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April 21, 2014

Andrew Silow-Carroll: Passoverkill? Suggestions to make next year's seders even more culturally sensitive

Sara Israelsen Hartley: Seeking the Divine: An ancient connection in a new context

Christine M. Flowers: Priest's execution in Syria should be call to action

Courtnie Erickson: How to help kids accept the poor decisions of others

Lizette Borreli: A Glass Of Milk A Day Keeps Knee Arthritis At Bay

Lizette Borreli: 5 Health Conditions Your Breath Knows Before You Do

The Kosher Gourmet by Betty Rosbottom Coconut Walnut Bars' golden brown morsels are a beautifully balanced delectable delight

April 18, 2014

Rabbi Yonason Goldson: Clarifying one of the greatest philosophical conundrums in theology

Caroline B. Glick: The disappearance of US will

Megan Wallgren: 10 things I've learned from my teenagers

Lizette Borreli: Green Tea Boosts Brain Power, May Help Treat Dementia

John Ericson: Trying hard to be 'positive' but never succeeding? Blame Your Brain

The Kosher Gourmet by Julie Rothman Almondy, flourless torta del re (Italian king's cake), has royal roots, is simple to make, . . . but devour it because it's simply delicious

April 14, 2014

Rabbi Dr Naftali Brawer: Passover frees us from the tyranny of time

Greg Crosby: Passing Over Religion

Eric Schulzke: First degree: How America really recovered from a murder epidemic

Georgia Lee: When love is not enough: Teaching your kids about the realities of adult relationships

Cameron Huddleston: Freebies for Your Lawn and Garden

Gordon Pape: How you can tell if your financial adviser is setting you up for potential ruin

Dana Dovey: Up to 500,000 people die each year from hepatitis C-related liver disease. New Treatment Has Over 90% Success Rate

Justin Caba: Eating Watermelon Can Help Control High Blood Pressure

The Kosher Gourmet by Joshua E. London and Lou Marmon Don't dare pass over these Pesach picks for Manischewitz!

April 11, 2014

Rabbi Hillel Goldberg: Silence is much more than golden

Caroline B. Glick: Forgetting freedom at Passover

Susan Swann: How to value a child for who he is, not just what he does

Cameron Huddleston: 7 Financial Tasks You Should Tackle Right Now

Sandra Block and Lisa Gerstner: How to Profit From Your Passion

Susan Scutti: A Simple Blood Test Might Soon Diagnose Cancer

Chris Weller: Have A Slow Metabolism? Let Science Speed It Up For You

The Kosher Gourmet by Diane Rossen Worthington Whitefish Terrine: A French take on gefilte fish

April 9, 2014

Jonathan Tobin: Why Did Kerry Lie About Israeli Blame?

Samuel G. Freedman: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Jessica Ivins: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Kim Giles: Asking for help is not weakness

Kathy Kristof and Barbara Hoch Marcus: 7 Great Growth Israeli Stocks

Matthew Mientka: How Beans, Peas, And Chickpeas Cleanse Bad Cholesterol and Lowers Risk of Heart Disease

Sabrina Bachai: 5 At-Home Treatments For Headaches

The Kosher Gourmet by Daniel Neman Have yourself a matzo ball: The secrets bubby never told you and recipes she could have never imagined

April 8, 2014

Lori Nawyn: At Your Wit's End and Back: Finding Peace

Susan B. Garland and Rachel L. Sheedy: Strategies Married Couples Can Use to Boost Benefits

David Muhlbaum: Smart Tax Deductions Non-Itemizers Can Claim

Jill Weisenberger, M.S., R.D.N., C.D.E : Before You Lose Your Mental Edge

Dana Dovey: Coffee Drinkers Rejoice! Your Cup Of Joe Can Prevent Death From Liver Disease

Chris Weller: Electric 'Thinking Cap' Puts Your Brain Power Into High Gear

The Kosher Gourmet by Marlene Parrish A gift of hazelnuts keeps giving --- for a variety of nutty recipes: Entree, side, soup, dessert

April 4, 2014

Rabbi David Gutterman: The Word for Nothing Means Everything

Charles Krauthammer: Kerry's folly, Chapter 3

Amy Peterson: A life of love: How to build lasting relationships with your children

John Ericson: Older Women: Save Your Heart, Prevent Stroke Don't Drink Diet

John Ericson: Why 50 million Americans will still have spring allergies after taking meds

Cameron Huddleston: Best and Worst Buys of April 2014

Stacy Rapacon: Great Mutual Funds for Young Investors

Sarah Boesveld: Teacher keeps promise to mail thousands of former students letters written by their past selves

The Kosher Gourmet by Sharon Thompson Anyone can make a salad, you say. But can they make a great salad? (SECRETS, TESTED TECHNIQUES + 4 RECIPES, INCLUDING DRESSINGS)

April 2, 2014

Paul Greenberg: Death and joy in the spring

Dan Barry: Should South Carolina Jews be forced to maintain this chimney built by Germans serving the Nazis?

Mayra Bitsko: Save me! An alien took over my child's personality

Frank Clayton: Get happy: 20 scientifically proven happiness activities

Susan Scutti: It's Genetic! Obesity and the 'Carb Breakdown' Gene

Lecia Bushak: Why Hand Sanitizer May Actually Harm Your Health

Stacy Rapacon: Great Funds You Can Own for $500 or Less

Cameron Huddleston: 7 Ways to Save on Home Decor

The Kosher Gourmet by Steve Petusevsky Exploring ingredients as edible-stuffed containers (TWO RECIPES + TIPS & TECHINQUES)

Jewish World Review

Mayo Clinic Medical Edge: Difficulty conceiving? Here's why

By Charles Coddington III, M.D.



JewishWorldReview.com | DEAR MAYO CLINIC: What are the causes of infertility for men and women, and how well do infertility treatments really work?

ANSWER: A number of factors can create difficulty in a couple's efforts to conceive. In general, though, the causes of infertility can be broken down into several categories. In many cases, identifying the problem doesn't take long. Once that is done, a couple can start infertility treatments. The effectiveness of those treatments depends on the couple's specific circumstances and findings. Usually, infertility treatments are successful about 60 to 70 percent of the time.

A couple is considered to have infertility issues if they've been trying to get pregnant for at least a year without success -- or for at least six months if the woman is 35 or older. Infertility is common in the United States. About 10 to 15 percent of people who are of reproductive age have problems with infertility. A woman's age is a critical factor. Ideally, we like to start infertility treatment in women by age 33. Those older than 40 have significantly lower chances for success with these treatments than younger women.


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When the causes of infertility are broken down, about 40 percent come from men and about 40 percent from women. In about 20 percent of cases, the problem involves a combination of factors that include both partners.

For men, the shape, activity and number of sperm can affect a couple's ability to conceive. A woman may have problems with the ovaries releasing eggs, termed ovulation. Difficulty with ovulation accounts for about 25 percent of cases of female infertility. Infertility can be caused by flaws in the body's regulation of reproductive hormones or by problems in the ovaries. Damage to the fallopian tubes can also lead to infertility, as can a condition known as endometriosis, in which there are deposits of uterine tissue in the abdominal cavity. Other problems within the uterus and cervix can make conception difficult.

Tests are available to diagnose most types of infertility. On average, test results usually can identify the problem within about six weeks. In some cases, the underlying cause of infertility cannot be found, but those are becoming less common. Treatment for infertility depends on the cause, how long a couple has been infertile and their ages, as well as personal preferences. In some cases, only medication or behavior changes are needed. Surgery may be a treatment option in some situations. For example, blocked fallopian tubes can often be surgically repaired if the damage is not severe. But many times we proceed to in vitro fertilization because it may be more successful and occur faster than a natural conception. When trying to conceive naturally after surgery for scarred fallopian tubes, there's also a risk of the embryo implanting in the fallopian tube, resulting in an ectopic pregnancy.

In others cases, infertility cannot be corrected without additional steps using assisted reproductive technology. A common example is in vitro fertilization, or IVF. This treatment involves taking mature eggs from a woman, fertilizing them with a man's sperm in a dish in a laboratory, and implanting the embryos in the woman's uterus. IVF can be an excellent option, for example, when the fallopian tubes are badly damaged and cannot be repaired surgically.

If the cause of infertility is straightforward and can be effectively treated, the chances for pregnancy are much higher. In complex cases where the cause is a combination of factors such as poor quality and number of sperm and a low number of eggs, the odds of conceiving are typically lower.

If you are dealing with infertility, talk to your doctor and consider meeting with a physician who specializes in treating infertility. They can help you decide the best way to identify the possible problem and develop a treatment plan appropriate for you. -- Charles Coddington III, M.D., Reproductive Endocrinology, Mayo Clinic, Rochester, Minn.

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