Episodios
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Many fertility care patients who already experience a wide range of emotions from infertility challenges are now encountering added stress during the COVID-19 pandemic.
In this episode, Dr. Janie Lacy, LMHC, NCC, CSAT, relationship trauma expert and psychotherapist, joins host Mark P. Trolice, M.D., to discuss a noticeable increase in mental health symptoms during the COVID-19 pandemic. Dr. Lacy offers advice on how fertility care patients can address underlying emotional issues that might be surfacing during this unusually stressful time, and how they can create new routines to protect their mental health.
Tune in to discover:
Ways to create new routines to deal with this stressful periodWhy you should not wait until the pandemic passes to address emotional challengesHow the second wave of COVID-19 effects could be a wave of psychological impactsWhen support groups are helping women who feel isolated during the pandemicThe reason self-care activities matter more now than ever beforeAbout Dr. Janie Lacy, LMHC, NCC, CSAT
Orlando Relationship Trauma Therapist Janie Lacyâs mission is to use her talents and abilities to help people of all ages, stages, backgrounds, and economic levels achieve their maximum potential through fully developing their minds and their talents. Janieâs belief in a relational approach is implemented through her therapeutic treatments addressing the physical, mental, social/emotional, and spiritual aspects of the individual.
Janie has received extensive training through her graduate program at Palm Beach Atlantic University and through her doctorate program at California Southern University. She works with adolescents, young adults, and individuals helping them heal from low self-esteem, anger management, anxiety, depression, sexual addiction, codependency and relationship trauma.
Janie also helps families and married couples through lifeâs difficult situations using conflict resolution. Janie is known as a relationship trauma expert and specializes in anger management, sexual addictions and pre-marital/marital/relationship challenges.
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In this special edition of the Fertility Health Podcast, youâll be able to listen in on an expert physician panel recorded during a live webinar discussing how reproductive endocrinologists and OB/GYNâs are adjusting to âthe new normalâ in a COVID-19 environment.
Moderated by Fertility Health Podcast host Mark P. Trolice M.D., he is joined by Rachel G. Humphrey, M.D., Director of Perinatology, High-Risk Pregnancy Consultants, AdventHealth Medical Group; Asim A. Jani, M.D., M.P.H., F.A.C.P., Hospital Epidemiologist, Orlando Health; and Jessica Auffant, M.D., OB/GYN, AdventHealth Medical Group.
Tune in to discover:
Tips to improve patient readiness Workflow and volume challenges, observations, and solutions Marketing plan adjustments and expectationsTechniques to provide support to patients and staff How to keep staff engaged at every level -
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Did you know that certain things taken for granted in the environment can be toxic to your reproductive health? These environmental toxins can impact egg and sperm quality, lower success rates with IVF and fertility treatments, and increase the risk of miscarriage.
In this episode, Lora Shahine, M.D., Director of the Center for Recurrent Pregnancy Loss at Pacific NW Fertility, joins host Mark P. Trolice, M.D., to discuss how environmental factors may play a role in impairing fertility. She also touches on what you can do to decrease the risk of miscarriage and increase your chances of conceiving
Tune in to discover:
The little known additives in alcohol and their impact on fertilityThe effect of cigarette smoking on health, pregnancy, and the unborn babyHow the plastic products you use every day may be damaging your fertilitySmall measures you can take to decrease your exposure to environmental toxinsAbout Lora Shahine, M.D.
Lora Shahine, M.D. is the Director of the Center for Recurrent Pregnancy Loss at Pacific NW Fertility and clinical faculty at the University of Washington in Seattle. She completed her residency in OBGYN at the University of California in San Francisco and fellowship in reproductive endocrinology at Stanford University.
She is dedicated to educating and advocating for increased awareness of the impact on environmental toxins on health through an active social media presence, teaching, clinical research, and authoring multiple blogs and books including, âNot Broken: An Approachable Guide to Miscarriage and Recurrent Pregnancy Loss.
About Mark P. Trolice, M.D.
Mark P. Trolice, M.D., FACOG, FACS, FACE is Director of Fertility CARE: The IVF Center in Winter Park, Florida and Associate Professor of Obstetrics & Gynecology (OB/GYN) at the University of Central Florida College of Medicine in Orlando responsible for the medical education of OB/GYN residents and medical students as well as Medical Endocrinology fellows. He is past President of the Florida Society of Reproductive Endocrinology & Infertility (REI) and past Division Director of REI at Winnie Palmer Hospital, part of Orlando Health.
His current book, The Fertility Doctorâs Guide to Overcoming Infertility: Discovering Your Reproductive Potential and Maximizing Your Odds of Having a Baby, is now available for pre-order on Amazon.com.
He is double board certified in REI and OB/GYN, maintains annual recertification, and has been awarded the American Medical Associationâs âPhysiciansâ Recognition Awardâ annually. He holds the unique distinction of being a Fellow in all three American Colleges of OB/GYN, of Surgeons, and of Endocrinology. His colleagues select him as Top Doctor in AmericaÂź annually, one among the top 5% of doctors in the U.S. In 2018, he was awarded the âSocial Responsibility Awardâ by the National Polycystic Ovary Syndrome Association. For ten years his foundation, Fertile Dreams, organized seminars to increase fertility awareness and granted national scholarships for those unable to afford in vitro fertilization (IVF) treatment.
Dr. Trolice serves on committees for the American Society for Reproductive Medicine and the Society for Assisted Reproductive Technology as well as the editorial advisory board of Ob.Gyn.News. He has conducted scientific studies with resultant numerous publications and been appointed a reviewer in many leading medical journals and textbooks. He has lectured at numerous physician and patient seminars around the country. In addition, he is interviewed regularly on TV news/talk shows, radio, podcasts, print/online magazines and newspapers on reproductive health topics.
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Women need to monitor their cervical and overall health before getting pregnant to avoid more serious complications for mother and baby down the road.
However, cervical disease and even cervical cancer do not automatically spell the end for a womanâs fertility. Technological breakthroughs and modern medical advances now allow women to successfully treat cervical abnormalities, including cancer and still conceive, carry, and deliver a healthy baby.
In this episode, Christopher Bryant, M.D., FACOG, gynecologic oncologist and surgeon, joins host Mark P. Trolice, M.D., to discuss the latest developments in cervical health, and break down the different options available to treat cervical disease while still allowing women to build their families.
Tune in to discover:
Why pap smear testing is a vital part of preparing for pregnancy How often you should get a pap smear test based on your ageNon-invasive treatment options for cervical diseaseThe implications of cervical cancer on fertility The latest cervical cancer treatments and how they allow women to maintain their fertility and deliver healthy babiesAbout Christopher Bryant, M.D., FACOG
Dr. Bryant is a gynecologic oncologist specializing in surgery, treatment, and research for female conditions, including reproductive cancers (ovarian, endometrial, cervical, and others), and robotic surgery. His special interests include oncofertility and helping with education and management of womenâs health issues and impact on family planning.
Dr. Bryant is board certified by the American Board of Obstetrics and Gynecology. He is also a member of the American Congress of Obstetricians and Gynecologists, the Society of Gynecologic Oncology, the American Society of Clinical Oncology, the American Medical Association and the Florida Society of Clinical Oncology.
Dr. Bryant received his undergraduate degree from Arkansas State University and his Doctor of Medicine from the University of Arkansas for Medical Sciences. He completed his residency in obstetrics and gynecology at St. Johnâs Hospital and Medical Center and completed a fellowship in gynecologic oncology at Wayne State University Karmanos Cancer Institute.
About Mark P. Trolice, M.D.
Mark P. Trolice, M.D., FACOG, FACS, FACE, is Director of Fertility CARE: The IVF Center in Winter Park, Florida and Associate Professor of Obstetrics & Gynecology (OB/GYN) at the University of Central Florida College of Medicine in Orlando responsible for the medical education of OB/GYN residents and medical students as well as Medical Endocrinology fellows. He is past President of the Florida Society of Reproductive Endocrinology & Infertility (REI) and past Division Director of REI at Winnie Palmer Hospital, part of Orlando Health.
His current book, The Fertility Doctorâs Guide to Overcoming Infertility: Discovering Your Reproductive Potential and Maximizing Your Odds of Having a Baby, is now available for pre-order on Amazon.com.
He is double board certified in REI and OB/GYN, maintains annual recertification, and has been awarded the American Medical Associationâs âPhysiciansâ Recognition Awardâ annually. He holds the unique distinction of being a Fellow in all three American Colleges of OB/GYN, of Surgeons, and of Endocrinology. His colleagues select him as Top Doctor in AmericaÂź annually, one among the top 5% of doctors in the U.S. In 2018, he was awarded the âSocial Responsibility Awardâ by the National Polycystic Ovary Syndrome Association. For ten years his foundation, Fertile Dreams, organized seminars to increase fertility awareness and granted na
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How can infertility patients be well-informed, empowered, and get the right guidance throughout their family-building journey?
From their first visit and throughout the road to fertility, it can be overwhelming, frustrating, and fearful for infertility patients as they are often overloaded with new information and processes they are expected to understand and deal with immediately.
In this episode, Linda Scruggs, BSN, R.N., registered nurse, writer, blogger, and content creator, joins host Mark P. Trolice, M.D., to discuss patient needs and how healthcare providers can enhance the patient experience, improve communication, and build trust with their patients starting with the first visit to the doctorâs office.
Tune in to discover:
Why the initial process can be so overwhelming for new infertility patientsWays that fertility clinics can enhance the patient experience and psychologically empower their patientsThe critical role of transparency in building the patient-clinician relationshipHow healthcare providers can give their patients a more active role in decision-makingWhat patients can do to prepare for their first visit to have a productive and great first consultation -
Pre-cancerous changes to the lining of the uterus do not get a lot of attention, but are a critical aspect of a womanâs fertility and overall gynecological health. Women, especially those who want to preserve their fertility, need to understand what the risks are for developing pre-cancerous cells and how they can mitigate those risks.
In this episode, Shelly Seward, M.D., FACOG, gynecologic oncologist at Womenâs Care Florida, joins host Mark P. Trolice, M.D., to break down how pre-cancerous changes to the lining of the uterus come about and what patients can do to detect and treat it.
Tune in to discover:
How uterus lining cells can become pre-cancerousWho may be at higher risk of developing pre-cancerous uterus lining cellsHow polycystic ovary syndrome (PCOS) may come into playWhat an endometrial biopsy is and when it may be needed to rule out cancerTreatment options to help you maintain your fertilityAbout Shelly Seward, MD, FACOG
Dr. Seward is board certified in gynecologic oncology, and obstetrics and gynecology by the American Board of Obstetricians and Gynecologists. Her practice offers complete care for ovarian, uterine, cervical and vulvar cancer, as well as complicated benign gynecological issues. Dr. Seward performs all levels of surgery from minimally invasive preventative surgery to radical tumor resections. She administers chemotherapy, coordinates radiation therapy, and helps her patients manage side effects from treatment.
Dr. Seward is passionate about integrative medicineâcombining complementary alternative medicine to traditional careâand clinical trials investigating new medications in the treatment of gynecologic cancer.
Dr. Seward earned a bachelorâs degree in microbiology with a minor in molecular genetics from Ohio State University. She received her medical degree from Eastern Virginia Medical School and returned to Ohio State to complete her obstetrics and gynecology residency. In addition, Dr. Seward earned a fellowship in gynecologic oncology from Wayne State University.
In her spare time, Dr. Seward enjoys spending time with her family, horseback riding, college football, water sports, and dining out.
About Mark P. Trolice, M.D.
Mark P. Trolice, M.D., FACOG, FACS, FACE is Director of Fertility CARE: The IVF Center in Winter Park, Florida and Associate Professor of Obstetrics & Gynecology (OB/GYN) at the University of Central Florida College of Medicine in Orlando responsible for the medical education of OB/GYN residents and medical students as well as Medical Endocrinology fellows. He is past President of the Florida Society of Reproductive Endocrinology & Infertility (REI) and past Division Director of REI at Winnie Palmer Hospital, part of Orlando Health.
He is double board certified in REI and OB/GYN, maintains annual recertification, and has been awarded the American Medical Associationâs âPhysiciansâ Recognition Awardâ annually. He holds the unique distinction of being a Fellow in all three American Colleges of OB/GYN, of Surgeons, and of Endocrinology. His colleagues select him as Top Doctor in AmericaÂź annually, one among the top 5% of doctors in the U.S. In 2018, he was awarded the âSocial Responsibility Awardâ by the National Polycystic Ovary Syndrome Association. For ten years his foundation, Fertile Dreams, organized seminars to increase fertility awareness and granted national scholarships for those unable to afford in vitro fertilization (IVF) treatment.
Dr. Trolice serves on committees for the American Society for Reproductive Medicine and the Society for Assisted Reproductive Technology as well as the editorial advisory board of Ob.Gyn.News. He has conducted scientific studies with resultant num&l
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The state of New York recently passed legislation mandating fertility treatment. Since then, hope has sprung up that nationwide mandating of reproductive medicine may not be too far off. However, resistance to universal coverage, for both heterosexual and same-sex couples, continues to be present both at insurance companies and in state legislatures.
In this episode, Sean Tipton, chief advocacy, policy, and development officer at the American Society for Reproductive Medicine, joins host Mark P. Trolice, M.D., to break down what gains have been made in mandating fertility coverage across the U.S. and the obstacles that remain. He also discusses how traditional attitudes toward reproduction and sexuality in the U.S. have influenced and continue to impact existing fertility legislation.
Tune in to discover:
Why insurance companies donât provide coverage for fertility treatment and reproductive medicineHow current state coverage policies put expecting mothers and babies at riskBureaucratic hurdles in providing infertility coverage for veteransChallenges and gains for the LGBTQ communityThe latest state battles on the constitutional front to define embryos as legal persons and how that could affect access to infertility treatmentAbout Sean Tipton
Sean Tipton is the chief advocacy, policy, and development officer for The American Society for Reproductive Medicine. He began his tenure with ASRM as Government Affairs Manager back in the 20th Century.
Mr. Tipton formulates and executes media and government affairs programs for ASRM, the countryâs leading organization for professionals involved in reproductive health care and infertility. In this role, Mr. Tipton has been involved in nearly every major media and policy event related to assisted reproduction since joining ASRM. Among these have been the McCaughey septuplets, cloning, embryonic stem cell research, âPersonhoodâ measures the Octomom, FDA regulation of reproductive tissues, health care reform, and many others. He has worked in policy venues ranging from local zoning boards to the United Nations. In 2015 Mr. Tipton assumed responsibility for ASRMâs fund development functions as well.
His work has been recognized with awards from his alma mater, Transylvania University, the American Fertility Association, RESOLVE the national infertility patient advocacy organization, Research!America and the Takoma Foundation.
Mr. Tipton has degrees in Political Science from Transylvania University and The Ohio State University.
About Mark P. Trolice, M.D.
Mark P. Trolice, M.D., FACOG, FACS, FACE is Director of Fertility CARE: The IVF Center in Winter Park, Florida and Associate Professor of Obstetrics & Gynecology (OB/GYN) at the University of Central Florida College of Medicine in Orlando responsible for the medical education of OB/GYN residents and medical students as well as Medical Endocrinology fellows. He is past President of the Florida Society of Reproductive Endocrinology & Infertility (REI) and past Division Director of REI at Winnie Palmer Hospital, part of Orlando Health.
He is double board certified in REI and OB/GYN, maintains annual recertification, and has been awarded the American Medical Associationâs âPhysiciansâ Recognition Awardâ annually. He holds the unique distinction of being a Fellow in all three American Colleges of OB/GYN, of Surgeons, and of Endocrinology. His colleagues select him as Top Doctor in AmericaÂź annually, one among the top 5% of doctors in the U.S. In 2018, he was awarded the âSocial Responsibility Awardâ by the National Polycystic Ovary Syndrome Association. For ten years his foundation, Fertile Dreams, organized seminars to increase fertility awareness and granted national scholarship
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The journey to start or expand a family for aspiring mothers or couples can be long, arduous, and filled with emotional highs and lows. On their way to fertility, patients need to make many decisions such as which treatment option to pursue, whether or not to continue treatments, and whether it is a good idea to keep spending money on procedures not covered by insurance.
Throughout this journey the quality of the patient-doctor relationship is vital. If the doctor-patient foundation is solid, patient satisfaction, empowerment, and success are more often attainable.
In this episode, Jody L. Madeira, J.D., Ph.D., Professor of Law at Indiana University Maurer School of Law, joins host Mark P. Trolice, M.D., to define what makes a fruitful and rewarding doctor-patient relationship and what patients can do to maximize their chances of achieving it.
Tune in to discover:
What constitutes a productive doctor-patient relationshipThe role of emotion in determining the course of treatmentHow desperation may be a motivating factor in spurring infertility patients to actionPotential sources of infertility patient exploitationHow multimedia informed consent is enhancing patient education and empowermentAbout Jody L. Madeira, J.D., Ph.D.
Dr. Jody Madeira is Professor of Law, Louis F. Niezer Faculty Fellow, and Co-Director of the Center for Law, Society & Culture at the Indiana University Maurer School of Law. Her research addresses the intersection of law, society, and emotion in family law, criminal law, law and medicine, and the Second Amendment.
She is the author of over 40 article and book chapters as well as two books: Killing McVeigh: The Death Penalty and the Myth of Closure (NYU Press, 2012) and Taking Baby Steps: How Patients and Fertility Clinics Collaborate in Conception (U. California Press, 2018). Madeiraâs background in reproductive medicine and sexuality began when she underwent IVF in 2007 (conceiving triplets) and was intrigued by cultural stereotypes of individuals undergoing fertility treatment that implied that they could not make informed treatment decisions.
To investigate how emotions impacted fertility treatment decision making and doctor-patient relationships, Madeira undertook a comprehensive mixed methods investigation that involved interviewing 130 male and female patients, obtaining online surveys from 267 other patients, and interviewing 83 reproductive medical professionals. Madeira found that, while many patients considered themselves desperate, they regarded desperation as a motivating force that spurred them to actions like research and thoughtfully choosing a clinic, not a source of paralysis.
Moreover, while patients overwhelmingly reported reading and understanding their informed consent forms, they still did not trust them and wished to obtain information through conversations with their physicians instead.
Currently, Madeira is working on two projects. Her first project assesses how the use of multimedia informed consent platforms affects patientsâ and physiciansâ treatment experiences. Her second project investigates âfertility fraud,â a new type of legal case in which a physician (usually an OBGYN) used his own sperm in the 1970s and 1980s to inseminate unsuspecting female patients, only to have these deeds revealed decades later by direct-to-consumer genetic testing.
About Mark P. Trolice, M.D.
Mark P. Trolice, M.D., FACOG, FACS, FACE is Director of Fertility CARE: The IVF Center in Winter Park, Florida and Associate Professor of Obstetrics & Gynecology (OB/GYN) at the University of Central Florida College of Medicine in Orlando responsible for the medical education of OB/GYN residents and medical
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The field of reproductive medicine is about much more than in vitro fertilization (IVF) or intrauterine insemination. Patients may require surgery for an array of uterine conditions, including fibroids, polyps, chronic endometritis, and Asherman's disease. The good news is that many of these procedures, including a hysteroscopy, can now be done as outpatient procedures in the doctorâs office, making it more comfortable, less intimidating, and often less expensive than in the hospital.
In this episode, John Preston Parry, M.D., fertility specialist and director of Positive Steps Fertility, joins host Mark P. Trolice, M.D., to breakdown when women would need a hysteroscopy and how it is performed. Dr. Parry also discusses other diagnostic and operative procedures to detect and treat uterine conditions affecting a womanâs fertility.
Tune in to discover:
What a hysteroscopy is and why it is performedThe differences between hysteroscopy and laparoscopyThe drawbacks of a hysterosalpingogram (HSG)Why women get less accurate, more painful OB-GYN care as a result of disparities in access to technologyA breakdown of different uterine conditions that can cause infertility and the procedures to treat them -
Receiving a cancer diagnosis can disrupt and even destroy a hopeful parentâs dream of starting or growing a family. Cancer treatments, especially chemotherapy, can have harmful impacts on a womanâs eggs and a manâs sperm. However, recent advances in fertility treatment have allowed cancer patients to preserve their fertility and have provided new hope where little existed before.
In this episode, Eve C. Feinberg, M.D., a reproductive endocrinologist and medical director of Northwestern Fertility and Reproductive Medicine, joins host Mark P. Trolice, M.D., to discuss the latest advances in preserving fertility among cancer patients and the factors involved in developing a fertility preservation treatment plan.
Tune in to discover:
Why fertility preservation awareness is at an all-time highWhat patients can realistically expect with their fertility after cancer treatmentWhen cancer patients should undergo fertility preservationThe fertility implications of chemotherapyWhat the future holds for experimental and non-traditional methods of fertility preservation -
Mosaic is the term assigned to embryos found to possess both normal and abnormal cells during preimplantation genetic screening (PGS). PGS is typically completed on day five of embryo development for in vitro fertilization (IVF). Through PGS, embryologists can detect, and often diagnose, potential chromosomal abnormalities including the presence of Down syndrome. Until very recently, any cell with noted defects was discarded and not considered for IVF transfer.
However, recent developments have led doctors to suspect that these abnormal cells may be viable for transfer after all. In this episode, Eric Forman, M.D., medical and laboratory director at Columbia University Fertility Center, joins host Mark P. Trolice, M.D., to discuss why there has been some success in the transfer of mixed quality (mosaic) embryos, and why many of the births have gone on to produce healthy, normal babies.
Tune in to discover:
What mosaic embryos are and where they come fromThe benefits (and limitations) of preimplantation genetic testingWhy mosaic embryos may be viable for IVF transferWhen women and couples might consider using mosaic embryos for transfer -
Surrogacy and adoption can be incredibly fulfilling experiences, both for intended parents and gestational carriers. However, for hopeful parents considering surrogacy or adoption, legal processes and issues can be complicated and overwhelming at times, particularly as they relate to the parental rights of the surrogate or the biological parents putting a child up for adoption. Whatâs more, these legal labyrinths vary from state to state and from country to country, often catching aspiring parents unaware.
In this episode, Robert T. Terenzio, an international reproductive health attorney, joins host Mark P. Trolice, M.D., to discuss the legal implications for both surrogacy and adoption and how hopeful parents can navigate those challenges and protect their rights.
Tune in to discover:
Why Florida is an ideal state for adoption and surrogacyThe legal implications of traditional vs. IVF surrogacyThe challenges of international surrogacySpecial considerations for LGBTQ or nonmarried couplesThe costs and risks involvedAbout Robert T. Terenzio
Robert exclusively practices in assisted reproductive technology law. The best support he provides his clients is a stable legal framework within which to pursue parentage, plentiful and transparent information on the ART processes, and unwavering support and counsel throughout their journey.
Robert is a member of the Florida and Connecticut Bar Associations, belongs to the Family Law Section of both states and the Health Law Section of the Florida Bar. Robert is also a member of the American Bar Association, Assisted Reproduction Committee. Robert is a member of the American Society for Reproductive Medicine, the European Society of Human Reproduction and Embryology and the American Society of Law, Medicine, and Ethics. Robert is a long time supporter and member of RESOLVE: The National Infertility Association. Having a background in malpractice and risk management, Robert is a long time advocate of national standards for non-licensed professionals in the ART arena. Robert has answered the challenge of the lack of transparency in ART by speaking to physicians, nurses, allied medical personnel, attorneys and the infertile public, in both formal settings and informal meetings, within the United States, Asia, Europe, and South America.
About Mark P. Trolice, M.D.
Mark P. Trolice, M.D., FACOG, FACS, FACE is Director of Fertility CARE: The IVF Center in Winter Park, Florida and Associate Professor of Obstetrics & Gynecology (OB/GYN) at the University of Central Florida College of Medicine in Orlando responsible for the medical education of OB/GYN residents and medical students as well as Medical Endocrinology fellows. He is past President of the Florida Society of Reproductive Endocrinology & Infertility (REI) and past Division Director of REI at Winnie Palmer Hospital, part of Orlando Health.
He is double board certified in REI and OB/GYN, maintains annual recertification, and has been awarded the American Medical Associationâs âPhysiciansâ Recognition Awardâ annually. He holds the unique distinction of being a Fellow in all three American Colleges of OB/GYN, of Surgeons, and of Endocrinology. His colleagues select him as Top Doctor in AmericaÂź annually, one among the top 5% of doctors in the U.S. In 2018, he was awarded the âSocial Responsibility Awardâ by the National Polycystic Ovary Syndrome Association. For ten years his foundation, Fertile Dreams, organized seminars to increase fertility awareness and granted national scholarships for those unable to afford in vitro fertilization (IVF) treatment.
Dr. Trolice serves on committees for the American Society for Reproductive Medicine and the Society for Assisted Reproductive Technology as well as t
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Minimal stimulation IVF often referred to as, âmini IVF,â âsoft IVF,â or âmicro IVF,â has been a hot topic lately in the infertility world. The procedure is a relatively new advanced reproductive technology (ART) technique in the U.S. that offers a more holistic and gentler approach to ovarian stimulation compared to traditional IVF.
In this episode, Eric A. Widra, M.D., chief medical officer of Shady Grove Fertility and double board certified in obstetrics and gynecology (OB/GYN) and reproductive endocrinology and infertility (REI), joins host Mark P. Trolice, M.D., to break down minimal stimulation IVF, what patients can expect, and who could most benefit from the procedure.
Tune in to discover:
What exactly is minimal stimulation IVF and how does it differ from conventional IVFHow the procedure can potentially save patients thousands of dollars in medical costsWho is the ideal patient for minimal stimulation IVFWhat new oral medications, algorithms, and infertility data solutions are on the horizonAbout Eric A. Widra, M.D.
Dr. Widra is the Chief Medical Officer of Shady Grove Fertility, with centers in Metropolitan Washington, DC, Baltimore, MD, Philadelphia, PA, Atlanta GA, and Santiago, Chile. He is the Associate Director of the Combined Federal Fellowship in Reproductive Endocrinology and Infertility â a post-graduate training program for future leaders in this sub-specialty operated through the NIH, Walter Reed Army Medical Center and Shady Grove Fertility. He is currently Professor and Director of the Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology at Georgetown University.
At a national level, Dr. Widra is a member of the Resolve Board of Directors. He served as the Chair of the Society for Assisted Reproductive Technology (SART) Practice committee and member of the ASRM Practice Committee from 2009-2015 and served as SART Treasurer from 2015 â 2017. He is an examiner for the Division of REI, American Board of Ob/Gyn.
In addition to his clinical practice at Shady Grove, Dr. Widra supervises the extensive research activities and academic ventures of the practice. The program has successfully completed or participated in several RCTâs and has over 100 peer-reviewed publications to its credit. Dr. Widraâs particular research interests focus on the intersection of reproductive technologies, treatment optimization, predictors of outcomes, and genetics. He is board certified in Obstetrics and Gynecology and Reproductive Endocrinology and a fellow of the American Academy of Wilderness Medicine.
About Mark P. Trolice, M.D.
Mark P. Trolice, M.D., FACOG, FACS, FACE is Director of Fertility CARE: The IVF Center in Winter Park, Florida and Associate Professor of Obstetrics & Gynecology (OB/GYN) at the University of Central Florida College of Medicine in Orlando responsible for the medical education of OB/GYN residents and medical students as well as Medical Endocrinology fellows. He is past President of the Florida Society of Reproductive Endocrinology & Infertility (REI) and past Division Director of REI at Winnie Palmer Hospital, part of Orlando Health.
He is double board certified in REI and OB/GYN, maintains annual recertification, and has been awarded the American Medical Associationâs âPhysiciansâ Recognition Awardâ annually. He holds the unique distinction of being a Fellow in all three American Colleges of OB/GYN, of Surgeons, and of Endocrinology. His colleagues select him as Top Doctor in AmericaÂź annually, one among the top 5% of doctors in the U.S. In 2018, he was awarded the âSocial Responsibility Awardâ by the National Polycystic Ovary Syndrome Association. For ten years his foundation, Fertile Dreams, organized seminars to increase fertility awareness and granted national scholarships for those unable to afford in vitro fertilization (IVF)
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The costs of in vitro fertilization (IVF) can make it hard for many women or couples trying to treat infertility; three-quarters of patients simply canât afford conventional IVF treatment.
Moreover, in states with insurance coverage, the use of IVF is four times higher than in states without coverage.
In this episode, Kevin Doody, M.D., a board-certified OB/GYN and past president of the Society of Assisted Reproductive Technology (SART), joins host Mark P. Trolice, M.D., to discuss the latest advancements in IVF and how recent research could significantly decrease the cost of IVF treatment.
Tune in to discover:
How Dr. Doody and his team are simplifying and streamlining the IVF processThe latest game changer to reduce both IVF monitoring and laboratory costsA breakdown of the research that may change the IVF landscapeHow the new reporting changes to SART help patients make more informed decisionsAbout Kevin Doody, M.D.
Kevin Doody, M.D. is board certified in obstetrics and gynecology and sub-specialty board certified in reproductive endocrinology and infertility. He is a graduate of Baylor College of Medicine in Houston. Dr. Kevin has received multiple honors as one of Fort Worth's Top Docs, one of Texas' Super Doctors and one of the Best Doctors in America for the last several years.
In 2017, Dr. Kevin was recognized with the Resolve National Infertility Associationâs Hope Award for Achievement in recognition for his contributions. While Dr. Kevin was serving as president of the Society of Assisted Reproductive Technology (SART), he was instrumental in updating the SART National Summary Data to assist patients in making informed decisions about medical care. Dr. Kevin was also recognized as Microsoft Physician of the Year 2004. He is currently in private practice, at the Center for Assisted Reproduction (CARE) in Dallas, TX.
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Planning to have a baby is a significant undertaking. Of course, you want to ensure a smooth and healthy pregnancy, but what steps can you take before and during pregnancy to achieve that?
In this episode, Brooke Rossi, M.D., a board-certified reproductive endocrinologist and infertility specialist, joins host Mark P. Trolice, M.D., to discuss the impact that lifestyle plays on fertility and what lifestyle changes individuals can implement to maximize their chances of getting pregnant. Listen in as she shares insights on everything from the effects of body weight, alcohol consumption, and smoking on IVF, to herbal supplements, genetic testing, and diet.
Tune in to discover:
The importance of lifestyle on fertilityHow to ensure that youâre entering pregnancy safely for yourself and your babyThe lifestyle factors that inhibit fertility in both men and womenHow your OB/GYN can help you plan for a successful and healthy pregnancyThe vaccines you need to protect you and your baby during pregnancyAbout Brooke Rossi, M.D.
Dr. Brooke Rossi has been a board-certified reproductive endocrinologist and infertility specialist for over 10 years. She is a graduate of the University of Pittsburgh School of Medicine and completed her residency in Obstetrics and Gynecology at the University of Rochester. Her subspecialty fellowship in REI was completed at Brigham and Womenâs Hospital, Harvard Medical School. During her fellowship, she was awarded the American Society for Reproductive Medicine In-training Award for Research on her project reviewing the effects of alcohol and in vitro fertilization outcomes.
She is now in private practice at Ohio Reproductive Medicine in Columbus, OH.
Her clinical interests include infertility, IVF, recurrent pregnancy loss and PCOS. She has a special research interest in lifestyle factors and fertility and in vitro fertilization. She has been published in Obstetrics and Gynecology, Fertility and Sterility, and the Journal of Clinical Endocrinology and Metabolism. -
The focus of infertility treatment traditionally has primarily been on the female. However, in almost 50% of couples, the male is in fact responsible for infertility. Recent research has shown that males now produce less than half as many sperm than males in the early 1970s. In addition to having lower quantities, sperm are now are also of lower quality.
So, how can men improve their fertility?
In this episode, Jamin Brahmbhatt, M.D., a board-certified urologist specializing in chronic testicular pain and infertility, joins host Mark P. Trolice, M.D., to discuss the male role in infertility and what men can do to protect and preserve their fertility. Listen in as he shares insights on everything from low sperm count treatment, sperm freezing, and hormone treatment to diet, marijuana use, and alcohol consumption.
Tune in to discover:
What lifestyle changes men can do to protect their fertility and stay healthyHow mental health can affect a manâs fertilityThe impact of age on male infertilityWhat to expect when visiting a urologist for an infertility consultationThe types of interventions available for men to improve their fertilityAbout Jamin Brahmbhatt, M.D.
Dr. Jamin Brahmbhatt is a board-certified urologist specializing in chronic testicular pain and infertility. He completed his urology residency at the University of Tennessee followed by a fellowship in robotic microsurgery at the University of Florida. He is now co-director of PUR Clinic (Personalized Urology & Robotics) at South Lake Hospital & Orlando Health.
He is an active member of several professional organizations including the American Urological Association, SMSNA, CAPI, and the Florida Urological Society where serves on the executive committee. He is a TEDx speaker and winner of numerous awards including 40 under 40 and Top Doctor.
He is frequently seen offering expert medical opinions on national media platforms and his own social media channels. He is the co-founder of the Drive 4 Menâs Health, an annual non-profit public engagement campaign that continues to encourage millions of men to eat better, get active, and engage in preventative medical screenings.
About Mark P. Trolice, M.D.
Mark P. Trolice, M.D., FACOG, FACS, FACE is Director of Fertility CARE: The IVF Center in Winter Park, Florida and Associate Professor of Obstetrics & Gynecology (OB/GYN) at the University of Central Florida College of Medicine in Orlando responsible for the medical education of OB/GYN residents and medical students as well as Medical Endocrinology fellows. He is past President of the Florida Society of Reproductive Endocrinology & Infertility (REI) and past Division Director of REI at Winnie Palmer Hospital, part of Orlando Health.
He is double Board-certified in REI and OB/GYN, maintains annual recertification, and has been awarded the American Medical Associationâs âPhysiciansâ Recognition Awardâ annually. He holds the unique distinction of being a Fellow in all three American Colleges of OB/GYN, of Surgeons, and of Endocrinology. His colleagues select him as Top Doctor in AmericaÂź annually, one among the top 5% of doctors in the U.S. In 2018, he was awarded the âSocial Responsibility Awardâ by the National Polycystic Ovary Syndrome Association. For ten years his foundation, Fertile Dreams, organized seminars to increase fertility awareness and granted national scholarships for those unable to afford in vitro fertilization (IVF) treatment.
Dr. Trolice serves on committees for the American Society for Reproductive Medicine and the Society for Assisted Reproductive Technology as well as the editorial advisory board of Ob.Gyn.News. He has conducted
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The psychological side of infertility is often neglected. However, it often plays a critical role in the physical and mental health of the couple and their ability to have a baby. How can you maintain a healthy relationship while dealing with the challenges of infertility?
In this episode, Bill Petok, Ph.D., a licensed psychologist and Clinical Associate Professor of Obstetrics and Gynecology at Thomas Jefferson University in Philadelphia, joins host Mark P. Trolice, M.D., to discuss how infertility affects couples psychologically and what they can do to enhance communication and increase intimacy between them.
Tune in to discover:
The psychological effects of infertility on both women and menPotential sources of conflict for couples who embark on infertility treatmentTips and strategies for coping with the challenges and stresses that come with an infertility diagnosisThe benefits of seeing a reproductive psychologist to navigate the challenges faced by couples during infertilityHow infertility can be an opportunity to strengthen a coupleâs relationshipAbout Bill Petok, Ph.D.
Dr. Petok is a licensed psychologist in Maryland. He is a past chair of the Mental Health Professional Group of the American Society for Reproductive Medicine, the only organization of mental health providers who specialize in the treatment of individuals and couples dealing with fertility related problems. He served as a board member of Path 2 Parenthood for 10 years and is a former member (2004 â 2010) of the Mental Health Advisory Board of RESOLVE. Dr. Petok is also on the Executive Council of the Society for Assisted Reproductive Technology (SART).
Bill Petok earned his doctorate from the University of Maryland in 1978. Before entering full-time independent practice, he worked as a psychologist in the public sector in both Baltimore and Anne Arundel County. His postdoctoral training includes a year at the Family Therapy Institute of Washington, D.C. and an externship at Sheppard & Enoch Pratt Hospital in the Sexual Dysfunctions Clinic. His practice focuses on the problems that individuals, couples and families experience in daily life, including anxiety, depression, stress, marital and family relationships. He also has several areas of special expertise: Sex Therapy and Counseling for Fertility Problems.
Dr. Petok has been teaching physicians about human sexuality since 1984 when he began training OB/GYNs at Baltimoreâs Sinai Hospital residency program. He is a frequent speaker to health care professionals around the country on topics related to the treatment of sexual dysfunction. He is currently a Clinical Associate Professor of Obstetrics and Gynecology at Thomas Jefferson University.
http://drpetok.com/About
About Mark P. Trolice, M.D.
Mark P. Trolice, M.D., FACOG, FACS, FACE is Director of Fertility CARE: The IVF Center in Winter Park, Florida and Associate Professor of Obstetrics & Gynecology (OB/GYN) at the University of Central Florida College of Medicine in Orlando responsible for the medical education of OB/GYN residents and medical students as well as Medical Endocrinology fellows. He is past President of the Florida Society of Reproductive Endocrinology & Infertility (REI) and past Division Director of REI at Winnie Palmer Hospital, part of Orlando Health.
He is double Board-certified in REI and OB/GYN, maintains annual recertification, and has been awarded the American Medical Associationâs âPhysiciansâ Recognition Awardâ annually. He holds the unique distinction of being a Fellow in all three American Colleges of OB/GYN, of Surgeons, and of Endocrinology. His colleagues select him as Top Doctor in AmericaÂź annually, one among the top 5% of doctors in the U.S. In 2018, he was awarded the âSocial Responsibility Awardâ by the National Polycystic Ovary Syndrome
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Todayâs infertility patients are more informed, empowered, and have more choice than ever before. 77% of patients search their physician online before booking an appointment, and almost three quarters (72%) of patients use online reviews as the very first step to finding a new doctor.
Social media has become a go-to source of information, particularly where infertility patients are concerned. There is a lot of empowering and useful information on social media, but misleading and inaccurate data exist online as well. How do you know when a reproductive endocrinologist is telling the whole truth, and how can you spot a potential conflict of interest?
When selecting an infertility clinic, patients want accessibility and connection with the clinics they choose, over and above excellent care. Many clinics near you may be honest, trustworthy, and genuinely care about the patient. So what sets one apart from the rest?
In this episode, Kenan Omurtag, M.D., associate professor of reproductive endocrinology and infertility at the Washington University St. Louis School of Medicine, OBGYN department, joins host Mark P. Trolice, M.D., to discuss the role of social media and online reviews when choosing an infertility clinic, the status of social media today, and where it may be headed in the future.
Tune in to discover:
The value of social media for infertility clinics and patientsRed flags you should be aware of on social media and how to deal with themTips to help you determine potential conflicts of interestWhich factors carry the most weight for patients when deciding on an infertility specialistThe top online portals to source fertility clinic information (see links below)Notes:
www.sart.org
www.arsm.org (Reproductive Facts.Org)
www.resolve.org (emotional support)
About Kenan Omurtag, M.D.
Kenan Omurtag, MD is associate professor of reproductive endocrinology and infertility at the Washington University St. Louis School of Medicine, Department of OBGYN. He received his medical degree from the 6-year combined BA/MD program at the University of Missouri - Kansas City School of Medicine and completed his residency in OBGYN at Emory University in Atlanta, GA and Fellowship at Washington University St Louis School of Medicine.
Dr. Omurtag completed his formal training at age 31 and became board-certified in 2015, making him one of the youngest board certified physicians in both obstetrics and gynecology and reproductive endocrinology and infertility. Dr. Omurtag is a nationally-known scholar due to his research efforts focusing on three core fronts: male factor infertility, social media use among fertility clinics and their patients, and access to assisted reproductive technology (ART).
Dr. Omurtag is highly lauded by his patients as he works to help couples and individuals navigate the highs and lows of the short, or sometimes long, journey to parenthood. Along with the fertility treatments he can offer, Dr. Omurtag believes in the power of compassion, advocacy and the most innovative technology and resources to help people become parents.
About Mark P. Trolice, M.D.
Mark P. Trolice, M.D., FACOG, FACS, FACE is Director of Fertility CARE: The IVF Center in Winter Park, Florida and Associate Professor of Obstetrics & Gynecology (OB/GYN) at the University of Central Florida College of Medicine in Orlando responsible for the medical education of OB/GYN residents and medical students as well as Medical Endocrinology fellows. He is past President of the Florida Society of Reproductive Endocrinology & Infertility (REI) and past Division Director
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Endometriosis is a debilitating condition that affects roughly 5-10% of the population. It can cause chronic pain or fertility problems or both. Of women with endometriosis, 30-50% are estimated to have infertility, and among women with infertility, 25-50% are believed to have endometriosis. How and why endometriosis affects fertility has largely remained a mystery to researchers, but some evidence suggests that it may be linked to the immune system.
In this episode, J. Ricardo Loret de Mola, MD, FACOG, FACS, Professor and Chair of the Department of Obstetrics and Gynecology at Southern Illinois University School of Medicine (SIU), joins host Mark P. Trolice, M.D., to share his insights on the latest endometriosis, how the disease impacts fertility, and the most effective treatment options for women.
Tune in to discover:
What endometriosis is and who may be at risk of developing itHow endometriosis reduces fertilityTreatment options for endometriosisHow a womanâs age factors into treatment considerationsHow to manage endometriosis prior to IVF treatmentAbout J. Ricardo Loret de Mola, MD, FACOG, FACS
Dr. J. Ricardo Loret de Mola serves as Professor and Chair of the Department of Obstetrics and Gynecology at Southern Illinois University School of Medicine (SIU), and Medical Director of St. Johnâs Hospital Womenâs Health Programs in Springfield, IL. He founded the SIU Fertility and IVF Center, where he serves as its medical director, and established a highly successful fertility program with outstanding pregnancy rates. Dr. Loret de Molaâs clinical and research interests are in the care of couples with infertility, and women with endometriosis.
Dr. Loret de Mola earned his medical degree at the Monterrey Institute of Technology and completed his residency in Obstetrics and Gynecology at Case Western Reserve University (CWRU). He completed a two-year fellowship in Reproductive Endocrinology and Infertility at the University of Pennsylvania and also completed a two-year fellowship at the Association of American Medical Collegeâs Agency for Health Care Research and Quality. Dr. Loret de Mola also conducted a two-year research fellowship in pharmacology at CWRU as a scholar of the American Association of Obstetricians and Gynecologists Foundation.Dr. Loret de Mola is board certified in Obstetrics and Gynecology and Reproductive Endocrinology and Infertility by the American Board of Obstetrics and Gynecology. He has served several leadership roles in national and international organizations such as ACOG, as Junior Fellow Treasurer, Vice-Chair and Chair for District V, and as a Fellow as Treasurer and Vice-Chair for the Illinois Section, and currently serves as Chair of the ACOG, Illinois Section. Dr. Loret de Mola is the author of more than 100 scientific publications, presentations at scientific meetings, and book chapters.
About Mark P. Trolice, M.D.
Mark P. Trolice, M.D., FACOG, FACS, FACE is Director of Fertility CARE: The IVF Center in Winter Park, Florida and Associate Professor of Obstetrics & Gynecology (OB/GYN) at the University of Central Florida College of Medicine in Orlando responsible for the medical education of OB/GYN residents and medical students as well as Medical Endocrinology fellows. He is past President of the Florida Society of Reproductive Endocrinology & Infertility (REI) and past Division Director of REI at Winnie Palmer Hospital, part of Orlando Health.
He is double Board-certified in REI and OB/GYN, maintains annual recertification, and has been awarded the American Medical Associationâs âPhysiciansâ Recognition Awardâ annually. He holds the unique distinction of being a Fellow in all three American Colleges of OB/GYN, of Surgeo
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In vitro fertilization (IVF) has been helping women and couples overcome fertility challenges for almost 40 years. Up until recently, IVF has traditionally used fresh eggs retrieved from a woman fertilized âin vitroâ in a laboratory with a spouseâs or donorâs sperm to create an embryo. However, egg freezing for future use has risen in popularity. Often, using frozen eggs comes with both cost and scheduling advantages over using fresh ones. So, which is better? Weâll find out in this episode.
Tune in as Mark P. Leondires, M.D., founder, medical director and partner in reproductive endocrinology at Reproductive Medicine Associates of Connecticut (RMACT) and Gay Parents To Be (GPTB), joins host Mark P. Trolice, M.D., to discuss the pros and cons of fresh vs. frozen eggs, third-party reproduction and IVF surrogacy.
Tune in to discover:
The criteria for a good IVF surrogateThe history of egg freezing and how the field has evolved until todayThe differences between using fresh vs. frozen eggs including success ratesWhat Gay Parents To Be (GPTB) is and how it supports gay individuals and couples to make family-building choicesAbout Mark P. Leondires, M.D.
Dr. Mark P. Leondires is the Founder, Medical Director and Partner in reproductive endocrinology at Reproductive Medicine Associates of Connecticut (RMACT) and Gay Parents To Be (GPTB). He is board-certified in both Obstetrics and Gynecology and Reproductive Endocrinology and Infertility.
Dr. Leondires received his undergraduate degree in biochemistry and history from Colby College in Waterville, Maine. He earned his medical degree from the University of Vermont College of Medicine in Burlington, Vermont. He completed his residency in Obstetrics and Gynecology at Maine Medical Center in Portland, Maine, which was followed by a fellowship in Reproductive Endocrinology and Infertility at the National Institutes of Health in Bethesda, Maryland.
Among Dr. Leondiresâ accolades, he was chosen by his peers as a Castle Connelly Regional Top Doctor for his work in the field of reproductive endocrinology and infertility. He was also selected in 2012 and 2013 for Best Doctors in America, a database of the countryâs top five percent of physicians, as chosen through a peer-review process.
Prior to joining RMACT, he most recently served as the Director of Assisted Reproductive Technologies at the Combined Federal Program for Reproductive Endocrinology. While under his direction, the ART Program was one of the most successful in the Washington DC area and in the top tenth percentile nationally. Along with numerous teaching and research activities, Dr. Leondires has published many articles in professional medical journals, as well as abstracts, articles and book chapters.About Mark P. Trolice, M.D.
Mark P. Trolice, M.D., FACOG, FACS, FACE is Director of Fertility CARE: The IVF Center in Winter Park, Florida and Associate Professor of Obstetrics & Gynecology (OB/GYN) at the University of Central Florida College of Medicine in Orlando responsible for the medical education of OB/GYN residents and medical students as well as Medical Endocrinology fellows. He is past President of the Florida Society of Reproductive Endocrinology & Infertility (REI) and past Division Director of REI at Winnie Palmer Hospital, part of Orlando Health.
He is double Board-certified in REI and OB/GYN, maintains annual recertification, and has been awarded the American Medical Associationâs âPhysiciansâ Recognition Awardâ annually. He holds the unique distinction of being a Fellow in all three American Colleges of OB/GYN, of Surgeons, and of Endocrinology. His colleagues select him as Top Doctor in AmericaÂź annually, one among the top 5% of d
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