#plasticfreedocs

Today, I’m talking more about why we should avoid plastic water bottles after reading @natgeo  article on this topic.

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Has anyone else had a super ☀️hot summer? ☀️When the temperature outside is rising, many people turn to ᴘʟᴀꜱᴛɪᴄ ᴡᴀᴛᴇʀ ʙᴏᴛᴛʟᴇꜱ to stay hydrated. But disposable water bottles are made of ᴘʟᴀꜱᴛɪᴄ. And these plastics can get into the water that we ingest, exposing us to dangerous chemicals like ʙᴘᴀ & ᴘʜᴛʜᴀʟᴀᴛᴇs. As these water bottles are exposed to heat, more of the chemicals move into the drinking water, exposing us to even more ᴛᴏxɪᴄ ᴄʜᴇᴍɪᴄᴀʟs. 🧪🧪🧪

The FDA has ʙᴀɴɴᴇᴅ the use of BPA in baby bottles and sippy cups. Why isn’t this enough?
✅”BPA free” does not mean safe. These products often contain similar compounds with even less safety data than BPA, like BPA-S
✅BPA is still legal to add to other products like water bottles
✅Although one single exposure is likely safe, the fact that we have countless exposures to multiple chemicals throughout our day with plastics, increases the risk of harm .

So take the advice of the amazing docs who have participated in this campaign so far. Show us your reusable water bottle made out of metal or glass! 🥤🍶And stay cool this summer!☀️

Thank you for all the wonderful support for this campaign! I’m so excited that the media and medicine are paying more attention to this important topic!
#PlasticFreeDocs

#plastic #plasticfree #lifestyle#femalefertility #egghealth#womenshealth #maleinfertility#endocrinedisruptors #environment#fertility #ivfjourney #ttc #pregnant#pregnancy #ttcjourney#infertilityjourney #infertilty#infertilitysucks #ttccommunity#ttctips #ivfwarrior #ivfsupport#ivfcommunity #doctor#doctorsofinstagram#womeninmedicine #physician#doctorlife

#PlasticFreeDocs

#PlasticFreeDocs .

Today, I invited several physicians in many different medical specialties to discuss why they are avoiding using plastics. As a fertility specialist, I believe that the healthier we are before we conceive, the more likely we are going to be successful; this results in healthier pregnancies and ultimately healthier families. An important way for us to stay healthy is by minimizing exposures to dangerous chemicals in our environment. .

𝗪𝗵𝘆 𝗮𝗿𝗲 𝗽𝗹𝗮𝘀𝘁𝗶𝗰𝘀 𝗰𝗼𝗻𝗰𝗲𝗿𝗻𝗶𝗻𝗴? ✅Plastics expose us to dangerous chemicals like BPA and phthalates ✅These chemicals can interfere with how our hormones work
✅These chemicals are called 𝙚𝙣𝙙𝙤𝙘𝙧𝙞𝙣𝙚 𝙙𝙞𝙨𝙧𝙪𝙥𝙩𝙞𝙣𝙜 𝙘𝙝𝙚𝙢𝙞𝙘𝙖𝙡𝙨 (𝙀𝘿𝘾𝙨)
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𝗔𝘃𝗼𝗶𝗱𝗶𝗻𝗴 𝗽𝗹𝗮𝘀𝘁𝗶𝗰𝘀 𝗵𝗮𝘀 𝗯𝗲𝗻𝗲𝗳𝗶𝘁𝘀 𝘄𝗵𝗲𝗻 𝘁𝗿𝘆𝗶𝗻𝗴 𝘁𝗼 𝗰𝗼𝗻𝗰𝗲𝗶𝘃𝗲 𝗯𝗲𝗰𝗮𝘂𝘀𝗲..

EDCs impact egg quality by increasing DNA damage and oxidative stress

EDCs decrease sperm count in men

EDCs exposure in pregnancy is associated with obesity and neurodevelopmental problems in children  

In IVF, EDC exposure is associated with fewer eggs and fewer embryos

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Picture of me with my ♥ reusable metal water bottle ♥. Click on the link in bio for references .
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#plastic #plasticfree #lifestyle#femalefertility #egghealth#womenshealth #maleinfertility#endocrinedisruptors #environment#fertility #ivfjourney #ttc #pregnant#pregnancy #ttcjourney#infertilityjourney #infertilty#infertilitysucks #ttccommunity#ttctips #ivfwarrior #ivfsupport#ivfcommunity #doctor#doctorsofinstagram#womeninmedicine #physician#doctorlife

Giving your Embryo a Healthy Place to Grow: preparing the uterus for implantation

It is estimated that between 8 and 12% of women will develop endometrial polyps during their reproductive years. These represent outgrowths of the uterine lining that can vary in shape and size but reflect uneven development of the tissue that is responsible for promoting implantation of embryos to initiate pregnancy. Therefore, it’s not surprising that they seem to be more common in women with infertility. In fact, one study of 1000 women undergoing IVF found about 32% of them had endometrial polyps.

Endometrial polyps

In an attempt to estimate the impact of endometrial polyps on infertility, one study randomized 215 women with endometrial polyps to having surgery prior to starting Ovulation Induction with Insemination treatment vs not having surgical correction prior to starting treatment. They found that those that had surgery were twice as likely to become pregnant.   

 

Other studies have also looked at mechanisms for how polyps could interfere with implantation. Here the evidence is equally compelling. In addition to the mechanical interference; polyps have been linked to various chemical changes in the uterine environment—especially involving certain markers of implantation and inflammation.

 

At our center, we go through great lengths to create and identify the healthiest embryos possible to help our patients achieve the highest attainable live birth rate. Therefore we always take steps to make sure that we’re placing embryos into the best possible uterine environment. Timing is also important in considering when to remove polyps. At least one study found that 27% of polyps will go away on their own. So we don’t plan any such surgery until we know we have healthy embryos to transfer or our patient is ready to become pregnant.

Stay informed,

~Robert

 

Robert Greene, MD, FACOG

Conceptions Reproductive Associates

Herbal Medicine and Supplement Use during Pregnancy: a cautionary note

Many women underestimate the potential negative impact of over-the-counter products. Herbal medicines are any plant derived product taken as a preventative or curative treatment. Dietary supplements are defined as products taken by mouth including vitamins, minerals and herbal or botanical products. Currently, the supplement industry is valued at over $133 Billion per year with a projected growth of 8.8% annually. Women of reproductive age make up a large portion of these consumers.

Think before you drink

Are you sure that your supplements are safe?

Estimates are that nearly half of women take dietary supplements during pregnancy and about 30% continue their use into the postpartum period while breastfeeding. Studies indicate that it is naïve to assume these products do not have a negative impact upon pregnancy. Yet it is only after concerning data has emerged that warnings for supplements are issued. Take for instance the recent recall of Periwinkle.

 

A supplement ingredient called vinpocetine, but also marked as periwinkle extract or vinca minor, has been advocated for many purposes including weight loss, boosting energy or improving memory—all common concerns of reproductive age women. Yet last week, the Food and Drug Administration issued a warning that based upon data from the National Institute of Health that this product has been linked to an increased risk of miscarriage. Some other potential problematic supplements include the following:

  • Almond oil—used topically to treat stretch marks—may increase the risk of preterm labor
  • Chamomile—may increase the risk of preterm delivery and low birth weight
  • Raspberry leaf—often used to induce labor—is associated with an increased risk of c/section
  • Licorice root (glycerrhizin)—increased risk of preterm birth and blood pressure problems as well as possible developmental issues

 

In closing, if you’re pregnant or hoping to become pregnant it’s best to discuss any supplements that you choose to use with your OB/GYN provider.

Stay informed,

~Robert

Robert Greene, MD, FACOG

Conceptions Reproductive Associates of Colorado

Mental health matters

0CD2501E-1CB3-4353-BCD4-E0E95E601AF6Your mental health matters. It is estimated that up to 54% of couples with infertility experience a high level of stress, anxiety, and depression before and/or during fertility treatment. It is incredibly common to need additional help when going through fertility treatment, which is why I encourage the use of complementary stress reduction techniques with my patients.

 

But sometimes yoga, acupuncture, and mediation isn’t enough and more help is needed. The most commonly prescribed antidepressant is a group of medications called selective serotonin reuptake inhibitors (SSRIs).

 

A recent study compared women on SSRIs going through IVF to women who were not on antidepressants. They found that the embryo health and IVF outcomes did not differ between the groups. This suggests that, from a fertility standpoint, there is no reason to avoid using an antidepressant if you need it.

 

Fertility treatment is hard enough. There is no reason to suffer through poorly controlled anxiety and/or depression while going through fertility treatment. If you need additional help, please reach out. The best way to have a happy healthy family is to start with a healthy mom before conception. You are not alone.

 

Take home points:

  • The diagnosis and treatment of infertility is stressful
  • It’s common to struggle with stress, anxiety, and depression at any phase of treatment
  • Antidepressant use does not impact IVF success rate.
  • Do not hesitate to get additional help if needed

Is organic worth it?

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How important is eating #organic when you are trying to be healthy and TTC? Is buying organic worth it?

 

Organic food refers to food produced with limited pesticides, fertilizers, and additives. Organic foods tend to be higher in vitamins, minerals, and antioxidant content compared to conventionally grown food. Conventionally produced food is associated with higher rates of various cancers compared to organic foods.

 

Organic food is usually more expensive than conventionally produced food. But is the cost worth it?❓

 

A recent study evaluated pesticide exposure in couples going to a fertility clinic. They found that the more pesticides a couple consumed, the less likely they were to get pregnant and bring home a healthy child. This finding was dose dependent: women with the highest pesticide exposure had the lowest pregnancy rates.  This suggests that dietary pesticide exposure can be associated with difficulty conceiving.‼️

 

Switching to organic products can also reduce your exposure to hormone disrupting chemicals and support beneficial practices for our environment.❤

 

What you can do:

✅Buy organic produce whenever possible. Some products are more worth the cost than others. Consider being selectively organic to keep your budget on track.

✅I will post on IG stories which foods our family tries to buy organic

✅Just because something is labeled as “organic” doesn’t mean it’s healthy. Organic junk food is still junk food.

✅Organic food has just as many calories as conventional food. And buying organic is healthy, but should not be used as a substitute for going to the gym.

Chemicals and Egg Health

My goal is to help support you becoming a happy healthy family. As we offer everything that today’s technology has available, it is also important that we also encourage you to take whatever steps possible to optimize the quality of the eggs that we are trying to fertilize.

We are all exposed to thousands of chemicals a day. Some of us are more sensitive to the dangerous impact of these chemicals on our health than others. Many of these chemicals can interfere with how our bodies, particularly our hormones work. This is important to consider when you are undergoing fertility treatments. Here is what you can do to reduce your exposure to dangerous chemicals that can impact your fertility.

 

-Avoid use of plastics, particularly with your food.

-Be an informed consumer about potential toxins in and around your home.

-Avoid heavily scented products

-Use glass/ceramic water bottles and cups with your beverages to reduce your exposure to chemicals.

-Wash your produce before eating to minimize exposure to pesticides

-Don’t use tobacco.

-Take your shoes off when you enter your home.

-Wash your hands before you eat