bc

estrogen: good or bad?

Let's talk about IVF paradigms. In a nutshell, IVF involves stimulating the ovaries to produce multiple eggs all at once.  The egg are then removed, fertilized with sperm and embryos are created.  The embryo(s) are then put into a woman's uterus in hopes a pregnancy will occur.

 

1 in 6, really?

#1in6 You've probably seen that hashtag and you probably don't believe it.  Last week was infertility awareness week in Canada and since 1 in 6 Canadian couples experience infertility we promoted that hashtag to raise awareness of how common infertility is.  

 

don't wait after a miscarriage

I'll make this brief because it is 10pm on Friday night and Netflix is calling, but: please do not wait to try and get pregnant again after a miscarriage.  We've known for years that you are more fertile and less likely to have an adverse pregnancy outcome if you get pregnant soon (within 6 months ideally) of a miscarriage.  It's "old school" to tell women to wait a few months to get pregnant after a miscarriage, but this message is still being conveyed by some health care providers.

after embryo transfer

At least once a month I have a woman in my office crying because her IVF cycle didn’t work and she believes in her heart that she is to blame. Typically she will say she “did too much after the transfer.” Women are so hard on themselves.

good genes

We all have genes in the DNA of our cells. Genes determine our hair colour, eye colour, height, and about 20,000 other things about us including which diseases we will develop.  Over the past decade scientists have figured out the "spelling," or sequence of nucleotides, of every gene in humans.  This project was called the Human Genome Project.  Since this project of sequencing of all human genes was completed, the focus shifted to figuring out which gene mistakes, or mutations (or misspellings), cause which diseases.  

 

Good and Bad

Every job has good days and bad days. Today was 90% good and 10% bad. 

A couple brought their 6-month-old daughter from IVF by to meet us, a woman who has been trying to conceive for a few years brought us a gift to say "thanks for trying so hard" for her, a couple who has twins on the way sent a "thank you" note, and a box of chocolates came from another successful couple.

Whole grains are good for you

Is there a diet you should follow to promote fertility? The Environment and Reproductive Health (EARTH) study is trying to answer this question. Since 2006, women at a Boston IVF program are being studied with questionnaires on diet, lifestyle, and other environmental factors that might impact fertility. Some results from this work are starting to be released.

Vasectomy

Friday night I was watching Dax Shepard, the actor, on the Jimmy Kimmel show. He and his wife, Kristen Bell, have two young children. He was describing how quickly and unexpectedly they conceived their second child after their first. He said that just a few days after learning Kristen was pregnant with their second child, he had a vasectomy, not wanting more than two children. I gasped. What if something had happened in the pregnancy and the baby hadn't survived?  What if they had changed their minds later and wanted a third child?  What if...?