Highest Rated Comments


DrTrolice171 karma

Marijuana has been show to have negative effects on both male and female fertility so we recommend discontinuation. It has been show to affect sperm motility and fertilization.

DrTrolice85 karma

Hi, I believe infertility is of disease and should be covered by health insurance. This week, New England Journal of Medicine, there is a wonderful article discussing the need for infertility insurance. Adoption is a wonderful option as well. Hope this helps!

DrTrolice83 karma

Challenging question! Very few people talk about the impact of experiencing infertility for many years and when to you think it is appropriate to move on to adoption. It took my life and I 10 years to make that decision. I encouraged all my patients to be open to family building options and my eyes duration of time you are challenged and suffering with infertility. Thank you for the question.

DrTrolice80 karma

Very difficult question! Ovarian region can be explained by quality and quantity. Both of these factors declined possible engages. After age 30, fertility begins and continues to decline slowly but more rapidly in her late 30s and early 40s. Success rates above 40 are challenging and miscarriages increase. Above age 42, and most clinics will discuss the alternative option of egg donation. As a pregnancy carrier, we will offer egg donation to a woman up until age 55. Men also have a decline in their fertility beginning at around age 40 and also increase the risk of miscarriage. Hope this helps!

DrTrolice53 karma

Great question! Our society has increasingly gone to a single embryo transfer in order to reduce the complications of a multiple pregnancy. In our program, all women below age 38 usually receive a single embryo as do all women who have had chromosome testing resulting in a normal embryo. With single embryo transfer, the twin pregnancy rate is approximately 1 to 2% whereas with IUI (intrauterine insemination), the twin pregnancy rate is typically less than 5%. The risk of high order multiple pregnancy is typically from IUI because there is no control over the number of embryos that can implanted inside the uterus unlike with IVF. Thank you!