Thursday, December 20, 2012

Infertility Issues in the Teen Years, Not Just for Girls


As I wrote earlier this year, we're starting to see more awareness of the need for even teens to consider how their current health can impact future fertility. Polycystic ovarian syndrome (PCOS) generally begins in very young women, although most women don't even learn about the hormonal condition until they have problems trying to get pregnant. Now, just as research is showing us that men's lifestyle choices – including diet and exercise – can make a difference in their fertility, we're also learning that teen boys' health might foretell whether they'll have obstacles in becoming fathers later.

A study published in Clinical Endocrinology produced mildly alarming results – a 50 percent reduction in testosterone in teen boys who are obese. According to this related article on the SUNY website, such findings point to an increasing risk of impotency and infertility later in life.

Granted, the sample size is small, so the researchers advise that more studies are needed with greater numbers of subjects to confirm this study's findings. And the research group plans to next look at weight loss and any resulting (hopefully positive) changes in obese teens. But there is already a wealth of strong data pointing a strong connection between obesity and negative reproductive consequences, and now, that data appears to hold up across the lifespan for both genders.

~ Dr. Sonja Kristiansen M.D.

Monday, December 17, 2012

Positive Movement In Veteran's Infertility Legislation


I'm very happy to report that U.S. veterans and their spouses are closer to having much-deserved coverage for fertility treatment. As I mentioned in August, a bill was introduced that would expand fertility coverage by the Veterans Administration. Now I can echo the applause by the American Society for Reproductive Medicine for the Senate's passing of the “Women Veterans and Other Health Care Improvements Act of 2012’’ which

“...would direct the Secretary of the Department of Veterans Affairs to furnish fertility counseling and treatment, including the use of assisted reproductive technology, to severely wounded, ill or injured veterans whose infertility was incurred or aggravated in the line of duty.  Female veterans, the spouses of veterans and surrogates would be eligible.”

The Department of Veteran Affairs has up to 18 months to establish rules of the program, so resulting benefits will not be immediate. But this is a very positive step – next up, to encourage the House of Representatives to pass the bill for Presidential signature – toward facilitating full access to health care services for military personnel who have sacrificed so much for us all.

~ Dr. Sonja Kristiansen M.D.
Image: FreeDigitalPhotos.net