tall women

I didn't want my blog to become stale but lately I haven't been writing much.  I blame myself and Facebook and Instagram and Netflix and a few other life distractions. I am sure in the pre-social media years I got a lot more done. Then again, maybe I didn't and I am just glamourizing the olden days.  Anyway, I am on vacation this week so thought I'd put fingers to my keyboard. 


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.


Lets' talk about intracytoplasmic sperm injection (ICSI), pronounced ick-see.  During IVF treatment a woman takes medication to grow multiple eggs at once.  We then extract the eggs and fertilize them.  You can fertilize an egg in one of two ways:

  • Insemination - several thousand sperm are placed in a dish around the egg 
  • Intracytoplastic sperm injection (ICSI) - one sperm is injected into the egg



I just got back from a family vacation in Nova Scotia. There I gained about 10 lbs, never exercised, and listened to countless funny stories about relatives I've never met. I do the same thing every summer and while it objectively sounds boring, it's actually quite fun. Food is love and the more sugary and buttery the food they serve, the more a maritimer loves you. So visiting old friends and family on vacation meant eating plenty of butter-soaked lobster, ice cream, and potato chips. Again, a lot of fun. Now I have a rich-food hangover and jet lag.

Ectopic Pregnancy

Maybe it's my mother's influcence but I do think things happen in threes. Yes, since my birth, my mother has been warning me that after two relatives die, it's only a matter of time before a third one bites the dust too. After two stubbed toes, two bad hair cuts, two car accidents, two divorces, two failed anything, a third one is inevitable. I am not sure why bad but not good things run in threes, but it's best not to question superstition too much anyway.



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...?



When you've been trying to conceive for months or years, twins seem like a good thing. After all, many people imagine their family as having two children. When you've waited for so long to have a child, having two children at once seems ideal. I agree, except twins have risks. The American College of Obstetricians and Gynecologists states the risks of a multiple pregnancy as follows: 

Endometriosis and Pregnancy

Infertility doctors rarely take care of women after the first few weeks of pregnancy. This is because it's hard to master the science of infertility and also master pregnancy care. So, like that jerk who got your friend-of-a-friend pregnant in high school, we get women pregnant and then leave them after the first month or so of pregnancy. Haha. Ok, that sounds calous but it's a tiny bit true.

Bravelle Recall

The drug Bravelle has been used for years throughout the world for IVF treatment. However, there has been a recall of the particular Bravelles that were sold 2014-2015. Please read this letter if you took Bravelle between June 29, 2014 and October 23, 2015. The reassuring news is that we did not observe any ill effects from the recalled drug. Still, if you took the recalled drug, you are entilled to a refund from Ferring, the makers of Bravelle.