Fertility fact or fertility fiction? Freezing your eggs guarantees you a baby later fiction.
Dr. Shahin GhadirWhat if your Future husband is 90 years old and has one measly sperm?
Roxy ManningThat would be a problem. What do you think about these acupuncture treatments and things like that for fertility?
Dr. Shahin GhadirThat's not going to get you pregnant, but being calm, cool and collected during the time that you're trying to conceive is important.
Roxy ManningOldest person that you have seen conceive naturally?
Dr. Shahin GhadirI think 48.
Roxy ManningOkay. Lucky gal there.
Dr. Shahin GhadirYeah, she won the lotto.
Roxy ManningWe always like to play a game, so would you be game?
Dr. Shahin GhadirSure, let's play. I love games.
Roxy ManningAll right, perfect. This game is called Fertility fact or fertility fiction.
Dr. Shahin GhadirOkay, Love it.
Roxy ManningSo I'll give you a statement and you tell me if it's fact or fiction.
Dr. Shahin GhadirAll right.
Roxy ManningYou can't get pregnant naturally after 45.
Dr. Shahin GhadirFiction. Some people can.
Roxy ManningYeah, some people can. You do hear those stories, you know. Freezing your eggs guarantees you a baby later fiction.
Dr. Shahin GhadirThere is no guarantee with freezing your eggs.
Roxy ManningOkay. So you could freeze an amazing quality egg and it just doesn't implant or the pregnancy.
Dr. Shahin GhadirWhat if your Future husband is 90 years old and has one measly sperm?
Roxy ManningYeah, that would be a problem.
Dr. Shahin GhadirYep.
Roxy ManningFor pregnancy at least. Sperm quality doesn't decline until after 60.
Dr. Shahin GhadirFiction. Sperm quality starts to decline around 40.
Roxy ManningOh, okay, this is interesting. So their men and women are on a similar trajectory as far as like the quality of the egg and sperm goes the decline.
Dr. Shahin GhadirFor men, it never stops. They continue to make sperm. But some men's sperm starts to decline around 40, but unlike women, it doesn't end. So you may have average sperm and be 60, but still have it.
Roxy ManningOkay, so the quantity is still there. The quantity kind of never drops.
Dr. Shahin GhadirThey both drop. They both drop. Okay, but it's still usable and you can still make a kid with it.
Roxy ManningYeah, even a 90 year old. Like you're saying one sperm maybe does the trick.
Dr. Shahin GhadirYep.
Roxy ManningThat's so interesting. IVF works the first time for most women.
Dr. Shahin GhadirFact. Okay, so I think it depends on where you go, but I have a lot of patients that it does work the first time. Okay.
Roxy ManningOh, that's 84%, right?
Dr. Shahin Ghadir84%. Well, 84% of a transfer led to pregnancy. Sometimes it took two or three tries to get an embryo to go to a transfer. Okay, so there's two parts to ivf. Making of the healthy embryo and then the transfer of the embryo.
Roxy ManningOkay. Which part is more harrowing or more difficult?
Dr. Shahin GhadirThat's a really good question. I think they both Are. The first part involves a lot of protocols and monitoring and timing. The second part takes a lot of skill with transfer and preparing of the lining and the way the technique you put an embryo. So they're both very, very one mess in either of them. And you have no pregnancy.
Roxy ManningSo it is like just. I mean, both have to be so exact.
Dr. Shahin GhadirYes.
Roxy ManningOkay. IUIs have a much lower rate of success than IVF.
Dr. Shahin GhadirFact. Much lower.
Roxy ManningMuch lower. Is there a percentage?
Dr. Shahin GhadirIt depends on your age.
Roxy ManningOkay. Is there an upper limit for iui, you think?
Dr. Shahin GhadirWell, our natural conception rates for women and their peak of fertility is about 25% per month.
Roxy ManningOkay.
Dr. Shahin GhadirYou cannot. An IUI will help you get to that level again at. On its best day ever. And that's very, very rare. Yes.
Roxy ManningStress can ruin your chances of conception.
Dr. Shahin GhadirTrick, because it's complicated. Under the most stressful environments in the world, people have still gotten pregnant. But I believe, and I believe that stress can do anything, including keeping you from getting pregnant as well. So it's a yes and no.
Roxy ManningWhat do you think about these acupuncture treatments and things like that for fertility?
Dr. Shahin GhadirI think that if you're going to a good acupuncturist, that calms you down, makes you feel great, makes you feel reset, you should do it. That's not going to get you pregnant, but being calm, cool, and collected during the time that you're trying to conceive is important.
Roxy ManningOkay. So just relax about it for as much as you can. Okay.
Dr. Shahin GhadirYes.
Roxy ManningOkay. You need 20 plus eggs to have a shot at pregnancy.
Dr. Shahin GhadirStatistic fact. So there are studies that have said that when you are 35 to 39 years of age, you should have 20 to 26 eggs to get a live birth.
Roxy ManningReally?
Dr. Shahin GhadirSo that's just.
Roxy ManningYou conceive naturally, like if you try to do natural conception?
Dr. Shahin GhadirNo, that's. What if you're freezing an egg.
Roxy ManningOh, okay. Okay.
Dr. Shahin GhadirSo. So if you're freezing your eggs and you're 35 to 39 and you want to have one child, your goal should be around 20 eggs. Okay.
Roxy ManningShould be around 20 eggs. Okay. And what is the oldest person that you have seen conceived naturally?
Dr. Shahin GhadirI think 48.
Roxy ManningOkay. Where it just. It just happened for. For them.
Dr. Shahin GhadirThey weren't just happened. Wow.
Roxy ManningNo treatments, nothing, huh?
Dr. Shahin GhadirYeah.
Roxy ManningWell, lucky, lucky gal there.
Dr. Shahin GhadirYeah, she won the lotto.
Roxy ManningThank you so much. I really appreciate you coming on.
Dr. Shahin GhadirThank you. I loved being on. This was so much fun. Thank you so much.