Archive for the ‘RPMG News’ Category

Dr. Wisot quoted on foxnews.com

Friday, January 8th, 2010

RPMG's Dr. Arthur Wisot was quoted in an article on Jennifer Lopez' negative views on IVF on foxnews.com.

In response to her negative views, Dr. Wisot commented, "I can't speak about her personal choices, but I think that we live in an era of reproductive freedom and everybody is welcome to reproduce in whatever way they wish,” fertility specialist Arthur Wisot of Reproductive Partners in Southern California told Tarts. “If (Jennifer Lopez) isn't accepting it, then it may impair her ability to have children in the future, but it's based on her own moral and ethical principles.”

Announcing the Elective Single Embryo Transfer (eSET) Encouragement Program

Tuesday, December 1st, 2009

Reproductive Partners Medical Group has created the Elective Single Embryo Transfer (eSET) Encouragement Program to provide a financial incentive for patients with good embryo quality and a good prognosis for success to consider reducing the chance of twins by transferring a single embryo.

Reducing the number of multiple pregnancies, even twin pregnancies, is one of the biggest issues in advanced reproductive technology today. Couples with fertility problems often assume that they can double their chances for a healthy baby by transferring two embryos instead of just one. But, data published in the New England Journal of Medicine shows that what they're really doing is increasing their odds of having multiples, which is riskier for the mother and babies alike.

Pregnancies involving multiples, including twins, come with a greater risk of gestational diabetes, bleeding and preeclampsia for the mother, and cerebral palsy, birth defects, developmental delays and death for the babies. Twins usually survive, but incur higher medical expenses in the first five years of life.

Yet, despite the risks involved in transferring multiple embryos, couples must weigh this decision against both the chance of a failed cycle and the costs incurred by starting another fresh or frozen embryo cycle. For patients who qualify, the eSET Encouragement Program reduces the economic rationale for transferring more than one embryo.

For more information please visit our Elective Single Embryo Transfer (eSET) Encouragement Program page.

Dr. Wisot in Life & Style

Sunday, November 22nd, 2009

Dr, Arthur Wisot is quoted in an article in the November 30th issue of Life & Style magazine. Page 38 L&S 11/30/09

The article entitled, "Celine Dion's Battle For Another Baby," reports on her August IVF cycle which resulted in what sounds like a biochemical pregnancy. In the article, Dr. Wisot outlined the chances for a successful pregnancy at age 41 and that she has two factors which would likely give her a better than average chance of success; a previous success and she is being treated by a very successful group, not unlike RPMG.

The entire article is not online so to read Dr. Wisot's quotes you will need to see the article at your supermarket checkout or newsstand.

The New Pap Smear Guidelines and Fertility

Sunday, November 22nd, 2009
The American College of Obstetricians and Gynecologists has issued new guidelines recommending no Pap smear screening before age 21, every two years until age 30 and every three years after that if one has had negative results for three tests in a row.
 
My residency chief who practiced in the era before the common use of the Pap smear told his residents about the wards filled with young woman even in their 20's dying a miserable death from cervical cancer. Those wards were closed as the Pap smear gained acceptance. Those who support the new guidelines say that women do not die from cervical cancer before age 21. They ignore the fact that early detection before age 21 can avert this terrible disease and death. In the medical brave new world is death the measure of the need for screening? We have already heard about new mammogram guidelines. I expect next week’s headlines to include the PSA test for prostate cancer and colonoscopies.
 
Also important is that this sends the wrong message to many women who equate the “Pap smear” with the entire gynecologic evaluation. The previous recommendation suggested a Pap smear (and thus the full gynecological evaluation) within three years from when they become sexually active or at age 18, whichever comes first. More important than the Pap is the opportunity for the doctor or nurse practitioner to check for gynecologic abnormalities, test for sexually transmitted diseases and discuss issues such as contraception, safe sex habits and general health issues related to smoking, drug and alcohol use and other life-style issues.
 
So what does this have to do with fertility? As Dr. David Meldrum and I point out in our book, “Conceptions & Misconceptions,” women can do a lot to preserve their fertility when they are young by following good general health habits such as preventing sexually transmitted diseases, not smoking, maintaining a normal weight and having someone evaluate symptoms like severe menstrual cramps and irregular cycles which could indicate significant gynecological conditions that could result in infertility.
 
I believe that the Pap smear and mammogram guidelines, although technically accurate within a very narrow and subtle definition, send the wrong message. Many people will use any excuse to avoid an unpleasant and possibly uncomfortable examination. These new guidelines give them that excuse to avoid an examination which might improve their general health and quality of life and preserve their fertility.

RPMG studying financial incentives for eSET

Friday, October 30th, 2009

The LA Times article mentioned in the previous post shows the non-signficant difference in success rates between single- and double embryo transfers in a study from Sweden. Most impressive is the reduction in potentially complicated multiple pregnancies by transferring one embryo which should be an incentive for appropriate couples to select this option.

But in most of the U. S., couples are faced with more than the disappointment of a small increment  in the chance of a failed cycle. In most European countries, IVF is covered by the national health service so an additional cycle is less of a financial burden. In non-mandated states in the U.S, the couple is also faced with the cost of another fresh or frozen embryo cycle.

Our success rates in good prognosis patients who would be candidates to consider an eSET, our success rates are better than reported in the Swedish study and the difference in live birth rate between the two groups should be small.

In order to encourage couples to choose the single embryo option we are studying financial incentives to reduce the impact of a possible failed cycle which may not have occurred if two embryos had been transferred.

We would like to hear what financial incentive would help you choose a single embryo transfer if the difference in success rate was not statistically significant. You can post your responses to this blog.

LA Times article promotes single embryo transfer

Friday, October 30th, 2009

An article in the October 29th edition of the Los Angeles Times, “1 in vitro embryo may be best” reports on data from the New England Journal of Medicine that shows by transferring more than one embryo doctors are increasing the odds of having twins, creating a riskier pregnancy for both mother and baby.

Increased risks of twins over a single IVF baby include a greater chance of prematurity, cerebral palsy, birth defects, developmental delays and death for the babies, and gestational diabetes, bleeding and preeclampsia for the mother.

Researchers from Sweden expanded the results from a 2004 study showed a difference of 43% live birth from two embryo transfer; 39% from a  single embryo transfer. That difference was not statistically significant. One third of the patients in the double-embryo group had twins or triplets, compared with only 1% in the single-embryo group.

At Reproductive Partners we have been encouraging single embryo blastocyst transfer in appropriate couples who have a good prognosis for success and excellent embryo quality. The biggest barrier to acceptance of this concept seems to be financial. In the U.S., most couples pay for IVF out-of-pocket, where in many European countries the procedure is covered by national health insurance. So a couple with a failed cycle not only has to deal with teh disappointment of not succeeding, they are faced with paying for another fresh or a frozen cycle.

Girl Crazy: Women Who Suffer from Gender Disappointment

Tuesday, October 20th, 2009

IMG

Reproductive Partners was cited in an article in the November 2009 issue of ELLE magazine, “Girl Crazy: Women Who Suffer from Gender Disappointment.” The article profiles women whose lives are disrupted because they have not been able to have the girl child that they are craving. According to the author, they resort to a variety of techniques to try to achieve their elusive dream from folk remedies to IVF with preimplantation genetic screening (PGS), also know as preimplantation genetic diagnosis (PDG) for chromosomes. The focus of the article was the degree of emotional impairment from which these women suffer rather than the procedure itself. The article profiles a physician whose practice is devoted to IVF/PGS for gender selection, although the technique is widely available, including at Reproductive Partners.

The article states, “Physicians at other clinics, including California’s topranked Reproductive Partners Medical Group, use PGD as a screening tool to identify embryos with defects, and—if pressed— will reveal the sex of embryos in conjunction with other findings. ‘We would transfer embryos of one sex or another if that is the patient’s preference,’ says Arthur Wisot, its executive director and a clinical professor of reproductive medicine at UCLA. ‘We would do it if they seem like reasonable people and no one is hurt by it. But we certainly don’t advertise it and promote it the way Steinberg does. The people he services are more on the fringe, and he’s just playing to their neuroses.’”

 Actually Reproductive Partners offers IVF/PGS for family balancing and we do not need to be “pressed” to reveal the sex of embryos. It is just not the only focus of our practice. We mostly employ this technology to detect embryos with chromosomal abnormalities, when appropriate, and diseases caused by known gene abnormalities carried by one or both parents. In fact, the most recent recommendation from the American Society for Reproductive Medicine has reduced the number of reasons for doing PGS for chromosomes because of evidence that it does not improve live birth rates in patients with advanced maternal age, previous implantation failure, recurrent pregnancy loss and even those who have recurrent pregnancy loss from chromosomal abnormalities.

Reproductive Partners Commended By Redondo Beach City Council

Wednesday, September 2nd, 2009

REPRODUCTIVE PARTNERS COMMENDED BY REDONDO BEACH CITY COUNCIL award_mayor_cert Reproductive Partners Medical Group was awarded a Mayor’s Commendation at its September 1st City Council Meeting. The commendation, presented to Drs. David Meldrum, Arthur Wisot and Bill Yee by Mayor Michael Gin and City Councilman Steven Diels cited recognition of the practice “giving hope to many couples in our South Bay Community.”

 Also attending was Councilman Diels’ wife, Elizabeth, and their eight-month-old son, Luke. In his remarks, Mayor Gin cited the fact that Reproductive Partners has been helping South Bay couples, like the Diels, achieve the dream of completing their family for over 24 years in their Redondo Beach location. The group has expanded to now include offices in Beverly Hills, Westminster and La Jolla. The physicians at Reproductive Partners are responsible for over ten thousand births resulting from assisted reproductive technology. They offer comprehensive evaluation and practical treatment of all aspects of infertility care. Reproductive Partners is nationally recognized for their pioneering work in helping infertile couples.

 

mayor_cert

Fertility Forums

Saturday, October 21st, 2006

Visit The RPMG Forum Please visit the new version of the Reproductive Partners Medical Group Bulletin Board, the RPMG Forum. Since its inception in 1999, the mission of this bulletin board has been to educate consumers on fertility-related issues. To date we have posted over 60,000 questions and answers and have helped thousands of couples throughout the world better understand their fertility treatment. To reach the RPMG Forum, go to www.reproductivepartners.com/fertility-forums/gforum.cgi.

Even if you had been a participant in the previous version, you will need to sign in again with your user name and password. If you have not visited our board before, please read the frequently asked questions and then start posting or just read other’s posts. We hope you find this an educational and enjoyable experience. There are many new search and security features on the new RPMG Forum to help enhance your experience. One example of the capabilities of this state-of-the-art Forum is our ability to establish a special temporary Forum. In conjunction with this newsletter’s article we have posted a forum on PGD for single gene defects, featuring your questions about and comments about this exciting technology.

RPMG Announces New Orange County Location-Opening Soon

Sunday, October 8th, 2006

RPMG Announces New Orange County Location-Opening Soon Reproductive Partners Medical Group, Inc. is pleased to announce the opening of a new Orange County location, slated to debut at the end of November. This new office, located just off the 405 freeway at Westminster Avenue, provides a convenient venue for our south Los Angeles County and Orange County patients and referring physicians. The office, which is currently under construction, is located just east of the 405 freeway, Westminster Avenue exit at 13950 Milton Avenue, Suite 100. For further information or to make an appointment, call toll-free (877) 273-7763.