Latest News/Blogs

chart showing body mass index calculations

Do I need to lose weight prior to fertility treatment?

By: Mira Aubuchon, MD A recent large study by Legro and colleagues found that women with obesity and unexplained infertility who proceeded straight to fertility treatment (consisting of clomiphene citrate and intrauterine insemination) had similar pregnancy and take-home-baby rates as women given weight loss therapy.  Certainly, there are numerous benefits to achieving a healthy body…

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portrait picture of president george washington

Father of America, President George Washington, Was Never a Father Himself Likely Due to Male Factor Infertility

By: Mira Aubuchon, MD This is belated, but this was a wonderful historical article about our first President, George Washington, published in Fertility and Sterility.  The father of our nation, George Washington, did not have any children of his own and appears to have been infertile.  This article speculates his infertility may have been due…

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pregnant belly of a woman and covid 19 virus

COVID-19 Linked to Serious Pregnancy Complications

By: Vinita Alexander, MD COVID-19 infection is associated with serious adverse maternal and fetal outcomes. Another NIH-funded study published in JAMA on February 7, 2022, has demonstrated that pregnant women infected with SARS-CoV-2 are more likely to experience the following compared to women not infected COVID19: (1) preterm delivery at less than 32 weeks (2)…

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Does changing stimulation protocols on repeat IVF cycles improve outcomes?

By: Mira Aubuchon, MD For a variety of reasons, patients may undergo more than one in vitro fertilization (IVF) treatment, involving medications and egg retrieval, to have their desired family.  On the surface, the decision to change or alter the medication protocol is simple; stay the course if things go well, change if they don’t.…

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mom, dad and sibling looking at pregnancy ultrasound

Comparing perinatal outcomes of siblings conceived naturally versus with assisted reproductive technology: Is there a difference?

By: Vinita Alexander, MD Siblings conceived with assisted reproductive technology (ART) have similar perinatal outcomes according to a February 2022 AJOG study! Dr. Pelikh et al’s study of siblings conceived with and without medical assistance demonstrates that there are no significant differences in adverse outcomes between siblings conceived spontaneously versus with assisted conception. This study…

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2022 April-June IVF Cycle and FET Cycle Dates

MCRM Fertility will be offering IVF and FET treatment cycles during the April-June period in 2022 on the following dates: April 04/01/2022 – 04/06/2022 – IVF Egg Retrievals 04/19/2022 – St. Louis & Tulsa Frozen Embryo Transfers 04/20/2022 – St. Louis & Tulsa Frozen Embryo Transfers 04/21/2022 – St. Louis Frozen Embryo Transfers 01/22/2022 – St. Louis Frozen Embryo Transfers…

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Lesbian couple adoring their newly born baby via reciprocal IVF

Building Your Family Through Reciprocal IVF: A successful option for same-sex couples

By: Mira Aubuch, MD Couples where both partners have female reproductive organs often have the desire to involve both partners, biologically, in having children, in a process called reciprocal IVF.  This entails one partner undergoing an egg retrieval, the obtained eggs are fertilized with donor sperm to create embryos, followed by an embryo transfer into…

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Recent Study Indicates COVID-19 Vaccine Does Not Impair Fertility

By Vinita Alexander, MD The COVID19 vaccine does not reduce chances of conception.  Many patients remain hesitant to seek out the COVID-19 vaccine due to concerns about potential adverse effects on fertility. This recent study is reassuring and found that COVID-19 vaccines do not impair fertility. In this prospective survey study of over 2000 heterosexual…

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Does bacteria in the uterus matter on pregnancy outcomes?

By: Mira Aubuchon, MD The uterus is a critical component of fertility success, along with good quality embryos derived from correspondingly healthy eggs and sperm.  Some factors associated with the uterus are visible, such as fibroids which might be detected by ultrasound or cause symptoms.  Others, such as uterine infections, are treatable but are difficult…

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liquid nitrogen tank used for cryopreserving human embryos from IVF

Should Your Consider PGT-A with Your IVF Treatment?

By: Peter Ahlering, MD All humans, at any age, have some risk of producing aneuploid embryos; that is, genetically abnormal embryos with more than or fewer than 46 chromosomes.  We are able to detect whether an embryo is aneuploid or not through the use of pregenetic implantation testing for aneuploidy (PGT-A).  Generally, aneuploid embryos are…

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therapist holding medication bottle while a depressed man holds his head

Antidepressants and Male Infertility

By: Mira Aubuchon, MD Medications to treat depression and anxiety and have helped millions of people improve their mental health may have an impact on male fertility, as discussed in the September 2021 issue of Fertility and Sterility . Medications in the drug class called, selective serotonin reuptake inhibitors, which include paroxetine, sertraline, fluoxetine, and…

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IVF laboratory ICSI microscope and display of an embryo biopsy for PGT-A

Preimplantation Genetic Testing for Aneuploidy and Diminished Ovarian Reserve

By: Mira Aubuchon, MD During in vitro fertilization, we have the capability of safely performing preimplantation testing for aneuploidy (PGT-A) genetic testing on a small sample of the cells from the future placenta from each embryo that has reached the blastocyst stage, an advanced stage of development.  PGT-A results indicate whether any of the chromosomes…

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frustrated looking parents with small child looking back sadly

Secondary Infertility: Why am I having difficulty conceiving this time when I conceived naturally before?

By: Mira Aubuchon, MD It was so easy to conceive the first time, why is it so hard now? This question is foremost in sufferers of secondary infertility, who have been able to conceive successfully and uneventfully in the past.  It can be helpful perspective to remember that the chances of getting pregnant in any…

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calendar graphic depicting a flu shot appointment as a reminder to schedule your flu vaccine

Flu Vaccine: Is is recommended in pregnancy?

By: Vinita Alexander, MD Flu Season is here! The rates of flu often begin to increase in October and usually peak between December and February. To protect yourself: wash your hands, cover your cough, and GET VACCINATED, if not already. Ideally one should attempt to be vaccinated before the end of October. If you are…

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