Podcasts about endometritis

Today's episode explores the critical role of a healthy uterine and vaginal microbiome when preparing for pregnancy and trying to conceive (TTC). Despite mounting evidence linking microbiome balance to improved fertility, successful implantation, and better pregnancy outcomes, most OB/GYN offices still overlook routine testing and proactive care in this area. I dive into how conditions like chronic endometritis and Ureaplasma infection can silently undermine your fertility, often going undetected in standard evaluations and contributing to unexplained infertility or recurrent pregnancy loss. I'll then share how advanced microbiome testing paired with a functional treatment protocol in my practice can finally provide answers and targeted solutions for a healthy pregnancy. Episode Highlights: The difference between the vaginal and uterine microbiome, and why both matter for reproductive success How chronic endometritis and ureaplasma infections can silently sabotage your fertility, even when you have no symptoms Why standard doctor's visits and routine tests often miss these underlying issues How advanced microbiome testing along with holistic fertility protocols can finally give you answers and a clear path forward The importance of biofilm disruptors and supporting microbiome before, during and after treatment matters for preventing recurrent infection If you're LOVING this podcast, please follow and leave a rating and review below. PLUS FOLLOW MY INSTAGRAM PAGE HERE FOR BITE SIZED TTC TIPS! Related Links: CLICK HERE FOR JUNE BRONZE PACKAGE WAITLIST (limited spots available) For full show notes and related links: https://www.naturallynora.ca/blog/147 Grab Your FREE Resources: Just starting your TTC journey? Download my Eat To Get Pregnant Guide  Having trouble getting and staying pregnant? Download my Top 3 Things To Do When You're Not Getting Pregnant Wondering what supplements to take to help you conceive? Download my Fertility Foundations Supplement Guide Please Note: The contents of this podcast are for educational and informational purposes only. The information is not to be interpreted as, or mistaken for, clinical advice. Please consult a medical professional or healthcare provider for medical advice, diagnoses, or treatment.  

In this episode, we review the high-yield topic of⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Endometritis⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠from the Reproductive section.Follow⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Medbullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbullets

Welcome, the well known Napro Fertility Surgeon to The Hormone Genius Podcast! In her own words... "I am a full scope board certified OBGYN, MIGS, who offers tubal correction, endometriosis excision, highly effective adhesion prevention, PCOS surgery and more. I am passionate about all things natural fertility, Women's health, and patient education and autonomy. I love practicing medicine and educating about improving women's health treatment options, including recent and potential advances and holistic treatments." Dr. Naomi Whittaker is a board-certified OBGYN, certified Creighton Model FertilityCare Instructor, and restorative reproductive medicine surgeon specializing in natural fertility and has received the Focused Practice Designation in Minimally Invasive Gynecologic Surgery by ABOG. She is a 2013 graduate of Creighton University School of Medicine, Omaha, Nebraska. She completed a residency in obstetrics and gynecology at University of Illinois College of Medicine-Peoria in 2017 and is fellowship trained in medical and surgical NaProTechnology. She founded RRMacademy.org and can be found on Instagram at napro_fertility_surgeon. She is Physician Lead at UPMC Divine Mercy in Pennsylvania which provides comprehensive gynecologic, natural fertility as well as obstetric care. Find Dr. Whitaker here: naomiwhittakermd.com @napro_fertility_surgeon Her practice can be found near Harrisburg, PA: https://providers.upmc.com/provider/naomi-miriam-whittaker/2090813 Thanks to our HG Sponsor! If you're looking for the best supplements—backed by science and made by a family-owned company that shares your values—you need to check out We Heart Nutrition. I've personally used their products, and I'm so excited to tell you about them! We Heart Nutrition offers research-backed supplements for men and women at every stage of life. Whether you're preparing for pregnancy, looking for postmenopause support, or just trying to hit your wellness goals, they've got something for you. What makes them even more special is their mission. They're pro-mama, pro-baby, and pro-life, donating 10% of every sale to pregnancy care centers. So, when you shop with them, you're not just investing in your own health—you're supporting moms and babies in need. Their supplements are made with bioavailable ingredients, which means your body actually absorbs the nutrients—no fillers, no junk. They're carefully crafted to meet your unique needs, and it shows—over 1,000 5-star reviews from people whose lives have been changed by these products! Not sure where to start? You can take their quick 20-second quiz to get personalized recommendations tailored just for you. And here's an exclusive offer: Use the code GENIUS to get 20% off your first order! Plus, if your first order is over $50, you'll get a free bamboo capsule box to help you stay consistent and build healthy habits. Head to weheartnutrition.com, take the quiz, and use code GENIUS for 20% off your first order. With supplements this good and a mission this meaningful, you can't go wrong. I know you're going to love We Heart Nutrition. Opinions, statements, and beliefs of our interviewees are not necessarily a reflection of the HG podcast's beliefs and opinions as a whole. Medical disclaimer: The information presented in The Hormone Genius Podcast is for informational purposes only and is not intended to be a substitute for actual medical or mental health advice from a doctor, psychologist, or any other medical or mental health professional.

In this episode, we review the high-yield topic of ⁠⁠⁠⁠Postpartum Endometritis⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠from the Obstetrics section at ⁠⁠⁠⁠⁠⁠Medbullets.com⁠⁠⁠⁠⁠⁠ Follow ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Medbullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets Linkedin: https://www.linkedin.com/company/medbullets

I'm excited to welcome Dr. Dana McQueen, a highly knowledgeable reproductive endocrinologist and board-certified OB/GYN from Reproductive Medicine Associates (RMA). We dive into the topic of Recurrent Pregnancy Loss (RPL), a deeply emotional and complex issue that many couples face. Dr. McQueen sheds light on the latest research, potential causes, and the treatments available to help couples navigate this challenging journey. Dr. McQueen also highlights chronic endometritis, a condition that is often overlooked but could be an important factor in miscarriage. She explains how it differs from endometriosis and why diagnosing it is crucial for some patients. In addition to the science, we cover practical guidance for couples, including what male partners can do to check their sperm health and the importance of identifying conditions like chronic endometritis. In this episode, we cover: The latest advancements in understanding the causes of miscarriage, including chromosome errors and male factors. The role of sperm DNA fragmentation and how male partners can get tested. Chronic endometritis: what it is, how it's diagnosed, and why it matters. The differences between chronic endometritis and endometriosis. New research and treatment options, including genetic testing for embryos during IVF. Read the full show notes for this episode on Dr. Aimee's website. Do you have questions about IVF?Click here to join Dr. Aimee for The IVF Class. The next live class call is on Monday, October 21, 2024 at 4pm PST, where Dr. Aimee will explain IVF and there will be time to ask her your questions live on Zoom. Click to find The Egg Whisperer Show podcast on your favorite podcasting app.   Watch videos of Dr. Aimee answer Ask the Egg Whisperer Questions on YouTube.  Sign up for The Egg Whisperer newsletter to get updates  Dr. Aimee Eyvazzadeh is one of America's most well known fertility doctors. Her success rate at baby-making is what gives future parents hope when all hope is lost. She pioneered the TUSHY Method and BALLS Method to decrease your time to pregnancy. Learn more about the TUSHY Method and find a wealth of fertility resources at www.draimee.org.

In today's interview episode, my friend, Alissa Boyer shares her deeply personal journey through multiple miscarriages and the emotional toll it took on her. We discuss the importance of community support, coping mechanisms, and the role of intuition in navigating her experiences. Alissa also highlights the discovery of endometritis as a potential cause of her miscarriages and emphasizes the need for open conversations about pregnancy loss. Our intention with this episode is that it serves as a source of hope and encouragement for women facing similar challenges, reminding them that they are not alone!Alissa Boyer is a Mentor for Highly Sensitive People (HSPs) with a passion for helping fellow HSPs learn how to unapologetically embrace their sensitivity and use it as a strength in their lives. She's the creator of several online programs including The Sensitive & Soulful Vault and Sensitive & Soulful Self-Worth. Alissa also offers business mentorship to HSPs and hosts a podcast called The Sensitive & Soulful Show.Listen to Alissa's episode from last time she was on the show here! Connect with Alissa:Instagram: @lifebyalissa Website: https://www.sensitiveandsoulful.com/Podcast: https://podcasters.spotify.com/pod/show/alissa-boyerChapters in this episode: 03:08 Alyssa's Journey Through Miscarriage05:56 Coping Mechanisms and Support During Grief08:54 Navigating Pregnancy After Loss15:02 Supporting Sensitive Friends Through Loss20:47 Alyssa's Subsequent Pregnancies and Discoveries23:54 The Impact of Endometritis on Miscarriages27:02 Finding Hope and Healing Through CommunityTry Tempdrop for accurate BBT numbers -- shift workers, new moms, or inconsistent sleepers this is for you! If you want to try Tempdrop, click here and use code AFCORINNE for 10% off! Join the Mind Your Hormones Method, HERE! (Use code PODCAST for 10% off!!) FREE TRAINING! How to build a hormone-healthy, blood-sugar-balancing meal! (this is pulled directly from the 1st module of the Mind Your Hormones Method!) Access this free training, HERE!Join the Mind Your Hormones Community to connect more with me & other members of this community!Come hang out with me on Instagram: @corinneangealicaOr on TikTok: @corinneangelicaFree Facebook group: Mind Your Hormones Podcast CommunityEmail Fam: Click here to get weekly emails from meMind Your Hormones Instagram: @mindyourhormones.podcast Disclaimer: always consult your doctor before taking any supplementation. This podcast is intended for educational purposes only, not to diagnose or treat any conditions. 

In this month's Fertility and Sterility: Unplugged, we take a look at articles from F&S's sister journals! Topics this month include a review of studies of menstrual fluid (2:18), changing our language regarding progestin protocols (18:35), and nanoscale motion tracing of spermatozoa (26:46). F&S Reviews: https://www.fertstertreviews.org/article/S2666-5719(24)00032-X/fulltext Consider This: https://www.fertstert.org/news-do/language-matters-rename-progestin-priming-progestin-protocols-vitro-fertilization-ivf F&S Science: https://www.fertstertscience.org/article/S2666-335X(24)00037-5/fulltext View the sister journals at: https://www.fertstertreviews.org https://www.fertstertreports.org https://www.fertstertscience.org  

Orla O' Flaherty is a herbalist, naturopath, and nutritionist who specialises in female health.   She is also one of my closest friends so this is more of a fly on the wall conversation that goes in a lot of different directions.   I'll add for men (or women who aren't interested in the topic) – the first 12 minutes is about period pain, endometritis and hormone health so if you want to skip straight into the meatier topics, feel free to..   Trigger warning: we talk about some uncomfortable topics that may be triggering for some people.      Period pain and emotional links Endometritis and working out Relationships and dating apps in 2024 Moving through difficult relationships and self-abandonment  Stepping into your healed feminine or healed masculine  Dating apps and what NOT to do How to spot guys who just want sex  Sensuality vs sex Father, mother and parental wounds  Sexual kinks and owning your sexuality  The Madonna/whore complex, the sacred prostitute and integrating parts of it as woman in the modern age  Carl Jung and the shadow side Removing blocks to become more sexual or sensual as a woman And much more.        Previous episodes https://briankeanefitness.com/podcast/320-orla-o-flaherty-on-cortisol-estrogen-and-female-fat-loss-the-contraceptive-pill-and-managing-an-underactive-or-overactive-thyroid/   https://briankeanefitness.com/podcast/334-orla-o-flaherty-on-balancing-hormones-pms-thyroid-amenorrhoea-losing-your-period-and-fertility   Instagram:  https://www.instagram.com/orla_naturopath_herbalist/?hl=en   Website:  https://orlaoflaherty.com  

Chronic Endometritis doesn't always have many symptoms, yet it can affect your cycle health and contribute to infertility and pregnancy loss. What is this silent condition and how can you know if it's affecting you? This episode explores what endometritis is, how to diagnose and treat it, while also explaining its differences from acute endometritis (and endometriosis, which is a separate condition). If you're experiencing unexplained infertility or recurrent pregnancy loss (miscarriage), you may want to explore the possibility of chronic endometritis. Charting your cycles with the Creighton Model System may help you to spot this possibility earlier, and work with a NaProTechnology provider in order to heal. NOTE: This episode includes references to abortion and pregnancy loss, and uses anatomical terms. SHOW NOTES: Studies from today's episode: https://www.ncbi.nlm.nih.gov/books/NBK553124/https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5234283/Woven Well Episodes about Endometriosis: Ep. 53: Is the Receptiva test best for Endometriosis diagnosis?, with Dr. Nicholas KongoasaEp. 10: Endometriosis 101Free Fertility Resources, like Endometritis 101Interested in learning about the Creighton Model System? You're in the right place! Register for Creighton Introductory Session: Register here for our next Introductory SessionLooking for ways to implement fertility awareness into your life and faith? Check out out most helpful resources: Substack Newsletter (free)Website Resources (free)Support the showThis podcast is provided for educational and informational purposes only and does not constitute providing medical advice or professional services. The information provided should not be used for diagnosing or treating a health problem or disease, and those seeking personal medical advice should consult with a licensed physician. Always seek the advice of your doctor or other qualified health provider regarding a medical condition. If you think you may have a medical emergency, call 911 or go to the nearest emergency room immediately. Neither Woven nor its staff, nor any contributor to this podcast, makes any representations, express or implied, with respect to the information provided herein or to its use.

In this episode of Up the Duff, host Brittany Darling speaks with Anna Lahey, founder of Vida Glow and a mother of four, about her experience with secondary infertility. Anna shares her journey of feeling her family was incomplete and her determination to have more children despite being told she would never conceive on her own. Listeners are advised that the episode discusses miscarriage. Tune in to hear Anna's inspiring story of surrendering to the process and ultimately achieving her dream of expanding her family. In this episode you'll discover: [00:00:38] Navigating secondary infertility. [00:04:15] Cycle tracking and fertility journey. [00:09:41] The loneliness of IVF clinics. [00:12:14] Fertility and cycle awareness. [00:17:29] Beatrice was a surprise. [00:22:03] Emotional toll of miscarriage. [00:26:06] Miscarriages and gender reveal party. [00:30:01] Miscarriages and resilience. [00:35:47] The struggle to let go. [00:39:09] The financial costs of fertility treatment. [00:42:40] Endometritis and fertility. [00:50:13] Special care in the hospital. [00:52:25] Traumatic experiences after birth. [00:55:16] Mastitis and breastfeeding challenges. [01:01:20] Feeding your baby experience. Items mentioned in this episode include: Vida Glow Australia | Ingestible Beauty | Clinically Proven Follow Anna on instagram Join our Facebook Community - Up the Duff Podcast  Be sure you are subscribed to this podcast to automatically receive your episodes.

This episode covers postpartum endometritis.Written notes can be found at https://zerotofinals.com/obgyn/postnatalcare/endometritis/ or in the postnatal care section of the Zero to Finals obstetrics and gynaecology book.The audio in the episode was expertly edited by Harry Watchman.

Link to bioRxiv paper: http://biorxiv.org/cgi/content/short/2023.02.02.526752v1?rss=1 Authors: Wei, J., Chen, Y., Zheng, S., Zhao, X., Zhang, Y., Yu, S. Abstract: Endometritis seriously affects women's normal life and work. It has been found that microRNA-123-3p (miR-124-3p) expression is abnormally high expression in the patients of chronic endometritis. However, the underlying mechanism for miR-124-3p regulation of endometritis development remains unclear. In our study, we treated human endometrial epithelial cells (HEECs) with LPS to simulate endometrial injury in vitro. Then, HEEC was treated with miR-124-3p mimics and miR-124-3p inhibitor. Next, exosomes were separated from bone marrow-derived mesenchymal stem cells (BMSCs). In addition, BMSCs were co-cultured with HEEC. Later on, dual-luciferase reporter assay was carried out to validate the regulation between miR-124-3p and DUSP6. Results indicated that LPS inhibited the viability of HEEC in time and dose dependent manner. MiR-124-3p inhibitor reversed apoptosis and viability inhibition of HEEC which were induced by LPS. In addition, we also found exosomes could transfer miR-124-3p from BMSCs to HEEC. Besides, BMSCs/anti-miR-124-3p Exo was observed to abolish LPS-induced viability and proliferation inhibition of HEEC by inducing the apoptosis of HEEC. Moreover, BMSCs/anti-miR-124-3p Exo alleviated inflammation of HEEC induced by LPS via upregulating DUSP6 and downregulating p-p65 and p-ERK. Furthermore, BMSCs/anti-miR-124-3p Exo protected against LPS-induced endometritis in vivo by upregulating DUSP6 and downregulating p-p65 and p-ERK. In conclusion, we found that BMSCs/anti-miR-124-3p Exo might be a promising new alternative to treat endometritis. Copy rights belong to original authors. Visit the link for more info Podcast created by Paper Player, LLC

S. 2 E. 2 Claire's Birth Story Today our host, Cathy dives into her first traumatic delivery. This episode may be especially triggering to some of our listeners as I discuss in depth my pregnancy, “failed” induction, and postpartum period. Please be gentle with yourself.

Today we are talking about Endometritis, a silent offender. Endometritis is inflammation of the lining of the uterus, mostly caused by an infection. It can be due to chlamydia, gonorrhea, tuberculosis, or a mix of normal vaginal bacteria. The reason Endometritis has earned its title as the silent offender, is because if often flies under the radar. What you don't know is there, you can't address. Both acute and chronic endometritis are implicated in unexplained infertility and recurrent miscarriage. I see it most often in failed implantation and chemical pregnancy. Chronic endometritis is difficult to catch and can be easily overlooked, since its symptoms can be extremely subtle. Many patients I have had don't even realize they had it until they got tested.Chronic endometritis causes a persistent low-grade inflammatory response which is largely asymptomatic but generates an unfriendly environment for a pregnancy to implant and thrive in. If you listen to my other podcasts, you'll hear me talk about this low-grade inflammatory response and how it wreaks havoc in our bodies. While the research tells us that endometritis can be pesky for fertility and may contribute to failed implantation, what many people don't know is that it is actually more likely to occur after miscarriage or childbirth, it is also more common after a long labor or C-section.A study by Kimura et al (2019) reported chronic endometritis was present in 2.8-56.8% of infertile women, 14-67.5% of women with recurrent implantation failure, and 9.3-67.6% of women with recurrent pregnancy loss.  But how can you find out if you have it and get help? When the infection does show signs, they typically consist of pelvic discomfort, abnormal vaginal bleeding and/or an unusual vaginal discharge. In the vast majority of cases though, chronic endometritis is a silent condition. Tune into the episode to learn the most reliable diagnostic procedures, the natural medicine approach to take if you have it, and how you can help prevent it. 

In this episode, we review the high-yield topic of Postpartum Endometritis from the Obstetrics section. Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets

In this episode, we review the high-yield topic of Endometritis from the Reproductive section. Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbulletsIn this episode --- Send in a voice message: https://anchor.fm/medbulletsstep1/message

In this episode I speak with Rebecca about the pregnancy, birth and postpartum story with baby Aggy. In this episode we cover: - previous births- previous surrogacy birth- falling pregnant quickly after birth - planned homebirth - mastitis- endometritis - older children at the birth - bigger age gap

In this episode Farryn shares her traumatic journey with us, through an easy first pregnancy followed by five harrowing miscarriages. How the hell did I get here? What is happening to me? Farryn spirals rapidly from a place of joy and ease to extreme physical and emotional pain as she battles inner trauma alongside her recurrent losses and medical professionals who dismiss her persistent and growing fears. After eventual correct diagnosis, treatment and spiritual healing Farryn falls and stays pregnant with her current rainbow baby. Join Laksmi on Instagram: @wombroom.podcastIf you're enjoying the show please leave a review! Takes a mere few minutes and will help get these stories into more ears that really need them.You can listen to host Laksmi Wilson's story here:https://podcasts.apple.com/au/podcast/why-does-this-keep-happening-recurrent-miscarriages/id1484930949?i=1000528572349Support the show (https://www.patreon.com/wombroom)

Recently, Eliza sent a question in to Ask The Egg Whisperer. Here's what she asked, "I have chronic endometritis, and I am finding very little on what the correct treatment process looks like. I'm already on a 2nd repeat course of antibiotics after 2nd biopsy still came back positive for CD 138 stromal cells.  My MD is suggesting to go straight into a transfer after second round of antibiotics without an additional biopsy. I'm afraid I may have an antibiotic resistant form and am wondering if you ever perform endometrial scarring or D&C to treat it?  Would you recommend to have a confirmation that the endometritis is gone before implanting? Also I am already on depot lupron 2nd month for endometriosis. Is it a concern that I will not get a period that would shed the bad cells somehow before a transfer? Would love your input on how you deal with resistant endometritis and implantation outcomes." You can tune in for more information about OHSS and treatment, and you can also hear the answers to other listener submitted questions. Follow on Apple Podcasts Follow on Spotify   Subscribe to my YouTube channel for more fertility tips! Join Egg Whisperer School Checkout the podcast Subscribe to the newsletter to get updates  Dr. Aimee Eyvazzadeh is one of America's most well known fertility doctors. Her success rate at baby-making is what gives future parents hope when all hope is lost. She pioneered the TUSHY Method and BALLS Method to decrease your time to pregnancy. Learn more about the TUSHY Method and find a wealth of fertility resources at www.draimee.org.

Take a sneak peak at this month's Fertility & Sterility! Topics this month include male factor infertility (02:10), practice committee guidelines on egg donation & number of embryos to transfer (07:02), progesterone supplementation (16:20), ART & the risk of stillbirth (22:24), perinatal outcomes of pregnancies in SARS-CoV2 infected women (28:45), biomarkers for miscarriages (33:02), fetal echosonography in IVF pregnancies (39:02), Fragile-X genetics and primary ovarian insufficiency (45:15), redefining chronic endometritis (47:39), and the use of virtual interviews for REI fellowships (52:34). View Fertility and Sterility at https://www.fertstert.org/

In this episode is all about dealing with Chronic Illness and how to manage that with your career. Chronic illness is an issue that can affect career happiness and motivation at work. More then that when a illness is debilitating it can affect you physically and mentally too. I also give some practical tips on what to do if you are dealing with Chronic illness and need support around this. Please note this episode may trigger or upset some of you so I am putting a written Trigger warning here in the notes for you. In this episode I talk about some of the illnesses that can affect you and also why it's important to get support in your workplace. I also previously spoke about returning to work after an illness and you revisit that episode from season 2 here https://anchor.fm/careerhappiness/episodes/Episode-48---3-tips-on-returning-to-work-after-a-illness-eh1j59 When we interviewed Louisa Van Vessem she spoke about Chronic fatigue and how this helped her realise she wanted to set up a business see episode here https://anchor.fm/careerhappiness/episodes/Episode-56---How-can-work-in-more-flexible-way-and-look-after-your-health-at-the-same-time-interview-with-Louisa-Van-Vessem-ekp7lm This episode also coincides with Endometritis awareness month a illness which many women suffer with in silence and is also something very close to my own heart. Which I speak more about in the episode. To find out more about this please also visit https://endometriosis-uk.org/ One of the things I mentioned in the episode was also about how strokes can affect young people I have started following this charity online that helps young people and families who go through strokes https://differentstrokes.co.uk/ I do currently have 3 slots available to work with me I have two Career consultation slots and One Parental services slot either for the Paternal consultation or Careers Advice service. Please see link to the services here: Parental services page - https://www.somaghosh.com/parents-of-teenagers If you have any questions about this please email me at soma@somaghosh.com please note this email will not be active after May 14th of this year 2021. --- Send in a voice message: https://podcasters.spotify.com/pod/show/careerhappiness/message

In Episode 262 of Beat Infertility, Amanda shares her journey with silent endometriosis and chronic endometritis. Infertility coach Heather Huhman helps warriors like you make scientifically-based, well-informed decisions about your next steps. To schedule your free 30-minute call, go to https://beatinfertility.co/hope.  

In Episode 262 of Beat Infertility, Amanda shares her journey with silent endometriosis and chronic endometritis. Infertility coach Heather Huhman helps warriors like you make scientifically-based, well-informed decisions about your next steps. To schedule your free 30-minute call, go to https://beatinfertility.co/hope.  

In this podcast, 4th-year medical student Mandy Litt form the University of Saskatchewan will review postpartum endometritis. After listening to this podcast, you should be able to: Describe the risk factors and pathophysiology of postpartum endometritis Recognize symptoms of the condition Create a differential diagnosis for a postpartum fever and postpartum pelvic pain Construct an effective management plan

Episode 121: Katy Huie Harrison In this episode: Having Chronic Endometritis Life After Miscarriage Connections: Katy's Instagram(Guest) https://www.instagram.com/khuieharrison/ Katy's Journal: https://gumroad.com/a/190952563 Katy's Website: https://undefiningmotherhood.com/ Hosts (Shelly) Instagram: www.instagram.com/shellymettling Podcast Instagram: www.instagram.com/lamfampodcast "Life after Miscarriage" Facebook Group: www.facebook.com/groups/428781374656753/ Journal Guide to Conceiving after loss: www.amazon.com/dp/1687526087 LIFE AFTER MISCARRIAGE Ebook: www.amazon.com/dp/B07KZMBSJN

EquiManagement and Dechra Veterinary Products have teamed up to bring you three special AAEP Convention podcasts. This special episode's guest is Ryan Ferris, DVM, MS, DACT, who discusses endometritis.Topics covered in this special AAEP Convention podcast include:Inflammatory vs infectious endometritisThe ramifications of inflammatory endometritisBiofilms and the role these might play in chronic infections See acast.com/privacy for privacy and opt-out information.

Pearls of Exxcellence Series. Medical article in podcast format.

Episode 64: Brooke Behrendt In this episode: A possible solution to her miscarriages. Brooke's Instagram: www.instagram.com/brooke.behrendt Life After Miscarriage Connections: Instagram: www.instagram.com/shellymettling/?hl=en www.instagram.com/lamfampodcast/?hl=en Youtube: www.youtube.com/c/SHELLYMETTLING Ebook: www.amazon.com/dp/B07KZMBSJN #LAMFAM Merch: shop.spreadshirt.com/life-after-miscarriage

Ziel der vorliegenden Studie war die quantitative und qualitative Bestimmung der Gesamtfettsäuren in bovinen Serumproben sowie die Darstellung der Konzentrationsverläufe der einzelnen Fettsäuren während des peripartalen Zeitraums. Des Weiteren sollte festgestellt werden, ob zwischen Kühen, die postpartal an einer Gebärmutterentzündung erkranken, und gesunden Tieren Unterschiede in den Konzentrationen einzelner Fettsäuren bzw. Fettsäuregruppen vorliegen. Die in dieser Studie verwendeten Serumproben stammen von 50 Kühen eines Milcherzeugerbetriebes in Brandenburg. Von den ausgewählten Tieren zeigten 25 Tiere während des Untersuchungszeitraums Symptome einer klinischen Gebärmutterentzündung (puerperale Metritis, klinische Metritis, klinische Endometritis oder Pyometra) und wurden demnach als uteruskrank eingestuft. Die anderen 25 Tiere wiesen keine gesundheitlichen Störungen auf und wurden als uterusgesund eingestuft. Von jedem Tier wurden während des Zeitraums 17 Tage vor bis 28 Tage nach der Kalbung sechs bzw. sieben Serumproben gewonnen. Für die quantitative und qualitative Analyse der Gesamtfettsäuren in den Serumproben wurden die Fettsäuren zu Fettsäuremethylestern (FAME) derivatisiert. Die Probenanalyse wurde mit einem Gaschromatographie/Massenspektrometrie-System (GC/MS-System) durchgeführt. Außerdem wurden die Konzentrationen der freien Fettsäuren (NEFA) in den Serumproben mittels Enzym-Test bestimmt. Sowohl vor wie auch nach der Kalbung konnten bei verschiedenen Fettsäuren Konzentrationsunterschiede zwischen uterusgesunden und uteruskranken Tieren festgestellt werden. Die Konzentrationen der gesättigten Fettsäuren Octadecansäure (C18:0) und Tetradecansäure (C14:0) zeigten in beiden Tiergruppen nach der Kalbung einen leichten Anstieg, wobei die Werte der gesunden Kühe ab dem elften Tag p.p. signifikant höher lagen als bei erkrankten Kühen (P

Ziel der vorliegenden Untersuchungen war es, Zusammenhänge zwischen peripartalen Veränderungen von stoffwechselrelevanten Blutserum-, Milch- und Körperkonditionsparametern einerseits und Erkrankungen der Gebärmutter andererseits zu untersuchen. Weiterhin sollte geprüft werden, ob es möglich ist, für die Parameter, die Veränderungen aufweisen, Grenzwerte zu ermitteln, mit deren Hilfe ein erhöhtes Erkrankungsrisiko erkannt werden kann. 105 Tiere eines Milcherzeugerbetriebes wurden über einen Zeitraum von 2 Wochen vor bis 4 Wochen nach der Kalbung parameterabhängig in der Woche 2 a.p. und 1 a.p. jeweils einmal und an den Tagen 1, 4, 11, 21 und 28 p.p. untersucht. Dabei wurden Parameter der gynäkologischen Untersuchung (Uterusgröße und -tonisierung, Zervixgröße, Funktionsgebilde der Ovarien, Ausfluss), der Konditionsbeurteilung (Body Condition Score [BCS] und dessen Veränderung), klinisch-chemische Parameter (Bilirubin, β-Hydroxy-Buttersäure [β-HBA], Gesamteiweiß [GE], Albumin, Aspartat-Aminotransferase [AST], γ-Glutamyltransferase [γ-GT] und Glutamatdehydroxygenase [GLDH]), Parameter der Milch (Fett, Eiweiß, Laktose, FEQ, FLQ, Milchmenge) sowie das Auftreten von Gebärmutterentzündungen ermittelt. Für die Auswertung wurden die Tiere in 2 Gruppen eingeteilt: „uteruskrank“ (Tiere mit puerperaler Metritis, klinischer Metritis, klinischer Endometritis und Pyometra) und „uterusgesund“ (alle anderen Tiere). Für Blutparameter, für die signifikante Unterschiede zwischen den beiden Gruppen festgestellt wurden, wurden Grenzwerte (GW) ermittelt, um Kühe mit erhöhtem Risiko für die untersuchten Gebärmuttererkrankungen identifizieren zu können. Die GW der verschiedenen Parameter wurden zu den unterschiedlichen Untersuchungszeitpunkten mittels Sensitivität, Spezifität und Odds Ratio verglichen. Kühe mit Entzündungen der Gebärmutter wiesen höhere Bilirubin- (Tag 4 p.p.), β- HBA- (Tag 1), Albumin- (Tag 1) und AST-Werte (Tag 11 p.p.) sowie niedrigere GE- (Tag 11 p.p.), Albumin- (Tag 11 p.p.) und GLDH- Werte (Tag 4 p.p.), geringere Eiweißgehalte im Anfangsgemelk und im berechneten Durchschnittsgemelk (Tag 4 p.p.), geringere Laktosegehalte im Endgemelk sowie im berechneten Durchschnittsgemelk (Tag 4 p.p.) und eine geringere Milchmenge bis zum 28. Tag auf. Auch die Rast- und Güstzeiten waren bei Kühen mit Gebärmutterentzündung verlängert. Für die Parameter Bilirubin, β- HBA, Albumin und AST wurden folgende Grenzwerte berechnet: Bilirubin am Tag 4 p.p. ≥ 7,05 µmol/l (Sensitivität (Sens.) 53%, Spezifität (Spez.) 83%, Odds ratio 5,7), β- HBA an Tag 1 p.p.≥ 0,68 mmol/l (Sens. 53%, Spez. 79%, Odds ratio 4,4), Albumin an Tag 1 p.p.≥ 34,35 g/l (Sens. 50%, Spez. 72% Odds ratio 2,7) sowie an Tag 11 p.p. < 31,85 g/l (Sens. 81%, Spez. 79%, Odds ratio 16,8), AST an Tag 1 p.p. ≥ 80,8 U/l (Sens. 41%, Spez. 86%, Odds ratio 4,3) und an Tag 11 p.p. ≥ 117,8 U/l (Sens. 47%, Spez. 84%, Odds ratio 4,5). Abschließend ist festzustellen, dass einige der berücksichtigten Parameter (Bilirubin, β-HBA, Albumin und AST) für das frühzeitige Erkennen eines stoffwechselbedingt erhöhten Risikos für das Auftreten von Gebärmutterentzündungen genutzt werden können.

Ziel der vorliegenden Untersuchung ist es, Beziehungen zwischen verschiedenen Stoffwechselparametern und verschiedenen Störungen der Fertilität (verzögerter Zyklusbeginn, Brunsteinleitung aufgrund von nicht einsetzendem Zyklus, Ovarialzysten, verzögerte Uterusrückbildung, Erkrankungen des Uterus, positiver Zervixtupferbefund und verlängerte Therapiedauer) bei Milchkühen festzustellen sowie Grenzwerte für Erkrankungsvorhersagen und damit für die Erkennung eines erhöhten „Krankheitsrisikos“ der einzelnen Fertilitätsstörungen zu ermitteln. 51 Tiere eines Milcherzeugerbetriebes wurden über einen Untersuchungszeitraum von zwei Wochen a.p. bis 14 Wochen p.p. parameterabhängig im Abstand von einer bis zwei Wochen untersucht. Dabei wurden Parameter der gynäkologischen Untersuchung (Uterusdurchmesser, Zervixdurchmesser und deren Veränderungen), des Energiestoffwechsels (Energiebilanz, Energiebedarf und Energieaufnahme), der individuellen Futteraufnahme (Trockenmasseaufnahme), der Konditionsbeurteilung (Body-Condition-Score [BCS], Rückenfettdicke [RFD], Muskeldicke [MD] und deren Veränderung), klinisch-chemische Parameter (β-Carotin, Bilirubin, Aspartat-Amino-Transferase [AST], Creatinkinase [CK], Glutamat-Dehydrogenase [GLDH], γ-Glutamyl-Transferase [GGT], Alkalische Phosphatase [AP], β-Hydroxy-Buttersäure [BHB], Freie Fettsäuren [FFS] und Insulin-like-growth-factor-I [IGF-I]), Parameter der Milch (Milchleistung und Milchinhaltsstoffe Laktose, Harnstoff, Fett und Eiweiß) sowie die Häufigkeit von Erkrankungen ermittelt. Für die Auswertung der Daten wurden die Versuchtiere in folgende Gruppen eingeteilt: Zyklusbeginn (≤2 Wochen / >2 Wochen), Brunsteinleitung aufgrund von nicht einsetzendem Zyklus (ja / nein), Ovarialzysten (ja / nein), Uterusrückbildung (≤3 Wochen / >3 Wochen), Uteruserkrankung (o.b.B+GKI+GKII / GKIII+GKIV), BU-Zervixtupferbefund (negativ / positiv) und Dauer der Endometritistherapie (1 Woche / 2 Wochen / ≥ 3 Wochen). Für die Prognoseverfahren der verschiedenen Fertilitätsstörungen wurden für die einzelnen Parameter zu den Zeitpunkten mit signifikanten Unterschieden Grenzwerte gebildet. Mittels Sensitivität und Spezifität wurden die Grenzwerte der jeweiligen Prognosen miteinander verglichen. Kühe mit einem Zyklusbeginn >2 Wochen wiesen höhere Bilirubin- (Wochen -2 bis 6), höhere GLDH- (Wochen -2 bis 8), höhere Milchharnstoff-Konzentrationen (Wochen -2 bis 5), niedrigere AP-Konzentrationen (bei Tieren älter als drei Jahren; Wochen -2 bis 12), geringere Milchleistung (alle Wochen), geringeren Energiebedarf sowie geringere Energie- und Trockenmasseaufnahme (alle Wochen) als Kühe mit einem Zyklusbeginn ≤2 Wochen auf. Kühe mit Brunsteinleitung wiesen höhere AP-Konzentrationen (bei Tieren älter als drei Jahren; alle Wochen), niedrigere AST-Konzentrationen sowie kleinere Zervixdurchmesser (Wochen 0 und 1) als Kühe ohne Brunsteinleitung auf. Kühe mit Ovarialzysten wiesen höhere AST-Konzentrationen (Wochen -2 bis 7), höhere FLQ- (Wochen 0 bis 5) und niedrigere FEQ-Werte (Wochen 1 bis 8), größere Durchmesser im rechten Uterushorn (Wochen 2 bis 6) und in der Zervix (Wochen 0 bis 5) sowie niedrigere Milchlaktosegehalte (alle Wochen) als Kühe ohne Ovarialzysten auf. Eine Retentio secundinarum war bei Kühen mit Ovarialzysten 2,6-mal häufiger festgestellt worden als bei deren Gruppenpartnern. Kühe mit Uterusrückbildung >3 Wochen wiesen höhere BHB-Konzentrationen (Wochen 2 bis 14), niedrigere Milchlaktosegehalte (alle Wochen), höhere FFS-Konzentrationen (alle Wochen) sowie weniger ausgeprägte negative Energiebilanzen (Wochen 2 bis 12) als Kühe mit Uterusrückbildung ≤3 Wochen auf. Kühe mit purulenter Endometritis wiesen höhere Bilirubin-Konzentrationen (Wochen -1 bis 6), höhere FLQ-Werte (Wochen 0 bis 6), größere Veränderungen des BCS (3. Messung) und der RFD (3. Messung) sowie niedrigere Milchlaktosegehalte (alle Wochen) als Kühe ohne purulente Endometritis auf. Kühe mit positivem BU-Zervixtupferbefund wiesen höhere Bilirubin-Konzentrationen (Wochen -2 bis 1), höhere FLQ-Werte, größere Durchmesser im linken Uterushorn (Wochen 2 bis 7) und in der Zervix (Wochen 1 bis 8), niedrigere Milchlaktosewerte (alle Wochen) sowie niedrigere IGF-I-Konzentrationen (alle Wochen) als Kühe mit negativem BU-Zervixtupferbefund auf. Die Kühe mit Endometritistherapie über 3 oder mehr Wochen wiesen niedrigere BHB-Konzentrationen (alle Wochen) sowie geringere Energie- und Trockenmasseaufnahmen (alle Wochen) als Tiere mit Endometritistherapie 2 Wochen“ wurden folgende Ergebnisse festgestellt: Der Grenzwert für den Energiebedarf betrug in Woche 1

Die Bakterielle Vaginose stellt in der gynäkologischen Infektiologie nach wie vor eine der häufigsten Erkrankungen der Vagina dar. Die auftretenden Symptome wie gräulich homogener Fluor vaginalis oft verbunden mit fischartigem Geruch sind für die Patientinnen sehr belastend und werden nicht selten aufgrund fehlender Diagnosestellung nicht gezielt behandelt. Bis jetzt konnten die der Bakteriellen Vaginose zugrunde liegenden Ursachen noch nicht hinreichend geklärt werden. Um die immunmodulatorischen Effekte zu untersuchen, die mit den Veränderungen der vaginalen Mikroflora im Sinne der Bakteriellen Vaginose assoziiert sind, und in Hinblick auf mögliche neue sowohl therapeutische als auch diagnostische Ansätze, bestimmten wir bei insgesamt 81 nicht schwangeren Frauen die pro-inflammatorischen Zytokine Interleukin-6 und IL- 12 und das anti-inflammatorische Zytokin IL-10 im Vaginalsekret mittels Elisa. Wir untersuchten 45 Patientinnen im Durchschnittsalter von 30,0 Jahren mit der klinischen Diagnose Bakterielle Vaginose und 36 asymptomatische Frauen im Durchschnittsalter von 33,7 Jahren. Interleukin-6 und IL-12 werden über die Immunantwort vom TH1-Typ vermittelt und zählen zu den pro-inflammatorischen Zytokinen, während Interleukin-10 hingegen ein TH2-vermittelter anti-inflammatorischer Immunmediator ist. Ziel war die Beurteilung der Rolle der zellvermittelten Immunität beim Krankheitsbild der BV. Die Auswertungen unserer Messergebnisse zeigten weder für die proinflammatorischen Zytokine IL-6 (p = 0,782807) und IL-12 (p = 0,671506) noch für das anti-inflammatorische Zytokin IL-10 (p = 0,389744) einen signifikanten Unterschied im Vergleich zur Kontrollgruppe. Die für die BV-typischen diagnostischen Marker, wie beispielsweise der pH-Wert, waren statistisch signifikant (p < 0,0001) verändert. Für die Aminprobe ließen sich in der Patientengruppe 42 / 45 positive Ergebnisse finden, während in der Kontrollgruppe 0 / 36 positiv waren. Anhand unserer Ergebnisse scheint die lokale Immunität zumindest in Bezug auf die von uns bestimmten Zytokine bei der Bakteriellen Vaginose eine untergeordnete Rolle zu spielen. Demzufolge lassen sich kaum Anhaltspunkte erkennen, aufgrund derer neue therapeutische Ansätze im Sinne einer Immuntherapie als effektiv zu sehen wären. So gilt eine Behandlung mit Metronidazol oder Clindamycin weiterhin als Mittel der Wahl, eine begleitende Therapie mit Laktobazillen zur Stabilisierung der Mikroflora wäre zu überlegen. Bei Frauen, die an BV erkrankt sind, kommt es vermehrt zu Komplikationen sowohl während der Schwangerschaft, wie ein Spontanabort oder eine Frühgeburt, als auch bei nicht schwangeren Frauen, wie eine Adnexitis oder Endometritis. Aufgrund dessen, dass das Krankheitsbild der Bakteriellen Vaginose möglicherweise in direktem Zusammenhang mit solchen Komplikationen steht, ist die Forschung auf dem Gebiet der BV notwendig und sinnvoll. Es wäre wichtig, Richtlinien für eine schnelle und sichere Diagnosestellung zu erarbeiten, um eine höhere therapeutischen Effektivität zu erreichen.