Spring Update 2016
Spring has sprung, and so have our pregnancy rates! We have had numerous pregnancies lately and are hoping this trend continues. Perhaps it's due to the spring season as spring is generally considered a fertile period. Perhaps, you need to do some spring-cleaning of your general health and are due for a well-women check or annual exam. Call today to schedule an appointment. Bonita will be happy to assist you! (865)777-0088.
Good news! As our patient, you can now access your Solstas lab results online via a patient portal. Ask your nurse for the link and instructions at your next visit!
Our practice manager, Juliana Stanley has earned the professional designation of Certified Medical Practice Executive (CMPE) by the American College of Medical Practice Executives, the certification entity of the Medical Group Management Association (MGMA). The designation of CMPE demonstrates that Juliana has achieved board certification in medical practice management. In order to receive this designation, Juliana had to pass rigorous essay and objective examinations that assess knowledge of the broad scope of medical practice management skills sets as outlined in the Body of Knowledge for Medical Practice Management. Please join us in congratulating Juliana on this huge achievement!
Just a reminder: insurance deductibles reset in January. If you have questions regarding your plan, our practice manager Juliana, will be happy to assist you with an estimate of fees for upcoming services. Give her a call today! (865) 777-0088, extension 2.
- April is STI Awareness Month
- April 7th is World Health Day
- April 24th - 30th is National Infertility Awareness Week
- May is National Osteoporosis Awareness and Prevention Month
- May is National Teen Pregnancy Prevention Month
- May is National Preeclampsia Awareness Month
- May 5th is Hand Hygiene Day
- May 8th - 14th is National Alcohol and Other Drug-Related Birth Defects Week
- May 8th - 14th is National Women's Health Week
Got Milk, Yogurt, Cheese, etc.?
A recent study posed the question: "Is dairy food consumption associated with live birth among women undergoing infertility treatment?" It is already known that the intake of dairy food has been related previously to infertility risk; however, its relation to infertility treatment outcomes are unknown. The study noted a difference of 21% between women with the highest intake (>3 servings per day) and the lowest intake (35 years of age. What's the bottom line? Women >35 years undergoing In Vitro Fertilization (IVF) may see an increase in live birth rates if they consume more than 3 servings of dairy per day.
To Operate or Not to Operate? That is the Question!
A review published in Obstetrics & Gynecology investigated the association of endometriosis on assisted reproductive technology (ART) outcomes and reviewed whether surgical treatment of endometriosis before ART affected the outcomes. The authors looked at 36 studies and concluded that: compared with women without endometriosis, women with endometriosis undergoing IVF and intracytoplasmic sperm injection (ICSI) have a similar live birth rate per woman, a lower clinical pregnancy rate per woman, a lower mean number of oocytes (eggs) retrieved per cycle, and a similar miscarriage rate per woman. Women with more severe disease such as Stage III or IV endometriosis, have a 30% lower live birth rate, 40% lower clinical pregnancy rate, and lower mean number of oocytes retrieved when compared with women with no endometriosis.
So, should you have an operation? There is sufficient evidence to suggest that women with severe disease have inferior ART outcomes; therefore, it could be recommended that those women undergo surgery before proceeding with ART.
Older Isn't Always Better
A Cochrane review found, compared with cleavage stage embryos, a small but significant difference in live birth rate per couple favoring blastocysts and no difference in miscarriage rate. Overall, there was no difference in clinical pregnancy rate between early cleavage and blastocyst transfer; however, cumulative clinical pregnancy rates from cleavage stage embryos (derived from fresh and thaw cycles) resulted in higher clinical pregnancy rates than all cycles utilizing blastocysts. No difference was found between blastocyst and cleavage stage transfers for rates of miscarriage, multiple pregnancies, and high order multiples. Generally, there are fewer blastocyst embryos because not all cleavage stage embryos make it to blasts. So, what's the take-home point? Depending on the goal of more babies versus faster time to achieve pregnancy, more babies are achieved with cleavage stage embryos, but to achieve pregnancy faster, blastocyst transfer is often superior.