F E AT U R E S
I like to start off by understanding the reasons why she is seeking assistance (is it for longstanding infertility, just a fertility assessment, history of recurrent loss, egg freezing, etc?). I then go through her medical/surgical/GYN/OB family history. I review the appropriate tests to be done depending on her/their needs and usually finish up — after reviewing all her questions — with a physical exam and pelvic ultrasound. She then meets with my team and usually starts with pertinent blood tests. We touch base a few weeks later to go over results and a further plan of action (whether it is nothing at all or IUI [intrauterine insemination] or IVF). What do you recommend for single as well as married women in their mid-thirties who want to have children? Start trying!! Meet up with a reproductive endocrinologist to review the relevant baseline testing and go over the anonymous sperm-donor selection process. If they don’t want to have a child right away, consider exploring fertility preservation options with their doctor — whether egg or embryo freezing. Though aging doesn’t cause infertility or recurrent miscarriages in all women, an increasing proportion of women encounter infertility or recurrent loss issues as they age from 30 to 35 to 40 to 45, etc. So there is a lower likelihood of issues when women start the process at a younger age (if feasible). SocialLifeMagazine.com
Could you give us some fertility tips? Lifestyle adjustments are something you have control over and can help promote a healthy pregnancy: healthy, more plantbased eating; no or little alcohol consumption; regular exercise to maintain a healthy fitness level (remember, being pregnant is a major workout for your body); stopping use of any recreational drugs; making sure your vaccines are up to date (Covid, flu; chicken pox, measles, rubella, etc.). Folic acid use has been shown to greatly reduce the risk of brain and spine defects in offspring when mothers start taking folic acid before and throughout pregnancy. When a couple wants to try naturally, try not to stress about it. Try to enjoy each other’s company; have intercourse two to three times per week; and understand that, even for women in their young 30s, the normal average pregnancy rate per month is only about 15 percent, so it can take a little time.
Janet Choi, M.D. Medical Director CCRM 810 Seventh Avenue, Floor 21 ccrmivf.com 212.290.8100
