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.
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.
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.
Happy New Year’s Eve 2016! Now that I have eaten my body weight in chocolate and chips, it’s time to make resolutions. First, stop eating my body weight in chocolate and chips. My other resolutions are pretty similar to previous years:
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.
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.
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.
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.
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.