Many people fail to realize the correlation between overall health and fertility. Infertility is often a symptom of an underlying medical problem, even at a young age. In honor of Men’s Health Month this June, Fertility Authority is raising awareness of men’s health and fertility, including ways to improve sperm quality and quantity and treatment options for addressing male infertility.
One of the biggest shifts in IVF approaches is the number of embryos transferred during a cycle. In the beginning, multiple embryos were transferred. At that time, the belief was that transferring multiple embryos increased the chance of pregnancy. Modern research alters that thinking, by proving that the number of embryos transferred has no effect on pregnancy rates. Transferring multiple embryos does increase the chance of having a multiple pregnancy, which increases the risk to both mother and child. Knowing the importance of single embryo transfers can help you to have informed conversations with your fertility care team.
Young women have a number of decisions to make about their own fertility. When a woman is not ready to have a child, fertility preservation provides a way to ensure that she’ll have her own eggs available in the future. Another consideration, is helping other couples through egg donation. While the processes are similar, the goals are different. There are a few things to keep in mind when considering egg freezing vs. egg donation.
There’s a lot in the media, including here on FertilityAuthority, about the shift toward frozen embryo transfer in IVF. Proponents, and some studies, say transferring a vitrified, thawed embryo best mimics a natural cycle and results in higher pregnancy rates than fresh IVF transfer.
In a recent retrospective cohort study, researchers at Weill Cornell Medical College looked at data of all patients undergoing a fresh IVF cycle and a subsequent frozen IVF cycle over a 13-year period. They sought to determine whether there are any predictors of the likelihood of success in a frozen embryo transfer after failure to conceive in a fresh embryo transfer.
A recent study set out to determine, “Do chromosomally normal embryos implant at a higher rate in a fresh IVF cycle or in a frozen/thaw IVF cycle?” Patients who underwent IVF with comprehensive chromosome screening (CCS) and had one or more euploid (normal) embryos for transfer from September 2010 to March 2015, were included in the study conducted by Reproductive Medicine Associates of New York (RMA of New York). The data revealed, “An optimal outcome is achieved by the performance of single embryo transfer in frozen/thaw cycles.”
A sperm DNA fragmentation assessment can help determine appropriate fertility treatment in infertile men with normal semen parameters who have a failed IUI cycle. A recent study by Weill Cornell Medical College analyzed the efficiency of different fertility treatment methods by comparing pregnancy rates between normal and abnormal sperm DNA fragmentation cohorts in relation to IUI, IVF and IVF with ICSI. The researchers determined, “For men with compromised sperm DNA fragmentation in their ejaculate, ICSI confirms to be the best insemination method with ejaculated sperm. For men who have compromised sperm nuclear DNA that failed ICSI, a testicular sampling yielded superior clinical outcome.”
A recent study sought to investigate if intracytoplasmic sperm injection (ICSI), increases IVF success in patients with endometriosis.
Researchers analyzed the fertility treatment cycles of 221 patients with a confirmed endometriosis diagnosis, compared to 150 patients with unexplained infertility. In the endometriosis group, 124 patients had standard insemination, and 97 patients had ICSI. The ICSI group had a higher percentage of day 5 transfers, a higher clinical pregnancy rate and a higher live birth rate than the insemination group.
The implantation rate of slower developing blastocysts (day 5 embryos) is a result of asynchrony of the embryo and the endometrium, not the quality of the embryo, according to data presented by Reproductive Medicine Associates of NY (RMA of NY). However, the implantation rate is improved if the slower developing embryos are frozen, then thawed and transferred to a well-prepared, controlled uterine environment.
The role of preimplantation genetic screening (PGS) in egg donor IVF has been unclear, according to Dr. John Zhang. While success rates using donor egg are generally high because donors are young, a large number of embryos are reported to be aneuploid (abnormal) – as many as 53%. So Zhang and researchers at New Hope Fertility Center looked at 81 egg donation cycles to determine whether PGS would be effective. In the study, 31 patients had PGS and transferred euploid (normal) embryos and 50 did not have PGS on the embryos transferred. The PGS group had a higher implantation rate (72.3% vs. 49.1%) and a higher clinical pregnancy rate (72.5% vs. 46.1%).
A recent study compared the efficacy of two types of preimplantation genetic screening (PGS) used with IVF and single embryo transfer: next generation sequencing (NGS), and array Comparative Genomic Hybridization (aCGH). The researchers determined that clinical and ongoing pregnancy rates are comparable.
PGD and Frozen Embryo Transfers yield higher pregnancy rates than fresh embryos! What is FET? What is PGD? “The problems with IVF are pretty well known: pregnancy rates are not as good as they should be".
Egg freezing for fertility preservation in combination with preimplantation genetic screening (PGS) results in high live birth rates and allows for single embryo transfer regardless of a woman’s age, according to a recent study published by NYU Fertility Center.
A recently published study set out to answer the question, “How many frozen eggs does it take to have a baby?”
“We looked at 160 cycles of women using their own eggs that they had previously frozen for fertility preservation,” says Dr. Nicole Noyes, a reproductive endocrinologist at NYU Fertility Center and co-director of NYU Fertility Center's Oocyte Cryopreservation (Egg Freezing) Program. “We looked at the pregnancy rate by age and looked at how many eggs you needed to achieve 100% pregnancy rate.”
Testing ovarian reserve - the quality and quantity of a woman’s eggs - can help you decide whether you should consider pregnancy sooner rather than later, if you should freeze your eggs, or whether fertility treatment may be successful. There are three tests that doctors use to predict ovarian reserve: FSH, AMH, and AFC.
For many couples who have had a child in the past, the thought of secondary infertility comes with strong feelings of denial. They often believe that because they have one child already, they must be fertile. However, there are many factors, including age, uterine abnormalities, or effects of reproductive surgery that can impact your ability to have another baby
Celebrating your own mom may work, but if not, take a day for yourself
Sunday is Mother’s Day. Unlike Valentine’s Day, which focuses on the couple, this commercialized day can be one of the hardest days for a woman coping with infertility.
“Mother’s Day can be a double whammy,” says Andrea Mechanick Braverman, Ph.D., a Pennsylvania health psychologist who specializes in infertility counseling. “Another anniversary of a year gone by without a baby — and a holiday that specifically excludes you.”
It is not uncommon to hear your doctor talk about “egg quality”. If you have frozen your eggs, you have likely heard that egg quality decreases with age and varies from person to person. When we characterize eggs as “good”, we usually are referring to the number of chromosomes the egg contains. As a woman gets older, her eggs have a harder time maintaining the correct number of chromosomes when combining with sperm. However, even in young, healthy women, all of the eggs they make are not necessarily “good” (i.e., chromosomally normal). So, how can you be reassured that you froze some “good” eggs?
FSH is no longer the standard by which to gauge a woman’s ovarian reserve or predict successful outcome with fertility treatment. This, according to Dr. David Seifer, Co-director of Genesis Fertility and Reproductive Medicine in Brooklyn, NY. In an article published in Fertility and Sterility, he and Dr. James Toner makes the case that AMH, Antimullerian Hormone, is a more informative and better test than FSH, Follicle Stimulating Hormone.
Think Diminished Ovarian Reserve means your eggs are bad? Dr. Owen Davis of the Center for Reproductive Medicine at Cornell says there is a big difference between quality and quantity when it comes to ovarian reserve and chances for IVF success.
In a standard IVF cycle, a woman’s ovaries are stimulated with fertility drugs to produce multiple follicles. Mature eggs are retrieved, fertilized in the lab and a resulting embryo or embryos are transferred back to the uterus. Not only are there IVF protocols using different fertility drugs and additional procedures (PGS, ICSI) there are variations on standard IVF, including IVM, in vitro maturation.
A study presented this week at the International Federation of Fertility Societies (IFFS) and American Society for Reproductive Medicine (ASRM) joint conference examined motivations behind fertility preservation; what drives women to freeze their eggs (an elective procedure)?
Infertility is often a symptom of an underlying health condition. For women, conditions like PCOS or Hypothalamic Amenorrhea result in anovulation and could be indicative of endocrine system hormone imbalances. Sometimes balancing diet and exercise can restore a woman’s menstrual cycle.
As it turns out, this concept also applies to men. Male factor infertility is responsible for about half of all infertility cases, and as many as 40% of infertility cases are the combined result of both male factor and female factor infertility. It is important for men and couples to be educated on male factor infertility and to seek an evaluation to rule out hormone imbalances resulting from poor diet and lack of exercise, cancers, or other underlying health conditions which manifest through poor sperm quality or quantity.
There seems to be a direct correlation between the number of celebrities talking about their infertility struggles and the greater acceptance of IVF and fertility treatment. For years, couples have kept their visits to the fertility doctor under wraps due to the taboo of being labeled ‘infertile’. With the timing of Jimmy Fallon’s announcement that daughter, Winnie Rose, was born via surrogate after nearly five years of infertility treatment, miscarriage, and heartache, fertility treatment discussions have become all the rage!
Some fertility clinics are manipulating their reported IVF success rates, according to a study recently published in the journal Fertility & Sterility. Dr. Vitaly Kushnir, a reproductive endocrinologist with the Center for Human Reproduction in New York City, analyzed fertility clinic data from 2005 to 2010 which was reported to the Centers for Disease Control and Prevention (CDC) as mandated by law, and reported to the Society for Assisted Reproductive Technology (SART) voluntarily.
A gestational carrier bears a pregnancy that is not biologically related to her. One or more embryos, created from the intended mother’s eggs or donor eggs and sperm from the intended father or a sperm donor, is transferred into the uterus of the gestational carrier similar to a traditional embryo transfer in IVF. The gestational carrier will relinquish all rights to the child at birth as is detailed in a gestational carrier agreement. However, gestational carrier agreements are not legal in all states making custody and parental rights a bit murky.
Laparoscopy and hysteroscopy are two minimally invasive surgical procedures used in the diagnosis and treatment of certain female factor infertility conditions. For fertility patients with a suspected diagnosis of endometriosis, fibroids, or polyps, or for those with a history of pelvic infection, laparoscopy and hysteroscopy can be used simultaneously to ascertain the state of the uterine cavity.
In many traditional in vitro fertilization (IVF) protocols, the fertility patient is instructed to take oral contraceptive birth control pills to suppress natural hormones. This creates a “blank slate” for ovarian stimulation to take place and allows fertility doctors to have the most control over the course of an IVF cycle. However, new findings suggest that taking birth control as part of an IVF cycle may actually reduce the quantity and quality of eggs retrieved.
Fertility clinics are mandated by the CDC to report the success of their in vitro fertilization (IVF) cycles each year. The CDC Assisted Reproductive Technology report containing these success rates takes approximately three years to compile. In addition, the Society for Assisted Reproductive Technologies (SART) and other resources like IVFreports.org aim to present accurate data which represents clinic success rates on the same plane. Although success rates are not intended to be a basis for comparison between fertility clinics, some would suggest that success rates provide a window into the operation of the clinic’s IVF lab. Many times these success rates are difficult for the layperson to interpret, however, so fertility patients should understand what each report says and the data most helpful for choosing their fertility clinic.
A diagnosis of unexplained infertility can be frustrating to say the least. You’ve tried to conceive on your own for several months and just when you think your fertility doctor is going to find the cause of your inability to get pregnant, test results come back with no known cause, or unexplained infertility.
A recent study out of Turkey suggests that women diagnosed with unexplained infertility might actually have an underlying case of endometriosis that was initially missed. The cases of six hundred women diagnosed with unexplained infertility between 1995 and 2008 were examined. Laparoscopy was performed on all 600 women during the follicular phase, in which eggs begin to grow and endometrial tissue builds up. Results indicated that 15% of participants actually had endometriosis, while another 20% suffered from pelvic adhesions, or scar tissue that can result from endometriosis. A French study, published in the European Journal of Obstetrics & Gynecology and Reproductive Biology discovered that by using laparoscopy, 72 of 114 patients initially diagnosed with unexplained infertility were identified as having endometriosis.
In vitro fertilization (IVF) is considered one of the most advanced technologies for helping a couple with infertility to build their family. IVF can be performed with the intended mother’s own eggs, donor eggs, the intended father’s sperm, donor sperm, or even donor embryo. For fertility patients using their own eggs, there are a few different types of IVF protocols and your fertility doctor will design a treatment plan that best addresses your fertility diagnosis.
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.
March is Endometriosis Awareness Month, a time when women should be informed that painful periods may be a sign of a significant, fertility disrupting disease.
Endometriosis is characterized by growth of endometrial tissue outside of the uterus. It can attach to the ovaries, bowels, or bladder and can cause severe pain and irregular bleeding which impact a woman’s quality of life on a daily basis.
Fertility clinics in the United Kingdom routinely turn down egg donors with a history of bipolar disorder, according to a recent news investigation. Guidelines from the Human Embryology and Fertilization Authority in the UK state that prospective donors should not be accepted into the egg donor program if “they are known to have a particular gene, chromosome or mitochondrial abnormality that, if inherited by any child born as a result of the donation, may result in that child having or developing a serious physical or mental disability”. However, there is not currently a government ban on accepting eggs from women with the disorder and the guidelines are enforced on a clinic by clinic basis.
Fertility patients in the United States who are considering a donor egg in vitro fertilization (IVF) cycle might have similar concerns about the physical health and psychosocial history of their prospective donor.
In a recent study led by Dr. Norbert Gleicher, Medical Director and Chief Scientist at Center for Human Reproduction in New York City, it was determined that low androgen levels are associated with diminished functional ovarian reserve in women of all ages.
Important information for New Yorkers using donor egg to have a baby
Many women or couples turn to egg donation as a way to achieve their family-building dreams. The latest ART Report, details the number of egg donation cycles performed at fertility clinics in and around New York City, including the number of fresh and frozen donor egg cycles.
Now that you have been trying to get pregnant for a year or more (if you are under 35) or six months or more (if you are over 35), you know it is time to explore your options with a New York fertility doctor or New York fertility clinic. You probably have friends who have seen a fertility doctor for in vitro fertilization (IVF), so you first inclination is to ask them or your gynecologist for a referral.
Our bodies contain genes called Human Leukocyte Antigen (HLA) genes which help the immune system to distinguish between the body’s own proteins and proteins of a virus or bacteria. When a foreign protein is detected, our immune system kicks in to defend us, as in the instance of having a cold or the flu.
Some couples trying to conceive may be diagnosed with immunologic incompatibility, or allogeneic issues, which are detrimental to their fertility.
The costs of fertility treatment vary across the country, with the cost of in vitro fertilization (IVF) averaging around $12,400 per cycle, and intrauterine insemination averaging around $1,000 per cycle. IVF costs range from $7,000 upwards of $13,000 in New York City. However, this cost can fluctuate based on the cost of additional procedures like intracytoplasmic sperm injection (ICSI) or preimplantation genetic diagnosis (PGD), fertility drug costs, fees associated with donor eggs or donor sperm, and any laboratory or facility fees. Fortunately for fertility patients in New York City, New York is one of 15 states with mandated infertility insurance coverage. There are also financing options to offset costs not covered by insurance.
Where should you go to freeze your eggs in New York City?
For some women, it just isn’t the right time to build a family. Whether you’re facing medical treatment that may harm your egg quality, or you are focusing on other endeavors before trying to conceive, egg freezing might be a good option for you to preserve your fertility.
Dr. Rosenwaks is a well-known fertility doctor at a well-known New York City fertility center. His reputation precedes him as a clinician, a researcher, an educator, a lecturer and an author. For his outstanding contributions to the field of infertility, we are pleased to honor Zev Rosenwaks, MD, as FertilityAuthority's Doctor of the Month.
For a woman over 35 diagnosed with infertility, it is troublesome to think that you are not only racing against your biological clock, but your efforts to conceive a child are now further muddled by your diagnosis. It is only natural to hope for success with minimal intervention.
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.
NEW YORK, Nov 27, 2012 -- FertilityAuthority.com recently received a Gold award in the 2012 eHealthcare Leadership Awards. This leading awards program exclusively recognizes the very best websites and digital communications of large and small health care organizations, online health companies, pharmaceutical/medical equipment firms, suppliers and business improvement initiatives.
Couples who have a history of recurrent miscarriage or unsuccessful in vitro fertilization (IVF) cycles may consider genetic testing for getting some answers.
Approximately 20% of pregnancies end in miscarriage and more than 50% of those are due to genetic abnormalities with the embryo. Known genetic disorders in either parent or recurrent miscarriage, usually more than 3 consecutive miscarriages, are cause for further examination.
NEW YORK--FertilityAuthority, the world’s largest web portal dedicated to all things fertility, has launched a new website — EggFreezingCosts.com — devoted to educating young women about their egg freezing options and referring them to trusted fertility doctors and fertility clinics for the procedure. The free egg freezing referral service connects women interested in fertility preservation with the egg freezing experts in their local area.
What women who are trying to conceive need to know about endometriosis
Studies show that 25 to 50 percent of infertile women have endometriosis, and that 30 to 50 percent of women with endometriosis are infertile. In September 2012, the American Society for Reproductive Medicine (ASRM) updated its Practice Committee Opinion on endometriosis and infertility.
New York fertility doctor: Do you know when you need to see one? Women who have difficulty conceiving may wonder when they should make an appointment with a reproductive endocrinologist, commonly referred to as a fertility doctor. Current guidelines recommend that women under the age of 35 should make an appointment with a fertility doctor after trying without success to conceive for one year. Women over the age of 35 should only wait six months.
If you are looking for a New York fertility clinic, you have plenty of options. There are a total of 18 fertility clinics in New York City and surrounding boroughs, and an additional 14 fertility clinics located throughout the state of New York. Some of the clinics are independently-run, while others operate in conjunction with area hospitals or universities.
Live IVF birth rates for the New York metropolitan area
There are many fertility clinic options in New York city and surrounding boroughs. Choosing one may seem rather difficult.
One way to begin comparing the fertility clinics is to look at their success rates. Fertility clinic success rates for New York City fertility clinics, as well as for clinics across the United States, can be found in the Assisted Reproductive Technology (ART) Report.
The ART Report, which is compiled by the CDC, lists success rates for every fertility clinic in the United States for IVF procedures using fresh and frozen non-donor eggs, and fresh and frozen donor eggs. The success rates for non-donor egg IVF cycles are broken out by age group.
The following data, from the most recent Assisted Reproductive Technology Report published by the Centers for Disease Control and Prevention (CDC), detail the number of donor egg IVF cycles and the number of live births at New York City area fertility clinics.
Therapy can help you navigate your infertility diagnosis and treatment
As you begin your infertility treatments, you may find they bring with them emotional along with physical struggles. You may find yourself experiencing a wide range of emotions, something switching back and forth between them. Some days you may feel anger or depression, while you may be weighed down with guilt or hopelessness on others.
Women with extremely low ovarian reserve may be told that their only hope for a successful pregnancy and birth is by using a donor egg; however, sometimes this is not the option they want to choose. There can be, however, other options for these women. In fact, the Center for Human Reproduction (CHR) recently earned international recognition for its paper analyzing IVF success rates in women with low (AMH) levels. The paper received the Austrian Hugo Husslein Prize, which is awarded biannually by the Austrian Society of Obstetrics and Gynecology.
One of the most frustrating things a couple experiencing trouble getting pregnant can hear is that their diagnosis is "unexplained infertility." Up to 30 percent of infertility patients will receive this diagnosis, which simply means the couple has had a standard infertility evaluation and the results come back normal.
But how can infertility be unexplained? Isn't that counterintuitive to other health issues where you delve deeper until you find the cause?
"We don't believe in the diagnosis of unexplained infertility, which according to the literature is the diagnosis that roughly up to a third of all infertile patients carry around with them," says Norbert Gleicher, M.D., a fertility doctor and medical director of the Center for Human Reproduction (CHR). "We never see a patient where we don't find the cause of infertility, and it's not often that we can say 'never' or 'always' in medicine, but I can tell you we practically have never seen, in recent years, a patient where we have not been able to find the probable cause for infertility."
Gay prospective parents face a host of questions — logistical, legal, practical and emotional — when exploring the options of in vitro fertilization (IVF), egg donation, sperm donation and surrogacy. As European interest in American fertility clinic options grows, new and different questions arise.
The Practical Concerns of Americans
In America, gay prospective parents' questions and concerns run to more practical considerations, according to Michael Doyle, M.D., medical director of Connecticut Fertility Associates. Rarely do they have have concerns about international law, going through customs or a baby being taken away at the airport. In addition, many of the emotional considerations have been dealt with.
"The LGBT community that accesses these services are living very out and proudly and are usually in communities that are supportive," Dr. Doyle says. "They've usually processed 'what is it going to be like to be a gay parent,' 'how is my kid going to be accepted'? I think the issues are much different. They're more focused on cost and efficiency and effectiveness. They're not grappling with being a pioneer. They usually have much more practical concerns: 'Can we use a shared cycle?' Their questions tend to be those kind of medical things."
Quite often, the reason a woman chooses to delay childbearing is blamed on a high-powered career, but a new Canadian study finds that is not the case. In fact, less than a third of women of the 1,000 women surveyed in the study, published in the Journal of Obstetrics and Gynaecology Canada., cited career goals as the reason for deferring motherhood.
In Canada, 11 per cent of first births now occur in women aged 35 and older. In the United States, around 20 percent of women have their first child after age 35. "I have definitely seen numbers as high as 20 to 25 percent of women are waiting," says Alan Copperman, M.D., a fertility doctor and co-director of RMA of New York. "Both men and women of today would like to experience all that life has to offer, and whether that's being able to travel, whether that's having a fulfilling a career, or whether that's a couple that wants to spend some time with each other first and then have a child, I think that there really is the desire for men and women in their 20s, 30s and 40s to try to do everything."
Elective egg freezing is a technology that has come a long way and holds great future promise for women who want to preserve their fertility and/or need to delay childbearing for social or medical reasons. However, technology hasn't been able to make older eggs young again ... yet. And women who wait too long to explore egg freezing as an option for fertility preservation have less success at achieving a pregnancy.
Eggs Frozen when a Woman Is Older Less Likely to Result in Pregnancy
Research presented at the annual meeting for the American Society for Reproductive Medicine (2011) highlighted the problem of women waiting too long before deciding to freeze their eggs. A team from Reproductive Medicine Associates of New York (RMA) found that most women interested in freezing their eggs waited until they were in their mid-to-late thirties (37 to 39), a time when they are already experiencing the natural decline of their fertility. The scientists analyzed raw data from 26 studies conducted between 1986 and 2010 that reported on IVF/ICSI pregnancies from mature frozen eggs. The analysis included 1,990 cycles using eggs frozen with a slow-freezing protocol and 291 cycles using vitrified eggs.
With a photoshopped cover of a 63-year-old model striking a Demi Moore pose, New York Magazine’s"Parents of a Certain Age" article raised important points and set off a national debate over when is a woman too old to have children.
Unfortunately, in today’s economic and social climate, when many women are ready to be mothers, their bodies are not as young and fertile anymore. U.S. births fell from 4.37 million in 2007 to 4.01 million in 2010, and from 2007 to 2010, the U.S. total fertility rate fell 10 percent — to below two births per woman. However, Americans still believe that two or more children is ideal, according to a new study, “The Sustainable Demographic Dividend: What Do Marriage & Fertility Have To Do With the Economy?"
The study found that among developed countries, over the next two decades, the United States will be one of the only countries to maintain fertility levels close to the replacement level of 2.1 — but only if the U.S. economy does not stagnate or fall back into recession. “Even though couples and women are having fewer children today because of the fallout associated with the recession, most Americans of childbearing age think that having two or more children is ideal,” said Dr. Sam Sturgeon, director of research for Demographic Intelligence, LLC, a provider of U.S. birth forecasts and U.S. fertility analytics for companies.
Much attention is focused on the growing rates of obesity and how it affects a woman’s fertility. However, recent research and health care professionals are shedding light on the impact of eating disorders such as anorexia and bulimia, which affect as many as 10 million women in the United States alone, according to the National Eating Disorders Association.
CGD, a blogger for FertilityAuthority, is a psychologist in private practice in New York City specializing in the treatment of eating and addictive disorders. "In my experience, medical professionals fail to raise issues related to fertility with eating disorder patients, even when symptoms such as amenorrhea are present,” she says. “Clearly, current medical stability is of primary concern; however infertility is typically glossed over when discussing long term health concerns, leading patients to believe that they have little to worry about in terms of their long term fertility."
Even though success rates for in vitro fertilization (IVF) have greatly improved over the years, the disparities have actually increased among different races and ethnicities. Now researchers at a New York City fertility clinic have found that IVF success rates are related to specific genotypes (the genetic makeup of individuals), and they suggest that a genetic predisposition toward autoimmune disease may be the cause for lower IVF success rates among women of African descent.
The specific genotype — FMR1 gene sub-genotype het-norm/low — is found in higher rates among African American women. “The association of FMR1 genotypes and risk for autoimmunity presents evidence that autoimmunity may be associated with lower pregnancy rates in IVF in general,” says Norbert Gleicher, M.D., one of the study’s authors and Medical Director of the Center for Human Reproduction, a New York, NY, fertility clinic. “Autoimmunity may, thus, also be at least partially responsible for the racial/ethnic disparities in infertility prevalence and treatment outcomes.”
This month’s legal update focuses primarily on a recent decision by the Minnesota Court of Appeals involving a dispute between a traditional surrogate and same-sex male intended parents. New rules regarding hospital visitation created by the federal Department of Health and Human Services in response to an executive memorandum by President Obama will also be examined. The update concludes with an item about same-sex male couples interested in surrogacy in the United Kingdom.
Infertility industry professionals and infertility patients came out Tuesday night to celebrate their peers at the 13th Annual Night of Hope in New York City. Presented by RESOLVE: The National Infertility Association and hosted by Alisyn Camerota, co-host of FOX & Friends, the Night of Hope celebrated leaders in advocacy, nursing, innovation and service to the infertility community.