Archive for the ‘RPMG News’ Category

Dr. Wisot quoted in The Globe

Friday, August 12th, 2011

Dr. Wisot Quoted in the GlobeRPMG's Dr Arthur Wisot is quoted in The Globe on newsstands today in an article claiming that Will and Katherine lost an early pregnancy.


"But Dr. Arthur Wisot of the Reproductive Partners Medical Group in Southern California and an expert obstetrician specializing in fertility, believes Kate should have no problem becoming pregnant in the future.
“Kate is thin but not to the level of anorexia which would have prevented her from getting pregnant in the first place,” says Wisot. “She obviously was producing enough hormones toovulate and thus became pregnant.”"

Rush out and get your copy.

Fertility preservation for cancer patients by egg freezing

Monday, July 25th, 2011

Until recently there were no good options for preserving a woman's fertility when she had to go through cancer treatments which could potentially destroy her ferrtility. In the past several years egg freezing has become a viable option. The question that had not been answered was if the cancer itself was likely to have altered their fertility even before cancer treatments such as radiation and chemotherapy.

Now a study in the July 2011 issue of the medical journal, Fertility & Sterility, provides reassurance that on an age-related basis, cancer sufferers' fertility potential is not different than women going through IVF for male factor infertility. The author found no difference in ovarian reserve, response to fertility drugs, numbers of eggs retrieved and egg maturity between the two groups. These parameters remain unaltered by the neoplastic process. This is in contrast to the impairment of spermatogenesis before therapy in men with cancer,

Study Links Male Infertility to a Missing Protein

Friday, July 22nd, 2011

Scientists say they have found a potential cause for a number of otherwise unexplained cases of male infertility: the absence of a protein that coats sperm and allows them to reach an egg more easily. 

In a study reported in the New York Times from the journal Science Translational Medicine, researchers report that the protein is generated by a specific gene. Men with two copies of the defective gene do not produce the protein. The exact influence the protein has on the chances of a woman’s becoming pregnant is still unclear. But the researchers said the absence of the protein might slow or, in fewer cases, hamper a couple’s ability to conceive.

Men with two copies of the abnormal gene were 30 percent less likely to have a baby over a period of about two years. For those couples who had babies, it took nearly two months longer if the men had two copies of the abnormal gene.

This may explain the success of IVF with ICSI in couples with uneplained infertility.

Study claims to almost double IVF success rates with office procedure

Saturday, July 9th, 2011

It sounds too good to be true. And when things sound too good to be true, they usually aren't true.

A study presented at the European Society (ESHRE) claims that performing an endometrial biopsy before an IVF cycle almost doubles the chance of an ongoing pregnancy. The Brazilian research found that performing a small biopsy of the endometrial wall before embryo implantation – resulting in a tiny scar – increased the chance of an ongoing pregnancy from 38 to 63 per cent.

Dr Fernando Prado Ferreira, who led the study at Santa Joana Maternity Hospital in São Paulo, Brazil, believes the biopsies help embryos implant better in the womb, although why this might be so is currently unclear. In the trial of 144 women whose average age was 33, 46 IVF patients were given biopsies and 98 were not. Dr Ferreira, based at the Federal University of São Paulo, said: “Having a biopsy prior to IVF treatment almost doubled the chances of pregnancy over those who did not.”

RPMG's Scientific Director, Dr. David Meldrum attended the meeting as an editor of the journal, Fertility & Sterility, and commented on the study. "This study was suggestive of a positive effect of the biopsy on the occurrence of pregnancy, but it was not designed in such a way that a firm conclusion can be drawn. Ideally a randomized study should have been done. In a case-control study like this one, it is necessary to have some evidence that the number of patients to be studied is set when the study is started. Otherwise investigators can chose a point to terminate the study when the results favor a significant effect. This effect is consistent with a similar study from Israel, and a published study has shown that an endometrial biopsy stimulates growth factors in the endometrium. Hopefully a randomized study will be carried out with the study size set before starting the study. Then an reliable conclusion can be drawn.
 

The authors should not have used the term "scarring". The endometrium would heal without scarring following such a procedure. The authors perhaps meant "healing" and the other term was used due to their native language not being English."

We have observed this effect in our patients at RPMG, but to claim that it "doubles" the chance of an ongoing pregnancy is a stretch.

 

Obesity is a factor in IVF success

Tuesday, July 5th, 2011

We have said it before and now a new study in the July 2011 edition of Obstetrics & Gynecology again confirms it: obesity has an adverse effect on the chance of IVF success.

They reviewed the records of 1,721 women undergoing their first IVF cycle with their own eggs. Women with a normal BMI were compared with women with class II obesity (BMI 35-39.9) and class III obesity (BMI >40). They found lower numbers of fertilized eggs and lower peak estrogen levels when correcting for age and numbers of eggs. Most importantly women with class III obesity had a 50% lower clinical pregnancy and live birth rate.

The message here is simple and clear: it is advisable for women to maintain a normal weight before, during and after attempting to conceive. For further information on lifestyle issues see our Lifestyle & Fertility pages.

Check out the new, improved RPMG Fertility Forum

Wednesday, June 22nd, 2011

Reproductive Partners Medical Group, Inc. is please to introduce our new and improved Fertility Forum. The latest version of the Forum, which has been part of our website since 1999, introduces new features designed for an easier and more comprehensive search function, more text options and greater ability for forum participants to communicate with each other.

We encourage you to visit the forum and participate in the dialog. Even if you were a previous participant you will need to re-register and may do so with the same User Name and password you used previously, or select new ones.

New session of Yoga 4 Fertility starts July 9th

Friday, June 17th, 2011

There is still time to sign up.

Reproductive Partners'  four-session yoga for fertility workshop (STRONG Yoga™ 4 Fertility ) has been a huge success. In fact, one of the participants in the initial program is now pregnant.

Studies have shown that alternative medicine techniques such as acupuncture and Mind-Body programs can improve the success rates for couples in fertility treatments such as in vitro fertilization.

The latest sessions have been scheduled on Saturdays, July 9th through July 30th from 2-4PM at the Beach Cities Health District, 514, N. Prospect, next to our Redondo Beach office. The cost is $240 and includes the course, Fertility Ball and course materials.

STRONG Yoga™ 4 Fertility is an alternative proprietary approach for fertility created by Brenda Strong, the former national spokesperson for the American Fertility Association. This program uses the ancient healing approach of yoga and applies it to the modern problem of reproductive difficulty. Using specific postures and breathing techniques STRONG Yoga™ 4 Fertility attempts to relieve tightness in muscle and connective tissue, increasing blood flow to the reproductive organs and inviting the mind and body to facilitate its own healing capacity.

To register or more information, call Jackie at (818) 769-3857 or email strongyoga4fertility@gmail.com

Stress and IVF: The Effect of a Mind-Body Program on IVF Success

Monday, June 13th, 2011

The relationship between stress and infertility remains controversial. Despite that, a number of interventions have been developed to reduce stress, especially in IVF cycles, including Mind-Body (MB) programs, acupuncture and yoga. In fact RPMG is sponsoring a new session of Strong Yoga 4 Fertility beginning July 9th.

A study reported in the June 2011 issue of Fertility & Sterility demonstrates the benefit of a Mind-Body prorgam on IVF success. They ramdomized patients to participation in a Mind-Body program or a control group. Only nine percent of the MB group had completed a least half of the sessions prior to their first IVF cycle. Pregnancy rates were 43% for all subjects in the first cycle. 76% of the subjects had attended at least one-half of their sessions at cycle 2 start. Pregnancy rates for cycle 2 were 52% for MB participants and 20 for controls.

This demonstrates that MB participation was associated with increased pregnancy rates in cycle 2.

For more information on he yoga program, call Jackie at (818) 769-3857 or email strongyoga4fertility@gmail.com.

Octomom’s doctor’s license is revoked; Dr. Wisot has the last word

Thursday, June 2nd, 2011

According to an article in today's LA Times:

The medical ethics controversy that erupted when Nadya Suleman gave birth to octuplets two years ago took a decisive turn Wednesday when the California medical board announced it will revoke the license of the Beverly Hills fertility doctor who helped the single mother of six conceive eight more children.

The "Octomom" case focused national attention on what critics have called "the Wild West" of fertility medicine. And Dr. Michael Kamrava, who assisted Suleman by implanting her with 12 embryos, became a symbol to some of the problems in the burgeoning industry.

Of course Dr. Wisot had the last word in the article:

"Dr. Arthur Wisot, fertility specialist with Reproductive Partners in Redondo Beach, said he believes the case may discourage doctors who previously might have been tempted to implant more than the recommended number of embryos.

"That's a good outcome," he said."

Reproductive Partners makes outreach to China

Saturday, May 28th, 2011

Two Reproductive Partners physicians have been invited to China to present the latest advances in fertility treatment and screening for genetic diseases at a major hospital in Bejing. Drs. Bill Yee and Greg Rosen  are currently lecturing on preimplantation genetic screening, molecular technology to screen for a variety of recessive genetic diseases and criteria for maximizing the success rate for elective single embryo transfer to reduce the chance of multiple pregnancy, including twins.

 

In conjunction with this outreach, the RPMG website has been translated and is now available in Mandarin Chinese. Portions of the website will shortly be translated into Japanese as Japanese-speaking staff is being added to the Redondo Beach location to better serve the Japanese-speaking community.