{\rtf1\ansi\ansicpg1252\cocoartf1038\cocoasubrtf360
\margl1440\margr1440\vieww9000\viewh8400\viewkind0
\pard\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\ql\qnatural\pardirnatural
\f0\fs24 \cf0 >> Joanne: SOME WOMEN ARE\ WAITING LONG TORE HAVE BABIES\
HAD THESE DAYS.\ ACCORDING TO THE CENTER OF\
DISEASE CONTROL ONE IN FIVE ARE\ WAITING UNTIL THEY'RE 35 OR\
OLDER TO HAVE THEIR FIRST CHILD.\ HOW DOES WAITING IMPACT\
FERTILITY?\ SDSU PSYCHOLOGY PROFESSOR AND\
AUTHOR JEAN TWENGE EXAMINED THIS\ IN HER NEW BOOK.\
AND JOINING US ALSO IS\ DR.
SANJAY AGARWAL.\ THANK YOU BOTH FOR BEING HERE.\
>> THANK YOU.\ >> Joanne: JEAN, WHY DID YOU\
TACKLE THIS TOPIC.\ >> WHEN I TRIED TO HAVE MY FIRST\
CHILD I WAS 35.\ I READ EVERYTHING I COULD.\
I'M A RESEARCHER AND I WENT TO\ THE ORIGINAL SOURCE.\
I FOUND A LOT OF INTERESTING\ INFORMATION ABOUT FERTILITY AND\
AGE THAT WASN'T AS SCARY AS YOU\ MAY THINK AND GREAT INFORMATION\
ON GETTING PREGNANT FASTER AND\ TIPS.\
I STARTED TO SHARE THEM WITH MY\ FRIENDS.\
I THOUGHT I CAN REACH MORE\ PEOPLE WRITING A BOOK ON IT.\
>> Joanne: I WANT TO TALK ABOUT\ WHAT YOU LEARNED.\
FIRST OF ALL, DOCTOR, ACCORDING\ TO THE CDC WE HAVE A STAT.\
IT'S TOUGHER FOR A WOMAN TO GET\ PREGNANT AND STAY PREGNANT AFTER\
THE AGE OF 35.\ THERE ARE OFTEN FERTILITY\
PROBLEMS.\ WHAT HAPPENS TO WOMEN AFTER 35.\
>> WOMEN ARE BORN WITH EGGS AND\ WITH TIME THE NUMBER OF EGGS GO\
\page DOWN.\ THE FERTILITY GOES DOWN AND\
LEADS TO MENOPAUSE IN THE 50S.\ I DON'T WANT IT TO SOUND LIKE A\
CLIFF OR BLACK AND WHITE\ SITUATION.\
THE FERTILITY GOES DOWN\ GRADUALLY.\
AFTER 35, 37 FERTILITY GOES DOWN\ QUICKER.\
>> Joanne: JEAN, IN YOUR BOOK\ THERE WAS A LIST OF MYTHS YOU\
TALKED ABOUT.\ ONE-THIRD OF WOMEN OVER 35 WITH\
FERTILITY ISSUES IS BASED ON\ BIRTH RECORDS FROM THE 1700s.\
IS THAT TRUE.\ >> YES.\
IF YOU TRACE BACK THE ORIGINAL\ IN OF THAT STATISTIC IT COMES\
FROM A GOOD JOURNAL.\ THAT'S WHERE THE DATA COMES\
FROM.\ WE DON'T HAVE ENOUGH GOOD DATA\
ON NATURAL CONCEPTION SO STUDIES\ ARE FROM HISTORY.\
THINGS ARE DIFFERENT NOW.\ WE HAVE MODERN MEDICINE.\
PEOPLE LIVE LONGER AND ARE\ HEALTHY.\
THAT WON'T CHANGE FERTILITY BUT\ THERE ARE MORE OPTIMISTIC\
STATISTICS.\ >> Joanne: DOCTOR, THE CDC STAT\
THERE IS NOT A GOOD NUMBER.\ >> IT'S A LITTLE HIGH.\
I DON'T WANT TO BE TOO\ DEPRESSING FOR YOUR POPULATION.\
IT DEPENDS ON YOU.\ IF YOU SUCCEED YOU'RE IN THE\
HUNDRED PERCENT THAT DO.\ IF YOU DON'T THEN YOU ARE IN THE\
HUNDRED PERCENT THAT DIDN'T.\ WE SUGGEST YOU TRY SIX MONTHS\
BEFORE SEEKING HELP.\ >> Joanne: DO YOU THINK WOMEN\
ARE RUSHING TO FERTILITY EXPERTS\ SOONER THAN NEEDED?\
>> I THINK THAT HAPPENS\ SOMETIMES AND THEY WAIT TOO LONG\
\page TOO.\ I READ BLOGS OF WOMEN WHO SAY\
THEY TRIED FOR THREE YEARS.\ OTHERS WILL TRY FOR THREE MONTHS\
AND THEN RUSH TO GET TREATED FOR\ INFERTILITY.\
YOU THINK SIX MONTHS A GREAT\ HAPPY MEDIUM.\
>> IT'S COMMON FOR US TO TELL\ PATIENCE TO TRY A LITTLE LONGER.\
WHEN THEY HAVE DIFFICULTY A YEAR\ FOR YOUNGER INDIVIDUALS, SIX\
MONTHS AFTER 35 I THINK IT'S\ BEST TO SEE THEIR OBGYN AND\
PRIMARY CARE PHYSICIANS.\ THEY CAN DO BASIC TREATMENTS.\
NOT EVERYONE NEEDS TO SEE A\ SPECIALIST.\
>> Joanne: WE KNOW THERE ARE\ INCREASED RISKS AS YOU GET\
OLDER?\ DO YOU THINK WE'RE HAVING THE\
DISCUSSION -- YOUNG WOMEN OR NOT\ SO YOUNG WOMEN ARE HAVING THE\
DISCUSSION THAT THERE COULD BE\ MEDICAL PRICE OR EVEN A REAL\
PRICE TO PAY BY DELAYING CHILD\ BIRTH OR PREGNANCY?\
THERE IS AN ASSUMPTION TO WAIT\ AND WAIT AND THEN SEE A DOCTOR.\
>> I THINK SOME PEOPLE MAY HAVE\ THAT.\
MOST OF THE WOMEN I INTERVIEWED\ FOR THE BOOK CAME DOWN ON THE\
OTHER SIDE AND WERE VERY\ CONCERNED.\
WANTED TO HAVE CHILDREN.\ WORRIED THEY WAITED TOO LONG AND\
RELIEVED TO HEAR WELL, YES IT\ MAY TAKE LONGER.\
FERTILITY DOES DECLINE AS YOU\ GET OLDER BUT THAT DOESN'T MEAN\
YOU WON'T GET PREGNANT.\ >> I DON'T THINK EVERYONE IS IN\
THE PLACE TO HAVE A CHILD\ EARLIER.\
UNDOUBTEDLY WOMEN FEEL THE\ PRESSURE MORE THAN MEN DO.\
IF THEY'RE IN A STABLE\ RELATIONSHIP AND HAVING CHILDREN\
\page IS A PART OF THAT FOR THEM,\ CERTAINLY FROM A MEDICAL\
STANDPOINT IT MAKES SENSE TO\ CREDIT THIS EARLIER THAN LATER.\
>> Joanne: JEAN, WHERE CAN\ PEOPLE FIND OUT MORE ABOUT YOUR\
BOOK.\ >> I HAVE A WEBSITE\
IMPATIENTWOMEN.COM AND I WILL\ SIGNING BOOKS IN LA JOLLA\
WEDNESDAY NIGHT AT WARWICKS.\ >> Joanne: THANK YOU.}