High Risk Pregnancy and IVF

Guest: Dr. Regina Arvon
Dr. Lane speaks with Dr. Regina Arvon, a fetal maternal medicine specialist. Together they tackle issues surrounding the preconceived connection of high risk pregnancies after having undergone fertility treatment.

Optimizing Your Fertility Through Nutrition w/ Cindy Bailey

Guest: Cindy Bailey
Dr. Lane sits down with Cindy Bailey, author of the Fertile Kitchen Cookbook. Cindy took control of her fertility after she was told AMH levels were unfavorable and that her age was a hindering factor in her fertility. Determined to be a mother, Cindy took a nutritious approach to optimizing her fertility and now she is the mother of two beautiful children! Many couples are trying to conceive and are unaware that diet plays a critical role in fertility. Today Cindy and Dr. Lane will discussing the secrets of changing your diet and potentially increasing your chances of success in conception.

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.

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

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Preparing For Your Initial Consult

By: Kyra Lumpkin

So you have taken the plunge. You have called and scheduled your initial consultation! You are hoping that this visit will change your trajectory for having a baby. Now what? Every clinic is a little different, but the general forms that we describe below review the types of information that you should expect to provide at any new patient visit.

How to Prepare For Your Initial Visit

As the old adage goes, “you can’t tell where you are going unless you know where you’ve been”. Prior to coming to the office for your new patient consultation, we strongly urge you to prepare. Ensure that you have completed all of the forms in the New Patient Packet provided to you. This packet typically will include a Health and Physical History form for you to summarize your past medical history. Additionally, you will receive consents explaining our office policies, practice statement, and notice of practice privacy. Last, we have included a form to retrieve any pertinent medical records. These items are very important for us to receive prior to your appointment. After all, our goal is to optimize your fertility experience, and our physicians and clinical team need this information in advance to prepare for your visit.

Preparing For Cost

A benefit check is done before you come in for your initial consultation to better prepare you for any monies that you may have to pay. After scheduling your appointment, take a moment to snap a picture of your insurance card, front and back, and then forward it to your clinic. After your picture is received, the billing department will run a benefits check against the insurance information you provided to assess what will or will not be covered. The results are then emailed to you with an explanation of the findings. You will then be equipped with everything you will need to know about the costs of your appointment. If your clinic doesn’t do this routinely, be proactive and ask for this information or call your insurance company yourself. Most fertility patients are healthy individuals who have had little reason to use their insurance for more than a $20.00 office visit co-pay or a $10.00 prescription. This experience will be different for most patients.

What to bring

When you arrive at your initial consultation, please have a valid form of identification, any fees you will have to pay, and your insurance card ready.

What to Expect At Your First Appointment

The New Patient exam lasts approximately 60-90 minutes, and your partner is encouraged to come with you. During this appointment, the physician will perform an antral follicle count (AFC) using a transvaginal ultrasound. Afterwards, you, your partner and your physician will discuss your medical history in detail. This is the perfect time to ask any questions or present any concerns you may have. This visit is for you, so the physician is listening intently to understand what your fertility and family goals are.

A few examples of good questions to ask are:

  • What are your success rates?
  • I am still young, why do I need fertility treatment or Pre-Implantation Genetic screening (PGS)?
  • What are my chances of success if I don’t do PGS?
  • On average, how long does a full cycle take, from initial consult to transferring my embryos?

Taking control of your fertility challenge is a huge step. It takes bravery and patience. To aide in your own success, do not be afraid to ask as many questions as you feel you need.

Experience Excellence

At Lane Fertility Institute we are a team. A team dedicated to giving our very best at all times. A team that will do all that we can to assist you in achieving success on your journey to parenthood. We pride ourselves on providing the optimal experience from your very first phone call. Whatever clinic you decide to work with should have a similar attitude. If you don’t feel that the fertility team is in line with your needs, never be afraid to make a change. Fertility is already taxing on your emotions and resources, you should have an expectation of excellence every step of the way!

Good luck on your fertility journey!!

ABOUT THE AUTHOR

Kyra Lumpkin. Kyra Lumpkin is the Administrative Coordinator for Lane Fertility Institute. Kyra has been in the Administrative field for over 7 years. She commits herself to patient satisfaction and outstanding patient service. She has a strong belief that one’s business is only as good as the treatment provided to its patrons. Being a parent herself, Ms. Lumpkin is passionate about her ability to aide and prepare patients for their journey to parenthood. Her email is kmlumpkin@lanefertility.com

Team Member Feature

Ms. Doris Cheung, MPA, PA-C. 

In July 2015, Doris a native to the Bay Area, joins Lane Fertility Institute. After completing her undergraduate studies at the University of California at Santa Barbara, she returned home to the East Bay. While working for Pacific Fertility Center as a new patient coordinator, she was inspired to pursue her Masters in Physician Assistant Studies. She received her MPA from Samuel Merritt University. In addition, she worked as a research assistant running several clinical drug trials. Board-certified by the National

Commission on Certification of Physician Assistants, she is also a member of the American Society of Reproductive Medicine. As a Physician Assistant, she has worked for the past two years at the East Bay Center for Digestive Health in Oakland California before returning to her passion in the field of fertility.

Doris lives in Berkeley with her husband and two pups, a simple coyote and a much smaller terrier mix who runs the show. In her free time she enjoys travel, cooking, photography, and exploring new trails and restaurants in the Bay Area. With a background in Exercise and Health Science, her interpretation of medicine combines a passion for yoga, running and healthy living.