Home>Latest Shows>>Oregon Reproductive Medicine

Oregon Reproductive Medicine

Jan 17, 2012|

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

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Automatically Generated Transcript (may not be 100% accurate)

You're listening and -- go -- a series of interviews with people of interest in northwest Oregon and southwest Washington I'm your host -- Douglas in previous generations -- was the -- to start families early you got out of high school maybe you went to college found the one got engaged got married about -- 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 -- her 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 -- and reproduce earlier life well that's where the ever evolving world of reproductive medicine comes -- 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. And -- thank you can't tell you. I'm wonderful and get things kicked off let's give our listeners a little bit of background on yourself and what you do for organ reproductive medicine. I can't look at -- mention my name Elizabeth Barbieri I am every -- and a chronology it. What that means is that -- and -- D. J. White and he did get help training in the field of protective and a chronology of and ended up -- an -- to -- majority of that work is now in the field of infertility and so I'm a gynecologist who specializes in infertility. Look at -- called organ reproductive medicine which is a great group of doctors imagine embryology and there's four positions total in our 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 as published by the American society for reproductive medicine and -- about governing body -- for my field is in two women. 11835. The inability to conceive after one year unprotected intercourse -- -- Now the caveat a relative -- -- played in that definition right women -- 35 and older. Infertility in the inability to conceive after six months to try. I say is actually in Mildred get to more difficult is going to be. All right so 35 to that that's kind of the magic number that's when we start see fertility declines. Keynote and there's a very very -- Declined. Around between 830 and thirty do you okay not noticeable I don't want to say that have all the difference there there isn't ready. But added a very probable client and then if you really. Agent 37 and 38 where they're -- sharp decline in the candidate competing and then when you get into your early forty becomes more difficult. -- all based on at that age of women aches and cannot do don't know what the quality of their eight are how good they are and how many do you have left. And ever talking to statistically because there are women of course who have had. Children in their forties you know that happens to my my sister in -- just to have her plotting -- -- fourth child and she was like. 45. Yeah it happens. Yet you are definite they're different women out there. Who are able to compete at a later stage luckily those women don't have to come see me the right -- April and other -- thought that a woman -- tried to get pregnant that we see. And where did at the impact of age on agility can take control. So if someone is looking into you know if they make decision early on a life that they wanna have a child. Know 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 chart track of what would your suggestion people. Really if you are in that position where use your relationship where you can get pregnant rights. And you really wanna add to that it may I recommend start trying by the -- 3030 -- Even 34 that's reasonable you know -- and we can a couple of key menu at 3730 years also have been together for ten years -- And me and -- started trying quote unquote a year ago. -- that's just an upset of yeah. How we drop the previous generation our parents have their kids really early and then you see them kind of burn out there early forty's and they to have the mid -- 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. But which I completely understand and see. But -- waited all the opportunity for women today cool wanna get their careers go to extended training went to -- our -- work. You know have a corporate have been anywhere they really want to achieve partnerships that it. Do you have to balance those desires with your desire to have a -- because. Sometimes there's a little bit of give and take right. Well I think you're looking -- 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 being said. If there's a 3834 help women who are friends are they should not be panic game at their running out of time. Ranked you know ought to go to grab someone you met. It shouldn't be grab and -- a -- with yet. Yet take your time that is 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 we had a child urgent now twenty months old. But thank you but eyewear is 35 she was 38 and we were Tryon we've been trying for a split as we have think we have to get. But -- we've been trying for two years leading up to that. So we would you suggest it's you know if you had chatted with us during that tie in the maybe it was time to see utility specialist or how how does that determine -- to someone see a specialist. Yet until I would age you're 35 and older and you've been trying for six months and it. How that worked becoming. Please come and we're -- thank you for you to do any treatment that you may not be comfortable little things but I think it's really important for people to be educated and about. What they can't get up competing are and what the potential roadblock that might be preventing them from competing you know women that age played a significant. There there are also problems such as outcome to the number of sperm that then predict. Make a really low man Sturm then no matter how you and you are you may not -- to get pregnant and he wasn't 8%. Or if there's an anatomical problems such as much -- -- a look at kids being blocked then there might be more difficult because the -- an extra to get their. And again regardless of age this is gonna cause a problem because that's what -- beat -- -- their investigation can all act except what is needed for construction. Do occur in our patient so that we can come up with the treatment option attempt and he uncover their problem that the patent were even aware -- -- -- Well we use the Murphy's law. -- 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 Hillary got trying to -- that solitaire was just just having that that base not covered for three seconds then boom. Now what does something that couples can do. If there if they are trying to conceive and it's maybe not happening right off the bat which I think is and seems to be more common now on the 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 -- 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 this demand starts working out -- maybe it's a problem with their their sperm -- -- Australia directly. -- and and that patient that couples can you are comfortable how much common sense but in my mind I think they're important and what it can't -- you like about bill. There had to your -- we left there have been studies have linked to. Obesity especially in the woman can do. Not. Ideally in the middle cannot -- they met me you're not releasing an -- every month you don't really can make you can get pregnant and he right -- to be -- exactly. So that's one that's secondly. Even if you are -- deleting it. Studies have show that over obese women have take -- -- from that time to get pregnant and then normally live and and obese women who undergo fertility treatment. Also have -- chances of competing bill. Whitlock is helpful for all aspects of her life you know I just haven't LC -- hating everybody but admitted -- absolutely are -- meeting motivation to lose weight. And trying to get pregnant. Also can especially important because obese woman have more complications during pregnancy loses. The -- public pressure and diabetes in pregnancy difficulty with delivery because they're all help. Taking prenatal vitamins the reason why we -- -- this is that create a vitamin. More so than what a woman might be getting her daily diet and -- -- extremely important and helping prevent neural tube defects that the problems with a spinal cord. And what I'm most people don't know except that early development of the organs are current and those first few -- united church a pregnant. And the bank I -- I mega mega act OSHA should have not been drinking -- smoking and I really -- they're taking my vitamins but I wanna Begin particularly if you're trying to compete should be taking your vitamins. -- lacking -- alcohol intake is there's no safe level of drinking pregnancy. I -- to stop smoking. Casinos Atlantic coast looking cause lung cancer remember those -- -- commercial ready to show that I think Lundberg says the Blackwell ran a red -- of the second capture over. -- -- keep that visual image I mean looking you're killing your -- you'd think yeah. Sounds like it basically this is going to be the vessel for developing a -- -- Make that the cleanest healthy especially you can. And then -- -- -- that couple contingent of one to be -- -- -- can make sure that I haven't integrated around the right time of the month to -- out a batting practice decried the how to milk had. Getting it at the right time to have a child and repeatedly competed in the evening -- -- predictor kits. These are simple -- for lack of a better can you can buy your local pharmacy or target. Or even country Amazon.com. And you start -- based on how long their menstrual cycle is you start monitoring it but leaking amniotic. -- that's simple once today and this. -- can measure not the hard modeled your body and we'll let you know. When your most fertile period of time is because they'll show that you are undulating. And that the crucial time for which had to -- a little exact. -- works exactly Tokyo couple new book traveler one part of traveling a lot and year I think you might be missing at the Pentagon way to. -- come back into town this weekend -- I am I really have perfect. If you're just joining -- you're listening to -- -- -- a series of interviews with people of interest in 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 no -- 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 like -- you know 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 just you know that there -- on the right track. But traditionally. And women 35 and older. After the six month if you have not successfully competes. I would recommend coming in -- complication Kelly we can educate you about what needs to happen and -- conception took her what might be happening in your case. And what continue to improve your chances in very flat panel to the republic -- at six months. Is that we know that women has spent a 22% chance per month at getting pregnant. Did you have pretty inefficient compared to the rest of the animal from the animal kingdom -- In women 35 and older the majority of the vast majority of couples who get pregnant we'll get pregnant by Nick Markakis. -- and that -- and the plaque telling you can't getting pregnant after six months prior I can't put a lot. And we want to deal to improve their chances for you. You women apple from eight to 35 there we -- -- year trying I'd recommend coming in to be evaluated because. For example women who are thirty -- adult 90% of couples will concede any. They're small percentage will not and that coupled will be -- want and need help but it I'm 35 that number got static 5% whilst yeah. And then how do you go about dealing with if if you got somebody who has been dealing with like say in Demetrius is more fiber -- or anything like that. How do you go about doing without. And then for a consultation will review all the different -- that may be it's an expert at getting pregnant it hit endometriosis. -- had to have had the surgery can diagnose that problem because they've been having -- another symptom -- get -- of endometriosis and we talked. That that the patient individually over what -- what treatment options are given a special to get met. You know the patient has severe and a major thing medically speaking to be state security speak for depending on -- spent that indeed in their -- And can you can you describe financial and endometriosis and. Oh I can't think it is then. Act and you couldn't order when and -- -- which is medical term for the line of the uterine. Actually -- outlet uterine cavity outside the uterus and -- completely. Inside the health and for the bill. Mean tiny people that -- uterine lining. Are picking on your overeat and under Philippine cute and I get pelvic sidewall and that they can be -- -- -- and -- your Blatter. Most commonly and to make you could present a public really painful period of -- -- -- came before their period. And something -- -- -- We you know that endometriosis and will proceed with infertility and it's much harder for women with endometriosis can become pregnant right the key period but why the captain is one. And images that -- distort the public anatomy so the fallopian -- which are supposed to deal to move around and pick up a bit at god really did from the 03 different. Got to tell the kind laundromat and if you can get I mean you plastered at the law you can't we gotta pick and they had to pocket your -- that -- -- The same thing with your -- into the conduct yet. The pet theory that at delay causes infertility and that -- just -- is often inflammatory disorder that good -- creating. -- a kind of McAfee is all these and I like to think of them evil humors. That's our topic for our -- Berman amber at. -- most couples if they have severe disease. I have that it does show that -- -- into the getting pregnant if they cannot compete on their own it'll probably witnessed in vitro fertilization. This is. Treatment option that we -- some patience. Where would he give the women -- -- -- intimate and produce many aches and remove the aches and fertilizer -- protect her -- confirmed. In a laboratory and watch those embryos -- They're removing The Hague and the sperm and the emirates from that evil humored and endometriosis favourites and we put them back inside the woman Jeter -- As -- Internet -- as a pretty good success rate. I am very proud of a good argument for -- -- -- because I think we have. Excellent because it was excellent excellent advice and it. Sure sure and any -- listening and you you know you're having some trouble getting pregnant and you you immediately think like now. Oh well maybe it's endometriosis know you would not give you -- you'll be having some pain at least something you should have been talking -- GUN about the center of. Women know because -- dramatic from pain -- -- into thinking they'll just think about and because this is that there is a subset of women who have been severe disease with very little pain. Really. Well because I've had as the reason I've talked that in Demetrius or my mother had severe case on it and then now also my mind and as well and both of them I mean varying levels of pain in my mom had a pretty bad. But I had never heard of of not having symptoms. Yes McCain millionaire wanna you don't have a good to have a safe. -- -- let me tell -- What you did not -- and now I'm still approach it is back. It and a woman -- present because magic heading infertility island Democrat enemy geoghan as a -- possible reason for this happened but ultimately whether he had endometriosis or not. Mike -- recommendation will be that the. I say now I've heard of which are -- -- in vitro fertilization re taking it down. You know also -- taking names -- to store them if you're going through a disease or you're having some sort of other problem or sometimes you know -- up and engaging for movies here but sometimes if it is a case where. You're young you store your eggs because you do wanna get their career started in you don't wanna risk not having. Things like. So that appear to return to the -- name of the old great crowd -- a big hit or freezing. Praising the bill that. Bill at the art technology. Has gotten better terms of the freaking -- that we've. Offered a treating a patient and the right now -- most commonly offered to -- men. When it really -- can't let this -- -- most came out of there pretty kick agent of which are extremely important to treat their camp there. And save their life. It will often be toxic to their ovaries Inkster erased right and Atlantic airline that's -- him. And we've I think we've been fortunate enough to offered to patients if they find out about our treatment option and they will come to Seattle and we look. I insulate them with hormones to -- there as many aches and possible and then removed -- -- and treat them. Read before they start their cancer treatment so ideally they will then -- undergo their cancer treatment. The wind but I hope that they have gone through that -- that could potentially work once they have I think you see. How common is that you know. Pat. Commented right now and then there's it's gonna happen there's immediately needed to get any people. I -- it but I would depend on -- I wonder if there's -- which -- why would get that we're talking but I can remember I feel at their patients who we -- reach. We should know about it. Though it that it comes and I'm glad to answer isn't as common as they could beat but I hope -- all -- -- and who could potentially be conservative and you out of that nobody. We completely he am. One -- campaign for a month or a treating bird can't -- it because. That's actually higher than I was not. Oh yeah you know we did it which means people are finding out about it and we're preserving fertility -- 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 -- young woman who have been up Ph.D. program and thirty Q and you know it isn't involved with anyone and -- that you want to have children but doesn't need a good thing happening in her pretty -- your -- And what about her breathing her old. And that's kind of the round and the technology becoming better and better that's the next. -- commit more viable option ES. And -- -- 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 I pulled back a very good question and how do you know who I was and how thanks -- who can help you -- know who you like it because the good thing. Fertility treatment for the most part are not covered by insurance to your spending a lot of money you really wanna make sure getting good service. And you wanna make sure that that the good people are gonna take care you do what's best for you not what's best for their academic center look at. I'm good at the very valuable question there is one web site. -- called. RF AAR key. Dot org it's entered the idea that the big reproductive technology -- -- of all the clinics that deal in vitro fertilization. He would report their numbers their sixth straight to this body -- and porky. And then start publishes the data every year. Still if you're going to pick up there and they're not listed on minister registry that kid. Mean that's that's yes that's that's good hands out of -- Senate and then it. Patient should feel free to look at this and compare -- and then pick ERA you know in their general geographic area and he had a Big Apple they are from group to group. Also if it's just a guy in his -- Probably not a good -- Exactly. Or here in Southern California and the -- -- -- -- -- -- -- Now does that especially bringing a -- -- Is that something that happens -- into what we're -- has to help with -- fertilization medicines and whatnot and me you know twins or triplets can happen. -- -- -- -- Fairly common -- -- -- Mamas and isn't very strange case a huge aberration breast and he'd ever hit America got that the that -- infer that. Patient did not follow any of those -- -- -- -- guideline right indicated by our governing body. But that might have been the guy than yeah it is you don't come out -- Between are fairly common isn't. And B -- campaign about that hey you know what I see all targeted intermittently the other patiently to counsel them about what the treatment options are what the percent of having -- is. Streak treatment competent and then we talk about the rate of having Triplett -- because triplets are complicated pregnancy -- or not. Normal that the goal keep coming -- to say no I want to pre KW okay not all want to -- This time exactly not all at once. And I think I can become a difficult concept for patient to. Have been trying for so long and I don't get back to Britain had. Any thing that they take great three better than I -- to me everything exactly and a bit and it felt that one out and got -- Without truly recognizing the potential dangers and complications. Of pregnancy. So where it 800 I think that our education that we are conservative program. Debt had to be achieved a very good pregnancy -- with a very few. Higher order multiple but the temperature. Sure -- excellent. Well yeah it sounds like you guys have a lot of success there at organ reproductive medicine. I did and it's got to be a wonderful job because you're helping people who starts its new chapter in their life so what's your favorite thing about working with your patience there. You know I haven't. And the different they -- -- of about six months ago and not really having that's her deported except for three days just kind of department. And thank you really he pleased with how old friend and people -- and how little. Opened the patient where they really they come to EU and their interest and you. Would -- up. Personal and important time in their life and they may even compete they put all -- and you and you have a responsibility to help them and when it worked. It would actually ever -- -- -- that patient a man positive pregnant because it's wonderful political hack at the same time. You know -- -- very hard when it's not working right and it got very skilled and powerful that. You can be involved in the last part of -- well and try to come up with an option that would help them achieve their goal. Yeah that's one of the things I love about Carlin as well he's had a people are very open seems to be a town largely full of realists. They -- they're not afraid -- and Kenneth Lay their cards on the table and deal that. Now that's wonderful. Well 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 hey it's still again sounds like wonderful job and you're helping people out in getting -- next chapter started and I can only imagine how rewarding them must be. And that how much the people who have used your services you know love and appreciate everything you're doing. Some -- here -- some trouble you know where did in there who see or the good folks here to see doctor barbarian all of her colleagues -- organ reproductive medicine you can never find out more about him at Morgan reproductive medicine dot com very easy. And and that'll do it. I think you can look at it give you good great talking -- -- and we look forward patent and any questions -- get -- to get all about it. Sure you have been a great -- we have Rihanna and again in the future. Yeah all right a little bit for this edition of -- scope and Entercom communications public affairs program I've been your host -- 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. And intercom starts with a -- And please put microscope in the subject line so doesn't it 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 -- microscope PDX dot com where you'll find this and the last couple months worth of episodes and feel free please to. Post this to your FaceBook you MySpace your blog 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. -- having some trouble I get pregnant. You'll see the good folks -- organ reproductive medicine. Thank you again doctor join -- that you all haven't you best. Thank you all so much for listening this has been metrostars.