Fertility Treatment and Social Distancing are Codependent During the COVID19 Outbreak

As we continue to adjust to life during the SARS-CoV-2 outbreak it is important that we adjust our activities. Fertility treatment is ESSENTIAL care for those that need it. Our goal is to continue continue to provide this care for all of those seeking treatment–but it will require their assistance as well. Here in Colorado our use of social distancing has clearly reduced the severity of the outbreak. I’ve summarized in a videoblog the recommendations to keep our patients, our staff  and our community safe: https://youtu.be/7sBN7WgC35I .

Safer at home videoblog

So please continue to stay safer-at-home when possible and follow established social distancing when out in public place.

With kindness and support,


Robert Greene, MD, FACOG

Conceptions Reproductive Associates of Colorado


Fertility and Clean Air: some encouraging news for those pursuing pregnancy

As fertility treatment resumes following the pause created by the COVID19 Outbreak, we have experienced marked improvement in air quality. Many are unaware the of the unfortunate effects that pollution has upon fertility. Here on the 50th Anniversary of Earth Day is a great time to update you on how our improved environment can boost your chances of achieving and maintaining a healthy pregnancy: https://youtu.be/Iq93CXlrp4Q .

Happy Earth Day

I hope that you found that information to be encouraging. Let’s see if we can take it a step further and make some better choices as we move forward in to the future.

REFERENCES from this video: 

COVID19 and Fertility Treatment: an update for patients in Colorado

Treatment for fertility patients has been challenging during the COVID19 Outbreak. There is agreement that fertility treatment is essential and not elective. But whether or not it was urgent created some confusion as whether or not treatment should be continued or halted during the early days of the outbreak in the United States.


At this point, it is becoming more apparent that various regions are experiencing this pandemic very differently. Here’s the latest update for patients seeking care at our center in Colorado: https://youtu.be/Ky5lcP-Rzus.

Stay safe, stay well and if you can please stay home.

With kindness,

~Robert Greene, MD, FACOG

COVID19 and other infectious disease concerns—here’s what fertility patients should consider

There is increasing concern over Corona Virus or COVID19 as this infection spreads. In perspective there are other infectious diseases that people seeking pregnancy should also consider. Here is a link to a videoblog we recently created to try to answer some of these questions and provide some practical advice: https://youtu.be/a6p4uUC8hgk  COVID19




Starting a new video blog: Clinical Conversation

In our effort to remain relevant and provide you with current and relevant content–we’re starting a new YouTube Channel called Clinical Conversations. My partner in this project–Lisa White–is a licensed counselor that has actually gone through fertility treatment herself.

Introducing Fertility Chat

Our goal is to help support you by providing you with some short dialogues about topics that you find to be most relevant. Consider signing up or emailing us some suggestions for topics.

If you can’t find us at the link above just search “clinical conversations–fertility chats” on YouTube.

We hope to see you there!

Canary in the coal mine

This is an expression that describes when miners would carry birds (canaries) down into the mine tunnels with them. If dangerous gases such as carbon monoxide collected in the mine, the gases would kill the canary before killing the miners, thus providing a warning to exit the tunnels immediately


New research suggests that  infertility can be the canary in the coal mine for men . 


Men with infertility are at higher risk of prostate cancer. In particular, men who needed IVF technology for male factor were more likely to develop prostate cancer and at an earlier age than men who fathered pregnancies naturally. This finding does not mean that fertility treatments themselves raise men’s prostate cancer risk. 


Men with infertility should tell their other doctors that they have infertility. Because infertility may be the canary in the coal mine for other medical conditions, including prostate cancer. 


Stress is not a cause of infertility


 Stress is not a cause of infertility


Infertility is caused by things like a male factor (low sperm count) or female factor (blocked fallopian tubes, endometriosis, low egg number). But stress is not a cause of infertility. 


Stress is very common when trying to conceive. As many as 57% of patients have clinical depression or anxiety before they even start fertility treatments. Stress during infertility can also be severe: many couples report higher stress levels with infertility diagnosis than those with a new diagnosis of cancer. 


Stress is something we need to consider because it is common in couples with infertility and because it impacts the chances of being successful with treatment. Stress reduction can increase chances of success with treatment and  improve pregnancy rates. This is true regardless of stress reduction technique: yoga, meditation, acupuncture, and/or therapy. 


I take a pro-active approach and talk about stress with all of my patients. At the new visit, I review how common stress is with infertility and provide resources. I also will try to check in on my patients during fertility treatments and ask “How are you doing with the emotional aspects of your treatment?” At times, I recommend pausing fertility treatments to optimize mental health. 


The best way to have a healthy uncomplicated pregnancy is to start with a happy healthy family before conception. You are not alone. Your mental health is worth taking care of and so are you.  ❤️

Is IVF bad for my health?

Is IVF bad for my health? 




Every month a woman’s body loses the same number of eggs, regardless of whether they are doing IVF or on birth control pills. So you don’t lose any more eggs doing IVF than you do each month on your own. Doing IVF will not make you run out of eggs sooner, or go through menopause earlier. 


The hormones used for IVF are similar to the hormones your body naturally makes each month. You are on these hormones for a limited time period. The impact of this is small on your overall health.


IVF does not cause cancer.

✔️Women who are doing IVF are often using these technique because of infertility and endometriosis; these conditions in themselves increase the risk of ovarian cancer.
✔️IVF does not  increase the risk of breast cancer, even in women predisposed to cancers due to genetic mutations like BRCA

✔️IVF does not increase the risk of thyroid cancer, melanoma, lymphoma, cervical, or colon cancer


As with any medical procedure, there are risks. But the risks of complications in IVF is low.