Transcript for UConn Fertility Assessment - WFSB 3 Connecticut

Transcript for UConn Fertility Assessment

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The following is the transcript of the web chat with Dr. E Lawrence Engmann. UConn Health's Center for Advanced Reproductive Services helps couples achieve their dreams of becoming parents. That was the focus of the web chat.

Comment From Sarah

How successful is IVF? It seems like so many people do it now?

Dr Lawrence Engmann

IVF is the most successful treatment. It depends on the age of the patient and the IVF center

Comment From Francesca

I have pcos and thyroid and overweight I have been trying for over 10 years what can I do

Dr Lawrence Engmann

You need to see a specialist. Its important to have your thyroid problems controlled prior to getting pregnant. Its also essential to control your weight to improve your chances of getting pregnant

Comment From lcarr

i am a 26 yo female. After trying to conceive and three rounds of clomid for a year and a half with no luck it was found in december I had thyroid cancer. I had my thyroid out in december and have since gotten the ok to try again. In the meantime my dr found i had pcos and said no more clomid to try metoformin. I have been on that since January and still no luck. I am at my end here with wondering where I should go. It is exhausting trying and never having any luck.

Dr Lawrence Engmann

I'm sorry you've not been able to get pregnant. Its time for you to see a specialist and have a work-up. You will most likely need medications to help you ovulate. Best of luck

Comment From I have been trying...

My husband and I have been trying to conceive for 2 years, receiving treatment from a specialist for about 6 months. Other than the medical side, is there something else I should be doing at home- cutting back on exercise, completely giving up coffee/alcohol?

Dr Lawrence Engmann

Its important to cut back on coffee and stop alcohol. Moving on to IVF depends on the reason for the difficulties with getting pregnant, However, if you've tried IUI for the past 6 months (ie 6 cycles of IUI already, it may be time to move on to IVF. Best of luck

Comment From Amber

I am in my 20's but don't want to have kids anytime soon. Should I freeze my eggs? Does insurance cover that?

Dr Lawrence Engmann

Excellent question. You may want to have your OBGYN check your ovarian reserve to determine if you have enough oocytes (eggs). If you don't have a good reserve, it may be time to consider freezing your eggs

Comment From Allison

I think it's time for my husband and I to get screened. But I'm concerned he will find the tests to invasive. How do I calm him down? 

Dr Lawrence Engmann

You can tell him that you'll be undergoing the most invasive testing while his testing is less invasive. It takes the full testing for both of you to be able to determine what the problem is. 

Comment From Anna

I really want to have a baby but I'm 39 and still single. What are my options? 

Dr Lawrence Engmann

The options for you are either freeze your oocytes or consider donor sperm 

Comment From Kerri

I desperately want to have kids and realize it's probably time for me to see a specialist but the idea of twins or triplets really scares me. How great is the chance of having more than one baby with fertility treatments? 

Dr Lawrence Engmann

It depends on the type of treatment and your age. The twin pregnancy rates for the least invasive treatments are low (5-8%). If you're doing IVF we now encourage transferring fewer embryos to lower the probability of twins. 

Comment From Tiff

what is the free fertility test they mentioned on the air...for this weekend? And who should go to it?

Dr Lawrence Engmann

Its the test for ovarian reserve - to test whether you have enough eggs in the ovary. Its called AMH and its a blood test 

Comment From Kim

What if I have endometriosis....will I have a problem getting pregnant? 

Dr Lawrence Engmann

Endometriosis may lower the chances of getting pregnant. The diagnosis involves minimal invasive surgery - laparoscopy. 

Comment From Lisa

I think I am fine because I have a child already but my I'm having a hard time getting pregnant with my second husband. How often is the guy the reason for not getting pregnant? 

Dr Lawrence Engmann

Occasionally it may be difficulty to get pregnant fro a second child. The guy may be a problem in about a third of cases 

Comment From Cyndi

I have two teenagers so know I can get pregnant. But my husband and i have been trying for another for a few years. I'm 38 years old. Do I need to see someone? 

Dr Lawrence Engmann

Yes, its time to see a specialist and get tested. Best of luck 

Comment From Lisa

I'm 26 and I got my tubes cut and burn when I was 23 to not have kids and I met this guy who I've been for 3 years and he want a baby. It's their any possibility can have a baby 

Dr Lawrence Engmann

Yes, you can have IVF or have the tubes repaired 

Comment From Ava

How does IVF work? Do most people have to go through many cycles before they have success? 

Dr Lawrence Engmann

IVF involves taking injections to produce eggs and the eggs are then retrieved and fertilized with sperm and embryo(s) transferred into the uterus. The success depends on the age and most women under 35 years will get pregnant within two cycles 

Comment From Aubrey

What is your opinion on fibroidectomy? There is a fibroud that my doctor said could be the problem but unsure. It has sadly been 2 years we have been trying but my insurance doesnt cover fertility. I have a successful pregnancy in the past and she is now 12. 

Dr Lawrence Engmann

It depends on where the fibroid is and also the size of the fibroid. If the fibroid is within the cavity, it definitely needs to be removed 

Comment From Colleen

Is there something you can do to test your fertility.. even if you're not ready to have kids? 

Dr Lawrence Engmann

Yes, you can have a blood work, called AMH, to determine if you have enough eggs in the ovary. 

Comment From Tanya

In the Better CT story they talked about doing acupuncture... does that make a big difference in success rate with something like IVF? 

Dr Lawrence Engmann

There are some studies that suggest improved pregnancy rates with acupuncture 

Comment From Allison

I am ready to look into testing.. but I'm not sure I can convince my husband. How invasive is the testing? 

Dr Lawrence Engmann

Tell him your tests are more invasive. His test is less invasive

Comment From Liz

I had an ectopic pregnancy with chlomid.. can that happen with IVF? 

Dr Lawrence Engmann

Yes, it can happen but the probability of ectopic is lower with IVF 

Comment From Kim

How do I know if it's time to go see a specialist? Will my ob/gyn tell me or do I go directly to a specialist? 

Dr Lawrence Engmann

Hi, That's an excellent question. You may ask your OBGYN to refer you or you can go directly to a specialist. Usually we recommend seeing a specialist if you've been trying to conceive for over a year if you're under 35 years of age or after 6 months if you're over 35 years. There are certain situations where you may want to see a specialist earlier eg if you have irregular cycles etc 

Comment From Amy

Is there an age cut off for doing IVF? 

Dr Lawrence Engmann

We usually recommend not doing IVF using your own oocytes (eggs) if you're over 45 years of age 

Dr Lawrence Engmann

The web chat has ended. Thank you everyone for your questions. 

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