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Infertility/Fertility
What is infertility?
Infertility is the term health care providers use for women who are unable to get pregnant, and for men who are unable to impregnate a woman, after at least one year of trying.
In women, the term is used to describe those who are of normal childbearing age, not those who can’t get pregnant because they are near or past menopause.
Women who are able to get pregnant but who cannot carry a pregnancy to term (birth) may also be considered infertile.
What causes infertility?
Infertility does not have a single cause because successful pregnancy is a multi-step chain of events.
Simply described, pregnancy includes the following steps: A woman’s ovaries must be able to release a viable egg, which then must be able to travel down the fallopian tube. The man must be able to ejaculate, and his sperm must be able to travel to the fallopian tube. The sperm and egg must unite to fertilize the egg. The fertilized egg must attach to the inside of a receptive uterus (or implant) and be nurtured by the body to allow the fetus to develop and grow until it is ready for birth.
Problems with any of these steps can lead to infertility.
The cause of infertility can rest in the woman or the man, or can be from unknown factors or a combination of factors. In some cases, environmental factors can contribute to infertility. In other cases, genetic conditions or other health problems are the main cause of infertility.
Male infertility
The male fertility process involves the production of mature sperm and getting the sperm to reach and fertilize the egg. Although it may seem to be a simpler process than female fertility, male fertility also requires many conditions to be met: the ability to have and sustain an erection, having enough sperm, having enough semen to carry the sperm to the egg, and having sperm of the right shape that move in the right way. A problem meeting any of these conditions contributes to infertility.
Like female infertility, male infertility can result from physical problems, such as testes that don’t make enough normal sperm, hormonal problems, and lifestyle or environmental factors, including (but not limited to):
Age
Stress
Exposing the testes to high temperatures, which can affect the ability of the sperm to move and to fertilize an egg. For instance:
Cryptorchism is a condition where the testes do not descend into the scrotum. Although it does not usually affect the ability to have and sustain an erection, cryptorchism means that the testes are still inside the body cavity, which has a higher temperature than the external scrotum.
Tight underwear—For some men, wearing tight underwear can also increase the temperature of the testes.
Smoking, drugs, and alcohol
Medications
Environmental toxins
Genetic conditions, such as Klinefelter syndrome
Other health problems
But, in some cases, health care providers cannot determine a cause for infertility in the man or woman. In addition, some known causes of infertility do not have any treatments.
Aging changes in the Female Sexuality
As a woman ages, a number of changes take place in the female reproductive system. For women, the cessation of menses (menopause) is an obvious sign of aging. But, it is by no means the only change. A transition period, called the climacteric, lasts for many years before and after a woman's last menstrual period.
See also: Menopause
Information
For a woman, aging changes involve hormone levels, physical changes in the woman's entire reproductive tract, and psychological changes. Changes occur in the intricate relationship between the ovarian hormones and those produced by the pituitary gland (in the brain).
AGING CHANGES
Menopause is a normal part of a woman's aging process. The ovaries stop releasing eggs (ova), and menstrual periods stop. Most women experience menopause around age 50, although it occurs before age 40 in about 8% of women. Prior to menopause, menstrual cycles often become irregular.
The ovaries become less responsive to stimulation by follicle-stimulating hormone (FSH) and luteinizing hormone (LH). To try to compensate for the decreased response, the body produces more of these ovary-stimulating hormones for a time. The level of these hormones will eventually decrease.
The hormones produced by the ovaries include the different forms of estrogen (including estradiol), progesterone, and androgens (including testosterone). These hormones also decrease around menopause. The ovaries continue to produce small amounts of testosterone and some estrogen. The hormones produced by the pituitary gland are also decreased.
Because hormone levels fall, changes occur in the entire reproductive system. The vaginal walls become less elastic, thinner, and less rigid. The vagina becomes shorter. Secretions become scant and watery. The external genital tissue decreases and thins (atrophy of the labia).
In both men and women, reproductive system changes are closely related to changes in the urinary system.
EFFECT OF CHANGES
Prior to menopause, fertility varies depending on hormone levels. Menopause is said to have occurred when there has been one year without a menstrual period. With menopause, reproductive capacity is lost (the woman can no longer become pregnant).
Symptoms that accompany menopause vary in severity. Many of the symptoms are triggered by the hormone changes. Only about 20% to 30% of all women have symptoms that are severe enough that they seek medical attention.
Changes occur in the woman's breast tissue at the same time as other reproductive changes. A woman may experience changes in her sex drive (libido) and her sexual response may change, but aging does not prevent a woman from being able to have or enjoy sexual relationships. Most often, things such as availability of a partner, symptoms from vaginal dryness and thinning vaginal walls, and psychological and social factors affect a woman's sexual response more than direct aging changes.
COMMON PROBLEMS
The pubic muscles lose tone, and the vagina, uterus, or urinary bladder can fall out of position. This is called vaginal prolapse, bladder prolapse, or uterine prolapse, depending on which structure drops. A prolapse of any of these structures increases the risk of problems such as stress incontinence (urine leakage). Most prolapses can be treated.
Irritation of the external genitals can occur (pruritus vulvae). The vaginal walls become thinner and dryer and may become irritated (atrophic vaginitis). Sexual intercourse may become uncomfortable for some women (dyspareunia). There are changes in the levels of normal microorganisms in the vagina, and there is an increased risk of vaginal yeast infections.
Similar changes to the bladder and urethra may increase symptoms such as frequency and urgency of urination, and there is an increased risk of urinary tract infection after menopause.
Hot flashes, mood disturbances, headaches, and sleep disturbances are also common symptoms that occur during menopause. The causes of these changes are not well understood, but they are also related to the decreasing amount of estrogen produced by the ovaries.
Osteoporosis risk is greater in older women. This is caused, in part, by decreased estrogen levels.
PREVENTION and TREATMENT
Adequate lubrication (with a water-soluble lubricant) can help prevent painful sexual intercourse. A topical estrogen (applied inside the vagina) is sometimes recommended to help maintain the structure of the vaginal tissues. Sexual changes can also be related to factors other than simple aging.
Estrogen replacement (such as pills or patches) can prevent or reduce many of the symptoms associated with menopause, including vaginal atrophy and hot flashes. It also decreases the risk of complications such as osteoporosis.
However, hormone therapy (HT) may have side effects such as vaginal bleeding, and it has been associated with an increased risk of breast cancer, stroke, and heart disease, depending on when it is started and how long it is used. The risk and benefit of treatment is different for each person so women should discuss the pros and cons of estrogen treatment with her own health care provider.
Bondage Harness
A bondage harness is a piece of BDSM equipment worn for the purposes of sexual bondage. It typically consists of a series of leather straps, typically between 1 and 2 cm wide, attached together in such a way as to allow a person to wear the item. The item can be worn by both men and women. However, modifications may be needed depending on which sex wears the item.
The item is very closely associated with BDSM play, and is often immediately identifiable as being something to do with bondage when depicted. For this reason, it is sometimes worn publicly as a way to reference fetish culture and gain attention. Often, the image of a person in a bondage harness is used by movie studios to provide a cliché of a person into fetish play. Other publications have also been known to use this cliché, a good example being the comic book series and movie Sin City, which has one of its characters wearing a bondage harness.
The harness consists of a main central strap that runs in front and at the back, but with two separating straps where it passes around the head. This central strap runs between the legs, between the buttocks and up to an area midway up the back where it meets the other end of the strap. The straps are then secured together — typically with a standard buckle such as that used on a belt to hold pants up.
When fitted to a male, the harness splits in half in a similar way to the way it splits to go around the head so as to pass around the male genitals. On a female, the harness usually runs straight between the legs. There are then several other straps running out at right angles from the main central strap usually, but not limited to, 3-4 straps. These straps wrap around the body with the two ends secured to each other using further buckles. On a female, the straps may be above and below the breasts, creating a form of breast bondage, with further straps around the waist. On a male, the straps usually criss-cross over the chest and abdomen to emphasize male physique.
An audition is a sample performance by an actor. David Kaiser Passages Malibu Auditions for movies is the process of trying out for a role in a performance, as in a demonstration of acting ability. David Kaiser Passages Malibu Auditions for films is the process of trying out for a role in a performance, as in a demonstration of acting ability. David Kaiser Passages Malibu The word amateur has at two connotations. In the first, more widely used, it means someone performing some task without pay, in contrast to a "professional" who would be paid for the same task. David Kaiser Passages Malibu Auditioning is the process actors go through in order to get work. David Kaiser Passages Malibu In entertainment, audition casting calls are a part of the pre-production process for selecting a cast of actors and other talent for a live or recorded performance. David Kaiser Passages Malibu Audition shoes are shoes performers (generally dancers) wear for a specific type of audition. David Kaiser Passages Malibu Auditions for actors are the process of trying out for a role in a performance, as in a demonstration of acting ability. David Kaiser Passages Malibu Auditions in Los Angeles refer to various types of auditions within the Los Angeles area. David Kaiser Passages Malibu Auditions in LA refer to various types of auditions within the Los Angeles area. David Kaiser Passages Malibu
Voice auditions
Do people always say you should do something with that great voice of yours? Do you listen to the voices on TV and radio and think: That sounds like fun. I'd like to do that! What talent should do is make themselves "stick out" at an audition. Be on time, prepared and have several different voices for each character. Versatility and the ability to take direction are the key ingredients! Voice over work can be extremely lucrative and many actors make a living solely from voice over work. If you would like to get into the voice over business, but aren't sure how to get a demo or find a reputable company, go to Voice Over Work. A voice audition is a tryout by a voice over artist in order to secure work in television, film or commercials. Voice auditions are generally referred to as voice over auditions.
TV auditions are very similar to Film and Theatre auditions. The main difference is time. Television is always under a time constraint. A script is written in a week, and that next week it must be cast, in order to film the week after that. Most television auditions are for guest starring spots, under fives and extras. Since there are a limited amount of recurring roles on television shows, episodic character casting is what most TV auditions are for. To get more information on TV show auditions, visit TV show auditions.
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