PFC Infertility Doctor Blog

The Infertility Blog

July 30, 2014

If you are a patient you probably think that the biggest problem with IVF treatment is that not every cycle results in a pregnancy or baby.  But if you are a Physician, you will know that the biggest problem is the high incidence of multiple births that result from fertility treatments. And you will know that it is a global problem.  The United States and Canada lead the world in the multiple births table, where over 30% of all IVF births result from twin or higher order deliveries.  We are the countries that transfer a single embryo least often, in fewer than 20% of all cycles.  In contrast, countries like Sweden and Australia, where single embryo transfer is mandated by law for most patients, multiple births make up about 5% of deliveries and 70% of patients transfer one embryo in an IVF cycle.

July 08, 2014

This is a book written by a non-medical writer who was also a former infertility patient. It was published only this year and is available in paperback. As with most books about infertility, there are good points and bad points. On the whole, however, it is very readable and to the author’s credit, she does give extensive references to back up most of the statements made.

The chapter “Understanding Egg Quality” is excellent and gives the reader good insight into why fertility declines with age and why most embryos do not implant: it is almost always about the egg and about the high proportion of human eggs that have chromosomal abnormalities.

June 30, 2014

San Francisco, CA – June 30, 2014 – Staff at Pacific Fertility Center (PFC) have been invited to present an abstract on elective Single Embryo Transfer (eSET) at the 2014 Annual Meeting of the American Society for Reproductive Medicine (ASRM) in Honolulu on October 14, 2014. eSET is the practice of transferring a single embryo after in vitro fertilization, thereby reducing the risk of multiple births and potential complications.

Toward a program of single embryo transfer: Reducing multiple gestation risk using CCS” is the title of the abstract co-authored by Philip Chenette, MD, Isabelle Ryan, MD, Carolyn Givens, MD, Erin Fisher, MS, and Joe Conaghan, PhD—all staff at PFC.

June 26, 2014

San Francisco, CA – June 26, 2014 – Recognized internationally for his expertise as an embryologist and researcher, Joseph Conaghan, PhD, presented at the Irish Fertility Society’s 8th Annual Scientific Meeting in Dublin on May 16 and 17, and at the Third Annual Canadian Embryology Summit in Toronto on May 31. Dr. Conaghan is Clinical Laboratory Director at Pacific Fertility Center.

Founded in 2005, the Irish Fertility Society represents a broad cross section of individuals working in the area of infertility, including doctors, scientists, nurses, counselors, and administrative staff. At its annual meeting, Dr. Conaghan spoke about the use of preimplantation genetic screening (PGS) and time-lapse imaging to promote the wider application of elective single embryo transfer (eSET) with in vitro fertilization (IVF).  

June 25, 2014

Alice and Ted found each other later in life, and at age 38, decided to try building a family. After 6 months of trying to conceive, tests showed Alice was ovulating, had a healthy uterus, patent fallopian tubes, and sperm testing was normal, yet she did not conceive. They pondered what to do next, and asked the question - what is the best treatment for a woman with unexplained infertility in her late 30s?

They read Internet articles about an antiquated way of thinking about treatment for unexplained infertility, beginning with clomiphene and intrauterine insemination (IUI), followed by more intensive ovulation induction with injectable gonadotropins to yield more eggs. Those that were not successful went on to in vitro fertilization (IVF).