Summertime Blues Or Time To Get Pregnant?

Summer on the Gulf Coast can be tough on the psyche! First, there's the heat, which adds up to physical discomfort (and a lot of bad hair days!) and your year's highest electric bills. Then, there's the feeling that everything has slowed to a crawl (might be that sweltering heat!) – and that could feel like a burden or a relief. Many of my patients have chosen summer as their go-to time for getting pregnant, for all of these reasons.

photo: Tracy Morris

If your plan to get pregnant includes the use of assisted reproduction, you can also plan for the process to take up your time in ways that are different from the “old fashioned” path to pregnancy. Even if you're not seeing a fertility specialist because of infertility, the various kinds of techniques – from the simplest to the most complex – require at least a little bit of time and attention before and after the actual “conception event”.

And that “lazy hazy feeling” of summer could be just what some women need to boost their body's natural fertility. I know you've heard “Just relax!” and feel yourself do exactly the opposite! No, just relaxing is not the key to pregnancy, especially for a lot of women with particular infertility-causing disorders. But it is true that your body's so-important endocrine system functions best when you're not feeling keyed up, tense, and on-the-go. When your hormones are flowing in the right order and level, your chances at getting pregnant are boosted with and without fertility treatment.

So for a lot of people, taking summer vacation time to get pregnant makes the most sense.

And for those who are feeling the brunt of the electric bills right now, Houston Fertility Center always offer summer discounts on several fertility services.

When you add up the possibilities – with treatment discounts and a little more downtime on your hands – it could be that a Spring-time baby is in your future.

DIY Artificial Insemination Just Adds to Infertility Stress

Gone are the days of uninformed consumers and all-knowing experts. Now with just a flip of the webpage, you can find step-by-step instructions on everything from remodeling a bathroom to getting pregnant with artificial insemination. DIY conception used to be the only means available for people who couldn't get pregnant "the old fashioned way." It's a real good thing we've come a long way from those days.

But have we? It turns out there's an underground, online market for sperm, where women can access prospective biological fathers for their children without the intervention (and guidance, and screening, and medical and legal protections) of reproductive professionals.

Newsweek's Tony Dokoupil called one related website "a weird blend of Facebook, Match.com and a traditional sperm bank" in this article for ABC News.

"What's wrong with the DIY approach to getting pregnant, Dr. Kristiansen?"

Here's a quick list of why I think you and, more importantly, your potential children are far better off going the more conventional routes to accessing sperm for getting pregnant:

Without standard controls by the Food & Drug Administration and the policies and procedures of reputable clinics like the Houston Fertility Center, you risk transmission of infectious diseases and genetic conditions, to both the mother and child.

Engaging in activity within this level of intimacy, even if sexual intercourse isn't on the agenda, with people whom you've only "met" online is simply not as safe as using professional services.

Agreements made between individuals about level of parental responsibility and involvement in the child's life may not be binding without proper legal representation and execution.

If you've found the whole process of getting pregnant stressful, just imagine the additional burden that comes with using what amounts to be an unknown substance to conceive. Worry about the cost of artificial insemination? It just doesn't compare to worrying about your personal safety and your child's health and future.

Things You May Not Want to Hear When You're Trying to Get Pregnant: Stop Drinking Alcohol

"Anything but THAT, Dr. Kristiansen!" I've heard those very words uttered by patients in my office at Houston Fertility Center a few times. There a number of recommendations I might make for optimizing attempts at getting pregnant -- some of those requests are not welcomed by patients!

Here's one: Stop drinking alcohol.

Now, that's a pretty stringent version of what I actually recommend. That blogpost, "TTC with IVF? Skip the Alcohol Tonight" was published on New Year's Eve 2009. Nothing about the information in the links therein has changed: subsequent research bears out the conclusion that alcohol doesn't do you a bit of good if you're using IVF to conceive. In fact -- and there are plenty of theories but no certain, understandable reason yet -- drinking alcohol might be the thing that tips the conception scales against you.

Most recently, clinical researchers published in Obstetrics & Gynecology, the American College of Obstetricians and Gynecologists' journal, that enjoying as few as 4 drinks per week reduces your chances of IVF success. Interestingly, that holds true for couples as well as women who were surveyed prior to going through their first IVF cycle.

As I said, some Houston Fertility Center patients bristle when I suggest they stop drinking alcohol while trying to conceive. I'm sure the same is true in other fertility specialists' offices. But taking charge of your reproductive health means holding yourself accountable -- a little firm but positive self-talk might be in order. If it feels easier to ponder cutting back instead of quitting altogether, try that instead and use the less-than-four-drinks per week as a gauge. Or tell yourself that you're training for parenthood, a time when the idea of drinking more might seem appealing but is really at cross purposes with your goals -- just like during an IVF cycle.

In the end, you'll want to look back on your trying times and be able to say you did everything you could to have that baby.

~ Dr. Sonja Kristiansen M.D.

If You're Trying to Conceive, Skip the Triathlon. Try Yoga.

Along the same lines as there being no magic to getting pregnant, whether with IVF or without treatment, there's also no perfect exercise that will lead to conception.


But... yoga comes close.


Conception (and pregnancy) have much to do with balance. Not too much of this, and just the right amount of that. Your fitness factors, including your weight and body mass index, flexibility and strength, all play roles in keeping your endocrine system humming along.


Choice of exercise is a very personal thing. You should take several things into consideration when choosing the type, level, and frequency of physical exertion you engage in, whether you're trying to conceive or not. For example, running isn't the safest idea for everyone, but for some, it's perfect. Swimming is great, but not everyone has regular, easy access to a pool. The same could be said of biking.


As this article in The Windsor Star describes, yoga is about more than stretching and posing. If done well, yoga can both strengthen and relax your body, which is a state of being that facilitates hormone health.


You may want to avoid the most rigorous forms of yoga (there are many different versions), including the forms that are taught in studios heated above 90 degrees. And if you can find a yoga instructor who knows specific poses that are good for your reproductive organs, that's a bonus. (Here at Houston Fertility Center, we'll help you find one...)


Remember, you're looking for balance through activity.
Put your dreams of being a triathlete on hold until after the baby comes, but don't shelve your body's need to move and breathe.


~Dr. Sonja Kristiansen MD

Building a Family In Tough Times

The country's economy is struggling so much that women are quite possibly having fewer children as a result. A report published last month by the Centers for Disease Control likens the trend to the Great Depression's fertility rates.

My patients feel the pain. If getting pregnant the old fashioned way is harder now, imagine what it's like to need special fertility treatment in order to have a baby.

In that light, I'm currently offering a big discount on IVF: $7995 through November 30th.

Because Houston Fertility Center has its own state-of-the-art laboratory, I'm able to provide the highest quality reproductive medicine services at more affordable prices. And since this is the time of year when people living in the Houston area are caught between high electric bills (for air conditioning!) and impending holiday season expenses -- it seems like the best time of year to make family-building a reality for so many.

Hang in there!

~Dr. Sonja Kristiansen MD

Get Your OB On Board: Time Is (Almost) Everything

Being in the right place at the right time can make a difference in your life. It's true for getting pregnant, too. And your OB/Gyn knows how key timing is to pregnancy and delivery.

Does your OB also know how time impacts your ability to get pregnant? If he or she doesn't, you should.

At Houston Fertility Center, I've heard from many new patients their personal reports of months, and sometimes years, full of worry that something is wrong -- all the while being told by their primary care physicians that the best thing to do is de-stress and have patience. Nothing's wrong. Relax and you'll be pregnant in time.

It's true that stress can be a fertility factor, since it wreaks havoc on your hormones, which can result in lessened fertility. But many patients have health conditions that might easily be diagnosed and treated so that conception and pregnancy can occur -- stress or no stress. (And if stress really is your primary fertility problem, there are plenty of recommended steps you can take to change that.)

There's one factor in the fertility equation that treatment can't do much, if anything, about: time and your age. And there's nothing that has a greater impact on your chances for pregnancy.

While we have incredible medical technology that can help women get pregnant all the way into their 40's, the natural fact is that women's fertility levels decline significantly as they get older. That means the older you are when you're trying to conceive, the more effort it may take. It also means your chances of conception get smaller.

Age and time are so important to fertility, experts recommend you consult a reproductive specialist if:

you haven't become pregnant after a year of trying and you're a woman who's younger than 35 years

or

you haven't become pregnant after 6 months if you're 35 to 39 years old.

And women who are 39 years or older should seriously consider talking to a specialist as soon as getting pregnant is a goal.

The American Society for Reproductive Medicine explains details of the age-fertility connection in their related booklet.

Besides the reproductive change that every female body goes through (and that actually begins long before most of us are aware of), many infertility-causing conditions are silent -- no symptoms to cause you concern, all the while the condition becomes a growing barrier to your body conceiving a pregnancy. If you have one of these barriers, which includes structural conditions, trauma, or infections, your own baseline fertility will quite possibly become worse over time.

If you've heard "Everything's fine," a little too often from your OB/Gyn, there's no harm in seeking a second opinion. You might benefit from some easy, inexpensive blood testing or semen analysis, or like some patients learn, it may only take a thorough medical history and brief educational tips on optimizing your trying-to-conceive efforts.

More of my thoughts about timing and conception:

Trying to Get Pregnant After 30 - Time to Panic? - a blogpost about how moving along with your plans is good, but stressing out about it defeats your purpose

Timing Is Everything: When You Want a Baby Later - a newsletter article on using ART to delay conception

a quick intro to Fertility & The Mind-Body Connection

~ Dr. Sonja Kristiansen MD

Is Your OB On Board With Baby-Making?

When questions about getting pregnant arise, most women first turn to their OB/Gyn. You probably even rely on your OB/Gyn as your primary care physician, especially if you have health insurance. Patients typically count on their OB/Gyns to alert them when it's time to see a fertility specialist.

Unfortunately, though, a lot of woman also find that their OB's may not act very quickly when the patient expresses more than just fleeting thoughts but worries about getting pregnant.

That's why I and many of my colleagues spend at least some of our time educating other physicians about the differences in fertility levels and about how those differences may show up in their otherwise healthy patients.

If you're not yet a fertility patient (and you may never have to be!), here are a few related basic points to look into and discuss with your OB/Gyn if your goal is conception:

How long have you been trying to conceive?

Do you know when your most fertile times are each month, based on your cycle?

Do you have any family members who had trouble getting pregnant?

And if you're in your mid-30's or older and are still thinking "maybe someday"... it's time to discuss plans now with your physician, even if you don't plan on putting it into action immediately.

Knowing when to seek care from a fertility specialist can really make the difference between having a baby or not. If your OB/Gyn doesn't know what to look for or doesn't ask you the above questions, start the ball rolling yourself.

15 Is Magic Number?

Last February, I wrote that there's no magic to getting pregnant. That post was specific to "miraculous" fertility supplements. Well, now the news is full of "magic" again. This time, it's a Magic Number.

It's 15.

What kind of magic does the number 15 do for infertile couples?

A study that looked at 17 years worth of data concluded that 15 eggs retrieved in one IVF cycle renders the best chance of a live birth. Retrieving more eggs than that was linked to higher incidence of ovarian hyperstimulation syndrome.

The study authors failed to clarify that they were looking at conventional IVF cycles, not at cycles using very minimal or no ovulation stimulation medication. They did, however, tease out and present their findings related to the different ages within the study subjects. Specifically, the number 15 (eggs) did not make the live birth chances for women over 40 much better than otherwise. But as this article in the Globe and Mail suggests, a chance of live birth boosted by 4 percent might be inspiring to fertility patients older than 40.

I would remind patients that this is statistics, although well done. I worry about patients hearing these sorts of numbers and feeling stressed because theirs haven't "hit". As with so many aspects to treating infertility, your mileage may vary. We do everything possible to make each cycle safe *and* effective, and always, the outcome -- a healthy baby -- is our focus.

Personal Desires Still Strong During World Crises. And That's Okay.

As I write this blogpost, I recognize that there are many people in the world trying to survive dire circumstances. And I suspect that many readers who are infertility patients might be experiencing twinges of related discomfort.

For example, the other day I read a Facebook post from someone expressing a sense of guilt over how good her life is compared to people in places like Japan and Libya. She revealed her true feelings: that she was having a hard time enjoying the excitement of an upcoming, hard-earned trip to Disney with her family, because she was so acutely aware of the world's distress.

As you might imagine, her friends responded with comments supportive of her desire to be happy. As one posted, "Nobody in Japan wants you to be unhappy!"

With infertility, the pain you feel is most often hidden from the world. You don't want to be the one who brings sadness into a baby shower. You'd rather friends not see the hurt on your face while they chat about their little one's latest antics. The very fact that you keep grief a secret can compound your sense of isolation, which makes a little pain feel overwhelming.

On the other hand, just as we realize how much worse things can be for others -- as in the case of so much recent news from abroad -- you don't begrudge your friends' pleasure at being new parents.

The bottom line is that we are all human, and we all have drives, the strongest of which is to have a baby. We cannot all feel direct empathy for everyone, but we can strive to understand and be sensitive toward each other. In truth, we really do want everyone else to be safe, happy, and have their hearts' desires.

As many of you are, I am praying for people around the world, for peace and restoration in their lives and communities. I also continue on my personal path toward making life better for myself and for those directly around me, including my patients, because that's where it all begins.

Try, Try Again

"If at first you don't succeed, try, try again."
I can nearly hear your sighs. One of the hardest parts about infertility and its treatment is the need for perseverance. Many of my patients who are now parents will tell you that even more than peaceful patience, going through infertility treatment and keeping your sanity requires maintaining a heavy dose of "hang in there".

Recently, Australian researchers concluded that the likelihood of IVF success increases with each cycle. This is especially true for mothers-to-be who are older than 35, but even for younger women, going through an average of three IVF cycles boosts success rates up to 58 percent.

Granted, this makes common sense in a way -- the more you try something, the greater the odds you'll succeed eventually. But this isn't the first bit of research that hints at something more: the treatment learning curve and the artful practice of medicine.

of course, as Dr. Rosen points out at the end of the article in BioNews, the likelihood of success per cycle decreases, and eventually an end to treatment attempts may need to be considered for some patients. I'll discuss that seemingly paradoxical point in a future blogpost.

For now, I'll leave you to consider the reality that, yes, for many fertility patients who choose IVF, it takes more than one treatment cycle to get pregnant. As I mentioned in my last blogpost, coming to grips with treatment realities is a kind of loss. Perseverance is a good trait to muster. And when you run out of your own, borrow some from a loved one or friend. Keep trying.

More to come...
~ Sonja Kristiansen

There Really Is No Magic to Getting Pregnant

I'd really like to be able to give my patients an easy how-to for getting around their fertility issues. And people who are desperate to finally get pregnant and become parents are easy prey to reputed quick fixes. Fortunately, long gone are the old days of the tonic seller with ridiculous promises. But today's marketing techniques, finely-tuned with psychological research data, can be pretty convincing even to educated fertility consumers.

Take the idea of fertility supplements.

Granted, research studies linking nutrition and fertility have boomed in the last few years. What you eat is indeed a key factor in how you feel and how your body functions, even when it comes to fertility. Every qualified dietitian will tell you that the best source of health-promoting nutrients is food. Supplements are considered a back-up plan, and in some cases, their effectiveness is unproven.

In a Los Angeles Times article, Chris Woolston, aka The Healthy Skeptic, discusses two popular supplements: FertilAid for Men and FertilityBlend for Men. Both are promoted as providing nutritional enhancement for male fertility, specifically, sperm motility and count.

It's a good article that balances the claims of the supplements' makers with commentary by male fertility specialists. The important take-away message that eager-to-be-dads need to hear: supplements can be good for your health, but they aren't miracle cures.

And by the way -- the very same can be said for women, supplements, and fertility.

Fertility Treatment for Cancer Patients Is Reality. Even If They Don't Know It Yet.

Houston is a major destination for people battling cancer. The city's medical center is renowned for providing the most advanced cancer care available, and patients come from around the world to access life-saving science and techniques. Besides the facilities in the centrally-located Texas Medical Center, there are also cancer treatment centers in outlying areas around Harris County where patients are receiving the benefits of cutting edge research put into clinical practice.

More cancer patients are surviving and going on to live healthy, happy lives. But many forms of cancer treatment result in infertility. Fortunately, the technology exists now to take steps to preserving a person's fertility for the future. Freezing embryos and freezing eggs top the list of techniques proving successful. And for patients who have types of cancer that are transmitted genetically, the technology is available to screen embryos for the related genes.

I've networked for several years now with organizations that assist cancer patients, groups like Livestrong's Fertile Hope program, the Young Survivors Coalition, and the Susan G. Koman Foundation. Speaking to groups about fertility preservation is always eye-opening for them and for me. I continue to hear the same sense of surprise and sometimes regret from participants who wish they had known before undergoing cancer treatment. I wish they had known, too.

If you know someone who's struggling with cancer, let them know that infertility doesn't have to be part of the result. Help me and other reproductive endocrinologists make fertility treatment available to cancer patients, by spreading the word about the hopeful possibilities.

Also see:

Women Want Working Options for Motherhood
On Lindsay Nohr Beck's presentation at ASRM 2009.


Fertility Preservation and Oncology
My thoughts about Jane Brody's column on how oncology is still behind the curve in addressing their patients' future fertility needs.

Birth Control Pills: Not Necessarily The Culprit

The 50th anniversary of "the birth control pill" has come and gone recently (on Mother's Day, how coincidental!) and an article in U.S. News & World Report focused on the impact that oral contraceptives have had on our world.

Interestingly, the writer stated that, among other results, the pill is responsible for an "epidemic" of infertility.

It turns out that the author is referring to how the use of the pill resulted in delayed childbearing in our society -- on a grand scale, not in terms of individual women. More women are able to put off getting pregnant until it better suits their life, as a direct result of the pill. There's hardly anyone who would call that a bad thing!

But I do have patients who come to me, worried that their years of trying responsibly to not get pregnant have worked against them now that they want to have a baby.

The truth is that studies consistently indicate no direct connections between using oral contraceptives and later infertility. I know that a lot of women, especially those who are diagnosed with unexplained infertility, are still hesitant to believe what research tells us on this point. And to be sure, once they're in my office, it's rather moot.

It's normal to think back to what you might have done differently. It can also aid in diagnosis (and possibly treatment) to review your history thoroughly, looking for answers to your own baby-making dilemma. But dwelling on this particular "common sense" connection (between oral contraceptive use and later infertility) that continues to be denied as fact-based by researchers... just isn't helpful for you. We also have to be careful not to discourage young, responsible women from making smart choices for their reproductive lives.

Safe Versus Affordable: Are Couples Forced to Choose?

This article on Australia-based News-Medical.Net reports that increasing numbers of twins and triplets are being born as a result of the global economic crisis.

The increase (in Australia) is due to more infertility patients requesting the transfer of more than one embryo in each IVF cycle. Essentially, in an effort to save money, couples are trying to boost their odds of pregnancy per cycle.

This is an unfortunate state of affairs, since studies have for a long time pointed to several related facts, including the bottom line that multiples and their mothers are at greater risk for numerous precarious health conditions.

Because of the many complex variables at play in each IVF cycle and in each woman's own reproductive condition and functioning, some patients must undergo more than one IVF cycle before successfully achieving a healthy pregnancy. In some cases, one treatment cycle is all that's required.

Now that the combined work of embryologists and reproductive endocrinologists has arrived at a point of making single embryo transfer a viable option for many, and certainly transferring only one or two more embryos to counteract some infertility-causing conditions, my recommendation for struggling couples is to take advantage of seasonal discounts when available.

Rather than boosting your odds per pregnancy, which in turn may boost health risks for you and your hoped-for baby, I encourage patients to time their treatment around clinics' occasional specials. For example, Houston Fertility Center is currently offering IVF for $7,950 per cycle, until June 30, 2010. We've long offered summer price cuts so that patients who typically vacation during summer months can fill their off-time with baby-making. (It's especially popular with teachers, we've learned.) At the discounted rates, if getting pregnant requires more than one cycle of IVF, you'll still be receiving affordable treatment and at a much safer embryo transfer rate.

I know the anxiety that many patients feel, about time passing, about affording treatment, and about possibly never having a baby. But I also know that all of my patients, to a person, want a healthy baby over everything else. Boosting the odds of pregnancy by narrowing down to one IVF cycle with too many embryos is not the safest way to fulfill their dreams.

Summer in Texas Means Heat -- & Babies

I've noticed in my years of practicing reproductive medicine that given every other factor, there does seem to be a calendar-based trend to conception. So I'm happy to find out about studies that point to what we've seen in our practice here in sub-tropical Houston. It appears that summer is a great time to try and conceive with IVF.

In this study, published in Human Fertility (Vol 9, No 4, 2006), the researchers looking at more than 2,700 IVF/ICSI cycles saw "significant improvement in assisted conception outcomes performed" in summer months.

They're not exactly sure of what causes the boost but they propose it may be related to production of melatonin, a light-inhibited hormone that regulates sleeping and waking cycles.

This bit of information turns out to be in many patients' favor, since summer is the traditional season to take time off from work for vacation.

We've always encouraged our patients with seasonal jobs, like teaching, to take advantage of those stretches on the calendar when they're likely to be less stressed and busy on a daily basis. IVF treatment is carefully timed, so fitting it into a more relaxed schedule is beneficial -- lessened stress has also been linked to better fertility treatment outcomes.

Not only do I consult with patients to determine best times to schedule fertility treatment, I've started offering discounts timed specifically so they can take advantage of summer months.

The Other Side of the Age & Fertility Message

Just on the heels of a study declaring that 30-year-old women have lost most of their 'good' eggs, comes a report out of the UK that women in their 30's and 40's are winding up "accidentally" pregnant because they thought their chances at pregnancy were up.

The claims being made by the British Family Planning Association (FPA) are that messages about women's age and fertility are "overplayed" and leading to something like reverse anxiety. The organization, with a mission of enabling informed sexual health choices, is heading up a new public information campaign to remind women that unless they're willing to get pregnant without trying, contraceptives should be used until after menopause.

One of the messages in the FPA campaign: "Fertility. You'd be surprised how long it takes to disappear."

Menopause is defined as not having a period for at least a year. Perimenopause is what we call the years leading up to that final menstrual period. Perimenopause can last from a couple of years to more than five, and some women are fertile throughout that time.

I'm in agreement that women should remain vigilant about their chances for pregnancy until they are clearly no longer fertile. However, to imply that the messages being sent (about women's age and the natural decrease in fertility) are anything other than appropriate is itself an overstatement.

Trying to Get Pregnant After 30 - Time to Panic?

Good Morning America featured a Scottish study that concluded by the time a woman is 30 years old, she's already lost 90 percent of her eggs.

That's enough to make the typical young woman panic.

We've always known that female fertility is more dependent on age than any other variable. This study points to a sharper decline in fertility than we like to believe.

Before everyone rushes to assisted reproductive treatment, though, let's remember that stress can negatively impact fertility.

Next, it's easy enough to have a consultation and do a quick work-up to determine your baseline level of fertility. That won't provide the definitive answer as to whether or not you will have a baby later, but it can certainly help a woman determine if she has an unexpected, silent infertility condition. Then, a plan of action can be put together to promote her future fertility.

Panic won't help you get pregnant. A little foresight and action can.

Our Presentation at ASRM: More Pieces of the Pregnancy Puzzle

We were pleased to have our poster presentation accepted into this year's meeting of the American Society for Reproductive Medicine. The title -- Differential Relationship Between the Total Number of Oocytes Retrieved and the Implantation Rate in IVF and ICSI Patients -- may sound dry, but our results were positive news for patients who need IVF to have a baby.

The Houston Infertility Clinic staff, in conjunction with the Department of OB/Gyn at the University of Sydney in Australia, examined 351 IVF cycles. In each case, patients were using their own eggs and non-frozen embryos. We looked at:

the number of eggs retrieved
number of embryos transferred
results of clinical pregnancy tests

Next we compared those cycles that included ICSI and those that used "conventional" IVF for insemination. These two groups were then split up into three sub-groups, based on the number of eggs that were retrieved (either 1-10 eggs, 11-20 eggs, or 21-40 eggs.)

It might seem a simple question of statistical odds that the more eggs you produce, the better your chances, but...

Here's the good news: We concluded that, at least in our hands, patients using ICSI who were in the 11-20 egg group had the highest implantation rate. Patients using "conventional" IVF w/o ICSI had higher implantation rates when they were in the subgroup producing the most eggs (21-40 eggs).

It's important to note that quality of eggs -- rather than quantity -- is the more important measure. Patients shouldn't be discouraged if their bodies aren't producing a high number of eggs. As our study indicates, the use of ICSI seems to make a noticeable difference in outcome.

On a related note -- in some cases, women's ovaries will produce far fewer eggs than everyone hoped for in an IVF cycle. Different clinics have different policies; many are, frankly, guided by heavy concern about success rate statistics.

Our policy is that if a patient wants to move forward and retrieve the one follicle that her ovary brought forth, we will respect her wishes and do our best to render highest quality care toward the best possible outcome.

We want every patient to have a fighting chance at getting pregnant.

Article in Houston B.A.B.Y. Magazine

[Edited 11/26/08: We now have a copy of the article in PDF format on our BabyLater.com site. Read it here...]

I'm featured in an article for Houston B.A.B.Y. Magazine, a publication of Houston Family Magazine. The October issue is available in digital format here (click on the cute baby face cover), and you can find print issues at Krogers, and in OB/Gyn and pediatrician offices.

The article is called "From Cancer to Parenthood: Reproductive Expert Helps Survivors Create New Life" and includes a pretty interesting photo of Dr. Stoddart in the lab.

I'm glad the feature highlights my efforts at bridging the gaps between oncologists and reproductive specialists. Patients are the prospective losers if the facts about fertility preservation aren't immediately available at that very first discussion about cancer treatment. Making those physician-to-physician connections well in advance of patient need will be the key to enabling more survivors to become parents later.

Please feel free to share this article with your physicians and friends.

For easy sharing by email and for printing, I recommend this: find the article on page 16, click on the article title words "From Cancer to Parenthood" to display the article in easy-print format. From there, you also have options to post the article on your Facebook, MySpace, and other favorites. (Technology is great, but tricky at times...)

You Asked For It: Predicting Ov with PCOS

One of my readers asked me to discuss PCOS, in conjunction with my earlier comments on using ovulation predictor kits at home.

It's true that PCOS and several other ovulatory disorders can make home ovulation prediction a very inaccurate process. If you're determined to use at-home testing kits, try to look at the results as information that is helpful but that may not be giving you the full picture of your ovulatory function.

A very important point here: regular menses does not necessarily mean you are ovulating during every cycle. Women with PCOS come with a range of cycles -- from amenorrhea (completely absent periods) to wildly irregular cycles to fairly consistent menstrual periods.

In short, when a woman has PCOS or other ovulatory disorders, menstruation and ovulation may be different, seemingly unrelated events. You can't always use "Aunt Flo" as an indicator of how well your ovaries are working.