6 RPMG Docs Named Superdoctors

Six physicians from Reproductive Partners Medical Group were named as “Superdoctors 2018” in the category of Reproductive Endocrinology as listed in a supplement to the Los Angeles Times.

Drs. Gayane Ambnartsumyan, Andy Huang, Greg Rosen, Carrie Wambach and Bill Yee were chosen in the Superdoctor category and Dr. Marli Amin was honored as a Rising Star.

Gayane Ambartsumyan, M. D.…

Managing Nausea and Vomiting in Pregnancy

The American College of Obstetricians and Gynecologists (ACOG) recently published new clinical management guidelines for nausea and vomiting in pregnancy. The guidelines give options for both pharmacologic and non-pharmacologic treatment of these symptoms, which more than 50% of patients experience in pregnancy.

Over the past few years, it seems that patients have become more hesitant to use pharmacologic agents to …

Thyroid and Infertility

For many years I have been routinely testing new patients’ thyroid function because the recommendation for women trying to conceive is a thyroid stimulating hormone (TSH) level of less than 2.5. The cutoff for the normal range is usually greater than 2.5 and may vary between various doctor’s and lab’s recommendations.

Women with unexplained infertility are nearly twice as likely …

Los Angeles County Woman Infected with Zika

A woman in Los Angeles County has the first confirmed case of sexually transmitted Zika virus infection in the county.  The infection was reported by Los Angeles County health officials last week.

The woman was infected by her partner, who had traveled to Mexico in early November.  She had not traveled to Mexico, but obtained the infection from unprotected intercourse …

Infertility- Don’t Lose Sleep Over It

We have always paid a lot of attention to the role that lifestyle issues can play in reproduction. Many are obvious like smoking, excessive alcohol, drugs and both sides of the weight spectrum. Many of these are discussed in our Lifestyle & Fertility pages. Some are new or not so obvious such as new information on the effect of poor …

Protecting Fertility From Chemotherapy

One great advance in preventing loss of fertility and ovarian reserve from chemotherapy has been egg freezing.

But sometimes, for a variety of reasons, egg freezing may not be feasible for a particular individual. Prior to the advent of successful egg freezing I used to use a gonadotropin-releasing hormone (GnRHa) agonist to shut down the ovaries prior to chemotherapy, thereby …

How Long Can Embryos Stay Frozen?

On November 25, 2017, Tina Gibson, a woman in Tennessee gave birth to her daughter, Emma, who had spent 24 years as a frozen embryo.  This is the longest-frozen embryo to successfully come to birth.  Emma weighed 6 lbs. 8 oz. when she was born and is a thriving newborn.

Emma had initially been conceived via in vitro fertilization and …

Does IUI technique matter?

When sperm wash techniques were first developed with a medium called Ham’s F10 artifical insemination was revolutionized. Prior to that time all that was available was cup insemination (ICI) or injection into the cervical mucus which itself was often the problem. Over the years culture media has vastly improved but the technique of actually performing the procedure was relatively standard …

Sleep May Affect IVF Success

A new study is showing that lack of good quality sleep may affect a woman’s chance of successfully conceiving with assisted reproductive technology.  This study was presented at the 2017 American Society of Reproductive Medicine annual Congress and showed that women with poor sleep quality undergoing in vitro fertilization (IVF) had lower fertilization rates than women with better sleep quality.…

Miscarriage Myths

I recently blogged here about new information related to miscarriage: that smog can increase the risk of miscarriage and that it is no longer generally thought that one needs to wait to try to conceive after a miscarriage. This is a policy that we have followed for some time; not new to us.

Now in an article in Self, …