REQUIRED for HF Accreditation: NYHA/symptoms with activity performed?
Indicate whether documented NYHA classification
has been completed or documented symptoms with activity, this can be documented by nursing staff or physician.
Class I: patients with cardiac disease but without resulting limitations of physical activity. Ordinary physical activity does not cause undue fatigue, palpitation, or dyspnea.
Class II: patients with cardiac disease resulting in slight limitation of physical activity. They are comfortable at rest. Ordinary physical activity results in fatigue, palpitation, or dyspnea.
Class III: patients with cardiac disease resulting in marked limitation of physical activity. They are comfortable at rest. Less than ordinary activity causes fatigue, palpitation, or dyspnea.
Class IV: patients with cardiac disease resulting in inability to carry on any physical activity without discomfort. Symptoms are present even at rest or minimal exertion.
you need to come off everything and begin hcg and arimadex. I would use arimadex at 1/2mg 3 x wk and hcg at 250iu twice wk every wk and attempt to restore any natural test I could. The adex and hcg should help elevate sperm count and natural test over time. I would also use clomid at 100mg/ day for a couple wks and then drop to 50mg day for 2 more wks after you quit everything. Its going to take awhile, possibly a year before you are fertile again. Even on trt there is still a 50% chance of being fertile, but the choice to come off totally or stay on trt depends on how long you have been on trt up until now. If its been a year then Id attempt to drop everything, if its been longer then Id revert to a minimum trt dose of 80-100mg wk and continue on hcg arimadex regimen. U really need a fertility specialist though but for now this is what Id do personally
Is it possible for PF muscles to ever fix themselves in relation to us fixing poor habits? For a while after my son was born, whenever I would stand for long periods of time, it felt like all the blood was rushing down to my perineum, and I would have this painful burning sensation in my lower back. I hadn’t found this gem of a site at that point, and was probably doing 100+ kegels daily, trying to be diligent and stay tuned. *hah* After finding this site, squatting, walking 4+ miles daily, and giving up on kegels, (My apologies to the queen!) I no longer experience that pain. I always thought it was just time more fully healing my body, but could these changes have been my body self correcting as I learn better habits?