Best Docs Network Magazine December 2013 | Page 10

Ask the Expert Lowell Ku, M.D. >> Roughly 10 percent of couples in the United States are affected by infertility, and both men and women can be infertile. Some couples seek the medical assistance of in vitro fertilization, or IVF, to help them get pregnant. Dr. Ku, from Dallas IVF, answers some common questions about IVF procedures. Q: What is infertility? >> Infertility is a disease and it occurs when a couple has failure to achieve a successful pregnancy after 12 months or more of regular unprotected intercourse. “Every day I feel honored to be able to help families grow. I can’t imagine another career that would be more heart warming or rewarding.” -Dr. Lowell Ku >> Did You Know? The first IVF baby was born in 1978. Since then, over 3 million babies worldwide have been born with the assistance of IVF. At Dallas IVF, over 5,000 babies have been born through their treatments. Q: When should I see a fertility specialist? >> Couples having trouble conceiving should see a fertility specialist after one year of actively trying to conceive without success. If the female is 35 years or older, a couple should see a fertility specialist after six months of trying to conceive. Couples should also see an infertility specialist if there is a diagnosed reason for the infertility. For example, if the fallopian tubes are blocked, if the female does not ovulate regularly, or there is a low sperm count, then the couple should seek out the assistance of an infertility specialist earlier. Q: What is the IVF procedure? >> IVF stands for in vitro fertilization. IVF is a complex treatment for infertility that is aimed at significantly improving a couple’s chances of conceiving and having a baby. IVF involves combining eggs and sperm outside the body in a glass dish in an IVF laboratory. Once the eggs and sperm are placed together, fertilization should occur. After fertilization occurs, the embryos are formed. The embryos are incubated for 3-5 days and the highest quality embryos are transferred into the uterus. Q: Is IVf safe? >> Yes, IVF is a safe and effective treatment for infertility, and it has very low risks to the patient. The risks include ovarian hyperstimulation syndrome, multiple gestations, ovarian torsion, ectopic pregnancy, and risks of the egg harvest procedure. As IVF leads to an increased chance for twins, the mother may have a more complicated pregnancy that may increase her chances of gestational hypertension, gestational diabetes, pre-eclampsia, and increased need for a c-section. There has been no proof that IVF or the medications used in IVF lead to an increased risk of ovarian or breast cancers. Babies born from IVF have the same low rate of birth defects as babies born from a natural conception. Additionally, studies have not detected any differences in the development or the abilities of the children born after IVF as compared to natural conception. Q: What are the risks during a pregnancy conceived through ivf? >> Singleton pregnancies conceived from IVF have the same risks as singleton pregnancies conceived naturally. Q: Will I see the same doctor all the way throug ^H