Missed out on some burning questions during our live YouTube talk with Dr. Gobetz on February 1st? Don’t worry! We’ve got you covered!

We’ve got you covered! Check out the slides below where we’ll be addressing those missed queries and providing valuable insights.

A big thank you to everyone who participated and joined us for the live session. Your engagement makes these discussions truly enriching! We hope you find the upcoming information both informative and helpful. Let’s keep the conversation going

Metformin should be considered as the most suitable first line treatment for anovulatory infertility for non-obese women with PCOS. For women who have proven to be resistant to clomiphene alone (when clomiphene is used as a first line agent), the use of metformin alone or in combination with clomiphene may improve the Clomid response. It can increase clinical pregnancy rates but not the live birth rates indicating that PCOS patient are still at risk for increased pregnancy loss. Women with PCOS undergoing IVF should be offered metformin to reduce their risk of ovarian hyperstimulation syndrome. If you conceive on Metformin, consideration should be given to continuing metformin through the first trimester rather than stopping metformin abruptly once pregnancy has been diagnosed. Metformin may be a suitable alternative to the OCP for treating hyperandrogenic symptoms of PCOS including hirsutism( Increased hair in a male distribution) and acne. More research is required to define whether metformin has a role in improving long term health outcomes for women with PCOS, including the prevention of diabetes, cardiovascular disease and endometrial cancer. The jury is not out yest and we need ongoing clinical trials to give the correct answers.

Approach to a thin endometrial lining – Firstly, have you had any uterine surgery like a D&C or myomectomy, if yes first step is to do an HSG( Uterine Xray ) to exclude scars that result in the inability for the lining to thicken. The HSG or uterine Xray will also be able to exclude a congenital uterine abnormality like a septate uterus or T shaped uterus which may be a cause of the thin lining. Then if you are being stimulated with Clomid, this can be the reason for a thin  lining. It’s important to be evaluated by an infertility specialist with a special interest in uterine surgery( Uterologist)

Embryo Gender: – It is possible to pick the gender of the embryo prior to transfer provided you have biopsied the embryo to exclude a chromosomal abnormality in the embryo- When testing the embryos chromosomes, you will also be able to see what gender the embryo is.

The question of egg quality is in-depth and requires a more elaborate answer . Dive deeper into the intricacies of egg quality!

Our slides below offer a comprehensive breakdown and expert advice on this crucial topic.

Whether you’re curious about optimizing fertility or enhancing nutrition, we’ve got the insights you need! Don’t miss out—check out the slides now!

1.Healthy diet. Correct diet and nutrition directly impact overall health, including fertility. Avoid excessive bread, processed foods and sugar-rich foods. Too many refined carbohydrates and trans fats can cause a sudden spike in blood sugar. Aim for a nutrient-rich diet with a higher balance of protein, leafy greens, and fruits and vegetables, especially those that provide vitamins and antioxidants.

Anti-inflammatory diets, such as the Mediterranean diet, have been proven to be helpful for improving fertility. Additionally, an antioxidant supplement, such as CoQ10, can help women going through reproductive aging. 

  1. Achieve a normal BMI. A normal body mass index (< 25) can help improve the odds of conceiving. Obesity can heighten oxidative stress on your cells and has been linked to decreased quality of eggs, and increased miscarriages. It is very important to lose weight if you are obese, especially if your BMI is above 29.

3.Manage stress and sleep. Prolonged or chronic stress produces hormones such as cortisol, which can cause a hormonal imbalance and interfere with ovulation. Meditation, relaxing and practicing other stress-management techniques is important. Additionally, establishing healthy sleep habits contributes to the health of a woman’s eggs. During sleep, the body repairs cells and recovers lost energy.

  1. Don’t use nicotine, alcohol and THC(Cannabis). Nicotine is toxic to the cells of our body, including egg cells. When you smoke, your ovaries lose eggs faster due to the chemicals in cigarettes. Consuming and smoking cannabis (marijuana) products can have the same effect.

 

  1. Boost blood flow. Improving oxygen-rich blood flow to the ovaries through exercise, yoga and movement can help improve egg quality and rid the body of toxins. Drinking more water and staying hydrated can also assist this process