Fall Update 2015
The leaves haven't started to change, yet, but fall is definitely in the air! We are welcoming the cooler temperatures and normalcy of schedules as summer vacations stop and school resumes. Speaking of schedules, don't forget to schedule that annual exam you've been putting off! Or, are you thinking of expanding your family? We are here to help! Give Bonita a call today, and she will be happy to schedule an appointment for you. (865)777-0088.
ICD what? As of October 1st, the diagnosis codes that we use for billing are changing from ICD-9 to ICD-10. What does this mean for you? If you have a lab sheet that you received prior to October 1st, please check with us to make sure it has the correct codes. If it has the ICD-9 codes, we will need to give you a new lab sheet to give to Sherry prior to your lab draw. Our office has worked hard to be ready for this major shift in insurance billing/coding. We are confident that we are up to speed, but if you have any problems at all with denials during this transition period, please give our business manager, Juliana, a call!
You may have noticed that our website looks a little different. It has been updated and is now mobile friendly! Be sure to check us out on your cell phone or tablet the next time you find yourself with some spare time.
Breast Cancer Awareness Month
October is breast cancer awareness month! According to the National Breast Cancer Foundation, breast cancer is the most commonly diagnosed cancer in women with 1 in 8 women being diagnosed with breast cancer in their lifetime. Behind heart disease, breast cancer is the 2nd leading cause of death among women. According to the National Cancer Institute, when breast cancer is detected early, in the localized stage, the 5-year survival rate is 98%. The best way to fight breast cancer is to have a plan that helps you detect the disease in its early stages. Create your Early Detection Plan to receive reminders to do breast self-exams, and schedule your clinical breast exams and mammograms based on your age and health history. You can create your plan here: http://www.earlydetectionplan.org/. Or, give us a call to schedule your breast exam and allow us to explain current recommendations to you!
Don't Forget about the Fertility Check-Up!
We continue to offer the Fertility Check-Up for those who are not ready for children yet, but would like to know if it is a good idea to wait. Schedule an appointment today to learn about your egg supply and relative fertility score.
"Like" Us on Facebook
Don't forget to "like" the Southeastern Center for Fertility and Reproductive Surgery on Facebook. Check out our page for the latest news and updates. You can even "check into" your appointments. Our page can be found at https://www.facebook.com/SoutheasternCenterforFertility
- September is Ovarian Cancer Awareness Month.
- October is Breast Cancer Awareness Month.
- October is World Menopause Month.
- October 13th is Metastatic Breast Cancer Awareness Day.
- October 18th is World Menopause Day.
- October 27th - November 2nd is National Infertility Awareness Week.
- November is National Sexual Health Month.
Female Obesity! What About Men?!!?
A recent Danish study found that despite obesity causing endocrine disorders that might diminish male reproductive ability, male obesity does not affect sperm quality or the outcome of assisted reproduction (ART). Of the 612 infertile couples studied, no statistically significant effect of male obesity was observed on sperm concentration, count, volume, or motility. The outcome of ART in regards to fertilization rate, number of good quality embryos, implantation and pregnancy outcome was also not affected by male obesity.
Despite the findings of this study, we have previously featured articles that have found just the opposite. So, what's the bottom line? Both males and females should aim for a healthy weight before attempting conception by natural means or with ART.
Thomsen, L., Humaidan, P., Bungum, L., & Bungum, M. (2014). The impact of male overweight on semen quality and outcome of assisted reproduction. Asian Journal of Andrology, 16(5), 749-754.
When is the Best Time to Freeze Time?
Egg freezing is all the craze these days, especially with companies such as Apple and Facebook announcing that they will provide a $20,000 employee benefit to fund ovarian cryopreservation (egg freezing). A recent article featured in Fertility and Sterility posed the question: what age is optimum to freeze eggs? They looked at ages 25 to 40 years and determined that age 37 is the best time to undergo cryopreservation based on the probability of live birth, and the likelihood of using them, after the initial decision whether or not to freeze eggs. The greatest chance of live birth occurred when freezing was performed at ages
Male Biological Clock
An article in Fertility and Sterility looked at the effects of advanced paternal age on pregnancy outcomes. As paternal age increases, it presents no absolute barrier to conception, but it does present greater risks and complications such as genetic abnormalities in the offspring. Advanced paternal age is associated with declines in the motility and morphology (shape) of sperm, as well as pregnancy rates and incidence of pregnancy loss. Unfortunately, unlike advanced maternal age being defined as older than 35 years, there is no clear definition of advanced paternal age.
A large population study investigated the effect of paternal age on time to conception and found that men older than 35 years had a 50% lower chance of conceiving within 12 months than men younger than 25 years of age. Male hormones also decrease with age and may lead to decreased libido, frequency of intercourse, erectile dysfunction, and poor semen quality. Sperm from older men display decreased fertilizing potential. It is known that the risk of miscarriage increases after the age of 35 in women; however, the risk is much greater for couples composed of a woman > 35 years and a man > 40 years. Advanced paternal age can contribute to birth defects associated with single gene mutations and chromosomal abnormalities, and is also associated with psychiatric morbidity and several malignancies.
Couples should be counseled that, while there is no agreement on the existence or identity of a discrete point at which advanced paternal age begins, the risks of disorders in offspring increase continuously over time.
Ramasamy, R., Chiba, K., Butler, P., & Lamb, D. J. (2015). Male biological clock: a critical analysis of advanced paternal age. Fertility and Sterility,103(6), 1402-1406.