(Photos By Sandy Zimmerman)
I was excited to have the opportunity to meet two of the leading doctors in the field of infertility. The Fertility Center of Las Vegas is Nevada’s largest assisted reproductive center and the only one with two sub-specialty board certified reproductive endocrinologists: Doctor Bruce Shapiro, Sub-specialty Board Certified in Reproductive Endocrinology and Infertility. Doctor Said Daneshmand, Board Certified Fertility Specialist and Sub- Specialty Certified Reproductive Endocrinology;
When should a woman visit a fertility doctor? Dr. Shapiro recommends, “Women, under the age of 35, who have been trying to become pregnant for one year, and women over 35, after having tried for six months, should come in to see a fertility specialist. We find a fair number of women at the age of 32 who are already having problems getting pregnant. By 35, this is much more widespread. It is not uncommon to find women, from 35-38, who can no longer get pregnant using their own eggs. Women have a major problem getting pregnant at 40; half of the women are not able to. When a woman reaches 45, we tell her not to try to get pregnant because the chances are very low. There is no cut- off age; it is only specific to each woman. When I say, trying, it means they do not use any form of contraception and are unable to become pregnant.
The initial office visit consists of an interview to obtain a history from the couple in order to determining what factors are associated with their inability to conceive. This is followed by a physical examination and a battery of tests. The majority of tests are completed in 10-14 days while the majority of treatments are completed in two-and-a-half weeks. There are three categories of reasons- in 40% of the cases it is the female factor, 40% is the male factor and 20% is a combination of male and female factors.”
Many women wait too long to conceive because of their business, career, or profession. Dr. Shapiro commented, “This is a major problem. We used to think that women did not have a problem getting pregnant until they reached the age of 40 years, then they could not conceive. We know now that is not true. It happens much earlier. We see the first group of women who have problems conceiving at the age of 27. Most women at age of 27 do not have problems, but we start to see a statistically significant number of women that do.”
If a woman has her tubes tied, Tubal Ligation (Second Chance Pregnancy), she can still become pregnant later. Dr. Shapiro described the procedure, “There are two approaches, one surgical were we put the tubes back together and the second way is to bypass the tubes by doing in-vitro fertilization (IVF). With IVF, we take the eggs directly from the ovaries, fertilize them in the lab, then put the embryos back in the uterus.
Dr. Shapiro proudly mentioned, “After 20 years treating fertility patents in Las Vegas, we have seen just about every type of problem you can imagine, so we want patients to rest assured, whatever type of problem they have, we have seen it before, we have ready treatments available to help them. Today we see a large number of women and fortunately most of these women who enter our doors leave pregnant.
Dr. Said Daneshmand (Known as Dr. D.) feels, “Many patients come here after they lost hope of starting a family. We provide the hope of starting a family and having children. With patients under 35, we have the highest success rates in the United States, well over 70% live birth rates. Pregnancy rates have improved significantly over the past 10 years. Back in the 90’s, success rates were only 15-20%. Doctor Shapiro and I are not resting and continue to do research.
We are not satisfied and want to achieve even higher success rates. Biochemical markers, which are seen in the lab, can help us to identify when a cycle is more likely to be successful.
The Fertility Center of Las Vegas: www.fertilitycenterlv.com
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