Therapy for Infertility: How it Can Help

September 29, 2005 - Thursday
1:44 PM to 2:44 PM (EST)
Guest Speakers: Larry Wurn, Co-Founder, Director of Clinical Studies, Clear Passage Therapies, and Mandy Roscow, MPT, National Director, Clear Passage Therapies

Categories
Infertility • PCOS • Pregnancy

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Lisa_Rosenthal	Welcome to The American Fertility Association's online session!
ArchAngelll	Hello Lisa This is my 1st time here before the session is started can you tell me if the session for recurrent miscarraiges will be posted to read that zI missed?
ArchAngelll	And thank you
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barbara_gottesman	Type here
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Lisa_Rosenthal	Archangell, Yes, it will be posted. I will private IM you the information.
ArchAngelll	Thank You
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Lisa_Rosenthal	Please welcome Mr. Wurn to our session. Mr. Wurn has some information that he will be posting shortly.
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ArchAngelll	Thank you for being here Mr Wurn
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ArchAngelll	I have been diagnosed with pcos, I had taken clomid 150mg w/ dexamethasone.05 when I finally Ovulated. I had (chemical pregnancy?) on 4th cycle and was told I could not continue due to my legs and feet swelling. (Not sure from meds or preg) Just became pregnant again without trying on august 8th or 9th and again miscarried after 3 weeks. I continue to have low beta levels each pregnancy. What could be happening? What can treatment due to help this?
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local	[332] Topic~ Physical Therapy for Infertility: How it Can Help~ with Larry Wurn (Co-Founder, Director of Clinical Studies, Clear Passage Therapies) and Mandy Roscow, (MPT, National Director, Clear Passage Therapies)
Lisa_Rosenthal	Welcome! This evening, learn how physical therapy can decrease pain and improve pregnancy rates without drugs or surgery. Women with blocked tubes, endometriosis, advanced age, unexplained infertility and others may benefit. Your questions will be answered by Mandy Roscow, MPT and Larry Wurn, LMT, directors of Clear Passage Therapies (CPT), a growing network of physical therapy clinics treating female infertility, pelvic pain and sexual dysfunction with a new non-surgical physical therapy treatment.
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Lisa_Rosenthal	The above is Mr. Wurn and Mrs. Roscow's words and information
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Lisa_Rosenthal	This work began after several of our chronic pain patients, also diagnosed infertile, became pregnant after being treated with this therapy. Since then, over 100 babies have been born to women who were diagnosed "infertile" prior to receiving this therapy. Many had tried multiple medical treatments without success.
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Lisa_Rosenthal	Continuing
Lisa_Rosenthal	Researchers estimate 40% of female infertility is due to mechanical causes [e.g. adhesions, scarring, blocked tubes, endometriosis], 40% is due to hormonal or medical factors, and 20% is 'unexplained' (generally thought to be due to one or both of the above). We've had good success treating mechanical causes - the adhesions or scars that form after infection, trauma or surgery. Lately, we have also been tracking some remarkable changes in hormone levels, and are encouraged by successes we have seen in cases of high FSH. Published studies on this therapy report success rates which rival those of more traditional treatment options, with none of the risks or side effects. Data suggests we improve fertilit
jmd	am i still a candidate even if i have no pain but have all other characterizations
Lisa_Rosenthal	Please feel free to ask Mr. Wurn questions...
miki	I am 41 yrs old and have an issue with thin lining. Will your massage techniques work for thin lining issue?
Lisa_Rosenthal	"Physical therapy for infertility" is a relatively new, scientifically researched treatment for some types of female infertility. It addresses the adhesions that form naturally from any infection, inflammation, or surgery. These adhesions can block fallopian tubes, decrease function of the ovaries and/or cervix, decrease the uterine wall's ability to allow implantation, and impair hormonal function. Therapy is designed to break these adhesive bonds and restore normal function. The most appropriate women to receive this work are those who have had any of the following: Infection (bladder, yeast, etc), inflammation (endometriosis, pelvic inflammatory disease, etc.), surgery (D&C, appendec
ArchAngelll	Dr. Wurn, I have been diagnosed with pcos, I had taken clomid 150mg w/ dexamethasone.05 when I finally Ovulated. I had (chemical pregnancy?) on 4th cycle and was told I could not continue due to my legs and feet swelling. (Not sure from meds or preg) Just became pregnant again without trying on august 8th or 9th and again miscarried after 3 weeks. I continue to have low beta levels each pregnancy. What could be happening? What can treatment due to help this?
rljml	Do you treat women with fragile X syndrome? Is it advisable?
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Larry_Wurn	JMD, good evening!
Misti	What is the best way to find a therapist in my area trained in this type of treatment?
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lenore	Is this therapy too new for most medical insurance plans to cover?
Allie51	So, how does your therapy work?
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Larry_Wurn	JMD. You may still be appropriate for therapy. It all really depends on your history. If you have had any infection, inflammation surgery or trauma, your body forms adhesions as the first step in the healing process. That is exactly what we treat.
local	[332] Topic~ Physical Therapy for Infertility: How it Can Help~ with Larry Wurn (Co-Founder, Director of Clinical Studies, Clear Passage Therapies) and Mandy Roscow, (MPT, National Director, Clear Passage Therapies)
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DanielBecker	Can you tell me the average cost for the kind of services that you offer?
Mandy_Roscow__MPT	Misti, Good question. The only therapists that perform this technique have trained here at Clear Passage Therapies. We are located in Florida, Iowa, New York, and California
jmd	Thank you.. i have completed a questionnaire an am awaiting response from your office. I'm in NY
Larry_Wurn	Lenore: Physical therapy for pelvic pain or for pelvic adhesions is covered by most insurers. If you have pain, I would list that in your intake forms.
DanielBecker	Where in NY are you?
jmd	near GCT
DanielBecker	I was really directing the question to the guests as I do't want to get too personal
localhost	[2009] touser Thanks for joining us this evening- Please feel free to post questions for Mr Wurn and Mrs. Roscow.. Copy and paste them so that you can repost them if necessary. The room can get quite busy.
Lisa_Rosenthal	Thanks for clarifiying that Daniel!
jmjjchase	Thanks for taking time to speak on this matter. I was diagnosed w/polycystic ovaries, bil hydrosalpinx, endometriosis, and fibroid uterus. I have already submitted a patient questionairre to clear passages and was approved for therapy. I still haven't talked to my gyn yet, I'm not in a position financially to cover this therapy yet. I am very interested in hearing how other women have done in my situation. I was told, w/surgery on my tubes only 20% chance of conception and 80% of ectopic. (I am 29, live in Orange County, CA)
local	[332] Topic~ Physical Therapy for Infertility: How it Can Help~ with Larry Wurn (Co-Founder, Director of Clinical Studies, Clear Passage Therapies) and Mandy Roscow, (MPT, National Director, Clear Passage Therapies)
miki	Approximately how many patients do your clinics see per year? What is your success rate?
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Mandy_Roscow__MPT	Allie51, Our therapy works by breaking down adhesions that may be in your body. Adhesions are formed from any infection, inflammation, or surgery. It is a "hands-on" treatment consisting of 20 hours of therapy.
ArchAngelll	Dr. Wurn I have been diagnosed with pcos, I had taken clomid 150mg w/ dexamethasone.05 when I finally Ovulated. I had (chemical pregnancy?) on 4th cycle and was told I could not continue due to my legs and feet swelling. (Not sure from meds or preg) Just became pregnant again without trying on august 8th or 9th and again miscarried after 3 weeks. I continue to have low beta levels each pregnancy. What could be happening? What can treatment due to help this?
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Larry_Wurn	rljmy: We are not physicians, but physical therapists. We are unfamiliar with Fragile X. That sounds like a genetic or medicalproblem, which would be more for your physician to treat. Am I misunderstanding?
Misti	Are there certain things that a regular PT could do to help with adhesions due to surgery and endometriosis? I work with several PT's.
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jmd	how is the 20hr program spread out? what is most effective?
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jules_ny	Hi, thanks for being here, what are your success rates with women going through IVF. Also what is your experience treating women over 40?
rljml	Yes, it is a genetic problem.
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bg	You use the term "scientifically researched treatment" yet your web site only aludes to case reports and ongoing or to be published studies without a description of your technique. Can you discuss your technique? I also understand your technique is patented...can you direct me to any peer reviewed journals that have published results of controlled studies using you technique. Thank you.
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Lisa_Rosenthal	Thanks to all of you who have joined us this evening, especially Mr. Wurn and Mrs. Roscow.
Larry_Wurn	jmjjchase: We know that we open blocked fallopian tubes in 62% of women with total tubal occlusion (totally blocked tubes). WE have just completed and submitted a study on that. We have some success with PCOS, but have no hard scientific data on that tyet. Our Orange County therapists are terrific, by the way!
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Mandy_Roscow__MPT	Miki, We treat one to three patients a week in our clinics so that we can give quality care to each patient. Our success rates are between 60 to 70% .
local	[332] Topic~ Physical Therapy for Infertility: How it Can Help~ with Larry Wurn (Co-Founder, Director of Clinical Studies, Clear Passage Therapies) and Mandy Roscow, (MPT, National Director, Clear Passage Therapies)
localhost	[2009] touser The American Fertility Association has free membership! Please go online and you will have access to all our publications at "No Barriers".
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Janna	where can I see some research and studies supporting this?
Larry_Wurn	Archangel: We have had some success with PCOS, likely from freeing adhesions that cover the ovaries. However we do not have hard scinece on that yet. If you complete a questionnaire, we can consult with you (we never charge for consultations) and put you in touch with a former PCOS patient.
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jmjjchase	I've seen the success rates for pre ivf a@ www.clearpassages.com
ArchAngelll	Yes, I would be happy too. I'm in Phoenix, Arizona is there any places here?
jules_ny	Hi, sorry to repost, thanks for being here.... can you tell me what your success rates are for women going through IVF and also women over 40. thank you.
C_L	What if you didn't have any infection,inflammation, surgery or pain, will this treatment still work?I have blocked fallopian tubes.Does it matter where the fallopian tubes are blocked?
jmd	How is the 20hr program set-up? all in one week? what is most effective or what do you recommend? does this work with acupuncture?
Mandy_Roscow__MPT	jmd, The 20 hours of therapy is spread out typically in one week for those patients who are traveling, which would be 4 huors a day in 5 days. However, for a patient who lives in an area close on one of our clinics, you can break it up as you want to (minimum of one hour at a time). Either way is effective, and we have not seen any difference in the success rates at this point.
Larry_Wurn	BG: Medscape General Medicine has published a few of our studies, including two controlled studies. As you may know, it is difficult to conduct controlled studies on an infertile population, because we canot give a "sham" (control) therapy to women who have a limited opportunity to become pregnant.
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jmjjchase	I'm glad to hear that! I have been so depressed about being told I am infertile. Esp. w/ all my friends having babies they didn't even plan for. I can't really afford this treatment yet, even though I've been approved, but will be working towards it. I would love to try a non-surgical approach, first.
miki	Thanks for being here. This is a repost. I am 41 yrs old and have an issue with thin lining. Will your massage techniques work for thin lining issue?
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Larry_Wurn	BG: You may find our full studies via links from our website at www.clearpassage.com. All of our published studies are peeer-reviewed, and have now been accepted by and are part of the US National Library of Medicine.
DanielBecker	Can you tell us how you originally discovered the link between infertility and PT???
misti	How much therapy is required to see results? I live out-of-state, and saw on your website you have a M-F schedule for out of town guests. What is the cost for this treatment. My insurance does not cover infertility costs.
Larry_Wurn	ArchAngel: We hope to open in Scottsdale early to mid-2006.
jmd	will you be able to track progress in any fashion? how do you do this?
ArchAngelll	Thank you I will be looking forward to it.
Mandy_Roscow__MPT	jules_ny, Our pre-IVF success rate is 67% pregnancy rate. We have treated many women in their 40's and had good success with this population. If you email me, I can send you more specific information, at MandyR@clearpassage.com.
Nnacy_Brown	Do your studies include studies of accupuncture as well? Do you think that Accupuncture treatments and the physical therapy treatments that you provide are similar?
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Janna	Hi, are there double blind studies?
Larry_Wurn	Miki: We do not have any data on that. We believe that therapy increases blood flow, which can help. We have data on success in older women and those with high FSH, but not on thin lining.
Wendy	There is a well known PT in Saginaw, MI that has been practicing similar techniques out of Covenant Healthcare. I am not clear on how this is different.
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C_L	Repost:What if you didn't have nay infection, inflammation or surgery, and are not experiencing any pain. I have partially blocked fallopian tubes, does it matter where the tubes are blocked?
Lisa_Rosenthal	Mr. Wurn and Mrs. Roscow, thank you both so much for being here. You certainly have an interested audience this evening!!
jmjjchase	That is a good question, I was told my tubes are blocked 75-80% on both sides.
local	[332] Topic~ Physical Therapy for Infertility: How it Can Help~ with Larry Wurn (Co-Founder, Director of Clinical Studies, Clear Passage Therapies) and Mandy Roscow, (MPT, National Director, Clear Passage Therapies)
bg	Do you have a reference that describes your technique?
Larry_Wurn	Misti: All of our therapy and studies are based on 20 hours of treatment. These can be given in as short as a week (M_F) or spread over as long as six months. Costs are either $4,380 or $5,180, depending on location. Less expensive in rural locatrions & small towns. More in large metropolitan cities.
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localhost	[2009] touser The American Fertility Association has a set of message boards, several which are moderated by a physician daily. Please feel free to stop by and ask questions there as well! Also, "Connections" will meet every week for an online educational session. Please check the schedule on our home page.
Mandy_Roscow__MPT	DanielBecker, The link between infertility and PT was accidently discovered. Mr. and Mrs. Wurn were treating a few patients for such things as hip and low back pain when they came in reporting they were pregnant. At first, they didn't think there was any connection, but when researching these patient's history found put they had blocked fallopian tubes. After consulting witn an NIH researcer and a GYN, we dsicovered it must be from breaking down adheions.
DanielBecker	WOW - who would have thought
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Larry_Wurn	C_L, jmjjchase: Adhesions are the primnary cause of blocked tubes. If your tubes are partially blocked, you likely have tiny adhesions in them. Our successes in blocked tubes include virtually equal amounts of proximal and distal occlusion, as well as some midtubal and bipolar (blocked at both near and far ends).
mary56789	Can this PT treatment improve egg quality?
local	[332] Topic~ Physical Therapy for Infertility: How it Can Help~ with Larry Wurn (Co-Founder, Director of Clinical Studies, Clear Passage Therapies) and Mandy Roscow, (MPT, National Director, Clear Passage Therapies)
Mandy_Roscow__MPT	Wendy, The technique is patent- protected. We have been researching and develpoing this treatment for 14 years. Only the therapists that we have trained are doing our technique. Other therapists may be doing similar things, but they do not have the published research that we do to validate our work.
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jenhan	Is there a range of time the treatment is good for?
Larry_Wurn	Mary: Egg quality is an interesting diagnosis. If you are simply older or have high FSH, we have good clinical evidence that we can help. If your eggs have actually been diagnosed to be of poor quality, that is another story.It only takes one good egg, of course.
Wendy	Thanks. I have known several people that have seen this individual and have had great success achieving pregnancy, relieving endo pain, etc.
Corey	Hi Lisa. Is this private? Type here
jmjjchase	OK thanks! Would it be logical to assume that after the treatment, I would need another HSG to confirm? I also have polycystic ovaries, for which my doc required the HSG to allow her to prescribe the Clomid. But, instead I was referred to a fertility specialist. He didn't tell me anything I wanted to here.
jmjjchase	My gyn is not concerned w/endometriosis or the small fibroids I have. But, she did say that the area where the fibroids are located would inhibit the growth of a fetus as well as the fluid in the tubes.
Mandy_Roscow__MPT	Nnacy_Brown, We do not have any studies that include accupuncture. We believe that the two types of interventions can compliment each other. What we do is very different from accupuncture in that we are trying to create meachnical changes in the body. We are not focused on the flow of chi or the blood, like in Eastern medicine.
Larry_Wurn	Jenhan: Therapy appears to last for years. We have had several women who have had two or more sucessive births after therapy. The pre-IVF results are based on a 15 month window (we had to close the study at some point to submit it, so we chose 15 months.)
mkltjl	I just joined the chat. I know that your treatment is good for endo which I have. I also have adenomyosis. Does it help with that?
misti	Can the treatments be billed under dx such as endometriosis, and not infertility?
darlenesuccess	I am concerned about the incision from a myomectomy two years ago. Will the incision interfere with therapy? Will my success rate be affected?
localhost	[2009] touser The American Fertility Association has free membership! Please go online and you will have access to all our publications at "No Barriers".
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jmjjchase	This may sound silly, but what does the therapy feel like?
Lisa_Rosenthal	A huge thank you to Mr. Wurn and Mrs. Roscow for sharing this invaluable information with us this evening. We so appreciate it.
Allie51	Does this therapy help if you have pain with sexual intercourse?
Larry_Wurn	jmjjchase: We would encourage you to have an HSG after therapy for two reasons: 1) to know if we were successful, and 2) to help flush the tubes after therapy. When we open a tube with a hydrosalpinx, the liquid escapes. In several cases, we have seen natural pregnancies and live births after openingf a tube with a hydrosalpinx (liquid in tube).
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jmjjchase	I see, but I think that polycystic ovaries would still be a problem, or can this therapy help that as well?
Larry_Wurn	Darlenesuccess: Actually, the incision (surgery) would be a reason to consider therapy, not to avoid it. Surgeries cause adhesions, a primary cause of female infertility.
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mkltjl	Not sure if you saw my question about whether or not the therapy helps with adenomyosis.
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localhost	[2009] touser Thanks for joining us this evening- Please feel free to post questions for Mr Wurn and Mrs. Roscow.. Copy and paste them so that you can repost them if necessary. The room can get quite busy.
mary56789	Thank you for the answer about egg quality. My fsh is normal, however based on my response to ivf and the medications they have said I am a low responder. Have you had simialr patients that were helped with your treatment.
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jen	hi everyone
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Larry_Wurn	Misti: Our physical therapists treat adhesions which form with endometriosis and cause pelvic pain. These are primary diagnoses, and we treat them as such. The increase of fertility is a side-effect in these cases- albeit a welcome one.
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C_L	Do you do only massage therapy, or do you use heatlamps etc.?
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jules_ny	to reiterate jmj's question, what does therapy feel like? does it hurt? (not to be a wimp) thanks.
Lisa_Rosenthal	Welcome back Mrs. Roscow, glad you were able to get back in.
Nnacy_Brown	Our fertility problem appears to be caused by male factor. However, IVF and ICSI are supposed to neutralize that problem. Can your treatment still help us?
local	[332] Topic~ Physical Therapy for Infertility: How it Can Help~ with Larry Wurn (Co-Founder, Director of Clinical Studies, Clear Passage Therapies) and Mandy Roscow, (MPT, National Director, Clear Passage Therapies)
Larry_Wurn	Mary: Low responders to IVF - Great question. In fact, we just completed a study with women who had failed two or more IVFs and never had a pregnancy via IVF. After we treated the, 71% became pregnant and 54% had live births. You can find that dstudy on our website.
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Mandy_Roscow__MPT	jules_ny, The therapy feels like a deep stretch sensation. It may burn or be uncomfortable at times, similar to being in a difficult yoga position. We ask patients to stay in touch with us as we are treating them to stay within their tolerance.
Lisa_Rosenthal	I'm going to post some information that Mr. Wurn and Mrs. Roscow have given me.
Larry_Wurn	NNacy_Brown: We do not treat male factor problems. However, we have published one study (available via our website www.clearpassage.com) that shows a 63% increase in IVF Success Rates compared to the national ASRM and CDC norms. So based on that, therapy should have about a 63% increase for most IVF cycles.
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Lisa_Rosenthal	Welcome! This evening, learn how physical therapy can decrease pain and improve pregnancy rates without drugs or surgery. Women with blocked tubes, endometriosis, advanced age, unexplained infertility and others may benefit. Your questions will be answered by Mandy Roscow, MPT and Larry Wurn, LMT, directors of Clear Passage Therapies (CPT), a growing network of physical therapy clinics treating female infertility, pelvic pain and sexual dysfunction with a new non-surgical physical therapy treatment. This work began after several of our chronic pain patients, also diagnosed infertile, became pregnant after being treated with this therapy. Since then, over 100 babies have been born to wome
darlenesuccess	I understand that the treatment may involve massage to the pelvic, vaginal and maybe the rectal area. If I am correct, may a patient request that their face be covered to hide possible embarrassing facial expressions because of massage to the vaginal or lower pelvic area?
mary56789	Can your physical therapists perform a physical checkup to see if the treatment is right for you before committing to the 20 sessions or is it only based on the questionnaires. I also have mild endometriosis but it was removed viia a laporoscopy.
Mandy_Roscow__MPT	Allie51, We can definately help with pain during intercourse. In the study that we published, 96% of patients reported decreased pain with sex.
Larry_Wurn	Darlene: Our primary concern is your comfort level, and we treat you with respect and dignity. It is always your decision to forego internal treatment.
Lisa_Rosenthal	We are so pleased to have such wonderful, informative speakers this evening. The session will end at 9:00, which gives us about 8 minutes left. Thanks to all of you who have joined us this evening. Especially our wonderful speakers!
mkltjl	I am going to try one more time. I have endometriosis and adenomyosis(endometriosis of the uterine muscle). Does the therapy help with both or just the endometriosis?
jmd	do you know if therapy can help produce more eggs with stimulated ovulation? i'm 43, had a miscarriage 2 yrs ago, underwent IUI and 2 unsuccessful IVFs.. thanks.
local	[332] Topic~ Physical Therapy for Infertility: How it Can Help~ with Larry Wurn (Co-Founder, Director of Clinical Studies, Clear Passage Therapies) and Mandy Roscow, (MPT, National Director, Clear Passage Therapies)
moondreams	Any success with women 48 and over who has no problems except waiting for a good egg? FSH has been elevated, but on occasion it's right on the mark, as is estrogen.
localhost	[2009] touser The American Fertility Association has free membership! Please go online and you will have access to all our publications at "No Barriers".
Mandy_Roscow__MPT	mkltjl, Sorry I tried to answer you before, but I got cut off.
jmjjchase	Do you have a payment plan, for those insurance does not cover this treatment?
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Mandy_Roscow__MPT	mkltjl, Our therapy can help with both endometriosis and adenomyosis. With both of these conditions, our therapy helps imporve any decreasd mobility of the urogenital organs caused by these disorders. We do not remove or get rid of the endometriosis or adenomyosis.
Larry_Wurn	jmd: What I can tell you is that we have seen significant improvements in hormone levels in clinical trials. We have had many success with women over 40, and we have had women report (often significant) egg production after therapy. There is also this: When your organs move more freely, they function better and you simply tend to get better results.
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mkltjl	Thank you for your response. Does the therapy have any affect on blood flow to the organs, particularly the uterus?
ArchAngelll	Thank you both for taking time to be here and offer so much wonderful information and as well as you Lisa. Good Night!!!
priti	can a woman who is 45 see egtchnique?
Larry_Wurn	jmjj: I am sorry, we do not have a payment plan. Check our "Insurance" page for information on insurance coverages.
jmjjchase	thanks
Lisa_Rosenthal	Archangel, always a pleasure!
Mandy_Roscow__MPT	mkltjl, One of the benfits to our theapy is that is does increase the blood flow to the uterus and all of the abdominopelvis organs. This is evident by the skin turning red during treatment.
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priti	i am 45. do you think your technique can help me get pregnant
Larry_Wurn	mkltjl: According to our reproductive endocrinologist medical advisor, one of the primary effects of therapy is to increase blood flow.
DanielBecker	Good luck every one
darlenesuccess	Thank you. I plan to call and make an appointment.
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mkltjl	Thank you for the information. Definitely sounds like something to consider!
Lisa_Rosenthal	Thanks again to all of you for joining us this evening. Mr. Wurn and Mrs. Roscow, I hope that you will consider joining us again sometime!
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Mandy_Roscow__MPT	Priti, We have had success with other women your age. We would need to know more of your history to give you a more definitive answer. A recent success was a 46 year old woman with a blocked tube that conceived naturally.
Larry_Wurn	We will have to go soon. If you have further questions, please email us at larryw@clearpassage.com or mandyr@clearpassage.com. Best is to download the questionnaire at www.clearpassage.com Then we can consult with you directly (at no charge) about your specific case.
priti	i don't have any blocked arteries. the dr says my egg quality is preventing me from getting pregnant
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surfmedia	I live in southern california, do you have any clinics nearby?
Larry_Wurn	We thank you all for inviting us into your group. We wish you all the very best!
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Lisa_Rosenthal	Good night and best of luck to all of you!!
Mandy_Roscow__MPT	surfmedia, We have a clinic in Orange County, CA.
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Orly	Good night and thanks, it was interesting.
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Larry_Wurn	We presently have clinics in Orange County, CA, Manhattan,NY, Des Moines, Iowa and Gainesville, Florida (home office).
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Larry_Wurn	Good night all and thank you!
Stephen	Thanks Lisa!
jmd	thanks!
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Mandy_Roscow__MPT	Good night and good luck everyone!
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surfmedia	thanks!
Lisa_Rosenthal	Again, thank you Mr. Wurn and Mrs. Roscow for your time and effort this evening.
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Lisa_Rosenthal	Please check the online session schedule for next weeks session. Hope to see you then.
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lucynyc	Good night Lisa, thanks!!!
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Lisa_Rosenthal	Good night everyone. Hope to see you next week.
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gwendolyn1	hello, can i realise that it is past 9pm but is it still ok to ask questions?
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guerreroejb	Type here I am 39 soon to be 40 years old I have 2 older kids in their teens but I can not be come pregnant I have undergone 3 IVF cycles all failed and I already had an etopic pregnacy and I have endometrosis and only one fullopian tube that is blocked the other has been removed
guerreroejb	thats when I could chat with some one
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guerreroejb	What is Physical therapy and how can it help me
guerreroejb	Is any one there
guerreroejb	thank you very much for helping me
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Therapy for Infertility: How it Can Help

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