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Archive for the ‘Miscarriage’ tag

Several Helpful Resources for Pregnancy and Infant Loss Awareness Month

By Tracey Minella

October 5th, 2017 at 11:31 am

 

image credit: Luminous Light Studio


Unless you are experiencing infertility yourself, you can’t possibly understand its pain. No matter how much your heart breaks for us. You have to live it to get the hell that is infertility.

But there is actually something darker. Something sadder, harder, blacker, more unbearable.

Sometimes, just as you think you can finally glimpse the sun peeking through the darkest forest, you lose your footing and tumble into the blackest hole. To a special section of hell so awful that it forces you to redefine the term.

Ectopic pregnancy. Miscarriage. Stillbirth. SIDS or other infancy loss. Whatever the cause or the timing, the unthinkable has happened… your baby is gone.

How in the world do you possibly go on?

October is National Pregnancy and Infant Loss Awareness Month (October 15th is PILA Day) and since infertility patients often suffer these unimaginable losses along their journeys, it’s important to acknowledge the pain and provide some resources to help the suffering try to cope. Like infertility itself, unless you’ve lived it, you can’t relate.

Here are some places where those who have suffered a loss, and those who love them, can start:

Project Heal I cannot say enough about this Baby Loss Community support group, available online and through Facebook. The moderator, Carlymarie, suffered the loss of her son, Christian. She helps people cope (and they help her in return) through photography, writing, beach art, short films, and many other therapeutic ways and projects. She is hosting a month-long “Capture Your Grief” event throughout October in honor of National Pregnancy and Infant Loss Awareness Month. Here is a blurb from the Capture Your Grief 2017 project:

“…There are 31 acts, one for each day in the month of October. You are invited to perform each act and share a photo, artwork, video or written word that captures your own journey. Capture Your Grief is about becoming more present and conscious in your grief experience so that you may learn more about yourself and hopefully discover more ways of healing…You can join the project at any time of the month and there is no pressure to take part every single day. This year, I am inviting you to create a legacy of loving kindness in memory of your baby/child/love ones. The theme is “Their Light Shines On”.

Her site, which provides all the details, is a “must visit” for anyone who knows someone or who has themselves suffered a loss.

Luminous Light StudioIn addition, consider visiting this site or Facebook page where another artist and bereaved mother, offers support and beautiful artwork. Her history of secondary infertility, miscarriage, and the loss of her son, Silas, inspires her work. She is the creator of the beautiful image that accompanies this blog post.

Still Standing Magazine  This online magazine is exclusively related to “Surviving Child Loss and Infertility”. You can navigate your way through subjects like:  Grief, Infertility, Parenting after Loss, Faith, Siblings’ Grief, Pregnancy after Loss, and more. Everything is written by someone who has somehow survived and is “still standing”.

Molly Bears  This venture was started by an angel mom to comfort other families who have experienced pregnancy and infant loss by creating and sharing the gift of a weighted handmade bear.  Recipients of these custom-made keepsakes may find some measure of comfort in having something soft to hold which can be made to order at the specific weight of the infant that was born sleeping or who passed shortly thereafter. Loved ones who are looking to do something for a grieving couple to acknowledge their loss and pain can inquire about a Molly Bear. This organization was started by a woman who was given a 3-pound weighted teddy bear by a good friend after her daughter, Molly, was stillborn at 34 weeks. After weeks of sleepless nights, she found great comfort in holding the bear which she altered to Molly’s exact birth weight. For more information on volunteering, donating, or ordering see the site above.

Infertility/Infant Loss Jewelry and other Tangibles*: There are several sites that offer hand-made and/or customized jewelry, memory items, prints, and other things especially for those who are suffering infertility or from pregnancy or infant loss. Some people who have suffered a loss may find comfort in wearing a piece of jewelry or having an item that commemorates or acknowledges that lost life. Here is a sampling of such sites:

https://www.etsy.com/market/baby_loss_comfort

http://www.pregnancyandinfantlosskeepsakes.com/store/Default.asp

http://www.etsy.com/shop/bugaboojewelry

https://www.etsy.com/shop/HBWforaMiracle?ref=hdr_shop_menu

http://www.myforeverchild.com/

Professional Counseling   Sometimes, a professional therapist is the best option to help you after such an unbearable loss. The Long Island IVF Mind-Body Program has a dedicated and supportive psychologist uniquely-qualified to support you through infertility and pregnancy and infant loss.

We also offer Free Reiki and Guided Fertility Meditation sessions throughout the year to help with stress reduction (one is going on now every Monday night in October: 2, 9, 16, 23, 30, 2017) Register here. All are welcome, no need to be a patient, but spots are limited so reserve yours soon.

Some parents may find comfort in creating a memorial or tribute for their lost child in the form of planting a tree, a memorial public or private garden, a scholarship fund, a charity foundation, and any number of other positive and beneficial acts. It is never too late to memorialize your baby when and if the time feels right. These resources are offered merely as starting points for consideration in finding help and support in the processing of unspeakable grief and loss.

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If you have suffered from pregnancy or infant loss, do you have any advice to share or any resources to recommend to help others?

* Long Island IVF has no affiliation with any of these jewelry or other merchandise sites and offers them for informational purposes only. Use your own discretion when considering making any purchase.

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Long Island IVF New Beginnings with Donor Egg Seminar

By Tracey Minella

September 1st, 2017 at 7:37 am

Do you think—or know—that you will need an egg donor in order to build your family? Does the idea of using a donor egg to create your family overwhelm or worry you? Well, you can relax.

All of your questions area about to be answered.

On Tuesday, September 12, 2017, at 7:00 pm, Long Island IVF will host a free event, “New Beginnings Through Donor Egg”, that could potentially change the course of your family-building journey. Our caring doctors and staff…and one of our donor recipient moms… will go over everything you could ever need to know about egg donation.

Doesn’t the idea of hearing the personal story of a woman who was once in your shoes sound wonderful? Someone who once had doubts and questions and, like many who ultimately choose donor egg, suffered losses and feared she might not ever have the family she envisioned. Yet she sought out the information and took a chance. And now she’s a mom.

There are many reasons women ultimately choose to use donor eggs to build their families. Women whose eggs have been compromised by advanced age, cancer treatment, poor general quality, or other factors, have many ways to build a family through the donor egg programs at Long Island IVF. For many of these women, a healthy egg is their only obstacle to pregnancy. Gay men wanting biological children also need donor eggs.

True, conceiving with donor eggs is rarely the first choice, but after weighing many personal physical, emotional, psychological, and financial considerations, many people come to find it is an acceptable alternative path to parenthood. And decades of happy moms agree that using donor eggs was the best decision they ever made—and many wish they did it sooner.

Maybe you’re not yet ready to act on all the information you’ll receive. No problem. We’re just here to offer information and emotional support. So why not come over and just listen to our team discuss the many different egg and embryo donation options?

Victoria Loveland, RN & Donor Egg Nursing Coordinator, Aviva Zigelman, LCSW & Donor Egg Program Director, and Long Island IVF partner and reproductive endocrinologist Steven Brenner, MD will all be there to answer your questions. You can even speak to them privately if you’re more comfortable.

You’ll be pleasantly surprised when we tell you about how stream-lined our programs can be and how competitive the success rates can be, too.

Long Island IVF offers several different egg donation options, including:

  • Sole Recipient Fresh Egg Donation,
  • Shared Recipient Fresh Egg Donation, and
  • Frozen Egg Donation cycles.

 

Each option offers its own unique benefits, costs, and other considerations. We have young, healthy, pre-screened, anonymous egg donors representing multiple ethnicities ready to help build your family.  Or you can choose to use a known donor.

Register here now for this free event. Walk-ins are always welcome, too. Bring a friend or partner. Take that first step, even if you’re hesitant. We look forward to seeing you and answering your questions about the exciting option of egg donation.

Location: Long Island IVF 8 Corporate Center Drive, Suite 101, Melville, NY

Date: Tuesday September 12, 2017

Time: 7:00 pm- 9:30 pm

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Will you be there? If you’d like to attend but can’t, please call anyway so we can make other arrangements to help you.

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Infertility, Mother’s Day, and Something Promising

By Tracey Minella

May 8th, 2016 at 4:59 pm

Hands down, Mother’s Day is the hardest day of the year if you’re an infertile woman. There are just too many ways you are suffering with hearts too heavy for words to soothe.

Most ache from the pain of not having children yet or of having suffered the loss of children through miscarriage, stillbirth, or death. Some suffer from not being able to have additional children and the lack of sympathy toward secondary infertility. Then, there are the painful assumptions of strangers wishing all women a “Happy Mother’s Day” and the agony of spending Mother’s Day in the company of women with young children. Finally, there is the special darkness that infertile women who have lost their mothers feel.

Nothing I say will help your heart feel better…so I will speak to your head instead.

I’ve got something more tangible than just hope that next Mother’s Day will find you pregnant or celebrating. Something promising that may make a big difference in your journey to motherhood.

What if I told you there is a time-tested, holistic treatment that may improve the chance of your IVF cycle succeeding? And what if the cost of that treatment was less than $200? And what if it might even help women who have experienced failed IVF cycles in the past? Would you want to know more?

I’m talking about fertility acupuncture. Long Island IVF’s Dr. David Kreiner is the only reproductive endocrinologist in the region who is also a certified acupuncturist. This treatment…an Eastern medicine therapy to complement Western medicine’s cutting-edge IVF technology…is now available to all IVF patients at Long Island IVF.

Why not promise yourself this Mother’s Day to learn more about whether fertility acupuncture is right for you? You can take back some of the frustrating lack of control over your fertility by learning about all the possible treatments that may optimize your family-building plans. It’s impossible to know for sure, but maybe this is the missing piece. You owe it to yourself to learn more.

Join us on Thursday, May 12, 2016 at our Melville office for an exciting Acupuncture Symposium and listen to Dr. Kreiner and a full panel of 7 other medical experts discuss how IVF success may be improved with acupuncture and holistic therapy. The event is free, but registration is required.

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Will we see you on Thursday night??

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Long Island IVF-WINNER: Best in Vitro Fertility Practice 2015 AND 2016

It is with humble yet excited hearts that we announce that Long Island IVF was voted the Best In Vitro Fertility Practice in the Best Of Long Island 2015 and 2016 contest…two years in a row!

The doctors, nurses, embryologists, and the rest of the Long Island IVF staff are so proud of this honor and so thankful to every one of you who took the time to vote. From the moms juggling LIIVF babies… to the dads coaching LIIVF teens…to the parents sending LIIVF adults off to college or down the aisles… to the LIIVF patients still on their journeys to parenthood who are confident in the care they’re receiving…we thank you all.

We love what we’ve gotten to do every day more than 28 years…build families. If you are having trouble conceiving, please call us. Many of our nurses and staff were also our patients, so we really do understand what you’re going through. And we’d like to help. 631-752-0606.

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6 Potential Causes of Miscarriage and Recurrent Pregnancy Loss (RPL)

By Satu Kuokkanen, MD, PhD

May 2nd, 2016 at 11:31 am

image courtesy of David Castillo Dominici/ freedigitlaphotos.net

Experiencing a pregnancy loss is always devastating for individuals hoping to establish or expand their family. Patients describe a range of grieving emotions related to the loss of a person they never had a chance to meet, love and share the future.  This grieving process may last anywhere from few weeks up to several years.  Not surprisingly, I have heard from many patients that one of the most difficult coping times was around the expected due date of the pregnancy that they miscarried.

 

It may be somewhat comforting for patients to know that they are not alone. In fact, miscarriage is the most common pregnancy complication and it affects 1 in every 6-8 confirmed pregnancies, that’s 12-15%. The risk of miscarriage increases with maternal age. While women younger than 30 years old have a 10-12% risk of pregnancy loss, the risk is four fold higher for women in their 40’s. Identifying a potential cause may help with the emotional impact of the pregnancy loss whether it is isolated or recurrent loss.

 

Recurrent pregnancy loss (RPL) is diagnosed after a woman has had two or more consecutive miscarriages and RPL affects 1 in 20 couples who are attempting to conceive. While isolated miscarriages are commonly due to chromosomal and genetic abnormalities, other factors are responsible for RPL. These factors vary depending on the gestational age of the pregnancy loss. Evaluation of potential RPL causes is important in determining whether therapy is available to the patient.

 

6 Potential causes of RPL:

 

  1. Congenital and acquired structural uterine factors. A uterine septum, a partial or complete division of the uterine cavity, is the most common congenital structural uterine abnormality.  Uterine septum and bicornuate uterus (“heart shaped womb”) have been linked to RPL. Acquired structural uterine pathologies that distort the normal uterine cavity include endometrial polyps that are skin tag-like growths of the uterine lining, fibroids that are affecting the uterine cavity, and intrauterine scarring that can develop after surgical procedures, such as dilatation and curettage (also known as D&C).  Radiology studies of the uterus with saline ultrasound (‘water sonogram”) or magnetic resonance imaging (MRI) are standard methods to evaluate the womb.

 

  1. Chronic endometritis is inflammation of the uterine lining. This condition is diagnosed by sampling of the uterine lining with an endometrial biopsy or D&C.

 

  1. Structural chromosome abnormalities of the parents is a rare but known cause of RPL. A simple blood test of both parents to assess numeric and structural chromosomal component (karyotype) is done.

 

  1. Abnormalities of blood clotting.  The well-known condition in this category is anti-phospholipid antibody syndrome (APAS) which women can acquire during their reproductive years. Anti-phospholipid antibody levels can be measured in blood for diagnostic purposes.

 

  1. Endocrine-related abnormalities include elevation in alterations in thyroid hormone secretion and diabetes with uncontrolled blood sugar levels.  Also, women with polycystic ovary syndrome (PCOS) appear to have heightened risk of pregnancy losses.

 

  1. Environmental and lifestyle factors have also been linked to an increased risk of miscarriages. Such factors may include maternal obesity, cigarette smoking, and exposure to environmental toxins. How these factors may impact pregnancy or pregnancy loss differs and is still being studied at the current time.

 

It is important to remember that, although painful, an isolated miscarriage may often be followed by a healthy and successful pregnancy. And that, RPL, while devastating, can be caused by a factor that may be treated with proper, specialized medical care. In either case, your dream of parenthood may still be within reach.

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Have you suffered one or miscarriages, been treated for an underlying cause, and gone on to have a successful pregnancy?

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Long Island IVF-WINNER: Best in Vitro Fertility Practice 2015 AND 2016

It is with humble yet excited hearts that we announce that Long Island IVF was voted the Best In Vitro Fertility Practice in the Best Of Long Island 2015 and 2016 contest…two years in a row!

The doctors, nurses, embryologists, and the rest of the Long Island IVF staff are so proud of this honor and so thankful to every one of you who took the time to vote. From the moms juggling LIIVF babies… to the dads coaching LIIVF teens…to the parents sending LIIVF adults off to college or down the aisles… to the LIIVF patients still on their journeys to parenthood who are confident in the care they’re receiving…we thank you all.

We love what we’ve gotten to do every day more than 28 years…build families. If you are having trouble conceiving, please call us. Many of our nurses and staff were also our patients, so we really do understand what you’re going through. And we’d like to help. 631-752-0606.

 

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National Pregnancy and Infant Loss Day

By Tracey Minella

October 15th, 2015 at 7:22 am

 

credit: Carlymarie


Perhaps the only thing harder to imagine living through besides infertility, would be the loss of a child.

Today is National Pregnancy and Infant Loss Day though October is the month dedicated to raising awareness of this inconceivable pain.

Many women undergoing infertility treatment are understandably so focused on just becoming pregnant, that they don’t even contemplate the possibility of a loss in the event they are successful. I think part of that mindset has to do with self-preservation during the infertility process.

Infertility is such a hard journey to endure that it’s only natural to tell yourself that getting pregnant is all you need to do to return to a happy and typical life. It’s only natural to think there could not possibly be anything else awful in the future. It’s only natural to believe this is the only roadblock and once you get pregnant, it’ll be smooth sailing. After all, how much heartache and pain could the universe lay at your feet?  Surely infertility is more than enough grief for one person to bear. Right?

Well, while the majority of infertility patients who do conceive go on to enjoy uneventful and healthy pregnancies with happy outcomes, there are others who do not. They may suffer a miscarriage at any point during their pregnancy…even more than once… or lose a baby during or just after childbirth. They may also lose a child to illness or accident at any time before adulthood. It’s hard to even let your mind go there.

None of us are immune from the possibility of this unthinkable experience. Many of us push the thought away, believing no more misfortune will come our way…that we’ve paid our dues. Others may hover over their miracle babies, half believing their reality is a dream that could be taken away at any moment. I admit to being a tad overprotective of my IVF babies out of fears many of my friends don’t share. Ok, maybe more than a tad.

For those who have suffered such unspeakable losses and live in the Long Island area, Long Island IVF’s counselor/psychologist, Bina Benisch, can help. Please call the office if you’d like to make  a private or group appointment with her. You don’t have to be a patient to do so.

But I’d also recommend a beautiful and supportive online community for all grieving mothers to check out. The young woman who maintains this site, CarlyMarie, lost her son Christian. Her site needs to be experienced to be believed. It is impossible to describe how powerfully healing her site is unless you see it yourself. Her beautiful photography and words and projects designed to help you heal are inspiring. Her website may be found at http://carlymarieprojectheal.com/. The image in this post is credited to her as well. And another helpful resource would be Still Standing OnLine Magazine at http://stillstandingmag.com/2012/09/parenting-on-earth-and-in-the-clouds/.

At 7pm tonight, all over the world, a Wave of Light movement is happening where bereaved parents are lighting candles in remberance of their lost babies and children. More information is available on CarlyMarie’s site.

If you or someone you know is suffering with the loss of a child, please pass this information along.

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If you’ve suffered the loss of a child and want to share your experience, or want to recommend a site or service that is helping you through the grief, please do so.

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A Day of Hope 2015

By Tracey Minella

August 19th, 2015 at 5:21 pm

 

photo credit: carlymarie


Losing a baby. Unspeakable pain.

The world will never be the same after losing a baby or child, born alive or still. Or miscarried. The surviving family…parents, siblings, grandparents, and others…embark on a journey of grief over the innocent life that ended too soon. And while life does…must…somehow go on, it’s never truly the same again.

I miscarried IVF twins just before the end of the first trimester. They’d be 20 this fall. On September 5th. You never stop thinking about what they’d be doing today. Even if you’re lucky enough to have other children. And let’s not forget the very real grief over the very many embryos that never made it, either before or after transfer.

Today is a day of healing. It’s a day of hope. It’s a recognition and celebration of all those lives lost. Of lives that mattered…and still matter. Children whose names people awkwardly no longer mention.

Across the world, on a beach in Australia, a woman named CarlyMarie, mourning the loss of her son Christian who was “born sleeping” started a global movement to celebrate all these lives. It’s called a Day of Hope and Project Heal. And it is today, August 19th. I’ve mentioned this in the past. https://www.facebook.com/events/923511941049863/

Participants who’ve lost children create their own personalized “prayer flags” in honor of the babies’ memories. But despite the name, it is not religious in nature and all are welcome to join in. People create their personal flags out of fabric or paper or whatever materials they want…even a simple drawing is fine if they aren’t crafty. The main thing is to be part of this movement, not to win a prize for art. Then, they hang or display them on this date and share photos of their flags so others who are suffering can feel a collective support. This year, it’s estimated that about 17,000 flags were made in the name of healing.

If you’ve suffered a loss, I strongly recommend you check out CarlyMarie’s site or Facebook page, which is full of support by one who walks in your shoes. Not just today, but each day.

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Do you participate in the Day of Hope? Do you have any tips ways to honor the memory of your child?

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Age and Fertility

By David Kreiner MD

February 2nd, 2015 at 4:23 pm

 

credit: photostock/free digital photos.net


You’ve heard the “Reproductive Bell” toll and may question “Is it real?”…

You see celebrities getting pregnant well into their 40’s and think “Then why can’t I?” So, is your reproductive clock as critical as modern doctors say?

I have come across fertility advice from non-physician practitioners, such as acupuncturists and Chinese herbalists, who encourage their patients to “question the Western dogma” when it comes to age and fertility. They claim the effect of aging and fertility is “exaggerated by the Medical profession and can be overcome with a shift in an individual’s health and lifestyle”.

Unfortunately, this advice comes without any cited research or statistics in support of it.  According to the Society of Assisted Reproductive Technology, as published on SART.org, a review of the 2012 national statistics, those most recently published of IVF cycles started, the age breakdown for IVF live birth rates are the following:

 

Age <35= 40.2%

 

Age 35-37=31.3%

 

Age 38-40=22.2%

 

Age 41-42=11.8%

 

Age >42=3.2%

 

It is true that a woman’s health and physiology gets worse as she gets older.  Some of these non- physician practitioners argue that perhaps if this can be improved then the diminishing fertility commonly seen with aging can be reversed. But though improving a woman’s general health may help it is not sufficient in most cases.  Fertility rates decrease with increasing age in large part because there is an increase in genetic abnormalities found in gametes (eggs and sperm) as patients (women in particular) age.  This is the result of long-term environmental exposure to toxins, in addition to the increased likelihood of genetic damage over time.  Miscarriage rates increase with age for the same reason in large part due to the greater likelihood of embryos having chromosomal abnormalities.

Many women as they age also will experience a significant drop in their ovarian activity, referred to as diminished ovarian reserve.  This activity can be assessed by your physician with a blood level of Anti Mullerian Hormone (AMH) and day 3 FSH and estradiol levels.  Women with lower AMH levels and elevated FSH in the presence of a normal low estradiol have fewer ovarian follicles, and hence eggs, that will respond to ovarian stimulation.  Since the likelihood of these eggs being genetically normal is less, then fertility is reduced and the probability of IVF and other fertility treatments resulting in a live birth becomes significantly lower.

The challenge to any practitioner dealing with an aging patient attempting to conceive is to optimize their patient’s chance to have a healthy baby which optimally would include an integration of multiple modalities.  Therefore, ideally a physician specially trained in the fertility process (a Reproductive Endocrinologist), should implement state-of-the-art Western therapies with a complementary holistic approach that aims to shift their patient’s health and fertility.  These holistic approaches include diet and lifestyle changes as well as fertility-directed acupuncture and herbal therapy treatments.

Lifestyle changes that may improve fertility primarily include those that reduce stress and improve diet and activity.  Stress at work, at home, and with family and friends can create pathology from both Eastern and Western perspectives.  Diets that do not support adequate blood production or create Eastern patterns of cold or heat can affect fertility.  Excesses or deficiencies of particular foods…such as dairy, fat, or grains… can create imbalances or pathology that may affect fertility or result in obesity or malnutrition which also impact reproduction.

Inactivity may impair fertility. Therefore some level of exercise, combined with an improved diet directed at improving fertility, stress reduction techniques, acupuncture, and supplements (which may include Chinese Herbs as well as Western supplements) will optimize your chances of successfully building your family.

The first step is to seek help from a reproductive endocrinologist skilled in state-of-the-art fertility therapies who can coordinate a program which is ideal for you. But if you are hearing the “Reproductive Bell” tolling, it is important to take that first step soon, because, while these many complementary approaches can optimize your fertility, they may not be enough to overcome the reality of the negative effect of advanced age in fertility.

Long Island IVF offers complementary holistic approaches to achieving pregnancy (See our Mind-Body Program http://www.longislandivf.com/mind_body.cfm ) as well as a well-respected Donor Egg Program http://www.longislandivf.com/donor_programs.cfm  with no wait for pre-screened, multi-ethnic donor eggs, or Donor Embryos.

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Has the increased visibility of older celebrity moms getting pregnant made you think you have more time? Have you considered combining Western and Eastern medicine in your family-building treatment?

 

 

http://www.freedigitalphotos.net/images/Younger_Women_g57-Young_Woman_Holding_Clock_p49428.html

 

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Plastics, Infertility, and Paleo: A Throwback Post

By David Kreiner MD

January 10th, 2015 at 8:45 am

 

 

credit: KeattiKorn/ freedigitalphotos.net


It’s a beautiful day in Boston today.  I am here not because of the Red Sox playoffs or Sunday’s Patriots game but rather to attend our annual ASRM national fertility meeting.

I was delighted upon greeting some former colleagues of mine from my old stomping grounds, the Jones Institute, to hear compliments about how good I looked.  (Well, if you lose 55 lbs. of “baby fat” people tend to notice.)  I explained that my son, Dan, convinced me to try the Paleo Diet, modeled after the diet of Paleolithic man.

I am intrigued that so much is known about how man from the Paleolithic age ate.  I guess he left menus and recipes on the walls of his man caves.  Anyway, the focus… aside from elimination of dairy and gluten from his diet… is avoiding processed foods and chemical additives such as artificial sweeteners.

It was while eating my veggies and bun-less burger that I came upon one of the lead stories at the ASRM in the Wall Street Journal.  The chemical BPA, or Bisphenol A, found in plastic is tied to the risk of miscarriage.  BPAs can leach into the food that is heated on it such as in a microwave or in water stored in plastic and left out in the sun.  Additionally, it was recommended to limit the use of canned foods and avoid handling cash register receipts, which often are coated with resins that contains BPA.

I’m not sure “Paleo” man extended his life, avoided disease or lived any healthier with his “natural only” diet but we have some evidence of some benefits by doing so today.  Oh, and did I mention I can fit into those jeans from my college days?

For more information on the effects of BPAs on fertility as being discussed at the ASRM, see http://bit.ly/19Q28Bt

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Did you know that plastics and other items made from BPAs may be harmful to your fertility or contribute to miscarriage? Do you use these products and if so, will you consider stopping now?

Photo credit: Keattikorn/freedigitalphotos.net

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Negative Pregnancy Test Again! Now What?!

By David Kreiner MD

November 30th, 2014 at 9:51 am

 

credit: davidcastillodominici/ freedigitlaphotos.net


Women confronted with a negative result from a pregnancy test are always disappointed, sometimes devastated. Many admit to becoming depressed and finding it hard to associate with people and go places where there are pregnant women or babies, making social situations extremely uncomfortable. A negative test is a reminder of all those feelings of emptiness, sadness and grief over the void infertility creates.

We don’t have control over these feelings and emotions. They affect our whole being and, unchecked, will continue until they have caused a complete state of depression. This article can arm you with a strategy to fight the potentially damaging effects that infertility threatens to do to you and your life.

First, upon seeing or hearing that gut-wrenching news, breathe.
Meditation — by controlling and focusing on your breathing — can help you gain control of your emotions and calm your body, slow down your heart rate and let you focus rationally on the issues. It’s best to have your partner or a special someone by your side who can help you to calm down and regain control.

Second, put this trauma into perspective.
It doesn’t always help to hear that someone else is suffering worse — whether it’s earthquake or cancer victims — but knowledge that fertile couples only conceive 20% of the time every month means that you are in good company with plenty of future moms and dads.

Third, seek help from a specialist, a reproductive endocrinologist (RE).
An RE has seven years of post-graduate training with much of it spent helping patients with the same problem you have. An RE will seek to establish a diagnosis and offer you an option of treatments. He will work with you to develop a plan to support your therapy based on your diagnosis, age, years of infertility, motivation, as well your financial and emotional means. If you are already under an RE’s care, the third step becomes developing a plan with your RE or evaluating your current plan.

Understand your odds of success per cycle are important for your treatment regimen. You want to establish why a past cycle may not have worked. It is the RE’s job to offer recommendations either for continuing the present course of therapy — explaining the odds of success, cost and risks — or for alternative more aggressive and successful treatments (again offering his opinion regarding the success, costs and risks of the other therapies).

Therapies may be surgical, such as laparoscopy or hysteroscopy to remove endometriosis, scar tissue, repair fallopian tubes or remove fibroids. They may be medical, such as using ovulation inducing agents like clomid or gonadotropin injections. They may include intrauterine insemination (IUI) with or without medications. They also may include minimal stimulation IVF or full-stimulated IVF. Age, duration of infertility, your diagnosis, ovarian condition, and financial and emotional means play a large role in determining this plan that the RE must make with your input.

There may be further diagnostic tests that may prove value in ascertaining your diagnosis and facilitate your treatment. These include a hysteroscopy or hydrosonogram to evaluate the uterine cavity, as well as the HSG (hysterosalpingogram) to evaluate the patency of the fallopian tubes as well as the uterine cavity.

Complementary therapies offer additional success potential by improving the health and wellness of an individual and, therefore, her fertility as well. These therapies — acupuncture, massage, nutrition, psychological mind and body programs, hypnotherapy –
have been associated with improved pregnancy rates seen when used as an adjunct to assisted reproductive technologies.

A negative pregnancy test can throw you off balance, out of your routine and depress you. Use my plan here to take control and not just improve your mood and life but increase the likelihood that your next test will be a positive one.

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What have you done to get through the disappointment?

 

photo credit: http://www.freedigitalphotos.net/images/CouplesPartners_g216-Depressed_Young_Couple_p104407.html

 

 

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Infertile Women Never Forget

By Tracey Minella

June 4th, 2014 at 3:55 pm

 

credit: idea go/freedigitalphotos.net


When it comes to remembering, elephants have nothing on infertile women.

Date of last menstrual period? Pshhh! Without even a glance at a calendar or app, we can tell you the date… plus the time it started, where we were, what we were wearing, who we were with, and how many pee sticks we went through thinking we were pregnant in the 5 days before it began.

And that’s just getting warmed up.

We know how many vacation days we’ve used and how many precious few remain because they’ve been mentally earmarked for upcoming cycles. We can recite the months, years, series numbers, and assigned nurses’ names of all our IVF cycles. We know how many embryos we transferred back and what grades they were. And we can tell you the number and grade of any frozen embryos faster than we can give you the current time.

We know the number of follicles we had on each ovary from our last sonogram and the sizes of the dominant ones. We may not know how much gas is in the car, but we know how thick our uterine lining measured. We know our last Day 3 FSH level and how many vials of medication are still in the fridge. And we definitely know what vein still works.

We know the dates of our retrievals, our transfers, and our pregnancy test dates. Some of us carry the painful details of unspeakable losses as well. And we know what we wore to each and what music was playing on the radio. We can detail how we fell apart, how we pulled it back together, and how we recalculated when we’d be trying again…and what the new due date might be. We’re always aware of the date we need to conceive by in order for a baby to be born before the year ends, or before our next birthday.

These incredible memory skills build up gradually along the course of the infertility journey, starting with the innocent basal body temperature charts used for tracking ovulation patterns. As the journey progresses, more tests and procedures follow. Results come in and a treatment plan is made. The brain absorbs all this additional information… because there is simply nothing else on our minds as important as our goal of getting pregnant.

And in the end, all these dates…these often-frustrating dates…become your history. They make up the story of your journey to parenthood. And you will never forget them.

I know this because today I celebrate the 17th anniversary of the day of my first positive pregnancy test from my 6th fresh IVF cycle which resulted in the birth of my first IVF baby. It was also coincidentally the first day I started working at LIIVF as a medical assistant and I was wearing scrubs when Dr. Kreiner called me into his office to tell me the good news at the end of that nerve-wracking first day. After so many result calls that began with “I’m so sorry…” it was a moment that will live forever.

Your moment will, too.

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What has been your most memorable moment of the journey? What details do you remember that others would be impressed or amazed by?

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