingName":false,"localizeImages":false,"localizeImagesLimit":false,"localizeAudio":false,"localizeAudioLimit":false,"localizeDates":false,"disabledPages":[],"regexPhrases":[],"allowComplexCssSelectors":false,"blockedClasses":false,"blockedIds":false,"phraseDetection":true,"customDomainSettings":[],"seoSetting":[],"translateSource":false,"overage":false,"detectPhraseFromAllLanguage":false,"googleAnalytics":false,"mixpanel":false,"heap":false,"blockedComplexSelectors":[]},"version":17507},{"_id":"en","source":"en","pluralFn":"return n != 1 ? 1 : 0;","pluralForm":2,"dictionary":{},"version":17507},{"_id":"outdated","outdated":{"#<mark ljsid-0=\"\">Avoid vigorous activities such as heavy lifting, bending or exercise. Why?</mark> You want embryos to remain in the uterine cavity and not get pushed into a Fallopian tube, which would result in an <a ljsid-2=\"\">ectopic or tubal pregnancy</a>.":1,"#Powered by OneTrust Opens in a new Tab - ouvrir dans un nouvel onglet - ouvrir dans un nouvel onglet - ouvrir dans un nouvel onglet":1,"#Privacy Policy - ouvrir dans un nouvel onglet - ouvrir dans un nouvel onglet - ouvrir dans un nouvel onglet":1,"#Cookie Policy - ouvrir dans un nouvel onglet - ouvrir dans un nouvel onglet - ouvrir dans un nouvel onglet":1,"#send an email to enteryour@addresshere.com?subject=Are+IVF+Twin+Embryos+a+Risk%3F&body=Check%20this%20out:%20https%3A%2F%2Fprogyny.com%2Feducation%2Fivf-facts%2Fivf-twins-risk%2F":1,"#Búsqueda de la lista de cookies":1,"#Búsqueda de encabezado":1,"#PRIVACIDAD":1,"#Banner de galletas":1,"#línea de té":1,"#círculos-gris-claro-bg":1,"#defensor de la atención al paciente ayudando a un miembro en línea":1,"#madre en el portátil sentada junto a su hija":1,"#Tecnología genética":1,"#Escuelas públicas de Metro Nashville":1,"#Amount you may be expected to pay is approximately: $15 to $19":1,"#cycle-based benefit - abrir en una nueva pestaña":1,"#Amount you may be expected to pay is approximately: $10305 to $12595":1,"#Amount you may be expected to pay is approximately: $13185 to $14650":1,"#Amount you may be expected to pay is approximately: $6313 to $7716":1,"#Amount you may be expected to pay is approximately: $4009 to $4900":1,"#Your employer or plan sponsor may offer Progyny benefits through several eligible health plans. Your financial responsibility will be determined by the specific health plan you are on. Please reach out to Progyny at 888.597.5065 for more information on your specific coverage.":1,"#You can always reach out to your dedicated Patient Care Advocate for more information, guidance, and support.":1,"#Financial Wellness and Your Fertility Benefit FAQ | Progyny":1,"#Interested in learning more? Watch a recording of our <a ljsid-1=\"\">Financial Wellness and Your Progyny Benefit webinar</a>.":1,"#Progyny PCAs are fertility experts trained to provide clinical and emotional support throughout your entire journey. Contact your PCA at 888.597.5065 for guidance on available treatment options and outcomes, coordination and prep for all your appointments, and answers to any questions you may have about your benefit.":1,"#Progyny is here to help you every step of the way as you navigate your fertility and family building journey, including understanding your financial responsibilities. We want to ensure you have the tools you need to make informed decisions around your care and have compiled the most frequently asked financial questions to help you best prepare for your next steps.":1,"#Financial Wellness and Your Fertility Benefit FAQ":1,"#Si tiene alguna pregunta sobre su beneficio, comuníquese con su Defensor de atención al paciente dedicado para obtener ayuda al":1,"#Política de privacidad - open in a new tab":1,"#Política de cookies - open in a new tab":1,"#Progyny.com/TalkToHR - open in a new tab":1,"#67% - open in a new tab":1,"#65% - open in a new tab":1,"#cycle-based benefit - open in a new tab":1,"#68% - open in a new tab":1,"#40% - open in a new tab":1,"#Sammi Itatani":1,"#<strong ljsid-0=\"\">Strictly Necessary</strong>: These cookies are necessary for the website to function and cannot be switched off in our systems. These cookies necessary for system administration, to prevent fraudulent activity, to improve security, or to enable basic features of the website.":1,"#Overall, our cookies fall into four general categories:":1,"#This website uses different types of cookies to perform a variety of functions. These cookies can help us gather information, including how many visitors visit our website, which pages are the most popular, and where the most visitors are located. With this type of data in an aggregated, non-identifiable way, we can learn what our visitors like and dislike about our website and services, and act to improve the overall user experience. This website uses both session (temporary) and persistent cookies. Session cookies are automatically removed when you end your browsing session or close your browser. Persistent cookies remain on your hard drive for a set time when they will expire. For example, if a cookie has a 30-day lifespan, then 30 days after it is installed on your device, it will automatically delete itself. You can also manually delete all cookies at any time directly through your Internet browser.":1,"#What cookies do we use?":1,"#A cookie is a small text file that stores information on your device. This information often consists of a string of numbers and letters that uniquely identifies your computer, but it can contain other information as well. When you visit a website, a cookie is automatically created and stored on your device or internet browser. Some cookies are placed by third parties acting on our behalf. You can disable cookies whenever you’d like by adjusting the privacy settings in your internet browser.":1,"#What is a cookie?":1,"#Click to Open Cookie Preferences Center":1,"#This website uses cookies to offer website functions to you, enhance your experience, analyze site usage, and assist in marketing efforts.":1,"#Your online privacy is important to us. This website uses cookies to offer website functions to you, enhance your experience when using our website, analyze site usage, and assist in our marketing efforts.":1,"#Thank you for reading this Policy. If you have any questions about this Cookie Policy, please contact us by visiting this page on our website: <a ljsid-1=\"\">https://progyny.com/contact-us</a>.":1,"#How to contact us?":1,"#To learn more about interest-based advertisements and your opt out rights, visit the Digital Advertising Alliance and the Network Advertising Initiative websites (www.aboutads.info and www.networkadvertising.org). Please note that we are not responsible for the content of external websites.":1,"#Through the use of cookies and additional tracking technologies such as pixels, and tools such as Google Analytics and Mixpanel analyzing site traffic and trends, detecting fraudulent use, and delivering services, content, and information most relevant to our visitors. We also may use the information that we learn about you to advertise our services to you on third party websites.":1,"#Our <a ljsid-1=\"\">política de privacidad</a> covers the information collected by us. The information you provide to us on a third party website may be separately collected by the website and is subject to that website’s privacy policy.":1,"#How do we use the information we collect?":1,"#Google provides you choices on how your information is collected by Google Analytics by offering you an Opt-out Browser Add-on, which can be located at: <a ljsid-1=\"\">https://tools.google.com/dlpage/gaoptout?hl=en</a>":1,"#Cookiepedia at <a ljsid-1=\"\">All You Need to Know About Cookies | Cookiepedia</a>":1,"#Safari at <a ljsid-1=\"\">https://support.apple.com/en-us/HT201265</a>":1,"#Mozilla Firefox at <a ljsid-1=\"\">https://support.mozilla.org/en-US/products/firefox/protect-your-privacy/cookies</a>":1,"#Last Updated October 10, 2024":1,"#Microsoft Internet Explorer at <a ljsid-1=\"\">https://support.microsoft.com/en-us/windows/delete-and-manage-cookies-168dab11-0753-043d-7c16-ede5947fc64d</a>":1,"#Google Chrome at <a ljsid-1=\"\">https://support.google.com/chrome/answer/95647</a>":1,"#By default, most Internet Browsers will accept all cookies. Through your browser you should be able to disable and manage cookies. Further information about cookies If you’d like to learn more about cookies in general and how to manage them, please visit the following sites. Please note that we are not responsible for the content of external websites.":1,"#How do I disable or remove cookies from your browser?":1,"#You may opt out of the sharing of your personal information for targeted advertising by visiting our Cookie Preference Center, located in the footer of each website we operate.":1,"#No. You have the right to choose whether or not to accept cookies. Therefore, you can accept all, some, or none of our cookies, except for strictly necessary cookies. However, since cookies are an integral part of how our website works, please note that if you decline or delete any of our cookies, it could affect the appearance and functionality of our website and your user experience.":1,"#Do I have to accept all of the cookies to use this website?":1,"#<strong ljsid-0=\"\">Cookies de segmentación</strong>: With your opt-in consent to targeting cookies, we may “share” (as the term is defined under California law) certain identifiers and personal information pertaining to internet and your usage of our website with third parties for advertising purposes. These targeting cookies do not directly store personal information (such as names or e-mail addresses) but store unique identifiers that identify a particular visitor’s browser and/or device to us and these third parties. Examples of targeting and advertising cookies are social media cookies that are placed on websites to track users on the internet to serve ads to users on social media platforms.":1,"#<strong ljsid-0=\"\">Cookies funcionales</strong>: These cookies enable the website to provide enhanced functionality. These cookies enable us or our advertising and analytics partners to provide certain functions of the website to you, like a video player. Please note that if you disable these cookies, we may not be able to provide all functions of our website to you.":1,"#<strong ljsid-0=\"\">Cookies de rendimiento</strong>: These cookies allow us to count visits and traffic sources so we can measure, assess and improve the performance of our website. These cookies help us understand which pages are the most and least popular, and how our visitors move around the website.":1,"#Cookie Settings":1,"#Customize your cookie settings here:":1,"#ajax-Suche":1,"#Legales Menü":1,"#Fußleisten-Menü":1,"#Frau, die eine Herzform um ihren Bauch macht":1,"#SUCHE":1,"#Kopfzeilensuche":1,"#Hauptmenü":1,"#Was Ihre Halswirbelsäule Ihnen über Ihre Fruchtbarkeit sagt | Progynie":1,"#strain on relationships - abrir en una nueva pestaña":1,"#two weeks after embryo transfer - abrir en una nueva pestaña":1,"#a single sperm is selected - abrir en una nueva pestaña":1,"#self-administered injection. - abrir en una nueva pestaña":1,"#Fibroids are benign tumors - abrir en una nueva pestaña":1,"#irregular ovulation - abrir en una nueva pestaña":1,"#Male Infertility - abrir en una nueva pestaña":1,"#IVF is a medical procedure - abrir en una nueva pestaña":1,"#Human Resources Representative. - abrir en una nueva pestaña":1,"#high hopes during treatment followed by anxiety during the waiting period and sometimes grief with unsuccessful attempts. - abrir en una nueva pestaña":1,"#Pinnacle Fertility Atlanta - abrir en una nueva pestaña":1,"#send an email to enteryour@addresshere.com?subject=All+About+IVF%C2%A0&body=Check%20this%20out:%20https%3A%2F%2Fprogyny.com%2Feducation%2Fivf-facts%2Fall-about-ivf%2F":1,"#Mercer Survey on Health & Benefit Strategies for 2025 - open in a new tab":1,"#Menopause Management Knowledge in Postgraduate Family Medicine, Internal Medicine, and Obstetrics and Gynecology Residents - open in a new tab":1,"#Biote Women in the Workplace Survey - open in a new tab":1,"#Impact of Menopause on Work, Newson Health Menopause Society - open in a new tab":1,"#Incremental direct and indirect costs of untreated vasomotor symptoms, The Journal of The Menopause Society - open in a new tab":1,"#Letstalkmenopause.org, as of April 2023 - open in a new tab":1,"#Download Email Template - open in a new tab":1,"#menopause benefits - open in a new tab":1,"#send an email to enteryour@addresshere.com?subject=Press+Play+on+%E2%80%98Pause+at+Work%3A+4+Steps+to+Start+the+Conversation+Around+Menopause+Benefits&body=Check%20this%20out:%20https%3A%2F%2Fprogyny.com%2Fblog%2Fpress-play-on-pause-at-work-4-steps-to-start-the-conversation-around-menopause-benefits%2F":1,"#Progyny.com/TalkToHR - abrir en una nueva pestaña":1,"#el 67 % - abrir en una nueva pestaña":1,"#el 65 % - abrir en una nueva pestaña":1,"#beneficio basado en ciclos - abrir en una nueva pestaña":1,"#68% - abrir en una nueva pestaña":1,"#el 64 % - abrir en una nueva pestaña":1,"#el 40 % - abrir en una nueva pestaña":1,"#Progyny: 2024 TIME100 Entreprises les plus influentes":1,"#Bière RH":1,"#Voir tout":1,"#send an email to enteryour@addresshere.com?subject=Adjusting+To+Life+Postpartum%3A+How+to+Navigate+Physical+and+Emotional+Changes&body=Check%20this%20out:%20https%3A%2F%2Fprogyny.com%2Feducation%2Fpregnancy%2Fnavigating-physical-and-emotional-changes-during-postpartum%2F":1,"#The morning of my diagnosis, I went to my OB-GYN. It was my Hail Mary. She was on call at the hospital and her colleague saw me. Her colleague did an ultrasound, concluded I had ovarian torsion and told me to meet my OB-GYN at the hospital immediately. Upon arrival, I was examined again and was told it was a misdiagnosis, that all my symptoms and problems were caused by endometriosis. I pleaded with her to look a little further as I was mentally, physically, and emotionally exhausted from all the pain. But she was certain and I had to figure out what all this meant.":1,"#Hail Mary":1,"#My ability to cope ceased around the age of 22, approximately 6 weeks prior to my emergency procedure. For first 8 years of my menstrual cycle, I knew I was out of commission for the first 24-48 hours of my cycle. Everyone in my family knew the routine. We had a system. Suddenly, that changed. I was experiencing daily pain, with no explanation. I visited the ER twice, within the first 2 weeks but was told I had everything from colitis to gas. Of course, I was unable to replicate the pain once at the hospital, making my story even more unbelievable. My parents believed me but that wasn’t enough. For the next 4 weeks, I kept a pain journal, marking my body with a sharpie for every place that hurt. I was determined to figure out the source of my ailment while others thought I was going insane. My logic was: if I cannot reproduce the pain, I can at least track it.":1,"#The downward spiral":1,"#My cycle started off as “normal” – 5-7 days with little to no pain and 28 days to the calendar. I was 13. About a year or so into my womanhood journey, things went south. Every month, my pain increased, my flow decreased and my lack of knowledge… it stayed the same. You see, no one tells you what to expect from your menstrual cycle. Your “normal” is based on the women you’re surrounded by, their knowledge and experience. It’s a part of parenting that no one speaks to. It’s the blind leading the blind.":1,"#You never forget your diagnosis date. It’s one of the most bittersweet days of your life. You finally get to let go a sigh of relief but you struggle with your next breath at the same time. You’re faced with difficult decisions and very little guidance. What you thought was the end of a long journey is just the beginning of an even longer and lonely expedition. You are never ready, but you have to fight.":1,"#October 14, 2008.":1,"#Sherika Wynter, <a ljsid-1=\"\">Voices Of Endo</a>":1,"#There’s no right or wrong way to cope with endometriosis. It really boils down to personal preference and priority.":1,"#There's No Such Thing As “Normal” When Facing Endometriosis | Progyny":1,"#However, I urge you to start listening to your body and start asking questions. If you feel that something is wrong or isn’t “normal”, there’s a really good chance you’re right. It’s not “in your head” because you know your body best. Don’t be scared of speaking up, be scared of not knowing what could happen if you knew<strong ljsid-1=\"\">. </strong>":1,"#I also wish there were more prominent support avenues. It was hard for me to find the right group of women to support me through my acceptance phase. It takes years to accept an endometriosis diagnosis. Why? Because it’s constantly changing.. As a woman grows, her priorities change, her needs change, her body changes. The support I needed at 22 is very different than the support I need approaching 31. You often feel lost, resetting your support system each step along the way.":1,"#There’s no right or wrong way to cope with endometriosis. It really boils down to personal preference and priority. Over the last 8.5 years, I’ve had 4 laparoscopic surgeries and 1 cycle of egg freezing. For some, that’s plenty; for others, it’s a dream. One thing is sure: we all wish we knew sooner. For me, I wish OB-GYNs and parents were more proactive. I believe every girl who is menstrual should have basic knowledge on all reproductive issues. My mom had no idea what was right or wrong and for most OB-GYNs, “bad periods” are considered normal. They are not. There is nothing normal about it. The more the idea of “normal” is engrained, the harder it is to diagnose. I was told it was “in my head” by medical professionals and most of the women I’ve encountered that had similar experiences.":1,"#Be vocal":1,"#Upon finding my physician, we discussed my future and how we could ensure I would get my heart’s desire: a child. After finally getting my cycles under control, he urged me to freeze my eggs. Insert shock factor here. At 24, who wants to speak about the possibility of infertility? Is this real life? I didn’t want to think about it. But if I was going to be proactive, I needed to adhere to counsel. I finally agreed. For my 27th birthday, I froze my eggs. It was the best decision I’ve made thus far along my endometriosis journey. I finally felt like I won a battle in this war.":1,"#From that day forward, I learned everything I could about endometriosis. I learned my trigger foods. I tried different medications. Some worked, others were an epic fail. I specifically focused on the havoc it could wreak on my reproductive system. I wanted to be an expert and an advocate for myself. I knew that if I didn’t speak up for me, this disease would kill me. Not literally, but my spirit, my drive, my mental stability. My mother and I searched the internet for a reproductive endocrinologist who valued both: wellness and fertility. Finally, we struck gold.":1,"#The winner of this battle":1,"#Powered by OneTrust Opens in a new Tab - ouvrir dans un nouvel onglet":1,"#Privacy Policy - ouvrir dans un nouvel onglet":1,"#Cookie Policy - ouvrir dans un nouvel onglet":1,"#There are many different tests for sperm DNA fragmentation, but the most commonly studied ones are the sperm chromatin structure assay (SCSA), the deoxynucleotidyl transferase-mediated dUTP nick end labeling assay (TUNEL), the single-cell gel electrophoresis assay (COMET), and the sperm chromatin dispersion test (SCD). These tests provide an estimate of the degree of DNA damage present in a semen sample. <mark ljsid-1=\"\">Testing for sperm DNA fragmentation is typically performed at an outside laboratory using a semen sample obtained through ejaculation.</mark> <span ljsid-3=\"\"> </span>":1,"#notre politique de confidentialité - ouvrir dans un nouvel onglet":1,"#politique de cookies - ouvrir dans un nouvel onglet":1,"#premio premio esperanza de acceso, - abrir en una nueva pestaña":1,"#al 68% de las personas - abrir en una nueva pestaña":1,"#una FIV recíproca - abrir en una nueva pestaña":1,"#una tasa de embarazo mediante FIV un 17 % más alta que el promedio nacional y una tasa de vida un 27 % más alta. tasa de natalidad - abrir en una nueva pestaña":1,"#Pour plus d'informations, visitez la page Podcast de Progyny et la page Education de Progyny pour plus de ressources. Assurez-vous de nous suivre sur Instagram, @ThisisInfertilityPodcast et utilisez le #ThisisInfertility. Vous avez une question, un commentaire ou souhaitez partager votre histoire ? Envoyez-nous un courriel à <a ljsid-1=\"\">thisisinfertility@progyny.com</a>.":1,"#Deductible cannot be higher than out of pocket max. Please enter another number.":1,"#Estimated contribution amount cannot be higher than out of pocket maximum. Please enter another number.":1,"#frequently asked questions page here - open in a new tab":1,"#Wellthy - open in a new tab":1,"#send an email to enteryour@addresshere.com?subject=Progyny+Open+Enrollment+Webinar+Series%3A+Financial+Wellness+and+Your+Progyny+Benefit&body=Check%20this%20out:%20https%3A%2F%2Fprogyny.com%2Feducation%2Fprogyny-webinar-financial-wellness%2F":1,"#If you are looking for more information around financial responsibility, check out our <a ljsid-1=\"\">frequently asked questions page here</a>. If you have any other questions related to this webinar, please don’t hesitate to reach out to <a ljsid-3=\"\">education@progyny.com</a>. If you are a Progyny member and have any questions about your fertility benefit or coverage, please call 888.597.5065.":1,"#Women may also monitor their cycles by tracking changes in <a ljsid-1=\"\">cervical mucus</a> (it becomes clear and slippery like egg whites for several days prior to ovulation) with the highest chance of pregnancy being when intercourse occurs on the day of the peak mucus. This appears to predict the time of peak fertility better than just using the menstrual cycle calendar alone.":1,"#One easy and inexpensive way to find the fertile window is to use a menstrual calendar by taking the shortest cycle length and the longest cycle length and subtracting 14 (menses typically occurs about 14 days after ovulation if pregnancy doesn’t occur). So, for instance, if the cycle is anywhere between 25 and 30 days, ovulation is likely between day 11 and 16 (where day 1 is the first day of menstrual flow). Again, the ‘fertile window’ is best defined as the 6-days prior to and including the day of ovulation.":1,"#There is, however, no substantial evidence that monitoring for ovulation significantly increases the chance of pregnancy in the cycle when compared to just having frequent intercourse. There is, however, a common perception that the timing of intercourse is crucial, thus prompting many women to use technology to track her cycle and time intercourse. Ovulation detection devices, including kits for monitoring urinary luteinizing hormone (LH) and electronic monitors, are promoted as being helpful to determine the fertile window (ovulation usually occurs anytime within 2 days of a detected LH surge). Despite the technology, studies show that about 7% of these detected surges are false positives that do not actually reflect a true LH surge. Some of these devices are expensive and have not demonstrated ovulation prediction any better than cervical mucus tracking.":1,"#There are several methods for estimating the time of maximum fertility (when to best time intercourse) during a menstrual cycle. It makes sense that accurate timing would be helpful since intercourse is most likely to result in a pregnancy when it occurs within the 3-day interval ending on the day of ovulation. But the length of the menstrual cycle can vary from month to month which makes it difficult to pinpoint the day of ovulation.":1,"#Accurate prediction of ovulation can be challenging. Since the chance of getting pregnant increases with the frequency of intercourse during the fertile window, increasing the frequency of intercourse beginning soon after the end of the menses and continuing to ovulation is recommended. The chance of pregnancy is highest when intercourse occurs every 1 to 2 days. Ovulation detection devices are most useful for those couples that have infrequent intercourse (like once or twice a month), in which case these devices may reduce the time to conception.":1,"#Tracking and Identifying Ovulation":1,"#The fertile window takes place prior to, during and shortly after the release of an egg (ovulation). During a single menstrual cycle, this is when a woman is most fertile and happens between around 6 days prior to and up to and including the day after ovulation. The fertile window is a consequence of the time that the sperm remains viable in the female reproductive tract (thought to be about 4 to 5 days) and the time that an egg is most viable (approximately 24 hours). Thus, the earliest time that intercourse would result in pregnancy is about 6 days prior to ovulation and the latest would be one day after. The greatest chance of conception occurs with intercourse 1 to 2 days prior to the actual ovulation, but pregnancy may be achieved at any point within the fertile window.":1,"#When it comes to getting pregnant through intercourse, timing is extremely important. Read this article to learn more.":1,"#The Fertile Window":1,"#woman browsing on her phone in the kitchen":1,"#It is normal to not get pregnant right away but more than half of couples will conceive within 6 months of trying. For those who are under 35, trying up to 1 year is reasonable before seeking medical help. For those over 35, 6 months is adequate and seeking <a ljsid-1=\"\">help from a reproductive endocrinologist</a> at that point is recommended.":1,"#Since the fertile window is relatively long (about 6 days each cycle), It isn’t necessary to have intercourse every day and there is no specific moment when sex must be timed urgently. The low-tech methods of timing, like the menstrual calendar and cervical mucus monitoring are probably adequate for most couples, but some will choose to use higher tech methods in order to feel they are taking additional control over their fertility.":1,"#Menstrual calendar apps used for determining the day of ovulation have been demonstrated to have a maximal probability of being correct of about 20%. Urinary LH kits are more accurate with an 80% chance of detecting ovulation with 5 days of testing, and a 95% chance with 10 days of testing, but they do have a 7% false positive rate (detect a surge that isn’t there). Accuracy of the more sophisticated technologies using body signs like skin or body temperature and pulse rates is suggested to be approximately 90% for detecting the fertile window.":1,"#Fertility apps (or cycle tracking in general) are not helpful for women with very irregular or long menstrual cycles (like women with <a ljsid-1=\"\">polycystic ovarian syndrome or PCOS</a>) because in many of those women, ovulation either isn’t occurring, or is happening very infrequently. In those cases, seeking out medical assistance is warranted because medications to induce ovulation are likely necessary.":1,"#Others look at circadian rhythm core body temperature patterns using a vaginal device that provides 24/7 continuous core body temperature monitoring. Users are notified when core body temperature readings are consistent with the fertile window, several days before the actual LH surge occurs.":1,"#There are some more sophisticated monitors that measure skin temperature, heart rate variability, breathing rate, resting pulsing rate, and skin perfusion, and may even use an artificial intelligence algorithm to determine the fertile window.":1,"#Ovulation test strips work by measuring levels of luteinizing hormone (LH) in the urine. A rise in LH signals the ovary to release an egg so when levels reach a certain threshold, it’s safe to assume that ovulation will occur within the next 12 to 36 hours.":1,"#Some women still choose to use other tools to help with timing intercourse. Ovulation trackers or apps may incorporate menstrual cycle information, cervical mucus amount and quality, symptoms such as breast tenderness, bloating, and possible cramping or pain in the side.":1,"#So, the simplest and least expensive method for timing intercourse to conceive is to track the length of the menstrual cycle, determine the likely fertile window based on the cycle length, monitor cervical mucus starting with the end of the menstrual period, and have intercourse every one to two days until the mucus is no longer watery.":1,"#The first thing you’ll need to understand is how the menstrual cycle works. <a ljsid-1=\"\">The menstrual cycle</a> begins with the onset of the period at which point the follicles in the ovary (where the eggs are) are small and estrogen levels are low. Over the course of 2 weeks (this can vary significantly) usually one follicle grows and secretes higher amounts of estrogen, so that when the follicle is large and ready to ovulate, an LH surge occurs which results in ovulation about 36 to 40 hours later. Ovulation is the process whereby an egg is released from the ovarian follicle. After ovulation, the egg enters the fallopian tube where it can be fertilized by sperm that has arrived there following intercourse. Sperm deposited at the cervix during intercourse enters the cervical mucus and then swims up to the fallopian tube so that fertilization can occur and ultimately pregnancy can ensue. If the sperm isn’t there because intercourse was not timed correctly, then pregnancy won’t happen, so timing intercourse is necessary. While it may seem like timing is precise here, the concept known as the “fertile window” makes things slightly more complicated.":1,"#When it comes to getting pregnant through intercourse, timing is extremely important. <a ljsid-1=\"\">Dr. Barry Witt, Reproductive Endocrinologist at Illume Fertility</a>, walks us through the nuances, and breaks down how to best time intercourse when trying to conceive (TTC).":1,"#Learn More                                 Understand your symptoms, treatment options, and how to get relief":1,"#Learn More                                 Know what to expect when you’re expecting":1,"#Learn More                                 Browse content on IUI, IVF, egg freezing, adoption, surrogacy and more":1,"#<mark ljsid-0=\"\">Drinking fluids. Electrolyte-supplemented drinks, such as sports beverages, are suggested. Avoid alcohol and caffeinated beverages.</mark> Drink enough fluids so that your urine is pale yellow. Dark urine can mean that you are dehydrated.":1,"#<mark ljsid-0=\"\">Typically, it takes about 10 days for the drug hCG to clear from blood and urine.</mark> So, if you do an UPT too soon — 10 days or less after the hCG injection — you may get a false positive because you are detecting the medication that is still in your blood and urine, not the hCG that a pregnancy is making.":1,"#However, hCG can also be used to mature eggs and induce ovulation, because it is very similar in structure and function to the hormone known as LH (luteinizing hormone). <mark ljsid-1=\"\">LH levels rise or “surge” just prior to ovulation and induce the ovulatory process. Giving hCG, therefore, causes the similar response by the ovary to induce ovulation.</mark>":1,"#Provider Terms and Conditions | Progyny":1,"#Learn More Benefits that are good for the health of your team, and your bottom line":1,"#Sonja Kellen":1,"#Read More How to Best Time Intercourse When Trying to Conceive (TTC)":1,"#Read More Testosterone Deficiency 101":1,"#Apart from the natural decline with advancing age, there are specific conditions that can cause low testosterone in men of all ages, even in young men and children. There are two types of hypogonadism, primary and secondary.":1,"#What causes testosterone deficiency?":1,"#A delicate hormonal balance is necessary for optimal sperm production, with testosterone playing a crucial role. Having low testosterone can lead to lower sperm counts, and thus, infertility. It may seem counterintuitive, but exogenous testosterone given through medication, is actually problematic for fertility. The body will sense an excess of testosterone and shut down the testes, leading to lower or absent sperm production.":1,"#How does testosterone impact male fertility?":1,"#Despite being known as a sex hormone, testosterone is essential for more than just sexual function; it is critical for normal functioning and development of the male body. Low testosterone can result in a variety of signs and symptoms, such as low libido, erectile dysfunction, reduced semen volume, fatigue, difficulty with exercising and gaining muscle, weight gain, increased body fat, decreased bone density, mood swings, low motivation, impaired concentration/memory, difficulty with sleep, lower sperm counts, smaller than usual penis or testicles, and anemia.":1,"#Signs and symptoms of low testosterone":1,"#Testosterone is one of the hormones naturally produced by both men and women, but is more pronounced in its effects for men, where it is produced mainly in the testicles. Testosterone is critical for sexual development, fertility/sperm production, sex drive/sexual function, and building bone and muscle mass.":1,"#Testosterone deficiency, aka low testosterone or \"low T\" is common, affecting approximately 4-5 million men in the U.S.":1,"#male healthcare provider having discussion with male patient":1,"#If you’re a Progyny member, please contact your dedicated Patient Care Advocate (PCA) for more information.":1,"#While the tests could be administered by your primary care physician (PCP), many PCPs are not adequately trained to diagnose and treat testosterone deficiency. They also may not be familiar with all of the different hormone medications available, especially the fertility-friendly options. Unfortunately, a lot of physicians who prescribe testosterone replacement therapy do not effectively counsel patients about how these medications can suppress sperm production and what other options are available. Thus, these patients often end up seeing a reproductive urologist for further management.":1,"#Your best option is to see a urologist who specializes in hypogonadism and male infertility, also known as a reproductive urologist. These doctors are specifically trained to diagnose and treat low testosterone and related conditions.":1,"#Who can diagnose and treat testosterone deficiency?":1,"#<strong ljsid-0=\"\">Clomiphene citrate (Clomid), anastrozole (Arimidex), and human chorionic gonadotropin (hCG):</strong> These medications work differently from testosterone supplements. Instead of supplementing testosterone, they stimulate the testicles to produce more testosterone and can therefore preserve or even improve sperm production. Unfortunately, these medications are not effective in everyone. Some men will not have a boost in testosterone levels and others may have a boost but may not experience symptomatic improvement.":1,"#<strong ljsid-0=\"\">Testosterone nasal gel:</strong> This is the only formulation of testosterone that tends to preserve sperm production because it is very short-acting. The downside is that it needs to be administered through each nostril two to three times a day.":1,"#<strong ljsid-0=\"\">Oral testosterone:</strong> Oral formulations of testosterone replacement require taking a pill twice a day. These formulations are effective but may not get levels as high as injections.":1,"#<strong ljsid-0=\"\">Testosterone pellets:</strong> Implanted under the skin, typically near the hip or buttocks, these pellets gradually release testosterone and last for about four months. They provide a steady hormone release but have the same risks as injections and topical testosterone with regards to suppressing sperm production":1,"#What is testosterone?":1,"#<strong ljsid-0=\"\">Transdermal (topical) testosterone:</strong> This involves the application of testosterone gel or patches on the skin. It’s a non-invasive method to supplement testosterone but shares the same risk of suppressing sperm production.":1,"#<strong ljsid-0=\"\">Testosterone injections:</strong> Regular (typically weekly) injections can replace natural testosterone levels. However, injections should be used cautiously as they almost always suppress sperm production.":1,"#However, diet alone often is not a cure for hypogonadism. Medication is often necessary and there are many different formulations of testosterone replacement. It is important to keep in mind that almost all testosterone formulations will suppress sperm production.":1,"#Certain foods that are rich in nutrients such as vitamin D and zinc can help boost testosterone. Some examples include fish, low-fat milk enriched with vitamin D, egg yolks, oysters and shellfish, and legumes.":1,"#In general, things that are good for your health, such as eating healthy foods and maintaining a body mass index in the normal range can help boost testosterone levels.":1,"#Treatment for testosterone deficiency":1,"#Generally, a diagnosis of hypogonadism depends on two factors: a measurement of low testosterone levels in the blood and the display of some of the signs and symptoms of low testosterone. Confirmation is needed with two separate blood tests in the early morning on non-consecutive days. This is because testosterone levels typically fluctuate throughout the day but are at their peak in the morning. In general, a diagnosis requires symptoms of hypogonadism and levels below 300 ng/dL. Some patients do have normal total testosterone levels but can be treated if their free testosterone or bioavailable testosterone levels are low.":1,"#How to diagnose testosterone deficiency":1,"#<strong ljsid-0=\"\">Secondary hypogonadism</strong>: Secondary hypogonadism is when the cause of low testosterone is not directly related to the testicles. It results from damage to the pituitary gland or hypothalamus in the brain, which control hormone production by the testicles. It can be the result of either inherited conditions or acquired circumstances. Inherited causes include disorders of the pituitary gland resulting from drugs, kidney failure, or tumors, Kallmann syndrome, inflammatory diseases like tuberculosis, and HIV/AIDS. Acquired conditions that can lead to secondary hypogonadism include normal aging, obesity, and medications, such as opioids and anabolic steroids.":1,"#<strong ljsid-0=\"\">Primary hypogonadism</strong>: This is caused by underactive testes. The problem arises because the testicles don’t produce the levels of testosterone required for optimum health and growth. This can be caused by an inherited characteristic or result from injury or illness. Some conditions include undescended testicles, Klinefelter syndrome, and hemochromatosis. Some types of injury, as opposed to inherited conditions, that can cause primary hypogonadism include physical injury to the testicles, mumps orchitis, and a history of cancer treatment, such as chemotherapy and radiation.":1,"#Testosterone deficiency is also known as low testosterone, “low T,” hypogonadism, and hypoandrogenism. Testosterone deficiency is common, affecting approximately 4-5 million men in the United States. Beginning around the age of 30, testosterone levels in men often start to decline. About 7% of men in their 50s have low testosterone and the incidence increases with age.":1,"#Written by Philip Cheng, MD on September 12, 2024":1,"#queden embarazadas más rápido y tengan embarazos y bebés más saludables. - abrir en una nueva pestaña":1,"#Joyelle Flemming":1,"#Learn More Menopause and Midlife Care":1,"#Learn More Pregnancy and Postpartum":1,"#1. Fondo de la Commonwealth, <a ljsid-1=\"\">Atención sanitaria para mujeres en edad reproductiva</a> 2. CDC; prevalencia de infertilidad en mujeres heterosexuales, <a ljsid-3=\"\">https://www.cdc.gov/reproductivehealth/features/what-is-infertility/index.html</a> 3. Nacimiento prematuro: causas, consecuencias y prevención, <a ljsid-5=\"\">https://www.ncbi.nlm.nih.gov/books/NBK11358/#:~:text=Mientras %20more% 20 completo %20than% 20 cualquier, medico %20care% 20 más allá %20early% 20infancia.</a> 4. Impacto de la perimenopausia y la menopausia en el trabajo – Newson Health Menopause Society (nhmenopausesociety.org)":1,"#El nivel de FSH en realidad es bastante fácil de reducir médicamente (con estrógeno, la píldora anticonceptiva, Lupron, etc.), pero el problema subyacente (<a ljsid-1=\"\">reserva ovárica disminuida</a>) que causa la FSH elevada no necesariamente se puede “arreglar”.":1,"#Mostrar original":1,"#That’s great, we’re so excited to be a part of your journey! Once you’ve activated your benefit and completed an onboarding call with a PCA you should receive an email with your username to register for our Progyny member portal. Download our app and access self-service tools and view benefit details, communicate with your Progyny Care Team, and access curated education. Learn more":1,"#<strong ljsid-0=\"\">Invité</strong>: Demi and Tom Schweers":1,"#<strong ljsid-0=\"\">Héberger</strong>: Dan Bulger":1,"#Medical conditions (i.e. hypertension, diabetes, obesity, <a ljsid-1=\"\">endometriosis</a>, polycystic ovary syndrome (PCOS), adenomyosis and <a ljsid-3=\"\">uterine fibroids</a>) may appear or worsen after a previous pregnancy and lead to secondary infertility. <a ljsid-5=\"\">For males</a>, a decline in testosterone or issues with other reproductive hormones can affect sperm production and quality.":1,"#When you contact Progyny for the first time, it is important to provide your Patient Care Advocate (PCA) with the insurance plan that you have elected for that year. Your PCA will review what your expected financial responsibility would be for specific services related to your treatment plan. At the end of that call, your PCA will walk you through an estimate of services that would contribute to your deductible, if applicable, and what costs you might be responsible for. As you move forward in your journey, you can expect to receive invoices from Progyny that explain the costs of services, and your PCA is always available to help with any questions you may have.":1,"#During open enrollment, we recommend reaching out to your employers’ benefits team to understand the financial responsibilities associated with each plan and confirm which of your plans may be eligible for the Progyny benefit. Keep an eye out for other resources available to support with finances. Some employers and health plans offer tax-favored benefits to help offset costs associated with care, such as HSA (Health Savings Account) and FSA (Flexible Spending Account) plans. HSA and FSA plans are sponsored by an employer and use pre-tax dollars. Reach out to your HR team to learn what may be available to you, and any considerations you should keep in mind when electing your benefits for the new year.":1,"#What to Expect with Progyny":1,"#We understand that beginning or continuing any fertility journey can be overwhelming. It is important to understand the financial aspects and nuances of your specific coverage, whether that is through Progyny, or a separate benefit or health plan.":1,"#Additional Tools for Financial Planning":1,"#You and your medical plan continue to split the costs of your covered healthcare services until you reach your <strong ljsid-1=\"\">out-of-pocket maximum</strong>.":1,"#You may also be responsible for a <strong ljsid-1=\"\">copayment</strong>, which is a flat fee for certain services or prescriptions, determined by your medical plan.":1,"#I’ve called my PCA but haven’t taken the next step yet. How much will I have to pay if I just want to go to a doctor for an initial evaluation?":1,"#At the start of each plan year, you will pay out-of-pocket for all medical services (including fertility services) until you reach your<strong ljsid-1=\"\"> deductible</strong>.":1,"#This webinar sheds light on the financial aspects of fertility treatment and what to expect when utilizing the Progyny benefit.":1,"#Call your PCA, who will break down the cost for an initial evaluation based on your plan’s deductible, co-insurance, and maximum out-of-pocket, and help answer any additional financial questions. Your PCA can help answer any question you might have about the benefit – at no cost.":1,"#Your<strong ljsid-1=\"\"> insured amount</strong> is the cost of covered services minus your deductible.":1,"#Emily Orlov, Patient Care Advocate (PCA) Supervisor at Progyny":1,"#We know open enrollment is an important time of the year to learn more about your benefits and Progyny is here to help. We kicked off our special <a ljsid-1=\"\">Open Enrollment Webinar Series</a> with a focus on financial planning. Listen to the Financial Wellness and Your Progyny Benefit webinar, where we shed light on the financial aspects of fertility treatment and share what to expect when utilizing the Progyny benefit.":1,"#When you contact Progyny for the first time, your PCA will review financial responsibility. They will also send you an infographic that explains how you can enter in your plan’s information to learn your expected financial responsibility. Throughout your fertility journey, your PCA will be in contact with you to explain and answer any financial questions. If you have access to a tool such as Wellthy, they may be able to direct you to fertility-related grants that can help offset any out-of-pocket costs, as well as lead you to more resources about financial processes and savings.":1,"#You and your medical plan both pay a percentage of your covered healthcare services once you’ve reached your deductible. This is called <strong ljsid-1=\"\">coinsurance</strong>.":1,"#Understanding the Financial Aspect of Your Progyny Benefit":1,"#Edna Lorenzo, Care Team Expert at <a ljsid-1=\"\">Wellthy</a>":1,"#Your <strong ljsid-1=\"\">premium</strong> is the amount deducted from your pay for your medical coverage. There is no additional premium through Progyny.":1,"#Fertility treatments are expensive and the financial aspect is stressful. Are there resources or people who can help talk through it with me?":1,"#Your employer may offer additional benefits and tools to help you financially plan for a future family. For example, Wellthy is an employer-provided care concierge service designed to help tackle the logistical and administrative tasks, such as finances, associated with healthcare for both you and your family. Wellthy’s expert care professionals support families across all phases of life and can help you sort through various plans to prepare you for the family building journey. Reach out to your employer to see if you have access to Wellthy or another helpful financial service.":1,"#The <strong ljsid-1=\"\">cost of covered services</strong> is the amount billed by your doctor or healthcare facility.":1,"#Through Progyny, eligible members have coverage through their employes as either a supplemental benefit integrated with certain medical plans, or as a separate benefit from their standard health insurance. Progyny members receive comprehensive coverage through their employers; however, they can still anticipate some financial responsibility, such as deductibles and coinsurance. Here are a few helpful definitions of the most commonly used financial terms to make it a little easier to understand:":1,"#<mark ljsid-0=\"\">With practice, you will start to notice the changes your cervix goes through during monthly cycles.</mark> Because every woman’s cycle is different, including the lengths of each different phase, it may take several cycles before you get to know your body. Some people are squeamish about checking during bleeding and wait until menstrual flow stops.":1,"#Next, get into position. Sitting on the toilet or squatting or standing with one leg on the edge of the bathtub are good positions. <mark ljsid-1=\"\">Use the same position each time you check your cervix.</mark>":1,"#Two embryos are not always better than one! <mark ljsid-1=\"\">In fact, the BEST trial in 2013 showed that the likelihood of success with a single embryo transfer is equivalent to that of a double embryo transfer (60.7% vs 65.1%) and that the risk of having a multiple gestation following a double embryo transfer is significantly increased (53% vs.</mark> 0%) compared to a single embryo transfer. Therefore, a single embryo transfer should strongly be considered for all patients before transfer of multiple embryos.":1,"#Reproductive medicine is still in its infancy, but it’s growing up fast with each new study that’s published. <mark ljsid-1=\"\">Fascinating research examining the link between live birth rates and the number of eggs retrieved in one in vitro fertilization (</mark><a ljsid-2=\"\"><mark ljsid-2-0=\"\">IVF</mark></a><mark ljsid-3=\"\">) cycle indicate that 15 may be the “magic number” to collect for the most successful outcomes.</mark> So, should you and your doctor lock in on this number, or are there other contributing factors you should be aware of? We break down the research, and provide some conclusions and guidelines for you to keep in mind.":1,"#Siguiente diapositiva":1,"#send an email to enteryour@addresshere.com?subject=Clomid+Side+Effects&body=Check%20this%20out:%20https%3A%2F%2Fprogyny.com%2Feducation%2Fclomid-side-effects%2F":1,"#Powered by Onetrust":1,"#Powered by OneTrust Opens in a new Tab":1,"#Filter":1,"#Cookie list search":1},"version":17507}]