U.S. airlines announce early winter flights to Riviera Nayarit

U.S. airlines have begun to operate flights to the Puerto Vallarta-Riviera Nayarit region on traditionally winter routes. Such is the case of Alaska Airlines and Delta Airlines and their flights from Portland, Seattle, and Salt Lake City.

According to Grupo Aeroportuario del Pacífico (GAP) data, although air traffic generally decreases in May (before the summer season), this is an atypical situation, given that there has been an increase in the number of flights compared to last month. The operator of the Puerto Vallarta International Airport, “Licenciado Gustavo Díaz Ordaz” (PVR), reported that 14 airlines would be flying to the region, with an average of 47 flights per day, for a total of 1,474 flights during the month.

This development is a possible consequence of a recent announcement by the U.S. Centers for Disease Control and Prevention that U.S. citizens who have already received two doses of the Covid-19 vaccine will be able to resume traveling. To date, more than 53% of the neighboring country’s population has already received at least one dose, a percentage second only to Israel and the United Kingdom.

“The United States is well ahead in its vaccination process, so we’re now seeing some airlines starting to operate routes that are usually active only in the winter,” said Marc Murphy, managing director of the Riviera Nayarit Convention and Visitors Bureau (CVB).

Marc Murphy

As of May, United and Alaska continue to be the airlines with the most flights to this region, with an average of 28 and 64 a week, respectively. Aeromexico and Aerolitoral maintain their supremacy in the domestic market, with an average of 44 flights per week.

New flight from Ciudad Juárez

Viva Aerobus began operating the Ciudad Juarez-PVR/Riviera Nayarit route on Sunday, May 2, with two frequencies per week (Thursdays and Sundays). It will be a non-stop flight with a duration of 2 hours and 10 minutes. Previously, those traveling to this destination from Ciudad Juarez had to make a stopover in Guadalajara, Monterrey, or Mexico City, which took up to a full day.

Booming recovery

Overall airline activity has had ups and downs since commercial airlines resumed service in June of last year, following the end of the first phase of the health crisis caused by the COVID-19 pandemic. At that time, only 11 airlines resumed flights to the region. Since then, the Riviera Nayarit has gradually increased its occupancy.
We must reiterate that the health and safety conditions for tourists are guaranteed. Both the airport and the airlines follow protocols and sanitary measures endorsed by state, national and international authorities to prevent possible COVID-19 infections.

The following is the flight schedule for the second week of May 2021:

The Riviera Nayarit is a safe destination. Our hotels, restaurants, and tourist establishments follow all the health protocols established by the Federal Government’s Ministry of Health and operate at the allowed capacities. Access to the beaches is limited. Be a responsible tourist: wear your mask and keep your distance.

We’re ready!

The Riviera Nayarit Convention and Visitors Bureau (CVB) and the Bahía de Banderas Hotel and Motel Association (AHMBB) work tirelessly to jointly promote the region with the support of the Government of the State of Nayarit through its Tourism Promotion Trust (Fiprotur).

What hormonal problems can affect women?

problemas-hormonales-en-la-mujer-punta-de-mita

What hormonal problems can affect women?

Women’s hormonal imbalances are a frequent cause of infertility. Amenorrhoea, menstruation disorders, alteration in the thyroid gland, hyperprolactinemia ¿Do they sound familiar? These are just some of the hormonal problems that can affect women.

By applying female diagnostic tests it is possible to have an accurate diagnosis of what’s happening in a woman’s body that isn’t allowing her to ovulate correctly, and consequently impending natural pregnancy. These tests, that are analytical among other procedures, are useful to determine what type of hormonal imbalance a woman is suffering, by doing so doctors later proceed to apply the adequate treatment to cure the disorder.

What are female hormonal problems?

Disrupted ovulation may be caused by physiological reasons or it can be related to a pituitary alteration, area of the brain that regulates hormones. When there is a late menses it could be for two reasons: 1) Pregnancy 2) there is a reason the body is not functioning correctly. The most common hormonal imbalances in women are:

Amenorrhoea:

A menstrual cycle is considered to be normal when it has a duration between 21 and 35 days. However, if there is a longer duration it is possible there is a factor extending it, and we must identify it in order to help the body function normally. Amenorrhea is the absence of the menstrual period, permanent or temporal, during a time that would be equivalent to 3 cycles or a 6 month time frame. Amenorrhea could be primary, referring to women who haven’t had their period between the age of 14-16, this can translate to a situation where after having their menses, they can disappear for 6 months or more. It can have its origin in the brain ( hypothalamus and pituitary), as a response to ovarian failure or it could be located in the genital area ( vagina and uterus)

After presenting signs of amenorrhea, and pregnancy has been ruled out, the most frequent causes are disorders like: polycystic ovary syndrome, hyperprolactinemia or ovarian failure, among others.

Hormonal disruption: hyperandrogenism

Hyperandrogenism is when a woman presents high level of androgens, typically male hormones like testosterone. This Hormonal Disturbance causes hirsutism, an excess of dark and thick hair located in the areas where male hair appears: chin, upper lip, arms, lower back, “linea alba” or breast. There can also be signs of baldness, acne problems, menstrual irregularity, type 2 diabetes or high blood pressure, among others. One of the most frequent causes of hyperandrogenism is the polycystic ovary syndrome, even though it can rarely be due to the outbreak of an ovarian/adrenal tumor, or not present an identified cause at all.

Alterations in thyroid gland: thyroid dysfunction

Known as hyperthyroidism and hypothyroidism, thyroid gland alterations can cause irregular menstrual cycles and damage fertility in a woman. It is important to control the thyroid gland before and during pregnancy because it is related to a higher maternal-fetal morbidity and mortality. The thyroid is a gland located in the anterior part of the neck and its function is to regulate hormones linked to the endocrine system. In hypothyroidism the thyroid works slower than normal. On the contrary, in hyperthyroidism the thyroid works over the normal pace. In both situations, this changes can cause weight alterations, fatigue, weakness, depression, constipation, irritability, etc. These alterations have an unknown origin. Normally, it is due to a genetic problem, but there is also a determined group of women who have a higher risk of presenting these problems, women who suffer autoimmune diseases ( rheumatoid arthritis, celiac disease, graves disease, inflammatory bowel disease, multiple sclerosis, etc), and those who have had thyroid surgery or taken determined drug therapies, especially related to mental disorders

Hyperprolactinaemia:

When there are high levels of prolactin, it can be the cause of amenorrhea and it is a frequent fertility problem. Prolactin is the hormone in charge of producing breast milk. If deciding to become pregnant, prolactin must present normal levels, below 25 gn/ml. Hyperprolactinemia can find its origin in many causes. On one side, it can be caused by the ingestion of drugs like antidepressants, antipsychotics, hormonal or opioids, etc. On the other side, it can have a physiological cause, like stress, lack of sleep, breastfeeding, pregnancy, ect. Moreover, it can be the consequence of other diseases like tumors, polycystic ovary syndrome, hypothyroidism, etc.

Polycystic Ovary Syndrome:

Polycystic Ovary Syndrome is an endocrine disruption that produces ovulation problems and hyperandrogenism. As mentioned in the previous article, PSO is caused by an excess of LH hormone (luteinising) and a high level of insulin, together they alterate a woman´s body making it produce high levels of testosterone. In these cases, ovules do not finish their maturation process during the menstrual period, and instead of expelling blood the ovaries stay inside the body generating small cysts.

Early menopause:

Menopause is the process where a woman stops having the menstruation period, not abruptly but rather unhurried, this means a new stage in her mature life. It appears between the ages of 45-55 approximately, and it also leads to climaterium, condition in which a woman abandons her fertile phase. Early menopause can develop before turning 40, damaging women’s fertility. As mentioned in the previous post, when having family background there is a greater possibility to suffer it, likewise in the cases of autoimmune diseases or hypothyroidism. However, in practice, early menopause doesn’t have an specific cause

As mentioned at the beginning of the article, all these hormonal conditions generate, among others, endocrine and hormonal symptoms, menstruation alterations and fertility problems. This is why couples have difficulties conceiving a child, therefore, a full diagnose must be done in order to detect what is failing and solve it, if possible before starting the assisted reproduction treatment to have a better prognosis success.

Want to start a family? In PMH Fertility Center we can help you. If you need guidance or have any doubt, do not hesitate to contact us, we’ll be happy to help you.

PGD

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PGD Q & A

by Sam Najmabadi, MD

What is the preimplantation genetic diagnosis process?

The preimplantation genetic diagnosis procedure begins with the normal IVF process. Once the embryo is divided, preimplantation genetic diagnosis is performed at the Beverly Hills office.
Preimplantation genetic diagnosis involves the following steps:

  • A single cell is removed from the embryo
  • The cell is treated with probes for genetic abnormalities
  • The DNA is evaluated to determine if the inheritance of the gene is present

Once the preimplantation genetic diagnosis procedure is complete and embryos without the genetic problems being tested have been identified, “normal” embryos are transferred into the uterus.

Who is a candidate for preimplantation genetic diagnosis?

If you answer yes to any of the following questions, you may be a good candidate for preimplantation genetic diagnosis.

  • Are you a woman age 35 or over?
  • Are you a carrier of a sex-linked genetic disorder?
  • Are you a carrier of single gene defects?
  • Are you a carrier of chromosomal disorders?
  • Have you had recurring pregnancy loss that is associated with chromosomal concerns?
  • Have you had multiple IVF failures?
  • Do you want to have the opportunity to have the embryos tested in advance for your peace of mind?
  • Do you want to determine the sex of your baby in advance for family planning reasons or for medical reasons?

If these conditions apply to you and you are considering starting a family, contact us in Beverly Hills, or Sherman Oaks to discuss preimplantation genetic diagnosis with one of our board-certified fertility specialists.

What are the benefits of preimplantation genetic diagnosis?

There are several benefits of preimplantation genetic diagnosis. It reduces the need for amniocentesis later in pregnancy and helps reduce expenses that are usually associated with certain birth defects. Preimplantation genetic diagnosis is performed before embryo implantation, so if a defect is identified, the couple can decide whether or not they want to continue with the pregnancy. But perhaps best of all, preimplantation genetic diagnosis enables couples that carry genetic disorders to try for a biological child of their own.

Contact us for PGD

Preimplantation genetic diagnosis minimizes the risk of passing genetic defects on to future generations. If you or your partner has a genetic condition that you are afraid of transmitting to your child, preimplantation genetic diagnosis may be a good option for you.

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Fertility Work-Ups

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Fertility Work-Ups Q & A

by Sam Najmabadi, MD

What is a fertility work-up?

Fertility workups are also known as fertility testing. This is the first step for women or couples who are struggling to conceive naturally. On average, a woman becomes pregnant with a year of having unprotected intercourse, so the recommended period of time to try is 12 months. Women over the age of 35 or at risk of other complications, should seek assistance after approximately six months. It is important to remember that conceiving is a two-person activity and it is just as likely for the fertility issue to lie with either partner. Potential parents will need to work together and support each other through the testing and treatment for fertility issues. Some of the procedures include:

  • Female Hormonal Assays: This is hormonal testing recommended when there are irregularities in the menstrual cycle or physical exam. Click here for more information.
  • Male Hormonal Assays: This is hormone testing for the male partner to determine what may contribute to fertility issues. Click here for more information.
  • Ovarian Reserve Screening: This test predicts a woman’s reproductive potential by measuring the supply of eggs available at a certain time. Click here for more information.
  • Semen Diagnostic Testing: This test evaluates the amount and quality of sperm produced. Click here for more information.
  • Hysterosalpingogram: This test screens for blockages in the fallopian tubes or uterus that could prevent pregnancy. Click here for more information.
  • Saline Infusion Sonography: This test checks for abnormalities in the uterus such as scarring, fibroids or polyps. Click here for more information.
  • Laparoscopy: This is a minimally invasive procedure which allows the doctor to look closely at the abdominal and pelvic organs. Click here for more information.
  • Hysteroscopy: This minimally invasive procedure allows the doctor to see inside the uterus to diagnose any abnormalities. Click here for more information.

What fertility tests are done for women?

Female hormone testing is often recommended when female patients report irregular menstrual cycles. Female hormonal screening checks the levels of anti-mullerien hormone, which is produced by the ovary and reflects ovarian reserve and viable eggs in a cycle. Testing also checks inhibin B, estrogen, progesterone, follicle stimulating hormones and luteinizing hormones as these are all integral to the production of viable ova. Women also have tests to measure their testosterone levels and thyroid function as these hormones can affect fertility. Women may also have ovarian reserve screening, which checks the supply of eggs a woman has at the time. The number and health of the available eggs can be evaluated with this screening. Female patients may also be checked for physical issues like blockages in the fallopian tubes or issues like scarring of the uterine lining, uterine fibroids or endometrial polyps. In some cases where the screenings are inconclusive, the doctor may order more invasive testing like hysteroscopy and laparoscopy to actually look inside the uterus to identify any physical issues impeding fertility.

What tests are typically carried out on men?

Men are also subject to hormonal screenings. This includes tests for follicle stimulating hormones (FSH) and luteinizing hormones (LH). These tests check that the body is hormonally balanced to produce sperm and testosterone. Low levels of either of these hormones can mean that the testicles are not receiving sufficient stimulatory messages. Men also have their testosterone levels screened. Testosterone stimulates sperm production. Men are also frequently required to provide semen samples to be tested for quantity and quality of sperm cells present in the fluid.

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Low Tech Reproductive Treatments

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Low Tech Reproductive Treatments Q & A

by Sam Najmabadi, MD

What does low tech fertility treatment mean?

Low tech treatments are procedures or treatments which are minimally invasive and do not involve fertilization outside of the uterus. The treatments actually comprise more than 50% all fertility treatments in the United States help many couples to start or grow their families. The treatments can range from lifestyle counseling to help the potential parents to make their bodies as effective as possible at producing and hosting reproductive cells and embryos to intrauterine insemination (IUI). These less invasive treatments are the starting point for most patients seeking fertility assistance.

What kinds of treatments are available for women?

Female patients will be examined to ensure the uterine health and ovarian function. Some women have polyps or fibroids on the uterus or ovaries which can impede fertility. If diagnosed and treated with medication or minor surgery, fertility may return to optimum levels. Some women may have ovaries which are not producing eggs with every menstrual cycle. When this condition is diagnosed it is most often treated medically with Clomiphene Citrate and aromatase inhibitors to stimulate egg production. The patients menstrual cycle is then monitored and the couple is advised on the best time to have intercourse.

What treatments are available for men?

The male factor or male infertility is usually linked to either a low sperm count or poor sperm mobility. Low sperm count can be treated medically with either hormone treatments or medication to stimulate sperm production. When the sperm is not optimally mobile, the doctor may suggest artificial insemination, also called IUI. The procedure involves taking a semen sample from the potential father and transferring it directly to the potential mother’s reproductive tract at the most likely time for fertilization and implantation to take place. This treatment does not involve any surgical treatments and is considered non-invasive.

What changes can be made to lifestyle to increase fertility?

Being in good health and having the necessary check-ups and screenings regarding reproductive health are essential. It is important for both potential parents to maintain health weights as being overweight can cause issues with the production of reproductive cells. Both partners should avoid smoking and alcohol consumption. Eating a healthy and balanced diet high in monounsaturated fats, vegetables, and high fiber foods can help maintain healthy bodies.  Women can take daily supplements in folic acid to make their bodies better hosts for embryos. It is also important to know the potential mother’s cycle to identify the best days to have intercourse for reproduction. That said, it is important to be intimate regularly.

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On Site IVF Laboratory & Surgical Facilities

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On Site IVF Laboratory & Surgical Facilities Q & A

by Sam Najmabadi, MD

What services are done at the IVF Laboratory?
he Center for Reproductive Health & Gynecology has a dedicated IVF Laboratory. The IVF laboratory is FDA compliant; California licensed Tissue Bank, CLIA and CAP certified. Dr. Najmabadi and his staff continually seek to incorporate new and improved laboratory methods and procedures to help patients achieve pregnancy and healthy babies. The following reproductive technologies are available to patients in the On-Site In Vitro Fertilization Laboratory. The doctor and his team have achieved a great success rate that has made our IVF laboratory the focal point of our success.

  • In Vitro Fertilization (IVF)
  • Intra Uterine Insemination (IUI)
  • Assisted Hatching (AH)
  • Intra Cytoplasmic Sperm Injection (ICSI)
  • Blastocyst Transfer/Freezing
  • Freezing / Vitrification of sperm, embryo, and egg
  • Pre-implantation Genetic Diagnosis (PGD)
  • Family Balancing (Sex Selection)

Why is it beneficial to the patient for the IVF lab to be onsite?

IVF is a very delicate and complex process which is very time sensitive. If the entirety of the procedure can take place at one location, it can reduce the time between harvest, insemination and implantation, therefore increase the potential for successful implantation. Also, there will be no need for any samples, frozen embryos or other information to have to travel, maintain the utmost care and confidentiality to be taken. An onsite laboratory also gives the doctor a lot of control over procedures as well as opportunities for research and development of new and advanced technologies to better aid his patients in their journey towards parenthood. Additionally, patients benefit from Dr. Najmabadi being onsite to personally direct their care during treatment. This means that all of the appointments for evaluations, testing, and screenings, and procedures will take place at the same location, where the patient will know and recognize the team who have been part of the process from the beginning. This more developed relationship can help the patients to feel at ease and in good, knowledgeable and experienced hands.

Improve your chances for a successful IVF with Embryoscope:

  • Embryoscope is an advanced time-lapse imaging solution that helps select the best embryos for IVF
  • EmbryoScope supports better embryo development by providing an undisturbed culture environment
  • EmbryoScope supports improved IVF treatment by providing IVF professionals with a better basis to identifying the embryos with the best chance of resulting in a pregnancy
  • EmbryoScope is the most widely adopted time-lapse system worldwide with documented improved clinical outcome.

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