May 18, 2012

Gee, should I be feeling guilty?

There are some in this world who claim that what I do is vile and despicable. No, I’m not manufacturing toxic waste that will decimate our environment and I’m not selling crack to destroy the lives of countless addicts. Instead, I’m responsible for helping bring something into this world that is much much worse —- [...]

Case of the month Apr '08: Episode #2

Click here for episode 1 RECAP: Aimee and Boyd have been infertile for three years. They’ve finished basic testing under the care of their regular OB. They’ve also been tried unsuccessfully on six cycles of Clomid. Their only significant findings include minimal endometriosis and periods that are just a tiny bit longer than average. What [...]

Bad batch of progesterone

This morning, I got a call from a pharmacist from a fertility pharmacy which supplies our patients with their medications. As much as my staff tried to triage the call, he refused to divulge any information to them and insisted on talking directly to me only. When I finally took his call, he informed me [...]

Case of the month Apr '08: Episode #1

(This couple has given permission to share their story. Their names have been altered. The dialogue words are not 100% exact, but are loosely reconstructed from memory, with the intent of conveying an accurate representation of their clinical story) I introduced myself to my patients, AIMEE and BOYD on the day of their initial consultation. [...]

Obesity hurts fertility in ways other than through poorer egg quality

Back in our ancestral times when our tribal forefathers roamed the savannas, food was scarce. Those who did behavior that increased caloric intake had a distinct survival advantage over those who were less enthusiastic about increasing caloric intake. This is why we all inherited genes that make us gravitate towards sweet foods and fatty foods. [...]