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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.

Fertility Treatment for Women over 40


b2ap3_thumbnail_DrNelson.JPGBy: Jeffrey Nelson, DO FACOOG

 
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Dr. Jane Frederick speaks on "Weight and Obesity When Trying to Get Pregnant"

Dr. Jane Frederick

Weight can seriously affect a couple's chance of getting pregnant. Twelve percent of all infertility issues are weight related and being overweight and/or underweight has unique consequences for men and women. The goal of fertility specialists is to understand the relationship between weight and infertility with each fertility patient and then working to eliminate non-disease factors. Obesity impacts conceiving naturally and your IVF treatments. 

Obesity has also and has been associated with the following early pregnancy loss after IVF, a decreased pregnancy rate, decreased fertilization, higher gonadotropin requirements and an impaired response to gonadotropins.

When reviewing fertility issues, couples must factor in the length of time they have been trying to conceive, their age, weight and lifestyle. Many factors contribute uniquely to each patient and couple. There are a significant number of obese women who suffer from fertility issues. This could be because of irregular periods and frequently anovular (non-ovulatory) menstrual cycles. A large percentage of obese patients suffer from PCOS (Poly Cystic Ovarian Syndrome) a disorder commonly associated with obesity.

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Making the Decision About Family Balancing

Dr. John Wilcox

By: John Wilcox, MD FACOG 

Numerous factors lead couples to make the decision to balance their families using PGD, the gender selection technology. For some it may be the desire to raise a child of each sex and others may already have several children of the same gender and desire a child of the opposite sex to balance the family. Many patients undergoing fertility treatments for the second time and parents in their forties, also consider family balancing since they are likely to have small families. As you can see, the reasons for family balancing are varied but many people share conflicting emotions about making the decision. Some feel guilty and question whether it is ethical to select the gender of a child for family balancing. Others worry that they are playing God.

It is only natural to have a vision of your ideal family and want to see it realized.  Let’s face it, raising a boy is different than raising a girl and it’s ok to want to experience both. However, couples need to talk openly with each other about their feelings, however conflicted. Both partners need to look at their underlying emotional reasons for wanting to balance their families. For instance, if a woman wants a girl to share her love of fashion or a man wants a son to go to baseball games with, these parents may be disappointed if their children don’t live up to their preconceived notions. A good place to start the process of family balancing is discussing your feeling with your fertility doctor and a family counselor. Remember, always use counseling as a resource, not a last resort.

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Fertility Drugs’ Link to Breast Cancer Hinges on Pregnancy, Study Says

Dr. John Wilcox

By: Dr. John G. Wilcox, M.D. FACOG

Study suggests fertility drugs may not pose a significant increased risk of developing breast cancer

A recent study published by the National Institutes of Health recently reported their results of 3000 women studied comparing 1400 women diagnosed with breast cancer before age 50 and 1600 of their sisters who never had breast cancer. Of the 3000 women studied, 288 reported using fertility drugs. 141 of the 288 women reported a pregnancy lasting 10 weeks or more. Results suggested fertility drug use without a subsequent pregnancy may slightly lower the risk of developing breast cancer before age 50. Of those women reporting a pregnancy following treatment, there was little difference in risk compared to women who never took fertility drugs at all. This is the latest study to suggest a marginal impact of fertility medication on breast cancer incidence. Dr. John G. Wilcox, M.D. FACOG, Laboratory Director of HRC Fertility, Pasadena, CA.

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Dr. Edward Dourron discusses on OC Register (Hoag Health) "Eight Things We Learned from Ocotomom"

Dr. N. Edward Dourron

A year ago, the Medical Board of California revoked the license of Dr. Michael Kamrava, finding he "did not exercise sound judgment" in transferring 12 embryos to Nadya Suleman, who already had six children at home. The ruling, while not surprising, was illuminating, and it's worth reflecting on the eight things we learned from Octomom:

1. Know How to Say No: There is a point where physicians have to make a judgment call. Pregnancies with triplets – let alone eight infants – put the mother at high risk of serious medical complications and put unborn children at risk for developmental disabilities. Doctors need to rely on their professional expertise and experience to know when to turn a patient down.

2. Beware the Patient with Tunnel Vision: Often when a patient comes to a fertility doctor, unsuccessful pregnancy attempts have made her anxious and determined. She might want to get pregnant even if she has underlying conditions that could put her or her baby at risk. Doctors have learned to be vigilant about preconception counseling and medical testing to determine whether patients are healthy enough to pursue pregnancy.

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Commonly Asked Questions about IVF

Dr. Michael Feinman

When should a person consider an IVF cycle versus other forms of treatment?

Your doctor will discuss with you your best treatment options based upon your age and medical history.  An IVF cycle may be suggested if other options such as interuterine insemination (IUI) have not worked or if you have blocked or damaged fallopian tubes, unexplained infertility, or any other medical condition that prevents your eggs from being fertilized. Each treatment plan is tailored to meet your individual health needs. 

How long does the egg retrieval take? Is it painful? Will I be sedated?

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Dr. Frederick speaks on "What could be Causing your Fertility Issue?"

Dr. Jane Frederick

There are many different causes that could prevent a couple from achieving pregnancy so it is always best to check in with a specialist if you have been trying for six months to one year. Basic infertility work-ups can include a semen analysis for the male and initial blood work for the female. Below are some common infertility issues and treatments available - the majority of issues can be treated either with the assistance of a specialist and/or Assisted Reproductive Technologies.

Anovulation means there is no egg that is ovulating and it can be the cause of infertility in up to 40 percent of infertile women. Ovulation induction medications like Clomid can successfully treat this condition.

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Dr. David Tourgeman in The New York Times

Dr. David Tourgeman

The New York Times discusses egg-freezing and whether it is a family decision. Check out the article that features HRC's own Dr. David Tourgeman!

Click here to read the article in the New York Times.

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Fertility Issues to Know About: PCOS and Endometriosis

Dr. Jane Frederick

Trying to get pregnant month after month is not fun for anyone. And after a few months of getting busy yet failing to see that positive pregnancy test, it’s only human to start wondering what could be preventing that egg from meeting up with that sperm. Today, Dr. Jane Frederick, a reproductive endocrinologist at HRC Fertility, shares two common fertility issues that women may be facing. The good news? They won’t necessarily prevent you from getting pregnant. —Erin

Common Fertility Issues

Polycystic ovarian syndrome, known commonly as PCOS, refers to a hormone disorder affecting 3 to 10 percent of reproductive-aged women. Considered a leading cause of female infertility, PCOS reduces the ability of the ovaries to mature and release eggs into the uterus. Other reproductive symptoms of PCOS include the creation of polycystic ovaries, characterized by multiple cysts and small follicles; chronic anovulation, or an inability to ovulate; and hormonal imbalance, including high levels of the male hormone androgen.

Click Here to read the entire article.

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Take the Encino Office Virtual Tour!

Huntington Reproductive Center, Encino Location has created a new 'Video Tour" of the office.  Click here to view the tour!

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March marks National Endometriosis Awareness month | Dr. Jane L. Frederick speaks in Patch.com article

Dr. Jane Frederick
"Endometriosis: The Often Undetected Cause of Infertility"

“Endometriosis can be masked by many other things,” says Jane Frederick, M.D., a reproductive endocrinologist and infertility specialist with HRC Fertility in Newport Beach.  Some women assume the pain of endometriosis is due to severe menstrual cramps and ignore it, she says.  She urges women to come forward and seek help if they are experiencing symptoms of endometriosis."

Please click on the link below to read more:http://losalamitos.patch.com/articles/endometriosis-often-undetected-cause-of-infertility

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Fertility Doctor of the Month: Jane L. Frederick, M.D., FACOG

Dr. Jane Frederick

FertilityAuthority is pleased to recognize Dr. Jane Frederick, a fertility doctor with HRC Fertility, as Fertility Doctor of the Month in October of 2012.

Dr. Frederick, who sees patients at three Orange County, California, offices, was named one of the top 10 percent of reproductive endocrinologists in the country by her peers according toU.S. News & World Report. And her patients eagerly praise her as well, saying:

“Dr. Frederick is one of the most compassionate doctors I have ever met.”

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Article on Tay-Sachs: Featuring Dr. Potter

Dr. Daniel Potter

Kira Tabakin, 3 months, was born healthy, even though her parents, Melanie and Dudley Tabakin, carry the Tay-Sachs gene. Kira was conceived using in-vitro fertilization and a pre-implantation genetic diagnosis.  Click to read the full article.

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Dr. Daniel Potter has been selected as a Castle Connolly Top Doctor

Dr. Daniel Potter

Dr. Daniel Potter has been selected as a Castle Connolly Top Doctor.  For more information about this prestigious award, please click here.

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Dr. Frederick speaks on Today Again Radio

At 7:30  the discussion turns to the search for sperm donor dads as reproductive endocrinologist Dr. Jane Frederick, and a few brave souls who have searched for their donor fathers join the coaches for a candid look at sperm donor children.  All that and more beginning at 6:30 pm eastern standard time.

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HRC Fertility Opens a Newport Beach Office

State-of-the-art Laboratory is the most advanced in the United States

Los Angeles, CA, January 25, 2012 - HRC Fertility, the leading fertility clinic on the West Coast and one of the largest providers of advanced fertility treatments in the United States, has added a new location in Newport Beach.  The Newport Beach office is located at 500 Superior Avenue, Suite 210.

The world famous Professor Barry Behr of Stanford University helped design and will serve as Laboratory Director of the Newport Beach facility which houses the most advanced in vitro fertilization laboratory in the United States.  The laboratory is the first in the United States to utilize the highly advanced Labotech C-Top technology from Germany.

“We are extremely excited about this cutting-edge lab.  We have spared no expense in creating the most advanced laboratory possible to optimize IVF success rates for our patients. As an example, the air handling system available in our embryology laboratory with pressurized, clean-room technology was designed by the renowned environmental engineer Antonia Gilligan PhD,” said Dr. Daniel Potter, MD, FACOG at HRC Fertility. “We have two fully equipped operating rooms in our dedicated surgery center with laminar air floor to eliminate airborne contaminates. Our lab is also unique in that patients can observe the embryologists at work through walls of glass.”

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60 Minutes Australia: Dr. Potter and Gender Selection

Just imagine it. Seven kids and every one of them a boy. You'd give up trying for a girl wouldn't you?

Well not Andrew and Jodi McMahon. They wanted a daughter so badly they decided to have one more go.

But this time, there was no rolling the dice.

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Jane Leigh Frederick, MD, FACOG on AVVO. Expert Advice When You Need It Most

Practising in California since 1990, Dr. Jane Frederick is an internationally noted specialist in Reproductive Endocrinoloy and Infertility. She is the Medical Director of HRC Fertility in Orange County, where she developed a diverse clinical practice in reproductive surgery, IVF, and the genetic screening of embryos. Dr. Frederick is board certified in both Reproductive Endrocrinology /Infertility and Obstetrics/Gynecology from the University of Southern California. 

A renowned speaker, Dr. Frederick has educated medical colleagues in the area of fertility preservation, and age and reproductive issues with numerous publications. She has held many posts with organizations active in the advancement of reproductive medicine including the Pacific Coast Reproductive Society (Past President), and the American Society of Reproductive Medicine. In addition, Dr. Frederick has received a variety of honors for her outstanding work in the field including Distinguished Service to PCRS 2006, Castle Connoly Top Doctor 2009, Orange Coast Top Doctor 2009, and Top Doc Los Angeles 2011.

Dr. Frederick provides state-of-the-art treatment with a great deal of personal attention and care to her patients. She has helped thousands of individuals worldwide achieve their dream of having children.

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AOL Latino speaks to Dr. David Tourgeman en español about gender selection.

Cuando una mujer está embarazada es común que se le haga una y otra vez la misma pregunta, "¿qué te gustaría tener, niño o niña?". Y aunque lo único que verdaderamente les importa a las mamás es tener un bebé sano, sí sucede que la pareja fantasea en cómo sería su vida si tuvieran una nena o un varoncito.Si tú tuvieras la oportunidad de decidir entre niña o niño, ¿elegirías el género de tu bebé? Las nuevas tecnologías han hecho que esta posibilidad se vuelva una realidad. Sobre el tema, hablamos con el Dr. David E. Tourgeman, Endocrinólogo certificado de HRC Fertility en Southern California.  

 

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Dr. Jane Frederick spoke about PCOS in Today's Parent USA.

Polycystic ovarian syndrome (PCOS) is a condition that affects a woman’s menstrual cycle, fertility, hormones, insulin production, circulatory system, and appearance.  Women have both male and female hormones, but women who have PCOS have higher levels of male hormones and experience irregular or absent menstrual cycles and small cysts on their ovaries.  It is estimated that 5-10% of women who are of childbearing age have PCOS. Click Here for Complete Article.

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