Posts Tagged ‘age and fertility’

Egg freezing is accepted as preventing disease and age-related fertility decline…in Israel

Sunday, August 28th, 2011

According to an article in the August 2011 issue of Fertility & Sterility, the Israel National Bioethics Council (INBC) issued recommendations permitting egg freezing to prevent both disease and age-related decline in fertility. The INBC considers age-related infertility a medical problem and treats the new technology favorably as preventive medicine. As a comparison, the major regulatory bodies in Europe and the U. S. consider the procedure experimental for fertility preservation unless for a medical reason such as cancer treatment. Treating this as preventive medicine allows women to avoid the need for egg donation and ineffective infertility treatments at an advanced age.

Two recent studies demonstrated that the risk of congenital anomalies is similar to natural conception as well as conception from IVF cycles. But since the technology is so new, there are no long-term data concerning the health or emotional well-being of children conceived from frozen eggs.

I believe that the Israelis are way ahead of other western countries in accepting this technology and that it will ultimately be accepted in Europe and the U. S. as more experience is gained. At Reproductive Partners we have seen that this is an effective technique to preserve fertility for both medical and social reasons.

Results of a survey on couples’ beliefs about fertility

Tuesday, August 2nd, 2011

A website has been established with the results of a survey of U.S. couples' understanding of fertility issues and their attitudes toward treatment. The survey was conducted by Merck and the complete results can be found at planforsomeday.com.

Some of the interesting findings:

  • 54% of women incorrectly assume that fertility starts to decline at age 36 or older
  • 62% of women surveyed believe new stories about celebrities having babies over the age of 40 are good because they give hope (of course without disclosing that many are from egg donation)
  • 91% of couples would have seen a specialist sooner if they could do it all over again.

The take home message: get off the Internet and see a specialist now and don't be one of those regretting not doing it.

IVF or IUI for Women Over 40?

Monday, June 7th, 2010

Selection of a treatment method for women over 40 whose main limitiation in conceiving is their age can be difficult. If they are in the "unexplained infertility" group with open tubes, no significant gynecologic problems and a partner with normal sperm parameters the common choices are to try injectable fertility drugs (COH) with artificial insemination (IUI) or in vitro fertilization (IVF). A recent study in Fertility & Sterility compared groups of women aged 38-39 with a group over 40.

The women who were 38–39 years old had an overall live birth rate of 6.1% per cycle, with no live births occurring after the second cycle, and women  over 40 years old had an overall live birth rate of 2.0% per cycle, with all births occurring in the first cycle. These data suggest that the efficacy of COH/IUI cycles significantly decreases with age, but women aged 38–39 years had reasonable success during the first two cycles. However, for women aged over 40 years, no benefit after a single cycle of COH/IUI was observed. Women over 40 years should be considered for in vitro fertilization as the first choice or after one failed COH/IUI cycle.

New Lifestyle and Fertility Article

Monday, April 5th, 2010

In a new fertility education article, Dr. Meldrum presents exciting new findings that indicate possible ways to influence the health of eggs and sperm in younger and older couples alike. From diet and exercise to smoking and stress, the modification of many lifestyle choices can increase a couple's chances of being successful.

Read the full Lifestyle and Fertility article here.