@drlorashahine: After 20 years of helping patients I only get more hopeful The body is amazing and I have seen people conceive in situations where many would lose hope ✨Stage 4 endometriosis and pelvic adhesions ✨Conceiving naturally after failed IVF ✨Having a baby after 10 miscarriages ✨Twins in a patient in perimenopause ✨IVF cycle with 1 egg, 1 embryo, and 1 gorgeous baby These are the exceptions but I will not be that doctor that says there is no hope. I am transparent, give realistic expectations, and counsel on all options but as long as some is ovulating (releasing eggs), has reassuring anatomy, and sp3rm exposure there is a chance. I think it comes from hearing my grandmother’s story of trying for almost 20 years in the 1920s and 1930s Married at 17 and finally had my Dad when she was 37 (and her friends in Kentucky were having grandchildren!) This was before IVF and she tried everything available to her - she would always share updates in fertility science like IVF in the news with me and say ‘I wish this were available to me but I still got my miracle.’ I think of her when counseling patients.
