>>>
>>> WELCOME BACK. MAKING THE DECISION TO HAVE A
BABY IS EXCITING BUT
UNFORTUNATELY CONCEIVING CAN BE
HARDER FOR SOME WOMEN FOR MANY
DIFFERENT REASONS.
DIFFERENT REASONS. DILLON DRIER ANNOUNCED SHE HAD
TROUBLE CONCEIVING HER SECOND
CHILD LIKELY DUE TO A
COMPLICATION FROM AN EMERGENCY
C-SECTION.
C-SECTION. WE TALKED ABOUT THIS CONDITION
AND OTHER CONCERNS THAT WOMEN
FACE WHILE TRYING TO GET
PREGNANT.
PREGNANT.
PREGNANT. >> I'VE NEVER HEARD OF THIS.
WHAT HAPPENS IN HER CASE?
>> LUCKILY IT DOESN'T HAPPEN
OFTEN BUT WHAT SHE HAD IS SCAR
TISSUE IN THE UTERUS.
SHE DIDN'T COME OUT AND SAY
THIS BUT FROM WHAT I READ THIS
IS WHAT I GATHERED.
IT'S CALLED ASHER MEN'S
SYNDROME.
SYNDROME.
SYNDROME. SCAR TISSUE FORMS FROM THE
FRONT WALL OF THE UTERUS OR
FROM THE SIDE WALL AND YOU GET
A CLOSING OF THE UTERINE CAVITY
OR THE SPACE WHERE THE
PREGNANCY SHOULD BE.
>> AND YOU WOULDN'T KNOW ABOUT
IT SO YOU TRIED TO CONCEIVE
AGAIN OBVIOUSLY AND THEN YOU'RE
LIKE, WHAT'S WRONG?
NO PROBLEM THE FIRST TIME.
IS THAT A PROBLEM THAT HAPPENS
OFTEN WHERE PEOPLE GET PREGNANT
EASILY THE FIRST TIME?
>> IT CAN.
SO 34 THINGS CAN CHANGE FROM
THE TIME YOU HAVE YOUR FIRST
CHILD TO THE SECOND.
WE CALL IT SECONDARY
INFERTILITY.
INFERTILITY. HARD TO KNOW THE EXACT
PERCENTAGE.
PERCENTAGE. WE KNOW IN GENERAL ABOUT 12-13%
OF COUPLES WILL HAVE SOME ISSUE
WITH GETTING PREGNANT.
WHETHER IT'S THE FIRST TIME OR
THE SECOND.
THE SECOND. BUT THIS ASHER MEN'S SYNDROME
OR SCAR TISSUE IN THE UTERUS IS
ONE CAUSE OF SECONDARY
INFERTILITY.
INFERTILITY. YOU CAN SOMETIMES SEE IT AFTER
A DNC PROCEDURE.
SOMETIMES FROM INFECTION IN
THIS CASE, AFTER A C-SECTION.
>> DO YOU RECOMMEND WOMEN TRY
FOR AT LEAST A YEAR THE NATURAL
WAY BEFORE YOU START KIND OF
FERTILITY?
FERTILITY? >> THAT'S THE DEFINITION OF
INFERTILITY, ONE YEAR OF
REGULAR UNPROTECTED
REGULAR UNPROTECTED INTERCOURSE.
INTERCOURSE. UNLESS YOU'RE 35 AND OLDER.
WE KNOW FERTILITY DOES GO DOWN
AFTER 35 MORE RAPIDLY AFTER 40
BUT FOR PATIENTS OVER 35 WE ASK
THEM TO COME SEE US AFTER SIX
MONTHS OF TRYING.
IF YOU'RE UNDER 35 THE
DEFINITION OF INFERTILITY IS
ABOUT ONE YEAR OF UNPROTECTED
INTERCOURSE DYLAN SAYS SHE WAS
ABOUT TO START IVF AFTER THEY
WERE TRYING.
WERE TRYING. WOULD THAT BE BECAUSE OF HER
AGE?
AGE?
AGE? THAT
AGE? THAT SHE WOULDN'T GO TO IUI
FIRST.
FIRST.
FIRST. .
.
. >>
. >> YEAH, IVF IS DEFINITELY THE
LAST RESORT BUT OFTEN GIVES
COUPLES THE BEST CHANCE AND IN
HER CASE IT WAS A MATTER OF
HAVE BEEN TRYING FOR A WHILE
AND SHE WAS OLDER AND HAD THIS
ASHER MEN'S SYNDROME THEY
CORRECTED BY SURGERY CLEANING
OUT THE SCAR TISSUE.
THERE'S A LOT OF REASONS TO DO
IN VITRO.
IN VITRO.
IN VITRO. SOMETIMES BECAUSE THERE'S A LOW
SPERM COUNT.
SPERM COUNT. THAT ENDS UP BEING THE ULTIMATE
PLACE TO BE TO TRY TO GET
PREGNANT.
PREGNANT.
PREGNANT. >> FASCINATING.
>> FASCINATING. WE HAVE A VIEWER QUESTION I
WANT TO GET TO.
.
. >>
. >> THAT'S GOING TO VARY PERSON
TO PERSON.
TO PERSON. THE BEST ADVICE WE HAVE THE
SOONER THE BETTER.
THAT'S NOT FAIR BUT UNFORTUNATE
THE BIOLOGY WE HAVE TO DEAL
WITH.
WITH.
WITH. THERE ARE THINGS YOU CAN DO TO
TRY TO FIND OUT WHAT YOUR
FERTILITY IS LIKE.
NOT 100% BUT THERE'S THINGS YOU
CAN DO.
CAN DO.
CAN DO. TALK TO A HEALTHCARE PROVIDER
TO SEE WHAT ARE MY OPTIONS.
REAL IGSICILY IF YOU WANT TO
HAVE A CHILD, START TRYING
BEFORE 35 AND WE KNOW IN
TODAY'S DAY AND AGE THERE'S
PENTY OF WOMEN WHO HAVE
CHILDREN LATER IN LIFE.
IT'S POSSIBLE BUT NOT ALWAYS
EASY.
EASY.
EASY. AND
EASY. AND VERY OFTEN IT'S EXPENSIVE
AND SOMETHING THAT VIEWER MAY
WANT TO LOOK INTO IS CALLS EGG
FREEZING.
FREEZING.
FREEZING. NOT COVERED BY INSURANCE, NOT
INEXPENSIVE BUT MAY GIVE SOME
WOMEN AN INSURANCE POLICY
AGAINST THE FUTURE.
NO GUARANTEE BUT IT'S SOMETHING
THAT'S AVAILABLE DO YOU
RECOMMEND THAT TO YOUR PATIENTS
UNDER 35 OR DO YOU SAY LET'S
WAIT UNTIL WE'RE 35 AND WORRY
ABOUT THAT?
ABOUT THAT? >> WE START THE CONVERSATION
AROUND 34 AND 35 AND SOMETIMES
YOU GOT TO SAVE YOUR MONEY.
IDEALLY THE SOONER YOU DO IT
THE BETTER.
THE BETTER. BUT IT'S NOT ON EVERYONE'S
RADAR AT AGE 30.
I HAVE THAT CONVERSATION
USUALLY AROUND 34 AND 35.
>> THANK YOU SO MUCH.
MAYBE WE HELPED SOME PEOPLE
TODAY.