Neurological Associates

Pain Management Center

Vero Beach, Florida

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RSD PUZZLE #51
FERTILITY AND RSD


Dear Grace,

In regard to the problem with fertility, it has nothing to with the side effects of sympathectomy. Sympathectomy causes a lot of complications but plays not role in infertility. It also has nothing  to do with the MS Contin. The commonest form of infertility is in late stages of RSD, especially if the patient is wheelchair bound. In the late stages of RSD, there is inflammation and hyperthermia (rapid washout of blood) in the viscera (guts, pelvic structure, etc), bones and muscles. Obviously the use of a wheelchair makes this worse. The rapid washout and inflammation deprives the early-stage fetus of proper oxygen intake. This is also complicated by the fact the rapid washout deprives the fetus from proper nutrition: the same way I explain to the students is, to imagine the Publix Grocery Trucks loaded with food driving 70 miles per hour on the freeway, that food is no good for the people who work on the freeway. So the blood could have the best proteins and vitamins but it is circulating to fast to be useful for the fetus.

I hope this information is of some use to you. It is good for the RSD patient to become pregnant in early stages, but it may be stressful in later stages. Even if the mother is lucky enough to become pregnant and deliver a baby, there is a strong chance it is going to be a somewhat malnourished newborn, with a probably not so perfect immune system.

Many thanks for a good question that a lot of people ask.

With Best regard,

Hoosh

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Copyright © 1997-2006 H. Hooshmand, M.D. No part of this publication may be reproduced, transmitted, stored in a retrieval system other than this specific media, transcribed, or translated into any language without the expressed written permission from the author; H. Hooshmand, M.D. and Eric Phillips and CMNE. This material is for informational and education purposes. It is not meant to take the place of your physician. Before starting, changing, or stopping any treatments or medicines consult your physician.

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The material on the Neurological Associates Pain Management Center Homepage and all it's associated, linked or reference pages is for informational and education purposes. It is not meant to take the place of your physician. Before starting, changing, or stopping any treatments or medicines consult your physician. H. Hooshmand, M.D., Neurological Associates Pain Management Center and Associates will not be held liable for any damage or loss as a result of information provided on this page or associated documentation. Again, this WEB SITE is simply published as an information source and should not be used to treat or make judgments on RSD/CRPS. All associated material on this web site may not be copied, reproduced or quoted without expressed written permission from the owner; Copyright © 1999-2006 H. Hooshmand, M.D.

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This page was last updated on 3/11/2000.