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Oregon Reproductive Medicine

Apr 13, 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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You're listening and -- go to 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 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 -- -- life with. Or sometimes decide -- 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 and -- beyond that some have trouble even if they decide to take classic route -- reproduce earlier life well that's where the ever evolving world of reproductive medicine comes 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. I can't look -- you mention my name is Elizabeth Barbieri I am every protective and a chronology it. What that means is that -- and nine. -- -- -- and can get additional training in the field of protected and a chronology of and ended up they made the majority of that work is now in the field of infertility and no I'm about how to -- -- and then infertility. A look at tactic called organ reproductive medicine which -- does a great group of doctors imagine embryology and there's four positions total in our group. Could specialize in infertility and helping couples -- pregnancy. I say no reset infertility there about thirty times -- 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 advocate -- governing body of medicine for my field is in two women. 118 to 35. The inability to conceive after one year unprotected intercourse. Six. Now the caveat is live -- -- played in that definition right women -- 35 and older. Infertility in the inability to conceive after six months and try to. I say is actually in Mildred get the 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 battled. Declined. Around between ages thirty and thirty Q okay not noticeable I don't wanted to say that have all the dirty -- -- out there isn't ready. But added a very well decline and that you really. Agent 37 and 38 where there's a -- sharp declined the can't the competing and then when you get into -- early before he becomes more difficult. -- all based on. That age of women aches and cannot -- don't know what the quality of their -- -- how good they are and how many do you have left. And -- talking to statistically because there are women of course who have had. Children in their forties you know that happens to my my sister and lost just to have her -- could lose their fourth child and she was like. 45. Yeah it happens. Yet you got the record for women out there. Who are able to compete at a later stage luckily those women don't have to compete geek right let -- -- -- -- -- -- -- -- -- you trying to get pregnant that we see. And where did at the impact of -- on fertility can take control. So if someone is looking -- 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 -- -- and what would your suggestion people. Still if you are in that position where use your relationship where you can get pregnant -- And you really wanna add to that it may I recommend you start trying by the aid. 3030 here. Even 34 that's reasonable you know -- and we can a couple of -- menu at 3730 years -- have been together for ten years. And me. I -- started trying quote unquote a year ago. -- that's adjusted offset 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 they have a midlife 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 -- I completely understand and see the will win all the opportunity for women today. Cool wanna get their careers go to extended training -- -- the medicine grandma or. You don't have a corporate have been anywhere they really want to achieve partnerships that it. Do you have to balance those desires alleviated our academic 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. That being said -- If there's a thirty -- editorial women who are -- they should not be panic game at their running out of time. Ranked you know ought to go to grab someone new who maybe shouldn't be grab and have a kid with yet. -- take your time there -- there 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 -- think you but I would is 35 she was 38 and we were Tryon we've been trying for a split as we have -- we have to get. But -- we've been trying for two years leading up to that. So we would you -- -- you know if you had chatted with us during that time the maybe it was time to see utility specialist or how how does that determine which is someone see a specialist. Yet until I would tell me if you're 35 and older and you've been trying to -- month and it. Hasn't worked that -- -- Please come and where everything cute 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 -- chances of -- are and what the potential roadblock that might be preventing them from competing you know women that age played a significant. Back there. Let there all the problems such as outcome to the number of sperm and then -- it right make a really low man Sturm then no matter how you and you are -- -- -- we get pregnant and you would -- assistance. Or if there's an anatomical problem such as much an -- will be -- being blocked. Then there might be my difficulty for the -- in the arm to get there. And again regardless of age this is gonna cause a problem because that's what -- beat you up their investigation looking at all aspects of what it needed for construction. Do occur in our patient so that we can come up with the treatment option and -- and he uncover their problem that the different even aware -- -- problem. Well we use the Murphy's law. And that's it. But basically that was we both had a moment we re we're switching careers at the same time and didn't have health insurance for about three or four months. And that's Oregon trying to protect that solitaire was just just having that that base not covered for 32 and home. Now what is 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 -- not. I MA BS 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 the chances of conceiving I 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 this demand starts working out -- maybe it's a problem with that there are countless Australia Jacqueline. Still as. Up go into that patient that couples can do our we will tell my comment but in my mind I think they're great at what it can't -- it like about bill. There had to -- greatly there have been studies have linked to. Obesity especially in the woman can do I am not. Ideally and no you're not I -- they met me you're not releasing an -- every month we don't really can make you can get pregnant and he right -- -- -- exactly. -- one -- secondly. Even if you are not deleting the -- have a show that over obese women have take a much from that time we get pregnant then normally live and and obese women who undergo fertility treatment. Also have -- chances of competing bill. Whitlock is helpful for all aspects of our -- you know -- to have an LC body having -- -- but admitted every time illegally -- 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 high blood pressure and diabetes and pregnancy difficulty would deliver it doesn't -- help. Taking prenatal vitamins the reason why we abdicate true this is that create a vitamin. More so than what a woman might be getting her daily diet can be extremely important and helping prevent neural tube defects that's probably the final court. And what I'm most people don't know except that early development of the organs are occurring in -- -- few -- -- united -- -- pregnant. And the -- I -- -- mega mega act association have not been drinking and smoking and I really need for taking my vitamins but I wanna be to manipulate -- trying to compete should be taking your vitamins. I'll lacking here alcohol intake is there's no safe level of drinking pregnancy. I think he stopped smoking. Casino in Atlantic coast smoking causes lung cancer remember those are those that commercial where they killed that -- Lundberg says the Blackwell Wright right are. I think we have to get over. Did you keep that vigilant and -- has me looking you're killing earache if you don't -- yeah. Sounds like it basically this is going to be the vessel for developing a -- -- Make that the cleanest healthy especially you can. And I know what the -- couples can get kind of one to be more -- In can make sure that I haven't integrated around the right time of the month rental and having Hendrick and depressed how to -- had. Getting it at the right time to have a child and repeatedly -- this evening ovulation 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 he'd start -- based on how long your menstrual cycle is do you start monitoring it. But drinking on Olympic. That's simple once today and this. You can measure in the hormone levels your body and we'll let you know. When your most fertile period of time is because they'll show that you are tabulated and -- the crucial time for which had -- little -- exactly works exactly Tokyo couple new -- traveler one part talent a lot of years I think you might be missing at the Pentagon way to. -- come back into town this weekend -- I really have perfect. If you're just joining us 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 organ reproductive medicine about fertility all the ins and outs of that how to how to get some help how to no wind to try to have a kid when not -- 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 away and -- speak with a specialist. We welcome to be patient at any point in the product that's okay you wanna come earlier this is another primary capital. But traditionally. And women 35 and older. After the six month if you have not successfully compete and I would recommend coming in get a start complication Kelly we can educate you about what needs to happen Bernama conception to curb what might be happening in your case. And what continue to improve your chances in very bad signal to the republic day at six months. Is that we know that women has invented a 22% chance per month -- getting pregnant. That's a pretty inefficient compared to the rest of the animal and animal kingdom sure. In women 35 and older the majority of the vast majority of couples who get pregnant we'll get pregnant I Nick Markakis. Didn't explode from that -- and the plaque telling you can't getting pregnant after six months. -- I didn't -- a lot. And we want to deal to improve their chances for you. You women less than eight to 35 there we today after a two year trying I'd recommend coming in to be evaluated because. I forget about women who are thirty years old 90% of couples will concede any. A small percentage will not and a -- probably don't want and need help but it I'm 35 that number -- 5% while yet. And then how do you go about dealing with if if you've got somebody who has been dealing with -- say. Endometriosis. And more fibroid -- anything like that how do you go about doing without. Am confident that complication will review all the different test that may be it's and it kind of getting pregnant it hit endometriosis. Often had to have had the surgery can diagnose that problem because they've been having Keener and other symptoms -- get rid of endometriosis and we talked. That that the that he individually over what would what treatment options -- -- the -- -- getting pregnant. You know the patient has severe and -- makes you think medically speaking to be state security to port depending on the content that indeed in their helping them. And can you can you describe financial and endometriosis and. Oh I -- you think it is then. Act and you couldn't order when and -- -- which is medical term for the line of the uterine. Actually get from outside the uterine cavity out that the uterus and an implant. Inside the health and for. The bill. Mean tiny people that -- uterine lining. Are speaking on your overeat and under Philippine cute and can I get pelvic sidewall and and they can be a -- -- and then on your Blatter. Most commonly and to make you can -- and tell the -- that really painful period of can maintain before they're period. And something -- like we you know that and images that were 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 of the condemned or at public anatomy so the fallopian -- which are separate deal to move around and pick up a bit at -- really different -- -- of get a pelvic I want dramatic you to get I mean you plastered it -- -- walk you can't we just gotta pick and -- had to pocket coherent but candelabra. The same thing with your -- to to confront the -- The pet theory that as to why -- infertility and that and Jimmy Jenkins is often inflammatory to start the ability to creating -- -- a -- -- -- -- all these and I think of them evil humors. That's our topic for our aide to Berman amber at. You'll -- coupled it they have severe disease. -- -- just let their -- into the getting pregnant if they cannot compete on the -- probably witnessed in vitro fertilization. -- -- Treatment option that we -- some patients. Where -- he give the women -- Amman a medication to make and produce many aches and remove the aches and fertilizer made protect her partner he burned. In a laboratory and watch those embryos grow -- removing The Hague and the sperm and the emirates from that. Evil humors and endometriosis and right and we put them back inside the woman Jeter can. Cindy and -- -- -- as a pretty good success rate. I am very proud of authority reproductive medicine because that we have excellent because it was. Excellent excellent advice. Sure sure and any -- 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 know you would now. Did you know you'll be having some pain at least something you should have been talking to your beat UN about the center of. Women know because -- -- from pain but got into thinking they'll just think about and to be jettisoned that there is a subset of women still have been severe disease with very little pain. Really. Well because I've had as the reason I've talked -- -- -- -- or my mother had severe case summit 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 billionaire -- you don't have a good to have a safe. Yes the -- okay so what you did not come and now I'm still approach it is back. It and a woman at present because magic having infertility -- describe enemy kid -- as a -- possible reason for this happened but ultimately whether he has endometriosis or not. Mike can recommendations will be difficult. I say now I've heard of which are -- -- in vitro fertilization re taking it down. You know also her taking names out to store them if you're going through a disease or you're having some sort of the 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 -- claimant is -- a great crowd pretty big hit or treating. Praising the bill that. Bills at the art technology. Has gotten better terms of the freezing process that we've. Offered a treating a patient. And it. The right now I think most commonly offered to women. When it really -- can't get to most came out of there pretty kick agent of which are extremely important to treat their camp there and gave their life. It will often be toxic to their overeating -- -- right exactly and talent that just -- And -- I think we've been fortunate enough to -- to patient if they find out about our cheap option and they will come to Seattle and we will. I stimulate them with hormones to grow there as many aches and comfortable and then remove Diego and treat them. Read before they start their cancer treatment so ideally they will then -- undergo their cancer treatment. The wind -- hope that they had to have -- -- that could potentially work once they survived agency. How common is that you know. Pat comment you right now and then there's it's gonna happen there's -- who needed to get any people. -- need it but I am I wonder if there's don't which is why would get that we're talking -- the -- I feel their patients who we are reach. We should know about. They'll it that it comes I mean I'm glad to enter in an uncommon as they could beat but I hope that all the dude who could potentially be conservative and you out of that nobody. -- -- completely he. When did you paint a month for -- treating bird can't hurt it because. That's actually higher than I was not. Oh yeah you know we -- which means people -- out about it plans we're preserving fertility treatment several young women without hope that they can -- this in the future. The next round you get into the is what about eight treating her young you know a young woman -- ended up Ph.D. program -- thirty Q hadn't. -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- And what about her breathing her old. And so that's kind of the -- at the technology becoming better and better back -- the next. -- commit more viable option -- And -- 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 -- kind of do we do it. What are some of the criteria one must look for when choosing. One of these locations to deal with. And I pulled got a very good question and how do you know who don't have thanks so who's gonna help you -- know who you like. Because good and fertility treatment for the most part are not covered by insurance year's 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 look at that for their academic had to look at. That the very valuable addition there into one web site. I -- called. RF ARE dot org -- expect the idea that the state reproductive technology -- of all the critics that deal in vitro fertilization. He would report their numbers there except -- in this body -- and they're. And then start publishing the data every year. Still if you're going to -- out there and they're not listed on -- registry that kid. Mean that's that's yes that's that's good hands -- Senate and then it. Patient should feel free to look at this and compare program and then -- ERA you know in their general geographic area and he had a Big 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 the -- -- Yeah that the -- So now is that -- officially bring in a lot of mom. Is that something that happens -- into what we're Simmons has to help with the fertilization medicines and whatnot and me you know twins or triplets can happen. Adam it actually happened. -- -- Fairly common ideologues -- and isn't very strange case -- EG aberration breast and he'd ever hit America at that position for that. Patient did not follow any of those who drilled a guideline right indicated by our governing body. But -- might have been the guy than he -- it says he will come on out. But between -- fairly common this is. And be -- -- about that 1820 all organ predicament that we can all of our patiently to counsel them about what the treatment options are what the present at. Having to wind is. -- -- treatment option and then we talk about the rate of having triplets. Because triplets are complicated pregnancy -- or not. Normal that the goal keep coming -- to say no I wanna have Enrique adopt me okay not all black -- -- this time exactly not all at once. And I think I can become a difficult concept for patients who. Have been trying for so long and I don't get desperate he had any thing that they -- they great three better than what I did everything exactly and I'm hitting it took them. Want help and I got it all without truly recognizing the potential dangers and complications there for -- think. So where I -- and they claim that our education that we are conservative program. Debt has could be achieved a very good pregnancy rates with a very few. Higher order multiple that 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 then get from the East Coast. About six months ago and not really having -- her afford it except for three days just -- apartment. And I thank you really he pleased with how old friends and people are and Howell. Opened the patient where they really they come to see you -- their interest and you. Would -- affect -- Personal and important time in their life isn't and they may even compete they put all they continued and you have a responsibility to help them and when it worked. It's the best thing ever and all that patient -- -- couldn't -- -- it's wonderful political hack at the same time. You know -- -- very hard when it's not working right and it got very -- powerful that. You can be involved in the part of -- well and try and come up with an option that will help them achieve their goal. And I guess that's one of the things I love about Carlin as well you -- people are very open seems to be a town that largely full of realists. They've dated they're not afraid and Kenneth Lay their cards on the table and deal that. Now that's wonderful. Well but. 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 it's -- again sounds like a 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 having some trouble you know where did in there who see or the good folks here to see doctor barbarian all -- her colleagues had organ reproductive medicine you can never find out more about -- at Morgan reproductive medicine dot com very easy. And and that'll do it. Thank you much for that give you good great talking to you and look forward patent and any question don't get up to get all about it. Sure you have been a great -- we have Rihanna and again. In the -- yeah all right a little bit for the extradition of metro 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. And intercom -- was any. 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 had met Crisco PDX dot com where you'll find this in the last couple months worth of episodes and feel free please to. Post this to your FaceBook -- MySpace -- -- 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. As having some trouble get pregnant. You'll see the good folks at organ reproductive medicine. Thank you again doctor trying to ask that you all haven't you best. Think you all so much for listening this has been --