1 00:00:01,000 --> 00:00:06,000 Speaker 1: This is the most traumatic podcast ever and iHeartRadio podcast. 2 00:00:08,480 --> 00:00:10,760 Speaker 1: Chris Harrison and Lauren Zima coming to you from our 3 00:00:10,760 --> 00:00:15,480 Speaker 1: home office in Austin, Texas, and we're talking about daddies. 4 00:00:17,320 --> 00:00:19,520 Speaker 1: We are talking about old daddies today. 5 00:00:19,680 --> 00:00:22,279 Speaker 2: Oh my gosh, that's gonna be gooking so many different ways. 6 00:00:22,880 --> 00:00:28,800 Speaker 1: Don't call me daddy, Zaddy. We are talking about al Pacino, 7 00:00:29,480 --> 00:00:33,440 Speaker 1: Robert de Niro, new dads, A couple of young new 8 00:00:33,520 --> 00:00:35,120 Speaker 1: dads on the take right now. 9 00:00:35,240 --> 00:00:36,200 Speaker 2: Oh my god. 10 00:00:36,000 --> 00:00:39,400 Speaker 1: These stories have kind of coincided, which is really weird. 11 00:00:39,440 --> 00:00:40,920 Speaker 1: I think part of the story and why this is 12 00:00:40,920 --> 00:00:45,640 Speaker 1: so captivating LZ is they are friends, co stars. Those 13 00:00:45,680 --> 00:00:48,159 Speaker 1: two are kind of synonymous. 14 00:00:47,560 --> 00:00:48,160 Speaker 2: With each other. 15 00:00:48,240 --> 00:00:50,279 Speaker 1: With each other is Hollywood legends. 16 00:00:50,320 --> 00:00:53,040 Speaker 2: Back to the movie Heat, back to that they were, 17 00:00:53,080 --> 00:00:55,840 Speaker 2: you know, both the Godfather series. We both looked at 18 00:00:56,960 --> 00:00:59,600 Speaker 2: they were I don't know how many movies they've done together. 19 00:00:59,640 --> 00:01:02,600 Speaker 2: They just did The Irishman together with March right. 20 00:01:03,200 --> 00:01:07,399 Speaker 1: One of the most legendary cinematic moments was when the 21 00:01:07,440 --> 00:01:09,240 Speaker 1: two of them were in the same scene in the 22 00:01:09,280 --> 00:01:12,600 Speaker 1: movie Heat, and everyone talks about that scene and breaks 23 00:01:12,600 --> 00:01:14,759 Speaker 1: it down. So these two are synonymous with each other. 24 00:01:14,840 --> 00:01:18,840 Speaker 2: They are longtime friends. And look, I've interviewed them both. 25 00:01:18,880 --> 00:01:21,520 Speaker 2: They have a real love for each other. I don't 26 00:01:21,560 --> 00:01:24,399 Speaker 2: know if they intended to do this together, but yes, 27 00:01:24,520 --> 00:01:27,080 Speaker 2: part of what's been grabbing headlines. We talked about Robert 28 00:01:27,080 --> 00:01:28,759 Speaker 2: de Niro, the news that he was going to become 29 00:01:28,760 --> 00:01:32,399 Speaker 2: a dad at seventy nine, and now just then, just 30 00:01:32,400 --> 00:01:34,360 Speaker 2: a few days later, the news dropped that is bal 31 00:01:34,560 --> 00:01:38,080 Speaker 2: Al is going to become a dad at eighty three. 32 00:01:38,200 --> 00:01:40,800 Speaker 2: And actually Al has just weighed in. We're sitting here 33 00:01:40,840 --> 00:01:44,399 Speaker 2: on a Tuesday, and al Pacino has just spoken out 34 00:01:44,440 --> 00:01:47,080 Speaker 2: about the news that he's expecting a baby with his 35 00:01:47,360 --> 00:01:51,280 Speaker 2: twenty nine year old girlfriend twenty nine. He's spoken about 36 00:01:51,280 --> 00:01:53,680 Speaker 2: it for the first time. He told The Daily Meal 37 00:01:53,720 --> 00:01:57,440 Speaker 2: that it is quote very special, he said, it always 38 00:01:57,440 --> 00:02:00,000 Speaker 2: has been. I've got many kids, but this is really 39 00:02:00,280 --> 00:02:02,560 Speaker 2: special and interesting choice of words here, he said, but 40 00:02:02,640 --> 00:02:05,800 Speaker 2: this is really special coming at this time. 41 00:02:06,840 --> 00:02:07,000 Speaker 3: Now. 42 00:02:07,040 --> 00:02:09,840 Speaker 2: I don't know that means like the relationship he's in 43 00:02:09,960 --> 00:02:13,000 Speaker 2: or his age, but I mean, you know, when you 44 00:02:13,040 --> 00:02:15,520 Speaker 2: break it down, it's like this article I'm looking at, 45 00:02:15,520 --> 00:02:17,760 Speaker 2: of course notes his other children, because Al says I've 46 00:02:17,760 --> 00:02:18,600 Speaker 2: got many kids. 47 00:02:19,000 --> 00:02:19,600 Speaker 3: He has. 48 00:02:21,040 --> 00:02:23,880 Speaker 2: Three other kids and one of them is his thirty 49 00:02:23,919 --> 00:02:26,320 Speaker 2: three year old daughter. So he's got a thirty three 50 00:02:26,400 --> 00:02:27,840 Speaker 2: year old daughter and he's having a kid with his 51 00:02:27,880 --> 00:02:28,919 Speaker 2: twenty nine years oldlfriend. 52 00:02:29,280 --> 00:02:33,880 Speaker 1: His daughter is four years older than the baby mama. 53 00:02:33,960 --> 00:02:36,480 Speaker 1: No judgment, No, I'm just trying to get the math right. 54 00:02:36,680 --> 00:02:38,560 Speaker 2: Just math speaks for itselfish. 55 00:02:38,560 --> 00:02:40,480 Speaker 1: I want to chew that up and swallow it and 56 00:02:40,480 --> 00:02:41,480 Speaker 1: think about it for a minute. 57 00:02:42,320 --> 00:02:45,360 Speaker 2: So of course, people have a lot of comments on this, 58 00:02:45,400 --> 00:02:47,440 Speaker 2: and when you and I were talking about the Robert 59 00:02:47,440 --> 00:02:50,760 Speaker 2: De Niro News, you said you felt that becoming a 60 00:02:50,840 --> 00:02:52,560 Speaker 2: dad at this age was very selfish. 61 00:02:52,639 --> 00:02:56,560 Speaker 1: Look, I try to lead with grace and understanding and 62 00:02:56,600 --> 00:03:00,520 Speaker 1: try to not judge and take it all in. From 63 00:03:00,560 --> 00:03:05,160 Speaker 1: my perspective, it just there is a there's a selfish 64 00:03:05,240 --> 00:03:09,560 Speaker 1: element to it when you were that age, just because 65 00:03:09,600 --> 00:03:12,760 Speaker 1: of the percentages that you will not be alive much longer. 66 00:03:12,919 --> 00:03:16,160 Speaker 1: Youish that that is one hundred percent short, you're going 67 00:03:16,240 --> 00:03:16,560 Speaker 1: to die. 68 00:03:16,639 --> 00:03:18,480 Speaker 2: You know what is I'm just kind of realizing as 69 00:03:18,480 --> 00:03:19,960 Speaker 2: we're sitting here talking about this, and I am going 70 00:03:20,040 --> 00:03:22,080 Speaker 2: to get maybe a little emotional for a second, but 71 00:03:22,160 --> 00:03:26,959 Speaker 2: we're bringing two very different perspectives. Because you are obviously parent. 72 00:03:27,160 --> 00:03:29,240 Speaker 2: I am a step parent, but I so I really 73 00:03:29,280 --> 00:03:32,200 Speaker 2: try to defer to you sometimes and know that maybe 74 00:03:32,240 --> 00:03:37,000 Speaker 2: I don't have that blood children of my own perspective, 75 00:03:37,720 --> 00:03:41,080 Speaker 2: but I come at it from the view of my 76 00:03:41,200 --> 00:03:44,040 Speaker 2: dad died suddenly when he was in his early fifties. 77 00:03:44,560 --> 00:03:47,160 Speaker 2: I was in my twenties, my sister was nineteen, my 78 00:03:47,200 --> 00:03:51,440 Speaker 2: brother was fourteen. And I think a silver lining of 79 00:03:51,480 --> 00:03:55,280 Speaker 2: that is that I've looked at parenting as being like, 80 00:03:56,040 --> 00:03:57,800 Speaker 2: at the end of the day, all a kid needs, 81 00:03:58,120 --> 00:04:00,680 Speaker 2: in my mind, is to know that they were loved, 82 00:04:00,840 --> 00:04:03,040 Speaker 2: like to know the love of a parent. And I 83 00:04:03,080 --> 00:04:06,200 Speaker 2: do totally understand if a parent is so old that 84 00:04:05,960 --> 00:04:09,880 Speaker 2: their kid like doesn't remember them, that's not great. But 85 00:04:10,040 --> 00:04:13,320 Speaker 2: I do think that I don't know. I guess I 86 00:04:13,360 --> 00:04:16,359 Speaker 2: think like, if you knew that your parent loved you 87 00:04:16,760 --> 00:04:19,360 Speaker 2: and they gave you a good foundation, that's what's most important. 88 00:04:19,400 --> 00:04:21,920 Speaker 2: I hope Alan Bob are around to give the kids 89 00:04:21,920 --> 00:04:22,440 Speaker 2: a good foundation. 90 00:04:22,520 --> 00:04:23,000 Speaker 3: Rus too. 91 00:04:23,160 --> 00:04:25,120 Speaker 1: Not wishing you all on either one of them. And 92 00:04:25,160 --> 00:04:28,320 Speaker 1: as you said, tomorrow is promised to nobody. There are 93 00:04:28,360 --> 00:04:31,599 Speaker 1: many people listening who lost a parent. Sitting here with Elsie, 94 00:04:31,680 --> 00:04:34,080 Speaker 1: as she just said, lost her dad at a very 95 00:04:34,080 --> 00:04:36,919 Speaker 1: young age. And he was fifty one, and he was young, 96 00:04:37,279 --> 00:04:39,080 Speaker 1: and so he didn't get to go through a lot 97 00:04:39,120 --> 00:04:41,440 Speaker 1: of the steps that he would have dreamt of. That 98 00:04:41,520 --> 00:04:45,160 Speaker 1: I dream of watching your kids, you know, walk across 99 00:04:45,200 --> 00:04:48,240 Speaker 1: the stage, walk down the aisle, et cetera, enjoy their 100 00:04:48,279 --> 00:04:53,039 Speaker 1: first job, and hopefully someday have grandkids. But when you 101 00:04:53,640 --> 00:04:57,080 Speaker 1: are starting this journey at eighty years old, if I 102 00:04:57,160 --> 00:05:01,520 Speaker 1: kind of average their ages together, just you're you're putting 103 00:05:01,520 --> 00:05:04,559 Speaker 1: yourself behind the eight ball in a way that whether 104 00:05:04,680 --> 00:05:08,880 Speaker 1: you do pass die or just you're to the point 105 00:05:08,920 --> 00:05:11,719 Speaker 1: where the kids are changing your diapers and you're no 106 00:05:11,760 --> 00:05:16,600 Speaker 1: longer changing theirs. That's just I don't know. It feels 107 00:05:16,640 --> 00:05:19,080 Speaker 1: like you're you're missing a part of this. And I 108 00:05:19,120 --> 00:05:22,359 Speaker 1: guess the question is why, Like what is the purpose? 109 00:05:23,320 --> 00:05:25,840 Speaker 2: Well, I would imagine the purpose is that their partner 110 00:05:25,839 --> 00:05:27,840 Speaker 2: wants to have a child. I'm right, I don't know. 111 00:05:27,960 --> 00:05:29,760 Speaker 2: Or maybe these guys do want did want to become 112 00:05:29,839 --> 00:05:32,960 Speaker 2: dads again. Maybe they love being parents of new children. 113 00:05:33,000 --> 00:05:36,919 Speaker 2: But you know, Al Pacino's girlfriend's twenty nine, Robert De 114 00:05:37,000 --> 00:05:38,719 Speaker 2: Niro's is I'm going to try to look this up 115 00:05:38,760 --> 00:05:39,960 Speaker 2: again to make sure I get it right. But I 116 00:05:39,960 --> 00:05:45,120 Speaker 2: believe his partners in her forties. And Robert de Niro 117 00:05:45,200 --> 00:05:48,400 Speaker 2: had also spoken out about the news of him expecting 118 00:05:48,400 --> 00:05:50,919 Speaker 2: a baby, and he said, you know that he actually 119 00:05:51,000 --> 00:05:55,320 Speaker 2: now understands family dynamics better as an older dad, and 120 00:05:55,400 --> 00:05:57,680 Speaker 2: so he thinks hester be able to bring what he's 121 00:05:57,760 --> 00:05:58,599 Speaker 2: learned to the table. 122 00:05:58,680 --> 00:06:01,480 Speaker 1: There is a lot of that, you know. I look 123 00:06:01,480 --> 00:06:03,640 Speaker 1: at myself now at fifty one, compared to when I 124 00:06:03,680 --> 00:06:06,520 Speaker 1: started as a dad, when I was thirty. I'm older, wiser, 125 00:06:06,600 --> 00:06:08,920 Speaker 1: I have a lot more life experience. I can give 126 00:06:08,960 --> 00:06:11,480 Speaker 1: my kids a lot better advice than I could back then. 127 00:06:11,880 --> 00:06:14,920 Speaker 1: But I just there was a time in place, and 128 00:06:15,080 --> 00:06:17,200 Speaker 1: I am I get it. I'm a little traditional. I 129 00:06:17,279 --> 00:06:20,040 Speaker 1: was excited to coach little Lee, go to dance recitals, 130 00:06:20,839 --> 00:06:23,919 Speaker 1: be a part of just that active life, be on 131 00:06:23,960 --> 00:06:26,040 Speaker 1: the beach and jump in the waves with my daughter 132 00:06:26,120 --> 00:06:28,360 Speaker 1: and my son. There's a part of life that I 133 00:06:28,400 --> 00:06:32,960 Speaker 1: think it's good to have that young, younger energy. Well, 134 00:06:33,200 --> 00:06:35,760 Speaker 1: and maybe my opinion will change. We have a guest 135 00:06:35,800 --> 00:06:38,320 Speaker 1: on today and that we're going to jump into pretty soon. 136 00:06:38,800 --> 00:06:42,360 Speaker 1: Maybe she will change my perspective. And we wanted a 137 00:06:42,480 --> 00:06:44,080 Speaker 1: very objective view. 138 00:06:44,560 --> 00:06:48,000 Speaker 2: We wanted an objective view. We wanted the information because 139 00:06:48,720 --> 00:06:51,800 Speaker 2: I think this news is raised. It's gotten people talking 140 00:06:51,839 --> 00:06:54,080 Speaker 2: a lot just about parenting in general. I mean, are 141 00:06:54,600 --> 00:06:57,240 Speaker 2: so many like also stories like Nick Cannon having I 142 00:06:57,279 --> 00:07:01,160 Speaker 2: think over a dozen children at this point having babies 143 00:07:01,200 --> 00:07:04,200 Speaker 2: in secret, Elon Musk saying that, you know, he's worried 144 00:07:04,200 --> 00:07:06,680 Speaker 2: about how the birth rate is declining. There's been a 145 00:07:06,720 --> 00:07:10,440 Speaker 2: lot of pop culture celebrity talk about having kids, having 146 00:07:10,520 --> 00:07:12,440 Speaker 2: a lot of kids, and having kids older. 147 00:07:12,200 --> 00:07:15,760 Speaker 1: Lately, freezing eggs and is it tougher to get pregnant. 148 00:07:16,360 --> 00:07:16,920 Speaker 4: So we are. 149 00:07:16,840 --> 00:07:19,640 Speaker 2: Bringing on an expert so that we don't get into 150 00:07:20,480 --> 00:07:23,720 Speaker 2: the armchair birthing. 151 00:07:24,920 --> 00:07:27,840 Speaker 1: I might not be a doctor, I may have played 152 00:07:27,840 --> 00:07:30,680 Speaker 1: one on TV, but I think we need a house call. 153 00:07:30,960 --> 00:07:44,800 Speaker 1: We need a real doctor in the house. Joining us 154 00:07:44,800 --> 00:07:49,200 Speaker 1: now doctor Christine Sterling, at Board certified OBGYN and founder 155 00:07:49,280 --> 00:07:54,160 Speaker 1: of Sterling Parents. There is so much to talk about. 156 00:07:54,200 --> 00:07:56,000 Speaker 1: First of all, doctor Stirling, thank you so much for 157 00:07:56,080 --> 00:08:00,440 Speaker 1: joining us. We are excited to get this professional, objective 158 00:08:00,840 --> 00:08:05,000 Speaker 1: take from a doctor. On first, have you heard about 159 00:08:05,000 --> 00:08:07,720 Speaker 1: the Robert de Niro al Pacino story? 160 00:08:08,760 --> 00:08:09,040 Speaker 5: Yes? 161 00:08:09,160 --> 00:08:13,280 Speaker 1: I have, Yes, Okay, so both gentlemen obviously are having 162 00:08:13,560 --> 00:08:15,240 Speaker 1: children at a very point. 163 00:08:15,000 --> 00:08:17,120 Speaker 3: Out that al Pacino because I just I was doing 164 00:08:17,120 --> 00:08:19,160 Speaker 3: a little more like deeper reading into it all. 165 00:08:19,800 --> 00:08:22,160 Speaker 4: One thing I didn't realize and could be true for 166 00:08:22,320 --> 00:08:23,160 Speaker 4: De Niro as well. 167 00:08:23,320 --> 00:08:27,440 Speaker 3: So Al's eighty three, Bob is seventy nine, I think, yes, 168 00:08:27,720 --> 00:08:33,280 Speaker 3: And al Pacino is now having a child with a 169 00:08:33,320 --> 00:08:39,480 Speaker 3: woman who is younger than his daughter. And so the 170 00:08:39,520 --> 00:08:41,440 Speaker 3: woman he's having a child with is twenty nine. The 171 00:08:41,480 --> 00:08:43,840 Speaker 3: woman Robert de Niro is having his childhood is a 172 00:08:43,840 --> 00:08:47,319 Speaker 3: bit older. I think she's in her forties. And I 173 00:08:47,400 --> 00:08:49,480 Speaker 3: just was like, you know, you start to think of 174 00:08:49,640 --> 00:08:52,960 Speaker 3: Thanksgiving and what it looks like, and I have no judgment, 175 00:08:53,120 --> 00:08:56,000 Speaker 3: Like I'm like, is the more the merrier, all the 176 00:08:56,080 --> 00:09:00,120 Speaker 3: love for a family. But like I mean, doctor, I 177 00:09:00,120 --> 00:09:02,440 Speaker 3: guess first because I have specific questions of course, but 178 00:09:02,480 --> 00:09:05,480 Speaker 3: what's just your initial reaction as a doctor when you 179 00:09:05,559 --> 00:09:09,240 Speaker 3: hear about people men parenting. I don't know that women can, 180 00:09:09,360 --> 00:09:11,960 Speaker 3: but men parents in their seventies and eighties. 181 00:09:12,920 --> 00:09:16,600 Speaker 5: Yeah, I mean, listen what you said I really agree with. 182 00:09:16,720 --> 00:09:19,560 Speaker 5: I mean, it's who am I to really judge, you know, 183 00:09:20,160 --> 00:09:23,360 Speaker 5: But you know, of course, from a medical perspective, there 184 00:09:23,360 --> 00:09:27,280 Speaker 5: are some considerations we have for advanced paternal age, and 185 00:09:27,320 --> 00:09:29,480 Speaker 5: we can definitely dive into some of the things that 186 00:09:30,200 --> 00:09:33,079 Speaker 5: we think about when we hear about a man who's 187 00:09:33,120 --> 00:09:36,480 Speaker 5: having children at a later age, and I think that, 188 00:09:36,559 --> 00:09:38,240 Speaker 5: you know, it's really difficult for me to kind of 189 00:09:38,280 --> 00:09:41,880 Speaker 5: separate out that that doctor self and also that parent self, 190 00:09:42,440 --> 00:09:45,680 Speaker 5: because I mean, I have I have an abundance of 191 00:09:45,720 --> 00:09:49,440 Speaker 5: compassion for all people involved. I just think of myself. 192 00:09:49,559 --> 00:09:52,480 Speaker 5: My greatest fear I'm a mother of free children. My 193 00:09:52,600 --> 00:09:55,560 Speaker 5: greatest fear in the whole world is not being there 194 00:09:55,600 --> 00:09:58,920 Speaker 5: long enough for my kids. You know. It's that loss. 195 00:09:58,960 --> 00:10:02,280 Speaker 5: And so the I just picture, you know, myself being 196 00:10:02,960 --> 00:10:06,120 Speaker 5: the idea of having a child in my eighties would 197 00:10:06,200 --> 00:10:10,480 Speaker 5: just be really jarring because you know that there's a 198 00:10:10,640 --> 00:10:12,280 Speaker 5: very good chance that you're not going to be there 199 00:10:12,280 --> 00:10:12,920 Speaker 5: for that child. 200 00:10:13,240 --> 00:10:14,400 Speaker 4: And this is something. 201 00:10:14,200 --> 00:10:16,319 Speaker 3: Chris and I differ on doc. We talked about it 202 00:10:16,360 --> 00:10:18,199 Speaker 3: a little bit on another podcast when the Robert and 203 00:10:18,240 --> 00:10:21,839 Speaker 3: erom neews broke. I'm like, hey, you know, they got 204 00:10:21,840 --> 00:10:23,840 Speaker 3: the money to take care of these kids, they got 205 00:10:23,840 --> 00:10:24,200 Speaker 3: the love. 206 00:10:24,360 --> 00:10:26,240 Speaker 4: Chris thinks it's very selfish. 207 00:10:26,320 --> 00:10:29,400 Speaker 1: Well, I just think like people will say that, oh yeah, 208 00:10:29,480 --> 00:10:33,360 Speaker 1: they're rich, they have help that doesn't raise a child. 209 00:10:33,480 --> 00:10:37,520 Speaker 1: Money has never raised a child, and they are going 210 00:10:37,600 --> 00:10:40,840 Speaker 1: to be without a parent. Even if they live exponentially 211 00:10:40,880 --> 00:10:43,719 Speaker 1: longer than any other human being, they're still going to 212 00:10:43,800 --> 00:10:47,199 Speaker 1: die fairly young in this child life. Yeah, and money 213 00:10:47,200 --> 00:10:48,880 Speaker 1: won't feel that. And money doesn't. 214 00:10:48,920 --> 00:10:53,319 Speaker 5: Yeah, I mean, I agree. I think, you know, there's 215 00:10:54,440 --> 00:10:58,240 Speaker 5: how we define the person who becomes you know, your 216 00:10:58,320 --> 00:11:02,120 Speaker 5: parent isn't always the person who has contributed the genetic material. 217 00:11:02,600 --> 00:11:05,079 Speaker 5: And so I think that with somebody, you know, particularly 218 00:11:05,120 --> 00:11:07,520 Speaker 5: in the case of Roberts Neiro, this is a twenty 219 00:11:07,600 --> 00:11:12,480 Speaker 5: nine year old woman, the very likely see yeah, sorry, 220 00:11:12,520 --> 00:11:17,200 Speaker 5: with al Pacino, Yeah, the likelihood is that this is 221 00:11:17,280 --> 00:11:20,120 Speaker 5: this is a person who you know, is going to 222 00:11:20,200 --> 00:11:24,120 Speaker 5: have another partner who could potentially, you know, fill that 223 00:11:24,320 --> 00:11:28,800 Speaker 5: fill that role of a parent, because it's very oftentimes 224 00:11:28,920 --> 00:11:31,199 Speaker 5: that the person who does a lot of the parenting 225 00:11:31,320 --> 00:11:34,360 Speaker 5: is not the person who was, you know, the genetic 226 00:11:34,520 --> 00:11:35,720 Speaker 5: biological parent. 227 00:11:36,160 --> 00:11:40,400 Speaker 1: I'm curious. I mean, I'm fifty one, so I know 228 00:11:40,440 --> 00:11:45,080 Speaker 1: it's still viable now, but when I'm seventy nine eighty 229 00:11:45,200 --> 00:11:47,760 Speaker 1: is that do you see a lot of men at 230 00:11:47,760 --> 00:11:49,240 Speaker 1: that age being able to. 231 00:11:50,080 --> 00:11:52,800 Speaker 4: Asking about the quality of the genetic material. 232 00:11:52,880 --> 00:11:56,200 Speaker 1: Are you still firing bullets at eighty years old? You are? 233 00:11:56,559 --> 00:11:59,439 Speaker 5: You are? I mean, it's you know, it's fundamentally the 234 00:12:00,200 --> 00:12:03,800 Speaker 5: production of s sperm is fundamentally different from the production 235 00:12:03,920 --> 00:12:07,679 Speaker 5: of eggs. So so women have our highest number of 236 00:12:07,679 --> 00:12:11,240 Speaker 5: our people who have ovaries have our highest number of eggs. 237 00:12:11,320 --> 00:12:15,360 Speaker 5: Actually when we're in utero, when we are inside you know, 238 00:12:15,559 --> 00:12:16,840 Speaker 5: our mother and you. 239 00:12:16,760 --> 00:12:18,680 Speaker 1: Were born with all the eggs you're ever. 240 00:12:18,559 --> 00:12:22,680 Speaker 5: Going to have, yeah, exactly, whereas sperm is produced throughout 241 00:12:22,760 --> 00:12:26,120 Speaker 5: you know, so so yes, you you know, men can 242 00:12:26,600 --> 00:12:32,040 Speaker 5: potentially you know, impregnant people until their last day on 243 00:12:32,080 --> 00:12:34,160 Speaker 5: this that that is a possibility. 244 00:12:34,200 --> 00:12:37,200 Speaker 1: I mean, my morbid curiosity is, you know, how are 245 00:12:37,240 --> 00:12:38,720 Speaker 1: these children conceived? 246 00:12:41,760 --> 00:12:46,640 Speaker 3: Biac That's my guess, right, Look, I think, Alan, Bob, 247 00:12:46,920 --> 00:12:47,960 Speaker 3: these are guys with sweat. 248 00:12:48,040 --> 00:12:50,320 Speaker 4: I'm not questioning their ability to perform. 249 00:12:50,679 --> 00:12:54,920 Speaker 3: I'm wondering about the quality of the guys, like just 250 00:12:55,480 --> 00:12:57,480 Speaker 3: the quality of creed. 251 00:12:58,160 --> 00:12:59,559 Speaker 4: As men get older. 252 00:12:59,320 --> 00:13:04,080 Speaker 5: You have a wonder we it I mean essentially what 253 00:13:04,120 --> 00:13:07,320 Speaker 5: we because we do see an increase in the risks 254 00:13:07,360 --> 00:13:12,240 Speaker 5: of some genetic conditions and some complications of pregnancy associated 255 00:13:12,280 --> 00:13:14,880 Speaker 5: with advance paternal age, which by the way, is not 256 00:13:15,240 --> 00:13:19,120 Speaker 5: uniformly and universally you know, agreed upon what age is 257 00:13:19,200 --> 00:13:23,160 Speaker 5: truly advanced paternal age. But you know, yes, as we 258 00:13:23,240 --> 00:13:27,600 Speaker 5: get older are our DNA degrades. So we see a 259 00:13:27,760 --> 00:13:32,240 Speaker 5: lot of conditions that are slightly increased or you know, 260 00:13:32,440 --> 00:13:36,240 Speaker 5: significantly increase in men who are having children when they're 261 00:13:36,480 --> 00:13:39,200 Speaker 5: forty enough, certainly forty five and fifty en up. 262 00:13:39,280 --> 00:13:41,280 Speaker 1: Essentially, because we talk a lot about as women get 263 00:13:41,280 --> 00:13:44,840 Speaker 1: older what that means, but it is interesting that the 264 00:13:45,040 --> 00:13:47,400 Speaker 1: opposite of that is what it means when men are older, 265 00:13:47,440 --> 00:13:52,680 Speaker 1: and what are the genetic consequences of that? Very interesting. 266 00:13:52,679 --> 00:13:54,360 Speaker 1: I don't know how much how many of those studies 267 00:13:54,400 --> 00:13:56,640 Speaker 1: have been done to see what the consequences are when 268 00:13:56,640 --> 00:13:57,280 Speaker 1: men are older. 269 00:13:58,000 --> 00:14:00,360 Speaker 5: You know, it's tricky too because a lot of times 270 00:14:00,400 --> 00:14:03,520 Speaker 5: when you have an older father, you also have an 271 00:14:03,559 --> 00:14:06,640 Speaker 5: older mother, so it can be difficult to kind of 272 00:14:06,640 --> 00:14:10,559 Speaker 5: tease out, well, where's the contribution here, But there are 273 00:14:10,640 --> 00:14:14,240 Speaker 5: studies that show, you know, an increased risk of some 274 00:14:14,360 --> 00:14:17,840 Speaker 5: genetic conditions. One of the ones that we know the 275 00:14:17,840 --> 00:14:20,080 Speaker 5: most about that has the most data supporting it something 276 00:14:20,120 --> 00:14:23,680 Speaker 5: called achondroplasia, which is the most common form of dorphism 277 00:14:24,120 --> 00:14:26,920 Speaker 5: that is very clearly linked with advanced paternal age, so 278 00:14:27,040 --> 00:14:32,240 Speaker 5: forty five and up. And then there's there's other genetic conditions. Interestingly, 279 00:14:32,600 --> 00:14:35,760 Speaker 5: actually just stational diabetes, which is a condition of the 280 00:14:35,800 --> 00:14:40,800 Speaker 5: pregnant person is increased when the father or the sperm 281 00:14:40,840 --> 00:14:43,280 Speaker 5: donor is forty five years interesting. 282 00:14:43,840 --> 00:14:46,800 Speaker 3: Yeah, so, Doc, it does seem that there's just an 283 00:14:46,840 --> 00:14:50,280 Speaker 3: irony in this because it's like the younger our bodies are, 284 00:14:50,640 --> 00:14:54,000 Speaker 3: the healthier they are to have kids, but the older 285 00:14:54,040 --> 00:14:58,320 Speaker 3: we are, the better our for having kids. Well, what 286 00:14:58,600 --> 00:15:02,240 Speaker 3: roberts you a GAMD interview and he's spoken and he said, look, 287 00:15:02,280 --> 00:15:04,080 Speaker 3: I do feel at this age. He was kind of 288 00:15:04,080 --> 00:15:05,960 Speaker 3: defending having a kid at this age, and he said, 289 00:15:06,640 --> 00:15:09,400 Speaker 3: I understand the family and dynamics much better than when 290 00:15:09,400 --> 00:15:11,440 Speaker 3: I was a younger parent. Like he was sort of saying, 291 00:15:11,480 --> 00:15:13,040 Speaker 3: I'm kind of more mature now. 292 00:15:14,360 --> 00:15:17,120 Speaker 4: It's funny that they Well, I guess first let's touch 293 00:15:17,160 --> 00:15:17,400 Speaker 4: on this. 294 00:15:17,520 --> 00:15:19,600 Speaker 3: I mean, in your practice, you work very closely with 295 00:15:19,640 --> 00:15:22,120 Speaker 3: your patients, and I know you opened your practice Sterling 296 00:15:22,200 --> 00:15:25,360 Speaker 3: Parents in part to like take more time with patients. 297 00:15:25,920 --> 00:15:28,480 Speaker 3: Do you have any I don't want you to speak 298 00:15:28,480 --> 00:15:30,600 Speaker 3: at you know, you know, give assessions you don't feel 299 00:15:30,600 --> 00:15:33,120 Speaker 3: comfortable with. But what do you think is a good 300 00:15:33,160 --> 00:15:35,960 Speaker 3: age to have kids at? From what you say, Oh gosh, 301 00:15:36,120 --> 00:15:38,560 Speaker 3: is that But it's a really tough question, it is. 302 00:15:38,960 --> 00:15:43,000 Speaker 5: But I truly believe that that answer is different for everybody. 303 00:15:43,720 --> 00:15:47,760 Speaker 5: For you know, for women, for the people who are 304 00:15:47,800 --> 00:15:52,560 Speaker 5: carrying the pregnancy. There is a real kind of range 305 00:15:52,800 --> 00:15:58,080 Speaker 5: where it is it's you know, it becomes a little 306 00:15:58,120 --> 00:16:02,560 Speaker 5: bit less safe for us most because of the cardiovascular 307 00:16:02,760 --> 00:16:07,000 Speaker 5: load of pregnancy. And interestingly, we see an increased risk 308 00:16:07,080 --> 00:16:10,040 Speaker 5: and complications for young patients. So when we when we 309 00:16:10,080 --> 00:16:14,800 Speaker 5: look at you know, teenagers and unfortunately sometimes even younger 310 00:16:14,800 --> 00:16:17,880 Speaker 5: than that, we see an increased risk of complications. And 311 00:16:17,920 --> 00:16:20,600 Speaker 5: then when we get to the other end of the spectrum, 312 00:16:20,640 --> 00:16:24,040 Speaker 5: when we get older, we see an increased risk and complications. 313 00:16:24,080 --> 00:16:27,880 Speaker 5: And you know, most I'm not an infertility specialist, but 314 00:16:27,960 --> 00:16:32,320 Speaker 5: most infertility specialists have cut a cutoff for the age 315 00:16:32,360 --> 00:16:34,800 Speaker 5: that they will not go beyond to get a person pregnant, 316 00:16:34,840 --> 00:16:39,000 Speaker 5: and usually that's you know, in the fifties. So I 317 00:16:39,040 --> 00:16:43,040 Speaker 5: believe the oldest person who's ever been impregnated through in 318 00:16:43,120 --> 00:16:46,560 Speaker 5: vitro fertilization was in This was in their sixties, but 319 00:16:46,600 --> 00:16:51,120 Speaker 5: I believe they had falsified some documents to to you know, 320 00:16:51,160 --> 00:16:52,000 Speaker 5: appear younger. 321 00:16:52,800 --> 00:16:54,400 Speaker 4: It's older than I doubt it was going to be. 322 00:16:54,480 --> 00:16:54,600 Speaker 3: Well. 323 00:16:54,640 --> 00:16:57,880 Speaker 1: And I'm sure the spectrum, right, there's a spectrum, and 324 00:16:57,920 --> 00:17:01,760 Speaker 1: I'm sure that spectrum has light and slid a little bit, 325 00:17:01,840 --> 00:17:05,000 Speaker 1: because our life expectancy is much even just since the 326 00:17:05,040 --> 00:17:08,680 Speaker 1: fifties and sixties or whatever, since my parents were having children, 327 00:17:08,960 --> 00:17:11,320 Speaker 1: It's changed dramatically just in that amount of time. We're 328 00:17:11,320 --> 00:17:15,239 Speaker 1: living longer, we're healthier longer. So I'm sure it is 329 00:17:15,280 --> 00:17:17,439 Speaker 1: that gap is widened and it moves a little bit. 330 00:17:18,240 --> 00:17:21,480 Speaker 5: Yeah, And you know, if it wasn't for if it 331 00:17:21,560 --> 00:17:25,520 Speaker 5: wasn't for the fact that that pregnancy is such a uh, 332 00:17:26,240 --> 00:17:30,359 Speaker 5: you know, such a physiologic load on the person who's pregnant. 333 00:17:30,720 --> 00:17:33,560 Speaker 5: You know, I don't think that there's anything necessarily wrong 334 00:17:33,720 --> 00:17:36,800 Speaker 5: with having kids in your in your in your fifties, 335 00:17:36,920 --> 00:17:42,280 Speaker 5: but for the person who's pregnant, you know, the cardiovascular 336 00:17:42,359 --> 00:17:46,120 Speaker 5: risk is significant in your fifties. As you know, our 337 00:17:46,440 --> 00:17:49,879 Speaker 5: research and our you know, our medic our medicine advances, 338 00:17:50,119 --> 00:17:53,520 Speaker 5: you know, these are potentially things that we could address. 339 00:17:54,040 --> 00:17:58,040 Speaker 3: Okay, so doctor, certainly, Bob, now I'm really giving them that. 340 00:17:58,160 --> 00:18:01,240 Speaker 3: It makes them ide both before, so maybe I feel like. 341 00:18:01,160 --> 00:18:01,399 Speaker 4: I have. 342 00:18:03,000 --> 00:18:06,399 Speaker 3: I think this is especially making havelines because obviously they 343 00:18:06,440 --> 00:18:08,520 Speaker 3: know each other, they're co stars, but they are both 344 00:18:08,640 --> 00:18:10,800 Speaker 3: now having kids at this late age in life. 345 00:18:11,400 --> 00:18:14,520 Speaker 4: Is this becoming more common? Are you seeing older parents 346 00:18:14,560 --> 00:18:15,560 Speaker 4: in your clinics? 347 00:18:15,600 --> 00:18:19,680 Speaker 3: And have you seen any any papa bears in their 348 00:18:19,720 --> 00:18:20,680 Speaker 3: seventies and eighties? 349 00:18:21,520 --> 00:18:26,640 Speaker 5: So I personally have not had any uh baby daddies, 350 00:18:27,040 --> 00:18:29,520 Speaker 5: any fathers of parents you know, in their in their 351 00:18:29,560 --> 00:18:33,320 Speaker 5: seventies and eighties. It's so it's, you know, and it's 352 00:18:33,320 --> 00:18:36,359 Speaker 5: not going to be that common. It's it's possible, but 353 00:18:36,440 --> 00:18:39,880 Speaker 5: it's not going to be that common, right, But certainly 354 00:18:39,920 --> 00:18:42,840 Speaker 5: we're seeing older parents, and I mean it makes sense. 355 00:18:42,920 --> 00:18:46,200 Speaker 5: I mean it is very you know, it is very difficult, 356 00:18:46,600 --> 00:18:49,399 Speaker 5: especially in the in the United States, you know, in 357 00:18:49,560 --> 00:18:54,040 Speaker 5: with our economy and the difficulties with how expensive childcare 358 00:18:54,240 --> 00:18:57,240 Speaker 5: is and how expensive schooling is and all of these things. 359 00:18:57,240 --> 00:19:00,480 Speaker 5: Like you you essentially have to have a two income 360 00:19:00,560 --> 00:19:04,679 Speaker 5: household of like you know, of people doing really well 361 00:19:05,040 --> 00:19:09,040 Speaker 5: to really feel like you can take care of children 362 00:19:09,280 --> 00:19:12,520 Speaker 5: with ease when you're not struggling to pay the bill. 363 00:19:12,640 --> 00:19:14,840 Speaker 1: It's harder to establish your own life as a married 364 00:19:14,880 --> 00:19:17,879 Speaker 1: couple now buying that first house, getting set up before 365 00:19:17,920 --> 00:19:20,000 Speaker 1: you ever feel like you could bring a human being 366 00:19:20,040 --> 00:19:23,040 Speaker 1: into this. Yeah, it's definitely pushed. It's kicked the can 367 00:19:23,160 --> 00:19:24,320 Speaker 1: down the road for quite some time. 368 00:19:24,400 --> 00:19:24,520 Speaker 3: Man. 369 00:19:24,560 --> 00:19:27,959 Speaker 1: I think there is just a general maybe I'd love 370 00:19:28,000 --> 00:19:29,840 Speaker 1: to ask you maybe there is a general thinking too 371 00:19:29,920 --> 00:19:33,800 Speaker 1: of just the younger generation of not getting married, not 372 00:19:33,840 --> 00:19:35,560 Speaker 1: having kids like we did when. 373 00:19:35,400 --> 00:19:37,720 Speaker 5: We're oh yeah, we're seeing that in the data, we 374 00:19:37,760 --> 00:19:41,080 Speaker 5: are seeing that people are having less children. And I 375 00:19:41,080 --> 00:19:43,920 Speaker 5: think it's just a result of one, you know, social 376 00:19:43,960 --> 00:19:46,679 Speaker 5: media and podcasts like this and all of that, Like 377 00:19:46,720 --> 00:19:49,000 Speaker 5: the word has kind of gotten out about the reality 378 00:19:49,040 --> 00:19:51,200 Speaker 5: of parenting and how difficult it can be. 379 00:19:51,520 --> 00:19:55,919 Speaker 4: That's interesting. People are scared, we know the truth now. 380 00:19:57,160 --> 00:19:59,399 Speaker 5: And the financial stress. And I think that there's a 381 00:19:59,400 --> 00:20:02,680 Speaker 5: lot of young people who are looking at the reality 382 00:20:02,680 --> 00:20:04,960 Speaker 5: of parenting and not just like the the you know, 383 00:20:05,119 --> 00:20:09,159 Speaker 5: the beautiful family life that's depicted you know on some 384 00:20:09,320 --> 00:20:11,560 Speaker 5: you know, the older television shows and all of that, 385 00:20:11,600 --> 00:20:14,120 Speaker 5: and they're they're seeing like the reality of care. 386 00:20:14,240 --> 00:20:16,159 Speaker 1: We all just watched The Brady Bunch Leave It to 387 00:20:16,200 --> 00:20:19,840 Speaker 1: Beaver and Write and saw Norman Rockwell paintings and thought, yeah, 388 00:20:19,880 --> 00:20:23,160 Speaker 1: this is great. Thank god Nick Cannon is helping populate 389 00:20:23,200 --> 00:20:26,160 Speaker 1: the world. Though it's okay. He just had baby number 390 00:20:26,160 --> 00:20:28,600 Speaker 1: forty five while we were podcast. 391 00:20:29,920 --> 00:20:32,760 Speaker 3: Well, actually, my mom actually used to say, my mom 392 00:20:32,800 --> 00:20:35,800 Speaker 3: hadn't you when she was thirty, and she said she 393 00:20:35,960 --> 00:20:39,400 Speaker 3: felt like she waited, But she also said if I'd 394 00:20:39,480 --> 00:20:40,600 Speaker 3: known the reality, I. 395 00:20:40,600 --> 00:20:41,639 Speaker 4: Would have waited longer. 396 00:20:41,760 --> 00:20:44,600 Speaker 3: She's told me that several times, like saying, I didn't 397 00:20:44,640 --> 00:20:46,520 Speaker 3: really you think you know how hard it's going to be, 398 00:20:46,600 --> 00:20:49,080 Speaker 3: but you don't really know. So maybe there is more 399 00:20:49,119 --> 00:20:53,120 Speaker 3: awareness of more people sharing the difficulty of like those 400 00:20:53,200 --> 00:20:54,800 Speaker 3: early years and those sleepless nights. 401 00:20:54,800 --> 00:20:57,719 Speaker 1: And she's been scary not to scare more people, doctor Stirling. 402 00:20:57,800 --> 00:21:00,280 Speaker 1: But I seem to be hearing more. It might be 403 00:21:00,359 --> 00:21:03,879 Speaker 1: social media, so we hear more of everything. Yeah, people 404 00:21:03,920 --> 00:21:09,679 Speaker 1: having difficulty getting pregnant, conceiving. Yeah, and I hear if 405 00:21:09,720 --> 00:21:14,040 Speaker 1: I'm not mistaken, it has to do with men in 406 00:21:14,119 --> 00:21:15,879 Speaker 1: our potency has dipped. 407 00:21:16,880 --> 00:21:19,880 Speaker 5: Well, you know I don't. First of all, we are 408 00:21:19,960 --> 00:21:24,520 Speaker 5: seeing an increase in the overall you know, uh, rates 409 00:21:24,520 --> 00:21:28,880 Speaker 5: of infertility, but that's because people are attempting to get 410 00:21:28,920 --> 00:21:33,280 Speaker 5: pregnant later than ever before, So that's not really a surprise. 411 00:21:33,440 --> 00:21:38,080 Speaker 5: And we see these decline. The decline is much you know, 412 00:21:38,119 --> 00:21:42,639 Speaker 5: it's much more drastic essentially for women, for people with 413 00:21:42,680 --> 00:21:47,359 Speaker 5: ovaries in the you know, in that kind of in 414 00:21:47,440 --> 00:21:50,720 Speaker 5: those the decade of the thirties, right, we see that 415 00:21:50,880 --> 00:21:53,360 Speaker 5: starting at thirty, we start to see those numbers kind 416 00:21:53,359 --> 00:21:57,040 Speaker 5: of creep up, unfortunately. And we also see that you know, 417 00:21:57,720 --> 00:21:59,840 Speaker 5: the same thing and men, but it's it's a little 418 00:21:59,840 --> 00:22:03,879 Speaker 5: bit later in life and it isn't quite as drastic. 419 00:22:04,440 --> 00:22:10,800 Speaker 5: So but yes, infertility can be either caused by you know, 420 00:22:10,840 --> 00:22:13,160 Speaker 5: the man or the woman, or it can be a combination. 421 00:22:14,119 --> 00:22:17,120 Speaker 3: I do feel like not just infertility, and I yeah, 422 00:22:17,160 --> 00:22:19,040 Speaker 3: maybe doctor you can speak to some data on this, 423 00:22:19,160 --> 00:22:22,040 Speaker 3: or if it's just more awareness, you know, I love 424 00:22:22,160 --> 00:22:24,760 Speaker 3: that people share so people don't feel isolated and alone 425 00:22:24,800 --> 00:22:27,000 Speaker 3: when they go through fertility struggles and when they have 426 00:22:27,119 --> 00:22:29,000 Speaker 3: miscarriages and pregnancy losses. 427 00:22:29,560 --> 00:22:31,480 Speaker 4: Is that increasing? 428 00:22:31,800 --> 00:22:34,520 Speaker 3: Are pregnancy losses in cases of that increasing or do 429 00:22:34,560 --> 00:22:37,000 Speaker 3: you think it just feels that way because people are 430 00:22:37,040 --> 00:22:38,240 Speaker 3: open and sharing it. 431 00:22:38,200 --> 00:22:43,400 Speaker 5: More so when we look at like the miscarriage rate 432 00:22:43,680 --> 00:22:48,000 Speaker 5: at for a particular age. No, it's not increasing, but 433 00:22:48,080 --> 00:22:51,800 Speaker 5: we are seeing people getting pregnant later, and we know that. 434 00:22:52,280 --> 00:22:54,600 Speaker 5: So one of the things that one of the risks 435 00:22:54,600 --> 00:22:57,560 Speaker 5: that increases with age is the risk of chromosomal undermatic 436 00:22:57,680 --> 00:23:01,200 Speaker 5: things like Down syndrome. Okay, and if you are pregnant 437 00:23:01,320 --> 00:23:03,480 Speaker 5: and you have a baby or a fetus that has 438 00:23:03,520 --> 00:23:06,240 Speaker 5: Down syndrome, the risk of pregnancy loss is higher in 439 00:23:06,280 --> 00:23:10,359 Speaker 5: those pregnancies. So we are seeing as you get older, 440 00:23:10,440 --> 00:23:13,959 Speaker 5: your risk of pregnancy loss increases. There is some data 441 00:23:14,040 --> 00:23:18,359 Speaker 5: that pregnancy loss may be associated with paternal age as well, 442 00:23:18,400 --> 00:23:22,159 Speaker 5: but that data isn't isn't as you know, across the board. 443 00:23:22,359 --> 00:23:23,800 Speaker 5: We don't see it across the board in all of 444 00:23:23,840 --> 00:23:27,200 Speaker 5: the studies, so it's a little bit mixed. But so yes, 445 00:23:27,440 --> 00:23:30,359 Speaker 5: as we as we get pregnant older, we are going 446 00:23:30,400 --> 00:23:32,720 Speaker 5: to see it increase risk of pregnancy loss. And so 447 00:23:32,760 --> 00:23:37,679 Speaker 5: I think that's part of the picture. But also very clearly, 448 00:23:37,720 --> 00:23:39,920 Speaker 5: even in the time that I've been in obigu An 449 00:23:39,920 --> 00:23:43,639 Speaker 5: I've been at Obijuan since twenty twelve, the awareness of 450 00:23:43,720 --> 00:23:48,640 Speaker 5: pregnancy loss has really really increased, and so I think 451 00:23:48,680 --> 00:23:50,880 Speaker 5: that it's it's both things are happening well. 452 00:23:50,960 --> 00:23:53,280 Speaker 3: So a lot of this has to do with age, 453 00:23:53,280 --> 00:23:55,439 Speaker 3: even more than I realize, because it's like that for 454 00:23:55,800 --> 00:23:58,760 Speaker 3: everybody's if you're trying to get pregnant, grow older, you're 455 00:23:58,800 --> 00:24:01,440 Speaker 3: seeing the in fertility struggles where you're seeing miscarriage more 456 00:24:01,640 --> 00:24:03,119 Speaker 3: and people are getting. 457 00:24:03,160 --> 00:24:05,000 Speaker 1: It makes sense if we're if we're if we're sliding 458 00:24:05,040 --> 00:24:08,840 Speaker 1: that scale down when you know, women have the most eggs, 459 00:24:08,840 --> 00:24:10,879 Speaker 1: men are the most fertile, and we slide both of 460 00:24:10,880 --> 00:24:13,960 Speaker 1: those people down, obviously the window closes a little bit. 461 00:24:14,000 --> 00:24:16,840 Speaker 1: I'm I'm curious. You know, we've mentioned social media a 462 00:24:16,880 --> 00:24:19,400 Speaker 1: few times and just so much information out there as 463 00:24:19,480 --> 00:24:21,520 Speaker 1: nob G y N. And you've been doing this, as 464 00:24:21,560 --> 00:24:23,600 Speaker 1: you said, since twenty twelve, so the last you know, 465 00:24:23,680 --> 00:24:27,800 Speaker 1: eleven years a pretty big time of social media exploding. 466 00:24:28,200 --> 00:24:33,960 Speaker 1: Have you seen to the detriment as a doctor, people 467 00:24:34,040 --> 00:24:37,639 Speaker 1: just getting you know, wild ideas off social media, on 468 00:24:38,160 --> 00:24:42,600 Speaker 1: having kids, getting pregnant or self cures off the internet 469 00:24:42,640 --> 00:24:45,880 Speaker 1: that you're like, whoa, WHOA, whoa, Please come to a doctor. 470 00:24:46,920 --> 00:24:50,400 Speaker 5: Yes, definitely. And I think the reality is is that 471 00:24:50,840 --> 00:24:54,200 Speaker 5: you know, our social media is a tool, and there 472 00:24:54,200 --> 00:24:56,360 Speaker 5: are some ways. You know, I'm on social media, I'm 473 00:24:56,359 --> 00:24:59,000 Speaker 5: on TikTok and Instagram, I'm educating there and in some 474 00:24:59,160 --> 00:25:04,240 Speaker 5: ways it has done so much good. Okay, but yes, 475 00:25:04,400 --> 00:25:08,760 Speaker 5: there is a lot of misinformation on these apps and 476 00:25:08,840 --> 00:25:13,000 Speaker 5: it can really increase people's fears. And you know, it's 477 00:25:13,000 --> 00:25:16,800 Speaker 5: not just about pure misinformation, but it's about how we 478 00:25:16,840 --> 00:25:19,920 Speaker 5: talk about things. You know, we've you know, in this conversation, 479 00:25:20,000 --> 00:25:22,320 Speaker 5: we have talked a lot about the risks of getting 480 00:25:22,400 --> 00:25:27,080 Speaker 5: older as a parent and getting older as you you know, 481 00:25:27,119 --> 00:25:29,560 Speaker 5: attempt to get pregnant. But the reality is is that 482 00:25:29,560 --> 00:25:33,560 Speaker 5: there are also benefits to being advanced maternal age, to 483 00:25:33,640 --> 00:25:36,359 Speaker 5: being older when you get pregnant, so and having your 484 00:25:36,440 --> 00:25:38,680 Speaker 5: children at a later age. And so that's the thing 485 00:25:38,680 --> 00:25:43,240 Speaker 5: about social media is even when the information is good information, 486 00:25:43,359 --> 00:25:46,600 Speaker 5: at your information, you're only getting a little slice of 487 00:25:46,640 --> 00:25:49,960 Speaker 5: the pie, right, And so it's about kind of being 488 00:25:50,000 --> 00:25:54,080 Speaker 5: able to get educated in a way that allows for nuance, 489 00:25:54,119 --> 00:26:00,200 Speaker 5: allows you to really understand the full picture of an issue. 490 00:26:09,280 --> 00:26:12,919 Speaker 3: On that note, one, are there any misconceptions that you 491 00:26:13,000 --> 00:26:15,800 Speaker 3: constantly see as novgyn that you would like to clear 492 00:26:15,880 --> 00:26:17,760 Speaker 3: up here and now, things that pop in your head, 493 00:26:17,800 --> 00:26:20,520 Speaker 3: like the top two or three, and then before I 494 00:26:20,560 --> 00:26:22,640 Speaker 3: forget but two, we'll come back to Like, I would 495 00:26:22,680 --> 00:26:24,680 Speaker 3: love to hear what some of those positive things are 496 00:26:25,040 --> 00:26:26,119 Speaker 3: of being an older. 497 00:26:25,880 --> 00:26:28,200 Speaker 4: Parent, because I will say, I mean, I'm a millenniine 498 00:26:28,240 --> 00:26:28,760 Speaker 4: thirty five. 499 00:26:29,320 --> 00:26:32,000 Speaker 3: So many of my friends have done exactly what we're 500 00:26:32,040 --> 00:26:33,840 Speaker 3: talking about right now their career women. 501 00:26:33,920 --> 00:26:35,800 Speaker 4: They are doctors, lawyers, and. 502 00:26:35,960 --> 00:26:38,800 Speaker 3: Teachers, and a lot of them have waited until this 503 00:26:38,960 --> 00:26:41,879 Speaker 3: time to have kids, or they've frozen their eggs, and 504 00:26:42,560 --> 00:26:44,399 Speaker 3: so I just feel like this is a conversation I 505 00:26:44,440 --> 00:26:46,880 Speaker 3: have all the time in a way of like being 506 00:26:46,920 --> 00:26:48,520 Speaker 3: scared and being afraid and being worried. 507 00:26:48,560 --> 00:26:50,280 Speaker 4: I'd love to hear some of the positives. 508 00:26:50,560 --> 00:26:51,800 Speaker 1: Yeah you wait, and good job. 509 00:26:51,880 --> 00:26:54,280 Speaker 4: But yeah, so first anything you want to clear up. 510 00:26:55,080 --> 00:26:58,040 Speaker 5: Yeah, I think it's really really important to understand that 511 00:26:58,160 --> 00:27:01,480 Speaker 5: age is only one factor in the whole fertility discussion. 512 00:27:02,200 --> 00:27:06,160 Speaker 5: There are a lot of people who attempt to get 513 00:27:06,200 --> 00:27:10,240 Speaker 5: pregnant at twenty eight, twenty nine and really struggle to conceive, 514 00:27:10,440 --> 00:27:12,640 Speaker 5: and everybody in their life is telling them, you're young, 515 00:27:12,680 --> 00:27:15,520 Speaker 5: it's not going to be a problem. So age is 516 00:27:15,600 --> 00:27:18,560 Speaker 5: just one factor. There are many causes of infertility, and 517 00:27:18,600 --> 00:27:20,880 Speaker 5: I think we oftentimes lead out the people who are 518 00:27:20,880 --> 00:27:24,760 Speaker 5: supposedly young who are are unable to get pregnant. So 519 00:27:24,800 --> 00:27:29,280 Speaker 5: there's that, and then the other thing is I think 520 00:27:29,320 --> 00:27:33,520 Speaker 5: egg freezing and potentially embryo freezing, which is when you 521 00:27:34,040 --> 00:27:40,080 Speaker 5: freeze an embryo, are really great ways to potentially preserve 522 00:27:40,240 --> 00:27:42,880 Speaker 5: your fertility. But I think a lot of people think 523 00:27:42,920 --> 00:27:46,880 Speaker 5: that that is a one hundred percent like that's that's 524 00:27:46,880 --> 00:27:48,960 Speaker 5: what you need to do, and it's not one hundred percent. 525 00:27:49,480 --> 00:27:52,920 Speaker 5: So it's clear that doing you know, if you're going 526 00:27:52,960 --> 00:27:55,880 Speaker 5: to freeze your eggs, doing so as you know, as 527 00:27:55,920 --> 00:27:58,440 Speaker 5: young as possible is going to help you get the 528 00:27:58,520 --> 00:28:03,720 Speaker 5: highest yield of eggs, but it's not one hundred percent guarantee. 529 00:28:03,760 --> 00:28:05,800 Speaker 5: And I think a lot of people are surprised when 530 00:28:05,800 --> 00:28:07,639 Speaker 5: they go back and they're like, Okay, I'm you know, 531 00:28:07,680 --> 00:28:10,480 Speaker 5: I'm forty two, I'm now ready to get pregnant, and 532 00:28:10,960 --> 00:28:14,280 Speaker 5: they're not able to use their own eggs. 533 00:28:13,480 --> 00:28:16,960 Speaker 3: Oh so, you know, Courtney Kardashian was just talking about 534 00:28:16,960 --> 00:28:20,760 Speaker 3: this on The Kardashians New season. She said, I froze 535 00:28:20,800 --> 00:28:22,800 Speaker 3: my eggs and I think she said only one of 536 00:28:22,840 --> 00:28:25,960 Speaker 3: them survived, and that was shocking to me. I did 537 00:28:25,960 --> 00:28:27,800 Speaker 3: not understand that at all. I thought it was kind 538 00:28:27,840 --> 00:28:30,080 Speaker 3: of you frozen, they unfreeze. It's like go on a steak, 539 00:28:30,119 --> 00:28:33,399 Speaker 3: You're good to go. So what is the percentage? 540 00:28:33,440 --> 00:28:33,600 Speaker 4: Then? 541 00:28:34,320 --> 00:28:34,520 Speaker 1: You know? 542 00:28:34,600 --> 00:28:36,960 Speaker 5: I actually I'm not a fertility specialist, so I don't 543 00:28:36,960 --> 00:28:39,680 Speaker 5: know that percentage off the top of my head, but 544 00:28:40,400 --> 00:28:44,480 Speaker 5: it's it's certainly not one hundred percent, so you want 545 00:28:44,520 --> 00:28:47,080 Speaker 5: to And one thing we do know is that you 546 00:28:47,080 --> 00:28:49,600 Speaker 5: can freeze your eggs, but you can also freeze embryos, 547 00:28:49,760 --> 00:28:53,560 Speaker 5: and the yield is oftentimes higher with embryos. So if 548 00:28:53,600 --> 00:28:58,320 Speaker 5: you know who your partner is, oftentimes a fertility specialist 549 00:28:58,400 --> 00:29:00,520 Speaker 5: will recommend let's not just freeze your eg but let's 550 00:29:00,560 --> 00:29:02,080 Speaker 5: also free some embryos as well. 551 00:29:02,280 --> 00:29:03,640 Speaker 4: We'll bring it back to pop culture. 552 00:29:03,680 --> 00:29:05,200 Speaker 3: I mean, I don't know how familiar are with the 553 00:29:05,240 --> 00:29:08,920 Speaker 3: scandal all doctor, but thank god Arian and vander Pump 554 00:29:09,040 --> 00:29:11,560 Speaker 3: rules she was going to have Tom's hand of all 555 00:29:11,920 --> 00:29:14,800 Speaker 3: fertilize her embryos. And thank god, as we've discovered his 556 00:29:14,960 --> 00:29:18,680 Speaker 3: cheating with her friends, she did not so partner wisely. 557 00:29:18,520 --> 00:29:23,600 Speaker 5: Right, yes, and that becomes a whole ethical legal issue. 558 00:29:23,680 --> 00:29:26,320 Speaker 5: And there's been cases where you know, this is this 559 00:29:26,480 --> 00:29:30,200 Speaker 5: person's they only have frozen embryos. They are not able to, 560 00:29:30,520 --> 00:29:33,760 Speaker 5: you know, to otherwise have their own biological child, but 561 00:29:33,840 --> 00:29:35,880 Speaker 5: they are no longer with that person, so it can 562 00:29:35,920 --> 00:29:37,120 Speaker 5: become quite messy. 563 00:29:37,280 --> 00:29:41,400 Speaker 1: I'm curious with women having children later in life, which, 564 00:29:41,400 --> 00:29:43,120 Speaker 1: as you said, it's not necessarily a good thing or 565 00:29:43,160 --> 00:29:46,520 Speaker 1: a bad thing, but it also closes that gap to menopause. 566 00:29:47,800 --> 00:29:50,200 Speaker 1: And have you seen in your patients, because I'm sure 567 00:29:50,240 --> 00:29:52,880 Speaker 1: obviously you're in obgu am. So you take their their 568 00:29:52,920 --> 00:29:56,440 Speaker 1: health all the way through the effects of that and 569 00:29:56,520 --> 00:29:59,720 Speaker 1: that that quick step from becoming a mom into that 570 00:29:59,720 --> 00:30:01,840 Speaker 1: next stage of life. Yeah. 571 00:30:01,840 --> 00:30:04,760 Speaker 5: So the average age of menopause is fifty one, but 572 00:30:05,000 --> 00:30:08,240 Speaker 5: a lot of people are starting to experience some of 573 00:30:08,280 --> 00:30:13,560 Speaker 5: the pre menopausitive symptoms in sometimes even the early forties, 574 00:30:13,600 --> 00:30:16,160 Speaker 5: but oftentimes by the mid to late forties are starting 575 00:30:16,160 --> 00:30:18,280 Speaker 5: to experience some of those symptoms. And obviously, with an 576 00:30:18,280 --> 00:30:21,200 Speaker 5: average age of menopause of fifty one, there's a lot 577 00:30:21,200 --> 00:30:23,880 Speaker 5: of people who are below that age. So yeah, it 578 00:30:23,880 --> 00:30:26,840 Speaker 5: can be quite an interesting experience to go from Okay, 579 00:30:26,880 --> 00:30:30,000 Speaker 5: I had my last child at forty three, and then 580 00:30:30,320 --> 00:30:32,760 Speaker 5: the next year or you know, two years later, here 581 00:30:32,800 --> 00:30:34,840 Speaker 5: I am and I'm having menopause symptoms or. 582 00:30:34,840 --> 00:30:39,680 Speaker 1: I guess even simultaneous for some Yeah, I mean go 583 00:30:39,760 --> 00:30:40,360 Speaker 1: hand in hand. 584 00:30:41,000 --> 00:30:44,960 Speaker 5: Yes, I mean, if you're using assisted reproduction, you you know, 585 00:30:45,240 --> 00:30:48,640 Speaker 5: you certainly could have your child and then that could 586 00:30:48,640 --> 00:30:50,920 Speaker 5: be you know, that could be the end of your 587 00:30:50,920 --> 00:30:51,680 Speaker 5: cycle after that. 588 00:30:51,960 --> 00:30:54,560 Speaker 3: Okay, So doctor you said there were some positive things 589 00:30:54,560 --> 00:30:55,959 Speaker 3: about yeah, your parents. 590 00:30:56,000 --> 00:30:58,240 Speaker 4: What are something that would share? Now? 591 00:30:58,280 --> 00:31:01,040 Speaker 5: First of all, I am an older parent, Okay, so 592 00:31:01,120 --> 00:31:07,240 Speaker 5: I have had advanced maternal age pregnancies. I really think 593 00:31:07,280 --> 00:31:10,240 Speaker 5: that there's a lot of you know, benefits just from 594 00:31:10,240 --> 00:31:13,720 Speaker 5: my personal experience, but also the data shows that there's benefits. 595 00:31:13,720 --> 00:31:17,160 Speaker 5: So we see that children of older parents are healthier, 596 00:31:17,680 --> 00:31:20,680 Speaker 5: they do better in school, and they have fewer social, emotional, 597 00:31:20,760 --> 00:31:24,640 Speaker 5: and behavioral issues. And we also see some benefits for 598 00:31:24,760 --> 00:31:29,080 Speaker 5: the pregnant person. So we see that people who you know, 599 00:31:29,160 --> 00:31:33,840 Speaker 5: that the pregnancy after thirty five is associated with longer lives, longevity, 600 00:31:34,200 --> 00:31:38,880 Speaker 5: and we also see that improved memory and cognitive scores 601 00:31:39,200 --> 00:31:41,920 Speaker 5: post menopause if you had your children later in life. 602 00:31:42,440 --> 00:31:45,680 Speaker 5: So there's there's very clearly benefits, and that's that there's 603 00:31:45,720 --> 00:31:48,240 Speaker 5: a reason why people delay child bearing, so that you 604 00:31:48,240 --> 00:31:51,960 Speaker 5: can have, you know, the economic stability, the career stability, 605 00:31:52,000 --> 00:31:53,440 Speaker 5: and also the emotional maturity. 606 00:31:54,120 --> 00:31:56,880 Speaker 1: I mean, look our perspective, my perspective when I started 607 00:31:56,920 --> 00:31:58,920 Speaker 1: as a dad at twenty nine, at my perspective now 608 00:31:58,920 --> 00:32:01,680 Speaker 1: at fifty one, is one hundred and eighty degree different. 609 00:32:01,760 --> 00:32:04,600 Speaker 3: I mean it's you're kind of this example of because 610 00:32:04,640 --> 00:32:07,400 Speaker 3: your parents had you at nineteen and twenty and then 611 00:32:07,400 --> 00:32:09,320 Speaker 3: you had your own kids starting in your thirties, and 612 00:32:09,360 --> 00:32:11,040 Speaker 3: you look back at like even just what a difference 613 00:32:11,080 --> 00:32:11,520 Speaker 3: that was. 614 00:32:11,760 --> 00:32:13,960 Speaker 1: Yeah, I mean my mom started having children when she 615 00:32:14,040 --> 00:32:15,880 Speaker 1: was eighteen and had me when she was twenty, and 616 00:32:15,920 --> 00:32:18,640 Speaker 1: so you know, I vividly remember my mom turning thirty 617 00:32:19,800 --> 00:32:22,479 Speaker 1: I was I was ten eleven years old, and my 618 00:32:22,480 --> 00:32:25,480 Speaker 1: brother was twelve for crying out loud, so you know, 619 00:32:25,520 --> 00:32:27,880 Speaker 1: we were essentially at the same age as we all 620 00:32:27,920 --> 00:32:31,880 Speaker 1: went to college together. So it was there's benefits to that. 621 00:32:32,440 --> 00:32:35,400 Speaker 1: For sure, we had a lot in common. But then 622 00:32:35,440 --> 00:32:37,840 Speaker 1: again I think about the perspective that I had much later. 623 00:32:37,960 --> 00:32:40,760 Speaker 1: So like you said, I think there's pluses and minuses 624 00:32:40,800 --> 00:32:43,280 Speaker 1: to both that it has to do with each individual. 625 00:32:43,240 --> 00:32:46,360 Speaker 4: Mind saying older parent though, how you just explained it. 626 00:32:46,440 --> 00:32:48,680 Speaker 3: What age is that like, so that's if you become 627 00:32:48,720 --> 00:32:51,200 Speaker 3: a parent your late thirties for the first time, roughly. 628 00:32:51,520 --> 00:32:53,280 Speaker 5: Yeah, so it depends on the study you look at. 629 00:32:53,320 --> 00:32:56,880 Speaker 5: But advanced maternal age in the United States we're usually 630 00:32:56,880 --> 00:33:00,600 Speaker 5: we're talking about thirty five years old and up. And 631 00:33:00,640 --> 00:33:03,400 Speaker 5: then really there's also you know, some other countries well 632 00:33:03,480 --> 00:33:06,840 Speaker 5: use forty years old as the cutoff, but it depends 633 00:33:06,840 --> 00:33:09,280 Speaker 5: on each each study, So each study kind of uses 634 00:33:09,320 --> 00:33:10,400 Speaker 5: their own age cutoff. 635 00:33:10,480 --> 00:33:13,200 Speaker 4: Right, Okay, I have a question, sir. I wrote down 636 00:33:13,200 --> 00:33:14,400 Speaker 4: to many specific questions. 637 00:33:14,400 --> 00:33:17,160 Speaker 3: I know, I'm like I once, let's let's get it 638 00:33:17,160 --> 00:33:20,160 Speaker 3: cleared by an expert today, not by TikTok Okay. A 639 00:33:20,160 --> 00:33:23,080 Speaker 3: few years ago, there was this big I don't know 640 00:33:23,080 --> 00:33:24,720 Speaker 3: if you remember this big there was this big, like 641 00:33:24,800 --> 00:33:29,400 Speaker 3: trending Twitter moment about birth control. It might have been 642 00:33:29,440 --> 00:33:30,840 Speaker 3: when I don't. 643 00:33:30,640 --> 00:33:32,440 Speaker 4: Know, some kind of birth control decision was coming I 644 00:33:32,520 --> 00:33:32,880 Speaker 4: care for. 645 00:33:33,280 --> 00:33:37,400 Speaker 3: But yeah, there was this big trend of people discussing 646 00:33:37,440 --> 00:33:41,520 Speaker 3: like should men just get vasectoms as. 647 00:33:41,360 --> 00:33:42,320 Speaker 4: A way of birth control? 648 00:33:42,440 --> 00:33:45,360 Speaker 3: And then it started coming up as how effective or 649 00:33:45,440 --> 00:33:48,680 Speaker 3: vasectames when they're reverse And there's even that famous line. 650 00:33:48,680 --> 00:33:50,479 Speaker 3: I don't know if you watched the office. But if 651 00:33:50,560 --> 00:33:53,280 Speaker 3: you've seen the Dinner Party episode. 652 00:33:52,640 --> 00:33:55,160 Speaker 4: Where Michael Scott goes and then I got reverse and 653 00:33:55,200 --> 00:33:55,960 Speaker 4: I got reversed again. 654 00:33:57,240 --> 00:34:01,040 Speaker 5: Yes, So how what does it look like? 655 00:34:02,320 --> 00:34:06,120 Speaker 3: How effective is it for aseectomy to potentially get reverse? Yeah, 656 00:34:06,160 --> 00:34:08,319 Speaker 3: and what do you think of that conversation around it 657 00:34:08,360 --> 00:34:10,719 Speaker 3: being like a former birth control that people are using. 658 00:34:11,480 --> 00:34:16,480 Speaker 5: I'm really really glad that you brought that up. So essentially, 659 00:34:16,600 --> 00:34:19,520 Speaker 5: if you just look at the numbers, overall, we see 660 00:34:19,560 --> 00:34:22,359 Speaker 5: that only about fifty percent of the sectims are able 661 00:34:22,400 --> 00:34:23,200 Speaker 5: to be reversed. 662 00:34:23,520 --> 00:34:23,920 Speaker 2: Wow. 663 00:34:24,080 --> 00:34:28,520 Speaker 5: Now the longer you go between the actually the initial 664 00:34:28,560 --> 00:34:32,399 Speaker 5: procedure and the reversal, the greater that percentage is going 665 00:34:32,400 --> 00:34:35,040 Speaker 5: to get. So if you have a vseectomy and then 666 00:34:35,400 --> 00:34:37,600 Speaker 5: you know six months later you decide to reverse it, 667 00:34:37,640 --> 00:34:39,640 Speaker 5: well you're going to have a higher percentage of those 668 00:34:39,800 --> 00:34:44,080 Speaker 5: being successful than if it's been ten years. But overall, 669 00:34:44,760 --> 00:34:48,759 Speaker 5: it really needs to be considered a permanent sterilization. It's 670 00:34:48,880 --> 00:34:50,880 Speaker 5: not something that we should be talking about, Oh, you 671 00:34:50,880 --> 00:34:52,799 Speaker 5: can just go in and get it reversed, because that's 672 00:34:52,920 --> 00:34:56,680 Speaker 5: not true. For everyone. Some people it will be successful, 673 00:34:56,760 --> 00:34:57,680 Speaker 5: some people it will not. 674 00:34:58,120 --> 00:35:01,160 Speaker 1: I went through this. I think my pipes are rusty 675 00:35:01,160 --> 00:35:05,759 Speaker 1: and they're not coming back together. But I carefully sat 676 00:35:05,800 --> 00:35:07,840 Speaker 1: down with the doctor and he was a great doctor 677 00:35:07,880 --> 00:35:12,160 Speaker 1: and very much had that conversation with me. Are you sure, 678 00:35:12,239 --> 00:35:14,719 Speaker 1: Because at the time I was, I forget how old 679 00:35:14,760 --> 00:35:16,520 Speaker 1: I was, but I was like in my mid thirties. 680 00:35:16,800 --> 00:35:19,719 Speaker 1: I had already had two kids, and so I knew 681 00:35:19,760 --> 00:35:21,759 Speaker 1: that's where I was in my life. But he's like, 682 00:35:21,800 --> 00:35:25,000 Speaker 1: you're still young enough, Are you sure? So that is 683 00:35:25,040 --> 00:35:27,400 Speaker 1: an important conversation to have as a couple, not just 684 00:35:27,440 --> 00:35:29,359 Speaker 1: for the man, but as a couple. Is this what 685 00:35:29,400 --> 00:35:31,680 Speaker 1: you're wanting to do? Because I have had friends that 686 00:35:31,719 --> 00:35:35,760 Speaker 1: have tried the reversal and it has been very painful 687 00:35:36,080 --> 00:35:37,239 Speaker 1: and very unsuccessful. 688 00:35:37,400 --> 00:35:38,719 Speaker 2: Oh is it like if you try to get a 689 00:35:38,719 --> 00:35:40,840 Speaker 2: tattoo removed and it's more painful to get it removed 690 00:35:40,840 --> 00:35:41,880 Speaker 2: than it was to get the tattoo. 691 00:35:41,960 --> 00:35:45,800 Speaker 1: Well, it's easy. Think about a wire, your vast deference 692 00:35:45,800 --> 00:35:49,239 Speaker 1: to just cutting it, just cutting it and carterterizing it 693 00:35:49,520 --> 00:35:54,000 Speaker 1: very easy grabbing those two things and trying to fray 694 00:35:54,120 --> 00:36:00,520 Speaker 1: them back together not so easy. Destructions always easier than construction. 695 00:36:01,440 --> 00:36:03,960 Speaker 5: Yes, we and we do. We do that. We do 696 00:36:04,040 --> 00:36:06,919 Speaker 5: tubal reconstructions for people who have their their tube tied, 697 00:36:07,160 --> 00:36:10,960 Speaker 5: their their tubes tied as well, and it's a totally 698 00:36:10,960 --> 00:36:13,640 Speaker 5: different procedure, much more technically challenging. 699 00:36:13,719 --> 00:36:15,440 Speaker 2: It's like how it's easier to get married than it 700 00:36:15,480 --> 00:36:16,880 Speaker 2: is to get divorced. Okay, got it? 701 00:36:17,200 --> 00:36:20,960 Speaker 1: Oh yeah, and by the way, the wedding is a 702 00:36:21,040 --> 00:36:26,239 Speaker 1: lot more fun than they don't show you that at 703 00:36:26,239 --> 00:36:27,279 Speaker 1: the wedding video. 704 00:36:28,719 --> 00:36:32,279 Speaker 2: Doctor Sterling, I have one more question for you to 705 00:36:32,440 --> 00:36:34,000 Speaker 2: kind of tie it all together, and then please let 706 00:36:34,080 --> 00:36:35,080 Speaker 2: us know if there's anything like that. 707 00:36:35,239 --> 00:36:36,880 Speaker 1: I have loved this, by the way, Oh my gosh. 708 00:36:36,719 --> 00:36:40,800 Speaker 2: It's been so great. Thank you. Unfortunately, we could probably 709 00:36:40,840 --> 00:36:42,520 Speaker 2: ask you like a million more questions, but you have 710 00:36:42,560 --> 00:36:46,880 Speaker 2: to go treat real patients. So you know, we're talking 711 00:36:46,920 --> 00:36:49,439 Speaker 2: here about this all started with al Pacino Roberts Nero 712 00:36:49,520 --> 00:36:53,560 Speaker 2: being older dads, and Chris mentioned Nick Cannon at one point, 713 00:36:53,840 --> 00:36:56,960 Speaker 2: all like, parenting is very much a topic of the 714 00:36:56,960 --> 00:37:00,720 Speaker 2: pop culture conversation. And now I just thought about Elon Musk, 715 00:37:00,840 --> 00:37:04,880 Speaker 2: because Elon Musk is this guy who's he keeps saying that, 716 00:37:05,040 --> 00:37:07,040 Speaker 2: you know, he feels like there's a population shortage and 717 00:37:07,040 --> 00:37:10,520 Speaker 2: we should be really concerned about the lack of how 718 00:37:10,560 --> 00:37:13,279 Speaker 2: people are having kids less, And actually he kind of 719 00:37:13,320 --> 00:37:16,399 Speaker 2: ties it all together because his own father a few 720 00:37:16,440 --> 00:37:20,080 Speaker 2: years ago had a kid in his seventies, because I 721 00:37:20,080 --> 00:37:20,640 Speaker 2: guess his father. 722 00:37:20,840 --> 00:37:24,359 Speaker 1: There's a big study in Japan that the population shortage. 723 00:37:24,520 --> 00:37:25,960 Speaker 2: I don't know, so I want to ask you, and 724 00:37:26,040 --> 00:37:29,200 Speaker 2: I think I'm paraphrasing Elon Musk and don't know what 725 00:37:29,280 --> 00:37:33,719 Speaker 2: he's quoting. So, doctor Sterling, do you think there's I mean, 726 00:37:33,760 --> 00:37:36,000 Speaker 2: we've talked about people having less kids. Is there a 727 00:37:36,280 --> 00:37:40,319 Speaker 2: population decline in the US worldwide? Is it something you 728 00:37:40,400 --> 00:37:41,719 Speaker 2: find concerning at all? 729 00:37:42,440 --> 00:37:46,560 Speaker 5: So we're seeing birth rates declined, we certainly are. You know, 730 00:37:46,920 --> 00:37:50,680 Speaker 5: I think that the concerns that are being brought up 731 00:37:50,960 --> 00:37:53,680 Speaker 5: about the decline and the birth rate or a lot 732 00:37:53,680 --> 00:37:56,680 Speaker 5: of that has to do with, you know, socioeconomics, and 733 00:37:56,760 --> 00:37:59,080 Speaker 5: I am not you know, I do not have the 734 00:37:59,120 --> 00:38:03,239 Speaker 5: expertise to comment on what happens to a society when 735 00:38:03,239 --> 00:38:07,520 Speaker 5: the birth rate is declining. I just know from you know, 736 00:38:07,680 --> 00:38:10,719 Speaker 5: my experience of the people that I see that the 737 00:38:10,760 --> 00:38:14,160 Speaker 5: reason that the birth rate is declining is because people 738 00:38:14,960 --> 00:38:17,920 Speaker 5: know that they are not going to be supported as 739 00:38:18,040 --> 00:38:20,719 Speaker 5: new parents in the United States. They know that we 740 00:38:20,840 --> 00:38:25,960 Speaker 5: do not have you know, universal low cost childcare where 741 00:38:26,120 --> 00:38:31,080 Speaker 5: many other developed countries do. We do not have paternal 742 00:38:31,440 --> 00:38:36,600 Speaker 5: leave after birth, and that's you know, there are I 743 00:38:36,600 --> 00:38:38,920 Speaker 5: think it's forty percent of people are going back to 744 00:38:39,000 --> 00:38:42,360 Speaker 5: work two weeks after getting birth. I mean that is just, 745 00:38:43,080 --> 00:38:45,600 Speaker 5: you know, it does not make sense. So what we 746 00:38:45,640 --> 00:38:49,600 Speaker 5: see is when you do not support pregnant and postpartum 747 00:38:49,760 --> 00:38:53,160 Speaker 5: people and you do not support new families, people are 748 00:38:53,160 --> 00:38:55,319 Speaker 5: going to look at the situation and say, yeah, that's 749 00:38:55,320 --> 00:38:57,200 Speaker 5: not for me. I'm not going to put myself through that. 750 00:38:57,440 --> 00:39:00,520 Speaker 5: And I understand it as someone who loves my children. 751 00:39:00,560 --> 00:39:04,200 Speaker 5: I have three children. I love everything about it. I 752 00:39:04,320 --> 00:39:07,000 Speaker 5: still one hundred percent understand why a lot of young 753 00:39:07,040 --> 00:39:08,239 Speaker 5: people are saying it's not for me. 754 00:39:09,120 --> 00:39:11,719 Speaker 1: Interesting, so compelling, doctor, Thank you so much. And by 755 00:39:11,760 --> 00:39:14,560 Speaker 1: the way, I know we gave social media a hard time, 756 00:39:14,920 --> 00:39:16,880 Speaker 1: but I also know that you are terrific on social 757 00:39:16,960 --> 00:39:18,799 Speaker 1: media and that's a great way for you to kind 758 00:39:18,800 --> 00:39:21,640 Speaker 1: of teach the masses and talk to the masses. So 759 00:39:21,680 --> 00:39:22,600 Speaker 1: where can we find you? 760 00:39:23,360 --> 00:39:26,120 Speaker 5: Yeah, so I'm on both TikTok and Instagram. I am 761 00:39:26,160 --> 00:39:29,600 Speaker 5: doctor sterling Obi Juan, and yeah, I talk a lot 762 00:39:29,640 --> 00:39:32,720 Speaker 5: about advanced maternal age because it's a something that's really 763 00:39:33,560 --> 00:39:35,120 Speaker 5: near and dear to my heart, and I feel like 764 00:39:35,239 --> 00:39:37,120 Speaker 5: there's a lot of scary stuff out there, but there's 765 00:39:37,160 --> 00:39:38,160 Speaker 5: so much good about it. 766 00:39:38,200 --> 00:39:40,920 Speaker 1: So yeah, just for do you mind me asking how 767 00:39:40,960 --> 00:39:42,960 Speaker 1: old you were when you say your advanced stage? How 768 00:39:42,960 --> 00:39:45,000 Speaker 1: old you were when you had your last child? 769 00:39:45,280 --> 00:39:47,720 Speaker 5: Yeah? So I had my last child at thirty seven 770 00:39:48,200 --> 00:39:49,319 Speaker 5: year old, just so. 771 00:39:49,800 --> 00:39:51,319 Speaker 1: The women out there can kind of feel what that 772 00:39:52,160 --> 00:39:55,880 Speaker 1: what this means. I appreciate it, Doctor Sterling. Thank you 773 00:39:56,000 --> 00:39:59,960 Speaker 1: so much for the insight, the knowledge. Truly enjoyed talking 774 00:40:00,080 --> 00:40:02,279 Speaker 1: to you, and I feel like this won't be the 775 00:40:02,360 --> 00:40:04,439 Speaker 1: last time we have you on the show. 776 00:40:04,640 --> 00:40:05,640 Speaker 2: No, I think we're calling up. 777 00:40:07,120 --> 00:40:11,120 Speaker 1: You may want to change your number, Doctor Storling, Thank 778 00:40:11,160 --> 00:40:11,759 Speaker 1: you so much. 779 00:40:12,400 --> 00:40:13,560 Speaker 5: All right, no problem. 780 00:40:13,600 --> 00:40:16,160 Speaker 1: Thanks for listening. Follow us on Instagram at the most 781 00:40:16,239 --> 00:40:18,759 Speaker 1: dramatic pod ever, and make sure to write us a 782 00:40:18,760 --> 00:40:21,440 Speaker 1: review and leave us five stars. I'll talk to you 783 00:40:21,440 --> 00:40:21,879 Speaker 1: next time.