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	<title>DEATH TO CORPULENCE - A Womans Journey to a Size 14</title>
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	<description>A Womans Journey to a size 14 - Weight Loss, PCOS and the Baby Dream</description>
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		<title>DEATH TO CORPULENCE - A Womans Journey to a Size 14</title>
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		<title>LOW GI</title>
		<link>http://deathtocorpulence.wordpress.com/2009/03/09/low-gi/</link>
		<comments>http://deathtocorpulence.wordpress.com/2009/03/09/low-gi/#comments</comments>
		<pubDate>Mon, 09 Mar 2009 11:38:56 +0000</pubDate>
		<dc:creator>deathtocorpulence</dc:creator>
				<category><![CDATA[Fast Food Facts]]></category>
		<category><![CDATA[Rambling]]></category>

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		<description><![CDATA[Well, I have managed to put on weight &#8211; but my body shape has changes SLIGHTLY. I am starting swimming tomorrow after work..Going to do a couple of laps. DID YOU KNOW? Low GI diets help people lose and control weight Low GI diets increase the body&#8217;s sensitivity to insulin Low GI carbs improve diabetes [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=deathtocorpulence.wordpress.com&amp;blog=3544372&amp;post=88&amp;subd=deathtocorpulence&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
			<content:encoded><![CDATA[<p>Well, I have managed to put on weight &#8211; but my body shape has changes SLIGHTLY. I am starting swimming tomorrow after work..Going to do a couple of laps.</p>
<p>DID YOU KNOW?</p>
<ul>
<li>Low GI diets help people lose and control weight</li>
<li>Low GI diets increase the body&#8217;s sensitivity to insulin</li>
<li>Low GI carbs improve diabetes control</li>
<li>Low GI carbs reduce the risk of heart disease</li>
<li> Low GI carbs reduce blood cholesterol levels</li>
<li> Low GI carbs can help you manage the symptoms of PCOS</li>
<li>Low GI carbs reduce hunger and keep you fuller for longer</li>
<li>Low GI carbs prolong physical endurance</li>
<li>High GI carbs help re-fuel carbohydrate stores after exercise</li>
</ul>
<h2>How to Switch to a Low GI Diet</h2>
<p class="margin">The basic technique for eating the low GI way is simply a &#8220;this for               that&#8221; approach &#8211; ie, swapping high GI carbs for low GI carbs. You don&#8217;t need               to count numbers or do any sort of mental arithmetic to make sure you are eating a healthy,               low GI diet.</p>
<ul>
<li> Use breakfast cereals based on oats, barley and bran</li>
<li> Use breads with wholegrains, stone-ground flour, sour dough</li>
<li> Reduce the amount of potatoes you eat</li>
<li> Enjoy all other types of fruit and vegetables</li>
<li>Use Basmati or Doongara rice</li>
<li>Enjoy pasta, noodles, quinoa</li>
<li> Eat plenty of salad vegetables with a vinaigrette dressing</li>
</ul>
<p style="text-align:center;"><img class="picborder aligncenter" src="http://www.glycemicindex.com/images/gi_levels110.gif" alt="" width="110" height="296" /></p>
<p>extract http://www.glycemicindex.com/</p>
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			<media:title type="html">death to corpulence</media:title>
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	</item>
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		<title>Lite N Easy &#8211; Not so peasy</title>
		<link>http://deathtocorpulence.wordpress.com/2009/03/04/lite-n-easy-not-so-peasy/</link>
		<comments>http://deathtocorpulence.wordpress.com/2009/03/04/lite-n-easy-not-so-peasy/#comments</comments>
		<pubDate>Wed, 04 Mar 2009 05:33:54 +0000</pubDate>
		<dc:creator>deathtocorpulence</dc:creator>
				<category><![CDATA[Rambling]]></category>

		<guid isPermaLink="false">http://deathtocorpulence.wordpress.com/?p=85</guid>
		<description><![CDATA[Well, Lite N Easy, I have a freezer full and I have decided I am not going to do it &#8211; It was okay to think well there is no shopping its so convenient blah blah, which it is &#8211; but i still have to shop and cook for other people&#8230;I think I would prefer [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=deathtocorpulence.wordpress.com&amp;blog=3544372&amp;post=85&amp;subd=deathtocorpulence&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
			<content:encoded><![CDATA[<p>Well, Lite N Easy, I have a freezer full and I have decided I am not going to do it &#8211; It was okay to think well there is no shopping its so convenient blah blah, which it is &#8211; but i still have to shop and cook for other people&#8230;I think I would prefer it to do a big shop, have some meal plans in place&#8230;low GI of course and do it that way.</p>
<p>I love to cook and I have cooked every day this week and I realise just how much I miss cooking. Taste.com.au have some fantastic low GI recipes for breakfast, lunch, dinner and snacks&#8230;I also have the CSIRO books which have great recipes&#8230;So that&#8217;s that!</p>
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			<media:title type="html">death to corpulence</media:title>
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		<item>
		<title>so confusing</title>
		<link>http://deathtocorpulence.wordpress.com/2009/02/23/so-confusing/</link>
		<comments>http://deathtocorpulence.wordpress.com/2009/02/23/so-confusing/#comments</comments>
		<pubDate>Mon, 23 Feb 2009 06:54:00 +0000</pubDate>
		<dc:creator>deathtocorpulence</dc:creator>
				<category><![CDATA[Rambling]]></category>

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		<description><![CDATA[all this food is so confusing &#8211; high GI low GI Carb s, no fat, low fat, portion size blah blah blah blah lite n easy here i friggin come!<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=deathtocorpulence.wordpress.com&amp;blog=3544372&amp;post=84&amp;subd=deathtocorpulence&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
			<content:encoded><![CDATA[<p>all this food is so confusing &#8211; high GI low GI Carb s, no fat, low fat, portion size blah blah blah blah</p>
<p>lite n easy here i friggin come!</p>
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		<title>Chicken and Pumpkin Stir Fry</title>
		<link>http://deathtocorpulence.wordpress.com/2009/02/19/chicken-and-pumpkin-stir-fry/</link>
		<comments>http://deathtocorpulence.wordpress.com/2009/02/19/chicken-and-pumpkin-stir-fry/#comments</comments>
		<pubDate>Thu, 19 Feb 2009 04:29:32 +0000</pubDate>
		<dc:creator>deathtocorpulence</dc:creator>
				<category><![CDATA[Recipes]]></category>

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		<description><![CDATA[Chicken &#38; pumpkin stir fry Preparation Time 20 minutes Cooking Time 20 minutes Ingredients (serves 4) 450g butternut pumpkin, peeled, deseeded 350g broccoli, cut into florets 200g snow peas, halved diagonally Olive oil spray 2 (about 500g) single chicken breast fillets, thinly sliced 1 tbs finely grated fresh ginger 2 garlic cloves, thinly sliced 60ml [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=deathtocorpulence.wordpress.com&amp;blog=3544372&amp;post=71&amp;subd=deathtocorpulence&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
			<content:encoded><![CDATA[<h2><a href="http://www.taste.com.au/recipes/14523/chicken+pumpkin+stir+fry"><img class="alignnone size-full wp-image-73" title="chickenpumpkinstirfy" src="http://deathtocorpulence.files.wordpress.com/2009/02/chickenpumpkinstirfy.jpg?w=468" alt="chickenpumpkinstirfy"   /></a></h2>
<h2>Chicken &amp; pumpkin stir fry</h2>
<div class="info">
<h3>Preparation Time</h3>
<p>20 minutes</p></div>
<div class="info">
<h3>Cooking Time</h3>
<p>20 minutes</p></div>
<div class="info">
<div id="addToShoppingList"><a id="shoppingAddLink" rel="nofollow"> </a></div>
<h3>Ingredients (serves 4)</h3>
<ul>
<li>450g butternut pumpkin, peeled, deseeded</li>
<li>350g broccoli, cut into florets</li>
<li>200g snow peas, halved diagonally</li>
<li>Olive oil spray</li>
<li>2 (about 500g) single chicken breast fillets, thinly sliced</li>
<li>1 tbs finely grated fresh ginger</li>
<li>2 garlic cloves, thinly sliced</li>
<li>60ml (1/4 cup) Chang&#8217;s hoisin sauce</li>
<li>60ml (1/4 cup) sweet chilli sauce</li>
<li>2 tbs rice wine vinegar</li>
<li>1 tbs brown sugar</li>
<li>1/2 cup fresh coriander leaves</li>
<li>Steamed rice, to serve</li>
</ul>
</div>
<div class="info">
<h3>Method</h3>
<ol>
<li>Cook broccoli in a saucepan of boiling water for 2-3 minutes. Add snow peas and cook for 1 minute. Use a slotted spoon to transfer to a bowl of iced water to refresh. Drain. Add pumpkin to the saucepan and cook for 5 minutes. Transfer to iced water to refresh. Drain.</li>
<li>Spray a wok with olive oil spray. Place over high heat. Add chicken and stir-fry for 3-4 minutes. Transfer to a plate. Add ginger, garlic and vegetables and stir-fry for 1 minute. Return chicken to pan with the hoisin sauce, sweet chilli sauce, vinegar and sugar. Bring to the boil and cook for 2-3 minutes. Stir in coriander.</li>
<li>Spoon the rice among serving bowls. Top with chicken stir-fry to serve.</li>
</ol>
</div>
<div class="info">
<h3>Source</h3>
<p>Australian Good Taste &#8211; November 2006, Page 103</p>
<div class="info">Recipe by <em>Michelle Southan</em></div>
<div class="info">
<h3>Nutrition information (per serve)</h3>
<table style="text-align:left;" border="0">
<caption> Nutrition Per Serve </caption>
<tbody>
<tr>
<th>Protein</th>
<th>Dietary Fibre</th>
</tr>
<tr>
<td>38.00g</td>
<td>10.00g</td>
</tr>
<tr>
<th>Fat Total</th>
<th>Energy</th>
</tr>
<tr>
<td>5.50g</td>
<td>1265kJ</td>
</tr>
<tr>
<th>Fat Saturated</th>
<th>Sodium</th>
</tr>
<tr>
<td>1.50g</td>
<td>-</td>
</tr>
<tr>
<th>Carbohydrate Total</th>
<th>Cholesterol</th>
</tr>
<tr>
<td>24.00g</td>
<td>-</td>
</tr>
<tr>
<th>Carbohydrate Sugars</th>
<th></th>
</tr>
<tr>
<td>-</td>
<td></td>
</tr>
</tbody>
</table>
</div>
</div>
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		<title>19.2.2009</title>
		<link>http://deathtocorpulence.wordpress.com/2009/02/19/1922009/</link>
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		<pubDate>Thu, 19 Feb 2009 04:07:03 +0000</pubDate>
		<dc:creator>deathtocorpulence</dc:creator>
				<category><![CDATA[Todays Consumptions]]></category>

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		<description><![CDATA[Breakfast 2 slices white toast with Jam and 1/2 cup white coffee with skim milk Lunch 3 inch chicken fillet on honey oat with lettuce cucumber and onion &#8211; Gatorade<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=deathtocorpulence.wordpress.com&amp;blog=3544372&amp;post=65&amp;subd=deathtocorpulence&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
			<content:encoded><![CDATA[<p><strong>Breakfast</strong></p>
<p>2 slices white toast with Jam and 1/2 cup white coffee with skim milk</p>
<p><strong>Lunch</strong></p>
<p>3 inch chicken fillet on honey oat with lettuce cucumber and onion &#8211; Gatorade</p>
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			<media:title type="html">death to corpulence</media:title>
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		<title>Boscaiola Sauce</title>
		<link>http://deathtocorpulence.wordpress.com/2009/02/19/recipes/</link>
		<comments>http://deathtocorpulence.wordpress.com/2009/02/19/recipes/#comments</comments>
		<pubDate>Thu, 19 Feb 2009 04:04:28 +0000</pubDate>
		<dc:creator>deathtocorpulence</dc:creator>
				<category><![CDATA[Recipes]]></category>
		<category><![CDATA[calories]]></category>
		<category><![CDATA[cooking]]></category>
		<category><![CDATA[diet]]></category>
		<category><![CDATA[food]]></category>
		<category><![CDATA[low gi]]></category>
		<category><![CDATA[pcos]]></category>

		<guid isPermaLink="false">http://deathtocorpulence.wordpress.com/?p=62</guid>
		<description><![CDATA[Boscaiola sauce Ingredients (serves 4) 1 tablespoon olive oil 1 brown onion, finely chopped 175g shortcut bacon rashers, chopped 200g Swiss brown mushrooms, thinly sliced 300ml thickened cream 1/3 cup flat-leaf parsley leaves, chopped Method Heat oil in a large frying pan over medium heat. Add onion and bacon. Cook, stirring, for 5 minutes or [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=deathtocorpulence.wordpress.com&amp;blog=3544372&amp;post=62&amp;subd=deathtocorpulence&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
			<content:encoded><![CDATA[<h2>
<p><div id="attachment_68" class="wp-caption alignnone" style="width: 374px"><a href="http://www.taste.com.au/recipes/16856/boscaiola+sauce"><img class="size-full wp-image-68" title="boscaiola-sauce" src="http://deathtocorpulence.files.wordpress.com/2009/02/boscaiola-sauce.jpg?w=468" alt="yum"   /></a><p class="wp-caption-text">yum</p></div></h2>
<h2>Boscaiola sauce</h2>
<div id="mytools"></div>
<div class="info">
<div id="addToShoppingList"><a id="shoppingAddLink" rel="nofollow"> </a> </div>
<h3>Ingredients (serves 4)</h3>
<ul>
<li>1 tablespoon olive oil</li>
<li>1 brown onion, finely chopped</li>
<li>175g shortcut bacon rashers, chopped</li>
<li>200g Swiss brown mushrooms, thinly sliced</li>
<li>300ml thickened cream</li>
<li>1/3 cup flat-leaf parsley leaves, chopped</li>
</ul>
</div>
<div class="info">
<h3>Method</h3>
<ol>
<li>Heat oil in a large frying pan over medium heat. Add onion and bacon. Cook, stirring, for 5 minutes or until onion is tender.</li>
<li>Add mushrooms. Cook for 3 minutes. Stir in cream and parsley. Bring to a gentle boil. Reduce heat to medium-low. Simmer for 5 minutes or until sauce is reduced slightly. Season with salt and pepper. Serve over pasta.</li>
</ol>
</div>
<div class="info">
<h3>Source</h3>
<p>Super Food Ideas &#8211; April 2007, Page 76</p>
<div class="info">Recipe by <em>Annette Forrest</em></div>
</div>
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			<media:title type="html">boscaiola-sauce</media:title>
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		<title>What Motivates Me</title>
		<link>http://deathtocorpulence.wordpress.com/2009/02/19/what-motivates-me/</link>
		<comments>http://deathtocorpulence.wordpress.com/2009/02/19/what-motivates-me/#comments</comments>
		<pubDate>Thu, 19 Feb 2009 04:03:04 +0000</pubDate>
		<dc:creator>deathtocorpulence</dc:creator>
				<category><![CDATA[Motivations]]></category>

		<guid isPermaLink="false">http://deathtocorpulence.wordpress.com/?p=59</guid>
		<description><![CDATA[ERICA my little girl. She helps keep me motivated. She says cmon mum..you cant do it! I dont want to die of a heart attack or have a stroke before I see her become a woman and achieve great things for herself. HAVING A BABY I just want to have another baby or 2 or [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=deathtocorpulence.wordpress.com&amp;blog=3544372&amp;post=59&amp;subd=deathtocorpulence&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
			<content:encoded><![CDATA[<p><!--[if gte mso 9]&gt;  Normal 0   false false false        MicrosoftInternetExplorer4  &lt;![endif]--><!--[if gte mso 9]&gt;   &lt;![endif]--><br />
<strong>ERICA</strong><br />
my little girl. She helps keep me motivated. She says cmon mum..you cant do it! I dont want to die of a heart attack or have a stroke before I see her become a woman and achieve great things for herself.</p>
<p><strong>HAVING A BABY</strong><br />
I just want to have another baby or 2 or 3! And I cant if I stay the way I am &#8211; I never will be able to</p>
<p><strong>WHEN I TRY ON MY OLD CLOTHES and SHOP FOR NEW ONES</strong><br />
I Just want to be able to wear this great dress I have and have my sense of fashion back again<br />
<strong>MUSIC</strong><br />
When I play my fav tunes I feel lifted. Strong enough by cher is definitely a fav and also songs from the 80&#8242;s!</p>
<p><strong>INSULTS</strong><br />
people can never think of other insults cept for insulting the fatness… How original</p>
<p class="MsoNormal">
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			<media:title type="html">death to corpulence</media:title>
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		<title>Calculate your BMI</title>
		<link>http://deathtocorpulence.wordpress.com/2009/02/19/facts/</link>
		<comments>http://deathtocorpulence.wordpress.com/2009/02/19/facts/#comments</comments>
		<pubDate>Thu, 19 Feb 2009 03:59:15 +0000</pubDate>
		<dc:creator>deathtocorpulence</dc:creator>
				<category><![CDATA[Fast Food Facts]]></category>

		<guid isPermaLink="false">http://deathtocorpulence.wordpress.com/?p=56</guid>
		<description><![CDATA[You can get your BMI by: weight in kgs/height in meters (squared) &#8211; so I&#8217;m 111 kgs divided by 1.65 cm (squared) = 45.3 (basically) My Healthy weight range is 53-66 kg &#8211; But I dont agree with that at 73kg I had a great body a BMI (Body Mass Index) of over 29.9 = [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=deathtocorpulence.wordpress.com&amp;blog=3544372&amp;post=56&amp;subd=deathtocorpulence&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
			<content:encoded><![CDATA[<p><!--[if gte mso 9]&gt;  Normal 0   false false false        MicrosoftInternetExplorer4  &lt;![endif]--><!--[if gte mso 9]&gt;   &lt;![endif]--></p>
<ul type="disc">
<li class="MsoNormal"><span style="font-size:12pt;font-family:&quot;">You can get your      BMI by: weight in kgs/height in meters (squared) &#8211; so I&#8217;m 111 kgs divided      by 1.65 cm (squared) = 45.3 (basically)</span></li>
</ul>
<ul type="disc">
<li class="MsoNormal"><span style="font-size:12pt;font-family:&quot;">My Healthy weight      range is 53-66 kg &#8211; But I dont agree with that at 73kg I had a great body</span></li>
</ul>
<ul type="disc">
<li class="MsoNormal"><span style="font-size:12pt;font-family:&quot;">a BMI (Body Mass      Index) of over 29.9 = OBESE</span></li>
</ul>
<ul type="disc">
<li class="MsoNormal"><span style="font-size:12pt;font-family:&quot;">Protein rich foods      help you feel fuller for longer</span></li>
</ul>
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			<media:title type="html">death to corpulence</media:title>
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		<title>Corpulence</title>
		<link>http://deathtocorpulence.wordpress.com/2009/02/19/corpulence/</link>
		<comments>http://deathtocorpulence.wordpress.com/2009/02/19/corpulence/#comments</comments>
		<pubDate>Thu, 19 Feb 2009 03:58:10 +0000</pubDate>
		<dc:creator>deathtocorpulence</dc:creator>
				<category><![CDATA[Rambling]]></category>

		<guid isPermaLink="false">http://deathtocorpulence.wordpress.com/?p=53</guid>
		<description><![CDATA[cor·pu·lence n. The condition of being excessively fat<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=deathtocorpulence.wordpress.com&amp;blog=3544372&amp;post=53&amp;subd=deathtocorpulence&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
			<content:encoded><![CDATA[<p><!--[if gte mso 9]&gt;  Normal 0   false false false        MicrosoftInternetExplorer4  &lt;![endif]--><!--[if gte mso 9]&gt;   &lt;![endif]--></p>
<p class="MsoNormal"><strong><span style="font-size:16pt;font-family:Verdana;color:windowtext;">cor·pu·lence</span></strong><span style="font-size:16pt;font-family:Verdana;color:windowtext;"> </span></p>
<p class="MsoNormal"><span style="font-size:16pt;font-family:Verdana;color:windowtext;"><br />
n. The condition of being excessively fat</span></p>
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		<title>Reproductive Assistance</title>
		<link>http://deathtocorpulence.wordpress.com/2009/02/19/reproductive-assistance/</link>
		<comments>http://deathtocorpulence.wordpress.com/2009/02/19/reproductive-assistance/#comments</comments>
		<pubDate>Thu, 19 Feb 2009 03:57:00 +0000</pubDate>
		<dc:creator>deathtocorpulence</dc:creator>
				<category><![CDATA[Babies & Trying To Conceive]]></category>
		<category><![CDATA[babies]]></category>
		<category><![CDATA[infertility]]></category>
		<category><![CDATA[pcos]]></category>
		<category><![CDATA[reproduction]]></category>
		<category><![CDATA[trying to conceive]]></category>

		<guid isPermaLink="false">http://deathtocorpulence.wordpress.com/?p=50</guid>
		<description><![CDATA[Assisted Reproductive Therapies (Thanks to Polycystic Ovarian Syndrome Association of Australia INC.) Women with PCOS should spend as much time as they can trying Assisted Reproductive Therapy (ART) before proceeding on to IVF. This is because ART does not have the risks or the costs of IVF. Further, since the main reason women with PCOS [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=deathtocorpulence.wordpress.com&amp;blog=3544372&amp;post=50&amp;subd=deathtocorpulence&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
			<content:encoded><![CDATA[<p><!--[if gte mso 9]&gt;  Normal 0   false false false        MicrosoftInternetExplorer4  &lt;![endif]--><!--[if gte mso 9]&gt;   &lt;![endif]--></p>
<h3><strong><span style="color:red;">Assisted Reproductive Therapies</span></strong></h3>
<h3>(Thanks to <a title="Polycystic Ovarian Syndrome Association of Australia" href="http://www.posaa.asn.au/" target="_blank">Polycystic Ovarian Syndrome Association of Australia INC.</a>)</h3>
<p>Women with PCOS should spend as much time as they can trying Assisted Reproductive Therapy (ART) before proceeding on to IVF. This is because ART does not have the risks or the costs of IVF. Further, since the main reason women with PCOS have trouble conceiving is the fact that their cycle is erratic and unpredictable, ovulation induction should be able to address this issue. It is only when complications arise, or unexplained infertility persists after several cycles, that couples might find they need to try IVF.</p>
<p><strong>Metformin</strong><br />
Research over the past decade has shown that treatment strategies aimed at lowering blood insulin levels by exercise, diet, weight loss and the 50 year old medication Metformin can restore fertility in some PCOS patients.<br />
According to Sydney-based endocrinologist Dr Warren Kidson, Metformin can:<br />
• Restore regular menstruation and ovulation in 70% -80% of women with PCOS.<br />
• Reduce the need for IVF by 25% &#8211; 30%.<br />
• Increase the clinical pregnancy rate in IVF from 30% to 70% per treatment cycle.<br />
Meformin help also help with non-reproductive health issues, such as:<br />
• Clear acne in the majority of young women with PCOS.<br />
• Reduce progression towards type 2 diabetes.</p>
<p><strong>Ovulation Induction using Clomid (Clomiphene Citrate)</strong><br />
Clomid (Clomiphene Citrate) is often the first drug used to induce ovulation in women with PCOS. It is a tablet taken for five consecutive days early in the menstrual cycle. It works on the pituitary gland by forcing it to stimulate the production of eggs. Regular ultrasounds should be done to monitor follicle growth and to help predict ovulation<br />
Clomid is also implicated in causing ovarian cancer and should never be used for more than twelve cycles. Generally, if pregnancy has not occurred after six or seven it will not occur using Clomid and another therapy should be tried.<br />
Clomid can be made more effective by increasing the dosage if ovulation has not occurred, or by combining Clomid with other medications. Many women with PCOS have become pregnant by taking a combination of Clomid and metformin (glucophage).<br />
Clomid is known to make cervical mucus more hostile to sperm. This problem can be solved by combining Clomid treatment with artificial insemination with husband’s sperm.<br />
Because it acts on the pituitary gland, Clomid can cause headaches, blurred vision and extreme mood swings. The mood swings are the most common side effect. Many women with PCOS have discussed the stress these mood swings put on their relationships. Before going on Clomid, take the time to explain to your partner that this medication will make you moody and you may be a little “difficult” for the duration of treatment.<br />
While some would call Clomid the “Relationship Killer”, it is possible that some of the stress on your relationship is the fact that you have just entered a new phase. For most couples, taking Clomid is their first real experience of fertility treatment. It represents a failure to conceive normally, and it is a harsh reality to accept. This may also be a couple’s first ever experience of clinical sex. One of the key aspects of ovulation induction is being told when ovulation is expected. A couple will generally be instructed to have sex at least once every 48 hours until ovulation has been confirmed by blood test. Needless to say, it’s not very romantic.</p>
<p><strong>Ovulation Induction using Follicle Stimulating Hormone (FSH)</strong><br />
Ovulation induction can be done using FSH in a very similar manner to Clomid, however there are more complications. FSH is administered by injection and getting the dosage high enough to ovulate, but keeping it low enough not to superovulate, is a medical challenge. It may take several cycles to get the dosage right, but since FSH is not implicated in causing ovarian cancer it can be used on numerous cycles.<br />
FSH has a couple of other benefits over Clomid. FSH acts directly on the ovary, as opposed to the pituitary gland, and therefore does not have the side effects of headaches and extreme mood swings. FSH does not make the cervical mucous hostile to sperm.<br />
FSH can be combined with other therapies like artificial insemination. FSH is the main treatment used to stimulate ovulation in IVF, however IVF uses much higher doses than used in ovulation induction.</p>
<p><strong>Ovarian Drilling</strong><br />
Ovarian Drilling is performed during a laparoscopy under a general anaesthetic. Sometimes called ‘golfballing’, holes are drilled or cauterised on the surface of the polycystic ovaries in an attempt to break through the white outer shell and remove some of the stroma of the ovary. In women with PCOS, the stroma is enlarged and surrounded by a circle of undeveloped follicles. This stroma is known to produce excessive amounts of testosterone and can prohibit ovulation.<br />
Ovarian drilling achieves approximately six months ovulation in women who don’t normally ovulate. After this time, the effects of ovarian drilling have worn off. Women who did not respond to ovulation induction with Clomid often respond to it after having their ovaries drilled.</p>
<p><strong><br />
<strong>Artificial Insemination or Intrauterine Insemination (IUI) with Husband’s Sperm</strong></strong><br />
This procedure is a fairly simple procedure carried out in the doctor’s rooms, however the husband’s sperm needs to be prepared first in a lab. Sperm is washed and prepared for insertion, either into the cervix, or directly into the uterus. Bypassing the cervix eliminates the possibility of sperm being destroyed by hostile mucous or cervical antibodies and is far more common.</p>
<p>Cycle tracking is necessary so that ovulation can be predicted. It is also possible to artificially create ovulation by giving an injection of HCG and timing the IUI appropriately. Having sex the night before and the night after IUI will also increase the chances of conception.</p>
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