I’m very excited..I posted many of your questions to Dr Geoffrey Sher, Here are his Bio
Awards & Accomplishments
– 30+ years experience with In Vitro Fertilization
– Founder of the first private IVF Clinic in the US
– Influential in the births of more than 18,000 babies
– Trained under Patrick Steptoe and Robert Edwards, the “Fathers of IVF”
– Internationally renowned authority on immunologic causes of infertility
– Pioneer of many “firsts” in the field of IVF
He is located in Las Vegas NV…
So Fridays will be ” Answers from Dr Sher” I want to do this for a long time , so I need questions from all of you……
So Let’s Talk Infertility: 1st question?
Why after a loss- Does it take so long to get cycle back and why is it so different than before. AF (Aunt Flo)longer and O (Ovulation) is much later?
Dr. Geoffrey Sher – August 4, 2016 reply
After a pregnancy the central control over hormonal cyclicity can take a while (usually up to 2 months to reinstate.)
#AGEMATTERS35 : Why Don’t Doctors Tell Patients That Age Matters ?
07/12/2016 07:33 am 07:33:26
Lynn M. Collins Lynn M. Collins is an author of Sperm Tales , andrologist, and fertility consultant.
After listening to a news story from Australia about how fertility specialists are not telling over 40-year-old patients the real chances of having a child, I was disturbed to find out that added-on procedures to an IVF are being performed with absolutely no studies being tested to show that they work. For example embryo glue, which is a product that can be used to help the embryo stick to the uterus, is being used. Does it work? Are patients being charged for false hope?
There are some Medicare rebates for IVF procedures in Australia but there is still cost to the patients. So many couples are having over six IVF procedures and still not pregnant. One specialist mentioned a patient went through over 37 IVFs before having a child. Fertility treatments not only cause stress with the cost of IVF but also there’s emotional stress to couples ― depression, guilt, blame ―the list goes on and on. The show, “The Baby Business,” said that a woman at the age of 43 has less than 3% chance of having a live birth. True this was from Australia but the statistics are not far off in other countries. It’s standard knowledge that a women trying to conceive in her 40’s has an extremely low chance of having a live birth with her own eggs. When specialists are asked the main cause of infertility, the answer is “AGE.” Fertility for women starts dropping very quickly at the age of 35. (#AGEMATTERS35)
Society and lifestyles have changed for women but the number of eggs they are born with haven’t changed and as time goes on the quality and number drop.Women go off to college, find work in their careers, travel, etc., but often times delay the time for having children. Unfortunately, many women don’t stop to think about the real meaning of “the clock is ticking,” which is that the perfect time to conceive is between the ages of 18 – 29. Remember: the older the eggs, the harder it is to get pregnant.
The desire to have one’s own biological children can be strong and compelling, the effects of infertility for individuals and couples who are unable to conceive can be devastating. Treatments of infertility can be medically invasive and may cause discomfort or be associated with health problems for women, men and the resulting children.
The CDC has developed the National Public Health Action Plan for the Detection, Prevention and Management of Infertility. Given the goal of public health to reduce disease, premature death, injury and disability through prevention and health promotion, preventing infertility and results associated with its treatment are important concerns.
The plan is to promote healthier behaviors that can maintain fertility. It is also to help educate, promote prevention and early detection and treatment of medical conditions that threaten fertility, reduce exposure to environmental, occupational, and infectious agents that can threaten fertility.(1)
A large part is to educate our young women when to have their family. I am not saying to run out, find Mr. Right and get pregnant, but keep this all in your mind. In my book, Sperm Tales: An Informative Guide Through the Challenges of Infertility. Inchapter one, When Do I Have My Baby, Now orLater? it reviews an article in Newsweek 2001, about different women who pondered when they wanted to start their families, most of which chose to put it off for several years.
Some were at the height of their careers, others were traveling or going to graduate school. They had no social life and felt that this wasn’t the right time to have children. One woman who was in medical school knew she was pushing the biological time clock. Even so, she felt that the advancement in technology would help her conceive by the time she was ready.
Another woman found her “Mr. Right”at the age of 42 and decided then she wanted to start her family, thinking if movie stars can get pregnant at 40, why can’t I? (Movie stars don’t tell you, there is a good chance they are using donor eggs.) Over the next few years this woman and her husband tried to conceive naturally with no success. They went to a fertility specialist and in time, were able to conceive, but then miscarried. She was devastated. She could not have imagined she would have such a problem conceiving. She asked herself, “What did I do? Did I wait too long to start trying?” To make matters worse, she had spent over $3,000 for the first month of injectable medications.(2)
The general misunderstandings and misguided assumptions about the process are often made worse by the hesitancy of some doctors to mention the topic of age to their younger patients. The above-mentioned Newsweek article highlights that many physicians choose not bring up fertility plans to women under 35 unless the patient herself initiates it. The reasons for this include the idea that some doctors assume that women are aware of the issues related to their fertility or they fear that if it’s brought up might cause them distress or encourage them to make a premature decision to have a child before they are ready. As it is, when a woman visits her OBGYN for the first time the physician usually will ask if the patient is sexually active and if she is using birth control.
In a recent poll, 52% of women over the age of 35 would have made different decisions with better fertility education in their younger years. The new norm is 20% of women having their first baby at 35-45 years of age which has no guarantees and that also includes infertility treatments and higher risks.
Women are very proactive in situations once they have all the major elements to see the big picture, and education is key. My book Sperm Tales: An Informative Guide Through the Challenges of Infertility is an attempt to help patients start an Infertility program on time and to heighten the chance for success, and also to educate young people to keep a clear head about this harsh reality as they plan their lives, families and careers.
In closing, I think it is so important for OBGYN’s to bring up the conversation of fertility or like Resolve said at National Infertility Awareness Week (NIAW) this past April 2016 ― “#Start Asking!”
1 National Public Health Action Plan for the Detection, Prevention and Management of infertility, CDC, June 2014
2 Claudia Kalb, “The Truth about Fertility,” Newsweek August 13, 2001.
Lynn M. Collins was trained in the Infertility field at Brigham and Women’s Hospital in Boston, MA and later set up and worked for more than 10 years at an Infertility Lab and Sperm Bank in Massachusetts. Collins draws on her experience as a laboratory supervisor for a leading national sperm bank and manager for a multi-million dollar infertility laboratory. She is the author of Sperm Tales: An Informative Guide Through the Challenges of Infertility, website: http://www.infertility-tales.com/ Lynn lives in New Hampshire with her husband Kevin,black lab Shamus and cat Trapper John.
Edited by Skye Wentworth, Book Publicist, website: http://skyewentworth.org/wordpress/
We hear a lot about how infertility affects women’s emotional well being and less about how it affects men. It’s important that we pay some special attention to how men’s lives are impacted by the disease, especially when, according to the Centers for Disease Control, suicide is the 7th leading cause of death for all men in the United States and there are 4 times as many deaths to suicide for males than females. Read more on the link……
Lynn Collins will be teaming up with Paula Wilson, Registered Yoga Instructor
Lynn will read from her book Sperm tales – An Informative guide through the challenges of Infertility. The CDC says 1 in 8 couples are infertile. Lynn will read selections from her book and be on hand to answer questions and sign copies of the book.
Paula Wilson has been a Registered Yoga Teacher since 2004 and has taught Yoga to people of all ages and abilities, including adults, seniors, children, pregnant women and even special needs students
Paula struggled with infertility for 5 years before having 2 beautiful children. She feels Yoga helped her on her long journey to having children. She taught and practiced throughout both of her pregnancies, which helped with stress, anxiety, and even labor and delivery. Yoga also kept her flexible and in great shape as well.
For free classes:
Anyone who attends the event can take 1st Yoga class free at the Merrimac library with Paula Wilson, Registered Yoga Teacher from May – August and the can enter a raffle to win 3 additional FREE Yoga classes with her (to be used by 12/31/16). Please visit her website at www.Harmonyyoga.info for details on her classes.
There will also be a free drawing for a copy of Sperm Tales. With each signed book you will receive a tip sheet “10 Fertility Tips: How to make pregnancy possible ”
There will be light refreshments served……Hope to see you there
Did you know 52 % of women over the age of 35 would have made different decisions about their fertility, if they educated better when they were younger. Doctors don’t bring up the conversation unless they are asked. Your most fertile years are between 18 – 29 years of age, starting to decline at age 30.
The new norm is 35- 45 years of age where women are having children and during this time there is higher risks factors with pregnancies, higher number of miscarriages, and lower egg count and quality. Women were unaware of that their fertility drops between the ages of 30 an 45 .
Pubic Health Priority
I am working with the CDC to help bring awareness on the importance of educating women that age does matter when it comes to a woman’s fertility. The (WHO) World Health Organization and the (ASRM) American Society for Reproductive Medicine has defines infertility as a disease. One out of 8 couples are infertile, and to add to this environmental , chemical and occupational exposures now and earlier in life could affect fertility outcome. These exposures can also affect pregnancy outcomes ( multiple births, premature deliveries ) and increase likely hood of adult onset diseases such as ovarian , prostate, testicular cancers, metabolic syndrome and (PCOS) polycystic ovary syndrome.
Infertility can serve as a marker of past, present and future health and provide a window of opportunity to improve care for affected reproductive aged women and men . Infertility can have a pubic health implications that go beyond just simply the ability to have children.*1
Please check out the National Public Health Action Plan for the Detection, Prevention and Management of Infertility
*1- CDC-National Public Health Action Plan for the Detection, Prevention and Management of Infertility