A recently published study offers optimistic news to young women with high FSH or diminished ovarian reserve who achieve pregnancy with IVF. High FSH is not associated with miscarriage in women under 35, and there is no indication that it is associated with higher levels of aneuploidy.
Michael J. Levy, M.D., Shady Grove Fertility. Rockville, MD
Dr. Michael J. Levy is a reproductive endocrinologist and co-founder of Shady Grove Fertility, the largest fertility clinic in the U.S. Shady Grove performed approximately 4,000 fresh IVF cycles in 2011, according to the CDC, and more than 35,000 babies have been born since he launched the IVF program in 1991. We recognize Dr. Levy as a leader and an innovator, both as a clinician and a businessman. As such, FertilityAuthority is pleased to honor Dr. Levy as Doctor of the Month.
Updated guidelines by the American Society for Reproductive Medicine (ASRM) say in vitro maturation (IVM) is a fertility treatment option for women who otherwise have a contraindication to in vitro fertilization (IVF), though the benefits and risks must be thoroughly considered. Because few babies have been born to date as a result of IVM and there is little data on the health outcomes of these children, ASRM considers IVM an experimental procedure that does not surpass the safety or efficacy of IVF.
The Patient Protection and Affordable Care Act, better known as the Affordable Care Act (ACA) was first passed into law on March 23, 2010 but was upheld by the Supreme Court in June 2012 as the legislation’s constitutionality came into question.
Senator Patty Murray reintroduced a bill this week that would provide infertility treatment coverage to veterans and their spouses.
The bill, which was approved by the Senate (but not the House of Representatives) just last year, proposes that the Veterans Administration provide coverage to veterans who have suffered fertility-compromising injuries, including injuries to the reproductive organs, urinary tract, or spinal injury. This legislation says counseling and advanced treatments like in vitro fertilization (IVF) should be covered not only for the veterans, but their spouses as well. Surrogacy costs will also be covered under the bill.
Throughout the year, the American Society for Reproductive Medicine (ASRM) and RESOLVE: The National Infertility Association, have urged members of the infertility community to help renew the Adoption Tax Credit and Family Act of 2011.
Is your New Year’s Resolution to quit smoking? If so, we’ve got some information to help you stick to your resolution.
According to the recent guidelines released by the Practice Committee of the American Society for Reproductive Medicine, approximately 30% of women and 35% of men of reproductive age in the US smoke cigarettes. Despite all we know regarding the harmful effects of tobacco on health, many fail to recognize that there are also reproductive risks associated with smoking, both with sperm quality in men- density, motility, and possibly morphology- and also ovarian reserve in women.
Men, if you're a serious cyclist, you may want to downgrade your level of participation to recreational if you and your partner are trying to get pregnant. A new study out of the UCLA School of Nursing found that serious leisure male cyclists may experience hormonal imbalances that could affect their reproductive health.
"Although preliminary, these findings warrant further investigation to determine if specific types of exercise may be associated with altered sex hormone levels in men that could affect general health and reproductive well-being," says Leah Fitzgerald, Ph.D., FNP-BC, assistant professor at the School of Nursing and senior author of the study, which was published in the European Journal of Applied Physiology.
While many have theorized that cycling can affect male fertility because increased scrotal temperature can reduce sperm production, researchers at UCLA investigated the association between exercise intensity and circulating levels of the reproductive hormones, such estrogen and testosterone, in serious leisure male athletes (triathletes and cyclists) and recreational athletes. There were 107 healthy male athletes, ages 18 to 60, who participated and filled out the International Physical Assessment Questionnaire to obtain an objective estimate of time spent participating in different levels of physical activity and inactivity during the previous seven days. The researchers divided the participants into three groups — 1) triathletes, 2) cyclists and 3) recreational athletes.
Wednesday, April 25, is a key event during National Infertility Awareness Week (NIAW) — Advocacy Day. Don't ignore this day. This is the day to make your voice heard on the politics of infertility. It's your time to say to elected representatives: "Don't ignore infertility."
Maybe you're not political. Maybe you're not infertile. Maybe you're wondering why you should care about the politics of infertility at all.
Here's the reason. Look around at your next dinner party. Chances are, you or a couple seated at your table has experienced infertility. According to RESOLVE: The National Infertility Association, one out of eight U.S. couples of childbearing age has been diagnosed with infertility.
The politics of infertility is the politics of many things: reproductive freedom, health care economics, health care access, and treatment and recognition of a disease. Infertility is experienced by men and women of every race, ethnicity and socio-economic level. Infertility is recognized by the medical community as a disease, and its effects can be devastating — physically, psychologically and financially.
FertilityAuthority is pleased to honor Darshana Naik as Fertility Nurse of the Month. Naik is the Nurse Manager for the A.R.T. Institute of Washington in Washington, DC.
The Path to Fertility Nursing
Born in England, Naik received her nursing degree from North London School in Health Studies. "I received my education in The United Kingdom and moved to the United States in 1994," Naik says. "I started on a medical unit to get my feet wet with nursing in the states."
Naik had always had an interest in women's health, particularly gynecology and reproductive medicine. "Once I got an opportunity to move into gynecology, I took it," she says "I have been in the field of Infertility for the last 15 years. Infertility just fell at my door step, and I have never looked back."
Join RESOLVE in DC on May 5 to advocate for infertility
How many people do you know with infertility? Chances are, more than you think you do. One in six women and their partners has infertility — which is defined as the inability to conceive or carry a pregnancy to term.
Infertility is a very personal and private struggle for most. There is what has been described as a “collective silence” when it comes to infertility.
RESOLVE: The National Infertility Association is trying to change that. On May 5, RESOLVE staff, volunteers and advocates will meet with their legislators in Washington, DC. The message they are bringing? Congress can make a difference by making fertility treatment more accessible and by strengthening the federal commitment to infertility research. In addition, RESOLVE supports a bill that would create a tax credit for the out-of-pocket costs incurred for the medical treatment of infertility. The organization is working closely with legislators in both the House and Senate on draft bill language.
Some of Reproductive Medicine’s most exciting advances have come in the area of preservation of female fertility. It is an area of utmost importance to women of reproductive age who have developed a cancer or disease that threatens their ability to have children in the future.
Preserving Fertility Important to Many Cancer Patients
A therapist or support group can help you cope with infertility
Going through infertility treatments can be physically and financially exhausting. But as many couples know, the IVF process can create a heavy emotional burden as well. Couples may feel their relationship begin to waver, as disagreements arise about the cost, time, or extent of infertility treatments. Furthermore, couples may find themselves blaming either themselves or their partner for failure to conceive, which can stress an already wavering relationship even more.
Aside from insurance, infertility treatment financing options exist
Infertility treatments can place not only a physical and emotional toll on couples, but also a financial one as well. For many couples trying to conceive, the cost of IVF treatments can be daunting. Many look to their health insurance companies to shoulder some of the cost.
Surrogacy in Washington, D.C. For some women who cannot conceive a child or carry a pregnancy to term surrogacy can be welcome option for having a child. In surrogacy, a woman carries and gives birth to a child for another woman or a couple.
Number of donor egg cycles and live births at Washington, D.C. fertility clinics
The following data, from the Assisted Reproductive Technology Report published by the Centers for Disease Control and Prevention (CDC), detail the number of donor egg IVF cycles Washington, D.C. fertility clinics and the number of live births.
When choosing a fertility clinic, researching success rates is an important step. Each year, every fertility clinic is required to submit its IVF success rates to the Centers for Disease Control and Prevention (CDC). This information is compiled into a report called the Assisted Reproductive Technology Report. It takes three years for the CDC to complete this report.
What to look for in a Washington, D.C. fertility clinic
There are four fertility clinics based in Washington, D.C., and others with offices in the city. Approximately 15 fertility doctors treat people struggling with infertility in that area. These fertility doctors are associated with either independent fertility clinics or hospitals and universities.
There are approximately 15,000 people with infertility in Washington, D.C. If you are a female under 35 who has been trying unsuccessfully to conceive for over one year, or 35 or older have been trying to conceive for six months, you should switch from an obstetrician/gynecologist to a fertility doctor, called a reproductive endocrinologist (RE).