Carlos R

endometriosis
Questions? #AskJenny

Endometriosis is a disorder in which tissue that lines inside of the uterus — the endometrium — grows outside of your womb and on other areas in your body where it doesn’t belong.

Endometriosis is often found in the ovaries, fallopian tubes, and the tissue outside of your uterus. However, sometimes we can also find in the vagina, cervix, vulva, bowel, bladder, or rectum. Rarely, endometriosis appears in other parts of the body, such as the lungs, brain, and skin.

Endometriosis affects more than 11% of American women between 15 and 44. It is especially common among women in their 30s and 40s and may make it harder to get pregnant.

Can endometriosis cause infertility?

Although it is possible for women who have endometriosis to get pregnant, it definitely makes it harder. The American Society for Reproductive Medicine states that this condition: may affect as many as one in every two women with infertility.

For pregnancy to occur, an egg must be released from an ovary, travel through the neighboring fallopian tube, become fertilized by a sperm cell and attach itself to the uterine wall to begin development.

The inflammation and irritation caused by the endometriosis can affect fertility. Inflammation of the fimbria, which picks up the egg and transports it into the fallopian tube, causes swelling and scarring so the egg may not reach its destination. The condition can also damage the sperm or the egg, and may also block the fallopian tubes and keep the egg and sperm from uniting.

However, women with mild to moderate endometriosis can still conceive and carry a pregnancy to term without complications. Doctors advise women experiencing this not to delay having children since the condition tends to worsen over time.

Overcoming infertility due to endometriosis?

While endometriosis can prevent a woman from getting pregnant, by treating the condition itself, patients find that their fertility chances can improve. Although no doctor can guarantee that deep-excision surgery to treat this issue will be a success, pairing it with any of the following assisted reproductive technologies (ART), can give the hope of bearing children:

In Vitro Fertilization (IVF): the most common form of ART, in which a woman’s eggs are collected and fertilized by sperm in a lab, then implanted in her uterus. Learn more about IVF success rates

Intrauterine Insemination (IUI): This method injects a healthy sperm cell directly into the uterus to ensure implantation with proper timing during a woman’s menstrual cycle.

Symptoms of endometriosis

It typically comes with pelvic pain, which is often associated with the menstrual period. Many women experience cramping during their menstrual period. Women with endometriosis usually describe menstrual pain that’s far worse than usual. They also tend to report that the pain increases over time.

Other signs and symptoms of endometriosis can include:

  • Pelvic pain and cramping before your period and several days into your period. Pelvic pain may come along with lower back and abdominal pain.
  • Pain during or after intercourse.
  • Pain with bowel movements or urination.
  • Excessive bleeding during or between periods.
  • Other symptoms may include bloating or nausea, fatigue, constipation, and diarrhea, especially during menstrual periods.

Are you at risk of developing endometriosis?

Several factors might put you at a higher risk of developing endometriosis. Here is a comprehensive list for you to be aware of:

  1. Starting your period at an early age.
  2. Going through menopause at an older age.
  3. Never have given birth.
  4. Short menstrual cycles (less than 27 days).
  5. Having higher levels of estrogen in your body.
  6. Low body mass index (BMI).
  7. Having relatives who have had this condition.
  8. Uterine abnormalities.
  9. Heavy alcohol consumption.

Symptoms end temporarily with pregnancy and end permanently with menopause unless you’re taking estrogen.

When should you see a doctor?

If you have experienced any of the symptoms mentioned above, you should pay a visit to your doctor or see your gynecologist, who specializes in the health of your ovaries, uterus, and other parts of your female reproductive system.

Although there is no cure for this condition, medicine and surgery may be able to help you cope with the symptoms.

Sources

Carlos RWhat is endometriosis and how does it affect fertility and your ability to get pregnant?
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pregnancy-IVF
SMP is your number one source of unbiased infertility information. 

Are you considering In Vitro Fertilization (IVF) for the first time? Given the high cost of IVF,  you’re probably wondering what the chances of having a successful IVF pregnancy are.

Thanks to advances in technology, IVF has become generally successful. If we include women of all ages, the odds of a live birth are between 34 and 42 percent throughout three cycles.

IVF Success Rates

IVF success rates are reported according to a woman’s age since as a woman gets older, the IVF success rates go down if she’s using her own eggs.

  • For women younger than 35, the percentage of live births per egg retrieval* is 54.4 percent.
  • Women ages 35 to 37, the rate of live births per egg retrieval* is 42 percent.
  • For women ages 38 to 40, the rate of live births per egg retrieval* is 26.6 percent.
  • Women ages 41 to 42, the rate of live births per egg retrieval* is 13.3 percent. 
  • Ages 43 and up, the percentage of live births per egg retrieval* is 3.9 percent.

*It’s important to note that these numbers are not per cycle, these are the IVF success rates nationally, when using non-donor eggs, per egg retrieval.

One Cycle vs Multiple Cycles

According to a study, women who conceived with IVF treatment went through an average of 2.7 cycles. Additionally, the odds of success for women all ages after three IVF cycles were between 34 and 42 percent.

Most doctors recommend that you plan on doing multiple cycles since this increases the odds of a successful pregnancy

Wondering what your odds for success with IVF are?

IVF success varies from person to person, and it depends on many different factors. Some factors you can control: maintaining a healthy weight, staying away from cigarettes, whether or not donor eggs (or sperm) will be used, and the competency of the IVF clinic or lab. However, there are others you cannot control, like genetics, your age, prior pregnancies, etc. Read more on the five success factors to consider when going through IVF.

Looking at national averages will give you an idea of the success rate you might want to expect, but it won’t be an accurate predictor of your probabilities.

The good news is that the Society for Assisted Reproductive Technology (SART) has created a patient predictor tool that will give you more personal odds depending on specific factors you need to input like your age, height and weight, how many pregnancies you’ve had, your cause of infertility, and whether you plan on using your own eggs.

The best part of all? The tool is entirely free to use.

Also, you can visit SART’s website to get a more accurate number for the national success rates for IVF or find specific rates for individual clinics.

Having said this, IVF success rates are always unique to the individual and there are some variables that you can manipulate in order to improve your odds.

Carlos RDo you know your chances of IVF pregnancy success?
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IVF-Factors
Factors to Consider for IVF

IVF success factors to consider

IVF can be a complex process, here are some lifestyle factors to consider when deciding to go though in vitro fertilization:

Age

There is an undeniable correlation between age and IVF success rates. According to the CDC statistic center for In Vitro Fertilization, patients age 35 have an embryo live delivery success rate of 27%, needing at least 5 embryos to have an 80% chance of success. Patients age 38 have an embryo live delivery success rate of 23%, needing at least 6 embryos to have an 80% chance of success. Finally patients age 41 have an embryo live delivery success rate of 18%, needing at least 8 embryos to be above 80% chance of success. The number of eggs needed to achieve this amount of healthy embryos varies from 8 to 26 depending on the age.

Fertility issue

Fertility issues most commonly responsive to IVF are:

    • Ovulation issues

 

    • Endometriosis

 

    • Fallopian tube blockages

 

  • Low sperm count

Issues less likely to respond to IVF are:

    • Uterine abnormalities

 

    • Fibroid tumors

 

    • Ovarian dysfunction

 

    • Dual #infertility (both partners struggling with separate infertility issues)

 

  • Long term infertility

Former pregnancy

Previous pregnancies could increase the likelihood of success during your IVF treatment. On the other hand, pregnancies that ended on a #miscarriage might in some cases lower the chances of success. In this case professional help may be necessary to identify the causes behind the miscarriage and whether or not is is likely to affect your current treatment.

Donor eggs and/or sperm

Couples may choose anonymous of known #donors during their IVF process to increase their success rates on specific situations.   

Lifestyle

Smoking is detrimental to fertility in both men and women and should never happen during the IVF process. When a woman is over or under weight, it may also have a significant influence on success from the absorption of fertility medicines to the ability to carry a baby to term. People going through an IVF treatment must consider making some life style changes to improve chances of success.

 

For more information on CDC data on In vitro fertilization success click HERE

 

Jenny SMP fertility pharmacist IVF

Questions? #AskJenny

Carlos R5 success factors to consider when going through IVF
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SMP Makes Inc5000 and Receives 10-Time INC Honoree Distinction 

SMP Pharmacy Solutions is thrilled to announce its recognition as one of the fastest-growing companies in America. This award from Inc. 5000 was received with great excitement from all of the employees who work tirelessly to support our patients with the highest standards of quality service. SMP Fertility, Compounding, Specialty and Retail teams work together to achieve our goal of delivering best-in-class results, not only for our patients, but also for each of the doctors, drug developers and strategic allies who have joined us along our journey. We believe that we need to serve as an example, and this is one step in our commitment to achieving continued growth in each of the areas we service and supporting the communities that we call home.

“If entrepreneurs are the lifeblood of an economy, consider Inc.’s ranking of 5,000 companies America’s circulatory system. Our annual report looks at these fast-growing innovators–and how they made our list. Collectively, the companies on this year’s list amassed $206.2 billion in revenue in 2017, up 158 percent from $79.8 billion in 2014. Hover and click below for more on this year’s Inc. 5000–including the top 10 in greater detail”. -Inc. Media

How the 2018 Inc. 5000 Companies Were Selected

Companies on the 2018 Inc. 5000 are ranked according to percentage revenue growth from 2014 to 2017. To qualify, companies must have been founded and generating revenue by March 31, 2014. They must be U.S.-based, privately held, for-profit, and independent–not subsidiaries or divisions of other companies–as of December 31, 2017. (Since then, some on the list have gone public or been acquired.) The minimum revenue required for 2014 is $100,000; the minimum for 2017 is $2 million. As always, Inc. reserves the right to decline applicants for subjective reasons. Note: Growth rates used to determine company rankings were calculated to two decimal places. In the case of ties, the companies with more revenue were placed higher.

Complete results of the Inc. 5000, including company profiles and an interactive database that can be sorted by industry, region, and other criteria, can be found at www.inc.com/inc5000.

About SMP Pharmacy Solutions
SMP Pharmacy Solutions (SMP) is an award-winning pharmacy that provides Fertility, Specialty, Compounding and Retail services nationwide. Since 2003, management has grown SMP from a local retail pharmacy to a nationwide specialty pharmacy with licenses in 45 states and strategic partnerships with leading manufacturers and MSOs. Acting as a trusted liaison between the patient, doctor’s office, drug manufacturer, and insurance provider, SMP has become one of the top and most trusted independent pharmacies in the country.

About Inc. Media
Founded in 1979 and acquired in 2005 by Mansueto Ventures, Inc. is the only major brand dedicated exclusively to owners and managers of growing private companies, with the aim to deliver real solutions for today’s innovative company builders. Winner of the National Magazine Award for General Excellence in both 2014 and 2012. Total monthly audience reach for the brand has grown significantly from 2,000,000 in 2010 to over 15,000,000 today.  For more information, visit www.inc.com.

For detailed information on our INC5000 ranking and previous years achievements please click here.

 

Carlos RSMP Makes INC 5000 10 Time Honoree Distinction
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Health Insurance Marketplace

health insurance marketplace enrollment 2018

health insurance marketplace enrollment 2018

If you haven’t applied for insurance on HealthCare.gov before, here’s what you need to know about the Health Insurance Marketplace (sometimes known as the health insurance “exchange”).

1. 2019 Open Enrollment runs from November 1 through December 15, 2018

  • Plans sold during Open Enrollment start January 1, 2019.
  • After December 15, you can enroll in 2019 health insurance only if you qualify for a Special Enrollment Period.

2. The Health Insurance Marketplace is for people who don’t have health coverage

If you don’t have health insurance through a job, Medicare, Medicaid, the Children’s Health Insurance Program (CHIP), or another source that provides qualifying health coverage, the Marketplace can help you get covered.

  • If you have job-based insurance: You can buy a plan through the Marketplace, but you’ll pay full price unless your employer’s insurance doesn’t meet certain standards. Most job-based plans do meet the standards.
  • If you have Medicare: You can’t switch to Marketplace insurance, supplement your coverage with a Marketplace plan, or buy a Marketplace dental plan. Learn about Medicare and the Marketplace.

3. What you pay for insurance depends on your income

Your savings depend on your expected household income for the year. Over 8 in 10 people who apply are eligible to save.

Get a quick idea if you’ll save. Based on your income estimate, we’ll tell you if you qualify for:

A health insurance plan with savings based on your income

  • You may qualify for a premium tax credit that lowers your monthly insurance bill, and for extra savings on out-of-pocket costs like deductibles and copayments.
  • The plans are offered by private insurance companies with a range of prices and features.

Medicaid or the Children’s Health Insurance Program (CHIP)

Medicaid and CHIP provide free or low-cost coverage to millions of people and families with limited income, disabilities, and some other situations.

4. You can apply for coverage 5 ways

Starting November 1, you can apply any way that works for you:

  • Online
  • By phone
  • With in-person help
  • Through an agent or broker
  • With a paper application

Use this checklist to gather what you’ll need to complete your application (PDF).

Carlos R5 Things You Need to Know About the Health Insurance Marketplace
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