On The Cutting Edge

Emotional_Response_Miscarriage_ChartLast month a survey was published in Obstetrics and Gynecology, the Green Journal. This publication is serves as the primary resource of academic research for practicing OB/GYNs. The survey addressed the issue of public perceptions of miscarriage. I thought it pertinent to highlight this particular article because of its frequency in the fertility world.

The questionnaire was administered to 1084 individuals between ages 18-69 across the United States. Respondents were 45% male and 55% female. Here are there responses. While 15% of respondents reported that they or their partner had  experienced at least one miscarriage, 55% of respondents thought the miscarriage occurred in 5% or less of all pregnancies.

Respondents believed that the following were common causes of miscarriage

When asked about their emotional response after a miscarriage, respondents indicated the following experiences

These responses were generally similar across all socio-economic classes of women from those with a high school education to those with a graduate degree. They both suggest that there are still large misperceptions about the causes of miscarriage and the need for emotional support after they occur.

Miscarriage_Beliefs_ChartHere are some of the realities of miscarriage. Miscarriage is the most common complication of pregnancy in the United States. It occurs in 15-20% of clinically recognized pregnancies, but can occur in up to 40% of pregnancies in women over the age of 40. This translates into 750,000-1,000,000 cases annually. The majority of miscarriage occurs because of genetic abnormality (aneuploidy). This is a failure of the sperm or egg to deliver the correct DNA to embryo formation, or can occur as the embryo itself is dividing in early pregnancy. This is known to be an increasing issue as women age. Other established causes of miscarriage include structural abnormalities in the uterus (such as fibroids or a uterine septum), blood clotting disorders (such as antiphospholipid syndrome), endocrine disorders (such as thyroid disease), and autoimmune disorders (such as antithyroid antibodies).

The emotional impact of miscarriage can be devastating resulting in further delay in conceiving and therefore increased risk in future miscarriage. As a result, early utilization of services such as support groups or therapy can be critical to maintaining your chances for future pregnancy. In addition, it has been demonstrated that women who understand the cause of their miscarriage experience a shorter length of increased anxiety around their miscarriage. Given that the largest cause of miscarriage is genetic abnormality, remember to request this testing if possible should you experience a miscarriage.

For further recommendations on miscarriage go to: http://tinyurl.com/opzr7ft

To read this article in full, go to: http://tinyurl.com/q9d9l3x

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On The Cutting Edge

Father’s Day is just around the corner, and although you may still be on your fertility journey, it is an opportunity to celebrate the father-to-be in your life. Remember why you partnered with him to build a life together. Find the activity or relaxation technique that gives him the most joy, and create a time to do that with him.

Our next issue will feature a segment by a fertility psychologist on keeping your relationship healthy during your fertility treatment. We will also highlight additional insurance updates. We will have an article on the predictors of fertility success. Our patient story will feature a couple who has struggled with weight on their fertility journey. We will also feature the latest information on the benefits of vitamin D and DHEA as supplements to your fertility treatment.

As always, we are eager for your feedback. Please use our Facebook page or email contact to make suggestions and let us know how we are doing.

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On the Cutting Edge

Resilience – the capacity to recover quickly from difficulties; toughness.

Every day I get to see resilient women in the battle of their life to build their family. For some it involves many cycles of disappointment, for others it occurs more quickly. But for all it is a challenge. But we women are resilient.

In this issue we met Kristine whose fertility battles began with the realization that she had so many fibroids, that there may not be any normal uterus left. She endured followed by two rounds of in vitro fertilization and major surgery to remove her fibroids. Then a first embryo transfer did not result in implantation before finally getting pregnant! Kristine and her family embody the importance of being resilient during this process!

I hope that her story was able to provide inspiration to our readers. Thank you Kristine!

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On The Cutting Edge

LFM_On_the_Cutting_EdgeIn 2009 when I started Lane Fertility Institute, I had little idea of what would be in store for me or my patients. I was determined that a better environment for fertility care could exist. I believed that costs could be contained if only by accepting insurance – a concept that was novel in my local private practice environment. I wanted women to feel that they were not a part of a medical mill – a challenge that we keep fighting every year with growth. And I knew that awareness about fertility timelines and reproductive options had to be improved.

That last concept resulted in Lane Fertility Magazine. At first it was just an annual effort with contributors from local practices and my editing efforts. But this year I am launching a monthly magazine with a broader scope focused on survey results from our patients. My hope is that conversations will be initiated between women and their friends, families and children.

We will feature articles on understanding embryo freezing techniques, the latest data on the benefits of frozen embryo transfers and understanding the interaction of some common medications with your fertility.

Here is what I have learned from my years in practice. Amazingly talented and successful women walk through my door every day. And for all of their successes in life, we have still not adequately prepared them for one of their biggest challenges – their own fertility.

Please help us to help you by suggesting topics and letting us know when you read something that you like. Pass our Lane Fertility Magazine link on to your friends and colleagues so that more women can have an educational resource as they experience their own fertility journey!

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ON THE Cutting Edge

cutting-edgeBy : Danielle Lane, M.D

Across the field of fertility, patients are asking for more precision in their outcomes. Can we have a singleton? Can we guarantee the genetic health of the baby? Is there an opportunity to avoid known mutations? Can we balance our family using gender selection? Whether we agree with all of the applications of technology or not, the ability to apply it to our care exists. In the next issue of Lane Fertility Magazine, we will discuss the benefits of pre-implantation genetic testing.

With ever-rising costs of technology, we will will also address the expense of treatment and discuss how to get the most from your insurance benefit. Dr. Das Gupta will provide some insights about mother-daughter dynamics and their impact on the fertility journey. Additionally, we will discuss the current state of fertility preservation and its ability to change the way women balance their lives.

Stay focused on your
successful fertility journey!

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