eating while pregnant

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jeudi 13 février 2014

Happy Valentine's Day from Dominion Fertility

Posted on 07:18 by Unknown
DrG wishing you all an early Happy Valentine's Day just in case I don't make it home in one piece given the "wicked" (Bostonian for very impressive) storm that blew through here last night and today....

My parents were married for 67 years. That is a very impressive accomplishment. Somehow they made it work although there was certainly a fair amount of yelling at times... How can you explain how to stay together for such a long time? In one sense it is unexplainable (certainly my wife will be hard pressed to suffer for 41 more years of Yoda impressions). But since it now hurts my vocal cords to say "Try not, do or do not. There is no try" we may not be headed to divorce court any time soon....

Infertility can also be unexplained. That doesn't mean untreatable. Just got a nice birth announcement from a couple with unexplained infertility who had failed 3 rounds of clomid/IUI and came to see me back in December 2012. All testing had been fine: normal HSG, normal semen analysis, normal ovarian reserve testing.

Why does CC/IUI fail? Good question. Perhaps the tubes (although open) failed to capture the egg(s). Perhaps the sperm failed to find the egg (they get lost, they die, they don't ask directions). Perhaps the sperm and the egg didn't like each other (What no flowers or box of chocolates?). Perhaps the egg didn't fertilize normally. Perhaps the embryo didn't grow normally. Perhaps the embryo failed to make it to the uterus. Perhaps the embryo failed to implant. All we can say after a failed IUI is that it failed.

IVF offers a chance to gain some additional information. Even if IVF fails, we can at least see if the egg looked OK, if the egg fertilized, if the embryo grew... Success rates for IVF increase with each hurdle that is cleared: successful retrieval, successful fertilization, successful embryo development, successful embryo transfer....

Given all these issues, my patient elected to pursue Natural Cycle IVF. She had considered FSH/IUI and stimulated IVF. Given her age of 37 she would be unlikely to end up with a high order multiple pregnancy with FSH/IUI but she and her husband were frustrated with the lack of information gleamed from IUI cycles.  Stimulated IVF was an option but they elected to try NC IVF as a first step.

6 sonograms, 1 egg collection and 1 embryo transfer later they were pregnant and delivered a full term healthy baby recently. Score another victory for NC IVF. Remember that infertility may be unexplained but that doesn't mean untreatable.

Pray that I make it home to Maryland today. If you see a silver Murano in a ditch that could be me but I will channel my inner Boston driver and do my best to get home safely!
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vendredi 7 février 2014

Happy (Belated) New Year from Dominion Fertility!

Posted on 11:23 by Unknown
It has been a very busy couple of months here at Dominion Fertility but I am slowly digging out from a number of time consuming projects ranging from writing a couple of research papers to updating all of our consent forms and everything in between. One of my favorite yearly holiday projects is trying to reply to all the Christmas/Hanukkah/Kwanza/Festivus/New Year's cards that I receive here at Dominion. Unfortunately, after 18 years in practice I tend to get a bunch of cards and it takes longer and longer each year to get all my replies out the door. (Note: If you sent a card and didn't get a reply from me, then it is probably because the card failed to get routed directly to me so don't take it personally....or it could be Sam's fault).

Every December I have to relearn how to use Adobe Photoshop so I can add in employees who fail to make the group photo seen above. Next week I will provide an answer key for those interested in figuring out who was Photoshopped into this year's photo and who was actually there that day....Make sure you get your answers in ASAP.....

So a belated Happy New Year from DrG....
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