infertility

Tank safety

There is not a day that goes by when I don’t think about the security and safety of the embryos, sperm and eggs we have frozen in our cryopreservation or cryo tanks. I am on vacation this week and was out for a run and our tanks were on my mind. Our lab director would say an hour doesn’t go by when he doesn’t think about our tanks.

 

the process

I wrote this blog a week ago.  My mom has since died, very peacefully.  I decided to post it today as I feel stronger today than when it was written. 

 

twins

Nearly every patient I meet wants twins.  Of course, they want twins!  The idea of having two children at once when they have longed for children for years, makes perfect sense.  Many people want a sibling for the children, so instant siblings seems very efficient.

IVF treatment protocol and quality of life

There are 3 main IVF protocols we use regularly: antagonist, agonist, MD Agonist Flare.  Sure, there are plenty of variations on these protocols, but essentially all protocols come from these 3, even minimal stimulation IVF, natural cycle IVF and others.    Study after study has shown that there is little difference between pregnancy outcomes with the different protocols.  What does seem to matter is what dose your physician picks for you, the timing of the different medications used during the protocol and the "extra" medications that are used based on the patients

New things in 2018

Live with no regrets, dance like no one is watching, live every day like it is your last.  For me that is all nonsense. That kind of fridge-magnet and facebook-friendly advice just makes me feel badly about myself. I have regrets, I waste a lot of time, and why would i dance like no one is watching?   Anyway, for people like me who are pretty sure we aren't yet living our "best life" the new year is awesome.  It's this awesome time when you get a little reset.  You get to imagine being a better version of yourself in the future.

vitamin D

Nearly all of us are deficient in vitamin D. Ninety percent of our body’s vitamin D comes from the sun, meaning cholesterol in our skin is converted into vitamin D3 (cholecalciferol) by the action of UV rays from the sun. Vitamin D3 is then converted by the liver and kidneys into the active form of vitamin D. The other 10% of out body’s vitamin D3 comes from our diet. If you live in Canada you are probably vitamin D deficient. The rates are so high the BC government health plan no longer pays for testing - they want us to just assume we are deficient.

adenomyosis

I remember writing my Royal College of Physicians exam to get certified as an obstetrician/gynecologist and thinking “please, please don’t ask me much about adenomyosis.”  Adenomyosis is a fairly uncommon disease of the uterus that is hard to diagnosis, hard to treat and causes a slew of terrible symptoms like pelvic pain, heavy periods and infertility.  In the past decade or so sinc

stale

My blog went stale the past few weeks. I really didn't want that to happen. I haven't posted in a really long time... I think I got a bit busy, was feeling like I didn't have much interesting to say (research published in the last couple of months has been rather boring - either too esoteric or too silly), I started watching Game of Thrones and just kind of felt like I was in a funk.

 

vitamin D

I think sunscreen typifies the anxiety that has been bred by the internet and media.  Is it good or bad?  Fifty years ago we would assume it is good as our doctor would have told us to use it, teachers in school would remind us it is important and we'd have no or few resources to check whether they were right.  If the doctor and teachers were right this was a better time.  We would have been saved google searches that doubted the doctor.  I think there would be less anxiety.  Of course, the big assumption is that the doctor and teachers are right.

To tell or not to tell

We can all agree friends don't use the phone much any more. So, much so that if someone does phone me I assume something horrible has happened.  In my mind, if my phone rings it is either (1) the hospital calling about a patient (2) someone I don't know managed to get my number and wants to sell me something (3) someone I love has died,.