Getting Through the Holidays with Infertility However You Can

Seasonal holidays are tough on the spirit when you're trying to get pregnant and can't. The Web is full of places you can go to and read or chat with others about ways to cope. Here are a few that I recommend:

Thanksgiving: To Attend or Not To Attend: That Is the Question
The title says "Thanksgiving," but this piece by Lori Shandle-Fox on Fertility Blogs covers all family gatherings with a light heart.

Infertility and Holidays: Don't Just Survive - Thrive!
Tracy Morris on FertilityCommunity covers a lot of different emotional tactics that can help you view holidays from a different perspective.

The Season of Giving
An interview with Kathy Stern of Southwest Surrogacy Associates, LLC about the role of giving in third-party reproductive treatment, during the holidays and beyond.

The Perfect Storm of Holidays: Infertility and Christmas
Melissa Ford taps into a perfect analogy with "The Great Peanut Day". Use it to explain your emotions to those who just don't seem to 'get it.'

Tips for Facing Infertility During the Holidays
On ParentDish, Mary Beth Sammons interviews a woman who's been going through fertility treatment for six years. Her personal advice - "what helps most is 'to know that I'm not alone.'"

There are plenty more out there -- just search for "holidays and infertility" and you'll see that, indeed, you're not the only one.

Another Reason to Be Glad You're in America: Donor Supplies

Getting pregnant with the help of a third party, either an egg or sperm donor, is a tough decision to make. And how much to share with the resulting offspring about their beginnings is best left to the parents. At least, that's the American stance.

This piece in the Scottish paper, the Daily Record, illustrates how bad things have gotten in the UK since anonymity of donor records was made illegal. So few men step forward to donate sperm there now that the health system is helping out by importing semen from London. Many hopeful parents-to-be are spending time and money to go abroad, to countries where third-party supplies are more plentiful.

For patients at Houston Fertility Center, we collaborate with highly reputable agencies that have both sperm and egg donors available and waiting. The level of interaction between fertility patient and donor can vary with the agency and, most importantly, with the needs of all parties involved.

The U.S. may still have quite a few unsettled issues in the healthcare arena, but we can at least rest assured that supplies for third-party reproductive care are just fine.

Weight Issues & Fertility Not Just a Woman's Concern

Here we are again -- the end of year holidays. This time can have a real double whammy effect on people trying to conceive. First, there are the joyous gatherings... with babies everywhere. Then, there's the abundance of food, much of it rich and not-so-nutritious. You know, the kind that's so much fun to enjoy too much of...

Why is food a problem for people trying to get pregnant?

By now you've probably heard about the impact that weight has on a woman's fertility -- both too little and too much weight can result in ovulation disorders. Also, overweight women increase their surgical risks even for procedures as commonplace as egg retrieval. But there's more research now that says men need to keep an eye on their fatty food intake, too.

At this year's meeting of the American Society for Reproductive Medicine, researchers presented evidence that men with the highest intake of saturated fat had 41% fewer sperm than those who ate less. Also, men who ate more omega-6 and omega-3 polyunsaturated fats, specifically, had better sperm motility and morphology.

There is some good news on the research front for men who are overweight. The low testosterone levels that apparently go along with high BMI (body mass index) do respond positively to clomiphene citrate (Clomid).

But on this eve of one of our country's biggest binge-eating holidays, I'd recommend having a double helping of the carrots and lay off the gravy a little bit.

Also see:

When Fertility Really Is About Your Diet

Weight & Fertility (from my April 2007 newsletter)

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.

Why I Attend the Meetings of American Society for Reproductive Medicine

One of the reasons I felt compelled to move from straight OB/Gyn work to reproductive endocrinology-infertility (REI) is because of the constant advances in science. I find it exciting to apply techniques that have developed along a continuum from creative brainstorming on how to meet patients' fertility challenges all the way through validation in labs and clinics.

I'm heading to Denver this week with some of my Houston Fertility Center staff to attend the 66th Annual Meeting of the American Society for Reproductive Medicine. ASRM is always a great place to catch up with colleagues from around the world and hear about the latest ways to treat our patients. This year promises to be even more enjoyable as we'll be honoring two pioneers of IVF, Dr. Howard Jones, who performed America's first IVF procedure, and Professor Robert Edwards, who recently was awarded the 2010 Nobel Prize in medicine for his development of IVF.

Bestowing accolades on esteemed professionals is just part of the reason for gathering. More importantly, I look forward to returning to Houston Fertility Center with new ideas to share with patients on clearing their family-building hurdles. Sometimes, even a simple treatment can be years in the making. Once new technology is available, a whole new group of once-infertile men and women can find themselves parents, and that's why I do what I do.

When It Comes to Cancer, We're All On the Same Team

Did you know that many women who survive cancer are unable to have children later? That's because life-saving cancer treatments can result in complete sterility. Fortunately, cancer survivors are increasingly speaking out about what they want out of life after illness. I've been privileged to offer these women fertility-sparing options so they can choose life both ways.

This Saturday, October 2nd, one of my sons is running in the 2010 Komen Houston Race for the Cure. A couple of years ago, I spoke to a gathering of women who form the Education Committee of the Susan G. Komen for the Cure Houston, the nation's premiere advocacy and research organization. The questions from this particularly well-informed audience led me to realize that more general public education is needed.

Cancer survival increases steadily. Fertility treatments to allow survivors to become parents is available. What is still slowly developing is a pipeline of patient information and referral. Too many women find themselves on the infertile side of cancer treatment asking why they hadn't heard of fertility preservation before it was too late.

The Komen Foundation has funded great strides in research to help women survive cancer and go on to have fulfilled lives. I urge you to do what you can to continue supporting their mission. And spread the word yourself to friends affected by cancer: fertility preservation is not experimental science. It is medical care that is currently available.

Fertility Drug Company Offers IVF Miracles Education Funding

Once you've finally cleared your fertility hurdles to have that miracle baby, life's little related expenses start adding up fast. Educational costs aren't far behind those first birthday parties (and by the way, the staff of Houston Fertility Center really loves those party invitations!)

Since 2004, Ferring, manufacturer of fertility medications, has offered a chance at getting a little help to fund your child's academic needs. Houston Fertility Center patients who used Bravelle or Menopur can enter their essay in the My Little Miracle contest by December 31, 2010. This year's theme: If I Knew Then What I Know Now. The prizes: education funds of up to $10,000!

All the details can be found here, where you can also read the previous winners' entries for inspiration.

I'm honored to know my patients' miracle stories first-hand. I know some of them will make outstanding entries in the Ferring My Little Miracle contest.