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Oregon Reproductive Medicine

Feb 11, 2011|

A discussion with Dr. Elizabeth Barbieri, from Oregon Reproductive Medicine, about the help they provide to those have trouble conceiving.

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Automatically Generated Transcript (may not be 100% accurate)

You're listening to -- -- -- a series of interviews with people of interest in northwest -- southwest Washington I'm your -- ten Douglas in previous generations -- was the -- to start families early you -- at a high school maybe you went to college found the one got engaged got married not a house started a family often like my own parents before the age of 25 but these days many are choosing to wait to get their -- started take their time in finding someone they realistically would like to spend the -- -- life with. Or sometimes decide to go forth independently before settling down and having children well it's simple physiology that with many of us the older we get the more difficult it might be to actually have a child -- beyond that some have trouble even if they decide to take classic route then reproduce earlier in life well that's where the ever evolving world of reproductive medicine -- and to discuss this very topic I have with me today doctor Elizabeth Barbieri from -- reproductive medicine thanks for joining me today doctor how are you. I'm fine thank you can't tell you. I'm wonderful and get things kicked off let's get our listeners a little bit of background on yourself and what you do for organ reproductive medicine. A little luck as you mentioned my name Elizabeth Barbieri I am every protected endocrinologist. What that means is that and that will be key light and can get additional training in the field of protective and a chronology of and ended up being made the majority of that work is now in the field and fertility pill -- -- gynecologist who specializes in infertility. Look tactic called organ reproductive medicine which is a great group of doctors imagine embryology and there's four positions total in that group. Could specialize in infertility and helping coupled to compete pregnancy. I say no reset infertility there about thirty times since we started yeah. Let's let's go over kind of a general explanation what is infertility mean. The definition of infertility and published by the American society for reproductive medicine and -- -- governing body of -- for my field is in -- women. Eleven aged 35. The inability to conceive after one year of unprotected intercourse. Six. Now the caveat is live -- -- plays and didn't definition right women have 35 and older. Infertility in the inability to conceive after six months to try. I say is actually in Mildred get the more difficult is going to be yeah. All right so -- 35 to that that's kind of the magic number that's when we start see fertility decline. -- know. And there's a very very settled. Declined. Around between ages thirty and 32 new okay not noticeable I don't want I didn't have all their -- they're out there isn't ready. But added a very well declined an -- real. Agent 37 and 38 where there's a more sharply declined. Can't the competing and then when you get into here early before it becomes more difficult. -- -- based on. That age of women ache and cannot do you don't know what the quality of their eight -- how good they are and how many do you have left. And and we're talking statistically because there are women of course who have had. Children in their forties you know if that happens to my my sister and lost just to have her -- -- their fourth child. And she was like 45. Yeah it happens. Yet you are definitely different women out there. Who are able to compete at a later stage luckily those women don't have to -- -- -- -- it -- other written about the -- you trying to get pregnant that we see. And where did at the impact of age on fertility seemed to take its -- So if someone is looking -- you know if they make decision early on a life that they wanna have a child. In what would you say I mean certainly there are all the specifics of someone's individual life but. What's kind of a good age range just says start -- -- what would your suggestion. Really feel are in that position where you your relationship where you can get pregnant -- And you really wanna add to that they I would recommend you start trying by the -- 3032. Even 34 that's reasonable you know -- lot and we can -- coming -- -- 3730 -- also been together for a ten years. And maybe win. Finally started trying quote unquote a year ago. Right I think that's just an upset of yeah. How we drop the previous generation our parents have their kids really early in the -- kind of burn out there early forty's and they they have the mid life crisis -- they. They wish they had gotten some life in before they had kids and all that so we're all waiting a little bit longer. A quick I completely understand and see. But will win all the opportunity for women today cool wanna get their careers go -- -- training -- that medicine are not or. Do you have to balance those desires with getting tired academic because. Sometimes there's a little bit of give and take its right. Well I think you're looking a 3032 that's a that's a reasonable range and have got your life started may be heading down the road you'd like to go down. Yes that's being said. If there's a thirty keep editorial women who are good are they should not be panic game at their running out of time. Ranked you know ought to go grab someone -- me. It shouldn't be gravity of -- with yeah. Yet take your time there of their people who can help a little later on the -- winning winning would you say if you've been trying for awhile like my my wife and I for example and we had a child urgent now twenty months old. But thank you but I was asked 35 she was 38 and we were Tryon we've been trying for up -- as when we have -- had to get. But -- we've been trying for two years leading up to that. So we would you suggested you know if you had chatted with us during that time the maybe it was time to see utility specialist or how how -- that determine -- -- someone see a specialist. Yet until I would be if you're 35 and older and you've been trying for six months and it hasn't worked because man. Please come and we're never thank you for you to do any treatment that you may not be comfortable -- -- -- but I think it's really important for people to be educated and about. What their chances of conceiving are and what the potential roadblock that might be preventing them from competing you know women age played a significant. Back there let elbow problems such as outcome to the number of stern -- then -- it. Make a really low amount of Sturm then no matter how can you argue made up till we get pregnant and he wouldn't 8%. Or if there's an anatomical problem such as much heavier fallopian -- being blocked then there might be my difficulty for the eight payment term to get to their. And again regardless of age this is gonna cause a problem because that's what we'll beat you up their investigation to get all aspects of what the -- for -- Do occur in our patient so that we can come up with -- treatment option and he uncover the third problem that -- different even aware would've been products. Well we used the Murphy's law. And method. But basically that was we both had a moment we re were switching careers at the same time and didn't have health insurance for about three or four months. And that's -- kind of protection that's -- was just just having that that base not covered for 32 send home. Now what is something that couples can do. If there if they are trying to conceive and is maybe not happening right off the bat which I think is seems to be more common now -- not. And maybe this just because my from my friends in my world there are there a little bit older so this is not happen right off the bat. What can couples do to improve their chances of conceiving that mean you you here kind of I don't know if they're old wives' tales being underweight glossy you're cutting out caffeine I've. I heard you know is the man starts working out because maybe it's a problem with there there are countless susteren yeah exactly. -- and and that patient that couple can do. Will tell my comment sent but in my mind I think they're great and -- it have helped you like about bill. There had to -- weightless up there have been studies have linked to. Obesity especially in the woman can do I am not. -- and those cannot -- they -- -- you're not releasing an ache every month you don't really can make you can get pregnant and he right take -- -- exactly. So that's one that's secondly. Even if you are on -- it. The studies have show mad over obese women have take a much summertime we get pregnant and then normally live and and obese women who undergo fertility treatment. Also have deep -- -- is a competing bill. Whitlock is helpful for all aspects of our lives you know partly -- have -- LC -- having -- -- but admitted -- -- time to lose weight are you meeting motivation to this week. And trying to get pregnant. Also can especially important because obese women have more complications during pregnancy loses. The live public pressure and diabetes and pregnancy difficulty with delivery because they're all help. Taking prenatal vitamins it read Miley advocates predict is that prenatal vitamins to -- contain -- -- Humana folic act picked up. More so than what a woman might be getting her daily diet and this is extremely important in helping prevent Merrill tube defects that the problems with a spinal court. And what I'm most people don't know except that early development of the organs are occurring in the depression we -- united interpret pregnant. And the bank I -- -- -- pregnant unit association has not been drinking -- smoking and I really need for taking my vitamins but when I began calculate that you're trying to compete should be taking your vitamins. Lacking -- alcohol intake is there's no safe level of drinking pregnancy. I think stopped smoking. Because you know it. And I think I -- smoking problem can't get -- -- correct those that commercial where they showed -- I think Lundberg says the Blackwell Wright right -- -- -- -- we have -- over. We do keep that vigilant -- has me looking you're killing earache you're looking yeah. Sounds like it basically this is going to be the vessel for developing a child the value. Make that the cleanest healthiest best we can. And you know what the the next couple contingent of one to be -- In can make sure that I haven't integrated around the right time of the month to right so I'm -- I'm -- to -- how to -- had. Getting it at the right time to have a child and they eat and wait to -- this evening ovulation predictor kits. These aren't simple -- for lack of a better -- you can buy your local. Pharmacy or target. Korean country Amazon.com. And you start -- based on how long your menstrual cycle is do you start monitoring it but leaking amniotic. That's simple once today and this. Can measure -- the hard a mobile your body and we'll let you know. When your most fertile period of time is because -- showed that you are tabulated and after the crucial time for which had a little logo it. Exactly works exactly Tokyo couple and you bought traveler one part mr. -- -- year I think you might be missing at the Pentagon way to. Right come back into town this weekend night. And you have perfect. If you're just joining -- you're listening to -- -- a series of interviews -- people of interest to northwest Oregon and southwest Washington I'm your host -- Douglas and I'm talking today with doctor Elizabeth Barbieri from -- reproductive medicine about fertility all the ins and -- of that how to how to get some help how to know when to try to have a kid when not to try to have a kid and what they can do to help out if you're having trouble so what are some of the signs. I -- you know you if you if you are trying. Any -- happening what are some of the signs that you're having possible fertility issues when should you go and spend speak with a specialist. We welcome TD that any point in the product that sometimes you wanna come earlier don't see another primary capital. But -- traditionally and women 35 and older. After a six month if you have not successfully competes. I would recommend coming in Jennifer complication -- we can educate you about what need captain -- conception to -- what might be happening in your case. And what -- -- improve your chances in very bad signal to the republic day at six month. Is that we know that women had that a 20% chance per month of getting pregnant. This you have pretty inefficient compared to the rest of the animal -- animal kingdom church in women 35 and older. The majority of the vast majority of couples who get pregnant look at I meant by Nick Markakis. -- and that curve and the plaque telling you can't getting pregnant after six months Turkey I didn't do a lot. And we want to deal to improve her chances for you. You women less than eight to 35 there we today after a two year trying to I'd recommend coming in could be evaluated because. For example women who are thirty years old 90% of couples will compete in here. But a small percentage will not and that coupled will be don't want to need help but -- I'm 35 member -- static different personal files yeah. And then how do you go about dealing with if if you got somebody who has been dealing with -- say. Endometriosis is more fiber -- or anything like that how do you go about doing that. Commend Brett consultation will review all the different cabinet may be it and it kind of getting pregnant it hit endometriosis. Off and had to have had the surgery can diagnose that problem because they've been having -- another symptom against the that they Demetrius -- and we talked. About that with that patient individually over what would much have an option to get an -- -- -- -- -- You know the patient has severe had a major -- medically speaking to be gauged your gauge report depending on the content that indeed in their helping them. And can you can you describe gonna -- and endometriosis and. Oh are very. Keokuk is then act and you can -- -- -- and -- -- which is medical term for the lining of the uterine. Actually get up outside the uterine cavity of gladiator and a completely. Inside the health and for the though. Mean tiny people that -- uterine lining. Are picking on your ovaries and fallopian tube in and I get pelvic sidewall and and they can be on your tech and -- your Blatter. Most commonly and to make you could present -- public really painful period. -- think -- -- came before they're period. And something on the line for. We you know that endometriosis associated with infertility and it's much harder for women with endometriosis can become pregnant right the -- period but why don't have to do is one. And images that came to distort the public anatomy so the fallopian -- which are supposed to feel the move around and pick up a bit at -- really -- from 03 different. After their -- a laundromat and if you can get I mean you plastered -- with the law you can't we gotta pick and Connecticut pocket your arm -- catalog -- The same thing with your -- into the can't conduct it. But that theory that at the -- causes infertility and that enemy just because often inflammatory distort the ability to creating -- -- a -- -- pages all these as a like this big event evil humor. That's our topic for our -- permanent. -- most couples if they have severe disease. I haven't they -- just that -- best into the getting pregnant if they cannot compete on their own it'll probably witnessed in vitro fertilization. This is. Treatment option that we can -- patient. Where -- he give the women. -- a medication to make and produce many aches and remove the aches and fertilizer made protect her -- -- -- In a laboratory and watch those embryos -- They're removing The Hague and the sperm and the emirates from that evil regiment and the chances of endurance and and we put them back inside the woman Jeter and. Cindy and -- as as a pretty good success rate. I am very proud of of the organ reproductive medicine -- it we have excellent because it was excellent advice. Sure sure and any appear listening and you you know you're having some trouble by getting pregnant and you you immediately think like now. Oh well maybe it's endometriosis -- you would not give you you'll be having some pain nearly something you should have been talking -- -- BG UN about the center of. Women know because -- dramatic from pain into thinking it'll just think about and imagine this is that there is a subset of women who have been severe disease with very little paint. Really. Well because I've had as the reason -- talk credit Demetrius or my mother had severe case summit and then now also my my aunt as well and both of them I mean varying levels of pain my mom had a pretty bad. But I had never heard of of not having symptoms. Yes occasionally there women who don't have a good to have a safe. -- yes that's still okay so what you did Michael announced they'll approach it is back. If a woman at present because -- heading infertility -- describe enemy Egypt and as a three possible reason for this happened but ultimately whether he has -- Demetrius this or not. Mike -- recommendation will be that the. I say now I've heard of which are -- and in vitro fertilization retaken a -- -- also -- taking -- out to store them if you're going through a disease or you're having some sort of the problem or sometimes you know pipe and engaging for movies here but sometimes if it is a case where. You're young you store your eggs because you you wanna get their career started in you don't wanna -- not having. Things like. So that could -- your preferred to protect the layman oh great crowd pretty big hit or treating. Praising the bill that. Bills at the art technology. Has gotten better terms of the -- process that we've. Offered a treating a patient. And it. The right now -- most commonly offered to women. When it really -- can't -- this -- -- most came out of there pretty -- agent of which are extremely important to treat their cancer there. And save their life. It will often be toxic to their ovaries inkster erased right exactly and their life sentence Hilton. And we've definitely been fortunate enough to -- -- to patients if they find out about our treatment option and they will come to Seattle and we will. -- simulate them with hormones to ground there and many aches and comfortable and then remove Diego and treat them. Read before they start their can't get treatment so ideally they -- -- and they go to camp countrymen. The wind up hope that they had gone -- that -- that could potentially work what they survived against the. How common is that email account of pat. Comment you right now and then there's it's gonna happen there's immediately needed to get many people. Anita but I would depend on -- I wonder if there's -- which is why would get -- talking to the command I feel at their patients who we are reach. We should know about it. Though it that it comes -- glad to -- isn't as common as they could beat but I hope -- all -- dude who could potentially be conservative and allowed that nobody. Okay -- he am. What -- you -- a month for -- treating bird can't happen it's because. That's actually higher than I would not. -- you know we did which means people are finding out about it and we're preserving fertility treatment several young women without hope that they can use this in the future. The next round you get into the is what about -- treating her young you know a young woman -- been up Ph.D. program and thirty Palin. You know isn't involved with a -- -- right articulate to have children but doesn't need a good thing happening in her pretty -- future -- And what about her -- her old. And that's kind of the round and the technology becoming better and better that's the next. -- commit more viable option he. An important when someone is trying to. -- say no you know beaten Bure was organ reproductive medicine but I know there are a lot of organizations out there that it can do you do when. What are some of the criteria one must look for when choosing. One of these locations to deal with. And conclude that the very good question and how do you know -- -- -- -- -- -- gonna help you -- know who you like because good earnings fertility treatments. For the most part are not covered by insurance to your spending a lot of money you really wanna make -- get good service. And you wanna make sure that that the good people are gonna take care do you do with that for you not what's best for their academic paper look good. I'm good at the very valuable question there is one. -- -- -- called. RF ARE dot org -- -- the idea that the -- reproductive technology now of all the clinic that deal in vitro fertilization did report their numbers their sixth straight to this body art and they're. And then start publishes the data every year. Still if you're going to -- out there and they're not listed on minister registry that should bring. That's yes that's that's good hands on impression right. And then it patient should feel free to look at -- and compare program and then pick ERA you know in their general geographic area and he had -- apple they are from group to group. Also it's just a guy in his -- Probably not a good -- Exactly. Or here in Southern California and that can comment. But I got that right. So now does that especially bringing a -- c'mon. Is that something that happens opt into what we're -- has to help with this fertilization medicines and whatnot and you know twins or triplets can happen. Adam and definitely happened. I'm Matt bush rarely comments and -- -- mom is this is very strange case -- EG aberration or a huge outbreak hit. America got that permission for that. Patient did not follow any of those who grilled -- guideline right advocated by our governing body. But the command in Afghanistan -- if you don't count -- Barack. Between are fairly common and be coming to you about that hey you know what I see all. Organ predicament that we -- all of our patiently to counsel them about what the treatment options are what the percent of having to wind is. Streak treatment option and then we talk about the rate of having triplets because triplets are complicated pregnancy -- -- not. Normal that the goal you comment to say no I wanna have three kids WAOK not all want to press. This. Exactly not all at once. And I think I can become a difficult concept for patients who. Have been trying to with a -- and -- get desperate he'd had any pain that they take great three better than what I did everything exactly and getting it don't let them. What else I -- walk without truly recognizing the potential dangers and complications -- -- pregnancy. So where it eight Sunday -- that our education that we are conservative program. Debt has can be achieved a very good pregnancy rates with a very few. Higher order multiple but the temperature. Sure share excellent. Well he sounds like he has have a lot of success there that's organ reproductive medicine. I did and it's gotta be a wonderful job because you're helping people who starts this new chapter in their life so what's your favorite thing about working with your patience there. No I haven't. And then get from the east -- About six months ago and not really having that's her deported except for three days just -- apartment. And I think you're really he cleaned with a -- from the people are and how -- Open the patient where they really they come to EU and their interest and you. Would catch up. Personal and important time in their life isn't and they may even compete they put all they continue and you have a responsibility to help them and when it worked. It's the best thing ever and comic -- implement positive Connecticut -- it's wonderful political cash at the same time. You know it very hard when -- not working right and it got very -- powerful that. You can be involved in the last part of the lake it well and try and come up with an option that will help them achieve their goal yes. That's one of the things I love about Carlin as well you -- people are very open seems to be a town largely full of realists. They've they they're not afraid to kind of laid their cards on the table and deal that. Now that's wonderful. Well and believe it or not we've run out of time we could come up right to it but well done I. Think you so much for everything you're doing its -- again sounds like wonderful job and you're helping people out in getting -- next chapter started and I can only imagine how rewarding -- must be. And that how much the people who have used your services you know love and appreciate everything you're doing. Some day dear -- in trouble you know where did in there who see or the good folks here to see doctor barbarian all of her colleagues -- organ reproductive -- you can never find out more about him at Morgan reproductive medicine dot com very easy. And and that'll do it. Thank you much for that give you good great talking Q and we look forward patent and any question don't get not to forget all about it. Sure you have been a great -- we have Rihanna and again in the future. Yeah all right a little different tradition of -- scope and Entercom communications public affairs program I've been your host Ted Douglas. If you have a nonprofit or public affairs organization he would like to let others know about please email me at microscope @entercom.com. An intercom starts with a -- And please put the microscope in the subject line so doesn't -- snagged -- my spam filter or indirectly to the station's website click on the community link and submit your information there. Also if you'd like to hear this program again you can visit our podcast page had met Crisco PDX dot com where you'll find this in the last couple months worth of episodes and feel free please do post this to your FaceBook you MySpace you -- what have you strength get this information out as many people as possible and certainly if you have a friend or loved one or yourself. This have a some trouble let's get pregnant. They'll see the good folks in organ reproductive medicine. Thank you again doctor join us that you all haven't even. Thank you all so much for listening. This has been -- help.