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Home / General / Page 29

General

August 18, 2014 by Shady Grove Fertility

On August 14, 2014, U.S. News & World Report published the results of a small study suggesting that vitamin D deficiency could lower a woman’s chances of getting pregnant through in vitro fertilization (IVF).

In this study, researchers in Italy compared the success of IVF in two groups of women: those with vitamin D deficiency and those with sufficient levels of vitamin D. The study’s results, first published in the Journal of Clinical Endocrinology & Metabolism, found that women with sufficient levels of vitamin D were twice as likely to get pregnant compared to those with vitamin D deficiency. In addition, women with sufficient levels of vitamin D were more likely to have higher-quality embryos and their embryos were more likely to implant in the uterus.

The study’s co-author, Alessio Paffoni of the Ospedale Maggiore Policlinico in Milan, warned that the study did not conclusively prove cause-and-effect. While the relationship between vitamin D status and pregnancy has long been suspected, studies have been inconclusive and inconsistent. Some studies have suggested that low vitamin D levels may increase the risk of gestational diabetes, pre-eclampsia, preterm labor, caesarean section, and low birth weight. Other studies though failed to show this increased risk.

Vitamin D, known as the “sunshine” vitamin, enhances and helps to regulate the intestinal absorption of essential minerals including calcium, magnesium, phosphate, and zinc. These levels are maintained through either dietary ingestion or through the skin’s exposure to sunlight.  Though vitamin D’s connection to fertility is still inconclusive, there is no question that it is beneficial to overall health. For that reason, Shady Grove Fertility suggests that women with a low vitamin D level take a supplement and ultimately maintain a normal level.

The effect that vitamins have varies from person to person. Whether you are trying to conceive or looking for ways to promote a healthy pregnancy, it is important to speak with your physician before starting any vitamin or supplemental regimen. More on vitamins for fertility and healthy pregnancy.

If you are ready to schedule an appointment at Shady Grove Fertility, please speak with one of our New Patient Liaisons at 877-971-7755.

Filed Under: General Tagged With: In vitro fertilization (IVF)

July 11, 2014 by Shady Grove Fertility

Increased interest in egg freezing at Shady Grove Fertility has led to many changes regarding the patient experience and increasing access to care. These changes include an improved patient protocol beginning with scheduling an appointment, ovarian reserve testing and physician consultation, and most recently, both new and improved financial programs, Assure 20 and Assure 30, have made affording egg freezing possible for more women.

Benefits of Egg Freezing

As some may already know, fertility potential is mostly dependent on the quality and quantity of eggs
(a woman’s ovarian reserve), which is largely impacted by a woman’s age. Therefore, as a woman ages, her fertility potential steadily declines. Through egg freezing, women essentially extend their biological clock, and the ability to attempt pregnancy in the future, when the timing is right to have a child.

By undergoing treatment, women are able to return in the future to utilize the eggs, and have the same chance of success as they would have had at the age they froze their eggs. For example, if a woman were to freeze eggs at the age of 34, and then return to use them at the age of 40, her chances of success would be based on the age of a 34 year old.

Number of Eggs to Freeze Based on Age

Human reproduction is quite inefficient—many are surprised to learn the chance of conception each month is only around 20 percent. As a result, the average couple takes 5 to 7 months to conceive naturally. At the beginning of each cycle, several follicles containing an egg are present with only one developing, maturing, and being released through ovulation. The remaining eggs die off and are no longer available for conception. Since not every egg will result in a pregnancy, we recommend women 37 or younger, with excellent ovarian function, freeze between 15 to 20 mature eggs. For women over 38, or women at any age with diminished ovarian function, we recommend freezing 25 to 30 eggs.

Upon returning to attempt pregnancy, our embryologists will thaw several eggs at a time and inseminate with sperm in order to develop a high quality embryo with a strong pregnancy potential. By starting with a group of either 15 to 20 or 25 to 30 mature eggs, depending on the age and ovarian status of the patient at the time of freezing, multiple chances of conception are possible.

Continued Growth Leads to New Financial Program

To meet the needs of our patients, several egg freezing financial options exist, including the patient favorite the fee-for-service which is a part of the Egg Freezing Discount Program. Often times, patients are comfortable committing to one egg freezing cycle, which is $7,500, and if needed, the next cycle costs $6,000, and so on.

As the interest in egg freezing has increased (specifically, at Shady Grove Fertility, interest has continued to grow an average of 50 percent year-over-year beginning in 2011), we evaluated the difficulties associated with egg freezing in order to eliminate as many barriers as possible. For many, we determined, existed a financial barrier to access care. According to Joseph Doyle, MD, “due to the increased patient interest in egg freezing, and a desire to better serve our patients, we developed a new financial program to make affording egg freezing more accessible.”

We found that women were in need of more information, and a financial program to guarantee they would have the best chance at freezing the recommended number of eggs. To resolve this issue, we have introduced additional financial programs: Assure 20 and Assure 30.

With the improved Assure 20 financial option, women are still able to freeze their eggs for a flat fee of $12,500, for up to four cycles or 20 mature eggs, whichever comes first. Assure 30, our newest financial program, allows women with favorable ovarian reserve, to freeze up to 30 mature eggs or five cycles, for one flat fee of $18,000. Women may now choose the program that works best for them. Details regarding refunds for both options are listed below. In addition to having several financial programs, the option to finance is available, as well with monthly rates varying depending on financial program, credit history, and length of the loan.

All egg freezing cycles must be complete by the age of 41.
*Patients paying out of pocket will pay $250 to SGF for testing and consultation and $75 to Reprosource for Ovarian Reserve Testing.
**Medication cost will vary from $2,800-$5,000 based on ovarian function and insurance benefits.

It is our hope that these financial programs will provide more comfort and access to care for the women interested in egg freezing. To learn more about the cost of egg freezing, join us at a free upcoming educational event, or watch this archived webinar featuring Dr. Sunita Kulshrestha.

Next Steps Toward Preserving Your Fertility

  1. Ready to schedule an Egg Freezing consultation? Fill out this form or call 877-411-9292.
  2. Talk to someone who has frozen her eggs by e-mailing askmelanie@shadygrovefertility.com

Filed Under: General Tagged With: Egg freezing

June 23, 2014 by Shady Grove Fertility

DC Walk of Hope 2014

The RESOLVE 2014 DC Walk of Hope was not hindered by a little rain with over 500 in attendance. The National Harbor Pavilion was buzzing with the feeling of hope and excitement. For some the journey was just beginning while others walked to celebrate overcoming their infertility with babies and children in tow.

The Walk of Hope raises funds to help support RESOLVE’s initiative to promote reproductive health and to ensure equal access to all family building options for men and women experiencing infertility. The impact made by RESOLVE can mainly be seen through their network of volunteer based support groups and legislative advocacy on behalf of the nearly 14 million men and women with infertility in the United States.

Jason Bromer, M.D. and Barbara Collura, President and CEO of RESOLVE

Every year, Shady Grove Fertility physicians, staff, and patients look forward to coming together in support of this important event. This year was no exception, team spirit was abound. The Shady Grove Fertility K Street Office created their own t-shirts and the over $75 was raised through penny jars alone!

As a whole over this year’s DC Walk of Hope raised over $84,000. “The Walk of Hope is about community.  We want those suffering to feel the support of their families and friends, the community, and from RESOLVE.  The Walk of Hope proves that everyone needs someone to support them on this journey. No one with infertility should walk alone.”  Julie Hall, Walk of Hope Chair.

Filed Under: General Tagged With: RESOLVE: The National Infertility Association

June 5, 2014 by Shady Grove Fertility

Barbara Collura (RESOLVE) and Mark Segal (SGF) at the 2nd annual Walk of Hope 2013 in DC.

Join Shady Grove Fertility, RESOLVE, and others in the fertility community at the Walk of Hope 2014 on Saturday, June 21st in National Harbor, MD.

Registration for the event is free. Last year, the Walk of Hope raised over $70,000. RESOLVE and Shady Grove Fertility are hopeful the Walk of Hope 2014 will provide even more for the infertility community around the DC area. We encourage donations and fundraising for the event to help fund public awareness initiatives, advocacy efforts, and local support groups for women and couples struggling with infertility.

Join the Shady Grove Fertility Team!

How to Register for the Walk of Hope 2014

  • Go to – resolve.org/dcwalk
  • Click – “Join team”
  • Select “Shady Grove Fertility” or “Shady Grove Fertility – K Street” as your Team Company

 Join Shady Grove Fertility at the Walk of Hope 2014 in DC!

Check out highlights from the Walk of Hope 2013

If you are ready to schedule an appointment at Shady Grove Fertility, please speak with one of our New Patient Liaisons at 877-971-7755.

Filed Under: General Tagged With: RESOLVE: The National Infertility Association

May 23, 2014 by Shady Grove Fertility

Eric and I were married in 2003 when I was 26. For many reasons, we wanted to wait on having kids – I had just finished my MBA and he had joined the military, spending 14 months in Iraq. We were moving all over the place and very focused on our careers. I could safely have been classified as a workaholic – long hours at work punctuated by lots of Starbucks, sometimes five Grandes a day, and wine-fueled dinners to help “relax”.
In early 2009, Eric had left the military and gone to graduate school, and we settled in DC. I was 33 and we decided we’d better get on with having kids. I was pregnant within the first two months of trying. Still working and stressed as ever, I cut down to one grande a day and stopped drinking alcohol.

My eight-week ultrasound went well – we saw the heartbeat and everything seemed on track. At my eleven-week ultrasound though, the radiologist looked funny. I didn’t really know what I was seeing, so I was shocked when we were told there was no longer a heartbeat. Just one day later, I woke up writhing in pain and miscarried that night in one of the most painful experiences of my life.

Though we were sad, we were determined to try again. For the remainder of 2009, we “tried,” doing our best with Eric’s crazy travel schedule as a consultant and my new job. Nothing happened.

Getting Serious

In early 2010, we decided to get serious, and I began to research fertility. I bought all the books and joined Fertility Friend online, began timing my cycles by tracking my temperature religiously every morning and using ovulation predictor kits. Still nothing happened. By November, my OB suggested referring me to an infertility clinic. Though I had told myself I would not do “those crazy shots,” I was so frustrated at that point that I made an appointment immediately at Shady Grove Fertility. Thankfully, we have good insurance that covered multiple treatments.

After a couple of months of testing it was determined that nothing seemed broken: it was unexplained infertility, a frustrating diagnosis. In January 2011, we were underway with our first intrauterine insemination (IUI) cycle. I was convinced that this would do it. Not only did it not work, but Clomid made me a crazy person. We switched to injectable medication for the second IUI, which also didn’t work. Again I was frustrated and growing more impatient – why was it taking so long?

We sat down with Dr. O’Brien, who explained calmly that we could either continue with IUIs since our insurance covered up to seven IUI cycles, or switch to IVF. I decided that the odds of IUI success were too low, and we were moving to IVF. We were now into “those crazy shots” big time.

Starting IVF

Our first egg retrieval was disappointing – only five eggs. Although my infertility knowledge at the time was nowhere near where it is now, I knew that more eggs was better than less. Dr. O’Brien assured me that five eggs was good – we would surely get some embryos and maybe even have some to freeze. We waited nervously, and then… success! There was a viable embryo at day 5, which was transferred. Two weeks later we learned I was pregnant, thank goodness.

The joy, however, was short lived. From the start, Dr. O’Brien was unhappy with the growth of the embryo, and at week 8, we knew that the pregnancy wasn’t viable. For the first time in the journey, I began to doubt that we might succeed. Nonetheless, the workaholic in me pushed forward. We just needed multiple tries, I told myself. Following a D&C, I began another IVF regimen the very next cycle.

IVF Cycle 2 was even worse. This time, my body violently resisted even the high doses of drugs, with barely any follicle growth. We abandoned the cycle for an IUI. Nothing. Defeated and nearing the end of 2011, I decided at this point to take a break. Clearly something was not working, and I had spent a whole year on this “project” with nothing to show for it.

Finding Alternative Medicine

After some major soul searching, I decided to make some major changes. I poured myself into fertility research, focusing on both traditional and alternative medicine. Thankfully, I was already at a top notch fertility clinic, but the “alternative” side of my treatment plan was sorely lacking. I was still an exhausted workaholic who drank too much coffee and wine, and chose my meals mostly for efficiency and convenience.

I decided to finally walk into the Wellness Center, and began acupuncture. She recommended some pretty major changes to my diet and lifestyle. I also saw my primary care physician, who ran some basic blood work and discovered deficiencies in both Vitamin D and B12. I began daily yoga for fertility, stopped drinking caffeine and alcohol (with surprisingly little pain), overhauled my diet, and requested a two month leave of absence from my job, which my boss thankfully granted with minimal resistance.

Somewhat rejuvenated, I began my third IVF cycle in the spring of 2012. I felt much calmer and saner, not getting up at the crack of dawn to do monitoring before an 8:00 a.m. work meeting. The follicles grew well and we ended up with 7 eggs and 5 growing embryos. Things were really looking up… until we got bad news again. At Day 2, only two embryos were left, and we would be doing a Day 3 transfer. Well researched at this point, I knew I would prefer Day 5. I held onto hope, but neither embryo took.

Reprioritizing Life

This time, though, I handled the news in stride. I returned to work the following week, still not pregnant, but remarkably calmer. I began to cut the hours I worked, and surprisingly performed better on the job. I stopped sweating the small stuff. I calmly began working on a new plan, scheduling a consultation/second opinion with a fertility doctor in Colorado, who had written one of the books I had read. My doctor’s team graciously agreed to continue to do the monitoring locally if I choose to see this out-of-state doctor.

Then – as I made preparations to continue treatment – I realized I was feeling nauseous. The following Sunday morning, I dared to take a pregnancy test, which confirmed what I already knew. We were pregnant. I immediately emailed my nurse at Shady Grove Fertility – could they please do the early monitoring and blood work for this “spontaneous” pregnancy? Yes, they could, and this time, the news was much better. After several rounds of monitoring, I finally “graduated” from Shady Grove Fertility!

My Happily Ever After

I am writing this as I watch my beautiful daughter’s little red head on the baby monitor. Despite all the challenges getting there, I had an easy pregnancy and delivery. I cannot imagine a different end to my journey, nor would I want one. She is eight weeks old now, and I cannot imagine loving anything more.

I can honestly say that I am grateful for my journey – I learned a lot about myself and am a calmer, more balanced person than I would be if I hadn’t gone through it. Our marriage is stronger, and we were truly “ready” to welcome our beautiful child into the world.

My Advice to Other Patients

Although it sounds silly, I always use the “Lord of the Rings” analogy. I tell them – you are Frodo. You will get to that big mountain with your little ring – you may have to encounter the giant spider, the big swamp, the crazy gremlin and a whole host of other challenges, and you will feel very alone at times – but you will get there. Know that the journey might be long, but don’t give up. If you want to have a child and you are willing to do whatever it takes, you will have one, and it will all be worth it.

For more information or to schedule an appointment with one of our physicians, please speak with one of our friendly New Patient Liaisons by calling 888-761-1967.

Filed Under: General Tagged With: Holistic care, In vitro fertilization (IVF), Intrauterine insemination (IUI), Unexplained infertility

May 7, 2014 by Shady Grove Fertility

When you have to pay out of pocket for a child via fertility treatment – doesn’t it make sense to hope for multiple births (twins or triplets)? It will save your body and wallet some pain… right?

Hoping for Multiple Births

Recently in the Wall Street Journal, two women who had delivered twins and fertility specialists shared their experiences about multiple births. Women like Nikki David and Jackie Hazlett both had in vitro fertilization (IVF) to conceive.

At 33, Nikki knew that chances of conception decreased as she go older which was one of the reasons she was hoping for twins, “We can’t necessarily afford to do this again. I would be older the next time around… There were so may reasons why we’re like, ‘Please let it be twins, please let it be twins.'”

Jackie had been required to complete multiple rounds of fertility treatment as required by her insurance, prior to moving on to advanced treatment, like IVF. She wanted to have twins to boost the chance of conception simply to not have to put her body through more treatment. Jackie ended up conceiving twins after transferring two embryos. Her twins were born five weeks early and spent ten days in intensive care.

  • Read the complete Wall Street Journal article “Fertility Study Warns of Risks From Multiple Births.”

Educating Against Multiple Births

While twins may often feel like a blessing, the reality is that there can be lots of complications including premature birth – as Jackie experienced – as well as, cerebral palsy, blindness, retardation and congenital malformations.

For fertility specialists, like Shady Grove Fertility’s Eric A. Widra, M.D., it comes down to educating the patient on the best option for them. With the advancements in freezing embryos, “I can tell a 37-year-old if two of these embryos are going to be babies, they’ll be babies one at a time or two at a time.”

Elective single embryo transfer (eSET) is often recommended for women younger and have strong embryos. At SGF, women under 37 opted to transfer only one embryo in 34 percent of cycles. This number decreases dramatically after the age of 40, with only 1.3 percent of fresh IVF cycles in women 41-42 opting for single embryo transfer, due to lowered pregnancy rates.

Balancing Multiple Births and Pregnancy Rates – Financial Options

Patients should be educated on their options, as the choice is ultimately theirs on how many embryos to transfer.

Balancing the risk of multiple births with chances of pregnancy for any given cycle is not an easy option. Which is why programs like SGF’s Shared Risk 100% Refund Gaurantee for IVF and Donor Egg can help. For one upfront fee, patients receive up to six fresh cycles of IVF or donor egg treatment, as well as any resulting frozen embryo transfers. Not having the financial pressure helps many women make the best choice for their body and family, not just what they can afford.

Like Jackie, many women have to follow guidelines based on their insurance providers. Helping get improved regulation and insurance mandates for fertility care is a large initiative for organizations like RESOLVE. There are continued efforts to reach out to lawmakers, educate them on fertility care, and pass legislation that improves coverage. You can reach out to your Senator or Representatives by making a call or sending a letter. Click here to learn more about the Family Act.

  • Read the complete Wall Street Journal article “Fertility Study Warns of Risks From Multiple Births.”

If you have questions about fertility or are ready to schedule an appointment at Shady Grove Fertility, please speak with one of our New Patient Liaisons at 877-971-7755.

Filed Under: General Tagged With: In vitro fertilization (IVF), Shared Risk 100% IVF Refund Program

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