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Oregon Reproductive Medicine

Mar 29, 2013|

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 just go a series of interviews with people of interest in northwest Oregon and southwest Washington I'm your host Ted Douglas in previous generations who was the norm to start families early. You got out of high school maybe 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 careers started take their time in finding someone they realistically would like to spend the rest -- 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 -- 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. I thank head -- 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. Oh well I can mention my name is Elizabeth Barbieri I am every protected endocrinologist. What that means is that I am -- He -- and can get additional training in the field are protected and a chronology of and ended up they made the majority of that work is now in the field of infertility and so I'm a gynecologist and specializes in the infertility. A look at a -- called organ reproductive medicine which it does. Great group of doctors imagine embryology if there's four position 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. Everything is kept definition of infertility and published by the American Society for Reproductive Medicine advocate about governing body of medicine for my field is in -- women. 118 to 35. The inability to conceive after one year unprotected intercourse. -- Now the caveat is that role -- played in good definition right women have 35 and older. Infertility in the inability to compete after six months to try to. I say is actually -- 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. He knows what. There's a very very settled. Declined. Around between ages thirty and 32 -- cannot noticeable I don't want I didn't have all the regrets there there isn't ready. But I've had a very public client and then if you really -- 3738. Where -- Dumars Sharpton. The client I can't the competing and then when you get into -- early -- becomes more difficult. They're all based on the day and age of women aches and cannot do you don't know what the quality of their eight. And -- talking statistically because there are women of course who have had. Children into their forties you know if that happens do my my sister lost just to have her opposing -- 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 though don't I don't have to come see me the right side -- -- -- provocative women you try to get pregnant that we see. And where did at the impact of -- on fertility seemed to take control. So if someone is looking at you know 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 ranged -- just start trying to what would your suggestion people. Until they -- are inactive for the kids where use your relationship where you can get Greg writes. And you really wanna -- to data -- I would recommend you start trying by the aid. 3030 do. Even 34 that's reasonable you know -- and we had a couple coming with 3730 -- also been together for 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 and then you see them kind of burn out there early forty's and they they have a midlife crisis -- They wish they had gotten some wife and before they had kids and all that so we're all waiting a little bit longer. From which I completely understand and see. But will win it all the opportunity for women today who'll wanna get their careers go to extended training when the medicine -- -- law or. You know have a corporate -- -- anywhere they really want to achieve partnerships that it. Do you have to balance those desires with your entire academic because. -- -- there's a little bit of give and take. Right well I think you're looking at 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 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 to grab someone youth who didn't shouldn't be gravity of -- with yeah. Yet take your time there -- there people who can help a little later on -- their 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 think you but I whiz. 35 she was 38 and we were Tryon we've been trying for up rather as we have think we have 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 -- may -- was trying to see utility specialist or how how is that determined when should someone see a specialist. Yet until I would be if you're 35 and older and you've been trying for six months pregnant. How that worked -- man. Please come and whatever and cute 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 -- About what -- -- of competing are and what the potential roadblock that might be preventing them from competing you know women that age played a significant. -- let there all the problems such as outcome to the number of stern met and predict -- make a really low amount of Sturm then no matter how do you argue made up till we get pregnant and he wouldn't 8% or there's an anatomical problems -- -- my vehicle -- kid being blocked. Then there might be my difficulty for the -- payment term to get there. And again regardless of -- -- didn't gonna cause a problem. So that's what the media terror investigation looking at all aspects of what -- needed for construction. Do occur in our patient. So that we can come up with the treatment -- and he uncover their problem that the patent for an even aware would've been products. Well we use the Murphy's law. And method. But basically that was we both had a moment where you -- were 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 a solitary was just just having that that base not covered for three seconds then -- 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 than not. I MA BS just because my from my friends in my world there -- there a little bit older so this -- not happen right up to bat. What can couples do to improve the chances of conceiving that mean you you here kind of I don't know if they're old wives' tales being overweight glossy you're cutting out caffeine I've. I heard you know there's the man starts working out -- maybe it's a problem with that there are countless Australia Jacqueline. Until and and that patient that couples can -- our outlook how much common sense but in my mind I think they're important and let it have helped elect Barack built there had been here lately there have been studies have linked to. Obesity especially in the woman. -- -- I am not. Ideally and -- -- I've -- I mean you're not really can make every month if you don't really can make you can get pregnant can take -- -- exactly. So that's one that's secondly. Even if you are not deleting the it's steady to have to show that over obese women have are -- -- much on their time to get pregnant and then normally live and and obese women who undergo fertility treatment. Also have -- -- -- is a competing bill. Whitlock is helpful for all aspects of -- life you know -- having a healthy body having helped buddy but admitted -- absolutely -- meeting motivation to this week and trying to get pregnant. Also -- especially important because obese women have more complications during pregnancy loses. The live high blood pressure and diabetes in pregnancy difficulty would deliver it doesn't I'll help. Taking prenatal vitamins -- -- -- advocates predict is that prenatal vitamins to keep contained elect Humana -- act -- More -- than -- a woman might be getting her daily diet and if you extremely important in 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 enough especially in united interpret pregnant. And I can be a mega mega association have not been drinking or smoking and I really -- -- taking my vitamins. But it wanted to get an accurate picture trying to compete should be taking your vitamins. Lacking here alcohol intake is there's no big. Level of drinking pregnancy. I had to stop smoking. You know it definitely go to smoking problem can't get an amateur correct those commercials where they -- that -- -- through the Blackwell Wright right are expecting to have a -- over. They -- keep that vigilant -- -- -- me looking you're killing your -- you'd think yeah. Just sounds like you're basically this is going to be the vessel for developing a -- -- That the cleanest healthiest -- you can. And I know what is the next couple can give you kind of -- -- -- In can make sure that I haven't decried around the -- time of the month rental and having a tricky -- had a little fun. Getting it at the right time to have a child and they -- and -- -- -- -- ovulation predictor kits. These are simple kick Stella got a better can you can buy your local. Pharmacy or target. Or -- 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. You can imagine the hormone -- your body and we'll let you know. When your most fertile period of time is because they'll show that you are unrelated and that the crucial time for which had a little -- exact. It works exactly Tokyo couple and you don't travel are one part talent alive and here I think you might be missing -- is that a good way to. -- come back in town this weekend night. -- really have perfect. If you're just joining -- you're listening to -- -- -- a series of interviews with people of interest -- 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 outs 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. -- -- 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 to -- any point in the product that sometimes you wanna come earlier didn't he know that there on the right track. But traditionally. And women 35 and older. After six months if you have not successfully compete. I would recommend coming in Jennifer complication Kelly we can educate you about what need to happen on the conception took her what might be happening in your case. And what continue to improve your chances in -- high signal to the republic day at six months. Is that we know that women has that. A 22% chance per month that getting pregnant. Did you have 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 -- -- market. Didn't explode that curve and the plaque telling you can't getting pregnant after six months pregnant against -- to a lot. And we want to deal to improve their -- it's very. You women apple from eight to 35 there at least today after a year trying I'd recommend coming in to be evaluated because. For example women who are thirty years old 90% of couples will compete in the -- They're small percentage will not and that coupled little people want and need help but -- time in 35 member Catholic 5%. Yeah. And then how do you go about dealing with if if you got somebody who has been dealing with thanks a endometriosis is more fiber lines or anything like that and how do you go about doing that. And confrontation will review all the different -- that may -- it and it kind of getting pregnant -- -- endometriosis. -- -- had to have had surgery to diagnose that problem because they've been having pain or another and dump it into the endometriosis and we talk. That that the that he individually over what would what can an option to get the conventional thinking that. You know the patient has severe and it makes you think medically speaking to be -- your stage -- -- depending on the content that -- -- mayor -- And can you can you describe and -- -- and in Demetrius as a. -- -- -- Keokuk is then act and you -- -- when and -- M which is medical term for the line of the -- actually get to. Outside the uterine cavity outside the uterus and -- completely. Inside the health and for the bill. Mean tiny people that -- uterine lining. Are speaking and -- overeat and under Philippine duke and then kind of held outside law and and they can be and hearing -- down your Blatter. Most commonly communicated to -- and tell that they really painful period. Can maintain before their period. And something on the line. We -- know that and became the associated with infertility and -- much harder for women with endometriosis can become pregnant that you theories about why that -- is one. And images independent distort the public anatomy will the fallopian tube which -- -- book deal to move around and pick up a bit it got really different though three different. Got to tell that I want to imagine if you could get I mean you plastered at the law you can't we got to pick and -- -- -- -- -- -- candelabra. The same thing with your -- into the can conduct yet. But that theory that at the white content infertility and that and Jimmy Jenkins is often inflammatory distort the ability to creating that it had to McAfee is all these and I can speak of them evil humor. That topic 82 permanent. -- -- -- -- -- -- -- -- -- -- I have to get a picture that there -- into the getting pregnant if they cannot compete on their own and probably witness in vitro fertilization. -- -- Treatment option that we -- some patients where he give the women -- a medical intimate and produce many aches and remove the -- And fertilizer made -- interpret it burned. In a laboratory and watch those embryos ground and a removing The Hague and the sperm and the emirates from that. Evil humorous event in the transit rights and we put them back inside the woman's -- And -- does that pretty good success rate. And they're adamant that argument and commitment that we had excellent because it was excellent excellent advice. Sure -- and -- -- 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 -- you would not give you you'll be having some pain at least something you should have been talking to your BG UN about the center of. Women know because there's dramatic from pain but -- -- -- -- -- just think about and to be jettisoned that they had that subset of women. Still haven't been severe disease with very little pain. Really yeah. Well because I've had as the reason I've talked had endometriosis or my mother had severe case on it and then now also my my -- 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 who has the saints. Yet -- -- -- tell -- What you did Michael announced a -- approach it is back. It and a woman is present because national having infertility I would describe enemy -- as -- -- possible reason for this happened but ultimately whether he has -- Demetrius -- or not. Mike -- recommendation will be that the. I say now I've heard of which are -- in vitro fertilization retaken a -- You know also her 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 -- up 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 that career started in you don't wanna -- not having things like. So that appear to return to the -- -- the old great crowd pretty big hit -- intriguing. Praising -- -- Still at the art technology. Has gotten better and that the freedoms that we've. Offered a treating a patient. And it. But right now like most commonly offered to women. When it legally technically can't look at 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 overeating -- -- right exactly and -- -- -- I -- I think we've been fortunate enough to opera didn't get patient if they find out about our treatment option and they will come to Seattle and we -- -- stimulate them with hormones to grow there and many aches and comfortable and then -- Diego and treat them. Read before they start their can't get treatment -- I believe they will then -- and -- can't -- -- The wind the hope that they had an improvement -- that could potentially work what they -- I think the how common is that geno and pat. Comment is right now and then there's it's gonna happen there's going to be people who need it to get any people who need it. I -- tend to wonder if there's Gatwick and why would get -- talking but it could command I feel they're patient who we are reach. I should know about it. Though it that it comes -- -- black -- isn't as common as they could beat but I hope that all -- dude who could potentially even Durbin and out of that nobody. I would completely he. What -- you -- a month for -- treating bird can't happen it could because. That's actually higher than I was not. Alina you know we -- which means people are -- out about it and we're preserving fertility treatment several young women would hope that they can music in the future. The next round you get into the is what about a treating her young you know a young woman -- -- up Ph.D. program and thirty -- you wouldn't. You know it didn't involved with anyone -- -- -- to have children but doesn't need a good thing happening in -- -- able to your -- And what about her breathing her old. And that's kind of the -- and the technology becoming better and better that's the next. -- commit more viable option. 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 -- 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 still activated question and how do you know who -- have -- -- -- -- help you caddie knows who you like. Because the good and fertility treatment for the most part are not covered by insurance -- your spending a lot of money you really wanna make -- getting good service. And you want to make sure that that the good people are gonna take care -- do with that for you not what's best for their academic and eloquent. I'm good at the very valuable addition there is one. Web site. I'm called to the RF ARE dot org it entered the idea that the state reproductive technology -- of all the clinics that deal in vitro fertilization. They needed to report their numbers of their six straight to this body -- and they Turkey and then start publishing the data every year. Still if you're going to -- out there and they're not listed on minister registry that should bring us. That's yes that's that's good mental depression -- And the patient should feel free to look at this and compare programs 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 -- -- -- -- -- -- -- does that especially bringing a lot c'mon. Is that something that happens -- into what we're -- has that they help with this fertilization medicines and whatnot and you know twins or triplets can happen. Adam. Definitely happened and that -- Fairly comment and a lot of Mamas and isn't very strange case -- EG aberration -- and he'd ever hit America got -- -- for that. Patient did not follow any of those ones who drilled a guideline right indicated by our governing body. But -- commander in Afghanistan yeah it is you don't come out -- But between -- fairly common -- And week unimpeded -- that hey you know what I see all organ predicament that we all are patiently to counsel them about what the treatment options are what the percent of having to wind is. Streak treatment -- and and then we talk about the rate of having triplets because triplets are complicated pregnancy -- or not. Normal that the goal you comment and say no I wanna have three kids WP not all want us this -- exactly not all at once. And I think compared to become 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 get to me everything exactly and getting it -- that one and I got to walk. Without truly recognizing the potential dangers and complications. Pregnant think. So where it eight Sunday I think that our education that we are competitive program. Debt had achieved a very good pregnancy rates with a very few. Higher order multiple that the temperature. Sure -- excellent. Well he 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 extra patience there. You know I haven't. -- -- -- -- -- -- -- About six months ago and not really having -- her afford it except for three days -- -- apartment is an attitude really he pleased with how friends and people are and how -- Opened the patient where they really they come to -- and -- -- -- you. Would check out personal and important time in their life and they -- even compete they -- all the -- -- -- And you have a responsibility to help them and when it worked. It would they ever -- I call that patient come at a public opinion because it's wonderful political -- at the same time. -- I can very hard when it's not working right and the doctor Eric builds powerful that. You can be involved in the part of the lake it well and try to come up with an option that will help them achieve their -- yes. That's one of the things I love about Carlin as well he's had people -- very open seem to be a town largely full of realists. They've they they're not afraid to kind of play their cards on the table and deal that. Now that's wonderful. Welcome believe it or not we've run out of time we would come -- 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 in the next chapter started and I can only imagine how rewarding them speak. And how much the people who have used your services you know love and appreciate everything you're doing. Some day here having some trouble you know we -- did in there goes CEO or the good folks here to see doctor barbarian all of her colleagues at organ reproductive medicine you can never find out more about him at Morgan reproductive medicine dot com very easy. And and I'll do it. Thank you look at it give you a great talking Q and we look forward patent and any question don't get back to get all -- -- 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 you like to let others know about please email me at microscope @entercom.com. An 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 in the last couple months worth of episodes and feel free please to. Post this to your FaceBook to MySpace or 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 get pregnant the -- give folks an organ reproductive medicine. Thank you again -- -- yes thank you -- having you back thank you all so much for listening this has been mattresses.