Tag Archive for secondary infertility

How to Choose a Fertility Treatment

Many choices in life require little thought. Dinner or a movie? Chinese or Italian? White or wheat?

However, there are some choices in life that require careful thought and research.Choosing a fertility treatment is often one of these choices.

Understanding the causes of infertility, researching the treatment options, and choosing a path that appears to be right for your family building goals can prove to be a difficult journey. Couples are often overwhelmed when met with all the options for fertility treatment.

The two major choices are between the medical approach and the natural approach. Within these categories there are several treatment options.

  • Fertility Treatment OptionsThe Medical Approach
    • In Vitro Fertilization (IVF)
    • Intrauterine Insemination (IUI)
    • Fertility drugs
    • Surgery
    • Gamete intrafallopian transfer (GIFT)
    • Zygote intrafallopian transfer (ZIFT)
    • Donor eggs and embryos

Here are a few tips for couples to keep in mind when choosing:

  1. Go online.
    There are thousands of resources on the web in regards to fertility treatment. Browse forums, blogs, and health websites to gain a well-rounded understanding of all the treatment options that are available.
  2. Talk to those who have experienced it first hand.
    Speaking to a veteran of infertility can help you gain  helpful insights as to what treatment may be like for you. Again, blogs and forums are a great place to find support and advice from those who share your journey.
  3. Keep your well-being in mind.
    Some treatments can be very stressful physically, emotionally and financially. Choose a fertility treatment that makes sense for your health, lifestyle and financial situation. This could save you a world of stress and frustration down the road.

Preserving Fertility


Throughout the infertility community, there are many who wish they could turn back the hands of their fertility clock. In the years of the baby boomers, women started families at the ripe age of 17 and 18. Today’s generation of fertility age women have shown a growing trend in restructuring the life timeline of their parents and grandparents to pursue careers and life goals before beginning a family.

A recent article by NPR takes a look at Extend Fertility, the first company to sell egg freezing as a lifestyle choice.

Christy Jones, founder and CEO of Extend Fertility, suggests that younger women should begin to consider preserving their fertility by freezing their eggs in their early 20s and 30s.  This concept speaks to the growing trend of women having children later in life. However, the thought of preserving fertility for use later in life seems to overlook the issues seen by the infertility community.

The media seems to depict only two extremes in the current world of fertility. There are the extremely young, being “16 and Pregnant”, and the extremely old, made up of celebrities who are having children well into their 40s. However, what the media neglects to state, is that many of these celebrities have used donated eggs.

Neither of these publicized groups accurately represent the fertility struggles faced by one in eight US couples. Many of these couples face problems such as blocked fallopian tubesendometriosis, PCOShormonal infertility, secondary infertility, and unexplained infertility. For these couples, the egg is not the problem. Often times these fertility issues are caused by adhesions that restrict the reproductive organs and hormonal glands from working together as nature intended.

About ten years ago ASRM (the American Society for Reproductive Medicine) ran a campaign focused on making women mindful of the ever present fertility hourglass. The campaign received significant criticism from both career women and the infertility community. It seems the freezing of ones eggs oversimplifies the problems related to infertility. However, for those who have encountered problems with their eggs later in life, it may seem a worthy investment.

What are your thoughts? Leave a comment below.

Reaching Out to Women with Secondary Infertility

By Jackie

For years, I have seen patients come to Clear Passage Therapies (CPT) with secondary infertility and find success. I’ve spoken with many of these women and written their personal experiences with infertility for the upcoming book, Miracle Moms, Better Sex, Less Pain. I have also had the opportunity to write or edit 78 other stories for the book that discuss various forms of infertility, sexual dysfunction, and chronic pain. I’ve also followed-up with many more patients who came through CPT’s doors.

Through these experiences, I’ve come to recognize subtle nuances between the different groups of women who come to CPT. In women with secondary infertility, I’ve recognized their distinct frustration and confusion. Many of them ask, “Why was it so easy to become pregnant before, but now now?” I’ve also noticed a twinge of guilt in this group of women: a sense that because they already have a child, they should be more grateful and not “complaining” about the difficulty of conceiving a second child.

I find it incredibly sad to hear women question their desires to expand their families due to conflicting feelings of guilt and frustration. I largely feel this way because I feel they have a high chance of discovering the cause of their infertility and resolving it.

A woman who had no problems conceiving her first child has, in a way, a “leg up” on other women because her doctors can look and see what has changed since that pregnancy. If a doctor performs routine tests and cannot find a cause, a woman is still not out of options. At CPT, we believe that many causes of unexplained infertility are mechanical in nature and thus due to adhesions. Adhesions may form after any type of injury or trauma to the body. They can constrict, cover, and pull on important tissues and organs, leading to infertility. The birthing process itself can cause trauma to the body and subsequent adhesion formation. Our therapists have also seen a correlation between secondary infertility and previous c-sections or episiotomies. When examining a patient, our therapists also review a patient’s history for any trauma that has occurred since childbirth – perhaps a severe fall, car accident, yeast or bladder infection, or surgery. These events signal adhesion formation.

CPT has had success treating unexplained infertility and secondary infertility by addressing adhesions that form in the body. However, we have never advertised this fact on our website until recently. After speaking with so many women who had success after being treated for secondary infertility at CPT, I worked with the CPT team to design a web page specifically about how we treat this condition. The page was loaded in late February and I happy that women who suffer from secondary infertility can learn about a new treatment choice. I encourage you to review the site and let us know what you think below. If you feel there’s something else we should address on this page, just leave a comment below. To read more about secondary infertility, see 10 Clues to Solving Secondary Infertility,

Treatment for Pain after an Episiotomy

By Jackie

An episiotomy is a surgical incision of the perineum (the area between the vagina and the anus) that is made while a woman is giving birth in order to enlarge the vaginal opening for delivery. Following the birth, the doctor then sutures the area closed. After a few weeks, most women no longer experience pain around their stitches, though doctors generally recommend that a woman wait six weeks to have sex again.

When women continue to experience pain near the episiotomy site after six weeks has passed, it is a sign that adhesions may have formed. When any part of the body is injured, collagen rushes to the area to contain incoming bacteria, prevent the loss of blood, and enable the area to be healed. However, this sticky collagen builds to form adhesions that can also adhere to neighboring structures or constrict the tissues it covers.

Women who have episiotomies experience trauma to the peritoneum, pelvic floor muscle, and vagina. If the pelvic floor muscle has adhesions, a woman may experience pelvic pain, painful intercourse, urinary incontinence, and infertility (see Secondary Infertility). The peritoneum and vagina are very pain-sensitive structures and minimal adhesion formation can cause great pain, especially during intercourse or urination.

The “hands-on” work practiced at Clear Passage Therapies® clinics (see What is the Wurn Technique?) is designed to reduce or eliminate adhesions, crosslink by crosslink. After treatment, many women find that the constant pulling or tightness sensation is gone, intercourse pain is eliminated, and sexual function is increased (for more info, read The G-Spot and Sexual Dysfunction).

Unveiling Our New C-Section Pain Page

By Jackie

One aspect I personally love about working with Clear Passage Therapies (CPT) is their continued work and effort towards research and education. The entire CPT team loves to conduct studies, closely follow the progress of patients, and look for ways to improve treatment. Once the CPT team feels that treatment can help or improve a certain condition, we share this news on our website.

Today, a new page was added to our website: C-Section Pain. CPT first began treating c-section pain when women came to the clinic for treatment of secondary infertility (unable to become pregnant after previously conceiving and carrying a child). A large majority of the women had also undergone c-sections and experienced pain at or near their incision sites. Some reported a constant pull near their scar, while others reported persistent pain that started after their c-section and gradually increased.

Our therapists felt that the c-section pain or discomfort these women experienced was tied to their infertility. At CPT, we believe the body functions as a whole; pain and dysfunction in one area is often linked to pain or dysfunction in another area. When our therapists examined the patient’s body, they could feel adhesive patterns near the incision sites, extending down into the uterus. They felt that these adhesions not only caused the woman’s pain, but significantly impaired her fertility. As our therapists worked to reduce the adhesions, the patient reported she no longer experienced pain near their c-section. A few months after treatment, she also became naturally pregnant!

The CPT team began to notice that many women with prior c-sections were reporting decreased pain and improved digestion after treatment for secondary infertility. We continued to follow our patients closely and researched more about how our patients with c-sections could benefit from treatment.  After significant time and work, our therapists can now confidently say they can treat pain and dysfunction associated with c-sections. To celebrate and share the news, the CPT team created a new web page for C-section pain. The CPT team will continue to unveil new web pages over the next month, so keep checking back to see the numerous ways we are researching and developing the field of manual physical therapy.