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The Genesis of Generations

Overcoming infertility to begin expanding your family tree


by Kimberly Rupnarain | September 20, 2011


One in six couples will have difficulty getting pregnant. Thirty per cent of the time a female factor is the cause, 30 per cent of the time a male factor, 30 per cent of the time it’s a combination and 10 per cent of the time no explanation can be found.

Dr. Beth Taylor, a co-director and fertility specialist at Genesis Fertility Centre and a clinical assistant professor at the University of British Columbia, treats male and female infertile patients, including those with such common causes of infertility as endometriosis, blocked fallopian tubes, and ovulatory and uterine disorders. Dr. Taylor says that one of the most common — and most overlooked — factors is female age.

“More and more commonly now, the patients we see at Genesis are over 40,” says Dr. Taylor. “Many couples have postponed starting their family because they’ve each been trying to establish themselves financially or achieve certain career or personal goals. Their fertility doesn’t wait, unfortunately.

A woman is born with approximately two million eggs, which she loses as she ages. When she has depleted all of her eggs, typically around the age of 50, she enters menopause. As egg numbers decline, so does fertility and hence the chance of conceiving naturally. In addition, as egg numbers decline, so does egg quality. Consequently, women are more likely to miscarry if they are able to conceive.

“In many cases, couples or single women have simply waited too long to start trying,” says Dr. Taylor. “A woman may be shocked to find that after years of trying to prevent pregnancy she is now having trouble conceiving.”

But while age is often a factor for infertility sometimes there it is no known cause. About 10 per cent of couples are diagnosed with “unexplained infertility,” and though a diagnosis of unexplained infertility or advanced age can leave a couple feeling frustrated and hopeless, it’s important to realize that it doesn’t mean there are no options available for conceiving.

Lori Joyce, co-founder and co-owner of Vancouver-based Cupcakes by Heather and Lori and star of the W Network’s popular reality series The Cupcake Girls, faced infertility due to both increasing age and “unexplained infertility.”

She was working endless days running her start-up business and was a newlywed when she began trying to conceive at the age of 32.

“My day, it was all about my business. At that point I was probably working, easily, six days a week, 10 hours a day,” says Joyce. “I’m a very goal-oriented person and I work very hard to achieve what I want so when I couldn’t get pregnant, it was the only thing in my life at that time that I couldn’t achieve.”

Joyce’s doctor referred her to Genesis, where Dr. Taylor diagnosed her and her husband with unexplained infertility. It was a devastating experience for Joyce.

“I didn’t get clinically depressed but I definitely got depressed,” Joyce says of her reaction to the diagnosis. “I remember a time when I did not want to get out of bed in the morning and my business partner would find me at home and ask me what I was doing and why I wasn’t at work yet. I just cut her off. My husband was expecting me to leave him because he knew that having a family was something I wanted to do my entire life.”

But for Joyce, staying in bed wasn’t an option for very long. With her business just over four years old and filming for the first season of The Cupcake Girls beginning, she had to get back to business and back to her life.

She talked to Dr. Taylor about her options and decided, like many other women facing infertility, to try a procedure called in-vitro fertilization (IVF). IVF is one of the most widely used fertility treatments — often called the “test tube baby” procedure. Since the birth of the first IVF baby, Louise Brown, in 1978, more than two million babies have been born as a result of IVF.

With IVF, the eggs and sperm are collected and combined in a laboratory, and fertilization happens outside the woman’s body. Once the egg is fertilized, it is transferred to the uterus to continue to develop. Some clinics are now achieving IVF success rates of up to 60 per cent per transfer depending on the couple.

Joyce returned to her busy life during IVF treatment. “I always tell my fans and people who contact me after seeing my story on the show to do something else that you’re passionate about, something that distracts you,” she says.

While filming the first episode of The Cupcake Girls, she became pregnant with her son, now 14 months old.

The new role of mother added to Joyce’s busy life, and then, just six months later and to her surprise, she became pregnant again — this time, the natural way.

“I’m very fortunate and excited, but at that point — even now — I’m so into my son I wouldn’t be considering having another child,” she says. “I think we got pregnant because we really weren’t focusing on it.”

Dr. Taylor and the team at Genesis have been giving people like Joyce the opportunity to have a family since 1995.

“We pride ourselves in being leading-edge. If a new procedure, laboratory technique or therapy has been proven to help patients, we implement it at Genesis,” says Dr. Taylor. “Like every person that walks through our door, our goal is to create healthy families.”

Joyce now looks back at her struggle with infertility with a new kind of appreciation.

“I kind of believe that you’re given these challenges and it ends up that it’s a good thing, in the end,” she says. “I feel blessed now looking back, it really kind of set the tone for who I am as person and it honestly strengthened my marriage because, just like my business, if you can get through that together — you can get through anything together.”

Photo Courtesy Genesis Fertility Clinic and iStock Photo



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