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Health Talk - IVF New Jersey

Health Talk - IVF New Jersey

Susan Treiser, M.D., Ph.D
IVF New Jersey

How does age affect a woman's chances of getting pregnant?

The odds of getting pregnant are highly dependent on the age of the woman, that is, the age of her eggs. As a woman ages, so do her eggs, and there is less of a chance  for a successful conception. The so called “biological clock” cannot be stopped and it continues to tick independent of a woman’s health (good or bad) or use of  medications to stop ovulation (i.e. birth control pills). Peak fertility remains steady for most women up to the age of 30 years or so, then there is a steady decline  thereafter leading to a severe dip in the late 30s, and substantial difficulties in the early 40s.

Should women consider freezing their eggs to preserve their fertility?

Egg-freezing technology has improved significantly over the last few years and is an option for women who know they want to have children someday, but are not  ready now. The success is still related to the age of the eggs when they are frozen. Ideally, women should consider freezing eggs before the age of 35 years, when the  eggs are potentially still at their peak quality.

There is a lot of talk and advertisements about testosterone creams and whether or not they effectively improve a man's sperm count.

Testosterone is an essential naturally produced hormone involved in sperm cell production. However, when used as a supplement, especially in large doses and for a  prolonged period of time, it can actually shut down the production of sperm cells. Therefore, it is important to let your doctor know if you are trying to conceive prior to using any testosterone formulation (gel, patch, creams, etc.). There are alternative medications that can increase your own natural production of testosterone  and actually increase sperm count.

The media portrays high-profile entertainers using Gestational Carriers. Should all women who have had difficulty conceiving consider a Gestational Carrier?

Gestational carriers are usually recommended to women who are unable to conceive for specific reasons, such as the lack of a uterus (due to surgery or birth defect), irreparable damage or scarring of the uterus, or certain medical conditions like lupus, uncontrolled diabetes or high blood pressure, or any condition that prevents a  safe pregnancy. In most healthy women, the uterus is able to carry a pregnancy even beyond menopause, which is why it is rarely the actual reason why some  women cannot get pregnant.

What is pre-implantation genetic diagnosis (PGD), and when would it make sense to use it?

Pre-implantation genetic diagnosis (PGD) is a test available to determine the genetic makeup of a pre-embryo before it is transferred into the uterus (pre- implantation). PGD, which requires IVF technology, is mostly recommended to couples who are known carriers of a genetic condition and wish to avoid passing it to  their offspring. It can also be helpful to couples with a history of recurrent pregnancy loss and more than one case of failed fertility treatments. PGD also reveals the gender of the embryo, therefore it can be used for family balancing purposes.

Susan Treiser, M.D., Ph.D
Freehold Office
495 Iron Bridge Road, Ste. 10 (2nd Fl)
Freehold, NJ 07728
Phone: (732) 577-6500

Dr. Susan Treiser has co-founded and co-directed IVF New Jersey, one of the largest fertility centers on the east coast since its inception in 1990. With locations in  Freehold, Somerset, Short Hills, Hamilton and New York City, success rates are among the highest in the U.S. Their full range of services include: In-Vitro  Fertilization, Egg Donation, Gestational Surrogacy, Pre-implantation Genetic Diagnosis, Fertility Preservation and Family Balancing. They also work with single  patients and the LGBT community.

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