WEBVTT - 80 for Baby

0:00:01.000 --> 0:00:06.000
<v Speaker 1>This is the most traumatic podcast ever and iHeartRadio podcast.

0:00:08.480 --> 0:00:10.760
<v Speaker 1>Chris Harrison and Lauren Zima coming to you from our

0:00:10.760 --> 0:00:15.480
<v Speaker 1>home office in Austin, Texas, and we're talking about daddies.

0:00:17.320 --> 0:00:19.520
<v Speaker 1>We are talking about old daddies today.

0:00:19.680 --> 0:00:22.279
<v Speaker 2>Oh my gosh, that's gonna be gooking so many different ways.

0:00:22.880 --> 0:00:28.800
<v Speaker 1>Don't call me daddy, Zaddy. We are talking about al Pacino,

0:00:29.480 --> 0:00:33.440
<v Speaker 1>Robert de Niro, new dads, A couple of young new

0:00:33.520 --> 0:00:35.120
<v Speaker 1>dads on the take right now.

0:00:35.240 --> 0:00:36.200
<v Speaker 2>Oh my god.

0:00:36.000 --> 0:00:39.400
<v Speaker 1>These stories have kind of coincided, which is really weird.

0:00:39.440 --> 0:00:40.920
<v Speaker 1>I think part of the story and why this is

0:00:40.920 --> 0:00:45.640
<v Speaker 1>so captivating LZ is they are friends, co stars. Those

0:00:45.680 --> 0:00:48.159
<v Speaker 1>two are kind of synonymous.

0:00:47.560 --> 0:00:48.160
<v Speaker 2>With each other.

0:00:48.240 --> 0:00:50.279
<v Speaker 1>With each other is Hollywood legends.

0:00:50.320 --> 0:00:53.040
<v Speaker 2>Back to the movie Heat, back to that they were,

0:00:53.080 --> 0:00:55.840
<v Speaker 2>you know, both the Godfather series. We both looked at

0:00:56.960 --> 0:00:59.600
<v Speaker 2>they were I don't know how many movies they've done together.

0:00:59.640 --> 0:01:02.600
<v Speaker 2>They just did The Irishman together with March right.

0:01:03.200 --> 0:01:07.399
<v Speaker 1>One of the most legendary cinematic moments was when the

0:01:07.440 --> 0:01:09.240
<v Speaker 1>two of them were in the same scene in the

0:01:09.280 --> 0:01:12.600
<v Speaker 1>movie Heat, and everyone talks about that scene and breaks

0:01:12.600 --> 0:01:14.759
<v Speaker 1>it down. So these two are synonymous with each other.

0:01:14.840 --> 0:01:18.840
<v Speaker 2>They are longtime friends. And look, I've interviewed them both.

0:01:18.880 --> 0:01:21.520
<v Speaker 2>They have a real love for each other. I don't

0:01:21.560 --> 0:01:24.399
<v Speaker 2>know if they intended to do this together, but yes,

0:01:24.520 --> 0:01:27.080
<v Speaker 2>part of what's been grabbing headlines. We talked about Robert

0:01:27.080 --> 0:01:28.759
<v Speaker 2>de Niro, the news that he was going to become

0:01:28.760 --> 0:01:32.399
<v Speaker 2>a dad at seventy nine, and now just then, just

0:01:32.400 --> 0:01:34.360
<v Speaker 2>a few days later, the news dropped that is bal

0:01:34.560 --> 0:01:38.080
<v Speaker 2>Al is going to become a dad at eighty three.

0:01:38.200 --> 0:01:40.800
<v Speaker 2>And actually Al has just weighed in. We're sitting here

0:01:40.840 --> 0:01:44.399
<v Speaker 2>on a Tuesday, and al Pacino has just spoken out

0:01:44.440 --> 0:01:47.080
<v Speaker 2>about the news that he's expecting a baby with his

0:01:47.360 --> 0:01:51.280
<v Speaker 2>twenty nine year old girlfriend twenty nine. He's spoken about

0:01:51.280 --> 0:01:53.680
<v Speaker 2>it for the first time. He told The Daily Meal

0:01:53.720 --> 0:01:57.440
<v Speaker 2>that it is quote very special, he said, it always

0:01:57.440 --> 0:02:00.000
<v Speaker 2>has been. I've got many kids, but this is really

0:02:00.280 --> 0:02:02.560
<v Speaker 2>special and interesting choice of words here, he said, but

0:02:02.640 --> 0:02:05.800
<v Speaker 2>this is really special coming at this time.

0:02:06.840 --> 0:02:07.000
<v Speaker 3>Now.

0:02:07.040 --> 0:02:09.840
<v Speaker 2>I don't know that means like the relationship he's in

0:02:09.960 --> 0:02:13.000
<v Speaker 2>or his age, but I mean, you know, when you

0:02:13.040 --> 0:02:15.520
<v Speaker 2>break it down, it's like this article I'm looking at,

0:02:15.520 --> 0:02:17.760
<v Speaker 2>of course notes his other children, because Al says I've

0:02:17.760 --> 0:02:18.600
<v Speaker 2>got many kids.

0:02:19.000 --> 0:02:19.600
<v Speaker 3>He has.

0:02:21.040 --> 0:02:23.880
<v Speaker 2>Three other kids and one of them is his thirty

0:02:23.919 --> 0:02:26.320
<v Speaker 2>three year old daughter. So he's got a thirty three

0:02:26.400 --> 0:02:27.840
<v Speaker 2>year old daughter and he's having a kid with his

0:02:27.880 --> 0:02:28.919
<v Speaker 2>twenty nine years oldlfriend.

0:02:29.280 --> 0:02:33.880
<v Speaker 1>His daughter is four years older than the baby mama.

0:02:33.960 --> 0:02:36.480
<v Speaker 1>No judgment, No, I'm just trying to get the math right.

0:02:36.680 --> 0:02:38.560
<v Speaker 2>Just math speaks for itselfish.

0:02:38.560 --> 0:02:40.480
<v Speaker 1>I want to chew that up and swallow it and

0:02:40.480 --> 0:02:41.480
<v Speaker 1>think about it for a minute.

0:02:42.320 --> 0:02:45.360
<v Speaker 2>So of course, people have a lot of comments on this,

0:02:45.400 --> 0:02:47.440
<v Speaker 2>and when you and I were talking about the Robert

0:02:47.440 --> 0:02:50.760
<v Speaker 2>De Niro News, you said you felt that becoming a

0:02:50.840 --> 0:02:52.560
<v Speaker 2>dad at this age was very selfish.

0:02:52.639 --> 0:02:56.560
<v Speaker 1>Look, I try to lead with grace and understanding and

0:02:56.600 --> 0:03:00.520
<v Speaker 1>try to not judge and take it all in. From

0:03:00.560 --> 0:03:05.160
<v Speaker 1>my perspective, it just there is a there's a selfish

0:03:05.240 --> 0:03:09.560
<v Speaker 1>element to it when you were that age, just because

0:03:09.600 --> 0:03:12.760
<v Speaker 1>of the percentages that you will not be alive much longer.

0:03:12.919 --> 0:03:16.160
<v Speaker 1>Youish that that is one hundred percent short, you're going

0:03:16.240 --> 0:03:16.560
<v Speaker 1>to die.

0:03:16.639 --> 0:03:18.480
<v Speaker 2>You know what is I'm just kind of realizing as

0:03:18.480 --> 0:03:19.960
<v Speaker 2>we're sitting here talking about this, and I am going

0:03:20.040 --> 0:03:22.080
<v Speaker 2>to get maybe a little emotional for a second, but

0:03:22.160 --> 0:03:26.959
<v Speaker 2>we're bringing two very different perspectives. Because you are obviously parent.

0:03:27.160 --> 0:03:29.240
<v Speaker 2>I am a step parent, but I so I really

0:03:29.280 --> 0:03:32.200
<v Speaker 2>try to defer to you sometimes and know that maybe

0:03:32.240 --> 0:03:37.000
<v Speaker 2>I don't have that blood children of my own perspective,

0:03:37.720 --> 0:03:41.080
<v Speaker 2>but I come at it from the view of my

0:03:41.200 --> 0:03:44.040
<v Speaker 2>dad died suddenly when he was in his early fifties.

0:03:44.560 --> 0:03:47.160
<v Speaker 2>I was in my twenties, my sister was nineteen, my

0:03:47.200 --> 0:03:51.440
<v Speaker 2>brother was fourteen. And I think a silver lining of

0:03:51.480 --> 0:03:55.280
<v Speaker 2>that is that I've looked at parenting as being like,

0:03:56.040 --> 0:03:57.800
<v Speaker 2>at the end of the day, all a kid needs,

0:03:58.120 --> 0:04:00.680
<v Speaker 2>in my mind, is to know that they were loved,

0:04:00.840 --> 0:04:03.040
<v Speaker 2>like to know the love of a parent. And I

0:04:03.080 --> 0:04:06.200
<v Speaker 2>do totally understand if a parent is so old that

0:04:05.960 --> 0:04:09.880
<v Speaker 2>their kid like doesn't remember them, that's not great. But

0:04:10.040 --> 0:04:13.320
<v Speaker 2>I do think that I don't know. I guess I

0:04:13.360 --> 0:04:16.359
<v Speaker 2>think like, if you knew that your parent loved you

0:04:16.760 --> 0:04:19.360
<v Speaker 2>and they gave you a good foundation, that's what's most important.

0:04:19.400 --> 0:04:21.920
<v Speaker 2>I hope Alan Bob are around to give the kids

0:04:21.920 --> 0:04:22.440
<v Speaker 2>a good foundation.

0:04:22.520 --> 0:04:23.000
<v Speaker 3>Rus too.

0:04:23.160 --> 0:04:25.120
<v Speaker 1>Not wishing you all on either one of them. And

0:04:25.160 --> 0:04:28.320
<v Speaker 1>as you said, tomorrow is promised to nobody. There are

0:04:28.360 --> 0:04:31.599
<v Speaker 1>many people listening who lost a parent. Sitting here with Elsie,

0:04:31.680 --> 0:04:34.080
<v Speaker 1>as she just said, lost her dad at a very

0:04:34.080 --> 0:04:36.919
<v Speaker 1>young age. And he was fifty one, and he was young,

0:04:37.279 --> 0:04:39.080
<v Speaker 1>and so he didn't get to go through a lot

0:04:39.120 --> 0:04:41.440
<v Speaker 1>of the steps that he would have dreamt of. That

0:04:41.520 --> 0:04:45.160
<v Speaker 1>I dream of watching your kids, you know, walk across

0:04:45.200 --> 0:04:48.240
<v Speaker 1>the stage, walk down the aisle, et cetera, enjoy their

0:04:48.279 --> 0:04:53.039
<v Speaker 1>first job, and hopefully someday have grandkids. But when you

0:04:53.640 --> 0:04:57.080
<v Speaker 1>are starting this journey at eighty years old, if I

0:04:57.160 --> 0:05:01.520
<v Speaker 1>kind of average their ages together, just you're you're putting

0:05:01.520 --> 0:05:04.559
<v Speaker 1>yourself behind the eight ball in a way that whether

0:05:04.680 --> 0:05:08.880
<v Speaker 1>you do pass die or just you're to the point

0:05:08.920 --> 0:05:11.719
<v Speaker 1>where the kids are changing your diapers and you're no

0:05:11.760 --> 0:05:16.600
<v Speaker 1>longer changing theirs. That's just I don't know. It feels

0:05:16.640 --> 0:05:19.080
<v Speaker 1>like you're you're missing a part of this. And I

0:05:19.120 --> 0:05:22.359
<v Speaker 1>guess the question is why, Like what is the purpose?

0:05:23.320 --> 0:05:25.840
<v Speaker 2>Well, I would imagine the purpose is that their partner

0:05:25.839 --> 0:05:27.840
<v Speaker 2>wants to have a child. I'm right, I don't know.

0:05:27.960 --> 0:05:29.760
<v Speaker 2>Or maybe these guys do want did want to become

0:05:29.839 --> 0:05:32.960
<v Speaker 2>dads again. Maybe they love being parents of new children.

0:05:33.000 --> 0:05:36.919
<v Speaker 2>But you know, Al Pacino's girlfriend's twenty nine, Robert De

0:05:37.000 --> 0:05:38.719
<v Speaker 2>Niro's is I'm going to try to look this up

0:05:38.760 --> 0:05:39.960
<v Speaker 2>again to make sure I get it right. But I

0:05:39.960 --> 0:05:45.120
<v Speaker 2>believe his partners in her forties. And Robert de Niro

0:05:45.200 --> 0:05:48.400
<v Speaker 2>had also spoken out about the news of him expecting

0:05:48.400 --> 0:05:50.919
<v Speaker 2>a baby, and he said, you know that he actually

0:05:51.000 --> 0:05:55.320
<v Speaker 2>now understands family dynamics better as an older dad, and

0:05:55.400 --> 0:05:57.680
<v Speaker 2>so he thinks hester be able to bring what he's

0:05:57.760 --> 0:05:58.599
<v Speaker 2>learned to the table.

0:05:58.680 --> 0:06:01.480
<v Speaker 1>There is a lot of that, you know. I look

0:06:01.480 --> 0:06:03.640
<v Speaker 1>at myself now at fifty one, compared to when I

0:06:03.680 --> 0:06:06.520
<v Speaker 1>started as a dad, when I was thirty. I'm older, wiser,

0:06:06.600 --> 0:06:08.920
<v Speaker 1>I have a lot more life experience. I can give

0:06:08.960 --> 0:06:11.480
<v Speaker 1>my kids a lot better advice than I could back then.

0:06:11.880 --> 0:06:14.920
<v Speaker 1>But I just there was a time in place, and

0:06:15.080 --> 0:06:17.200
<v Speaker 1>I am I get it. I'm a little traditional. I

0:06:17.279 --> 0:06:20.040
<v Speaker 1>was excited to coach little Lee, go to dance recitals,

0:06:20.839 --> 0:06:23.919
<v Speaker 1>be a part of just that active life, be on

0:06:23.960 --> 0:06:26.040
<v Speaker 1>the beach and jump in the waves with my daughter

0:06:26.120 --> 0:06:28.360
<v Speaker 1>and my son. There's a part of life that I

0:06:28.400 --> 0:06:32.960
<v Speaker 1>think it's good to have that young, younger energy. Well,

0:06:33.200 --> 0:06:35.760
<v Speaker 1>and maybe my opinion will change. We have a guest

0:06:35.800 --> 0:06:38.320
<v Speaker 1>on today and that we're going to jump into pretty soon.

0:06:38.800 --> 0:06:42.360
<v Speaker 1>Maybe she will change my perspective. And we wanted a

0:06:42.480 --> 0:06:44.080
<v Speaker 1>very objective view.

0:06:44.560 --> 0:06:48.000
<v Speaker 2>We wanted an objective view. We wanted the information because

0:06:48.720 --> 0:06:51.800
<v Speaker 2>I think this news is raised. It's gotten people talking

0:06:51.839 --> 0:06:54.080
<v Speaker 2>a lot just about parenting in general. I mean, are

0:06:54.600 --> 0:06:57.240
<v Speaker 2>so many like also stories like Nick Cannon having I

0:06:57.279 --> 0:07:01.160
<v Speaker 2>think over a dozen children at this point having babies

0:07:01.200 --> 0:07:04.200
<v Speaker 2>in secret, Elon Musk saying that, you know, he's worried

0:07:04.200 --> 0:07:06.680
<v Speaker 2>about how the birth rate is declining. There's been a

0:07:06.720 --> 0:07:10.440
<v Speaker 2>lot of pop culture celebrity talk about having kids, having

0:07:10.520 --> 0:07:12.440
<v Speaker 2>a lot of kids, and having kids older.

0:07:12.200 --> 0:07:15.760
<v Speaker 1>Lately, freezing eggs and is it tougher to get pregnant.

0:07:16.360 --> 0:07:16.920
<v Speaker 4>So we are.

0:07:16.840 --> 0:07:19.640
<v Speaker 2>Bringing on an expert so that we don't get into

0:07:20.480 --> 0:07:23.720
<v Speaker 2>the armchair birthing.

0:07:24.920 --> 0:07:27.840
<v Speaker 1>I might not be a doctor, I may have played

0:07:27.840 --> 0:07:30.680
<v Speaker 1>one on TV, but I think we need a house call.

0:07:30.960 --> 0:07:44.800
<v Speaker 1>We need a real doctor in the house. Joining us

0:07:44.800 --> 0:07:49.200
<v Speaker 1>now doctor Christine Sterling, at Board certified OBGYN and founder

0:07:49.280 --> 0:07:54.160
<v Speaker 1>of Sterling Parents. There is so much to talk about.

0:07:54.200 --> 0:07:56.000
<v Speaker 1>First of all, doctor Stirling, thank you so much for

0:07:56.080 --> 0:08:00.440
<v Speaker 1>joining us. We are excited to get this professional, objective

0:08:00.840 --> 0:08:05.000
<v Speaker 1>take from a doctor. On first, have you heard about

0:08:05.000 --> 0:08:07.720
<v Speaker 1>the Robert de Niro al Pacino story?

0:08:08.760 --> 0:08:09.040
<v Speaker 5>Yes?

0:08:09.160 --> 0:08:13.280
<v Speaker 1>I have, Yes, Okay, so both gentlemen obviously are having

0:08:13.560 --> 0:08:15.240
<v Speaker 1>children at a very point.

0:08:15.000 --> 0:08:17.120
<v Speaker 3>Out that al Pacino because I just I was doing

0:08:17.120 --> 0:08:19.160
<v Speaker 3>a little more like deeper reading into it all.

0:08:19.800 --> 0:08:22.160
<v Speaker 4>One thing I didn't realize and could be true for

0:08:22.320 --> 0:08:23.160
<v Speaker 4>De Niro as well.

0:08:23.320 --> 0:08:27.440
<v Speaker 3>So Al's eighty three, Bob is seventy nine, I think, yes,

0:08:27.720 --> 0:08:33.280
<v Speaker 3>And al Pacino is now having a child with a

0:08:33.320 --> 0:08:39.480
<v Speaker 3>woman who is younger than his daughter. And so the

0:08:39.520 --> 0:08:41.440
<v Speaker 3>woman he's having a child with is twenty nine. The

0:08:41.480 --> 0:08:43.840
<v Speaker 3>woman Robert de Niro is having his childhood is a

0:08:43.840 --> 0:08:47.319
<v Speaker 3>bit older. I think she's in her forties. And I

0:08:47.400 --> 0:08:49.480
<v Speaker 3>just was like, you know, you start to think of

0:08:49.640 --> 0:08:52.960
<v Speaker 3>Thanksgiving and what it looks like, and I have no judgment,

0:08:53.120 --> 0:08:56.000
<v Speaker 3>Like I'm like, is the more the merrier, all the

0:08:56.080 --> 0:09:00.120
<v Speaker 3>love for a family. But like I mean, doctor, I

0:09:00.120 --> 0:09:02.440
<v Speaker 3>guess first because I have specific questions of course, but

0:09:02.480 --> 0:09:05.480
<v Speaker 3>what's just your initial reaction as a doctor when you

0:09:05.559 --> 0:09:09.240
<v Speaker 3>hear about people men parenting. I don't know that women can,

0:09:09.360 --> 0:09:11.960
<v Speaker 3>but men parents in their seventies and eighties.

0:09:12.920 --> 0:09:16.600
<v Speaker 5>Yeah, I mean, listen what you said I really agree with.

0:09:16.720 --> 0:09:19.560
<v Speaker 5>I mean, it's who am I to really judge, you know,

0:09:20.160 --> 0:09:23.360
<v Speaker 5>But you know, of course, from a medical perspective, there

0:09:23.360 --> 0:09:27.280
<v Speaker 5>are some considerations we have for advanced paternal age, and

0:09:27.320 --> 0:09:29.480
<v Speaker 5>we can definitely dive into some of the things that

0:09:30.200 --> 0:09:33.079
<v Speaker 5>we think about when we hear about a man who's

0:09:33.120 --> 0:09:36.480
<v Speaker 5>having children at a later age, and I think that,

0:09:36.559 --> 0:09:38.240
<v Speaker 5>you know, it's really difficult for me to kind of

0:09:38.280 --> 0:09:41.880
<v Speaker 5>separate out that that doctor self and also that parent self,

0:09:42.440 --> 0:09:45.680
<v Speaker 5>because I mean, I have I have an abundance of

0:09:45.720 --> 0:09:49.440
<v Speaker 5>compassion for all people involved. I just think of myself.

0:09:49.559 --> 0:09:52.480
<v Speaker 5>My greatest fear I'm a mother of free children. My

0:09:52.600 --> 0:09:55.560
<v Speaker 5>greatest fear in the whole world is not being there

0:09:55.600 --> 0:09:58.920
<v Speaker 5>long enough for my kids. You know. It's that loss.

0:09:58.960 --> 0:10:02.280
<v Speaker 5>And so the I just picture, you know, myself being

0:10:02.960 --> 0:10:06.120
<v Speaker 5>the idea of having a child in my eighties would

0:10:06.200 --> 0:10:10.480
<v Speaker 5>just be really jarring because you know that there's a

0:10:10.640 --> 0:10:12.280
<v Speaker 5>very good chance that you're not going to be there

0:10:12.280 --> 0:10:12.920
<v Speaker 5>for that child.

0:10:13.240 --> 0:10:14.400
<v Speaker 4>And this is something.

0:10:14.200 --> 0:10:16.319
<v Speaker 3>Chris and I differ on doc. We talked about it

0:10:16.360 --> 0:10:18.199
<v Speaker 3>a little bit on another podcast when the Robert and

0:10:18.240 --> 0:10:21.839
<v Speaker 3>erom neews broke. I'm like, hey, you know, they got

0:10:21.840 --> 0:10:23.840
<v Speaker 3>the money to take care of these kids, they got

0:10:23.840 --> 0:10:24.200
<v Speaker 3>the love.

0:10:24.360 --> 0:10:26.240
<v Speaker 4>Chris thinks it's very selfish.

0:10:26.320 --> 0:10:29.400
<v Speaker 1>Well, I just think like people will say that, oh yeah,

0:10:29.480 --> 0:10:33.360
<v Speaker 1>they're rich, they have help that doesn't raise a child.

0:10:33.480 --> 0:10:37.520
<v Speaker 1>Money has never raised a child, and they are going

0:10:37.600 --> 0:10:40.840
<v Speaker 1>to be without a parent. Even if they live exponentially

0:10:40.880 --> 0:10:43.719
<v Speaker 1>longer than any other human being, they're still going to

0:10:43.800 --> 0:10:47.199
<v Speaker 1>die fairly young in this child life. Yeah, and money

0:10:47.200 --> 0:10:48.880
<v Speaker 1>won't feel that. And money doesn't.

0:10:48.920 --> 0:10:53.319
<v Speaker 5>Yeah, I mean, I agree. I think, you know, there's

0:10:54.440 --> 0:10:58.240
<v Speaker 5>how we define the person who becomes you know, your

0:10:58.320 --> 0:11:02.120
<v Speaker 5>parent isn't always the person who has contributed the genetic material.

0:11:02.600 --> 0:11:05.079
<v Speaker 5>And so I think that with somebody, you know, particularly

0:11:05.120 --> 0:11:07.520
<v Speaker 5>in the case of Roberts Neiro, this is a twenty

0:11:07.600 --> 0:11:12.480
<v Speaker 5>nine year old woman, the very likely see yeah, sorry,

0:11:12.520 --> 0:11:17.200
<v Speaker 5>with al Pacino, Yeah, the likelihood is that this is

0:11:17.280 --> 0:11:20.120
<v Speaker 5>this is a person who you know, is going to

0:11:20.200 --> 0:11:24.120
<v Speaker 5>have another partner who could potentially, you know, fill that

0:11:24.320 --> 0:11:28.800
<v Speaker 5>fill that role of a parent, because it's very oftentimes

0:11:28.920 --> 0:11:31.199
<v Speaker 5>that the person who does a lot of the parenting

0:11:31.320 --> 0:11:34.360
<v Speaker 5>is not the person who was, you know, the genetic

0:11:34.520 --> 0:11:35.720
<v Speaker 5>biological parent.

0:11:36.160 --> 0:11:40.400
<v Speaker 1>I'm curious. I mean, I'm fifty one, so I know

0:11:40.440 --> 0:11:45.080
<v Speaker 1>it's still viable now, but when I'm seventy nine eighty

0:11:45.200 --> 0:11:47.760
<v Speaker 1>is that do you see a lot of men at

0:11:47.760 --> 0:11:49.240
<v Speaker 1>that age being able to.

0:11:50.080 --> 0:11:52.800
<v Speaker 4>Asking about the quality of the genetic material.

0:11:52.880 --> 0:11:56.200
<v Speaker 1>Are you still firing bullets at eighty years old? You are?

0:11:56.559 --> 0:11:59.439
<v Speaker 5>You are? I mean, it's you know, it's fundamentally the

0:12:00.200 --> 0:12:03.800
<v Speaker 5>production of s sperm is fundamentally different from the production

0:12:03.920 --> 0:12:07.679
<v Speaker 5>of eggs. So so women have our highest number of

0:12:07.679 --> 0:12:11.240
<v Speaker 5>our people who have ovaries have our highest number of eggs.

0:12:11.320 --> 0:12:15.360
<v Speaker 5>Actually when we're in utero, when we are inside you know,

0:12:15.559 --> 0:12:16.840
<v Speaker 5>our mother and you.

0:12:16.760 --> 0:12:18.680
<v Speaker 1>Were born with all the eggs you're ever.

0:12:18.559 --> 0:12:22.680
<v Speaker 5>Going to have, yeah, exactly, whereas sperm is produced throughout

0:12:22.760 --> 0:12:26.120
<v Speaker 5>you know, so so yes, you you know, men can

0:12:26.600 --> 0:12:32.040
<v Speaker 5>potentially you know, impregnant people until their last day on

0:12:32.080 --> 0:12:34.160
<v Speaker 5>this that that is a possibility.

0:12:34.200 --> 0:12:37.200
<v Speaker 1>I mean, my morbid curiosity is, you know, how are

0:12:37.240 --> 0:12:38.720
<v Speaker 1>these children conceived?

0:12:41.760 --> 0:12:46.640
<v Speaker 3>Biac That's my guess, right, Look, I think, Alan, Bob,

0:12:46.920 --> 0:12:47.960
<v Speaker 3>these are guys with sweat.

0:12:48.040 --> 0:12:50.320
<v Speaker 4>I'm not questioning their ability to perform.

0:12:50.679 --> 0:12:54.920
<v Speaker 3>I'm wondering about the quality of the guys, like just

0:12:55.480 --> 0:12:57.480
<v Speaker 3>the quality of creed.

0:12:58.160 --> 0:12:59.559
<v Speaker 4>As men get older.

0:12:59.320 --> 0:13:04.080
<v Speaker 5>You have a wonder we it I mean essentially what

0:13:04.120 --> 0:13:07.320
<v Speaker 5>we because we do see an increase in the risks

0:13:07.360 --> 0:13:12.240
<v Speaker 5>of some genetic conditions and some complications of pregnancy associated

0:13:12.280 --> 0:13:14.880
<v Speaker 5>with advance paternal age, which by the way, is not

0:13:15.240 --> 0:13:19.120
<v Speaker 5>uniformly and universally you know, agreed upon what age is

0:13:19.200 --> 0:13:23.160
<v Speaker 5>truly advanced paternal age. But you know, yes, as we

0:13:23.240 --> 0:13:27.600
<v Speaker 5>get older are our DNA degrades. So we see a

0:13:27.760 --> 0:13:32.240
<v Speaker 5>lot of conditions that are slightly increased or you know,

0:13:32.440 --> 0:13:36.240
<v Speaker 5>significantly increase in men who are having children when they're

0:13:36.480 --> 0:13:39.200
<v Speaker 5>forty enough, certainly forty five and fifty en up.

0:13:39.280 --> 0:13:41.280
<v Speaker 1>Essentially, because we talk a lot about as women get

0:13:41.280 --> 0:13:44.840
<v Speaker 1>older what that means, but it is interesting that the

0:13:45.040 --> 0:13:47.400
<v Speaker 1>opposite of that is what it means when men are older,

0:13:47.440 --> 0:13:52.680
<v Speaker 1>and what are the genetic consequences of that? Very interesting.

0:13:52.679 --> 0:13:54.360
<v Speaker 1>I don't know how much how many of those studies

0:13:54.400 --> 0:13:56.640
<v Speaker 1>have been done to see what the consequences are when

0:13:56.640 --> 0:13:57.280
<v Speaker 1>men are older.

0:13:58.000 --> 0:14:00.360
<v Speaker 5>You know, it's tricky too because a lot of times

0:14:00.400 --> 0:14:03.520
<v Speaker 5>when you have an older father, you also have an

0:14:03.559 --> 0:14:06.640
<v Speaker 5>older mother, so it can be difficult to kind of

0:14:06.640 --> 0:14:10.559
<v Speaker 5>tease out, well, where's the contribution here, But there are

0:14:10.640 --> 0:14:14.240
<v Speaker 5>studies that show, you know, an increased risk of some

0:14:14.360 --> 0:14:17.840
<v Speaker 5>genetic conditions. One of the ones that we know the

0:14:17.840 --> 0:14:20.080
<v Speaker 5>most about that has the most data supporting it something

0:14:20.120 --> 0:14:23.680
<v Speaker 5>called achondroplasia, which is the most common form of dorphism

0:14:24.120 --> 0:14:26.920
<v Speaker 5>that is very clearly linked with advanced paternal age, so

0:14:27.040 --> 0:14:32.240
<v Speaker 5>forty five and up. And then there's there's other genetic conditions. Interestingly,

0:14:32.600 --> 0:14:35.760
<v Speaker 5>actually just stational diabetes, which is a condition of the

0:14:35.800 --> 0:14:40.800
<v Speaker 5>pregnant person is increased when the father or the sperm

0:14:40.840 --> 0:14:43.280
<v Speaker 5>donor is forty five years interesting.

0:14:43.840 --> 0:14:46.800
<v Speaker 3>Yeah, so, Doc, it does seem that there's just an

0:14:46.840 --> 0:14:50.280
<v Speaker 3>irony in this because it's like the younger our bodies are,

0:14:50.640 --> 0:14:54.000
<v Speaker 3>the healthier they are to have kids, but the older

0:14:54.040 --> 0:14:58.320
<v Speaker 3>we are, the better our for having kids. Well, what

0:14:58.600 --> 0:15:02.240
<v Speaker 3>roberts you a GAMD interview and he's spoken and he said, look,

0:15:02.280 --> 0:15:04.080
<v Speaker 3>I do feel at this age. He was kind of

0:15:04.080 --> 0:15:05.960
<v Speaker 3>defending having a kid at this age, and he said,

0:15:06.640 --> 0:15:09.400
<v Speaker 3>I understand the family and dynamics much better than when

0:15:09.400 --> 0:15:11.440
<v Speaker 3>I was a younger parent. Like he was sort of saying,

0:15:11.480 --> 0:15:13.040
<v Speaker 3>I'm kind of more mature now.

0:15:14.360 --> 0:15:17.120
<v Speaker 4>It's funny that they Well, I guess first let's touch

0:15:17.160 --> 0:15:17.400
<v Speaker 4>on this.

0:15:17.520 --> 0:15:19.600
<v Speaker 3>I mean, in your practice, you work very closely with

0:15:19.640 --> 0:15:22.120
<v Speaker 3>your patients, and I know you opened your practice Sterling

0:15:22.200 --> 0:15:25.360
<v Speaker 3>Parents in part to like take more time with patients.

0:15:25.920 --> 0:15:28.480
<v Speaker 3>Do you have any I don't want you to speak

0:15:28.480 --> 0:15:30.600
<v Speaker 3>at you know, you know, give assessions you don't feel

0:15:30.600 --> 0:15:33.120
<v Speaker 3>comfortable with. But what do you think is a good

0:15:33.160 --> 0:15:35.960
<v Speaker 3>age to have kids at? From what you say, Oh gosh,

0:15:36.120 --> 0:15:38.560
<v Speaker 3>is that But it's a really tough question, it is.

0:15:38.960 --> 0:15:43.000
<v Speaker 5>But I truly believe that that answer is different for everybody.

0:15:43.720 --> 0:15:47.760
<v Speaker 5>For you know, for women, for the people who are

0:15:47.800 --> 0:15:52.560
<v Speaker 5>carrying the pregnancy. There is a real kind of range

0:15:52.800 --> 0:15:58.080
<v Speaker 5>where it is it's you know, it becomes a little

0:15:58.120 --> 0:16:02.560
<v Speaker 5>bit less safe for us most because of the cardiovascular

0:16:02.760 --> 0:16:07.000
<v Speaker 5>load of pregnancy. And interestingly, we see an increased risk

0:16:07.080 --> 0:16:10.040
<v Speaker 5>and complications for young patients. So when we when we

0:16:10.080 --> 0:16:14.800
<v Speaker 5>look at you know, teenagers and unfortunately sometimes even younger

0:16:14.800 --> 0:16:17.880
<v Speaker 5>than that, we see an increased risk of complications. And

0:16:17.920 --> 0:16:20.600
<v Speaker 5>then when we get to the other end of the spectrum,

0:16:20.640 --> 0:16:24.040
<v Speaker 5>when we get older, we see an increased risk and complications.

0:16:24.080 --> 0:16:27.880
<v Speaker 5>And you know, most I'm not an infertility specialist, but

0:16:27.960 --> 0:16:32.320
<v Speaker 5>most infertility specialists have cut a cutoff for the age

0:16:32.360 --> 0:16:34.800
<v Speaker 5>that they will not go beyond to get a person pregnant,

0:16:34.840 --> 0:16:39.000
<v Speaker 5>and usually that's you know, in the fifties. So I

0:16:39.040 --> 0:16:43.040
<v Speaker 5>believe the oldest person who's ever been impregnated through in

0:16:43.120 --> 0:16:46.560
<v Speaker 5>vitro fertilization was in This was in their sixties, but

0:16:46.600 --> 0:16:51.120
<v Speaker 5>I believe they had falsified some documents to to you know,

0:16:51.160 --> 0:16:52.000
<v Speaker 5>appear younger.

0:16:52.800 --> 0:16:54.400
<v Speaker 4>It's older than I doubt it was going to be.

0:16:54.480 --> 0:16:54.600
<v Speaker 3>Well.

0:16:54.640 --> 0:16:57.880
<v Speaker 1>And I'm sure the spectrum, right, there's a spectrum, and

0:16:57.920 --> 0:17:01.760
<v Speaker 1>I'm sure that spectrum has light and slid a little bit,

0:17:01.840 --> 0:17:05.000
<v Speaker 1>because our life expectancy is much even just since the

0:17:05.040 --> 0:17:08.680
<v Speaker 1>fifties and sixties or whatever, since my parents were having children,

0:17:08.960 --> 0:17:11.320
<v Speaker 1>It's changed dramatically just in that amount of time. We're

0:17:11.320 --> 0:17:15.239
<v Speaker 1>living longer, we're healthier longer. So I'm sure it is

0:17:15.280 --> 0:17:17.439
<v Speaker 1>that gap is widened and it moves a little bit.

0:17:18.240 --> 0:17:21.480
<v Speaker 5>Yeah, And you know, if it wasn't for if it

0:17:21.560 --> 0:17:25.520
<v Speaker 5>wasn't for the fact that that pregnancy is such a uh,

0:17:26.240 --> 0:17:30.359
<v Speaker 5>you know, such a physiologic load on the person who's pregnant.

0:17:30.720 --> 0:17:33.560
<v Speaker 5>You know, I don't think that there's anything necessarily wrong

0:17:33.720 --> 0:17:36.800
<v Speaker 5>with having kids in your in your in your fifties,

0:17:36.920 --> 0:17:42.280
<v Speaker 5>but for the person who's pregnant, you know, the cardiovascular

0:17:42.359 --> 0:17:46.120
<v Speaker 5>risk is significant in your fifties. As you know, our

0:17:46.440 --> 0:17:49.879
<v Speaker 5>research and our you know, our medic our medicine advances,

0:17:50.119 --> 0:17:53.520
<v Speaker 5>you know, these are potentially things that we could address.

0:17:54.040 --> 0:17:58.040
<v Speaker 3>Okay, so doctor, certainly, Bob, now I'm really giving them that.

0:17:58.160 --> 0:18:01.240
<v Speaker 3>It makes them ide both before, so maybe I feel like.

0:18:01.160 --> 0:18:01.399
<v Speaker 4>I have.

0:18:03.000 --> 0:18:06.399
<v Speaker 3>I think this is especially making havelines because obviously they

0:18:06.440 --> 0:18:08.520
<v Speaker 3>know each other, they're co stars, but they are both

0:18:08.640 --> 0:18:10.800
<v Speaker 3>now having kids at this late age in life.

0:18:11.400 --> 0:18:14.520
<v Speaker 4>Is this becoming more common? Are you seeing older parents

0:18:14.560 --> 0:18:15.560
<v Speaker 4>in your clinics?

0:18:15.600 --> 0:18:19.680
<v Speaker 3>And have you seen any any papa bears in their

0:18:19.720 --> 0:18:20.680
<v Speaker 3>seventies and eighties?

0:18:21.520 --> 0:18:26.640
<v Speaker 5>So I personally have not had any uh baby daddies,

0:18:27.040 --> 0:18:29.520
<v Speaker 5>any fathers of parents you know, in their in their

0:18:29.560 --> 0:18:33.320
<v Speaker 5>seventies and eighties. It's so it's, you know, and it's

0:18:33.320 --> 0:18:36.359
<v Speaker 5>not going to be that common. It's it's possible, but

0:18:36.440 --> 0:18:39.880
<v Speaker 5>it's not going to be that common, right, But certainly

0:18:39.920 --> 0:18:42.840
<v Speaker 5>we're seeing older parents, and I mean it makes sense.

0:18:42.920 --> 0:18:46.200
<v Speaker 5>I mean it is very you know, it is very difficult,

0:18:46.600 --> 0:18:49.399
<v Speaker 5>especially in the in the United States, you know, in

0:18:49.560 --> 0:18:54.040
<v Speaker 5>with our economy and the difficulties with how expensive childcare

0:18:54.240 --> 0:18:57.240
<v Speaker 5>is and how expensive schooling is and all of these things.

0:18:57.240 --> 0:19:00.480
<v Speaker 5>Like you you essentially have to have a two income

0:19:00.560 --> 0:19:04.679
<v Speaker 5>household of like you know, of people doing really well

0:19:05.040 --> 0:19:09.040
<v Speaker 5>to really feel like you can take care of children

0:19:09.280 --> 0:19:12.520
<v Speaker 5>with ease when you're not struggling to pay the bill.

0:19:12.640 --> 0:19:14.840
<v Speaker 1>It's harder to establish your own life as a married

0:19:14.880 --> 0:19:17.879
<v Speaker 1>couple now buying that first house, getting set up before

0:19:17.920 --> 0:19:20.000
<v Speaker 1>you ever feel like you could bring a human being

0:19:20.040 --> 0:19:23.040
<v Speaker 1>into this. Yeah, it's definitely pushed. It's kicked the can

0:19:23.160 --> 0:19:24.320
<v Speaker 1>down the road for quite some time.

0:19:24.400 --> 0:19:24.520
<v Speaker 3>Man.

0:19:24.560 --> 0:19:27.959
<v Speaker 1>I think there is just a general maybe I'd love

0:19:28.000 --> 0:19:29.840
<v Speaker 1>to ask you maybe there is a general thinking too

0:19:29.920 --> 0:19:33.800
<v Speaker 1>of just the younger generation of not getting married, not

0:19:33.840 --> 0:19:35.560
<v Speaker 1>having kids like we did when.

0:19:35.400 --> 0:19:37.720
<v Speaker 5>We're oh yeah, we're seeing that in the data, we

0:19:37.760 --> 0:19:41.080
<v Speaker 5>are seeing that people are having less children. And I

0:19:41.080 --> 0:19:43.920
<v Speaker 5>think it's just a result of one, you know, social

0:19:43.960 --> 0:19:46.679
<v Speaker 5>media and podcasts like this and all of that, Like

0:19:46.720 --> 0:19:49.000
<v Speaker 5>the word has kind of gotten out about the reality

0:19:49.040 --> 0:19:51.200
<v Speaker 5>of parenting and how difficult it can be.

0:19:51.520 --> 0:19:55.919
<v Speaker 4>That's interesting. People are scared, we know the truth now.

0:19:57.160 --> 0:19:59.399
<v Speaker 5>And the financial stress. And I think that there's a

0:19:59.400 --> 0:20:02.680
<v Speaker 5>lot of young people who are looking at the reality

0:20:02.680 --> 0:20:04.960
<v Speaker 5>of parenting and not just like the the you know,

0:20:05.119 --> 0:20:09.159
<v Speaker 5>the beautiful family life that's depicted you know on some

0:20:09.320 --> 0:20:11.560
<v Speaker 5>you know, the older television shows and all of that,

0:20:11.600 --> 0:20:14.120
<v Speaker 5>and they're they're seeing like the reality of care.

0:20:14.240 --> 0:20:16.159
<v Speaker 1>We all just watched The Brady Bunch Leave It to

0:20:16.200 --> 0:20:19.840
<v Speaker 1>Beaver and Write and saw Norman Rockwell paintings and thought, yeah,

0:20:19.880 --> 0:20:23.160
<v Speaker 1>this is great. Thank god Nick Cannon is helping populate

0:20:23.200 --> 0:20:26.160
<v Speaker 1>the world. Though it's okay. He just had baby number

0:20:26.160 --> 0:20:28.600
<v Speaker 1>forty five while we were podcast.

0:20:29.920 --> 0:20:32.760
<v Speaker 3>Well, actually, my mom actually used to say, my mom

0:20:32.800 --> 0:20:35.800
<v Speaker 3>hadn't you when she was thirty, and she said she

0:20:35.960 --> 0:20:39.400
<v Speaker 3>felt like she waited, But she also said if I'd

0:20:39.480 --> 0:20:40.600
<v Speaker 3>known the reality, I.

0:20:40.600 --> 0:20:41.639
<v Speaker 4>Would have waited longer.

0:20:41.760 --> 0:20:44.600
<v Speaker 3>She's told me that several times, like saying, I didn't

0:20:44.640 --> 0:20:46.520
<v Speaker 3>really you think you know how hard it's going to be,

0:20:46.600 --> 0:20:49.080
<v Speaker 3>but you don't really know. So maybe there is more

0:20:49.119 --> 0:20:53.120
<v Speaker 3>awareness of more people sharing the difficulty of like those

0:20:53.200 --> 0:20:54.800
<v Speaker 3>early years and those sleepless nights.

0:20:54.800 --> 0:20:57.719
<v Speaker 1>And she's been scary not to scare more people, doctor Stirling.

0:20:57.800 --> 0:21:00.280
<v Speaker 1>But I seem to be hearing more. It might be

0:21:00.359 --> 0:21:03.879
<v Speaker 1>social media, so we hear more of everything. Yeah, people

0:21:03.920 --> 0:21:09.679
<v Speaker 1>having difficulty getting pregnant, conceiving. Yeah, and I hear if

0:21:09.720 --> 0:21:14.040
<v Speaker 1>I'm not mistaken, it has to do with men in

0:21:14.119 --> 0:21:15.879
<v Speaker 1>our potency has dipped.

0:21:16.880 --> 0:21:19.880
<v Speaker 5>Well, you know I don't. First of all, we are

0:21:19.960 --> 0:21:24.520
<v Speaker 5>seeing an increase in the overall you know, uh, rates

0:21:24.520 --> 0:21:28.880
<v Speaker 5>of infertility, but that's because people are attempting to get

0:21:28.920 --> 0:21:33.280
<v Speaker 5>pregnant later than ever before, So that's not really a surprise.

0:21:33.440 --> 0:21:38.080
<v Speaker 5>And we see these decline. The decline is much you know,

0:21:38.119 --> 0:21:42.639
<v Speaker 5>it's much more drastic essentially for women, for people with

0:21:42.680 --> 0:21:47.359
<v Speaker 5>ovaries in the you know, in that kind of in

0:21:47.440 --> 0:21:50.720
<v Speaker 5>those the decade of the thirties, right, we see that

0:21:50.880 --> 0:21:53.360
<v Speaker 5>starting at thirty, we start to see those numbers kind

0:21:53.359 --> 0:21:57.040
<v Speaker 5>of creep up, unfortunately. And we also see that you know,

0:21:57.720 --> 0:21:59.840
<v Speaker 5>the same thing and men, but it's it's a little

0:21:59.840 --> 0:22:03.879
<v Speaker 5>bit later in life and it isn't quite as drastic.

0:22:04.440 --> 0:22:10.800
<v Speaker 5>So but yes, infertility can be either caused by you know,

0:22:10.840 --> 0:22:13.160
<v Speaker 5>the man or the woman, or it can be a combination.

0:22:14.119 --> 0:22:17.120
<v Speaker 3>I do feel like not just infertility, and I yeah,

0:22:17.160 --> 0:22:19.040
<v Speaker 3>maybe doctor you can speak to some data on this,

0:22:19.160 --> 0:22:22.040
<v Speaker 3>or if it's just more awareness, you know, I love

0:22:22.160 --> 0:22:24.760
<v Speaker 3>that people share so people don't feel isolated and alone

0:22:24.800 --> 0:22:27.000
<v Speaker 3>when they go through fertility struggles and when they have

0:22:27.119 --> 0:22:29.000
<v Speaker 3>miscarriages and pregnancy losses.

0:22:29.560 --> 0:22:31.480
<v Speaker 4>Is that increasing?

0:22:31.800 --> 0:22:34.520
<v Speaker 3>Are pregnancy losses in cases of that increasing or do

0:22:34.560 --> 0:22:37.000
<v Speaker 3>you think it just feels that way because people are

0:22:37.040 --> 0:22:38.240
<v Speaker 3>open and sharing it.

0:22:38.200 --> 0:22:43.400
<v Speaker 5>More so when we look at like the miscarriage rate

0:22:43.680 --> 0:22:48.000
<v Speaker 5>at for a particular age. No, it's not increasing, but

0:22:48.080 --> 0:22:51.800
<v Speaker 5>we are seeing people getting pregnant later, and we know that.

0:22:52.280 --> 0:22:54.600
<v Speaker 5>So one of the things that one of the risks

0:22:54.600 --> 0:22:57.560
<v Speaker 5>that increases with age is the risk of chromosomal undermatic

0:22:57.680 --> 0:23:01.200
<v Speaker 5>things like Down syndrome. Okay, and if you are pregnant

0:23:01.320 --> 0:23:03.480
<v Speaker 5>and you have a baby or a fetus that has

0:23:03.520 --> 0:23:06.240
<v Speaker 5>Down syndrome, the risk of pregnancy loss is higher in

0:23:06.280 --> 0:23:10.359
<v Speaker 5>those pregnancies. So we are seeing as you get older,

0:23:10.440 --> 0:23:13.959
<v Speaker 5>your risk of pregnancy loss increases. There is some data

0:23:14.040 --> 0:23:18.359
<v Speaker 5>that pregnancy loss may be associated with paternal age as well,

0:23:18.400 --> 0:23:22.159
<v Speaker 5>but that data isn't isn't as you know, across the board.

0:23:22.359 --> 0:23:23.800
<v Speaker 5>We don't see it across the board in all of

0:23:23.840 --> 0:23:27.200
<v Speaker 5>the studies, so it's a little bit mixed. But so yes,

0:23:27.440 --> 0:23:30.359
<v Speaker 5>as we as we get pregnant older, we are going

0:23:30.400 --> 0:23:32.720
<v Speaker 5>to see it increase risk of pregnancy loss. And so

0:23:32.760 --> 0:23:37.679
<v Speaker 5>I think that's part of the picture. But also very clearly,

0:23:37.720 --> 0:23:39.920
<v Speaker 5>even in the time that I've been in obigu An

0:23:39.920 --> 0:23:43.639
<v Speaker 5>I've been at Obijuan since twenty twelve, the awareness of

0:23:43.720 --> 0:23:48.640
<v Speaker 5>pregnancy loss has really really increased, and so I think

0:23:48.680 --> 0:23:50.880
<v Speaker 5>that it's it's both things are happening well.

0:23:50.960 --> 0:23:53.280
<v Speaker 3>So a lot of this has to do with age,

0:23:53.280 --> 0:23:55.439
<v Speaker 3>even more than I realize, because it's like that for

0:23:55.800 --> 0:23:58.760
<v Speaker 3>everybody's if you're trying to get pregnant, grow older, you're

0:23:58.800 --> 0:24:01.440
<v Speaker 3>seeing the in fertility struggles where you're seeing miscarriage more

0:24:01.640 --> 0:24:03.119
<v Speaker 3>and people are getting.

0:24:03.160 --> 0:24:05.000
<v Speaker 1>It makes sense if we're if we're if we're sliding

0:24:05.040 --> 0:24:08.840
<v Speaker 1>that scale down when you know, women have the most eggs,

0:24:08.840 --> 0:24:10.879
<v Speaker 1>men are the most fertile, and we slide both of

0:24:10.880 --> 0:24:13.960
<v Speaker 1>those people down, obviously the window closes a little bit.

0:24:14.000 --> 0:24:16.840
<v Speaker 1>I'm I'm curious. You know, we've mentioned social media a

0:24:16.880 --> 0:24:19.400
<v Speaker 1>few times and just so much information out there as

0:24:19.480 --> 0:24:21.520
<v Speaker 1>nob G y N. And you've been doing this, as

0:24:21.560 --> 0:24:23.600
<v Speaker 1>you said, since twenty twelve, so the last you know,

0:24:23.680 --> 0:24:27.800
<v Speaker 1>eleven years a pretty big time of social media exploding.

0:24:28.200 --> 0:24:33.960
<v Speaker 1>Have you seen to the detriment as a doctor, people

0:24:34.040 --> 0:24:37.639
<v Speaker 1>just getting you know, wild ideas off social media, on

0:24:38.160 --> 0:24:42.600
<v Speaker 1>having kids, getting pregnant or self cures off the internet

0:24:42.640 --> 0:24:45.880
<v Speaker 1>that you're like, whoa, WHOA, whoa, Please come to a doctor.

0:24:46.920 --> 0:24:50.400
<v Speaker 5>Yes, definitely. And I think the reality is is that

0:24:50.840 --> 0:24:54.200
<v Speaker 5>you know, our social media is a tool, and there

0:24:54.200 --> 0:24:56.360
<v Speaker 5>are some ways. You know, I'm on social media, I'm

0:24:56.359 --> 0:24:59.000
<v Speaker 5>on TikTok and Instagram, I'm educating there and in some

0:24:59.160 --> 0:25:04.240
<v Speaker 5>ways it has done so much good. Okay, but yes,

0:25:04.400 --> 0:25:08.760
<v Speaker 5>there is a lot of misinformation on these apps and

0:25:08.840 --> 0:25:13.000
<v Speaker 5>it can really increase people's fears. And you know, it's

0:25:13.000 --> 0:25:16.800
<v Speaker 5>not just about pure misinformation, but it's about how we

0:25:16.840 --> 0:25:19.920
<v Speaker 5>talk about things. You know, we've you know, in this conversation,

0:25:20.000 --> 0:25:22.320
<v Speaker 5>we have talked a lot about the risks of getting

0:25:22.400 --> 0:25:27.080
<v Speaker 5>older as a parent and getting older as you you know,

0:25:27.119 --> 0:25:29.560
<v Speaker 5>attempt to get pregnant. But the reality is is that

0:25:29.560 --> 0:25:33.560
<v Speaker 5>there are also benefits to being advanced maternal age, to

0:25:33.640 --> 0:25:36.359
<v Speaker 5>being older when you get pregnant, so and having your

0:25:36.440 --> 0:25:38.680
<v Speaker 5>children at a later age. And so that's the thing

0:25:38.680 --> 0:25:43.240
<v Speaker 5>about social media is even when the information is good information,

0:25:43.359 --> 0:25:46.600
<v Speaker 5>at your information, you're only getting a little slice of

0:25:46.640 --> 0:25:49.960
<v Speaker 5>the pie, right, And so it's about kind of being

0:25:50.000 --> 0:25:54.080
<v Speaker 5>able to get educated in a way that allows for nuance,

0:25:54.119 --> 0:26:00.200
<v Speaker 5>allows you to really understand the full picture of an issue.

0:26:09.280 --> 0:26:12.919
<v Speaker 3>On that note, one, are there any misconceptions that you

0:26:13.000 --> 0:26:15.800
<v Speaker 3>constantly see as novgyn that you would like to clear

0:26:15.880 --> 0:26:17.760
<v Speaker 3>up here and now, things that pop in your head,

0:26:17.800 --> 0:26:20.520
<v Speaker 3>like the top two or three, and then before I

0:26:20.560 --> 0:26:22.640
<v Speaker 3>forget but two, we'll come back to Like, I would

0:26:22.680 --> 0:26:24.680
<v Speaker 3>love to hear what some of those positive things are

0:26:25.040 --> 0:26:26.119
<v Speaker 3>of being an older.

0:26:25.880 --> 0:26:28.200
<v Speaker 4>Parent, because I will say, I mean, I'm a millenniine

0:26:28.240 --> 0:26:28.760
<v Speaker 4>thirty five.

0:26:29.320 --> 0:26:32.000
<v Speaker 3>So many of my friends have done exactly what we're

0:26:32.040 --> 0:26:33.840
<v Speaker 3>talking about right now their career women.

0:26:33.920 --> 0:26:35.800
<v Speaker 4>They are doctors, lawyers, and.

0:26:35.960 --> 0:26:38.800
<v Speaker 3>Teachers, and a lot of them have waited until this

0:26:38.960 --> 0:26:41.879
<v Speaker 3>time to have kids, or they've frozen their eggs, and

0:26:42.560 --> 0:26:44.399
<v Speaker 3>so I just feel like this is a conversation I

0:26:44.440 --> 0:26:46.880
<v Speaker 3>have all the time in a way of like being

0:26:46.920 --> 0:26:48.520
<v Speaker 3>scared and being afraid and being worried.

0:26:48.560 --> 0:26:50.280
<v Speaker 4>I'd love to hear some of the positives.

0:26:50.560 --> 0:26:51.800
<v Speaker 1>Yeah you wait, and good job.

0:26:51.880 --> 0:26:54.280
<v Speaker 4>But yeah, so first anything you want to clear up.

0:26:55.080 --> 0:26:58.040
<v Speaker 5>Yeah, I think it's really really important to understand that

0:26:58.160 --> 0:27:01.480
<v Speaker 5>age is only one factor in the whole fertility discussion.

0:27:02.200 --> 0:27:06.160
<v Speaker 5>There are a lot of people who attempt to get

0:27:06.200 --> 0:27:10.240
<v Speaker 5>pregnant at twenty eight, twenty nine and really struggle to conceive,

0:27:10.440 --> 0:27:12.640
<v Speaker 5>and everybody in their life is telling them, you're young,

0:27:12.680 --> 0:27:15.520
<v Speaker 5>it's not going to be a problem. So age is

0:27:15.600 --> 0:27:18.560
<v Speaker 5>just one factor. There are many causes of infertility, and

0:27:18.600 --> 0:27:20.880
<v Speaker 5>I think we oftentimes lead out the people who are

0:27:20.880 --> 0:27:24.760
<v Speaker 5>supposedly young who are are unable to get pregnant. So

0:27:24.800 --> 0:27:29.280
<v Speaker 5>there's that, and then the other thing is I think

0:27:29.320 --> 0:27:33.520
<v Speaker 5>egg freezing and potentially embryo freezing, which is when you

0:27:34.040 --> 0:27:40.080
<v Speaker 5>freeze an embryo, are really great ways to potentially preserve

0:27:40.240 --> 0:27:42.880
<v Speaker 5>your fertility. But I think a lot of people think

0:27:42.920 --> 0:27:46.880
<v Speaker 5>that that is a one hundred percent like that's that's

0:27:46.880 --> 0:27:48.960
<v Speaker 5>what you need to do, and it's not one hundred percent.

0:27:49.480 --> 0:27:52.920
<v Speaker 5>So it's clear that doing you know, if you're going

0:27:52.960 --> 0:27:55.880
<v Speaker 5>to freeze your eggs, doing so as you know, as

0:27:55.920 --> 0:27:58.440
<v Speaker 5>young as possible is going to help you get the

0:27:58.520 --> 0:28:03.720
<v Speaker 5>highest yield of eggs, but it's not one hundred percent guarantee.

0:28:03.760 --> 0:28:05.800
<v Speaker 5>And I think a lot of people are surprised when

0:28:05.800 --> 0:28:07.639
<v Speaker 5>they go back and they're like, Okay, I'm you know,

0:28:07.680 --> 0:28:10.480
<v Speaker 5>I'm forty two, I'm now ready to get pregnant, and

0:28:10.960 --> 0:28:14.280
<v Speaker 5>they're not able to use their own eggs.

0:28:13.480 --> 0:28:16.960
<v Speaker 3>Oh so, you know, Courtney Kardashian was just talking about

0:28:16.960 --> 0:28:20.760
<v Speaker 3>this on The Kardashians New season. She said, I froze

0:28:20.800 --> 0:28:22.800
<v Speaker 3>my eggs and I think she said only one of

0:28:22.840 --> 0:28:25.960
<v Speaker 3>them survived, and that was shocking to me. I did

0:28:25.960 --> 0:28:27.800
<v Speaker 3>not understand that at all. I thought it was kind

0:28:27.840 --> 0:28:30.080
<v Speaker 3>of you frozen, they unfreeze. It's like go on a steak,

0:28:30.119 --> 0:28:33.399
<v Speaker 3>You're good to go. So what is the percentage?

0:28:33.440 --> 0:28:33.600
<v Speaker 4>Then?

0:28:34.320 --> 0:28:34.520
<v Speaker 1>You know?

0:28:34.600 --> 0:28:36.960
<v Speaker 5>I actually I'm not a fertility specialist, so I don't

0:28:36.960 --> 0:28:39.680
<v Speaker 5>know that percentage off the top of my head, but

0:28:40.400 --> 0:28:44.480
<v Speaker 5>it's it's certainly not one hundred percent, so you want

0:28:44.520 --> 0:28:47.080
<v Speaker 5>to And one thing we do know is that you

0:28:47.080 --> 0:28:49.600
<v Speaker 5>can freeze your eggs, but you can also freeze embryos,

0:28:49.760 --> 0:28:53.560
<v Speaker 5>and the yield is oftentimes higher with embryos. So if

0:28:53.600 --> 0:28:58.320
<v Speaker 5>you know who your partner is, oftentimes a fertility specialist

0:28:58.400 --> 0:29:00.520
<v Speaker 5>will recommend let's not just freeze your eg but let's

0:29:00.560 --> 0:29:02.080
<v Speaker 5>also free some embryos as well.

0:29:02.280 --> 0:29:03.640
<v Speaker 4>We'll bring it back to pop culture.

0:29:03.680 --> 0:29:05.200
<v Speaker 3>I mean, I don't know how familiar are with the

0:29:05.240 --> 0:29:08.920
<v Speaker 3>scandal all doctor, but thank god Arian and vander Pump

0:29:09.040 --> 0:29:11.560
<v Speaker 3>rules she was going to have Tom's hand of all

0:29:11.920 --> 0:29:14.800
<v Speaker 3>fertilize her embryos. And thank god, as we've discovered his

0:29:14.960 --> 0:29:18.680
<v Speaker 3>cheating with her friends, she did not so partner wisely.

0:29:18.520 --> 0:29:23.600
<v Speaker 5>Right, yes, and that becomes a whole ethical legal issue.

0:29:23.680 --> 0:29:26.320
<v Speaker 5>And there's been cases where you know, this is this

0:29:26.480 --> 0:29:30.200
<v Speaker 5>person's they only have frozen embryos. They are not able to,

0:29:30.520 --> 0:29:33.760
<v Speaker 5>you know, to otherwise have their own biological child, but

0:29:33.840 --> 0:29:35.880
<v Speaker 5>they are no longer with that person, so it can

0:29:35.920 --> 0:29:37.120
<v Speaker 5>become quite messy.

0:29:37.280 --> 0:29:41.400
<v Speaker 1>I'm curious with women having children later in life, which,

0:29:41.400 --> 0:29:43.120
<v Speaker 1>as you said, it's not necessarily a good thing or

0:29:43.160 --> 0:29:46.520
<v Speaker 1>a bad thing, but it also closes that gap to menopause.

0:29:47.800 --> 0:29:50.200
<v Speaker 1>And have you seen in your patients, because I'm sure

0:29:50.240 --> 0:29:52.880
<v Speaker 1>obviously you're in obgu am. So you take their their

0:29:52.920 --> 0:29:56.440
<v Speaker 1>health all the way through the effects of that and

0:29:56.520 --> 0:29:59.720
<v Speaker 1>that that quick step from becoming a mom into that

0:29:59.720 --> 0:30:01.840
<v Speaker 1>next stage of life. Yeah.

0:30:01.840 --> 0:30:04.760
<v Speaker 5>So the average age of menopause is fifty one, but

0:30:05.000 --> 0:30:08.240
<v Speaker 5>a lot of people are starting to experience some of

0:30:08.280 --> 0:30:13.560
<v Speaker 5>the pre menopausitive symptoms in sometimes even the early forties,

0:30:13.600 --> 0:30:16.160
<v Speaker 5>but oftentimes by the mid to late forties are starting

0:30:16.160 --> 0:30:18.280
<v Speaker 5>to experience some of those symptoms. And obviously, with an

0:30:18.280 --> 0:30:21.200
<v Speaker 5>average age of menopause of fifty one, there's a lot

0:30:21.200 --> 0:30:23.880
<v Speaker 5>of people who are below that age. So yeah, it

0:30:23.880 --> 0:30:26.840
<v Speaker 5>can be quite an interesting experience to go from Okay,

0:30:26.880 --> 0:30:30.000
<v Speaker 5>I had my last child at forty three, and then

0:30:30.320 --> 0:30:32.760
<v Speaker 5>the next year or you know, two years later, here

0:30:32.800 --> 0:30:34.840
<v Speaker 5>I am and I'm having menopause symptoms or.

0:30:34.840 --> 0:30:39.680
<v Speaker 1>I guess even simultaneous for some Yeah, I mean go

0:30:39.760 --> 0:30:40.360
<v Speaker 1>hand in hand.

0:30:41.000 --> 0:30:44.960
<v Speaker 5>Yes, I mean, if you're using assisted reproduction, you you know,

0:30:45.240 --> 0:30:48.640
<v Speaker 5>you certainly could have your child and then that could

0:30:48.640 --> 0:30:50.920
<v Speaker 5>be you know, that could be the end of your

0:30:50.920 --> 0:30:51.680
<v Speaker 5>cycle after that.

0:30:51.960 --> 0:30:54.560
<v Speaker 3>Okay, So doctor you said there were some positive things

0:30:54.560 --> 0:30:55.959
<v Speaker 3>about yeah, your parents.

0:30:56.000 --> 0:30:58.240
<v Speaker 4>What are something that would share? Now?

0:30:58.280 --> 0:31:01.040
<v Speaker 5>First of all, I am an older parent, Okay, so

0:31:01.120 --> 0:31:07.240
<v Speaker 5>I have had advanced maternal age pregnancies. I really think

0:31:07.280 --> 0:31:10.240
<v Speaker 5>that there's a lot of you know, benefits just from

0:31:10.240 --> 0:31:13.720
<v Speaker 5>my personal experience, but also the data shows that there's benefits.

0:31:13.720 --> 0:31:17.160
<v Speaker 5>So we see that children of older parents are healthier,

0:31:17.680 --> 0:31:20.680
<v Speaker 5>they do better in school, and they have fewer social, emotional,

0:31:20.760 --> 0:31:24.640
<v Speaker 5>and behavioral issues. And we also see some benefits for

0:31:24.760 --> 0:31:29.080
<v Speaker 5>the pregnant person. So we see that people who you know,

0:31:29.160 --> 0:31:33.840
<v Speaker 5>that the pregnancy after thirty five is associated with longer lives, longevity,

0:31:34.200 --> 0:31:38.880
<v Speaker 5>and we also see that improved memory and cognitive scores

0:31:39.200 --> 0:31:41.920
<v Speaker 5>post menopause if you had your children later in life.

0:31:42.440 --> 0:31:45.680
<v Speaker 5>So there's there's very clearly benefits, and that's that there's

0:31:45.720 --> 0:31:48.240
<v Speaker 5>a reason why people delay child bearing, so that you

0:31:48.240 --> 0:31:51.960
<v Speaker 5>can have, you know, the economic stability, the career stability,

0:31:52.000 --> 0:31:53.440
<v Speaker 5>and also the emotional maturity.

0:31:54.120 --> 0:31:56.880
<v Speaker 1>I mean, look our perspective, my perspective when I started

0:31:56.920 --> 0:31:58.920
<v Speaker 1>as a dad at twenty nine, at my perspective now

0:31:58.920 --> 0:32:01.680
<v Speaker 1>at fifty one, is one hundred and eighty degree different.

0:32:01.760 --> 0:32:04.600
<v Speaker 3>I mean it's you're kind of this example of because

0:32:04.640 --> 0:32:07.400
<v Speaker 3>your parents had you at nineteen and twenty and then

0:32:07.400 --> 0:32:09.320
<v Speaker 3>you had your own kids starting in your thirties, and

0:32:09.360 --> 0:32:11.040
<v Speaker 3>you look back at like even just what a difference

0:32:11.080 --> 0:32:11.520
<v Speaker 3>that was.

0:32:11.760 --> 0:32:13.960
<v Speaker 1>Yeah, I mean my mom started having children when she

0:32:14.040 --> 0:32:15.880
<v Speaker 1>was eighteen and had me when she was twenty, and

0:32:15.920 --> 0:32:18.640
<v Speaker 1>so you know, I vividly remember my mom turning thirty

0:32:19.800 --> 0:32:22.479
<v Speaker 1>I was I was ten eleven years old, and my

0:32:22.480 --> 0:32:25.480
<v Speaker 1>brother was twelve for crying out loud, so you know,

0:32:25.520 --> 0:32:27.880
<v Speaker 1>we were essentially at the same age as we all

0:32:27.920 --> 0:32:31.880
<v Speaker 1>went to college together. So it was there's benefits to that.

0:32:32.440 --> 0:32:35.400
<v Speaker 1>For sure, we had a lot in common. But then

0:32:35.440 --> 0:32:37.840
<v Speaker 1>again I think about the perspective that I had much later.

0:32:37.960 --> 0:32:40.760
<v Speaker 1>So like you said, I think there's pluses and minuses

0:32:40.800 --> 0:32:43.280
<v Speaker 1>to both that it has to do with each individual.

0:32:43.240 --> 0:32:46.360
<v Speaker 4>Mind saying older parent though, how you just explained it.

0:32:46.440 --> 0:32:48.680
<v Speaker 3>What age is that like, so that's if you become

0:32:48.720 --> 0:32:51.200
<v Speaker 3>a parent your late thirties for the first time, roughly.

0:32:51.520 --> 0:32:53.280
<v Speaker 5>Yeah, so it depends on the study you look at.

0:32:53.320 --> 0:32:56.880
<v Speaker 5>But advanced maternal age in the United States we're usually

0:32:56.880 --> 0:33:00.600
<v Speaker 5>we're talking about thirty five years old and up. And

0:33:00.640 --> 0:33:03.400
<v Speaker 5>then really there's also you know, some other countries well

0:33:03.480 --> 0:33:06.840
<v Speaker 5>use forty years old as the cutoff, but it depends

0:33:06.840 --> 0:33:09.280
<v Speaker 5>on each each study, So each study kind of uses

0:33:09.320 --> 0:33:10.400
<v Speaker 5>their own age cutoff.

0:33:10.480 --> 0:33:13.200
<v Speaker 4>Right, Okay, I have a question, sir. I wrote down

0:33:13.200 --> 0:33:14.400
<v Speaker 4>to many specific questions.

0:33:14.400 --> 0:33:17.160
<v Speaker 3>I know, I'm like I once, let's let's get it

0:33:17.160 --> 0:33:20.160
<v Speaker 3>cleared by an expert today, not by TikTok Okay. A

0:33:20.160 --> 0:33:23.080
<v Speaker 3>few years ago, there was this big I don't know

0:33:23.080 --> 0:33:24.720
<v Speaker 3>if you remember this big there was this big, like

0:33:24.800 --> 0:33:29.400
<v Speaker 3>trending Twitter moment about birth control. It might have been

0:33:29.440 --> 0:33:30.840
<v Speaker 3>when I don't.

0:33:30.640 --> 0:33:32.440
<v Speaker 4>Know, some kind of birth control decision was coming I

0:33:32.520 --> 0:33:32.880
<v Speaker 4>care for.

0:33:33.280 --> 0:33:37.400
<v Speaker 3>But yeah, there was this big trend of people discussing

0:33:37.440 --> 0:33:41.520
<v Speaker 3>like should men just get vasectoms as.

0:33:41.360 --> 0:33:42.320
<v Speaker 4>A way of birth control?

0:33:42.440 --> 0:33:45.360
<v Speaker 3>And then it started coming up as how effective or

0:33:45.440 --> 0:33:48.680
<v Speaker 3>vasectames when they're reverse And there's even that famous line.

0:33:48.680 --> 0:33:50.479
<v Speaker 3>I don't know if you watched the office. But if

0:33:50.560 --> 0:33:53.280
<v Speaker 3>you've seen the Dinner Party episode.

0:33:52.640 --> 0:33:55.160
<v Speaker 4>Where Michael Scott goes and then I got reverse and

0:33:55.200 --> 0:33:55.960
<v Speaker 4>I got reversed again.

0:33:57.240 --> 0:34:01.040
<v Speaker 5>Yes, So how what does it look like?

0:34:02.320 --> 0:34:06.120
<v Speaker 3>How effective is it for aseectomy to potentially get reverse? Yeah,

0:34:06.160 --> 0:34:08.319
<v Speaker 3>and what do you think of that conversation around it

0:34:08.360 --> 0:34:10.719
<v Speaker 3>being like a former birth control that people are using.

0:34:11.480 --> 0:34:16.480
<v Speaker 5>I'm really really glad that you brought that up. So essentially,

0:34:16.600 --> 0:34:19.520
<v Speaker 5>if you just look at the numbers, overall, we see

0:34:19.560 --> 0:34:22.359
<v Speaker 5>that only about fifty percent of the sectims are able

0:34:22.400 --> 0:34:23.200
<v Speaker 5>to be reversed.

0:34:23.520 --> 0:34:23.920
<v Speaker 2>Wow.

0:34:24.080 --> 0:34:28.520
<v Speaker 5>Now the longer you go between the actually the initial

0:34:28.560 --> 0:34:32.399
<v Speaker 5>procedure and the reversal, the greater that percentage is going

0:34:32.400 --> 0:34:35.040
<v Speaker 5>to get. So if you have a vseectomy and then

0:34:35.400 --> 0:34:37.600
<v Speaker 5>you know six months later you decide to reverse it,

0:34:37.640 --> 0:34:39.640
<v Speaker 5>well you're going to have a higher percentage of those

0:34:39.800 --> 0:34:44.080
<v Speaker 5>being successful than if it's been ten years. But overall,

0:34:44.760 --> 0:34:48.759
<v Speaker 5>it really needs to be considered a permanent sterilization. It's

0:34:48.880 --> 0:34:50.880
<v Speaker 5>not something that we should be talking about, Oh, you

0:34:50.880 --> 0:34:52.799
<v Speaker 5>can just go in and get it reversed, because that's

0:34:52.920 --> 0:34:56.680
<v Speaker 5>not true. For everyone. Some people it will be successful,

0:34:56.760 --> 0:34:57.680
<v Speaker 5>some people it will not.

0:34:58.120 --> 0:35:01.160
<v Speaker 1>I went through this. I think my pipes are rusty

0:35:01.160 --> 0:35:05.759
<v Speaker 1>and they're not coming back together. But I carefully sat

0:35:05.800 --> 0:35:07.840
<v Speaker 1>down with the doctor and he was a great doctor

0:35:07.880 --> 0:35:12.160
<v Speaker 1>and very much had that conversation with me. Are you sure,

0:35:12.239 --> 0:35:14.719
<v Speaker 1>Because at the time I was, I forget how old

0:35:14.760 --> 0:35:16.520
<v Speaker 1>I was, but I was like in my mid thirties.

0:35:16.800 --> 0:35:19.719
<v Speaker 1>I had already had two kids, and so I knew

0:35:19.760 --> 0:35:21.759
<v Speaker 1>that's where I was in my life. But he's like,

0:35:21.800 --> 0:35:25.000
<v Speaker 1>you're still young enough, Are you sure? So that is

0:35:25.040 --> 0:35:27.400
<v Speaker 1>an important conversation to have as a couple, not just

0:35:27.440 --> 0:35:29.359
<v Speaker 1>for the man, but as a couple. Is this what

0:35:29.400 --> 0:35:31.680
<v Speaker 1>you're wanting to do? Because I have had friends that

0:35:31.719 --> 0:35:35.760
<v Speaker 1>have tried the reversal and it has been very painful

0:35:36.080 --> 0:35:37.239
<v Speaker 1>and very unsuccessful.

0:35:37.400 --> 0:35:38.719
<v Speaker 2>Oh is it like if you try to get a

0:35:38.719 --> 0:35:40.840
<v Speaker 2>tattoo removed and it's more painful to get it removed

0:35:40.840 --> 0:35:41.880
<v Speaker 2>than it was to get the tattoo.

0:35:41.960 --> 0:35:45.800
<v Speaker 1>Well, it's easy. Think about a wire, your vast deference

0:35:45.800 --> 0:35:49.239
<v Speaker 1>to just cutting it, just cutting it and carterterizing it

0:35:49.520 --> 0:35:54.000
<v Speaker 1>very easy grabbing those two things and trying to fray

0:35:54.120 --> 0:36:00.520
<v Speaker 1>them back together not so easy. Destructions always easier than construction.

0:36:01.440 --> 0:36:03.960
<v Speaker 5>Yes, we and we do. We do that. We do

0:36:04.040 --> 0:36:06.919
<v Speaker 5>tubal reconstructions for people who have their their tube tied,

0:36:07.160 --> 0:36:10.960
<v Speaker 5>their their tubes tied as well, and it's a totally

0:36:10.960 --> 0:36:13.640
<v Speaker 5>different procedure, much more technically challenging.

0:36:13.719 --> 0:36:15.440
<v Speaker 2>It's like how it's easier to get married than it

0:36:15.480 --> 0:36:16.880
<v Speaker 2>is to get divorced. Okay, got it?

0:36:17.200 --> 0:36:20.960
<v Speaker 1>Oh yeah, and by the way, the wedding is a

0:36:21.040 --> 0:36:26.239
<v Speaker 1>lot more fun than they don't show you that at

0:36:26.239 --> 0:36:27.279
<v Speaker 1>the wedding video.

0:36:28.719 --> 0:36:32.279
<v Speaker 2>Doctor Sterling, I have one more question for you to

0:36:32.440 --> 0:36:34.000
<v Speaker 2>kind of tie it all together, and then please let

0:36:34.080 --> 0:36:35.080
<v Speaker 2>us know if there's anything like that.

0:36:35.239 --> 0:36:36.880
<v Speaker 1>I have loved this, by the way, Oh my gosh.

0:36:36.719 --> 0:36:40.800
<v Speaker 2>It's been so great. Thank you. Unfortunately, we could probably

0:36:40.840 --> 0:36:42.520
<v Speaker 2>ask you like a million more questions, but you have

0:36:42.560 --> 0:36:46.880
<v Speaker 2>to go treat real patients. So you know, we're talking

0:36:46.920 --> 0:36:49.439
<v Speaker 2>here about this all started with al Pacino Roberts Nero

0:36:49.520 --> 0:36:53.560
<v Speaker 2>being older dads, and Chris mentioned Nick Cannon at one point,

0:36:53.840 --> 0:36:56.960
<v Speaker 2>all like, parenting is very much a topic of the

0:36:56.960 --> 0:37:00.720
<v Speaker 2>pop culture conversation. And now I just thought about Elon Musk,

0:37:00.840 --> 0:37:04.880
<v Speaker 2>because Elon Musk is this guy who's he keeps saying that,

0:37:05.040 --> 0:37:07.040
<v Speaker 2>you know, he feels like there's a population shortage and

0:37:07.040 --> 0:37:10.520
<v Speaker 2>we should be really concerned about the lack of how

0:37:10.560 --> 0:37:13.279
<v Speaker 2>people are having kids less, And actually he kind of

0:37:13.320 --> 0:37:16.399
<v Speaker 2>ties it all together because his own father a few

0:37:16.440 --> 0:37:20.080
<v Speaker 2>years ago had a kid in his seventies, because I

0:37:20.080 --> 0:37:20.640
<v Speaker 2>guess his father.

0:37:20.840 --> 0:37:24.359
<v Speaker 1>There's a big study in Japan that the population shortage.

0:37:24.520 --> 0:37:25.960
<v Speaker 2>I don't know, so I want to ask you, and

0:37:26.040 --> 0:37:29.200
<v Speaker 2>I think I'm paraphrasing Elon Musk and don't know what

0:37:29.280 --> 0:37:33.719
<v Speaker 2>he's quoting. So, doctor Sterling, do you think there's I mean,

0:37:33.760 --> 0:37:36.000
<v Speaker 2>we've talked about people having less kids. Is there a

0:37:36.280 --> 0:37:40.319
<v Speaker 2>population decline in the US worldwide? Is it something you

0:37:40.400 --> 0:37:41.719
<v Speaker 2>find concerning at all?

0:37:42.440 --> 0:37:46.560
<v Speaker 5>So we're seeing birth rates declined, we certainly are. You know,

0:37:46.920 --> 0:37:50.680
<v Speaker 5>I think that the concerns that are being brought up

0:37:50.960 --> 0:37:53.680
<v Speaker 5>about the decline and the birth rate or a lot

0:37:53.680 --> 0:37:56.680
<v Speaker 5>of that has to do with, you know, socioeconomics, and

0:37:56.760 --> 0:37:59.080
<v Speaker 5>I am not you know, I do not have the

0:37:59.120 --> 0:38:03.239
<v Speaker 5>expertise to comment on what happens to a society when

0:38:03.239 --> 0:38:07.520
<v Speaker 5>the birth rate is declining. I just know from you know,

0:38:07.680 --> 0:38:10.719
<v Speaker 5>my experience of the people that I see that the

0:38:10.760 --> 0:38:14.160
<v Speaker 5>reason that the birth rate is declining is because people

0:38:14.960 --> 0:38:17.920
<v Speaker 5>know that they are not going to be supported as

0:38:18.040 --> 0:38:20.719
<v Speaker 5>new parents in the United States. They know that we

0:38:20.840 --> 0:38:25.960
<v Speaker 5>do not have you know, universal low cost childcare where

0:38:26.120 --> 0:38:31.080
<v Speaker 5>many other developed countries do. We do not have paternal

0:38:31.440 --> 0:38:36.600
<v Speaker 5>leave after birth, and that's you know, there are I

0:38:36.600 --> 0:38:38.920
<v Speaker 5>think it's forty percent of people are going back to

0:38:39.000 --> 0:38:42.360
<v Speaker 5>work two weeks after getting birth. I mean that is just,

0:38:43.080 --> 0:38:45.600
<v Speaker 5>you know, it does not make sense. So what we

0:38:45.640 --> 0:38:49.600
<v Speaker 5>see is when you do not support pregnant and postpartum

0:38:49.760 --> 0:38:53.160
<v Speaker 5>people and you do not support new families, people are

0:38:53.160 --> 0:38:55.319
<v Speaker 5>going to look at the situation and say, yeah, that's

0:38:55.320 --> 0:38:57.200
<v Speaker 5>not for me. I'm not going to put myself through that.

0:38:57.440 --> 0:39:00.520
<v Speaker 5>And I understand it as someone who loves my children.

0:39:00.560 --> 0:39:04.200
<v Speaker 5>I have three children. I love everything about it. I

0:39:04.320 --> 0:39:07.000
<v Speaker 5>still one hundred percent understand why a lot of young

0:39:07.040 --> 0:39:08.239
<v Speaker 5>people are saying it's not for me.

0:39:09.120 --> 0:39:11.719
<v Speaker 1>Interesting, so compelling, doctor, Thank you so much. And by

0:39:11.760 --> 0:39:14.560
<v Speaker 1>the way, I know we gave social media a hard time,

0:39:14.920 --> 0:39:16.880
<v Speaker 1>but I also know that you are terrific on social

0:39:16.960 --> 0:39:18.799
<v Speaker 1>media and that's a great way for you to kind

0:39:18.800 --> 0:39:21.640
<v Speaker 1>of teach the masses and talk to the masses. So

0:39:21.680 --> 0:39:22.600
<v Speaker 1>where can we find you?

0:39:23.360 --> 0:39:26.120
<v Speaker 5>Yeah, so I'm on both TikTok and Instagram. I am

0:39:26.160 --> 0:39:29.600
<v Speaker 5>doctor sterling Obi Juan, and yeah, I talk a lot

0:39:29.640 --> 0:39:32.720
<v Speaker 5>about advanced maternal age because it's a something that's really

0:39:33.560 --> 0:39:35.120
<v Speaker 5>near and dear to my heart, and I feel like

0:39:35.239 --> 0:39:37.120
<v Speaker 5>there's a lot of scary stuff out there, but there's

0:39:37.160 --> 0:39:38.160
<v Speaker 5>so much good about it.

0:39:38.200 --> 0:39:40.920
<v Speaker 1>So yeah, just for do you mind me asking how

0:39:40.960 --> 0:39:42.960
<v Speaker 1>old you were when you say your advanced stage? How

0:39:42.960 --> 0:39:45.000
<v Speaker 1>old you were when you had your last child?

0:39:45.280 --> 0:39:47.720
<v Speaker 5>Yeah? So I had my last child at thirty seven

0:39:48.200 --> 0:39:49.319
<v Speaker 5>year old, just so.

0:39:49.800 --> 0:39:51.319
<v Speaker 1>The women out there can kind of feel what that

0:39:52.160 --> 0:39:55.880
<v Speaker 1>what this means. I appreciate it, Doctor Sterling. Thank you

0:39:56.000 --> 0:39:59.960
<v Speaker 1>so much for the insight, the knowledge. Truly enjoyed talking

0:40:00.080 --> 0:40:02.279
<v Speaker 1>to you, and I feel like this won't be the

0:40:02.360 --> 0:40:04.439
<v Speaker 1>last time we have you on the show.

0:40:04.640 --> 0:40:05.640
<v Speaker 2>No, I think we're calling up.

0:40:07.120 --> 0:40:11.120
<v Speaker 1>You may want to change your number, Doctor Storling, Thank

0:40:11.160 --> 0:40:11.759
<v Speaker 1>you so much.

0:40:12.400 --> 0:40:13.560
<v Speaker 5>All right, no problem.

0:40:13.600 --> 0:40:16.160
<v Speaker 1>Thanks for listening. Follow us on Instagram at the most

0:40:16.239 --> 0:40:18.759
<v Speaker 1>dramatic pod ever, and make sure to write us a

0:40:18.760 --> 0:40:21.440
<v Speaker 1>review and leave us five stars. I'll talk to you

0:40:21.440 --> 0:40:21.879
<v Speaker 1>next time.