Controversial Russian swimmer Yulia Efimova was 1xbet beaten to Olympic gold by Lilly King of the USA in the women’s 100m breaststroke on Tuesday.
Efimova, 24, was allowed to compete at Rio after successfully appealing against a doping suspension.
She arrived to boos before losing to King, who swam an Olympic record of one minute 4.93 seconds.
Efimova was banned for 16 months in 2013 after traces of an anabolic steroid were found in her system.
The International Olympic Committee had ruled any Russian athlete who had been sanctioned for doping would be banned from competing in Rio, but Efimova appealed to the Court of Arbitration for Sport (Cas).
Earlier this year she was given a provisional ban after testing positive for meldonium, but the International Swimming Federation lifted the suspension after advice from the World Anti-Doping Agency (Wada).
Cas has ruled that athletes cannot be banned from Rio solely on the basis that they have been previously sanctioned.
There had appeared to be some aggravation between King and Efimova in the build-up to the final.
After winning the first semi-final on Sunday, Efimova celebrated by wagging her finger. King, who had performed the same move earlier in the day, was captured on television watching Efimova. She then waved her finger in response.
After winning gold, King said: “It just proves 1xbet that you can compete clean and still come out on top with all the work you put in.
“There is a way to become the best and do it the right way.”
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Controversial Russian swimmer Yulia Efimova was 1xbet beaten to Olympic gold by Lilly King of the USA in the women’s 100m breaststroke on Tuesday.
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What are the reasons for having assisted conception?
What are the Treatment Options ?
- the age of the woman
- the quality of the man’s sperm
- how long the couple have been infertile
- whether or not the woman has had a previous pregnancy.
What happens during treatment for female infertility?
Fertility treatment: intrauterine insemination (IUI)
Intrauterine insemination (IUI) is a form of assisted conception. During IUI, your doctor will place washed, prepared sperm into your uterus (womb) and near to your egg at your time of ovulation. This procedure is often combined with fertility drugs to increase your chances of conceiving.
Could IUI benefit us?
IUI may help you as a couple if:
- Your spouse has a borderline low sperm count or low motility. This is when the sperm’s ability to move is impaired. But there must be enough healthy, motile sperm to make the treatment worthwhile. If not, IVF or ICSI may be more suitable.
- You are unable to have sex because of disability, injury, or if your spouse experiences premature ejaculation.
- You have mild endometriosis.
- You or your spouse’s fertility problems are unexplained.
For IUI to work, your fallopian tubes must be open and healthy. To find this out, you will need to have a tubal patency test. This can be done using laparoscopy, which is a form of keyhole surgery, or a hysterosalpingogram, which is a form of X-ray. These may locate any problems or blockages in your uterus or fallopian tubes.
IUI isn’t recommended if your tubes have adhesions or scarring that might stop an egg travelling from the ovary to your uterus. But if you have at least one working tube and ovary on the same side, IUI may be an option for you.
How is IUI carried out?
Depending on your particular fertility problem, you may need to use fertility drugs alongside your IUI treatment. If you do take fertility drugs it’s called a stimulated cycle, because the drugs stimulate ovulation. If drugs are not used it’s called an unstimulated cycle, or natural cycle.
Stimulating ovulation is not recommended if only your spouse has a fertility problem, or if the reason for infertility is unexplained. This is because there is a much greater risk of a multiple pregnancy when taking fertility drugs.
You may think that twins or more would be a great way to start a family if you have fertility problems. But multiple pregnancies increase your risk of miscarriage and other pregnancy complications.
In unstimulated cycles, IUI is timed to take place at the time of natural ovulation. You may be asked to detect ovulation using an ovulation predictor kit, or your doctor may track your cycle using blood tests and ultrasound scans. IUI is usually done between day 12 and day 16 of a natural menstrual cycle, but the exact day will depend on your individual cycle.
If your fertility specialist has offered IUI during a stimulated cycle, you’ll probably be given fertility drugs in the form of tablets or injections. You’ll start taking the drug near the beginning of your menstrual cycle to stimulate your ovaries to develop several mature eggs for fertilisation. This is rather than your usual one egg per month.
An ultrasound scan helps to locate the egg and check that it is mature. This will allow insemination to take place at the best time. You may ovulate naturally, or be given an injection of a hormone called human chorionic gonadotrophin (hcg) to bring it on.
Sperm is then inserted into your uterus within 24 hours and 40 hours of the hcg injection, or when you have a rise (surge) in luteinising hormone (LH). Your husband will be asked to provide a sperm sample which will be washed to extract the best quality and most mobile sperm.
Using a catheter (tube) through your cervix, your doctor will then put this sperm directly into your uterus near a fallopian tube. This is the passage the egg travels along from an ovary to your uterus.
If you have unexplained infertility, the sperm may be inserted within a larger volume of fluid than usual. This allows it to wash up into your fallopian tubes more easily (fallopian sperm perfusion). This technique takes a few minutes more than standard IUI and may increase your chance of success.
After IUI you will rest for a short time and then carry on life as normal. You’ll be able to take a pregnancy test in about two weeks.
How long will treatment last?
The insemination itself is straightforward and takes only a few minutes. If you are having a stimulated cycle, you’ll need to take fertility drugs before you ovulate.
What are the success rates of IUI?
Success rates depend on the cause and severity of the infertility and your age. UK success rates for IUI using donor sperm are about:
- 16 per cent if you are under 35
- 11 per cent if you are between 35 and 39
- five per cent if you are between 40 and 42
- one per cent if you are between 43 and 44
- 0nought per cent if you are over 44
Up to six cycles of IUI treatment are recommended for unexplained infertility or mild endometriosis, or if your spouse has a low sperm count. If you keep trying for up to six times you do increase your chances of becoming pregnant.
Are there any downsides to IUI?
Despite the benefits (see top section, Could IUI benefit us?) IUI is not for everyone.
- The timing of the insemination is crucial, so your spouse must be able to produce a sperm sample by ejaculating into a cup on demand at the clinic.
- It may be uncomfortable if it proves difficult to insert the catheter. And the procedure may cause cramps similar to period pains.
- With stimulated cycles there is a very small risk of developing ovarian hyperstimulation syndrome (OHSS). This serious condition happens when your ovaries respond too well to the fertility drugs that cause you to ovulate. The ovaries rapidly swell up to several times their normal size and can leak fluid into your tummy, making you gain weight and feel full and bloated.
It’s vital that you seek medical help if you think you are experiencing OHSS. You may need to stay in hospital while your ovaries settle down, and your doctor will probably advise cancelling your IUI treatment for this cycle. That’s because the risks of conceiving a multiple pregnancy will be too great.
You can talk about IUI and artificial insemination in our BabyCenter community.
Conceptionmoons: can a holiday help you get pregnant?
as most couples know, getting pregnant often takes more than one night of magic. The reasons for the long wait, up to a year or longer for many couples, can be many and complicated. But one thing that can hinder conception is something we all face from time to time – stress.
What is a conceptionmoon?
A conceptionmoon is a break that you and your partner dedicate to getting pregnant. The idea is to relax, rekindle the fire in your relationship and make conception special.
A survey of UK BabyCentre mums found that 18 per cent of mums who conceived on holiday had planned their break around getting pregnant. Incredibly, a survey of US mums on babycenter.com revealed that nearly half of all couples who took a conceptionmoon did actually conceive while they were away.
How do conceptionmoons work?
Conceptionmoons work by relaxing you and your partner, and reminding you why you fell in love in the first place. Stress may inhibit conception because it can affect the part of your brain (the hypothalamus) that regulates your hormones.
The hypothalamus is the gland in the brain that controls the hormones required to release your eggs. This gland also regulates your partner’s testosterone levels.
Not only that, but if you or your partner is feeling stressed, you may feel less interested in having sex. It goes without saying that having sex less frequently is not going to help your chances of conceiving.
Stress can even play havoc with your menstrual cycle, leading you to ovulate later than usual, or not at all.
How can we make the most of our break?
Take a good look at how you like to relax. Ask yourselves whether you prefer the beach or the countryside, or if a city break is more your thing.
You don’t have to go far or spend a lot of money. Just make sure the environment you choose will help you unwind. Then get out the calendar and plan a break when you’re likely to be most fertile.
Once you’re away, look out for the natural signs of ovulation or pinpoint it exactly, using tests or charts. Either way, put those baby-making sexual positions to the test in the days before and during ovulation to boost your chances.
If you have other children, see if you can arrange for a family member to look after them. (If your mum has been nagging you for more grandchildren, call her first.)
Don’t bring your stress with you on holiday. Leave your mobile phones at home. If you can’t bring yourself to be truly out of touch, take your phone but promise yourself to switch it off after a certain time.
Finally, relax. Catch up on sleep, eat good food, and enjoy each other, in and out of bed.
What if we can’t get away?
If you just can’t take a break, try to reduce stress levels at home. You can do this by:
- enjoying good, healthy food
- getting some exercise
- practising yoga
- taking time out to meditate
Basically, do whatever helps you to take a deep breath and get some peace.
At the same time, make an effort to spend time with your partner. Try a dinner for two. If you can afford to, take a day off work together. And if you know you’re ovulating and can arrange it, consider a night in a nearby hotel.
How to boost your chances of getting pregnant
Having a healthy diet and lifestyle may help, as may keeping your stress levels low.
What if we’re too busy to plan our sex life?
If your lifestyle makes it tricky to have regular sex (because of work trips away or the demands of existing children), you could learn to pinpoint your fertile window.
Women with an irregular cycle may also prefer to take some control over trying for a baby. (If you’re on a cycle of assisted conception treatment, your doctor may have asked you to detect ovulation as part of the process.)
An easy and accurate way to do this is by using urine-based ovulation predictor kits. You can buy the kits from pharmacies, or you may be able to cut your costs by bulk buying online. This method is seen as more useful than some other ways of spotting ovulation.
A more time-consuming but cheaper way of working out when you are likely to be ovulating is to track your basal body temperature (BBT) and cervical mucus (CM) using a BBT or fertility thermometer.
Using this method, you have to chart your cycle every day, first thing in the morning, for a few months. Then you can recognise your pattern and have a better chance of predicting your most fertile days. Most women see a spike in their temperature, signalling that they’ve ovulated, and notice that their mucus looks and feels like raw egg white at around the same time. When the two coincide, it tells you that you have ovulated.
Provided you have a regular cycle, you can work out the days in future cycles when you’re more likely to conceive and so make sure that you have sex at least once at those times until, hopefully, you conceive. In general, though, timing sex in this way has not been found to improve your chances of natural conception compared to just having sex every two to three days.
Check out the sample chart to see how a completed one will look. Then, if you decide you’d like to try charting your BBT and CM, you can print out a blank chart for use at home.
Remember, every woman’s cycle is different. Yours may not look like the sample, or may be different every month. There are also some disadvantages to using this method of ovulation prediction – see our articles on how to chart your BBT and cervical mucus and charting vs. ovulation predictor kits for more information.
Whether your approach to conception is to make love regularly and see what happens or to focus on your fertile window, we wish you luck!
Is it OK to exercise on my most fertile days?
If you are a competing athlete with extremely low body fat, your chances of getting pregnant could be impaired. Some female athletes stop ovulating, but this isn’t the case with most women.
If you don’t work out regularly, start adding more activity into your life, such as a 20 to 30-minute walk every day. By starting and sticking to an exercise routine, you’ll be rewarded with a healthy body that’s fit for pregnancy. Plus, working up a little sweat is a great way to relieve stress, which can make it more difficult for you to get pregnant.
Stress can interfere with ovulation by delaying it or suppressing it, which can result in your menstrual cycle stopping altogether.
While it’s good to be aware of when you might be ovulating, it’s more important to relax and try not to obsess about this time of the month. Disrupting your routine each month may leave you feeling anxious or overwhelmed. That’s why it’s a good idea to keep on hitting the gym if that’s your thing. You might also want to try a yoga class to help you focus on letting go of daily stresses while stretching your muscles.