One of our patients posted this wonderful review on Reputation.com recently:
“We were so nervous when we first walked in the door, but Shannon was the first face we saw and she was so friendly and calming that my husband and I were able to instantly relax. When we met Dr. Ziegler, our fears and nerves completely dissipated! His team was so professional, helpful and friendly, we couldn’t imagine going through this process anywhere else. Thank you so much, Ally, Scott & everyone else, for providing us with a caring and attentive experience. When we walk in the door we are no longer nervous. We feel like we are seeing old friends. Couldn’t be happier!”
And we couldn’t be happier to help patients like these achieve their dreams. Please add your happy experiences on to the Reputation.com website, where you can read other reviews like this. You can also find them on our website.
Couples who attempt to conceive within three months after losing an early pregnancy, defined as less than 20 weeks’ gestation, have the same chances of achieving a live birth, if not greater chances, than those who wait for three months or more, according to a National Institutes of Health study.
This finding, published in Obstetrics & Gynecology, questions traditional advice that couples should wait at least three months after a loss before attempting a new pregnancy. The World Health Organization, for example, recommends waiting a minimum of six months between a pregnancy loss and a subsequent attempt.
“Couples often seek counseling on how long they should wait until attempting to conceive again,” said Enrique Schisterman, Ph.D., chief of the Epidemiology Branch at NIH’s Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) and senior author of the study. “Our data suggest that women who try for a new pregnancy within three months can conceive as quickly, if not quicker, than women who wait for three months or more.”
In this study of more than 1,000 women, researchers found that more than 76 percent of the women attempted to conceive within three months after losing a pregnancy. Compared with those who waited longer, this group was more likely to become pregnant (69 percent vs. 51 percent) and to have a pregnancy leading to a live birth (53 percent vs. 36 percent). The investigators did not observe any increase in the risk of pregnancy complications in this group.
“While we found no physiological reason for delaying attempts at conception following a pregnancy loss, couples may need time to heal emotionally before they try again,” said Karen Schlep, Ph.D., a postdoctoral fellow in the NICHD Epidemiology Branch at the time of the study and its primary author. “For those who are ready, our findings suggest that conventional recommendations for waiting at least three months after a loss may be unwarranted.”
Your body will be your baby’s home for the first nine months. That’s why nutrition and exercise during pregnancy are at least as important then as they are when you are trying to conceive.
Dr. Alan Martinez of RSCNJ is giving a FREE lecture on the different foods and exercises that help support a healthy pregnancy:
Tuesday, February 16, 7 p.m.–8 p.m.
Babies R Us, 70 Route 36, Eatontown
This event is FREE but registration is requested. Call the store at 732.935.9366, or make your reservation online.
U.S. News and World Report recently evaluated popular diets to determine the best eating plan to support overall health, including fertility. The winner, and still champion, is the heart-healthy DASH diet.
For the magazine’s 2016 “Best Diets” rankings, a panel of experts ranked 38 of the most popular or trendy diets for short-term and long-term weight loss. They also considered how easy each diet was to follow, as well as the safety and nutritional value of each.
After ranking them in nine categories, the experts found the DASH (Dietary Approaches to Stop Hypertension) diet scored highest when it came to healthy eating, followed by the TLC (Therapeutic Lifestyle Changes) diet. The Mediterranean and the MIND (Mediterranean–DASH Intervention for Neurodegenerative Delay) diet tied for third place in this category. The MIND diet tied for second place for best overall diet with the cholesterol-lowering TLC diet.
The Fertility diet, which calls for the elimination of trans fats, also ranked as the best diet for diabetes, the report revealed. The Biggest Loser diet and the DASH diet came in second and third, respectively, in the diabetes category.
The DASH diet was designed to lower blood pressure and cholesterol levels by limiting fats, red meat and sugar in favor of healthy grains, poultry, low-fat dairy and nuts, says the U.S. National Heart, Lung, and Blood Institute.
At the bottom of the list, the Whole30 diet—a 30-day program that bans processed foods, legumes, grains, dairy, alcohol and added sugar—ranked as the worst overall diet on the list, the new report said. The Raw Food diet and low-carb Atkins diet also scored poorly overall and ranked low in categories such as “Best Diets for Healthy Eating.”
To read more about the rankings, go to the U.S. News and World Report web page.
Many studies have associated smoking with infertility and early menopause, but less research has been done on secondhand smoke, according to Andrew Hyland, chair of health behavior at Roswell Park Cancer Institute in Buffalo, N.Y. So he and his colleagues designed a study to explore that relationship, and they found that exposure to secondhand smoke also may trigger infertility and early menopause in women.
The study, published in the journal Tobacco Control, evaluated women enrolled in the Women’s Health Initiative, a large study launched in 1991 to look at a variety of health issues in more than 160,000 generally healthy postmenopausal women. The researchers focused on about 88,000 women to look at the fertility effects and about 80,000 women for links to early menopause, defined as occurring before age 50.
Among women who’d never smoked, those exposed to the highest level of secondhand smoke (for example, women living with a smoker for 10 years or more) were 18 percent more likely to have fertility problems and early menopause, the study found. Those women reached menopause on average 13 months earlier than those not exposed.
Thanks to the patient who posted this on Reputation.com:
“Dr. Ziegler helped me conceive my first child through IVF. He was very understanding and guided me through the process patiently. The staff in Toms River and Eatontown are wonderful – Shannon, Vickie, Ally, Fran, Lourdes and Hina, to name a few. I would highly recommend them to anyone facing infertility.”
You can read more comments like this on Reputation.com, as well as on our website. If you are a current patient and would like to add your thoughts, we encourage you to do so. Help spread the word! Thank you.
There have been longstanding concerns that conception after infertility treatment could affect the embryo at a sensitive stage and result in lifelong disability. A new study puts that concern to rest.
Children conceived via infertility treatments are no more likely to have a developmental delay than children conceived without such treatments, according to a study by researchers at the National Institutes of Health (NIH), the New York State Department of Health and other institutions. The findings were published online in JAMA Pediatrics.
The authors found no differences in developmental assessment scores of more than 1,800 children born to women who became pregnant after receiving infertility treatment and those of more than 4,000 children born to women who did not undergo such treatment.
“When we began our study, there was little research on the potential effects of conception via fertility treatments on U.S. children,” said Edwina Yeung, Ph.D., an investigator in the Division of Intramural Population Health Research at NIH’s Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD). “Our results provide reassurance to the thousands of couples who have relied on these treatments to establish their families.”
Couples having trouble getting pregnant may have a better chance if they have more than the usual three to four cycles of in vitro fertilization (IVF), a new British study suggests.
Among more than 150,000 women in the study, 29.5 percent had a baby after the first cycle. The rate remained above 20 percent for each cycle through the fourth, and 65 percent of women had a live birth by the sixth cycle, the researchers said.
“IVF should be thought of as a relatively long-term treatment, with repeat treatment cycles if success is not immediate,” said lead researcher Debbie Lawlor, Ph.D., M.P.H., a professor of epidemiology at the University of Bristol.
On average, most couples receiving IVF can have a baby if they repeat treatment up to six times, she said. The study was published in the Journal of the American Medical Association.
“Doctor Ziegler has been a kind, caring doctor to me and my husband. The staff was extremely helpful and supportive.”
These kind words about William Ziegler, D.O., were shared at Reputation.com. We encourage you to add your thoughts to help us spread the word about RSCNJ. Add your comments here. Thank you.
Sometimes infertility cannot be explained. Everything appears normal with both the male and female partners. The most common treatment is medications to stimulate the woman’s ovaries to release an egg (ovarian stimulation). Then a physician inserts sperm directly into the uterus (intrauterine insemination).
To stimulate the ovaries, doctors use either clomiphene or injectable gonadotropins. However, gonadotropins are linked to increased adverse effects and multiple pregnancies, which can raise the risk of pregnancy and birth complications. Results of a 2014 study suggested that another drug, letrozole, could be more effective than clomiphene for achieving live births in certain women with polycystic ovary syndrome, a leading cause of infertility. Other studies indicated that it might work for ovarian stimulation in couples with unexplained infertility as well.
To find out, a nationwide research network, funded largely by the National Institutes of Health, enrolled 900 couples with unexplained infertility. The women, 18 to 40 years old, were randomly assigned to treatment with letrozole, clomiphene or gonadotropins.
The findings, published in the New England Journal of Medicine, show that ovarian stimulation therapy with clomiphene is at least as effective as letrozole, with a slightly lower frequency of multiple births (though the difference was not statistically significant). “The conclusion for couples with unexplained infertility is that clomiphene still remains the first-line therapy,” says first author Michael P. Diamond, M.D., of Georgia Regents University.