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Speaker 1: Get a I'm Laala Berry, nutritionist, author, actor, TV presenter,

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Speaker 1: and professional overshaer. This podcast is all about celebrating failure

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Speaker 1: because I believe it's a chance for us to learn,

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Speaker 1: grow and face our blind spots. Each week, I'll interview

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Speaker 1: a different guest about their highs as well as their lows,

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Speaker 1: all in a bid to.

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Speaker 2: Inspire us to fearlessly fail.

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Speaker 1: I have got such a treat for you today on

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Speaker 1: the pod we have doctor Stephen Algae of Ava Fertility.

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Speaker 1: Now I ask every question you could think of to

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Speaker 1: do with fertility, to do with IVF. I even did

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Speaker 1: a call out for this app on insta months in advance.

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Speaker 1: This was recorded before I got to La, and so

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Speaker 1: we've recorded this a few months ago and we literally

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Speaker 1: go through all of your questions as well.

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Speaker 2: So if you're.

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Speaker 1: Thinking about, oh, I want to know a bit more

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Speaker 1: about my fertility. If you're thinking about oh I might

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Speaker 1: want to freeze eggs, or maybe I want to look

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Speaker 1: into embryos, or if you've just got a little bit

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Speaker 1: of fascination about it anything, Just like that, doctor Stephen

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Speaker 1: Algae has your back ease, very warm, very lovely, very knowledgeable,

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Speaker 1: and very passionate. Too, and one of my favorite things

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Speaker 1: about him is he has this passion for mental health

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Speaker 1: and staying positive throughout the rollercoaster that can be both

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Speaker 1: IDF and fertility. So, doctor Stephen Algae, you're an absolute legend.

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Speaker 2: I feel like you're my mate after this.

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Speaker 1: So thank you for sharing so honestly but also so

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Speaker 1: generously on this podcast and to you the listener. I

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Speaker 1: hope you find this episode really helpful. I know I

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Speaker 1: would have loved to have heard something like this before

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Speaker 1: going into that first round of IBF, So strap in.

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Speaker 1: I hope you learn something. I hope this takes away

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Speaker 1: a bit of the fear and the scary stuff. We

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Speaker 1: talk about everything from AMH levels to needles, to the process.

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Speaker 1: We break it down to what is hyperstimulation. It's everything

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Speaker 1: is in here. So if you're into fertility, this is

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Speaker 1: the for you. If you're just a bit curious, this

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Speaker 1: is also.

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Speaker 2: They for you. I hope you love it.

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Speaker 1: If it's something that you think a mate might do

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Speaker 1: well from listening to, please share it with them, because yeah,

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Speaker 1: I learned so much, and I've already done a round

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Speaker 1: of IBF and I still learned so much.

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Speaker 2: So enjoy. Hope you love it, mega love.

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Speaker 1: I am very honored to have on the pod today

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Speaker 1: a returning guest.

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Speaker 2: I want to say, doctor Stephen.

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Speaker 1: Algae of Ava Fertility on the Gold Coast, welcome back.

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Speaker 3: It's great to be here, great to see you again.

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Speaker 3: I'm very excited and very much looking forward to talking

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Speaker 3: to you today and your listeners. Yeah.

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Speaker 1: Well, and I'm really excited to kind of get a

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Speaker 1: bit do a bit more of a deep dive on you. So, okay,

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Speaker 1: talk to me about how your career into fertility IVF.

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Speaker 2: You also a guy, no.

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Speaker 3: Right, yeah, yeah, all right. So my career started funny enough,

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Speaker 3: working as a little science person with or with a

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Speaker 3: lab coat, probably had a pocket protective I can't quite report,

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Speaker 3: but I started working in a lab and my work

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Speaker 3: was kind of related to what we're doing now with pregnancy.

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Speaker 3: I would be looking for used to be a long

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Speaker 3: time ago, the only way to look for things like

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Speaker 3: down syndrome was to go and put a needle into

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Speaker 3: the mums, into mums tummy, take out some fluid from

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Speaker 3: around the baby and check to see whether there was

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Speaker 3: whether things were fine. Was it the boy? Was it

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Speaker 3: the girl? And funny story? Yeah, funny story. I was

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Speaker 3: doing this job in London, and I got to know

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Speaker 3: the sex and Madonna's first baby before she did Okay.

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Speaker 3: That is cool because I was working in the lab

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Speaker 3: and it came in under a pseudonym and they said

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Speaker 3: this is actually Madonna and chie Richie. So I knew

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Speaker 3: about lord As being what she was before Madonna did.

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Speaker 2: That's very cool.

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Speaker 3: And also for Heavenly Harani Tiger Lily, knowing about that

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Speaker 3: one first before they did okay. That was my back

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Speaker 3: in my days in London when I was a little

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Speaker 3: science person. Came back and I kind a bit run down,

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Speaker 3: but there was a doctor who had come in who

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Speaker 3: would do that testing. He was a gregarious guy, sot

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Speaker 3: larger than life. I said, I'm want to do what

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Speaker 3: he does. So I went back studied medicine and kind

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Speaker 3: of was tossing and turning by eny, but door doing

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Speaker 3: an aesthetics to do obstetric So I tossed a coin

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Speaker 3: literally really trades obstetrics gynecology and then ended up working

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Speaker 3: and doing what I do now.

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Speaker 1: Of the journey, that's, oh my goodness, that's so exciting.

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Speaker 1: The other thing that I love about you, and this

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Speaker 1: is just a side note from I feel like I'm

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Speaker 1: getting to know you over the last pod recording and this.

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Speaker 1: Do you have such a positive and personal as a doctor, Like,

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Speaker 1: let's be real, any type of medical stuff can be

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Speaker 1: scary simply because it's the unknown, right, But.

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Speaker 2: You've got this like positive energy. I'm like, I just

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Speaker 2: want to be mates with you.

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Speaker 1: You've got this, and I can see why you wanted

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Speaker 1: to move from the science lab although you were doing

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Speaker 1: great stuff like how imperative to be, you know, looking

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Speaker 1: out for abnormalities and whatnot. But now you're it makes

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Speaker 1: sense to me that you're now like in the thick event.

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Speaker 3: Thank you, thank you.

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Speaker 2: Yeah.

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Speaker 3: It actually is good speaking to people, and I think

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Speaker 3: that's why I was glad that the coin landed heads,

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Speaker 3: because otherwise I'd just be putting people to sleep and

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Speaker 3: never talking to them. I do like the chat sometimes

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Speaker 3: and get to know people, which is what I like

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Speaker 3: about this job too. Particularly when I was doing obstetrics.

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Speaker 3: You would follow someone through from getting pregnant to pregnancy

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Speaker 3: to delivery. It was a great journey to be on.

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Speaker 2: Oh wow, I'm pretty rewarding.

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Speaker 1: So I was really interested to learn that you yourself

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Speaker 1: have also with your beautiful wife, Lara, I've been through IVF.

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Speaker 2: Is that correct?

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Speaker 3: Yeah, we went through IVF quite a while ago. First

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Speaker 3: baby came easy, and then the second one just didn't

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Speaker 3: come along. So SAA a specialist and we went through

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Speaker 3: the whole process. You went through ivolation induction. That's where

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Speaker 3: was where where the woman takes medications to stimulate the

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Speaker 3: ovaries to produce more eggs, and then you try to conceive.

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Speaker 3: That didn't work, and then we went to intuterion semination

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Speaker 3: where you would do the same thing, but you know,

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Speaker 3: I needed to go and do my part outside the

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Speaker 3: home and that just gets injected in at the time

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Speaker 3: of ovulation through to IVF, and that was really difficult,

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Speaker 3: I think, And I been fine too with many impatients.

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Speaker 3: When the second cycle doesn't work, that's when it really

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Speaker 3: hits hard. You start to give up hope. And I

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Speaker 3: did quite a few rounds that never worked and we'd

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Speaker 3: sort of moved on. Then had two more naturally, one

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Speaker 3: after and on another. I don't know how, I don't

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Speaker 3: know why, but whatever, the problem was just resolved. So

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Speaker 3: now we have three, but there's a bit of an

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Speaker 3: age gap doing the first and second.

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Speaker 1: Well, I think it's cool, not cool, but I think

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Speaker 1: it's really you would have this sense of being through it,

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Speaker 1: having been through it yourself, and you would understand that.

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Speaker 1: Like I think I went in to be honest, like

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Speaker 1: super native. I was like one and downe whoa, you know, like,

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Speaker 1: and I really didn't know anything. So I went in

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Speaker 1: green as you could go.

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Speaker 2: And I didn't know that. You know, the first round

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Speaker 2: of vibef can be like seeing how your body responds.

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Speaker 3: Yeah, I mean it's always everyone's different, right, And you

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Speaker 3: can have protocols we say this is what we predict,

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Speaker 3: this is what we think is going to happen. But

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Speaker 3: until you actually do it the first time, you really

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Speaker 3: are stepping into the great unknown, so to speak of

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Speaker 3: what will the response be? Will I get good numbers?

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Speaker 3: Will it go work? Will it work out well? Will

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Speaker 3: it not work? And yeah, it's not as you it's

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Speaker 3: not as though it's actually a trial. But you do

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Speaker 3: your best and you give everything that is evidence based,

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Speaker 3: since on average it goes well. But there'll always be

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Speaker 3: somebody to do really really well, and it be somebody

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Speaker 3: don't do it as well.

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Speaker 2: Yes, it's so fascinating. I guess there is so much

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Speaker 2: I mean not to throw the word.

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Speaker 1: Magic out there with science, but you know what I mean,

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Speaker 1: I guess there's a lot of things that it is

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Speaker 1: like well, and I must say I said, I was

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Speaker 1: walking with a made of mine who's had a beautiful

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Speaker 1: IVF bambino a few days ago, and I said, mate,

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Speaker 1: I'd do another round so differently because I was too

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Speaker 1: scared to do anything. And I think because it was

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Speaker 1: that fear of the unknown and like, oh what if

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Speaker 1: I do pilates and I cook my eggs or something.

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Speaker 1: You know, your brain is this overdrive of like there

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Speaker 1: is a.

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Speaker 3: Lot of overthinking that goes on. And often that's just

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Speaker 3: keep doing every thing as normal. Yeah, but I think

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Speaker 3: when you're in that journey, you become very focused on

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Speaker 3: the journey and you want to optimize everything, and it's

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Speaker 3: very hard to step back sometimes say well it's all right,

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Speaker 3: just keep doing what you're doing. You don't need to

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Speaker 3: go overboard, just do what to normally do.

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Speaker 2: Take any I wish I took that advice.

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Speaker 1: I've also begin to you know, like you feel good

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Speaker 1: when you move, you feel good when you like have

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Speaker 1: a beautiful meal out with your partner. But I was

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Speaker 1: just in this really weird, like must must focus on

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Speaker 1: this is my only purpose right now. But I think

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Speaker 1: given a second go, I'd be like, you, let's live life,

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Speaker 1: let's find the balance, and let's like because I think

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Speaker 1: and this is what I love learning about you, like

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Speaker 1: positivity and mindset.

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Speaker 2: It would have to be a key player, right.

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Speaker 3: Absolutely. I think going into it with the right frame

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Speaker 3: of mind is always going to be helpful, helpful for

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Speaker 3: you to get through it mentally, but also it's helpful

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Speaker 3: for those around you because they need because I think

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Speaker 3: we often forget that your partner's going through the journey

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Speaker 3: and they're seeing you go through all these changes and

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Speaker 3: they're saying, what's going on? Why is all this happening?

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Speaker 3: So having the right mindset's really good. I think the

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Speaker 3: more relaxed you are often the easier it is.

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Speaker 1: Yeah, totally, Okay, So it's a I want you to

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Speaker 1: imagine I've never experienced IBF before in that I'm going

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Speaker 1: to ask some questions that I didn't know until going

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Speaker 1: through it. For the listener that might be like, oh,

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Speaker 1: this is something I might be interested in doing, or

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Speaker 1: my partner and I are kind of thinking about it.

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Speaker 2: So first of all, and I know you've probably answered

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Speaker 2: these a million or one times over.

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Speaker 1: But what is the difference between freezing eggs versus freezing embryos?

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Speaker 3: Okay, well, freezing eggs is what you do when you

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Speaker 3: perhaps are thinking of, you know what, I'm not really

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Speaker 3: ready to get pregnant right now, but I'd like to

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Speaker 3: go and put my fertility on ice so I can

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Speaker 3: have a go later on. So freezing eggs is an

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Speaker 3: option when you're thinking maybe a few years down the track,

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Speaker 3: but you are worried about some of the changes in

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Speaker 3: a few years that might make becoming pregnant more difficult,

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Speaker 3: and I can certainly discuss that in more detail a

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Speaker 3: little bit later. So freezing embryos is when you would

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Speaker 3: be doing that, either with a partner or with a

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Speaker 3: dona And pretty much you're generally ready to get pregnant,

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Speaker 3: but you just might not be ready to get pregnant

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Speaker 3: right now. You might put things on hold for a

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Speaker 3: little while. So freezing embryos a little bit further down

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Speaker 3: the track. You've got to choose with baby daddy process,

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Speaker 3: whereas with the eggs you don't. You get a bit

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Speaker 3: more choices, But freezing mbroros does give you a little

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Speaker 3: bit more hopefully surity of an outcome.

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Speaker 2: Perhaps because technically you're kind of just like one step ahead.

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Speaker 3: Really, you're one step down the road, and every step

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Speaker 3: we do things hopefully go well for most but sometimes

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Speaker 3: they don't go as well for others. So having embryos

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Speaker 3: gives you a little bit more confidence that, yes, I've

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Speaker 3: now got these in the bank, I can use them later.

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Speaker 2: And I love the way you described as like plan B,

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Speaker 2: you know what I mean.

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Speaker 1: In my scenario, we're doing it for future planning, and

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Speaker 1: it's like, your goal is, let's try a natural women ready,

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Speaker 1: but hang on if that doesn't work, your Plan B

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Speaker 1: is kind of like, yeah, my spambinos.

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Speaker 3: It is.

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Speaker 1: It is.

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Speaker 3: It is a plan B option if you can't get

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Speaker 3: pregnant at the time. But I think it's important that

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Speaker 3: people listening don't see freezing eggs as a guarantee. Yeah,

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Speaker 3: it's never a guarantee. And I would often give and

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Speaker 3: women or couples to come to see me. I will

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Speaker 3: often give them a percentage. If you want to have

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Speaker 3: and say, an eighty percent chance of a baby, you've

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Speaker 3: got to freeze this many eggs.

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Speaker 1: Yeah, these are the stats I did not know it's

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Speaker 1: quite high. You've got you want to get a few

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Speaker 1: in the bank, right, you do? You do?

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Speaker 3: You do. I've just been working on a few things.

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Speaker 3: So let's say you're thirty three. Yep, okay, if you

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Speaker 3: want to the dream, I'm thirty three year young, Okay.

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Speaker 3: For a thirty three year old from eighty percent chance

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Speaker 3: of having a baby, you need to have eleven eggs frozen. Okay, okay,

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Speaker 3: But if you were forty, okay, you would need to

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Speaker 3: have thirty eight eggs frozen for the same thing.

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Speaker 2: Wow.

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Speaker 1: And is that for an x amount of embryos and

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Speaker 1: then one would become a bambino? Is that right?

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Speaker 3: That's just for at least one baby from those eggs,

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Speaker 3: based on averages and statistics. Now, of course that varies

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Speaker 3: woman to woman, but it just shows why some women

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Speaker 3: might think of egg freezing when they're younger. Yeah, because

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Speaker 3: getting eleven eggs at thirty three's often simpler than getting

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Speaker 3: thirty eight eggs at forty for the same outcome. Yeah.

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Speaker 1: Wow, So I'm thirty seven, and by both both scenarios

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Speaker 1: I was in, I was told to do quite a

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Speaker 1: couple of rounds so that I could get kind of

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Speaker 1: like twenty to thirty in the can.

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Speaker 3: Yeah, that sounds about perfect.

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Speaker 2: That's sound about right. Yeah, so interesting, isn't it.

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Speaker 3: It's just a sating topic.

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Speaker 2: It's so fat.

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Speaker 1: Okay, and this, I know this is going to sound

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Speaker 1: like another very question that I'm sure you get. You

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Speaker 1: probably don't do one initial consult without this question. But

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Speaker 1: it was my fear that was dissipated. It dissipated within

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Speaker 1: two days of doing it.

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Speaker 2: But the needles they're not that bad.

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Speaker 3: Look some of they are about about two foot long,

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Speaker 3: just kidding. The needles for the injections are quite small,

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Speaker 3: quite tiny. I compare them to a mosquito, but some

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Speaker 3: people say bloody big mosquito. They're l but they're not

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Speaker 3: too bad. I think once you use them a few times,

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Speaker 3: you realize that they're just quite tiny, small, and it's

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Speaker 3: not a real problem. It's more the fear of using

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Speaker 3: them than the actual needles themself.

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Speaker 1: It's the thought, right, I actually found it. I didn't

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Speaker 1: let my boyfriend. I was like, no, I want to

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Speaker 1: build this confidence. And it becomes bizarrely empowering that you're

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Speaker 1: doing this thing that hopefully is going to have a

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Speaker 1: nice future goal. And then you're in charge of it,

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Speaker 1: Like I found it quite positive.

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Speaker 3: Yeah, because you're actually taking an active role in your

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Speaker 3: treatment or in your health or with what you're doing.

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Speaker 3: So totally okay, quite okay.

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Speaker 1: We hear this one a lot, especially. I think I

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Speaker 1: got really aware of this when I turned thirty five. AMH,

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Speaker 1: How important is it? I've done an instacral out as well,

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Speaker 1: and people like, hey, you know what's low?

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Speaker 2: What's high? How integra question?

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Speaker 3: All right, Well, look for those listening, what we're talking

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Speaker 3: about is called anti malarian hormone or AMH. Bit of

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Speaker 3: a mouthful, and I can certainly go in the history

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Speaker 3: of Mueller and malarium, but I won't go into it. Essentially,

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Speaker 3: it's a hormone that's made by your eggs as they're

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Speaker 3: developing before they're released. So we know that the higher

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Speaker 3: that hormone level is in measurement, the more eggs you

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Speaker 3: are producing each month. The level of AMH tends to

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Speaker 3: drop with age. So AMH is really useful for what

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Speaker 3: we do to give you a prediction of are you

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Speaker 3: going to get a reasonable egg response from the medications,

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Speaker 3: Because if you're going to say freeze eggs, you want

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Speaker 3: to know that am I wasting my time doing this?

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Speaker 3: Am I spending all this money for two weeks? Am

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Speaker 3: I gonna what? Am I going to? What's the likely

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Speaker 3: likely outcome? So having that is useful to help us

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Speaker 3: go and predict whether you're going to get a good response,

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Speaker 3: and also helps us set our medication doses, which is

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Speaker 3: the main thing, because we don't want to go too

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Speaker 3: high and we don't want to go too low. So

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Speaker 3: AMH is only really good for that. It's not really

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Speaker 3: a fertility test. Some women will say I had an

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Speaker 3: AMH test, it was low. I was told I've got

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Speaker 3: fertility issues, and I say, no, it's you're still ovulating,

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Speaker 3: You're still making eggs, your normal fertility. But if we

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Speaker 3: do IVF, we may not get the best, We may

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Speaker 3: not get as good as response as you're hoping for.

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Speaker 1: How that would be kind of again empowering to learn

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Speaker 1: that it's not it's one key player, not all of the.

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Speaker 3: Key players exactly, it's just one factor. I've had a

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Speaker 3: patient who was going to freeze eggs. She did. Her

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Speaker 3: AMH level was quite high. She said, great, I don't

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Speaker 3: feel the need now to rush in and freeze eggs

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Speaker 3: because I know I can get more in one year's time,

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Speaker 3: so she's used that to help guide her treatment, whether

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Speaker 3: they go now or to delay.

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Speaker 1: So interesting you touched on with the medication. You know,

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Speaker 1: you don't want to over do it. And I was

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Speaker 1: one of the lucky humans that went in for my

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Speaker 1: first scan and was really excited because there was quite

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Speaker 1: a lot of follicles. And then when we saw the

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Speaker 1: bloods were like, oh dear, and very quickly think I

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Speaker 1: guess changes were made in my plans, my procedure. It

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Speaker 1: was brought forward, my trigger medicine got changed straight away,

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Speaker 1: and it was all just very quick and quite quite stressful,

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Speaker 1: to the point that when I picked up the new Trigg,

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Speaker 1: the pharmacist was like, Hey, I can see your face

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Speaker 1: right now.

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Speaker 2: You just need to calm down. This is actually really common,

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Speaker 2: nothing bad, it's going to happen to You're okay.

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Speaker 1: And as soon as she's said that, I would just

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Speaker 1: like almost start laughing at myself because I had like

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Speaker 1: really obviously done a bit of doctor googling as well

356
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Speaker 1: and had just really freaked myself out. But basically, what

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Speaker 1: is it and how common is it?

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Speaker 3: Okay? So ivaryin what you're talking about is ivarian hype

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Speaker 3: stimulation syndrome. It's probably the main thing we look at

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Speaker 3: for with IVF and the biggest respactral complication. It's what

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Speaker 3: it is is when you produce eggs, your body also

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Speaker 3: produces a small amount of a hormone that can make

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Speaker 3: you quite sick. And the more eggs you make, the

364
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Speaker 3: more of this hormone you make, and the sicky you

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Speaker 3: can be. I best describe it, there's like morning sickness

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Speaker 3: on steroids, okay, like continual nausea and bloating. It's horrible

367
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Speaker 3: when you get it badly. You get a lot of

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Speaker 3: fluid in your belly, You can get fluid in your

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Speaker 3: lungs and that can put you in hospital and be

370
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Speaker 3: really hard to breathe. But the main problem is that

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Speaker 3: the fluid comes out of your blood. It's just all

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Speaker 3: the water, and your blood can get quite thick, nick

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Speaker 3: can clot and that can cause a lot of problems

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Speaker 3: with some people. So we watch out for it quite

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Speaker 3: a lot. Funnily enough, if your AMH level is higher,

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Speaker 3: you're more likely to be at risk of it. So

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Speaker 3: typically women with polycystic ovaries will be at risk of that,

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Speaker 3: And so we know that we measure it and we

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Speaker 3: reduce the doses. We can't always stop it, of course,

380
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Speaker 3: but we can change what's called the trigger. So the

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Speaker 3: trigger is a medication we give before we do the

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Speaker 3: egg pickup, which makes the eggs mature.

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Speaker 2: And ovulate, and it's timed perfect It's.

384
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Speaker 3: Time perfectly, and we change the trigger and reduces that

385
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Speaker 3: risk to about less than one percent. But the downside

386
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Speaker 3: is is we can't get your pregnant that cycle because

387
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Speaker 3: pregnancy makes it worse, and you'll be and you'll have

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Speaker 3: it for until about three months.

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Speaker 2: So we say, oh, yes, I do remember being told

390
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Speaker 2: that one.

391
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Speaker 1: Do you know the cool thing that I learned through

392
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Speaker 1: this whole process is I didn't know until I have

393
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Speaker 1: my fur pelvic ultrasound that I had subclinical PCOS like

394
00:20:03,200 --> 00:20:05,439
Speaker 1: I had like I had no idea because I had

395
00:20:05,480 --> 00:20:09,480
Speaker 1: no other signs. But now it makes total sense to

396
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Speaker 1: me looking back that I fell into that category and

397
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Speaker 1: you describe it perfectly. With the last two days, I

398
00:20:15,359 --> 00:20:17,640
Speaker 1: was like, is this what morning sickness is? And really

399
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Speaker 1: tingerly skin the whole time really.

400
00:20:21,640 --> 00:20:22,119
Speaker 3: Clued me.

401
00:20:22,720 --> 00:20:25,320
Speaker 2: I was gonna vomit all day long. Man, it was terrible.

402
00:20:25,760 --> 00:20:26,720
Speaker 2: It's great.

403
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Speaker 1: The day that you don't do it because you know

404
00:20:28,600 --> 00:20:30,359
Speaker 1: how the trigger happens, and you get almost like a

405
00:20:30,440 --> 00:20:33,560
Speaker 1: free day that feels bizarre as you don't inject that day,

406
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Speaker 1: I was on cloud nine.

407
00:20:35,000 --> 00:20:36,640
Speaker 2: I was like, no, I just felt.

408
00:20:36,480 --> 00:20:38,439
Speaker 3: Great, You're full of estrogen.

409
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Speaker 1: It's fascinating how your moods can be affected by it too.

410
00:20:46,000 --> 00:20:48,880
Speaker 1: Like I think up to day like five or six,

411
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Speaker 1: I was like, oh, I'm telling my boyfriend, Oh, I'm normal.

412
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Speaker 1: My mom flew up to help me out as a

413
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Speaker 1: nurse and I was like, mumum normal. Literally day seven,

414
00:20:56,560 --> 00:20:58,720
Speaker 1: I think I had two breakdowns in the day, So

415
00:20:58,840 --> 00:21:00,680
Speaker 1: it just catches up. I don't know if it's that

416
00:21:01,560 --> 00:21:03,359
Speaker 1: is the estrogen building in your system.

417
00:21:03,400 --> 00:21:07,479
Speaker 3: And yeah, so as you get along in the cycle,

418
00:21:07,640 --> 00:21:12,320
Speaker 3: each egg is making estrogen, so as you get more levels,

419
00:21:12,720 --> 00:21:15,000
Speaker 3: some women respond to it in different ways. And that's

420
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Speaker 3: one of the things with IVF that some women can

421
00:21:18,600 --> 00:21:21,440
Speaker 3: get problems with the hormonal levels. It's not as bad

422
00:21:21,440 --> 00:21:23,360
Speaker 3: as it used to be. Like back in the day,

423
00:21:23,920 --> 00:21:26,240
Speaker 3: we used to have to have this special nasal spray,

424
00:21:26,359 --> 00:21:29,280
Speaker 3: so you would have an injection to stimulate the ores,

425
00:21:29,680 --> 00:21:31,240
Speaker 3: but to make sure you didn't overlate, you have this

426
00:21:31,400 --> 00:21:32,680
Speaker 3: nasal spray twice a day.

427
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Speaker 2: Is that the menopausey one?

428
00:21:34,560 --> 00:21:37,280
Speaker 3: Menopausey one, So you'd start that before your cycle. You

429
00:21:37,400 --> 00:21:42,439
Speaker 3: have this spray, you go menopausal, hot flashes, mood changes.

430
00:21:42,480 --> 00:21:45,480
Speaker 3: I'm being careful how I describe it. Hot flushes, mood changes,

431
00:21:45,520 --> 00:21:47,560
Speaker 3: And it would only normalize once you start on the

432
00:21:47,600 --> 00:21:50,119
Speaker 3: injections again and then it would swing around about. So

433
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Speaker 3: that was always always a tough one.

434
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Speaker 2: Wow wow wait, I am okay, I feel very lucky

435
00:21:54,960 --> 00:21:56,119
Speaker 2: if first, but it's.

436
00:21:56,040 --> 00:21:58,159
Speaker 3: Much gentler now. But with the way we start now

437
00:21:58,359 --> 00:22:00,440
Speaker 3: is we don't need to we don't need to shut

438
00:22:00,520 --> 00:22:02,960
Speaker 3: this your whole hormone system down before we do everything.

439
00:22:03,000 --> 00:22:05,800
Speaker 3: So it's a lot simpler and let hormonal sideffects are

440
00:22:05,880 --> 00:22:08,080
Speaker 3: less of a problem. And I would say most women

441
00:22:08,160 --> 00:22:11,240
Speaker 3: don't really have hormonal side effects. It's just some bloating.

442
00:22:11,359 --> 00:22:14,040
Speaker 1: Perhaps so many of my mates, actually my mates that

443
00:22:14,119 --> 00:22:17,840
Speaker 1: have done ten, eleven, twelve, I've got to make some

444
00:22:17,960 --> 00:22:20,480
Speaker 1: fifteen rounds, they're like, what are you talking about side effects?

445
00:22:20,640 --> 00:22:22,800
Speaker 2: Yeah, hadn't felt that's one of the myths.

446
00:22:22,680 --> 00:22:25,199
Speaker 3: Of IVF, that you're going to be hormonal have all

447
00:22:25,240 --> 00:22:27,120
Speaker 3: these problems. And it used to be in that way,

448
00:22:27,200 --> 00:22:27,960
Speaker 3: but not anymore.

449
00:22:28,520 --> 00:22:30,760
Speaker 1: May I definitely, but maybe again because I was in

450
00:22:30,840 --> 00:22:33,600
Speaker 1: that like extra extra I think.

451
00:22:33,480 --> 00:22:35,440
Speaker 3: You were well invested in your journey long and you

452
00:22:35,520 --> 00:22:38,520
Speaker 3: want the full experience. I want every symptom. I want

453
00:22:38,560 --> 00:22:41,280
Speaker 3: to have, bloating, I want, I want to have ohss,

454
00:22:41,320 --> 00:22:41,720
Speaker 3: I want.

455
00:22:41,600 --> 00:22:42,119
Speaker 2: To have it all.

456
00:22:42,280 --> 00:22:42,760
Speaker 3: Give it to me.

457
00:22:42,920 --> 00:22:46,280
Speaker 1: Yeah, yeah, I signed up and this is the thing,

458
00:22:46,359 --> 00:22:47,840
Speaker 1: and we just we did touch on this a little

459
00:22:47,840 --> 00:22:50,760
Speaker 1: bit before, but like again, because I went in so naively,

460
00:22:50,880 --> 00:22:52,760
Speaker 1: I was like, Okay, this will be one round, and I,

461
00:22:53,480 --> 00:22:55,639
Speaker 1: you know, to think about it, shil I'm forty or

462
00:22:55,680 --> 00:22:59,639
Speaker 1: whatever that and I understand that every individual is different

463
00:23:00,200 --> 00:23:03,280
Speaker 1: from what I now have understood, and like even understanding

464
00:23:03,320 --> 00:23:06,120
Speaker 1: my own body as a result, is it more average

465
00:23:06,160 --> 00:23:08,320
Speaker 1: to a few rounds when it's future planning? Is that

466
00:23:08,480 --> 00:23:11,360
Speaker 1: kind of more the average or is it just completely

467
00:23:11,440 --> 00:23:12,120
Speaker 1: case dependent.

468
00:23:12,320 --> 00:23:16,120
Speaker 3: It's very much dependent on the first round how many

469
00:23:16,200 --> 00:23:18,840
Speaker 3: eggs you get in your age. So the biggest predictor

470
00:23:18,920 --> 00:23:21,119
Speaker 3: of success with IVF is the age at which you

471
00:23:21,200 --> 00:23:25,520
Speaker 3: do it. Okay, okay, so as you get older doing IVF,

472
00:23:25,560 --> 00:23:29,359
Speaker 3: you're more likely to need more rounds. Got so women

473
00:23:29,520 --> 00:23:31,440
Speaker 3: under the age of thirty five, I say, your gold,

474
00:23:32,160 --> 00:23:34,280
Speaker 3: how often you just need one round? You get enough

475
00:23:34,320 --> 00:23:37,280
Speaker 3: eggs for a baby. As you get older, you slip

476
00:23:37,359 --> 00:23:39,959
Speaker 3: off from gold to silver to bronze to signal off

477
00:23:39,960 --> 00:23:41,600
Speaker 3: the podium, and that's when it becomes harder.

478
00:23:42,160 --> 00:23:44,720
Speaker 2: Have you heard the Americans saying race to thirty five,

479
00:23:46,640 --> 00:23:49,120
Speaker 2: race to thirty five to get your egos?

480
00:23:49,560 --> 00:23:52,760
Speaker 3: Okay, I see that. I can understand that there is

481
00:23:52,840 --> 00:23:56,840
Speaker 3: a drop off in egg quality with age and thirty

482
00:23:56,920 --> 00:23:59,399
Speaker 3: fives almost where it starts to fall off, starts to

483
00:23:59,480 --> 00:23:59,920
Speaker 3: drop down.

484
00:24:00,280 --> 00:24:04,800
Speaker 1: Interesting there, I really want to chat to you about.

485
00:24:05,480 --> 00:24:08,480
Speaker 1: It's something that I didn't know existed until going through this,

486
00:24:08,840 --> 00:24:13,800
Speaker 1: and that is my boyfriend and I were deemed socially infertile.

487
00:24:14,840 --> 00:24:17,040
Speaker 2: I did not even know it was a thing. I

488
00:24:17,119 --> 00:24:20,520
Speaker 2: didn't know. So does that mean on paper you are fertile?

489
00:24:20,920 --> 00:24:21,680
Speaker 2: Is that what it means?

490
00:24:22,000 --> 00:24:25,160
Speaker 3: What it means is it's just a term, because really

491
00:24:25,200 --> 00:24:28,000
Speaker 3: it's a term here because we have Medicare. Okay, so

492
00:24:28,760 --> 00:24:31,879
Speaker 3: qualify for Medicare funded IVF. You've got to have a

493
00:24:32,160 --> 00:24:36,880
Speaker 3: fertility problem, so it's medical treatment when there's no identified

494
00:24:37,000 --> 00:24:41,320
Speaker 3: fertility problem, or you're just trying to plan for the future,

495
00:24:41,359 --> 00:24:44,920
Speaker 3: it's called social infertility, Okay, And that's just a it's

496
00:24:45,000 --> 00:24:47,360
Speaker 3: a very old name for basically just saying you're doing

497
00:24:47,680 --> 00:24:51,400
Speaker 3: an elective procedure. Yeah, so you might have surgery if

498
00:24:51,440 --> 00:24:53,640
Speaker 3: you have a car accident and you need plastic surgery,

499
00:24:54,240 --> 00:24:57,080
Speaker 3: that's not elective. That is plastic surgery. Whereas you decide

500
00:24:57,119 --> 00:25:01,119
Speaker 3: to have a nose job that is elective or social surgery. God, Okay,

501
00:25:01,200 --> 00:25:04,520
Speaker 3: So it's just that, it's just it's the difference between

502
00:25:04,600 --> 00:25:07,359
Speaker 3: someone who needs it because they can't get pregnant, versus

503
00:25:07,440 --> 00:25:10,560
Speaker 3: someone who wants it got it.

504
00:25:10,720 --> 00:25:14,440
Speaker 1: So that's tricky though, because the difference is humongous in

505
00:25:14,520 --> 00:25:16,199
Speaker 1: the cost department.

506
00:25:16,600 --> 00:25:18,000
Speaker 3: It can be quite significant.

507
00:25:18,080 --> 00:25:20,000
Speaker 2: Yeah, yeah, definitely was in our case.

508
00:25:20,240 --> 00:25:22,760
Speaker 1: My question is like, what about queer couples, would they

509
00:25:22,840 --> 00:25:24,479
Speaker 1: be on paper socially and fertile.

510
00:25:25,359 --> 00:25:29,240
Speaker 3: Look, that's a really good question, and you could really

511
00:25:29,280 --> 00:25:30,440
Speaker 3: go down the whole can of worms.

512
00:25:30,520 --> 00:25:30,720
Speaker 2: Yeah.

513
00:25:30,760 --> 00:25:34,720
Speaker 3: I think for quite a long time it was regardless

514
00:25:34,720 --> 00:25:37,680
Speaker 3: as social infertility because it was I guess it was

515
00:25:37,720 --> 00:25:40,399
Speaker 3: assumed that being queer was a choice. But we now

516
00:25:40,560 --> 00:25:42,600
Speaker 3: know that was a very old way of looking at things.

517
00:25:42,760 --> 00:25:46,520
Speaker 3: So I'm very much that well, it's not really social.

518
00:25:46,560 --> 00:25:48,800
Speaker 3: I mean, if I've got a couple in front of me,

519
00:25:49,040 --> 00:25:51,600
Speaker 3: one of a baby and both the same sex, well,

520
00:25:52,119 --> 00:25:54,360
Speaker 3: you know, if they are two women. The reason why

521
00:25:54,720 --> 00:25:58,359
Speaker 3: she can't get pregnant because her partner can't get her pregnant.

522
00:25:58,760 --> 00:26:01,960
Speaker 3: So that's not really a social infertility issue there. There

523
00:26:02,080 --> 00:26:04,400
Speaker 3: is a reason that she's not getting pregnant.

524
00:26:04,359 --> 00:26:06,240
Speaker 2: Because I think I told he's going to range that.

525
00:26:06,359 --> 00:26:08,000
Speaker 2: I was like, oh, I'm going to get like thirty years,

526
00:26:08,000 --> 00:26:09,400
Speaker 2: I'm going to donate queer couple.

527
00:26:09,480 --> 00:26:12,240
Speaker 1: I'm going to make I've thought i'd change a few lives,

528
00:26:12,440 --> 00:26:16,200
Speaker 1: but again walking into it naively, but hopefully those those

529
00:26:16,320 --> 00:26:17,719
Speaker 1: rules like ease up all.

530
00:26:17,960 --> 00:26:21,200
Speaker 3: Yeah, I'm hoping with time it will change. And I

531
00:26:21,280 --> 00:26:24,400
Speaker 3: think really needs pro needs to be some direction from

532
00:26:25,400 --> 00:26:28,520
Speaker 3: from the regulators or from some of the professional bodies

533
00:26:28,560 --> 00:26:31,359
Speaker 3: to turn around and say we agree or we say

534
00:26:31,520 --> 00:26:34,600
Speaker 3: that this is not social infertility, because then that would

535
00:26:34,640 --> 00:26:36,240
Speaker 3: make it easy for the rest of the doctors to

536
00:26:37,200 --> 00:26:39,760
Speaker 3: have it perform without fear of being looked at by

537
00:26:39,800 --> 00:26:41,600
Speaker 3: the regulator and saying why are you doing this under

538
00:26:41,640 --> 00:26:42,359
Speaker 3: government funding?

539
00:26:42,600 --> 00:26:45,239
Speaker 1: Yeah, thank you for sharing that, because I imagine that's

540
00:26:45,280 --> 00:26:46,560
Speaker 1: a sticky kind of topic.

541
00:26:46,760 --> 00:26:49,360
Speaker 2: But I just know I'm really bad. Yeah, I'm really

542
00:26:49,440 --> 00:26:50,240
Speaker 2: passionate about it.

543
00:26:50,359 --> 00:26:52,119
Speaker 3: I think so as I think everyone wants to have

544
00:26:52,200 --> 00:26:54,840
Speaker 3: a family. It's the strongest desire which we have, and

545
00:26:54,960 --> 00:26:58,040
Speaker 3: people will literally risk their lives to have a baby. Yeah,

546
00:26:58,640 --> 00:27:00,359
Speaker 3: so I think to go and deny I'm on the

547
00:27:00,440 --> 00:27:03,640
Speaker 3: right of a baby or public assistance because of their

548
00:27:04,400 --> 00:27:07,200
Speaker 3: because they happen to be queer, is kind of cruel.

549
00:27:07,359 --> 00:27:11,920
Speaker 2: Yeah, I'm one thousand percent with you, Okay.

550
00:27:12,720 --> 00:27:15,880
Speaker 1: For me, the hardest fit that I did not expect

551
00:27:16,359 --> 00:27:20,399
Speaker 1: the five day weight mate, that embryo five day I

552
00:27:20,600 --> 00:27:22,479
Speaker 1: had not I was like, I'm gonna be sweet, I'll

553
00:27:22,480 --> 00:27:25,720
Speaker 1: finished my med's. Oh, I'm going to be on I'll

554
00:27:25,720 --> 00:27:27,640
Speaker 1: get a few calls here and there, get a little

555
00:27:27,720 --> 00:27:32,200
Speaker 1: updates that five day weight mentally, and also I didn't

556
00:27:32,200 --> 00:27:34,119
Speaker 1: realize this, but your hormones are obviously bombing.

557
00:27:34,840 --> 00:27:37,159
Speaker 3: Yeah, things are changing, Things are going on. So the

558
00:27:37,240 --> 00:27:40,440
Speaker 3: five day weight. So what happens with ivir for fertility

559
00:27:40,520 --> 00:27:42,920
Speaker 3: work is we get the eggs. Yeah, they would then

560
00:27:43,000 --> 00:27:46,560
Speaker 3: be mixed with the sperm one way or another to fertilize.

561
00:27:46,640 --> 00:27:50,600
Speaker 3: So let's say you have ten eggs on average, about

562
00:27:50,680 --> 00:27:52,800
Speaker 3: eight will fertilize, and we'll see that on day one.

563
00:27:53,560 --> 00:27:58,600
Speaker 3: As they grow, the numbers of embryos that survive drop. Yes,

564
00:27:59,160 --> 00:28:02,720
Speaker 3: So we know that if am you more if we

565
00:28:02,840 --> 00:28:06,320
Speaker 3: put an umbre win that's grown for three days versus

566
00:28:06,400 --> 00:28:09,520
Speaker 3: one that's five days, the one at five days more

567
00:28:09,680 --> 00:28:12,560
Speaker 3: likely to get you pregnant because the one at three

568
00:28:12,640 --> 00:28:15,760
Speaker 3: days might dive the next day. So we wait five days.

569
00:28:15,840 --> 00:28:19,000
Speaker 3: I know it's tough, but you do get a higher

570
00:28:19,080 --> 00:28:21,920
Speaker 3: pregnancy rate by waiting those extra few days because we're

571
00:28:21,960 --> 00:28:24,119
Speaker 3: already filtering out some of those ones that aren't going

572
00:28:24,200 --> 00:28:24,600
Speaker 3: to survive.

573
00:28:25,200 --> 00:28:27,399
Speaker 1: So as tough as that five day weight is, in

574
00:28:27,520 --> 00:28:29,440
Speaker 1: the big picture and in the long run when you

575
00:28:29,560 --> 00:28:33,600
Speaker 1: go to use this potentially less heartbreak because absolutely I

576
00:28:33,760 --> 00:28:37,000
Speaker 1: know my day three call, they were like everything separating perfectly,

577
00:28:37,119 --> 00:28:39,520
Speaker 1: happy days, and I was like, I'm home and hos.

578
00:28:39,880 --> 00:28:41,360
Speaker 1: That was a very different call to what I got

579
00:28:41,440 --> 00:28:44,640
Speaker 1: on day five and then day six. Yes, they throw

580
00:28:44,720 --> 00:28:47,800
Speaker 1: some mine on days, but it was very fascinating. And

581
00:28:47,880 --> 00:28:52,000
Speaker 1: then now understanding that the certainty is just a little

582
00:28:52,040 --> 00:28:53,960
Speaker 1: bit stronger, you know, it makes total.

583
00:28:53,760 --> 00:28:57,280
Speaker 3: Sense because the strongest ones will survive. We also find

584
00:28:57,360 --> 00:29:01,560
Speaker 3: that you're that the worm has what we call an

585
00:29:01,600 --> 00:29:04,600
Speaker 3: implantation window where it wants to receive the mbre. So

586
00:29:04,640 --> 00:29:07,600
Speaker 3: if you put the umbre wind too soon, say on

587
00:29:07,760 --> 00:29:10,080
Speaker 3: day three, the womb may not be read to receive

588
00:29:10,160 --> 00:29:12,320
Speaker 3: it and it'll just reject it. Sorry, you're not coming

589
00:29:12,360 --> 00:29:12,680
Speaker 3: in here.

590
00:29:12,880 --> 00:29:15,440
Speaker 2: Ah, Day five is a bit happier.

591
00:29:15,560 --> 00:29:18,000
Speaker 3: Day five is happier. You get a much higher pregnancy

592
00:29:18,080 --> 00:29:20,800
Speaker 3: rate compared to day three transfer even with all those

593
00:29:20,840 --> 00:29:21,440
Speaker 3: other factors.

594
00:29:21,760 --> 00:29:22,000
Speaker 1: Wow.

595
00:29:22,320 --> 00:29:24,280
Speaker 3: So yeah, it is so interesting. Yeah, there's a bit

596
00:29:24,360 --> 00:29:26,600
Speaker 3: of a there's a bit of a bouncer there at

597
00:29:26,640 --> 00:29:28,160
Speaker 3: the door who says who's going to come in and

598
00:29:28,200 --> 00:29:31,440
Speaker 3: who's going to come out, And we tend to find

599
00:29:31,480 --> 00:29:34,160
Speaker 3: that on day five, and they're much happier to let

600
00:29:34,160 --> 00:29:34,640
Speaker 3: anyone in.

601
00:29:35,120 --> 00:29:38,600
Speaker 1: I've heard the transfer, so say say stay. For example,

602
00:29:38,680 --> 00:29:42,560
Speaker 1: we did natural transfer on day five. It's quite painless,

603
00:29:42,600 --> 00:29:44,880
Speaker 1: isn't it. Isn't it literally like you shoot it up? Yeah,

604
00:29:44,880 --> 00:29:47,440
Speaker 1: it's very not a very eloquent way.

605
00:29:47,360 --> 00:29:47,960
Speaker 2: Of me saying it.

606
00:29:48,720 --> 00:29:52,720
Speaker 3: For most women, it's not uncomfortable at all, probably no

607
00:29:52,800 --> 00:29:55,320
Speaker 3: worse than the perhaps even less because there's no scraping.

608
00:29:55,360 --> 00:29:59,200
Speaker 3: I guess you used to have. It's very simple and

609
00:29:59,280 --> 00:30:01,120
Speaker 3: you can see it the visual guidance and you can

610
00:30:01,120 --> 00:30:03,320
Speaker 3: see this little flash as the embryo goes in it.

611
00:30:03,400 --> 00:30:05,440
Speaker 3: So it's very cool. It's really good to see. And

612
00:30:05,520 --> 00:30:07,560
Speaker 3: you can see them there and the smile on their faces.

613
00:30:07,600 --> 00:30:10,000
Speaker 3: They can see the mbres in there, and then you've

614
00:30:10,040 --> 00:30:12,640
Speaker 3: got that long wait for the pregnancy test afterwards.

615
00:30:12,720 --> 00:30:14,120
Speaker 2: That's is that a two week way?

616
00:30:14,320 --> 00:30:16,360
Speaker 3: I've cut it down to ten days now, but it

617
00:30:16,520 --> 00:30:18,960
Speaker 3: was a two week wait, and you can see people

618
00:30:19,080 --> 00:30:21,720
Speaker 3: they're just and they're just going bouncing around tiptoes waiting

619
00:30:21,760 --> 00:30:24,320
Speaker 3: for that test. You're not supposed to, but a lot

620
00:30:24,320 --> 00:30:27,200
Speaker 3: of people just do its little home tests anyway. See

621
00:30:27,240 --> 00:30:29,239
Speaker 3: how they're going. So often they know when we get

622
00:30:29,280 --> 00:30:30,600
Speaker 3: the positive test back anyway.

623
00:30:31,040 --> 00:30:33,719
Speaker 1: Oh yeah, it'd be hard not to do some sneaky

624
00:30:33,800 --> 00:30:36,560
Speaker 1: home tests because you just want to know. It's like, no,

625
00:30:37,600 --> 00:30:39,600
Speaker 1: it's this is the thing again. I didn't realize it

626
00:30:39,720 --> 00:30:42,200
Speaker 1: becomes your world, well you're in, especially when you're in

627
00:30:42,240 --> 00:30:44,240
Speaker 1: a cycle. So I imagine a transfer would be like

628
00:30:44,320 --> 00:30:47,800
Speaker 1: a continuation of a cycle. It's your world and you're

629
00:30:47,880 --> 00:30:50,000
Speaker 1: so invested that yeah.

630
00:30:50,360 --> 00:30:53,760
Speaker 3: Well that's right, and the expectations are so high and

631
00:30:54,240 --> 00:30:57,840
Speaker 3: it can be very difficult to sometimes manage those expectations,

632
00:30:57,920 --> 00:31:00,960
Speaker 3: particularly as I sort of alluded to time you have

633
00:31:01,040 --> 00:31:04,640
Speaker 3: a second transference, unsuccessful people's worlds tend to cave in

634
00:31:04,760 --> 00:31:07,360
Speaker 3: up that seton transfer, and I just said, look, keep going.

635
00:31:07,440 --> 00:31:11,480
Speaker 3: This is just usually it's just it's a numbers game.

636
00:31:11,680 --> 00:31:14,320
Speaker 3: Just keep going. His stats will get there. Keep going

637
00:31:14,400 --> 00:31:17,440
Speaker 3: and generally and we do get there. But you do

638
00:31:17,560 --> 00:31:19,760
Speaker 3: invest a lot. Must not know is that you've invested much.

639
00:31:20,320 --> 00:31:25,600
Speaker 3: It's emotionally and financially, yeah, physically, so everything he's invested

640
00:31:25,640 --> 00:31:30,600
Speaker 3: in this, So it's it's not surprising that mental health

641
00:31:30,640 --> 00:31:32,400
Speaker 3: support is really important and things like.

642
00:31:32,440 --> 00:31:34,800
Speaker 1: This, which I love that you're passionate about as well,

643
00:31:34,920 --> 00:31:37,200
Speaker 1: and I know for me. But so I had nothing

644
00:31:37,240 --> 00:31:38,800
Speaker 1: to do with the transfer. I just did the first

645
00:31:39,200 --> 00:31:42,640
Speaker 1: one round, and I had extra therapy sessions book for myself.

646
00:31:43,080 --> 00:31:46,720
Speaker 1: My partner had also booked extra therapy sessions for himself

647
00:31:46,800 --> 00:31:49,840
Speaker 1: because at the end of the day, he's carrying my

648
00:31:50,080 --> 00:31:53,080
Speaker 1: emotional like, all my worries and all my you know,

649
00:31:53,280 --> 00:31:56,680
Speaker 1: I'm venting to him. And even though he wasn't injecting me,

650
00:31:56,760 --> 00:31:58,360
Speaker 1: I made him get up every morning with me and

651
00:31:58,400 --> 00:32:00,680
Speaker 1: watch me and made sure I do the right if.

652
00:32:00,560 --> 00:32:02,440
Speaker 3: I'm doing this, and this over you, let's go through

653
00:32:02,520 --> 00:32:07,400
Speaker 3: this together. Yeah, middle health support is really important, and

654
00:32:07,520 --> 00:32:11,560
Speaker 3: as you have mentioned, there so much is invested and

655
00:32:12,000 --> 00:32:14,480
Speaker 3: so much focus is going on there, and there's so

656
00:32:14,640 --> 00:32:17,600
Speaker 3: much pressure because for many women they've also got friends

657
00:32:17,640 --> 00:32:20,800
Speaker 3: who are falling pregnant just like this and everyone and

658
00:32:21,240 --> 00:32:23,800
Speaker 3: every time someone gets pregnant, I'll smile, happy, happy, happy,

659
00:32:23,880 --> 00:32:26,560
Speaker 3: but inside you're like, why me, why why is this

660
00:32:26,680 --> 00:32:29,280
Speaker 3: not me? Happening to me? So going through the process,

661
00:32:29,400 --> 00:32:31,680
Speaker 3: a lot of support can be needed just because of

662
00:32:31,760 --> 00:32:35,040
Speaker 3: all these all the background and the journey to we

663
00:32:35,040 --> 00:32:36,920
Speaker 3: even get to hear has been hard for so many

664
00:32:36,960 --> 00:32:40,600
Speaker 3: women and their partners too. I mean we often go

665
00:32:40,720 --> 00:32:42,720
Speaker 3: and toget about the partners as well, but it's a

666
00:32:42,800 --> 00:32:43,640
Speaker 3: journey for them too.

667
00:32:43,960 --> 00:32:46,080
Speaker 1: I actually don't want to talk to you about sperm

668
00:32:46,200 --> 00:32:49,560
Speaker 1: health and sperm and how important it is. I remember

669
00:32:49,640 --> 00:32:52,520
Speaker 1: you were telling me last time we chatted that it's

670
00:32:52,600 --> 00:32:54,920
Speaker 1: actually like obviously it's a key player, like.

671
00:32:55,840 --> 00:33:00,200
Speaker 3: Generally necessary hard Otherwise I mean, in the future it

672
00:33:00,280 --> 00:33:04,160
Speaker 3: might be unnecessary and we men will just be redundant

673
00:33:04,320 --> 00:33:06,280
Speaker 3: just to get out there and clean out the sheds,

674
00:33:06,320 --> 00:33:08,640
Speaker 3: I guess. But that's about it. But yeah, real sperm

675
00:33:08,760 --> 00:33:11,960
Speaker 3: is really important. I find that probably up to forty

676
00:33:12,040 --> 00:33:14,560
Speaker 3: percent of couples who aren't pregnant after a year, there's

677
00:33:14,600 --> 00:33:18,200
Speaker 3: often the male factor with the sperm. For some reason,

678
00:33:18,240 --> 00:33:21,840
Speaker 3: there seems to be an increase in sorry, a reduction

679
00:33:22,040 --> 00:33:25,520
Speaker 3: in sperm quality over the years, and no one's really

680
00:33:25,640 --> 00:33:30,080
Speaker 3: sure whether it's is environmental or lifestyle. We don't know,

681
00:33:31,040 --> 00:33:34,720
Speaker 3: but it's not that uncommon to see low counts and

682
00:33:34,840 --> 00:33:36,760
Speaker 3: that can be contributing. So really important.

683
00:33:37,240 --> 00:33:39,880
Speaker 2: And then the mobility thing is a thing too, right, Yeah,

684
00:33:39,880 --> 00:33:41,080
Speaker 2: you can do is it ixy?

685
00:33:41,600 --> 00:33:44,560
Speaker 3: Yeah? So there are three things we look for in

686
00:33:44,600 --> 00:33:49,160
Speaker 3: a sperm test. We look for how many there are,

687
00:33:49,960 --> 00:33:52,840
Speaker 3: how they swim, and how they normally formed. Now that's

688
00:33:53,120 --> 00:33:57,600
Speaker 3: just us looking down the microscope. Unfortunately, we don't really

689
00:33:57,720 --> 00:33:59,880
Speaker 3: have a test to say is this sperm going to

690
00:34:00,040 --> 00:34:02,880
Speaker 3: fertilizer and egg? Got it out? You can do in

691
00:34:02,920 --> 00:34:05,160
Speaker 3: the research setting, not in Australia. You can mix them

692
00:34:05,200 --> 00:34:08,080
Speaker 3: with Chinese hamster eggs and I sounds a little bit

693
00:34:08,120 --> 00:34:09,920
Speaker 3: strange and see what they do and stick to it.

694
00:34:10,160 --> 00:34:14,120
Speaker 3: But in some couples you mix the egg and sperm

695
00:34:14,200 --> 00:34:16,359
Speaker 3: in the dish and they just move past each other,

696
00:34:16,520 --> 00:34:19,680
Speaker 3: like the sperm can't see the egg. Oh wow, So

697
00:34:19,760 --> 00:34:22,440
Speaker 3: in those situations, that's what you allude to before you

698
00:34:22,480 --> 00:34:24,840
Speaker 3: can actually go and directly inject the sperm into the

699
00:34:24,920 --> 00:34:29,160
Speaker 3: egg interest cider plastic sperm injection or IXY. And that

700
00:34:29,640 --> 00:34:33,920
Speaker 3: has revolutionized, revolutionized the treatment of infertility where men had

701
00:34:33,960 --> 00:34:35,040
Speaker 3: severe sperm issues.

702
00:34:35,280 --> 00:34:36,640
Speaker 2: Ah, game changer.

703
00:34:37,120 --> 00:34:39,640
Speaker 3: It was, it is, it still is. It's not our

704
00:34:39,719 --> 00:34:43,120
Speaker 3: first preference for getting someone pregnant. Normally we want natural fertilization.

705
00:34:43,360 --> 00:34:46,400
Speaker 1: Yeah, that's the preferred I remember that on my treatment

706
00:34:46,440 --> 00:34:49,439
Speaker 1: planet was like you were quote of IXY, but only

707
00:34:49,600 --> 00:34:52,560
Speaker 1: and it said only if it's like a backup kind

708
00:34:52,560 --> 00:34:52,839
Speaker 1: of thing.

709
00:34:53,080 --> 00:34:55,319
Speaker 3: So it's advised not to do it as the first

710
00:34:55,440 --> 00:34:57,960
Speaker 3: choice because there can be some minor issues with it.

711
00:34:58,080 --> 00:35:00,600
Speaker 3: You know, we're not sort of like selecting the best sperm.

712
00:35:00,719 --> 00:35:03,439
Speaker 3: We're just grabbing one, so we're not letting the natural

713
00:35:03,520 --> 00:35:04,920
Speaker 3: selection process take place.

714
00:35:05,040 --> 00:35:08,279
Speaker 2: So wow, I could talk to your brain all day long.

715
00:35:08,360 --> 00:35:08,719
Speaker 2: I love it.

716
00:35:09,200 --> 00:35:14,759
Speaker 1: So how do you see these articles about beautiful bambinos

717
00:35:14,800 --> 00:35:17,080
Speaker 1: born that have been on ice for eighteen years?

718
00:35:17,280 --> 00:35:20,080
Speaker 2: Like how technically, how long can stuff stay on ice?

719
00:35:20,520 --> 00:35:22,239
Speaker 3: Well, we still don't know, I think we've still got

720
00:35:22,280 --> 00:35:24,279
Speaker 3: embryos that have been frozen for thirty years that it's

721
00:35:24,280 --> 00:35:27,200
Speaker 3: still being used, so cool. They can last a long time.

722
00:35:28,040 --> 00:35:30,320
Speaker 3: I guess where you'd want your embryra on your course

723
00:35:30,400 --> 00:35:32,640
Speaker 3: with you with your baby a nice for thirty years.

724
00:35:33,080 --> 00:35:35,480
Speaker 3: I don't know. It's a question that's probably more of

725
00:35:35,520 --> 00:35:38,359
Speaker 3: a philosophical one, really, isn't it interesting.

726
00:35:38,040 --> 00:35:38,440
Speaker 2: Down the track?

727
00:35:38,520 --> 00:35:41,319
Speaker 1: Say you had a daughter that for some reason had

728
00:35:41,400 --> 00:35:44,360
Speaker 1: fertility issues, but you had I don't know, I have a.

729
00:35:44,400 --> 00:35:48,600
Speaker 3: Sister there you can see, yeah, no, could you deliver

730
00:35:48,680 --> 00:35:52,640
Speaker 3: your own sister or say or brother? I guess so,

731
00:35:52,840 --> 00:35:57,040
Speaker 3: I don't. I kind of think that these these psychologists

732
00:35:57,080 --> 00:35:57,600
Speaker 3: would say.

733
00:35:57,480 --> 00:36:01,279
Speaker 2: No, totally, totally totally so to me, like it's just

734
00:36:01,800 --> 00:36:02,040
Speaker 2: it is?

735
00:36:02,120 --> 00:36:06,320
Speaker 3: It be a really interesting social and ethical question. Currently,

736
00:36:06,440 --> 00:36:09,279
Speaker 3: if you're going to use donor material, you have to

737
00:36:09,400 --> 00:36:12,920
Speaker 3: undergo psychological counseling first, so you understand it.

738
00:36:13,880 --> 00:36:16,840
Speaker 2: In Australia it's different to overseas. Right, it's ultruism in Australia,

739
00:36:16,960 --> 00:36:17,359
Speaker 2: is that right?

740
00:36:17,880 --> 00:36:21,520
Speaker 3: Yes, So in Australia it's all done altruistically with donation

741
00:36:21,600 --> 00:36:25,800
Speaker 3: of eggs and sperm. There's no paid donors. It's just

742
00:36:26,640 --> 00:36:29,160
Speaker 3: as I on the stand, it's just covering of expenses.

743
00:36:29,840 --> 00:36:32,800
Speaker 1: Does that mean say you say I was a single

744
00:36:32,840 --> 00:36:35,600
Speaker 1: girl and I had a really great best game mate,

745
00:36:35,680 --> 00:36:38,719
Speaker 1: and he was gorgeous and fit and healthy, and I thought,

746
00:36:38,840 --> 00:36:40,920
Speaker 1: that is the sperm that I would like.

747
00:36:41,600 --> 00:36:44,520
Speaker 3: Those sperm. That sperm has it's great hair and teeth.

748
00:36:44,640 --> 00:36:45,080
Speaker 3: I love that.

749
00:36:45,880 --> 00:36:48,520
Speaker 2: But can you, like, do some people use mates like people?

750
00:36:48,560 --> 00:36:49,239
Speaker 2: They can?

751
00:36:49,320 --> 00:36:52,480
Speaker 3: You can use a known donor. I have plenty of

752
00:36:52,520 --> 00:36:55,600
Speaker 3: couples with known donors. Everyone needs to go through the

753
00:36:55,640 --> 00:36:58,520
Speaker 3: whole counseling process. If they have a partner, then their

754
00:36:58,600 --> 00:37:01,000
Speaker 3: partner needs to be involved as well. Of course, you

755
00:37:01,120 --> 00:37:05,040
Speaker 3: can run into some issues with a known donor. There

756
00:37:05,160 --> 00:37:08,239
Speaker 3: was a case, I mean, I'm no lawyer here. There's

757
00:37:08,280 --> 00:37:11,479
Speaker 3: a case in New South Wales where a same sex

758
00:37:11,560 --> 00:37:14,960
Speaker 3: couple had a child with a sperm from a known

759
00:37:15,040 --> 00:37:19,040
Speaker 3: donor and he remained involved in the child's life as

760
00:37:19,080 --> 00:37:22,320
Speaker 3: the child was growing up. The child saw him as father.

761
00:37:22,400 --> 00:37:25,279
Speaker 3: They wanted rekship, but they wanted to move country and

762
00:37:25,440 --> 00:37:27,879
Speaker 3: he was able to say the court, well, no, I'm

763
00:37:27,960 --> 00:37:31,320
Speaker 3: this child's father too, and they actually gave him parental rights.

764
00:37:31,360 --> 00:37:33,200
Speaker 3: So there can be issues if you are using a

765
00:37:33,280 --> 00:37:36,400
Speaker 3: known donor, I always suggest you get legal advice first.

766
00:37:36,840 --> 00:37:39,200
Speaker 1: Well, and I'm really open about this, but even my

767
00:37:39,320 --> 00:37:43,440
Speaker 1: boyfriend I we did embryos, but we got a contract

768
00:37:43,480 --> 00:37:45,800
Speaker 1: drawn up that their mind if we break up, because

769
00:37:45,840 --> 00:37:49,080
Speaker 1: I'm the one that's going to age out right, he.

770
00:37:49,120 --> 00:37:52,160
Speaker 3: Can keep going to speak because none his sperm becomes

771
00:37:52,200 --> 00:37:56,880
Speaker 3: suddenly infertile. These eggs are what you have for your future.

772
00:37:57,080 --> 00:37:57,279
Speaker 2: Yeah.

773
00:37:58,000 --> 00:38:00,800
Speaker 1: So I guess it was a really close snown donut

774
00:38:02,040 --> 00:38:04,719
Speaker 1: in a weird kind of way. But people thought it

775
00:38:04,800 --> 00:38:06,480
Speaker 1: was weird when I was like, no, I'm seeing a lawyer,

776
00:38:06,680 --> 00:38:09,280
Speaker 1: and I thought, no, no, no, this is smart.

777
00:38:09,560 --> 00:38:10,840
Speaker 2: It's kind of just part of it.

778
00:38:11,360 --> 00:38:13,400
Speaker 3: Well, it's interesting, isn't it. It becomes part of the

779
00:38:14,000 --> 00:38:15,280
Speaker 3: shared asset, so to speak.

780
00:38:15,680 --> 00:38:19,399
Speaker 1: Oh, big time, big time. Okay, So we've talked about

781
00:38:19,400 --> 00:38:21,680
Speaker 1: the importance of mental health. I'm a nutritionist, so I've

782
00:38:21,719 --> 00:38:25,640
Speaker 1: got to ask what about lifestyle, diet, eating while moving your.

783
00:38:25,600 --> 00:38:30,520
Speaker 3: Body critically important. I think we need to emphasize that

784
00:38:31,160 --> 00:38:33,640
Speaker 3: if you're going to be won to become pregnant, have

785
00:38:33,719 --> 00:38:36,120
Speaker 3: a healthy pregnancy, you've got to be a healthy body.

786
00:38:36,160 --> 00:38:37,920
Speaker 3: And certainly one of the big things is making sure

787
00:38:37,960 --> 00:38:41,359
Speaker 3: you're in a healthy weight range. We know that as

788
00:38:41,520 --> 00:38:46,040
Speaker 3: your weight goes up, your risk of infertility goes up,

789
00:38:46,400 --> 00:38:49,680
Speaker 3: risk of miscarriage goes up, complications of pregnancy go up.

790
00:38:49,760 --> 00:38:54,240
Speaker 3: So having a healthy diet and lifestyle pre pregnancy, maintaining

791
00:38:54,280 --> 00:38:57,279
Speaker 3: the healthy weight range is really really critical and also

792
00:38:57,440 --> 00:38:59,960
Speaker 3: with nutrition as well, because if you want to make

793
00:39:00,200 --> 00:39:03,080
Speaker 3: healthy eggs, you need to have good nutrition so that

794
00:39:03,520 --> 00:39:07,160
Speaker 3: the environment, the interest cellar environment is optimized as well.

795
00:39:08,000 --> 00:39:10,880
Speaker 3: It makes sense, right, it makes sense. But it's all

796
00:39:10,920 --> 00:39:13,800
Speaker 3: part and pasting. You think about it. If you're not

797
00:39:14,000 --> 00:39:17,080
Speaker 3: well and unfit, your body's going to say you're not

798
00:39:17,160 --> 00:39:19,080
Speaker 3: fit enough to get pregnant. Yeah, I'm going to go

799
00:39:19,160 --> 00:39:21,040
Speaker 3: and put things on hold, and that can and that

800
00:39:21,160 --> 00:39:24,520
Speaker 3: can happen. I mean, that's why when you get stressed,

801
00:39:25,120 --> 00:39:27,239
Speaker 3: your cycles can stop because your body is saying you're

802
00:39:27,320 --> 00:39:29,440
Speaker 3: not in the right state to get pregnant. Now, I'm

803
00:39:29,480 --> 00:39:33,120
Speaker 3: going to shut this down because your body does not

804
00:39:33,200 --> 00:39:34,200
Speaker 3: need more stress right now.

805
00:39:34,560 --> 00:39:35,799
Speaker 2: Oh fascinating.

806
00:39:35,920 --> 00:39:39,200
Speaker 1: Hey, And it's really cool knowing how important like diet

807
00:39:39,200 --> 00:39:41,600
Speaker 1: and life style is because that's something that we get to, like,

808
00:39:41,880 --> 00:39:43,560
Speaker 1: you get to have a bit of control over that.

809
00:39:43,640 --> 00:39:44,440
Speaker 2: It's quite empowered.

810
00:39:44,520 --> 00:39:46,879
Speaker 3: Yeah. So there are so many things in IVF work

811
00:39:46,920 --> 00:39:51,480
Speaker 3: that you can't control. Yeah, right, age egg with the

812
00:39:51,560 --> 00:39:53,600
Speaker 3: AMH that sort of stuff that you can control what

813
00:39:53,680 --> 00:39:55,600
Speaker 3: you put into your body, what you do with your body.

814
00:39:56,520 --> 00:39:59,320
Speaker 3: Couples who exercise together and like to get pregnant, I

815
00:39:59,440 --> 00:40:02,200
Speaker 3: love that. And whether that's results of the exercise or

816
00:40:02,239 --> 00:40:05,239
Speaker 3: the bonding, I'll leave it up to your listener's imagination.

817
00:40:05,360 --> 00:40:08,680
Speaker 3: Perhaps is why I don't know. Just one study I saw.

818
00:40:09,239 --> 00:40:10,120
Speaker 2: I love that I was.

819
00:40:10,239 --> 00:40:13,320
Speaker 1: I told my boyfriends video yogur together and we always

820
00:40:13,360 --> 00:40:16,120
Speaker 1: hold hands in shavasna, the little pose at the end.

821
00:40:16,440 --> 00:40:18,840
Speaker 2: I was like, you know that this is linked to

822
00:40:19,040 --> 00:40:21,960
Speaker 2: like higher you know, better chance to getting pregnant.

823
00:40:22,000 --> 00:40:25,000
Speaker 1: He's like, you know, we've done it for future planning, Lola,

824
00:40:25,040 --> 00:40:27,080
Speaker 1: you know we've done all this fit Okay.

825
00:40:28,160 --> 00:40:30,560
Speaker 2: I love that you taught me.

826
00:40:31,280 --> 00:40:32,720
Speaker 1: And I don't know how to ask this question probably,

827
00:40:32,760 --> 00:40:35,319
Speaker 1: but like if you're say I was pregnant right now,

828
00:40:35,440 --> 00:40:38,759
Speaker 1: and I was pregnant with a little girl, yep at

829
00:40:39,080 --> 00:40:45,000
Speaker 1: twenty weeks yep, would that little girl have all her eggs?

830
00:40:45,440 --> 00:40:45,680
Speaker 3: Yeah?

831
00:40:45,760 --> 00:40:46,680
Speaker 2: Am I saying that right?

832
00:40:46,800 --> 00:40:53,279
Speaker 3: Yes? So when you are if you're for girls, by

833
00:40:53,320 --> 00:40:56,080
Speaker 3: the time you're twenty weeks gestation in your mum's tummy.

834
00:40:56,080 --> 00:40:58,279
Speaker 3: So that's when most women are having their ultrasound scan

835
00:40:58,400 --> 00:41:00,960
Speaker 3: to make sure baby's fine. All the eggs you'll ever

836
00:41:01,080 --> 00:41:05,600
Speaker 3: have are formed, okay, so they're already there. And what

837
00:41:05,800 --> 00:41:08,480
Speaker 3: that means is, if you're pregnant with a daughter, you

838
00:41:08,960 --> 00:41:12,920
Speaker 3: actually have the eggs of your grandchildren inside you. This

839
00:41:13,080 --> 00:41:15,440
Speaker 3: is so cool. So this comes back to your nutrition

840
00:41:15,560 --> 00:41:20,440
Speaker 3: and lifestyle because you've now got your grandchildren inside you,

841
00:41:21,160 --> 00:41:25,560
Speaker 3: and what you put into your body might affect your grandchildren.

842
00:41:25,960 --> 00:41:29,680
Speaker 3: That's so cool. So there's some theories that maybe some

843
00:41:30,600 --> 00:41:35,160
Speaker 3: medications taken by our grandparents might be causing fertility issues

844
00:41:35,280 --> 00:41:37,959
Speaker 3: now because of the effects on the eggs. We don't

845
00:41:38,000 --> 00:41:39,440
Speaker 3: know for sure, and I don't want to go into

846
00:41:39,480 --> 00:41:42,360
Speaker 3: any matter in particular because I don't want to be

847
00:41:42,400 --> 00:41:46,840
Speaker 3: able to. Yeah, but that's how things can change, or

848
00:41:46,920 --> 00:41:49,200
Speaker 3: how long term the effects can be of what we

849
00:41:49,360 --> 00:41:50,400
Speaker 3: do in pregnancy.

850
00:41:50,760 --> 00:41:52,440
Speaker 2: That's so fascinating, isn't it.

851
00:41:52,840 --> 00:41:53,040
Speaker 3: Yeah.

852
00:41:53,840 --> 00:41:56,480
Speaker 1: Now, I'm not throwing you on the spot here, but

853
00:41:57,320 --> 00:41:59,480
Speaker 1: I did you a little Instagram call out and I

854
00:41:59,719 --> 00:42:02,680
Speaker 1: just said, if you could talk to a facility specialist,

855
00:42:02,760 --> 00:42:05,280
Speaker 1: what would you ask. So there's a few questions here from.

856
00:42:05,400 --> 00:42:07,279
Speaker 3: Yeah, great, go for it. I'm really looking forward to it.

857
00:42:07,440 --> 00:42:09,600
Speaker 3: Yeah I love this stuff. Hit me with it.

858
00:42:10,000 --> 00:42:12,759
Speaker 1: Okay, thinking of freezing my eggs, but if I use

859
00:42:12,840 --> 00:42:16,279
Speaker 1: them at forty five in an older uterus, will they

860
00:42:16,440 --> 00:42:17,040
Speaker 1: still work?

861
00:42:18,760 --> 00:42:21,440
Speaker 3: The uterus is one of those things that doesn't really age.

862
00:42:21,480 --> 00:42:24,200
Speaker 3: It is for rather young. It's maintained with the youthful

863
00:42:24,280 --> 00:42:27,960
Speaker 3: potion or youth serum. In theory, you can get someone

864
00:42:28,080 --> 00:42:30,600
Speaker 3: in their sixties, give them the hormones and they can

865
00:42:30,640 --> 00:42:33,600
Speaker 3: get pregnant. And they did this in Italy. Mind you crazy,

866
00:42:34,120 --> 00:42:38,560
Speaker 3: but you can. In theory, the uterus can come back

867
00:42:38,719 --> 00:42:41,480
Speaker 3: just with hormone support. So it's really the age at

868
00:42:41,560 --> 00:42:43,680
Speaker 3: which you freeze the eggs that's really important.

869
00:42:44,200 --> 00:42:46,719
Speaker 2: So young eggs, young embryos, happy days.

870
00:42:46,960 --> 00:42:50,400
Speaker 3: Absolutely, young eggs, young embryos. Yeah, happy days. That's the

871
00:42:50,440 --> 00:42:53,800
Speaker 3: biggest predictor. So the age when you put them in

872
00:42:53,960 --> 00:42:57,839
Speaker 3: is not a significant factor. But saying that you need

873
00:42:57,960 --> 00:43:00,640
Speaker 3: to make sure that you're healthy and well checked out

874
00:43:00,760 --> 00:43:04,400
Speaker 3: pride because the pregnancy complications go up with age, so

875
00:43:04,640 --> 00:43:09,080
Speaker 3: things like high blood pressure, pre term labor, diabetes, heart disease.

876
00:43:09,160 --> 00:43:11,560
Speaker 3: As you getting older. Those things factor in, but the

877
00:43:11,680 --> 00:43:14,800
Speaker 3: uterus itself's good. It can be brought back just with

878
00:43:14,880 --> 00:43:18,399
Speaker 3: hormonal support if we need to. But there is whether

879
00:43:19,239 --> 00:43:22,120
Speaker 3: forty five, you're going to be up at late nights.

880
00:43:22,160 --> 00:43:24,319
Speaker 3: But mind you saying that no one blinks, no one

881
00:43:24,400 --> 00:43:27,440
Speaker 3: blinks an eye when and when a man at sixty

882
00:43:27,520 --> 00:43:30,000
Speaker 3: gets pregnant at thirty, and no one says what you're sixty?

883
00:43:30,080 --> 00:43:32,239
Speaker 3: Make you're doing all right? So you neally care for

884
00:43:32,320 --> 00:43:35,359
Speaker 3: for what I'm saying. Forty five? Yes, well time.

885
00:43:35,400 --> 00:43:37,600
Speaker 1: I don't know if you've seen the news, but Hilary Swank,

886
00:43:37,800 --> 00:43:40,960
Speaker 1: so she's forty eight and pregnant with twins right now.

887
00:43:41,200 --> 00:43:42,719
Speaker 2: I don't think she's just disclosed.

888
00:43:43,520 --> 00:43:47,400
Speaker 3: They're either donor eggs or she's frozen eggs. At forty

889
00:43:47,480 --> 00:43:50,600
Speaker 3: eight chance in conceiving natural it's let's say forty eight.

890
00:43:50,640 --> 00:43:54,480
Speaker 3: You and do IVF every time you transfer an embryo,

891
00:43:54,640 --> 00:43:57,920
Speaker 3: it's only about three percent chance of pregnancy, two percent.

892
00:43:57,760 --> 00:44:00,800
Speaker 2: Chance of Oh wow, I hope you opened up a

893
00:44:00,840 --> 00:44:01,240
Speaker 2: better story.

894
00:44:01,239 --> 00:44:03,320
Speaker 3: If she's using her own eggs, yes, under the donor

895
00:44:03,360 --> 00:44:05,320
Speaker 3: egg though, it's back up around sixty percent.

896
00:44:05,960 --> 00:44:09,000
Speaker 2: How cool? Yeah, so interesting. Okay, this is another one

897
00:44:09,000 --> 00:44:10,680
Speaker 2: about age. How old.

898
00:44:10,800 --> 00:44:12,279
Speaker 1: So this is a little bit similar to what you

899
00:44:12,400 --> 00:44:14,080
Speaker 1: just said, but how old is too old? I've just

900
00:44:14,200 --> 00:44:17,320
Speaker 1: turned forty three and I feel like my body can't carry.

901
00:44:17,520 --> 00:44:19,960
Speaker 1: That could be a health thing again, couldn't it?

902
00:44:20,040 --> 00:44:21,560
Speaker 3: Like you could? It could be and it could be.

903
00:44:22,600 --> 00:44:26,719
Speaker 3: Look if if your listeners forty three and she's thinking

904
00:44:26,719 --> 00:44:29,000
Speaker 3: about pregnancy, I think she needs to speak for someone

905
00:44:29,120 --> 00:44:32,160
Speaker 3: straight away, just be given the facts and the statistics

906
00:44:32,239 --> 00:44:35,920
Speaker 3: about about going and becoming pregnant at forty three in

907
00:44:36,040 --> 00:44:38,880
Speaker 3: terms of and the likelihood and what the options are

908
00:44:38,960 --> 00:44:42,239
Speaker 3: for her. Yes, she may be able to do, I

909
00:44:42,400 --> 00:44:45,560
Speaker 3: view with her own eggs. Really, she may be able to.

910
00:44:45,560 --> 00:44:47,840
Speaker 3: It could be a longer journey, or she might be

911
00:44:47,960 --> 00:44:50,480
Speaker 3: advised to use donor eggs, but that would depend on

912
00:44:50,560 --> 00:44:54,640
Speaker 3: her circumstances. But at forty three, it does become harder.

913
00:44:55,239 --> 00:44:58,640
Speaker 3: But it's not impossible. It's just it's just could be

914
00:44:58,680 --> 00:44:59,920
Speaker 3: a harder, longer journey.

915
00:45:00,400 --> 00:45:02,400
Speaker 1: Because in America you see a lot of the Hollywood

916
00:45:02,440 --> 00:45:06,000
Speaker 1: stars get surrogates. Right, obviously it's not such a thing here,

917
00:45:06,760 --> 00:45:09,840
Speaker 1: but you see them just like one moment looking skinny

918
00:45:09,880 --> 00:45:12,400
Speaker 1: on a red carpet, next moment holding a cute little bambino,

919
00:45:12,480 --> 00:45:12,920
Speaker 1: and you're like.

920
00:45:13,080 --> 00:45:13,799
Speaker 2: What's happening here?

921
00:45:13,960 --> 00:45:17,640
Speaker 3: Amazing? Isn't it? How easy it is over there? I

922
00:45:17,760 --> 00:45:20,799
Speaker 3: know in the state which we live, you can't use

923
00:45:20,840 --> 00:45:26,360
Speaker 3: a surrogate unless you physically can't carry the pregnancy or

924
00:45:26,360 --> 00:45:29,839
Speaker 3: there's some medical reason, or you are a same sex

925
00:45:29,920 --> 00:45:30,439
Speaker 3: male couple.

926
00:45:31,040 --> 00:45:34,440
Speaker 2: Oh of course, of course. So it's so interesting.

927
00:45:34,480 --> 00:45:36,840
Speaker 1: I could talk about this, like I said, Okay, this

928
00:45:36,960 --> 00:45:39,160
Speaker 1: one's fascinating. I used to fear this one, but I

929
00:45:39,239 --> 00:45:41,800
Speaker 1: think it may well be a myth. Will taking a

930
00:45:41,880 --> 00:45:45,200
Speaker 1: contraceptive long term affect my fertility when I go off

931
00:45:45,400 --> 00:45:46,239
Speaker 1: the contraceptive?

932
00:45:47,160 --> 00:45:49,840
Speaker 3: No, it's been on the pill long term. Doesn't affect

933
00:45:49,840 --> 00:45:54,359
Speaker 3: fertility potential into the future, so that's fine. It can

934
00:45:54,480 --> 00:45:57,919
Speaker 3: be protective sometimes been on the pill for many years.

935
00:45:58,000 --> 00:46:01,399
Speaker 3: It can be protective in certain situations, but it doesn't

936
00:46:01,400 --> 00:46:02,520
Speaker 3: affect fatility like that.

937
00:46:02,800 --> 00:46:05,239
Speaker 1: No, And I got the option to go on the

938
00:46:05,320 --> 00:46:07,360
Speaker 1: pill so that I would my dates would time up

939
00:46:07,480 --> 00:46:09,200
Speaker 1: right with Does that sometimes happen?

940
00:46:09,400 --> 00:46:12,239
Speaker 3: That happened, Yeah, Sometimes we use contraceptive pill to time

941
00:46:12,320 --> 00:46:12,920
Speaker 3: the cycles.

942
00:46:13,040 --> 00:46:13,239
Speaker 2: Yeah.

943
00:46:14,360 --> 00:46:20,680
Speaker 3: It's generally used, more so if for the clinic reasons

944
00:46:20,760 --> 00:46:25,800
Speaker 3: or if you're traveling I try to avoid it. Normally,

945
00:46:26,760 --> 00:46:29,719
Speaker 3: it can sometimes reduce your egg count slightly. If you

946
00:46:29,880 --> 00:46:31,600
Speaker 3: used to peel just before a cycle.

947
00:46:32,040 --> 00:46:34,600
Speaker 2: That makes sense because you're kind of playing with something because.

948
00:46:34,440 --> 00:46:38,560
Speaker 3: You are suppressing asking them to start again. Because every month,

949
00:46:38,680 --> 00:46:40,840
Speaker 3: your body will make two or three batches of eggs

950
00:46:40,920 --> 00:46:43,440
Speaker 3: for eggs to be used, and we try to and

951
00:46:43,560 --> 00:46:46,120
Speaker 3: those batches that we use an IVF cycle are actually

952
00:46:46,160 --> 00:46:48,440
Speaker 3: start to be prepared in the month prior, so been

953
00:46:48,520 --> 00:46:51,120
Speaker 3: on the pills sometimes can just reduce it slightly. But

954
00:46:51,239 --> 00:46:52,520
Speaker 3: sometimes it's only option you have.

955
00:46:53,080 --> 00:46:53,279
Speaker 2: Yeah.

956
00:46:53,440 --> 00:46:56,560
Speaker 1: Yeah, and I've heard in a merry Now that's like

957
00:46:57,040 --> 00:47:02,239
Speaker 1: no props common thing. Okay, this question, we're back to

958
00:47:02,320 --> 00:47:05,520
Speaker 1: sperm donors. Can we import sperm from overseas?

959
00:47:06,480 --> 00:47:09,640
Speaker 3: Yeah, you can absolutely. In the clinic which I work,

960
00:47:10,200 --> 00:47:13,920
Speaker 3: they have a sperm bank in the USA that they

961
00:47:13,960 --> 00:47:17,719
Speaker 3: can access for important sperm. Yeah, so that's easily done.

962
00:47:17,960 --> 00:47:20,080
Speaker 2: And even to get to see the FOT level. He's handsome,

963
00:47:21,320 --> 00:47:21,680
Speaker 2: You get.

964
00:47:21,560 --> 00:47:23,760
Speaker 3: To see photos. You've got this app kind of like Tinderly.

965
00:47:23,840 --> 00:47:25,920
Speaker 3: Your swipe left and you swipe right, Look look at

966
00:47:25,960 --> 00:47:28,040
Speaker 3: the donors addictive.

967
00:47:28,080 --> 00:47:29,320
Speaker 2: I reckon, hang on, I've got to want to do

968
00:47:29,320 --> 00:47:29,960
Speaker 2: around with him.

969
00:47:30,040 --> 00:47:32,960
Speaker 3: I wander. There are many factors you can choose from it.

970
00:47:33,080 --> 00:47:36,440
Speaker 3: Certainly you can get stocks from overseas, and it has

971
00:47:36,520 --> 00:47:39,960
Speaker 3: to be the overseas sources have to be altruistic as

972
00:47:40,000 --> 00:47:41,560
Speaker 3: well to be brought into Australia.

973
00:47:41,640 --> 00:47:44,520
Speaker 2: Got it, of course, so that it matches our rules.

974
00:47:45,520 --> 00:47:49,400
Speaker 1: Do some people have to take hormones for longer than

975
00:47:49,440 --> 00:47:51,960
Speaker 1: others when freezing eggs? I imagine yes, it would depend

976
00:47:52,000 --> 00:47:53,000
Speaker 1: on your scans, right.

977
00:47:53,280 --> 00:47:57,200
Speaker 3: It does depend generally, some people might need to or

978
00:47:57,320 --> 00:48:02,320
Speaker 3: three days more stimulation. It's not significantly longer. No, it

979
00:48:02,440 --> 00:48:06,560
Speaker 3: might only be twelve to thirteen days on medications versus

980
00:48:06,640 --> 00:48:09,640
Speaker 3: ten for someone else. It's it's not sifinitely longer like that.

981
00:48:09,960 --> 00:48:10,279
Speaker 3: Got it.

982
00:48:11,560 --> 00:48:14,600
Speaker 1: So this might be hard to answer, so feel free

983
00:48:14,680 --> 00:48:18,080
Speaker 1: to correct it. What is low AMH and what is

984
00:48:18,239 --> 00:48:19,640
Speaker 1: high for certain ages?

985
00:48:21,120 --> 00:48:24,759
Speaker 3: Generally, Oh, it's a hard question. Look, reduced AMH is

986
00:48:24,800 --> 00:48:27,640
Speaker 3: probably less than a value of ten. But if you

987
00:48:27,719 --> 00:48:31,000
Speaker 3: were forty, if you were thirty with an AMH of ten,

988
00:48:31,080 --> 00:48:33,600
Speaker 3: that's low. If you're forty five with an AMH of ten,

989
00:48:33,640 --> 00:48:34,359
Speaker 3: I'd say that's great.

990
00:48:34,400 --> 00:48:34,839
Speaker 2: Yeah, happy.

991
00:48:34,880 --> 00:48:37,719
Speaker 3: It drops with age, and so one of the things

992
00:48:37,760 --> 00:48:41,759
Speaker 3: with aging is not only those does the egg quality reduce? So,

993
00:48:41,960 --> 00:48:43,360
Speaker 3: in other words, what I mean by that is the

994
00:48:43,440 --> 00:48:45,560
Speaker 3: ability of an egg to be fertilized and make a

995
00:48:45,640 --> 00:48:48,640
Speaker 3: healthy baby drops with age. But the amount of eggs

996
00:48:48,680 --> 00:48:50,880
Speaker 3: you make drops with age.

997
00:48:51,520 --> 00:48:53,879
Speaker 2: Hence why people get their AMH and freak out a little.

998
00:48:54,000 --> 00:48:56,840
Speaker 3: Yeah, so it's a bit of a double edged sword, AMH.

999
00:48:57,000 --> 00:48:59,880
Speaker 3: So you've got to compare it to your agency is

1000
00:49:00,239 --> 00:49:02,719
Speaker 3: low compared to someone else of my age rather than

1001
00:49:03,280 --> 00:49:06,400
Speaker 3: low per se? What's my age bracket? Normal range?

1002
00:49:06,520 --> 00:49:07,479
Speaker 2: So how cool?

1003
00:49:07,920 --> 00:49:09,440
Speaker 1: I want to talk to you off air and be like, oh,

1004
00:49:09,520 --> 00:49:15,040
Speaker 1: so mine is okay, I'm interested about this myself.

1005
00:49:15,160 --> 00:49:16,800
Speaker 2: What about diet and supplements.

1006
00:49:16,800 --> 00:49:20,360
Speaker 1: We've talked about diet, but like supplements to use before

1007
00:49:21,160 --> 00:49:21,880
Speaker 1: egg freezing.

1008
00:49:22,320 --> 00:49:26,000
Speaker 2: So I imagine, like I'm guessing follic acids, there'd be

1009
00:49:26,080 --> 00:49:28,000
Speaker 2: some like ripple onors.

1010
00:49:28,320 --> 00:49:32,000
Speaker 3: I would normally recommend before egg freezing. Let's step back

1011
00:49:32,000 --> 00:49:34,640
Speaker 3: a bit. Before you get pregnant, we always advise folic

1012
00:49:34,680 --> 00:49:37,160
Speaker 3: acid and ID and that's because just to do with

1013
00:49:37,280 --> 00:49:41,360
Speaker 3: baby's brain development, if you're freezing eggs, that's less critical

1014
00:49:41,440 --> 00:49:45,200
Speaker 3: to be on those particular vitamins. But I would certainly

1015
00:49:45,280 --> 00:49:49,759
Speaker 3: recommend having just a general multi vitamin. As some women

1016
00:49:49,840 --> 00:49:53,000
Speaker 3: get older, I tend to put them on Cohen's IMQ ten.

1017
00:49:53,440 --> 00:49:55,840
Speaker 3: I was on it as a factor to help with

1018
00:49:56,080 --> 00:50:00,680
Speaker 3: the mitochondrial egg development trouble. It's okay. I think the

1019
00:50:00,719 --> 00:50:03,160
Speaker 3: studies have only really been shown to be helpful and mice,

1020
00:50:03,840 --> 00:50:06,080
Speaker 3: but we use them in people. So it's a little

1021
00:50:06,080 --> 00:50:08,839
Speaker 3: bit hard to do studies in humans on eggs because

1022
00:50:08,880 --> 00:50:11,080
Speaker 3: people don't want to go and just give away their

1023
00:50:11,120 --> 00:50:11,960
Speaker 3: eggs for a study.

1024
00:50:12,080 --> 00:50:13,160
Speaker 2: So yeah, of course, but.

1025
00:50:13,239 --> 00:50:14,920
Speaker 3: Yeah, Cohen's on Q ten is a good one. I

1026
00:50:14,960 --> 00:50:17,080
Speaker 3: would think a multi vitamin is always good to be on.

1027
00:50:17,920 --> 00:50:20,680
Speaker 3: Some people will go on to the activated fil eight

1028
00:50:20,840 --> 00:50:23,239
Speaker 3: for the home assisting sort of stuff. There are many

1029
00:50:23,320 --> 00:50:27,000
Speaker 3: vitamins out there. I actually, if I get someone who

1030
00:50:27,040 --> 00:50:28,880
Speaker 3: I'm worried about, I actually get them to see a

1031
00:50:28,960 --> 00:50:31,279
Speaker 3: dietitian or a nutritions to actually look at them and

1032
00:50:32,200 --> 00:50:35,080
Speaker 3: tell me and tell them what they should be on.

1033
00:50:35,440 --> 00:50:37,840
Speaker 3: So I don't I'm not the expert. Often go and

1034
00:50:37,880 --> 00:50:40,320
Speaker 3: send them off to see someone who has a special

1035
00:50:41,120 --> 00:50:44,120
Speaker 3: it's interesting futilities and nutrition and get them to give

1036
00:50:44,160 --> 00:50:46,319
Speaker 3: the advice. Because I don't know it all. I don't

1037
00:50:46,360 --> 00:50:47,680
Speaker 3: pretend to know it all. When it comes to that

1038
00:50:47,760 --> 00:50:49,719
Speaker 3: sort of stuff, I often get them to see someone.

1039
00:50:49,760 --> 00:50:51,640
Speaker 1: I love a combo like I worked with the natural

1040
00:50:51,719 --> 00:50:53,279
Speaker 1: fertility naturopath the whole way through.

1041
00:50:53,280 --> 00:50:56,080
Speaker 2: It was so fun because it just made me like, also.

1042
00:50:56,040 --> 00:50:58,000
Speaker 1: Get it's fun taking the nutrition cap off and just

1043
00:50:58,040 --> 00:51:00,520
Speaker 1: being like, I don't need to think somebody else talk to.

1044
00:51:00,760 --> 00:51:05,160
Speaker 1: But also post egg collection, I went on these like

1045
00:51:05,680 --> 00:51:06,880
Speaker 1: she put me on like a little bit of a

1046
00:51:06,960 --> 00:51:09,520
Speaker 1: livery kind of detos to help my body find a

1047
00:51:09,560 --> 00:51:13,080
Speaker 1: bit of homeostasis after and I thought, oh gee, there's

1048
00:51:13,160 --> 00:51:14,200
Speaker 1: some really cool stuff.

1049
00:51:14,480 --> 00:51:14,920
Speaker 2: And then my.

1050
00:51:15,000 --> 00:51:18,719
Speaker 1: Nutrition brain is like naturally in life, but naturally before

1051
00:51:18,880 --> 00:51:21,080
Speaker 1: something where you want to feel healthy, you're going to

1052
00:51:21,120 --> 00:51:24,440
Speaker 1: try and reduce inflammation, so like your sugar is anything refined.

1053
00:51:24,719 --> 00:51:27,120
Speaker 1: Like I know it sounds really simple, but I think

1054
00:51:27,160 --> 00:51:29,600
Speaker 1: if you're inflamed, you're not going to feel as good,

1055
00:51:29,640 --> 00:51:31,320
Speaker 1: You're not going to be stressed, you're not going to

1056
00:51:31,320 --> 00:51:32,200
Speaker 1: be the best.

1057
00:51:32,320 --> 00:51:34,399
Speaker 3: I think that's the case too. I mean I don't

1058
00:51:34,400 --> 00:51:37,520
Speaker 3: always know what the I have patients and they will

1059
00:51:37,600 --> 00:51:39,480
Speaker 3: ask me and then natural paths put them on this

1060
00:51:39,560 --> 00:51:42,320
Speaker 3: and that, and look, I really can't go and advise

1061
00:51:42,360 --> 00:51:43,880
Speaker 3: you on that yeah, I don't know what it is.

1062
00:51:44,480 --> 00:51:46,440
Speaker 3: I really don't know. I said, you've just got to

1063
00:51:46,480 --> 00:51:48,920
Speaker 3: trust what they're doing because I don't know what they're

1064
00:51:48,920 --> 00:51:51,320
Speaker 3: got them want. But generally you're right, inflammation is a

1065
00:51:51,360 --> 00:51:55,040
Speaker 3: big thing. I think some women who aren't getting pregnant

1066
00:51:55,120 --> 00:51:58,799
Speaker 3: with lots of transfers, maybe there's some inflammation within within

1067
00:51:58,880 --> 00:52:01,879
Speaker 3: the womb which could be going on, and maybe that's

1068
00:52:01,920 --> 00:52:04,520
Speaker 3: why they're not getting pregnant. But you do want to

1069
00:52:04,600 --> 00:52:08,280
Speaker 3: avoid anything that's going to cause a pro inflammatory state.

1070
00:52:09,280 --> 00:52:09,799
Speaker 3: General healthy.

1071
00:52:09,880 --> 00:52:11,600
Speaker 1: Yeah, I was going to say, it feels. It feels

1072
00:52:11,680 --> 00:52:16,359
Speaker 1: crappy if you're in general just well being. What are

1073
00:52:16,440 --> 00:52:18,640
Speaker 1: the prefertility scans and blood tests?

1074
00:52:18,840 --> 00:52:22,759
Speaker 3: Okay, this is a fun one, so for me, prefertility

1075
00:52:22,800 --> 00:52:26,359
Speaker 3: scans okay, So depending on more what you're doing. One

1076
00:52:26,360 --> 00:52:28,080
Speaker 3: of the big ones we always generally want to get

1077
00:52:28,120 --> 00:52:30,880
Speaker 3: is an ultrasound of the uterus and the ovaries. Why

1078
00:52:30,960 --> 00:52:32,839
Speaker 3: do you want to do that? I want to check

1079
00:52:33,040 --> 00:52:36,520
Speaker 3: that your room is normally a size, that there's no

1080
00:52:37,480 --> 00:52:40,400
Speaker 3: abnormalities in there that might make pregnancy more difficult. Now,

1081
00:52:40,440 --> 00:52:43,480
Speaker 3: that might be things like fibroids, which are like big

1082
00:52:43,600 --> 00:52:46,720
Speaker 3: muscle balls inside the uterus that can impact it. Another

1083
00:52:46,800 --> 00:52:50,680
Speaker 3: one I look for is a condition called adnomiosis. Think

1084
00:52:50,719 --> 00:52:54,800
Speaker 3: of it as endometriosis, but inside the uterus. Looking for

1085
00:52:54,880 --> 00:52:57,200
Speaker 3: that might be looking for things like polyps, want to

1086
00:52:57,239 --> 00:53:00,400
Speaker 3: get them out, and the ovaries have big they are

1087
00:53:00,440 --> 00:53:03,520
Speaker 3: there are lots of little follicles, so polycystic ovaries. So

1088
00:53:03,640 --> 00:53:06,600
Speaker 3: that's where there's more than twenty little developing eggs in

1089
00:53:06,640 --> 00:53:09,040
Speaker 3: each ovary. They're the ones we watch out for over

1090
00:53:09,160 --> 00:53:11,279
Speaker 3: in hyperstimulations. Yeah, they're the ones we need to be

1091
00:53:11,360 --> 00:53:14,239
Speaker 3: careful of, so watch out for them. Other tests would

1092
00:53:14,280 --> 00:53:17,880
Speaker 3: be your AMH level. We'd also just do a general

1093
00:53:17,960 --> 00:53:21,440
Speaker 3: screen for it's infectious agents. Just make sure that you

1094
00:53:21,520 --> 00:53:24,480
Speaker 3: fit fit to get pregnant, and just a general screen. Otherwise,

1095
00:53:25,200 --> 00:53:30,160
Speaker 3: some women would like to do like to do genetic

1096
00:53:30,280 --> 00:53:33,320
Speaker 3: screening before they get pregnant. So let's say they and

1097
00:53:33,400 --> 00:53:35,560
Speaker 3: they want to know it's do I carry a geneusystic

1098
00:53:35,600 --> 00:53:37,640
Speaker 3: fibrosis or does my partner, So they might want to

1099
00:53:37,680 --> 00:53:40,000
Speaker 3: go and do a genetic screen panel before they get

1100
00:53:40,080 --> 00:53:42,719
Speaker 3: pregnant to help them make decisions if they are at

1101
00:53:42,840 --> 00:53:45,040
Speaker 3: risk of disease to check it before they get pregnant.

1102
00:53:45,239 --> 00:53:47,440
Speaker 2: I remember I had to do a carrier type. Is

1103
00:53:47,440 --> 00:53:49,480
Speaker 2: that the genetic stuff, so carry types.

1104
00:53:49,520 --> 00:53:50,920
Speaker 3: Well, I used to do for my first job, right,

1105
00:53:50,960 --> 00:53:53,520
Speaker 3: I used to look at the chromosomes. So what that's

1106
00:53:53,560 --> 00:53:56,360
Speaker 3: looking for is the chromosomes that make up a person.

1107
00:53:56,520 --> 00:54:00,520
Speaker 3: So there are forty six of them, twenty two pairs

1108
00:54:00,600 --> 00:54:03,719
Speaker 3: what we call autosomes number one to twenty two, and

1109
00:54:03,880 --> 00:54:08,440
Speaker 3: two sex chromosomes, so looking for those is done. Sometimes

1110
00:54:08,640 --> 00:54:12,080
Speaker 3: it's there are some people who have recurrent miscarriages because

1111
00:54:12,080 --> 00:54:16,120
Speaker 3: their chromosomes are structured in an unusual way. They're normal,

1112
00:54:16,200 --> 00:54:19,040
Speaker 3: they're healthy, but they have a high risk of miscarriage,

1113
00:54:19,120 --> 00:54:20,280
Speaker 3: so that can be checked sometimes.

1114
00:54:20,680 --> 00:54:23,759
Speaker 2: Oh mate, the weight for that test to come back though,

1115
00:54:23,760 --> 00:54:26,240
Speaker 2: it was six to eight weeks. Oh, it was fifteen

1116
00:54:26,360 --> 00:54:27,600
Speaker 2: for me. Can you believe it?

1117
00:54:27,760 --> 00:54:27,960
Speaker 3: Yeah?

1118
00:54:28,239 --> 00:54:30,000
Speaker 1: Yeah, And they were going to hold off my cycle

1119
00:54:30,040 --> 00:54:32,200
Speaker 1: and I said, I'll be in another country, mate.

1120
00:54:32,000 --> 00:54:32,880
Speaker 2: We can't hold off.

1121
00:54:33,560 --> 00:54:34,680
Speaker 3: No one says no to Lola.

1122
00:54:35,960 --> 00:54:38,239
Speaker 1: But I was very relieved and it all came back.

1123
00:54:38,280 --> 00:54:41,879
Speaker 1: I was like, oh, yeah, okay, that's I'm so glad

1124
00:54:41,920 --> 00:54:44,040
Speaker 1: you answered that one. Okay, here's an interesting one. How

1125
00:54:44,120 --> 00:54:48,680
Speaker 1: does hashi motos affect egg and fertility? I imagine any

1126
00:54:48,719 --> 00:54:51,520
Speaker 1: autoimmune condition would and then thyroid.

1127
00:54:51,800 --> 00:54:55,719
Speaker 3: Yeah, so thyroids. Look, the evidence is out on what

1128
00:54:56,000 --> 00:54:59,839
Speaker 3: level of thyroid dysfunction or problems can affect fertility. If

1129
00:54:59,880 --> 00:55:03,200
Speaker 3: you you've got hashimotos, as long as your thyroid, as

1130
00:55:03,239 --> 00:55:07,279
Speaker 3: long as your thiroxine medication is appropriately given, should have

1131
00:55:07,360 --> 00:55:11,080
Speaker 3: no effect. Now, the second part that question is autoimmune

1132
00:55:11,120 --> 00:55:15,200
Speaker 3: disease and fertility. Possibly some effect, Very hard to know

1133
00:55:15,480 --> 00:55:20,320
Speaker 3: in which cases, certainly if someone's getting recurrent losses and

1134
00:55:20,480 --> 00:55:22,920
Speaker 3: we might put them on steroids to try to treat that.

1135
00:55:23,640 --> 00:55:25,720
Speaker 2: Oh okay, so interesting.

1136
00:55:26,000 --> 00:55:28,920
Speaker 1: Final question, So somebody's written in and said, how concerned

1137
00:55:29,640 --> 00:55:31,719
Speaker 1: at thirty one should.

1138
00:55:31,520 --> 00:55:33,239
Speaker 2: I be with an AMH of four?

1139
00:55:36,520 --> 00:55:39,680
Speaker 3: If you've recently come off the contraceptive pill, it can

1140
00:55:39,760 --> 00:55:44,520
Speaker 3: suppress your AMH level. I would suggest that you should

1141
00:55:44,640 --> 00:55:47,200
Speaker 3: probably ask your doctor to get you to see a

1142
00:55:47,280 --> 00:55:50,480
Speaker 3: fertility specialist just to be checked over and to answer

1143
00:55:50,520 --> 00:55:52,360
Speaker 3: your questions and give you options, because if it is

1144
00:55:52,440 --> 00:55:56,680
Speaker 3: indeed low at four and you're not trying to get

1145
00:55:56,760 --> 00:56:01,719
Speaker 3: pregnant now soon, you do run a risk of early menopause.

1146
00:56:02,760 --> 00:56:07,600
Speaker 3: Our okay, because as the AMH, AMH tends to reduce,

1147
00:56:07,760 --> 00:56:10,880
Speaker 3: as you have less eggs in your body so at

1148
00:56:10,960 --> 00:56:13,520
Speaker 3: thirty one AMH of four, i'd certainly be getting some

1149
00:56:13,680 --> 00:56:17,680
Speaker 3: further advice or retesting and doing some other things, So.

1150
00:56:18,239 --> 00:56:19,920
Speaker 1: It must be, it must be interesting. I was one

1151
00:56:19,920 --> 00:56:21,640
Speaker 1: of those people that when I got my MH, I've

1152
00:56:21,640 --> 00:56:22,040
Speaker 1: made all my.

1153
00:56:22,040 --> 00:56:24,520
Speaker 2: Friends go do it. I was like, you neticut it,

1154
00:56:24,560 --> 00:56:26,080
Speaker 2: And I was so blown away by.

1155
00:56:26,040 --> 00:56:31,239
Speaker 1: How varied yeah, people's results are at similar ages. I

1156
00:56:31,520 --> 00:56:35,520
Speaker 1: had an uncomfortable experience where I walked into a specialist's

1157
00:56:35,560 --> 00:56:38,160
Speaker 1: office and I said, I really really want to do eggs,

1158
00:56:38,160 --> 00:56:40,520
Speaker 1: but I want to do embryos, and they slid somebody

1159
00:56:40,560 --> 00:56:43,800
Speaker 1: else's AMH results in front of me and said, no,

1160
00:56:44,000 --> 00:56:46,160
Speaker 1: this is seven. You cannot this is going to be

1161
00:56:46,239 --> 00:56:48,640
Speaker 1: multiple rounds. You will not be able to And I said,

1162
00:56:48,680 --> 00:56:51,040
Speaker 1: that's not my name, that's not my thought, and it

1163
00:56:51,160 --> 00:56:53,200
Speaker 1: was just but it was really horrific to be.

1164
00:56:53,520 --> 00:56:55,440
Speaker 3: It's frightening your heart seeing.

1165
00:56:55,840 --> 00:56:57,160
Speaker 2: I've made up mush out of there.

1166
00:56:58,160 --> 00:57:01,200
Speaker 3: I probably wouldn't recommend just going out and having an

1167
00:57:01,239 --> 00:57:06,040
Speaker 3: AMH test done for no reason, because, as with any testing,

1168
00:57:06,120 --> 00:57:09,200
Speaker 3: you can get falsely low or falsely high results. So

1169
00:57:09,280 --> 00:57:12,600
Speaker 3: if you're taking high dose vitamin H or bithon, that's

1170
00:57:12,719 --> 00:57:14,680
Speaker 3: going to give you a falsely low result.

1171
00:57:15,239 --> 00:57:15,359
Speaker 1: Wo.

1172
00:57:15,880 --> 00:57:19,000
Speaker 3: So just you know, it's not really a screening test.

1173
00:57:19,080 --> 00:57:21,400
Speaker 3: It's more a test to do if you're having trouble,

1174
00:57:21,560 --> 00:57:25,120
Speaker 3: so because it can cause anxiety if it's a facial

1175
00:57:25,120 --> 00:57:27,560
Speaker 3: result right, and not every test is perfect. You don't

1176
00:57:27,560 --> 00:57:31,720
Speaker 3: want to make someone it's anxious unnecessarily. So again, it's

1177
00:57:32,080 --> 00:57:34,240
Speaker 3: great test if you need it. If you don't need it,

1178
00:57:35,320 --> 00:57:35,800
Speaker 3: stay away.

1179
00:57:36,120 --> 00:57:38,720
Speaker 1: My final question is an add on from that, and

1180
00:57:38,880 --> 00:57:41,880
Speaker 1: that is like, how do you find the right fit?

1181
00:57:42,080 --> 00:57:45,360
Speaker 1: Like I'm like, oh, you're like, you're so personable, you

1182
00:57:45,560 --> 00:57:47,960
Speaker 1: have beautiful bedside matter.

1183
00:57:48,000 --> 00:57:48,920
Speaker 2: I'm even you're patient.

1184
00:57:49,000 --> 00:57:51,640
Speaker 1: I can feel that, but like, it did take me

1185
00:57:51,760 --> 00:57:54,040
Speaker 1: even a while to get comfortable finding the right fit.

1186
00:57:54,120 --> 00:57:56,280
Speaker 1: And I'm someone that does a lot of mental health work,

1187
00:57:56,320 --> 00:57:58,840
Speaker 1: so I was very comfortable walking away until I found

1188
00:57:59,600 --> 00:58:02,840
Speaker 1: somewhere I felt safe. And how can I imagine different

1189
00:58:02,880 --> 00:58:05,640
Speaker 1: fertility specialists are better at different like some people are

1190
00:58:05,760 --> 00:58:08,320
Speaker 1: good at answering my million and one questions?

1191
00:58:08,600 --> 00:58:10,040
Speaker 2: Do you know what I mean to find the right

1192
00:58:10,120 --> 00:58:10,480
Speaker 2: fit for you?

1193
00:58:10,920 --> 00:58:13,480
Speaker 3: I think if you've got friends, people who you know

1194
00:58:13,640 --> 00:58:16,120
Speaker 3: who've gone through fertility work, they'll often have some idea

1195
00:58:16,200 --> 00:58:19,680
Speaker 3: of who's around and what their specialist was like. Online

1196
00:58:19,760 --> 00:58:22,040
Speaker 3: forums might be able to answer your questions as well.

1197
00:58:22,320 --> 00:58:25,360
Speaker 3: There's plenty of people who so many plenty of forums

1198
00:58:25,360 --> 00:58:27,880
Speaker 3: and who they've seen. And you know, what works for

1199
00:58:27,960 --> 00:58:29,920
Speaker 3: one person is a great fit, might not be a

1200
00:58:29,960 --> 00:58:32,280
Speaker 3: great fit for someone else because and we're all different

1201
00:58:32,320 --> 00:58:34,880
Speaker 3: and we're all new, and we're all unique and personalities

1202
00:58:35,920 --> 00:58:38,080
Speaker 3: are different than can clash or not clash or get

1203
00:58:38,080 --> 00:58:38,920
Speaker 3: along just fine.

1204
00:58:39,080 --> 00:58:42,640
Speaker 1: So it's so yeah, it's very interesting and it is

1205
00:58:43,360 --> 00:58:46,360
Speaker 1: I think I treat it like when you're looking for

1206
00:58:46,400 --> 00:58:49,080
Speaker 1: a therapist, almost like find the right fit. You feel

1207
00:58:49,560 --> 00:58:51,760
Speaker 1: like that you can say, hey, these are main securities,

1208
00:58:52,320 --> 00:58:54,400
Speaker 1: this is what I want to achieve, and feel like

1209
00:58:54,440 --> 00:58:55,280
Speaker 1: you've got a teammate.

1210
00:58:55,680 --> 00:58:56,840
Speaker 2: That's what I think is important.

1211
00:58:56,920 --> 00:58:58,960
Speaker 3: And often even if you ring the practice and speak

1212
00:58:59,000 --> 00:59:01,360
Speaker 3: to the front office to get a major or reception

1213
00:59:01,720 --> 00:59:03,800
Speaker 3: and you'll get a vibe. I mean, you know when

1214
00:59:03,840 --> 00:59:05,960
Speaker 3: people bring my office, they get a great vibe. They

1215
00:59:06,040 --> 00:59:08,200
Speaker 3: spend to personal up front and they say, yep, come

1216
00:59:08,240 --> 00:59:11,800
Speaker 3: on in. It works out really really well. So I

1217
00:59:11,880 --> 00:59:12,760
Speaker 3: have a great team here.

1218
00:59:13,560 --> 00:59:16,360
Speaker 1: I'm just adding one bonus question because it is fascinating

1219
00:59:17,120 --> 00:59:21,120
Speaker 1: staying awake versus going under for egg collection. So again

1220
00:59:21,160 --> 00:59:24,440
Speaker 1: it's state dependent. We know that I was lucky enough

1221
00:59:24,520 --> 00:59:26,560
Speaker 1: to stay awake and have a green whistle.

1222
00:59:27,520 --> 00:59:29,720
Speaker 3: You can hear the egg counts coming through and see

1223
00:59:29,760 --> 00:59:32,520
Speaker 3: what's going on. Yeah, I think it's good being a

1224
00:59:32,560 --> 00:59:34,200
Speaker 3: wake you can sort of see what's going on, you

1225
00:59:34,320 --> 00:59:38,360
Speaker 3: know what's happening. Most women, yes, it can be uncomfortable,

1226
00:59:38,400 --> 00:59:41,840
Speaker 3: can be mildly painful for some women, but most actually

1227
00:59:41,920 --> 00:59:45,920
Speaker 3: do quite well in being awake. There are some who

1228
00:59:46,000 --> 00:59:48,600
Speaker 3: are straight up the front I want to be asleep,

1229
00:59:48,680 --> 00:59:51,200
Speaker 3: and that's fine and we respect that, but for most

1230
00:59:51,280 --> 00:59:54,160
Speaker 3: it's generaline necessary and you actually go and be awake

1231
00:59:54,240 --> 00:59:57,200
Speaker 3: afterwards you can go home. You're not sort of it's

1232
00:59:57,280 --> 00:59:59,280
Speaker 3: groggy all day. So it's just going to say recovery

1233
00:59:59,320 --> 01:00:01,360
Speaker 3: would be recovery. It is far quicker and it's less

1234
01:00:01,400 --> 01:00:05,040
Speaker 3: strain on the body as well, having a GA five

1235
01:00:05,160 --> 01:00:06,480
Speaker 3: days before getting pregnant as well.

1236
01:00:07,120 --> 01:00:10,920
Speaker 2: Oh yeah, of course, of course. Final thing. I know

1237
01:00:11,000 --> 01:00:12,200
Speaker 2: I said that two seconds ago.

1238
01:00:12,720 --> 01:00:14,680
Speaker 1: Anyone listening to this, it's just feeling a little bit

1239
01:00:14,800 --> 01:00:17,200
Speaker 1: uncertain and a little bit like, ah, I think I

1240
01:00:17,280 --> 01:00:17,920
Speaker 1: want to know more.

1241
01:00:17,960 --> 01:00:19,680
Speaker 2: I think I want to do this is the best thing.

1242
01:00:19,960 --> 01:00:24,680
Speaker 1: Just call, like ce a fertility specialist, have that initial console,

1243
01:00:25,080 --> 01:00:27,320
Speaker 1: get some like understand your health.

1244
01:00:27,760 --> 01:00:29,280
Speaker 2: You know what I mean, Like take that first.

1245
01:00:29,480 --> 01:00:31,840
Speaker 3: The first step would just be to speak to your

1246
01:00:32,080 --> 01:00:36,200
Speaker 3: general practitioner. Forget the basic assessment done. Some gps are

1247
01:00:36,240 --> 01:00:38,480
Speaker 3: really switched on to what they're doing because they have

1248
01:00:38,600 --> 01:00:42,200
Speaker 3: a good interest, and with others, like and like with anything,

1249
01:00:42,360 --> 01:00:44,480
Speaker 3: some people don't have a big interest in it, and

1250
01:00:44,560 --> 01:00:47,840
Speaker 3: that's fine, But certainly you can be your GPS always

1251
01:00:47,880 --> 01:00:50,360
Speaker 3: your first pull of call and you have a basic assessment,

1252
01:00:50,360 --> 01:00:52,560
Speaker 3: and then you can see a fertility specialist. If they

1253
01:00:52,600 --> 01:00:54,400
Speaker 3: think there's a problem or you're still not happy, you

1254
01:00:54,520 --> 01:00:55,960
Speaker 3: come speak to one of us and we can go

1255
01:00:56,080 --> 01:00:56,840
Speaker 3: through it again with you.

1256
01:00:57,080 --> 01:00:58,560
Speaker 1: Do you know what I say that after going through this,

1257
01:00:58,640 --> 01:01:01,120
Speaker 1: I'm like, I wouldn't do anything without a fertility specialists

1258
01:01:01,160 --> 01:01:04,000
Speaker 1: for like future planning stuff. I'd be like, all right,

1259
01:01:04,000 --> 01:01:05,680
Speaker 1: I want to do a full check before I even

1260
01:01:05,720 --> 01:01:09,000
Speaker 1: try natural mate. Like just it's so empowering to have

1261
01:01:10,840 --> 01:01:14,200
Speaker 1: that kind of knowledge and nurturing and understanding. It feels

1262
01:01:14,240 --> 01:01:20,480
Speaker 1: like a really integral and just a very educator way

1263
01:01:21,000 --> 01:01:23,280
Speaker 1: to plan for your future fertility.

1264
01:01:23,680 --> 01:01:27,440
Speaker 3: Yeah. Absolutely, I think there's a lot of unknowns about fertility.

1265
01:01:27,520 --> 01:01:30,160
Speaker 3: I think there's a lot of misconceptions, and I think

1266
01:01:30,360 --> 01:01:32,400
Speaker 3: we're all kind of naive about them. We think it's

1267
01:01:32,440 --> 01:01:35,360
Speaker 3: just going to happen. And then so if you do

1268
01:01:35,600 --> 01:01:37,840
Speaker 3: want to know before you start, certainly you can do

1269
01:01:37,920 --> 01:01:40,160
Speaker 3: a basic assessment, give you some advice, give you some

1270
01:01:40,160 --> 01:01:43,360
Speaker 3: statistics telling you where you're at. And after that, most

1271
01:01:43,440 --> 01:01:45,600
Speaker 3: women are actually quite happy to go away and try.

1272
01:01:45,640 --> 01:01:48,120
Speaker 3: And I'll certainly say, look, it's go away and try,

1273
01:01:48,600 --> 01:01:50,320
Speaker 3: and if you're not pregnant with a certain time, come

1274
01:01:50,360 --> 01:01:52,080
Speaker 3: back and see me. You can see what's going on.

1275
01:01:52,440 --> 01:01:55,000
Speaker 2: See, that's my dream plan, that's the plan, you know.

1276
01:01:55,160 --> 01:01:56,680
Speaker 1: I think I'm one of those people with this very

1277
01:01:56,720 --> 01:01:59,800
Speaker 1: a type and likes to go, Okay, I've done everything right.

1278
01:02:00,800 --> 01:02:01,880
Speaker 2: Thank you you are.

1279
01:02:02,120 --> 01:02:04,280
Speaker 3: It's been lovely being here. It's been great talking to

1280
01:02:04,320 --> 01:02:05,400
Speaker 3: you a great time.

1281
01:02:05,640 --> 01:02:08,200
Speaker 1: You are a wealth of knowledge and you're so generous

1282
01:02:08,800 --> 01:02:10,880
Speaker 1: with your knowledge, and I really thank.

1283
01:02:10,760 --> 01:02:11,640
Speaker 2: You so so much.

1284
01:02:12,080 --> 01:02:14,560
Speaker 3: I'm free to give my knowledge to lots of people.

1285
01:02:14,840 --> 01:02:18,120
Speaker 3: It's all the time, and I get told that quite frequently.

1286
01:02:18,240 --> 01:02:19,520
Speaker 3: You can keep your knowledge to yourself.

1287
01:02:19,600 --> 01:02:22,960
Speaker 1: Sometimes it's absolutely brilliant and It's been an honor to

1288
01:02:23,040 --> 01:02:23,920
Speaker 1: have you on the podcast.

1289
01:02:24,080 --> 01:02:24,920
Speaker 3: Been great being here.

1290
01:02:27,840 --> 01:02:33,440
Speaker 1: That's a wrap on another episode of Fearlessly Failing. As always,

1291
01:02:33,640 --> 01:02:36,960
Speaker 1: thank you to our guests, and let's continue the conversation

1292
01:02:37,160 --> 01:02:37,920
Speaker 1: on Instagram.

1293
01:02:38,560 --> 01:02:40,680
Speaker 2: I'm at Yamo Lollaberry.

1294
01:02:41,400 --> 01:02:45,480
Speaker 1: This potty my word for podcast is available on all

1295
01:02:45,640 --> 01:02:49,520
Speaker 1: streaming platforms. I'd love it if you could subscribe, rate

1296
01:02:49,680 --> 01:02:52,400
Speaker 1: and comment and of course spread the love.