Low ovarian reserve in older women

We always worry when a patient in her late 30’s or early 40’s has biomarkers such as early-follicular-phase serum antimullerian hormone (AMH), serum and urinary follicle-stimulating hormone (FSH) and serum inhibin B indicating a low ovarian reserve. But for some a new study indicates that low ovarian reserve may not indicate a problem conceiving.

Lab tests showing that women have …

Obesity Can Hurt Male Fertility

A new study by researchers in India is showing that obesity can hurt male fertility.  Researchers at a fertility center in India analyzed sperm samples from over 1200 men and found that men who were obese (body mass index greater than 30) had lower semen volumes, lower sperm counts, lower sperm motility, and a higher percentage of abnormally shaped sperm.  …

New Fathers’ Age is Rising

Maybe this is why we are seeing more cases of male infertility and many cases of IVF are requiring ICSI.

Researchers at Stanford University reviewed data on 168,867,480 live births from 1972 to 2015, making statistical adjustments for missing paternal records. The average age of the father of a newborn in the United States, the investigators found, has risen to …

Surrogate Pregnancies are on the Rise

In recent years, surrogate pregnancies have steadily been on the rise.  Surrogates have allowed many couples to have a genetic child when they would have otherwise been unable to.  Some of the many reasons why people opt to use a surrogate include it being medically impossible for a woman to carry her own pregnancy, pregnancy risks posing a danger to …

Early diagnosis of endometriosis important to fertility

The diagnosis of endometriosis, a common factor in infertility is often delayed or missed increasing the risk that it can become a factor in one’s fertility.

The National Institute for Health and Care Excellence (NICE) issued new guidelines advising physicians to suspect endometriosis in women, including those under the age of 17, “presenting one or more signs of the condition …

The Role of Preimplantation Genetic Screening in IVF

Over the past 2 decades, preimplantation genetic screening (PGS) has fallen in and out of favor among fertility specialists.  The benefits of performing PGS with in vitro fertilization have been hugely debated.  While the techniques and technology for PGS have advanced during this time, it’s still unclear whether PGS provides a benefit and that should be determined for each individual …

RPMG’s Dr. Ambartsumyan featured on Popsugar

RPMG’s Dr. Gayane Ambartsumyan was featured in an online article on Popsugar in which one of her patients outlines her IVF experience in photographs.

The article, “1 Woman Documented Her IVF Treatment From Start to Finish With Photos, and We’re Exhausted Just Looking at It” states, “Like many other women trying to conceive, the thought of having a baby via …

The Evolution of Fertility Treatment

This year marks the 50th anniversary of the U.S. Food and Drug Administration approving the sale and marketing of clomiphene citrate (Clomid) for the “treatment of ovulatory dysfunction in women desiring pregnancy”.   At the time, this was a huge breakthrough for couples who were desperate to conceive their own child.  For many patients, it was a “wonder drug”.

Prior to …

Miscarriage Misinformation on Twitter

Losing a pregnancy because of a miscarriage can be a difficult and painful experience, one that people often don’t talk about even among friends and family. Women who suffer miscarriages can feel shame and isolation. Some even blame themselves.

There are also many public misperceptions of miscarriage. For example, more than half of the respondents to a 2015 survey incorrectly …

Low Carb Diets May Increase Fertility

One of the most commonly asked questions by women who are hoping to conceive is, “What can I do or eat to increase my fertility?”  There are now multiple studies that may be providing some answers to this question.  There is a growing body of evidence that shows that diets high in protein and low in carbohydrates may lead to …