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I have been following and watching samcfit_ ‘s fitness journey since having kids and her transformation is beyond impressive. We have re-entered a “skinny” culture and I’m looking to gain the level of strength and stamina she has achieved. In this episode I got to pick her brain on everything she
sashahakmanmd

sashahakmanmd

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So much misinformation online about how egg freezing can cause long term hormonal dysfunction and reduce your chances of natural conception in the future. This is absolutely incorrect. First off the meds being used are so short term they don’t last in the body. There are no long term consequences
sashahakmanmd

sashahakmanmd

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Staying active through pregnancy has been linked to roughly a 40 percent drop in the odds of major pregnancy complications.  the American college of OBGYN’s own updated guidelines lists strength training as safe in pregnancy and says it should be encouraged before, during, and after. The old advi
sashahakmanmd

sashahakmanmd

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Ok hear me out…. THIS IS NOT A BAD THING. The blood loss for the large majority of patients undergoing an egg retrieval is MINIMAL (maybe slightly more than a paper cut). However I have noticed over time women resorting to traditional Chinese medicine in preparation for an IVF or egg freezing cycl
sashahakmanmd

sashahakmanmd

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Perhaps I’m biased by my profession? But I always thought these are standard conversations before you get deep into a relationship and find out things may not work out because of your family building goals and values 😭 Still mid season so don’t tell me the end! 🤫😂 Did you have these discussions w
sashahakmanmd

sashahakmanmd

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People are obsessed with the idea that patients going through egg freezing or IVF should stop exercising for the risk of ovarian torsion- a medical emergency where the ovaries twist on themselves, cutting its blood supply. There is no scientific evidence to prove this is true but the current resea
sashahakmanmd

sashahakmanmd

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This is the rate of IVF success based on female age according to the 2021 US society of assisted reproductive technology (SART) database- which is huge. Now these are overall averages and there’s a ton of variability from patient to patient with many of my 42 year olds sometimes only needing one o
sashahakmanmd

sashahakmanmd

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The fear is ovarian torsion, when an enlarged ovary twists and cuts off its own blood supply. It’s real, it’s an emergency, and it’s scary to think about. But here’s what the data actually shows: exercise isn’t a proven trigger. Torsion happens most often spontaneously, and a lot of cases actually
sashahakmanmd

sashahakmanmd

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Man people can get nasty online. These are averages- that refers to the MEAN. Which means some people do better and others do worse and when you ad it up and divide by the denominator you get these numbers. There are so many other stories in the comments demonstrating how truly inefficient human re
sashahakmanmd

sashahakmanmd

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High dose gonadotropins do not lower your egg quality. I keep seeing this claim online and the data does not back it up. The fear mostly comes from older FISH based studies that only checked a few chromosomes. Once we started using NGS and full chromosomal screening, the picture changed. Irani et
sashahakmanmd

sashahakmanmd

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As reproductive endocrinologists we are trained to counsel on these numbers daily, but I’m shocked how many women freeze without getting this data first. During a consultation for egg, freezing, I will often give my patient specific numbers for high probability of one life birth versus two dependi
sashahakmanmd

sashahakmanmd

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As reproductive endocrinologists we are trained to counsel on these numbers daily, but I’m shocked how many women freeze without getting this data first. During a consultation for egg, freezing, I will often give my patient specific numbers for high probability of one life birth versus two dependi
sashahakmanmd

sashahakmanmd

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I can’t tell you how often I hear women say their male partners don’t need testing because they have had children. Male infertility contribute to 50% of all infertility cases and should always be evaluated regardless. Hear the whole episode on secondary infertility, important testing and surprisin
sashahakmanmd

sashahakmanmd

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Plot twist: 1 in 5 couples get pregnant naturally AFTER successful IVF. Infertility isn’t always a permanent state. You may have gone through IVF to get pregnant before but what are the chances you can do it on your own if there’s no sterilization diagnosis (blocked tubes, no eggs or sperm). The
sashahakmanmd

sashahakmanmd

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Plot twist: 1 in 5 couples get pregnant naturally AFTER successful IVF. Infertility isn’t always a permanent state. You may have gone through IVF to get pregnant before but what are the chances you can do it on your own if there’s no sterilization diagnosis (blocked tubes, no eggs or sperm). The
sashahakmanmd

sashahakmanmd

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Everyone assumes if you already have a kid, getting pregnant again should be easy. Secondary infertility says otherwise. I see it in my practice constantly. Women who did everything “right” the first time and now can’t understand why it’s not happening again. The grief is real and it deserves to b
sashahakmanmd

sashahakmanmd

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For starters your menstrual cycle is NOT your period. It’s the time from the first day of your period to the day before the NEXT period. The menstrual cycle will provide signs that things aren’t necessarily ok from a hormonal or anatomic standpoint. Short menstrual cycle= diminishing egg reserve
sashahakmanmd

sashahakmanmd

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For starters your menstrual cycle is NOT your period. It’s the time from the first day of your period to the day before the NEXT period. The menstrual cycle will provide signs that things aren’t necessarily ok from a hormonal or anatomic standpoint. Short menstrual cycle= diminishing egg reserve
sashahakmanmd

sashahakmanmd

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Shout out to my OBGYN for being proactive and checking it without me requesting it. Just got my first IV iron infusion and it went smoothly👌🏼 1 down 4 more to go!
sashahakmanmd

sashahakmanmd

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Such a common question I still get asked frequently so I wanted to reshare since the data hasn’t changed here. Age will always be a strong predictor of success when it comes to fertility and knowing this can help someone with family planning.
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