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Huntington Reproductive Center - Blogs

The HRC Fertility Blog is a resource for patients and those seeking infertility related issues and articles. Check back often or subscribe to this blog as it is changed weekly by the HRC staff.

Breast Cancer & Fertility Preservation Advocacy

Breast Cancer & Fertility Preservation Advocacy
breast cancer blog
Could California Senate Bill 1972 signal hope is on the horizon?

 

At the beginning of this year’s Breast Cancer Awareness Month, the American Cancer Society announced some very encouraging news. It reported there were 322,800 fewer deaths from breast cancer between1989 and 2015, representing an almost 40% decrease in mortality. Experts attribute this dramatic drop to both early detections via mammography and better treatments.

According to the Young Survival Organization, 12,150 cases of breast cancer will be diagnosed in women under age 40. These women have unique challenges not only in terms of how the disease affects them but also about the impact the cancer treatment will have on their ability to get pregnant after treatment.

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Two Women, One Dream to Create A Family

Two Women, One Dream to Create A Family
create a family blog

In the last several decades, lesbian would-be parents have increasingly sought reproductive assistance to have babies. It is estimated that approximately one-third of lesbian households have children, having achieved motherhood either through non-assisted insemination, fertility treatment, adoption or through prior heterosexual relationships.

While two women trying to make a family together equals double the set of reproductive organs, they still may encounter obstacles on their way to getting pregnant and having a baby.

If you are part of a same sex female couple, here are some important issues you should consider as you embark on your family building journey.

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Guys: Are You Producing Enough Sperm?

Guys: Are You Producing Enough Sperm?
Many reasons for a lower than normal sperm count

Infertility is an equal opportunity medical condition. This means there is a 40 to 50% chance that prospective dads who seek our help will have an infertility problem, with low sperm production being one of the main culprits.

Getting this diagnosis can be very shocking for men. After all, they probably have been producing what they think are normal and plentiful ejaculations. They may not realize that abundant semen does not indicate a normal sperm count.

The sperm production journeyFirst, let’s look at how sperm is made. It takes approximately 72 days for men to produce a new sperm supply. The production process begins in the brain with the pituitary gland. It releases hormones that jumpstart the development of sperm and testosterone inside the testicles, which are protected within the cool confines of the scrotum. Sperm continues to mature as they move through the seminiferous tubes of the testes to the prostate gland, where sperm mixes with seminal fluid to create semen.

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OB/GYN or Infertility Specialist: Who is Best for You?

OB/GYN or Infertility Specialist: Who is Best for You?
doctor blog

If you’re frustrated that you’re not getting pregnant, you may be wondering about your next step. Should you make an appointment with a gynecologist, or is it appropriate to seek the advice of an infertility specialist, especially a board-certified in reproductive endocrinologist?

At HRC Fertility, we work with obstetrician/gynecologists (OB/GYNs) who refer patients to us. Many are experienced in providing first-step infertility treatment such as ovulation induction with oral or injectable medications that may be combined with intrauterine inseminations. They have the staff and expertise to successful guide patients who have been diagnosed with mild endometriosis, problems with ovulation, mild male factor infertility and cervical factor infertility.

If you are confused about the best choice, here are some guidelines to help you make your decision.

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The Zika Virus: What You Need to Know

The Zika Virus: What You Need to Know
zika

You’ve probably seen the frightening news reports of hundreds of Brazilian babies with microcephaly, a serious birth defect characterized by abnormal smallness of the head and incomplete brain development.

Infectious disease experts have attributed their condition to the Zika virus, carried by two species of mosquitoes as well as through sexual intercourse with an infected person. The Zika virus can affect pregnant women and their babies at any point in the pregnancy, and currently testing for Zika is complicated and not readily available. Still, the risk of catching Zika, particularly in the U.S. and southern California, is very low and research is rapidly ongoing—especially for a vaccine.

In April, the American Society for Reproductive Medicine issued a document developed from CDC and FDA reports to help infertility physicians counsel patients about Zika’s impact on reproduction. Key takeaways include:

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Let’s Pass #IVF4Vets!

Let’s Pass #IVF4Vets!
veterans

Author: Dr. Mickey Coffler

Earlier this month, more than 200 infertility advocates (including many from California) and representatives from numerous veterans organization joined Resolve: the National Infertility Association and the American Society for Reproductive Medicine in Washington, D.C. They lobbied for bills that will pay for fertility treatment for wounded veterans.

Located in Southern California where many military personnel live, HRC is honored to have the opportunity to help active duty service men and women overcome infertility, much of which is paid for by their military healthcare benefits. My colleagues and I see first-hand the devastating reproductive injuries that our wounded veterans have sustained in combat.

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Dr. Robert Boostanfar Lectures at Shanghai Fertility Conference

Dr. Robert Boostanfar Lectures at Shanghai Fertility Conference
Dr Robert Boostanfar Lectures Shanghai Fertility Conference
Dr Boostanfar of HRC speaks in China
Dr Boostanfar China Sign

Dr. Robert Boostanfar spoke at an MSD-sponsored (Merck Pharmaceuticals in the U.S.) fertility conference in Shanghai. Dr. Boostanfar was part of an international contingent speaking to Chinese physicians about the latest in fertility research.

  
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HRC Fertility/OC Releases Live Birth Stats

HRC Fertility/OC Releases Live Birth Stats
HRC Doctors Newport Beach - Coffler, Frederick, Ghazal, Potter

HRC Fertility/Orange County recently announced it achieved a live birth rate per patient of 83.3 % for women under 35 in a fresh IVF cycle. According to the Society for Assisted Reproductive Technology (SART), national statistics were a 57% live birth rate per female patient with the same characteristics of being under 35 using their own eggs in a fresh IVF cycle. The infertility specialists in Orange County are Drs. Mickey Coffler, Jane Frederick, Sanaz Ghazal and Daniel Potter.

 For more information, please click here.

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IVF Gave Us the Opportunity to Have our Family

IVF Gave Us the Opportunity to Have our Family
IVF Gave Opportunity

Sarah and Dane were ready to have kids; they’d known each other for 11 years, been married five and all their friends were getting pregnant. Everything seemed to be on track—until it wasn’t.

After undergoing treatment with Dr. Jeffrey Nelson, Sarah learned she had hyperprolactinemia, a condition where high levels of the hormone prolactin interfere with regular ovulation, and an unicornuate uterus, a rare condition where only half the uterus develops. Dane also had a low sperm count.

“We were saddened by the idea that we might not go through the ‘normal’ way of having a child, but we also realized everyone has a different path,” Sarah recalls. “Over time, we were able to cope, accept and be excited about our own journey.”

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Dr. Daniel Potter Interviewed on "Heather Dubrow's World"

Dr. Daniel Potter Interviewed on "Heather Dubrow's World"
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Heather Dubrow discusses her IVF story and invited Dr. Potter onto this week's #podcast to talk infertility facts and when couples should seek help in their attempt to conceive a child.

Click here to listen to the full podcast.

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Dr. Frederick Featured on "Little Women: LA"

Dr. Frederick Featured on "Little Women: LA"
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Tune in to Little Women: LA, on February 24th at 9pm PST and watch Dr. Frederick's the meeting with Briana Renée on her infertility struggles and what to do next. The episode will air on Lifetime Network.

 

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Ovulation and Fertility: Dr. Sanaz Ghazal Answers Most Frequently Asked Questions

Ovulation and Fertility: Dr. Sanaz Ghazal Answers Most Frequently Asked Questions
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What are the signs of ovulation, and when am I most fertile? Those are  two of the questions Dr. Sanaz Ghazal answered in a recent interview with Fertility Authority. Dr. Ghazal also talked about the key hormones that control ovulation, and factors that can impact the ovulation process. As she points out, “Fortunately, we have effective fertility treatments that can help women with ovulatory dysfunction achieve a pregnancy.”

For the more in-depth articles, go to: https://www.fertilityauthority.com/articles/fertility-doctor-answers-top-questions-about-ovulation-and-your-fertility and https://www.fertilityauthority.com/articles/ovulation-explained.  

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The Right Attitude Can Help Relieve IVF Stress and Anxiety

The Right Attitude Can Help Relieve IVF Stress and Anxiety
claire photo sm

Submit by Claire Perez Castillo

Claire and Rod had one chance to get pregnant with in-vitro fertilization. One.

Rod had a vasectomy before he met Claire, and rather than reversing it and hoping for a successful natural conception, the couple decided their best chance was with assisted reproductive technology and IVF.

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Dr. Robert Boostanfar Completes Global Clinical Trial

Dr. Robert Boostanfar Completes Global Clinical Trial
Dr. Robert Boostanfar of HRC Fertility Los Angeles

Results from Dr. Robert Boostanfar’s global clinical trial have been published in Fertility and Sterility. While globally approved, the trial has not yet been approved for use in the U.S.

Click here to view the published results

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HRC Fertility's Dr. Potter Co-Authors Gender Selection Paper

HRC Fertility's Dr. Potter Co-Authors Gender Selection Paper

The effectiveness of flow cytometric sorting of human sperm (MicroSort®) for influencing a child’s sex

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HRC Fertility is hosting Free Fertility 101 Seminars every month for 2014.

HRC Fertility is hosting Free Fertility 101 Seminars every month for 2014.

This is a wonderful opportunity to meet our physicians at one of our HRC Fertility's Free Seminar. Visit our seminar page to learn more information and to register for a seminar nearest you.

Click here for our upcoming seminars and to sign up!

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When your biological clock betrays you

When your biological clock betrays you

By  Jennifer Bright Reich

MommyMdGuides.com

 

 

Remember the phrase, “You can have it all?”  That is what I thought would happen to my friends and my myself as we transitioned from full time employment ( I was a Lieutenant in the Army) to motherhood.  We were all ready to journey together as women in our  mid-thirties and early forties in to the foray of starting a family.  And, we had plenty of company as  approximately 20 percent of women  in the U.S. wait until age 35 to start trying to get pregnant  

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Contemporary Outcome Summary of Assisted Reproductive Technologies

Contemporary Outcome Summary of Assisted Reproductive Technologies
Robert Boostanfar, MD, FACOG - Huntington Reproductive Center
By Robert Boostanfar, MD, FACOG Board Certified, Reproductive Endocrinology and Infertility

Introduction

The last several decades have propelled assisted reproduction technologies (ART) into one of the most controversial and revolutionary medical therapies in the United States and around the world. The impact is so profound that today nearly 1% of babies born in the United States are conceived by in-vitro fertilization (IVF). The last few years have added focus and research on improving pregnancy outcome, and furthermore in establishing and defining health consequences from the utilization of these techniques. It has also allowed evaluation of the impact of health related issues upon the success of assisted reproduction. The focus of this summary is to update the reader on leiomyomata (fibroids of the uterus), hydrosalpinges (blocked fallopian tubes), smoking and decreased ovarian reserve on ART outcomes. Moreover, it will serve to examine the recent data and controversies on perinatal outcomes and birth defects as related to ART.

Leiomyomata and ART

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De-Mystifying Fertility Medications

De-Mystifying Fertility Medications
David E. Tourgeman, MD, FACOG Huntington Reproductive Center
By David E. Tourgeman, MD, FACOG Board Certified, Reproductive Endocrinology and Infertility 

The ABC’s

The ABC’s A fundamental step in understanding how fertility medications work, is to review some basic physiology (see figure). At the beginning of a menstrual cycle, Follicle Stimulating Hormone (FSH) is produced by a part of the brain called the pituitary gland. As the name implies, the primary function of FSH is to stimulate the growth of an ovarian follicle. In addition to containing an egg, the follicle has cells on its periphery which respond to FSH by producing estradiol (E2), a form of estrogen. E2 is a signal to the brain to reduce the amount of FSH it is producing; in this way it limits the amount of FSH that is secreted in any one menstrual cycle. Of the many follicles that can be stimulated to grow in a cycle, typically the one that has the most receptors for FSH flourishes and survives. Once this dominant follicle reaches maturity, Luteinizing Hormone (LH) is then released by the pituitary gland. LH not only provokes the chromosomal maturation of the egg, but also begins the process of ovulation in which the egg is released from the follicle, which will then be captured by the fallopian tube and await sperm for fertilization. Both FSH and LH are also called gonadotropins.

The Basics

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Fertility Preservation Options: Egg Freezing

Fertility Preservation Options: Egg Freezing
Bradford Kolb, MD, FACOG - Huntington Reproductive Center
By Bradford Kolb, MD, FACOG Board Certified, Reproductive Endocrinology and Infertility

Reproductive medicine has provided many wonderful options for women seeking to preserve their reproductive potential. From the advent of medications to stimulate egg production, to the development of in-vitro fertilization (IVF), many individuals have benefited from this technology. IVF is now commonplace and is no longer considered experimental or unusual. Fertility preservation (egg freezing) uses some of the same technologies perfected with IVF to allow women to delay childbearing. Egg freezing prevents the eggs from aging and therefore can be used to minimize the loss of fertility that occurs with advancing age. This loss of fertility starts in the late twenties and rapidly accelerates in the mid-thirties so that most women in their early forties have permanently lost their ability to conceive. The best option currently available to preserve fertility is to freeze eggs. By freezing one’s eggs, a woman is essentially preserving her egg’s potential for the future – eggs frozen from a 30-year-old women willalways function as if they came from a 30 year old, even if they are not used for another 10 to 15 years.

Egg freezing is the best option for the right patient. When an egg is frozen, its fertility potential is preserved indefinitely. Due to the natural loss of fertility that occurs with advancing age, we strongly recommend women freeze their eggs before their mid-thirties and most certainly before age forty. It is important that you have confidence in the center providing this service.

The Science Behind Egg Freezing

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