IVF experts disagree about whether transferring a fresh or frozen embryo to a patient’s womb offers the best opportunity for healthy babies. According to a study of almost 83,000 IVF patients published in the journal Fertility and Sterility, there is no one-size-fits-all solution. The best technique may vary, depending on how many eggs the patient produces.
For a fresh transfer, patients take hormones for several weeks to stimulate egg production. Doctors retrieve the eggs, fertilize them and place one or more embryos in the mother during the same procedure. But many clinics now universally recommend freezing all embryos and waiting a few weeks for the patient to enter a new menstrual cycle.
According to the study, waiting may be advantageous only for women who produce 15 or more eggs after hormone stimulation. Birth rates for these so-called ‘high responders’ who received frozen embryos were slightly higher (52 percent) than those who received fresh transfers (48 percent).
However, in low and intermediate responders — women who produced 14 eggs or fewer — fresh transfers led to better pregnancy and birth rates compared to those who received frozen embryos.
Further research is needed, said Kelly Acharya, M.D., a fellow in reproductive endocrinology and fertility at Duke and the study’s lead author.
“The bottom line for patients is that they’re likely seeing a lot of information out there saying frozen transfer is best all of the time, and we are seeing that may not be the case. Hopefully, this could put some patients’ minds at ease if they are a low or intermediate responder and doing a fresh transfer.”
A patient of ours reports good news:
“Second time coming to RSCNJ and am pregnant again with my second little miracle. So thankful for everyone who works here.”
Thanks to her, and to everyone who posted positive comments about our care, which you can read on our web page.
Nearly 250,000 people will be diagnosed with breast cancer this year, according to the American Cancer Society. That could be your mother, sister, daughter, your wife, or even you. The ACS holds Making Strides Against Breast Cancer walks so anyone touched by breast cancer won’t have to face their diagnosis alone.
The ACS says the walks help raise awareness and money to fund research, support services and early detection. “We hold Making Strides events to save lives,” they say.
This year, the Making Strides Against Breast Cancer Walk will be held on Sunday, October 21 at 10 a.m. at Point Pleasant Beach. To learn how to join the walk or make a donation, go to the ACS Making Strides at Point Pleasant Beach web page.
Every October, we participate in Breast Cancer Awareness Month, an annual campaign to increase awareness of the disease. The National Breast Cancer Foundation offers these six important ways you can help support this important cause:
- Download a free Know the Symptoms Guide.
- Share the story of how you or a loved one have been affected by breast cancer.
- Make a one-time or monthly donation.
- Host an in-person or virtual fundraiser.
- Volunteer to join the NBCF’s Helping Women Now program.
- Share educational content on social media: Facebook, Instagram, Twitter
We encourage everyone to participate in any way you can.
In North America, 20 to 25 percent of women and 18 to 21 percent of men of reproductive age report daily psychological stress. Although previous research has suggested that stress can decrease the odds of conception, few studies have examined this association among couples from the general population.
Now, a new study led by Boston University School of Public Health (BUSPH) researchers finds higher levels of stress are associated with lower odds of conception for women, but not for men. The study was published in the American Journal of Epidemiology.
“Although this study does not definitely prove that stress causes infertility, it does provide evidence supporting the integration of mental health care in preconception guidance and care,” says BUSPH doctoral student Amelia Wesselink, the study’s lead author.
The researchers followed 4,769 women and 1,272 men who did not have a history of infertility and had not been trying to conceive for more than six menstrual cycles. They measured perceived stress using the 10-item version of the perceived stress scale (PSS), which is designed to assess how unpredictable, uncontrollable, and overwhelming an individual finds their life circumstances.
The researchers found women with PSS scores of at least 25 were 13 percent less likely to conceive than women with PSS scores under 10. This association was stronger among women who had been trying to conceive for no more than two menstrual cycles than among women who had been trying for three or more cycles before enrolling. The association was also stronger among women under 35 years old. The researchers did not find an association between men’s PSS score and the likelihood of conceiving.
In May, Gov. Phil Murphy signed the New Jersey Gestational Carrier Act, which “provides legal protection to New Jersey couples struggling with infertility and sign a contract with a woman willing to carry their child,” according to NJ.com.
Surrogacy is an important consideration for those exploring fertility care. We recently updated our web site page on our gestational carrier surrogacy services.
To learn more about these services, please go to our gestational carrier web page.
Breast cancer is the second most common kind of cancer in women, affecting about 1 in 8 women in the United States at some point in their life. Fortunately, women can survive breast cancer if it’s found and treated early. A regular mammogram is the best way to find breast cancer early when it’s easier to treat.
National Breast Cancer Awareness Month, held every October, is intended to raise awareness about the importance of detecting breast cancer early. The U.S. Department of Health and Human Services offers a few ideas to help spread the word about steps women can take to detect breast cancer early. For example:
- Add information about screening to your blog or newsletter.
- Tweet about National Breast Cancer Awareness Month.
- Add a special National Breast Cancer Awareness Month badge, like the one on this post, to your social media site.
You can learn more about these and other ways to spread the word at Healthfinder.gov.
We recently updated our web site page on our LGBTQ family building services.
At Reproductive Science Center of New Jersey (RSCNJ), we proudly offer LGBTQ family building services. Lesbian, gay, bisexual, transgender and questioning individuals and couples who dream of having a family can often do so with our assisted reproductive technologies.
We offer our LGBTQ patients the same fertility treatment options that we offer to all patients.
To learn more about our commitment to the LGBTQ community, please go to our new web page.
Posted in Uncategorized
New research that examined the impact of exposure to lead in the air and topsoil on fertility in the United States has found that exposure matters for both women and men. It is the first study to find causal evidence of the relationship between lead exposure and fertility rates in the 1980s and mid-2000s.
The researchers looked at U.S. Vital Statistics data on fertility, Environmental Protection Agency data for 1978-88 for airborne lead (covering more than a third of the U.S. population), and U.S. Geological Survey data in the 2000s on lead in topsoil (covering more than two-thirds of the U.S. population).
The study found that increased exposure to lead lowered the general fertility rate for women of childbearing age (15 to 44 years). In 1978-88, reductions in airborne lead, which were largely due to regulations such as the Clean Air Act, boosted fertility rates, and in the 2000s, higher levels of lead in topsoil decreased fertility rates.
“Until now, we have lacked causal evidence of the effects of lead exposure,” explains Karen Clay, professor of economics and public policy at Carnegie Mellon University’s Heinz College of Information Systems and Public Policy, who led the study. “Lead is an underappreciated environmental toxin, and we need to address this issue through cleanup efforts and solutions that focus on improving air quality and reducing lead in soil.”
Many Americans may not be aware that they live in counties with high lead levels because of highways, old manufacturing centers, or airborne lead that has landed on the soil. Our findings could help reduce this exposure,” said Edson Severnini, assistant professor of economics and public policy at Heinz College, who coauthored the paper, published by the National Bureau of Economic Research. “Lead may continue to impair fertility today.”
A recent article on CNN.com explores the “economics, ignorance and sexism” that has kept health insurance companies from covering fertility care.
The article states, “A movement to expand insurance coverage for infertility treatment in the United States has taken off in recent years as a growing number of doctors and patients become frustrated with the high out-of-pocket costs and the way they hinder treatment. But in order to succeed, they must undo decades of misunderstanding and mischaracterization of infertility.”
To read this interesting article, go to the CNN web site.
William Ziegler, DO, FACOG
Alan Martinez, MD
Virginia Mensah, MD,FACOG