Posts Categorized: Fertility

Ask the Expert: Cornell Fertility Specialist Dr. David Reichman

When you were younger, you spent a lot of time and energy trying NOT to get pregnant.  But now that the time is right, what if it’s not happening as quickly as you hoped? Or what if you are in your mid- thirties and still haven’t met Mr. or Mrs. Right, or this just isn’t the time for a baby?

This is where a fertility specialist called a Reproductive Endocrinologist (RE) comes in. I’m excited to have had the chance to interview Dr. David Reichman of The Center for Reproductive Medicine at Weill Cornell’s Tribeca office. Dr. Reichman not only has an impressive bio (click here to read), but strikes me as a warm and compassionate person who is genuinely excited about his work and cares about his patients. He wants his patients to understand their treatments- so much so, that Dr. Reichman has a flat screen TV connected to his office’s computer in order to pull up pictures and diagrams, more effectively explaining procedures, medications and statistics (I know I always learn more easily with pictures).  Why don’t all doctors do that? Read more

“On Waiting”- a guest post by Dr Shara Brofman, Psy.D.

Pregnancy testOn Waiting

By Shara M. Brofman, Psy.D.

Preparing for the arrival of a child involves a lot of waiting. Waiting at the doctor’s office. Waiting for the little line on the at-home test. Waiting on the blood work and the numbers. Waiting for the first ultrasounds. Waiting to learn the sex. Waiting to reach full-term. Waiting for labor to start. Waiting to hear the cry. Or, waiting on the adoption papers. Waiting to see if the agency or donor or carrier will come through. Waiting to learn how many eggs were retrieved. How many embryos will be okay to transfer. How many will stay put. Holding our breath while we wait. Read more

Book Review: It Starts With the Egg: How the Science of Egg Quality Can Help You Get Pregnant Naturally, Prevent Miscarriage, and Improve Your Odds in IVF by Rebecca Fett

There is so much information out there for women with premature ovarian failure that it can be overwhelming at times. Which supplements really help? What does the research say?

Author and researcher Rebecca Fett has completed the arduous task of sifting through all the research and summarizing it for you in her wonderful new book.  I highly recommend it as a comprehensive, reliable and well-researched source of information on what women can do to optimize egg quality.  Whether you are preparing to start trying to conceive naturally or starting your fourth round of IVF, this is a must-read. Read more

Part 3 of 3: CoQ10 for Improving Egg Quality

Coenzyme Q10, also called CoQ10, is an antioxidant which could improve egg quality in women with high FSH or of advanced maternal age. It’s believed to help through its effect on the mitochondria, which is a part of the cell involved in energy production and proper cell division (in this case, that cell is the egg). As cells age, researchers believe the mitochondria isn’t able to produce enough energy for proper cellular division, resulting in abnormal eggs or chromosomal abnormalities. The hypothesis is that by supplementing with CoQ10 the egg has more energy and is able to once again properly function and divide. Read more

Part 2 of 3: DHEA for Improving Egg Quality

In the past several years I’ve seen quite an increase in the number of my patients whose doctors recommend they try DHEA for improving egg quality. Leading centers such as CCRM in Denver and CHR here in New York routinely recommend their patients with egg quality concerns take it for several months leading up to an IVF cycle. Here I hope to tell you a little about what DHEA is and how it might help.
DHEA is a substance naturally present in the body that is a precursor to several hormones, including estrogen and testosterone. Recent research has found that women who took DHEA for 3-4 months prior to an IVF cycle using gonadotropins (injectable ovary stimulators) had dramatically increased fertilization and pregnancy rates. Women also reported side effects of feeling stronger, a higher libido, better memory and feeling mentally sharper. This is consistent with studies that have found higher DHEA levels in those with higher concentration and memory function. Read more