The Ramblings of a Middle Aged Fertility Physician whose life revolves around Eggs, Sperms & Embryos....
Sunday, September 7, 2008
UK Couple told to cool off over noisy sex romps
A cavorting couple who have noisy sex sessions for up to four hours are driving the neighbours bonkers. And after a series of complaints, the marathon romps have caused council chiefs to slap a noise abatement order on Steve and Caroline Cartwright to stop them from shouting and screaming during their late night and early morning love-making.
For two years, neighbours have been getting their knickers in a twist over the prolonged noise. The lengthy escapades have led to over 25 visits from the police and the pair have been arrested twice for causing a nuisance to neighbours and people passing by their open bedroom window. Police have monitored the situation and council environmental officers have frequently measured the sound level coming from the couple’s upstairs bedroom.
Today the couple defended their actions and spoke to the Chronicle about their antics. From their terraced home in Hall Road, Concord, Washington, Caroline said: “I must admit I do scream and make lots of noise when we are having sex, but I can’t help it.”
What the couple said
Caroline said: "I removed the bed’s headboard when a neighbour complained. That stopped the banging on the wall but I can’t stop screaming.
"Apparently I’m so loud people think I’m getting murdered. The police said they have called around because they have feared for my safety.
"We are not using whips or anything like that, we are just making love. Admittedly, we do it with quite a bit of noise.
"We have had threats and people shouting at us when we go outside because of the noise we make. We have upset a number of people. We understand even the postman made a complaint to the police."
Caroline, 47, who is unemployed, added: "Before Christmas last year we were arrested twice. Once we were cautioned and the second time the Crown Prosecution Service dropped the case because they said our love-making was at night.
"Once one neighbour recorded our noises and we had to go to the Sunderland City Council offices at the Civic Centre to listen to the tape. I couldn’t stop laughing. I really couldn’t take it seriously and I’m sure that is why a noise abatement order was taken out against us.
"It prevents me from screaming and shouting at such a level that I’m a nuisance. We have been told to close the windows and doors when we do it but it is hot at the moment so we have to leave the window open.
"We found out 23 years ago that we were having difficulties in conceiving a child so we started to have fertility treatment. Sex became a bit of a chore because you try so hard to conceive, but after I turned 37 we decided to stop trying with IVF because we would have to go private and start paying for the treatment and we couldn’t afford it.
"After that we just started enjoying the sex for what it is and we do it mostly at night for up to four hours, but more recently we have been falling asleep watching the TV and so we wake up early in the morning to do it instead.
"I used to be in a size 30 dress and now I’m in a size 18. I’ve lost six stones, it must be the amount of sex we are having, it’s good exercise.
"The neighbours keep complaining and we have even had our car vandalised, causing £2,000 of damage. People have thrown beer cans and pizza up at the window when they hear us. We enjoy sex and that’s all there is to it."
Steve, 46, a factory worker, said: "We have been married for 24 years and we still have sex all the time. I would say that is a good thing. I bet there are not that many couples who have been together for as long as we have who can say that.
"We like having sex, there’s nothing wrong with that."
What neighbours said
Neighbours complain that the pair sometimes leave the bedroom window open but even when it is shut they can still hear them having sex.
A neighbour, who didn’t want to be identified, said: "When it first started it was a bit of a giggle but it’s no laughing matter now.
"We’ve heard them having sex, her moaning and groaning, early in the morning, early in the evening and late at night.
"They just don’t seem to care and when I approached them about it they just shrugged their shoulders and said they were doing nothing wrong, that it was none of our business.
"But people who pass the house, especially children, can also hear them. I once saw a group of young lads standing outside on a Saturday night listening and laughing."
Another neighbour, who also didn’t want to be named, said: "Everyone is entitled to their private life but the noise is disgusting and it usually lasts a very long time.
"They just don’t seem to care. Something has to be done about it."
A resident from nearby Manor Park said families on the estate were aware of the complaints. The man, who wanted to remain anonymous, said: "When I go to the nearby shops I have to pass the couple’s house and I can hear them. They make a lot of noise, especially her.
"I can do my shopping and as I come home I can still hear them at it".
Police and council say
Sunderland City Council and Northumbria Police said in a joint statement: "Neighbours have complained to both Sunderland City Council and Northumbria Police of nuisance behaviour from the occupiers of the property.
"We have investigated the complaints and have attempted to solve the problem both formally and informally.
"Due to ongoing concerns, the council is now considering the most appropriate form of action to prevent further disturbance to local residents."
The spokeswoman declined to say what action was being considered.
Saturday, September 6, 2008
The Way To Lavasa - Land of Zeus & Poseidon
September 6, 2008, Saturday. My wife Swati's birthday & what better way to celebrate it than taking her to the Land of Zeus & Poseidon:) In Greek mythology, Poseidon (Greek: Ποσειδῶν; Latin: Neptūnus) was the god of the sea. Poseidon was given a trident during the war of the Titans and the gods, in which he fought alongside his siblings. The war lasted ten years, after which the gods divided the earth among themselves by drawing lots. Zeus took the sky, Poseidon the sea and Hades the underworld. I have christened Lavasa as the Land of Zeus & Poseidon- a blessed waterbody in the skies. We left at 7am from our residence in Central Mumbai. We reached the Lavabahn(the road from Pirangut to Lavasa) in about three hours after a Wada-Pao break near the Kamshet toll-point on the Express-way. The road was enveloped by verdant green all through the 37 Kms to Lavasa. We met the Maharashtrian Cowboy (Dinkar Bhau on his pony Suraj)(see picture). We also met Ramdas the cattle-grazer & Subhash the Sahyadri Fodder-Delivery Executive (see pictures). We had Masala-Chai in Dagdu Mama's village about 9 Kms from Lavasa. Dagdu Mama posed for pictures with his Ox Krishnaa (see picture).
We saw Buffalos bathing in roadside ponds & cows grazing in lush green meadows. I was fascinated by the shades of Green all along the Lavabahn.The word green is closely related to the old English verb growan, “to grow”. It is used to describe plants or the ocean. The most common associations, however, are found in its ties to nature. For example, Islam venerates the color, as it expects paradise to be full of lush greenery. Green is also associated with regeneration, fertility and rebirth for its connections to nature. See the accompanying pictures of my Journey to Lavasa. Nineteen out of 20 pictures have thirteen shades of green.
Shocking pink (also called neon pink) is bold and intense. It takes its name from the shade used on the box of the perfume called Shocking, designed by Leonor Fini for the Surrealist fashion designer Elsa Schiaparelli in 1937. This in turn was inspired by the Tête de Belier (Ram's Head), a 17.27ct pink diamond from Cartier owned by heiress Daisy Fellowes, who was one of Schiaparelli's best clients. Shocking pink kept its name in British English, whereas in North America "This intense magenta was called shocking pink in the 1930s, hot pink in the 1950s, and kinky pink in the 1960s...[it] has appeared in the vanguard of more than one youth revolution...to some it sings, to others it screams" . On its way into the German language, shocking pink lost the "shocking" and is called only "Pink", while the English color "pink" is referred to as "Rosa". Meanwhile in Portuguese one of its nomenclatures arrived intact becoming "cor-de-rosa choque" ("shocking pink") used more frequently in Brazil. It's also called "çingene pembesi" (Gypsy pink) in Turkish. Enjoy the pink Saree of Yashoda Padwal working the green paddy fields- Don't miss out the pink wild flowers in the foreground. Pink shades continue in Master Waghmare's smart pink T-shirt. Pink was the predominant color standing out in the journey other than Green.
Before we hit the first dam on Warasgaon lake, we barged into the early morning board meeting of the Dasve goats right in the middle of the road! Taking a minor detour we crossed the first of six dams on the 22 Km lake and crossed over to the top of the dam. The lake is now overflowing through the controlled sluice gates and feeding the Mutha river which flows down towards Pune. See the accompanying aerial pictures of the beginnings of the Mutha river from the top of this dam. The Mutha arises in the western ghats and flows eastward until in merges with the Mula River in the city of Pune. It has been dammed twice, firstly at the Panshet Dam, used as a resource of HydroElectricity. The water released here is dammed again at Khadakwasla and is an important source of drinking water for Pune. One more dam has been built later on the Mutha river at Temghar. After merging with the River Mula in Pune it flows as the Mula-Mutha to join the river Bhima.
Finally, we were there! The Warasgaon lake brimming with happiness was the ideal home for Poseidon. The lake in Zeus' skies - at 3000 feet above sea level. The friendly staff at Ekaant welcomed us with Iced Tea - after a short walk through the freshly laid out nature trail, we savoured Chef Sandeep's creations (including my favorite Pokchoy leaf + Cottage cheese salad!). I enjoyed the chilled Fosters pints. The birthday party at night organized by the F & B team was a nice private dinner in the patio outside our ground level room - again, with the clouds walking into our room.
Friday, September 5, 2008
The sophisticated sex lives of sea squirts
Lead researcher and PhD student with UQ's School of Integrative Biology, Angela Crean, said the marine organisms could tailor their reproductive cells depending on the level of competition in the sea.
“When there are lots of competing males trying to fertilise the eggs of females, males produce larger, more competitive sperm that live for longer,” Ms Crean said.
“Similarly, when females detect that there are too many males competing for her eggs (too many sperm can kill the eggs of some organisms) the females ‘play hard to get' producing smaller eggs that are harder for searching sperm to find.
“These changes make sense if you're stuck to a rock like sea-squirts are.
“If you can't run away from a highly competitive environment, you must therefore make your gametes more competitive in order to get a higher chance of successfully reproducing.”
The fact that sea squirts don't move made it possible for the majority of the investigation to be conducted in the Moreton Bay field environment.
In a Big Brother-style approach, the primary experiment involved placing a large number of sea squirts in a confined space for an extended period.
“We manipulated adult densities in the field by placing either one (low density) or 15 (high density) sea squirts in a cage for one month,” Ms Crean said.
“This research tells us a little as to how sex evolved in the first place.
“Specifically, it gives us some insight into why sperm are so tiny and males make millions of them whereas female eggs are much larger and are produced in fewer numbers.
“Because these organisms reproduce by the ancestral mode of reproduction, it gives us an indication as to how competition between males led to all sorts of reproductive strategies including the one used by humans: internal fertilisation.”
Thursday, September 4, 2008
IVF/ICSI cause of Congenital Birth Defects?
The use of in vitro fertilization (IVF) or another assisted fertility technique called intracytoplasmic sperm injection (ICSI) to conceive appears to increase the odds of Y-chromosome defects or "microdeletions" in male offspring, Chinese researchers report. Such deletions could result in defective sperm production and possibly also hypospadias -- a common birth defect of the penis that occurs when the urinary outlet develops on the underside of the penis rather than at the tip.
Although this study was small, it "at least sounds an alarm about the genetic safety of assisted reproductive technology," the investigators conclude. Prior research has tied assisted reproductive technologies with low birth weight, preterm delivery, cerebral palsy, and major birth defects, leading some researchers to hypothesize that these therapies may induce gene mutations.
In the new study, Dr. He-Feng Huang, from Zhejiang University, and colleagues sought to answer this question by testing for genetic mutations in 19 male infants conceived through IVF, 18 conceived through ICSI, and 60 conceived naturally. The fathers of the infants were also tested. In an effort to isolate the impact of the fertility treatment, the researchers only studied infants whose parents had a normal genetic background.
Huang and colleagues found Y-chromosome microdeletions in one infant conceived with IVF (5.3 percent) and in three conceived with ICSI (16.7 percent). By contrast, no Y-chromosome deletions were seen in the control group.
One of the four infants with microdeletions had hypospadias, the report indicates.
This is not the first study to link ICSI with hypospadias, the investigators note, but the mechanism has been unclear. The current findings suggest that the association may be mediated through Y-chromosome microdeletions.
ICSI is the main method used to overcome male infertility. With ICSI, a single sperm is injected directly into a single egg. If successful fertilization occurs, the embryo is then placed into the female to undergo development as usual.
Larger studies "should be conducted to confirm our preliminary results," the researchers conclude.
Wednesday, September 3, 2008
Fertility a matter of mind as well as body
Infertile women's brains - and not just their bodies - may be blocking them from conceiving a baby, a new book says.
Some women may be sabotaging their chances of having a baby by failing to address their emotional needs, according to Melbourne author Michaela Ryan. Her new book, Trying to Conceive, tells 15 stories of women who miraculously fell pregnant after they solved a range of personal issues.
The stories include Deb and Keith, who endured 23 cycles of IVF and several miscarriages before Deb fell pregnant after she quit her job and reconnected with her long lost dad.
And there is Naomi, who spent eight years trying to conceive, but was successful only when she started relaxing more and believing in herself.
Ryan was moved to collect the stories after her own experience.
"I tried to conceive for 12 stress-filled months, then as soon as I stopped obsessing about having a baby, I fell pregnant," she said.
"So I became very interested in looking at the possible effects of emotional issues and the impact this might be having for couples wanting to fall pregnant."
Ryan, 32, a freelance writer from Elwood and her husband Ted, 34, are now the proud parents of Declan, 3.
"For a lot of the people I spoke to there were hidden fears that hadn't really been addressed like fear of repeating the mistakes of the past, fear of subsequent miscarriage or fears of not being a good mother," Ryan said.
"It's a really individual thing, but the common feeling is at some point there's an emotional shift -- a letting go -- and many women fall pregnant soon after that."
Ryan said medical science "has really caught up, and there are improved pregnancy rates for those on stress reduction programs, for instance".
"A lot of women are only given very physical approaches and this offers another angle. "
Dr Lynn Burmeister, clinical director of Monash IVF, said there was an underlying association between emotions and the body when it came to fertility.
"There are no studies in humans to confirm this, but what we do know is that stress can reduce fertility in a number of ways," she said.
"We do our best to make sure we look after our patients' minds as well as their bodies.
"Some do acupuncture and others attend our lifestyle modification clinics or see counsellors."
Dr Burmeister said she had seen patients with similar stories to those in the book.
"I have had patients who have made an appointment with us and just doing that has taken a weight off their shoulders, and they ring back saying that they are not going to need us," she said.
Some women may be sabotaging their chances of having a baby by failing to address their emotional needs, according to Melbourne author Michaela Ryan. Her new book, Trying to Conceive, tells 15 stories of women who miraculously fell pregnant after they solved a range of personal issues.
The stories include Deb and Keith, who endured 23 cycles of IVF and several miscarriages before Deb fell pregnant after she quit her job and reconnected with her long lost dad.
And there is Naomi, who spent eight years trying to conceive, but was successful only when she started relaxing more and believing in herself.
Ryan was moved to collect the stories after her own experience.
"I tried to conceive for 12 stress-filled months, then as soon as I stopped obsessing about having a baby, I fell pregnant," she said.
"So I became very interested in looking at the possible effects of emotional issues and the impact this might be having for couples wanting to fall pregnant."
Ryan, 32, a freelance writer from Elwood and her husband Ted, 34, are now the proud parents of Declan, 3.
"For a lot of the people I spoke to there were hidden fears that hadn't really been addressed like fear of repeating the mistakes of the past, fear of subsequent miscarriage or fears of not being a good mother," Ryan said.
"It's a really individual thing, but the common feeling is at some point there's an emotional shift -- a letting go -- and many women fall pregnant soon after that."
Ryan said medical science "has really caught up, and there are improved pregnancy rates for those on stress reduction programs, for instance".
"A lot of women are only given very physical approaches and this offers another angle. "
Dr Lynn Burmeister, clinical director of Monash IVF, said there was an underlying association between emotions and the body when it came to fertility.
"There are no studies in humans to confirm this, but what we do know is that stress can reduce fertility in a number of ways," she said.
"We do our best to make sure we look after our patients' minds as well as their bodies.
"Some do acupuncture and others attend our lifestyle modification clinics or see counsellors."
Dr Burmeister said she had seen patients with similar stories to those in the book.
"I have had patients who have made an appointment with us and just doing that has taken a weight off their shoulders, and they ring back saying that they are not going to need us," she said.
Tuesday, September 2, 2008
Microfluidic Chip Could Someday Lead to a More Targeted Embryo Selection Process
New technology could eventually make infertility treatments more effective and less expensive. Though it has so far only been tested with mouse embryos, the hope is that it could improve the process of selecting the most viable embryos for in vitro fertilization. Research on the new technology, informally called "lab on a chip," has been published in Analytical Chemistry.
In vitro fertilization, known as IVF, involves combining eggs and sperm outside the body in a laboratory. Once an embryo or embryos form, they are then placed in the uterus. IVF is a complex and expensive procedure. The average cost of IVF is more than $12,000.
Currently, fertility doctors evaluate the quality of an embryo being considered for IVF through microscopic examination of the embryo's physical characteristics, such as cell shape. This process is time-consuming and not reliable enough, according to researchers.
Almost 130,000 women undergo IVF procedures each year in the U.S. -- yet the success rate is only about 30%. To boost a woman's chances of conceiving, doctors may put more than one embryo into the uterus. This can lead to multiple births and makes the pregnancy riskier for both mother and child.
The scientists -- from the Massachusetts Institute of Technology and Fertility Laboratories of Colorado -- worked with a device called a microfluidic chip, which they hope will someday lead to a more targeted embryo selection process. The chip, about the size of a quarter, is designed to evaluate the health of embryos being considered for transplant by measuring how the embryo alters key nutrients in the tissue culture medium surrounding embryos, according to the study.
Researchers collected fluids surrounding 10 mouse embryos and analyzed the fluids using the computer-controlled chip. Within minutes, the device could accurately measure the metabolism of the embryos from the surrounding fluids. Long-term, the chip could improve the quality of embryos selected for human IVF, and it could also reduce the cost associated with the procedure, according to the study's authors.
Monday, September 1, 2008
The World's First Test-Tube Boy Finally Speaks!
The world's first test tube baby boy has launched a campaign for a "long overdue" award for the scientist who pioneered the IVF process that gave him life.
Alastair MacDonald, 29, said it is astonishing that Professor Robert Edwards has received dozens of accolades from all over the globe but he has had little recognition in his own country.
Mr Edwards, who studied at Edinburgh and Glasgow Universities, pioneered in-vitro fertilisation with Dr Patrick Steptoe, who died of cancer in 1988 aged 75, one week before he was due to receive his knighthood from the Queen at Buckingham Palace.
Mr MacDonald, from Glasgow, has written to the Prime Minister to have the man known to him as an "uncle" properly recognised.
He has the support of experts in the field from all over the world including doctors at Cambridge University, the British Fertility Society, the Society for Reproduction and Fertility, the American Society for Reproductive Medicine, Royal College of Obstetricians and Gynaecologist and the European Society for Human Reproduction and Embryology.
Although Leeds-born Mr Edwards was made a CBE 20 years ago, his peers say his achievements far outweigh that award and he "more than deserves" greater recognition, possibly a knighthood.
Professor Martin Johnson, of Cambridge University Anatomy School, described Mr Edwards as the "father of his subject".
"Prof Robert Edwards is the single most important and influential figure internationally in human reproductive biology.
"It is an indisputable fact that he has contributed more to the treatment of human infertility than any other individual and, in so doing, has made the early stages of our own development accessible to study. This achievement clearly places him in a league on his own. He is truly and uniquely the father of his subject'."
His comments were echoed in other clinics and research centres. They included Dr Key Elder, of the Bourn Clinic in Cambridgeshire, which was founded by Mr Edwards and the late Dr Steptoe, and is still going strong. It sees around 850 or 900 women a year, with an average age of 37, and around one in three cycles results in a successful birth.
Dr David Adamson, president of the ASRM, said: "I strongly support Prof Edwards and hope he will receive a knighthood, which is so justified and overdue."
Both Mr MacDonald, now a systems engineering officer with the Royal Fleet Auxiliary, and his mother, Grace, now 62, who separated from his father when he was four, believe Mr Edwards should be recognised for what they said were his "unequalled" achievements.
He wrote to Gordon Brown: "Prof Edwards has been honoured around the world . . . it is a travesty that he has not been honoured by his own country.
"I was born as the second ever IVF baby in 1979 and I have grown up very close to Prof Edwards. I simply would not be alive if it wasn't for Prof Edwards. It saddens me greatly that at his age of 83, he has never been honoured when he has given so much and has never requested anything in return.
"I hope that Prof Edwards can still be alive to see his rightful honour given to him, unlike Patrick Steptoe the co-pioneer with Robert Edwards, who died before he received his knighthood.
"I hope this government does not make that same mistake. I hope you can use your influence to give a truly great man the rightful status he deserves."
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