Fertility Over 40

Mar 14, 2012 | Fertility Care
If we believed everything we read in the tabloids, we would think that anyone who was over 40 could get pregnant easily with IVF and have twins the first go around. I wish this were the truth. This is what you should know…If you’re over 40, you have a 5% chance of getting pregnant in every menstrual cycle. If you’re going to try to get pregnant over 40, see your local fertility specialist now. Fertility is not skin deep. It doesn’t matter how great you look on the outside. So many of my patients over 40 look like they could easily pass for early 30s, even 20s. We were born with all the eggs we will ever have and we run out of eggs over time. This is what I recommend: 1. Talk to your doctor about your fertile potential. Have your FSH and estradiol levels checked as well as an antimullerian hormone level. Your doctor can do an ultrasound and measure the number of follicles on your ovary. This assessment is called an antral follicle count. There are hormones that we check that can tell you if you are fertile or not. One of the hormones your doctor will check...

Are you taking care of your emotional health?

Feb 12, 2012 | Fertility Care
If you're one of my patients, you've probably heard me mention probably most of the things on my blog.....including the one thing I say over and over: it takes 3 things to have a baby: eggs, sperm and tubes that are open. Learn about all 3 and you can figure out why a couple is having a problem conceiving. I'd like to officially add emotional health to the list......I think that emotional health is essential when trying to conceive and if you don't have emotional health, that in and of itself could possibly affect your chances of conceiving. People who are emotionally healthy are in control of their emotions and their behavior. When bad things happen, they're able to bounce back and move on. Mental and emotional health takes an effort to build and maintain. As couples are trying to conceive, they should not only spend energy on their physical health but do things to boost their mood, build resilience, and get more enjoyment out of life.  Every patient of mine will have their own ideas about how they can build and maintain their emotional health. Here are some tips: 1. Take care of your physical health: eat right and maintain...

Are all prenatals alike?

Feb 12, 2012 | Fertility Care
The answer is no. I read a great article in Reviews in Obstetrics and Gynecology. Take the time to read it because it talks about how one important difference among prenatals is the source of folic acid.   Just click here and you can read it: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3250974/ Then after reading it, you're going to do what I did and you're going to ask, which prenatals contain L-Methylfolate? So then I foudn this source: http://www.empr.com/prenatal-vitamins/article/125903/. You can find the prenatals that contain L-methylfolate. Or you can just buy L-methylfolate separate from your prenatal. Hope this article helps!

DuoFertility Ovulation Monitor Receives FDA Approval

Jan 24, 2012 | Fertility Care
Really cool new way to monitor ovulation is coming to the US. This device has been available in Europe since 2009. Check out this Youtube video to watch a demonstration: http://youtu.be/Eu70WJ_k4Aw A sensor is worn under the armpit and measures subtle changes in basal body temperature which is indicative of ovulation. The reader wirelessly receives the sensor data and predicts when you are most likely to become pregnant up to six days in advance. A number of additional parameters can also be entered into the reader unit to improve the prediction quality. The recorded data can be visualized by connecting the reader unit into your computer. Cool stuff!

Motherhood over 40

Jan 03, 2012 | Fertility Care
It's not easy getting pregnant. It gets harder when you're over 40. If you're thinking of waiting to get pregnant until you're 40 (something I hear over and over) or you are trying already and you're over 40, take the time to read these two articles. These articles are must reads: http://www.parentcentral.ca/parent/babiespregnancy/pregnancy/article/1110159--motherhood-after-40-ethical-debate-rages-over-how-old-is-too-old-to-become-a-mother http://www.huffingtonpost.com/glenn-d-braunstein-md/why-women-men-shouldnt-ta_b_1179850.html The most recent celebrity mom over 40 is Robert DeNiro's wife who had a baby through a gestational carrier at age 56. They haven't confirmed whether donor eggs were used but if the embryos used were created recently, they weren't created with her own eggs. Before you consider trying over age 40, start off by seeing an infertility doc. Don't wait to see the fertility doc after several months of not conceiving. Your fertility doc will be able to talk to you about your fertile potential and give you the best plan of action to help you meet your goals.

Doctor, Do you know who I am?

Jan 03, 2012 | Fertility Care
Happy 2012! This will be your best year ever. If you've started fertility treatments and haven't gotten pregnant yet, it may be time to go back to your Doctor and ask "Do you know who I am?" I don't mean literally but figuratively. This is a good time for you to reconnect and say, "I'd like to review my history with you and see if you'd like to order any other tests that could potentially help us improve our chances of conceiving." I personally have a one year rule on everything. If it's been one year and you haven't had your thyroid levels checked or had a repeat semen analysis  or a cavity or tubal evaluation - it's time. I've also seen plenty of patients who have been down the fertility treatment path without ever having had a pelvic ultrasound, only to find out after years of trying that a fibroid (benign tumor in the uterus) was the reason behind their fertility problems. So take the time to either see a Reproductive Endocrinology and infertility specialist for the first time this year or just go back in and ask your doctor to review your entire fertility chart  to make sure that all the...

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