>> A HEALTH ALERT THIS MORNING.
LAST WEEK ACTRESS GABE REEL
UNION SHOCKED HER FANS WHEN SHE
ANNOUNCED SHE SUFFERED EIGHT OR
NINE MISS CARRIAGES IN HER LIFE
AND CHRONICLED HER LIVELONG
INFERTILITY.
JOINING US NOW IS DR. KEVIN
WINSLOW.
THANK YOU FOR BEING WITH US.
A LOT OF QUESTIONS WHEN IT COMES
TO THIS TOPIC.
LET'S TALK ABOUT MISS CARRIAGES
AND HOW THEY CAN HAPPEN.
SOME WOMEN HAVE ONE AND THEN
OTHER SUCCESSFUL PREGNANCIES AND
OTHERS HAVE MULTIPLES.
HOW DOES THIS HAPPEN?
>> THERE ARE TWO MAIN CATEGORIES
RECURRENT PREGNANCY LOSS.
WE THINK OF THEM IN TERMS OF
EARLY AND LOSS.
THE GREAT MAJORITY OF EARLY
LOSSES ARE DUE TO SOMETHING
WRONG WITH THE EMBROYO.
THAT COMES FROM A EGG QUALITY
ISSUE.
FOR SOME REASON SOME WOMEN ARE
BORN WITH A HIGHER NUMBER OF
MALFORMED EGGS THAN OTHERS.
PROBLEMS.
BUT WHEN SOMEONE HAS HAD SO MANY
LOSSES OFTEN IT'S AN EGG QUALITY
ISSUE.
>> IF SOMEBODY IS HAVING TROUBLE
AT WHAT POINT DO YOU RECOMMEND
SOMEBODY THINKING ABOUT SEEING
A SPECIALIST?
>> THE SWIVE MORE THAN 35 WE
GENERALLY RECOMMEND IF SHE'S NOT
PREGNANT IN SIX MONTHS TO SEEK A
MEDICINE SPECIALIST.
AT THE END OF THE DAY THE REAL
ISSUE IS ALWAYS THE NUMBER AND
OVARIES.
WE CAN GET AROUND ANY OTHER
PROBLEM BUT WE CAN'T PUT MORE
GOOD QUALITY EGGS BACK IN.
>> WITH HAVING TROUBLE GETTING
PREGNANT THE GOOD NEWS IS THERE
ARE OPTIONS OUT THERE FOR WOMEN.
TALK ABOUT SOME OF THOSE
OPTIONS, INCLUDING I KNOW IVF.
I THINK MISS UNION MENTIONED
SOMETHING THA IVF.
>> IN TERMS OF TREATMENTS,
AGAIN, DEPENDING ON THE ACTUAL
ISSUES, DEPENDING ON, AGAIN,
MOM'S AGE, H OVARIAN RESERVE
WILL GO A LONG WAY IN TERMS OF
TELLING US HOW AGGRESSIVE DO YOU
WANT TO BE WITH THIS PATIENT?
IF IT'S SOMEBODY WAN OLDER
PATIENT, THEY'RE GOING TO GET ON
WI INVITRO.
BECAUSE WE KNOW THE ISSUE IS
QUALITY.
IN TERMS OF MI UNION'S
SITUATION, THERE IS NOW MORE AND
MORE IVF USE TO DIAGNOSE THI
PROBLEM AND TO TREAT IT WITH THE
IDEA THAT WHEN WE GO THROUGH IVF
WE CREATE MULTIPLE EMBROYOS THAT
CAN BE TESTED TO SEE WHICH ARE
NORMAL AND WHICH ARE NOT.
IT'S BEEN A HUGE, HUGE BENEFIT
IN TERMS OF PATIENTS WITH
RECURRENT PREGNANCY LOSS.
>> THAT'S INCREDIBLE THAT WE
HAVE THAT TECH TECHNOLOGY.
YOU MENTIONED AFTER SIX MONTHS
OF A WOMAN TRYING TO GET
SPECIALIST.
WHAT IF SOMEBODY IS NOT AT THE
POINT IN THEIR LIFE WHERE
THEY'RE READY TO GET PREGNANT
BUT THEY HAVE CONCERNS ABOUT
WHETHER OR NOT THEY WILL ONE DAY
BE ABLE TO.
DO YOU RECOMMEND THAT SOMEBODY
EVEN BEFORE THEY'RE CONSIDERING
PREGNANCY SEE A SPECIALIST IF
THEY'RE INTERESTED?
OR IS THAT SOMETHING YOU THINK
THEY NEED TO WAIT FURTHER DOWN
THE LINE TO LOOK INTO?
>> WELL, IF THE PATIENT HAS A
HISTORY OF MAYBE A MOM WHO WENT
THROUGH EARLY MENOPAUSE WITH
SIFTS OR THE MOST IMPORTANT
THINGS SHE CAN DO IT GET HER
ED.
THAT WILL GIVE US AN IDEA OF HER
CLOCK, HOW MUCH TIME DO WE HAVE
BE.
IF SOMEBODY, EVEN IN THEIR 20s
THEIR RESERVE IS POOR THAT'S
SOMEBODY WHO MAY BE A GOOD
CANDIDATE FOR EGG FREEZING.
SOMETHING THA THEY CAN GET FROM