Urinary Tract Infections

A urinary tract infection (UTI) is any infection affecting the urethra, ureters, bladder or kidneys. Your urinary tract can be divided into the upper urinary tract and the lower urinary tract. The upper tract consists of the kidney and the ureters; the lower tract consists of the bladder and the urethra. The infection usually starts in the urethra and bladder, and may become more serious if it moves up to the kidneys.


What causes UTIs?

UTIs are more common in women than in men.  This may be due to women having shorter urethra, which allows bacteria to access the bladder quickly.

It is important to always wipe from front to back as the urethra is located close to the anus. There are many bacteria such as E. coli that are located in the large intestine which may escape via the anus.

Sexual activity can also introduce bacteria to the urinary tract.

It is also important to empty your bladder frequently and not hold your urine for too long, as this can expose the bladder to bacteria, which can increase your chances of developing a UTI.


Symptoms of a UTI

These symptoms indicate the possibility of a UTI:

  • A burning feeling when you urinate
  • Pain or pressure in your lower abdomen and lower back
  • A need to urinate frequently, even when your bladder is empty
  • Feeling tired or shaky
  • Fever or chills


Treatment for a UTI

If you observe one or more of the above symptoms, the first thing to do is to seek help from your doctor, who will test your urine for the presence of bacteria.  The standard treatment is usually antibiotics to help to kill the bacteria. It is best to see your doctor sooner rather than later, so as to prevent your infection from escalating into a more serious kidney infection.

Equally important is the intake of lots of fluids to help to flush out your urinary tract. Studies on the effectiveness of drinking cranberry juice or taking cranberry pills have had some encouraging results as well. Cranberry is thought to contain a tannin that prevents the bacteria from clinging onto the bladder wall.


Prevention is better than cure

To reduce the risk of developing UTIs, there are a few things you can do:

  • Drink plenty of water and urinate often
  • Urinate immediately after sexual intercourse
  • Wipe from front to back after urination and bowel movements
  • Cleanse your genital area regularly with mild soap and water
  • Avoid alcohol and caffeine if you suspect a UTI, as they can irritate the bladder further

The above strategies may be helpful to prevent UTIs.  However, if you feel the aforementioned symptoms coming on, it is best to seek help from your doctor as soon as possible to prevent development of a more serious infection.

Postpartum care: how to look after yourself

“Postpartum” refers to the six weeks after the birth of your baby. It is such a special time of bonding with your baby, as well as a time of adjustment to all the lifestyle changes. However, it is also important to look after yourself after the birth of your baby.

Depending on whether you had a vaginal or caesarian section, your body will require some different recovery strategies.  Regardless, both types of delivery are taxing on your body, so you make sure that you employ these simple, universal tactics for self-care:

  1. Get enough rest. We know this is easier said than done, but you and your body need to heal and adjust to these new expectations and changes on your body. Your baby will wake up every two to three hours, so it is important that you get as much sleep and rest as possible whenever you can.  

  2. Eat healthy meals. It’s important that you are stocking up on your vitamins, minerals, whole grains and extra protein as this will help you to heal faster. It’s also good to be drinking extra fluids – especially if you are breastfeeding.

  3. Ask for help.  It’s okay to ask friends and family for support. Your body needs to heal, and you will need practical hands on help around the house.  Most of your close ones will be happy to help, so give them a chance to be involved and assist with cooking meals, running errands and handling simple chores if needed.


Vaginal delivery vs caesarian section

The type of delivery you have may affect the length of your hospital stay and some of the restrictions and discomfort you may experience postpartum.

After a vaginal delivery, you may experience some tenderness while sitting due to a pelvic floor tear or episiotomy.  Sitting on a special cushion or “donut” may relieve some of this pain. Sitz baths may be helpful for post-episiotomy soreness as well.  It is important to increase your fiber and fluid intake to avoid any constipation. Talk with your doctor if you need stool softeners to help you with this.

After a caesarian section, you may not be able to drive or pick up anything heavy for up to six weeks’ postpartum. Your doctor will let you know how long you should rest. Avoid doing any “sit-up” motions, crunches, or anything that requires using your abdominal muscles, as they will require some time to heal. Your incision site may be tender initially, but it will heal and become less uncomfortable with time. It is important to keep the scar area clean and dry.

If you have concerns or are simply wondering if what you are feeling is normal, then it’s best to contact your doctor. The doctors and medical professionals at HART Fertility Clinic would be happy to help you as you journey through these first few weeks with your baby.

Potential Risks of IVF

IVF was first pioneered in 1978 and has been advancing in medical knowledge and technology ever since.  One of the safest and most successful forms of assisted reproductive technologies, IVF has helped millions of families.  However, it is important to keep in mind that every medical procedure does have potential risks, including IVF. At Hart Fertility Clinic, we believe that it is important to fully inform our patients before they make the decision to pursue IVF.  

Throughout the entirety of the procedure, your doctor will make every effort to induce as little pain and discomfort as possible.  However, there are potential risks during egg retrieval of infection and possible damage to the bladder or bowels. There are also a handful of possible side effects to be aware of.

Some mild side effects may include:

  • Discharge that is clear or slightly blood tinged
  • Mood swings
  • Cramping
  • Breast tenderness
  • Bloating
  • Constipation

If you experience any sharp pains, fever, or prolonged bleeding, you should reach out to your doctor right away.  Following the IVF procedure, there have been extremely rare cases of infection, ovarian torsion or the twisting of the ovary, and severe ovarian hyperstimulation syndrome (OHSS).  If you do find that you are pregnant, there may be a slightly higher rate of increased blood pressure, preeclampsia, ectopic pregnancy, miscarriage, and birth defects.

Some of our patients have come to our clinic with a known medical history of complex fertility-related conditions; it’s always best to discuss these and other factors with your doctor entirely before proceeding with IVF.  Our doctors have extensive experience and are highly qualified to make the necessary adjustments to our patients’ treatment processes to identify and account for their conditions.


Whatever your situation, the Hart Fertility Clinic team is here to help - call us today to schedule a consultation with our fertility doctors.

Overview of IVF Procedure

For those who dream of having their own family, infertility can be heartbreaking. You’ll want to know what options you have, the rate of successful pregnancy and live birth, and which treatments are safest for mother and baby. In-vitro fertilization, also known as IVF, is the process of introducing the egg and sperm in a controlled environment to help ensure fertilization.

While in-vitro fertilization is an option for those who want to start a family and to carry the child to term themselves, it’s best to discuss the options with your doctor. IVF is intended to help those who have blocked, damaged or removed fallopian tubes, as well as ovarian disorders, genetic disorders, or otherwise unexplained and unspecified infertility. This method is also useful for couples who are experiencing male factor infertility due to decreased sperm count or mobility. If your doctor feels that IVF is a viable option for you and your family, they may be able to recommend specialists in your area to help get you started with the process.

Before the Procedure

IVF treatments have a few overarching steps that most treatment processes have, although the details may vary slightly depending on the doctor’s recommendation due to the patient’s unique situation.

Consultation with your Doctor

If you are considering IVF, here are a few questions to consider asking your doctor before beginning the process.

  • How many embryos will be transferred?
  • Should we create a plan for a multiple pregnancy?
  • Should the extra embryos be saved?
  • Will there be genetic testing done?
  • What will our course of action be if any of those genetic tests come back positive?
  • What will the exact process be for IVF with this facility?

Pre-Procedure Testing

Before the procedure can actually begin, some pretesting is required. A series of blood tests will be done that will be used to assess hormone levels and test for infectious diseases and genetic diseases.  A semen analysis may also be ordered to determine which type of insemination method is to be used later. Finally, a uterine exam may also be done to determine the health of the uterus.

The IVF Process

Once all of the pre-procedure tasks are complete, the IVF process may begin. Your doctor will inform you of the steps that you’ll be taking for the procedure. Here is a short introduction to each step in the process to give you an overview of what to expect.

Step One

The process begins with a regimen of fertility medications. Some will help to increase the number of eggs produced and decrease the chances of premature ovulation. Others will prepare the lining of the uterus. Following the start of the medication, transvaginal ultrasounds will be used to examine the ovaries. Blood tests will be done to monitor hormone levels to help determine the best time to harvest eggs and for implantation later on the process.

Step Two

Following the previous testing, a minor medical procedure will be done to retrieve the eggs. The process is usually done with an ultrasound and a hollow needle inserted through the pelvic cavity to get the eggs. While this may be cause some discomfort, medication is provided to help negate or at least lessen the discomfort during the procedure.

Step Three

The sperm sample is procured for the introduction with the egg. If a donor’s sample is used, there will be no need for this step.

Step Four

The egg and sperm are introduced in a sterile environment to encourage fertilization. This process is known as insemination. There are cases when slightly different methods are used in the insemination process. One of these methods is intracytoplasmic sperm injection, or ICSI, where a single sperm is injected directly into the egg. Once cell division has been confirmed, fertilization has taken place. From fertilization, the eggs are known as embryos.

Step Five

About 3 to 5 days following the procedure to the eggs, the embryos are returned to the woman’s uterus via a catheter.

Following the Procedure

Another series of blood tests and often a pregnancy test is taken a few days following the final reinsertion of the embryo. If the procedure is successful, implantation will occur about 6-10 days following the initial retrieval of the egg. The specialist will also recommend that you begin prenatal appointments.

If the procedure results in a negative pregnancy test, medication to help promote ovulation is ceased. Once your next cycle begins, talk to your doctor about other treatments and avenues to further increase your chances of future success.

Welcome to Our Blog!

Women’s health, from regular check-ups to childbirth, should be a priority. Learning how to prevent problems and maintain a healthy way of life can stop problems before they start!

The goal of this blog is to inform our patients on how to keep themselves healthy. We’ll provide the tools,  products and technologies you need for a happier life!  

Check back regularly for updates! If you’d like to subscribe to our blog, just use the ‘Subscribe to Our RSS Feed’ link at the top of the blog page with your favorite RSS reader. And, as always, feel free to contact our office with any questions or concerns.