Fertility Health Podcast

Did you know that certain things taken for granted in the environment can be toxic to your reproductive health? These environmental toxins can impact egg and sperm quality, lower success rates with IVF and fertility treatments, and increase the risk of miscarriage.

In this episode, Lora Shahine, M.D., Director of the Center for Recurrent Pregnancy Loss at Pacific NW Fertility, joins host Mark P. Trolice, M.D., to discuss how environmental factors may play a role in impairing fertility. She also touches on what you can do to decrease the risk of miscarriage and increase your chances of conceiving

Tune in to discover:

• The little known additives in alcohol and their impact on fertility
• The effect of cigarette smoking on health, pregnancy, and the unborn baby
• How the plastic products you use every day may be damaging your fertility
• Small measures you can take to decrease your exposure to environmental toxins

About Lora Shahine, M.D.

Lora Shahine, M.D. is the Director of the Center for Recurrent Pregnancy Loss at Pacific NW Fertility and clinical faculty at the University of Washington in Seattle. She completed her residency in OBGYN at the University of California in San Francisco and fellowship in reproductive endocrinology at Stanford University.

She is dedicated to educating and advocating for increased awareness of the impact on environmental toxins on health through an active social media presence, teaching, clinical research, and authoring multiple blogs and books including, ‘Not Broken: An Approachable Guide to Miscarriage and Recurrent Pregnancy Loss.

About Mark P. Trolice, M.D.

Mark P. Trolice, M.D., FACOG, FACS, FACE is Director of Fertility CARE: The IVF Center in Winter Park, Florida and Associate Professor of Obstetrics & Gynecology (OB/GYN) at the University of Central Florida College of Medicine in Orlando responsible for the medical education of OB/GYN residents and medical students as well as Medical Endocrinology fellows. He is past President of the Florida Society of Reproductive Endocrinology & Infertility (REI) and past Division Director of REI at Winnie Palmer Hospital, part of Orlando Health.

His current book, The Fertility Doctor’s Guide to Overcoming Infertility: Discovering Your Reproductive Potential and Maximizing Your Odds of Having a Baby, is now available for pre-order on Amazon.com.

He is double board certified in REI and OB/GYN, maintains annual recertification, and has been awarded the American Medical Association’s “Physicians’ Recognition Award” annually. He holds the unique distinction of being a Fellow in all three American Colleges of OB/GYN, of Surgeons, and of Endocrinology. His colleagues select him as Top Doctor in America® annually, one among the top 5% of doctors in the U.S. In 2018, he was awarded the “Social Responsibility Award” by the National Polycystic Ovary Syndrome Association. For ten years his foundation, Fertile Dreams, organized seminars to increase fertility awareness and granted national scholarships for those unable to afford in vitro fertilization (IVF) treatment.

Dr. Trolice serves on committees for the American Society for Reproductive Medicine and the Society for Assisted Reproductive Technology as well as the editorial advisory board of Ob.Gyn.News. He has conducted scientific studies with resultant numerous publications and been appointed a reviewer in many leading medical journals and textbooks. He has lectured at numerous physician and patient seminars around the country. In addition, he is interviewed regularly on TV news/talk shows, radio, podcasts, print/online magazines and newspapers on reproductive health topics.

Women need to monitor their cervical and overall health before getting pregnant to avoid more serious complications for mother and baby down the road.

However, cervical disease and even cervical cancer do not automatically spell the end for a woman’s fertility. Technological breakthroughs and modern medical advances now allow women to successfully treat cervical abnormalities, including cancer and still conceive, carry, and deliver a healthy baby.

In this episode, Christopher Bryant, M.D., FACOG, gynecologic oncologist and surgeon, joins host Mark P. Trolice, M.D., to discuss the latest developments in cervical health, and break down the different options available to treat cervical disease while still allowing women to build their families.

Tune in to discover:

• Why pap smear testing is a vital part of preparing for pregnancy
• How often you should get a pap smear test based on your age
• Non-invasive treatment options for cervical disease
• The implications of cervical cancer on fertility
• The latest cervical cancer treatments and how they allow women to maintain their fertility and deliver healthy babies

About Christopher Bryant, M.D., FACOG

Dr. Bryant is a gynecologic oncologist specializing in surgery, treatment, and research for female conditions, including reproductive cancers (ovarian, endometrial, cervical, and others), and robotic surgery. His special interests include oncofertility and helping with education and management of women’s health issues and impact on family planning.

Dr. Bryant is board certified by the American Board of Obstetrics and Gynecology. He is also a member of the American Congress of Obstetricians and Gynecologists, the Society of Gynecologic Oncology, the American Society of Clinical Oncology, the American Medical Association and the Florida Society of Clinical Oncology.

Dr. Bryant received his undergraduate degree from Arkansas State University and his Doctor of Medicine from the University of Arkansas for Medical Sciences. He completed his residency in obstetrics and gynecology at St. John’s Hospital and Medical Center and completed a fellowship in gynecologic oncology at Wayne State University Karmanos Cancer Institute.

About Mark P. Trolice, M.D.

Mark P. Trolice, M.D., FACOG, FACS, FACE, is Director of Fertility CARE: The IVF Center in Winter Park, Florida and Associate Professor of Obstetrics & Gynecology (OB/GYN) at the University of Central Florida College of Medicine in Orlando responsible for the medical education of OB/GYN residents and medical students as well as Medical Endocrinology fellows. He is past President of the Florida Society of Reproductive Endocrinology & Infertility (REI) and past Division Director of REI at Winnie Palmer Hospital, part of Orlando Health.

His current book, The Fertility Doctor’s Guide to Overcoming Infertility: Discovering Your Reproductive Potential and Maximizing Your Odds of Having a Baby, is now available for pre-order on Amazon.com.

He is double board certified in REI and OB/GYN, maintains annual recertification, and has been awarded the American Medical Association’s “Physicians’ Recognition Award” annually. He holds the unique distinction of being a Fellow in all three American Colleges of OB/GYN, of Surgeons, and of Endocrinology. His colleagues select him as Top Doctor in America® annually, one among the top 5% of doctors in the U.S. In 2018, he was awarded the “Social Responsibility Award” by the National Polycystic Ovary Syndrome Association. For ten years his foundation, Fertile Dreams, organized seminars to increase fertility awareness and granted na

In vitro fertilization (IVF) has been helping women and couples overcome fertility challenges for almost 40 years. Up until recently, IVF has traditionally used fresh eggs retrieved from a woman fertilized ‘in vitro’ in a laboratory with a spouse’s or donor’s sperm to create an embryo. However, egg freezing for future use has risen in popularity. Often, using frozen eggs comes with both cost and scheduling advantages over using fresh ones. So, which is better? We’ll find out in this episode.

Tune in as Mark P. Leondires, M.D., founder, medical director and partner in reproductive endocrinology at Reproductive Medicine Associates of Connecticut (RMACT) and Gay Parents To Be (GPTB), joins host Mark P. Trolice, M.D., to discuss the pros and cons of fresh vs. frozen eggs, third-party reproduction and IVF surrogacy.

Tune in to discover:

• The criteria for a good IVF surrogate
• The history of egg freezing and how the field has evolved until today
• The differences between using fresh vs. frozen eggs including success rates
• What Gay Parents To Be (GPTB) is and how it supports gay individuals and couples to make family-building choices

About Mark P. Leondires, M.D.

Dr. Mark P. Leondires is the Founder, Medical Director and Partner in reproductive endocrinology at Reproductive Medicine Associates of Connecticut (RMACT) and Gay Parents To Be (GPTB). He is board-certified in both Obstetrics and Gynecology and Reproductive Endocrinology and Infertility.

Dr. Leondires received his undergraduate degree in biochemistry and history from Colby College in Waterville, Maine. He earned his medical degree from the University of Vermont College of Medicine in Burlington, Vermont. He completed his residency in Obstetrics and Gynecology at Maine Medical Center in Portland, Maine, which was followed by a fellowship in Reproductive Endocrinology and Infertility at the National Institutes of Health in Bethesda, Maryland.

Among Dr. Leondires’ accolades, he was chosen by his peers as a Castle Connelly Regional Top Doctor for his work in the field of reproductive endocrinology and infertility. He was also selected in 2012 and 2013 for Best Doctors in America, a database of the country’s top five percent of physicians, as chosen through a peer-review process.
Prior to joining RMACT, he most recently served as the Director of Assisted Reproductive Technologies at the Combined Federal Program for Reproductive Endocrinology. While under his direction, the ART Program was one of the most successful in the Washington DC area and in the top tenth percentile nationally. Along with numerous teaching and research activities, Dr. Leondires has published many articles in professional medical journals, as well as abstracts, articles and book chapters.

About Mark P. Trolice, M.D.

Mark P. Trolice, M.D., FACOG, FACS, FACE is Director of Fertility CARE: The IVF Center in Winter Park, Florida and Associate Professor of Obstetrics & Gynecology (OB/GYN) at the University of Central Florida College of Medicine in Orlando responsible for the medical education of OB/GYN residents and medical students as well as Medical Endocrinology fellows. He is past President of the Florida Society of Reproductive Endocrinology & Infertility (REI) and past Division Director of REI at Winnie Palmer Hospital, part of Orlando Health.

He is double Board-certified in REI and OB/GYN, maintains annual recertification, and has been awarded the American Medical Association’s “Physicians’ Recognition Award” annually. He holds the unique distinction of being a Fellow in all three American Colleges of OB/GYN, of Surgeons, and of Endocrinology. His colleagues select him as Top Doctor in America® annually, one among the top 5% of d

Polycystic ovary syndrome (PCOS) is one of the most ancient disorders (around 50-60,000 years old) and affects up to one in five women regardless of race, nationality or ethnicity.

For many women, diagnosis involves a long, enigmatic process including numerous physician visits. Its symptoms are not always clear, the condition has many nuances, and the healthcare system as a whole has a long way to go to be able to provide optimal care for PCOS patients.

In this episode, Ricardo Azziz, M.D., M.P.H., M.B.A., renowned physician, researcher, scientist, and Chief Officer of Academic Health and Hospital Affairs, State University of New York (SUNY), joins host Mark P. Trolice, M.D., to break down what PCOS is, why it can be so challenging to diagnose, and the different treatment options available to patients.

Tune in to discover:

• The three main criteria for diagnosing PCOS
• The link between PCOS and diabetes
• The role of metformin and letrozole in the management of PCOS
• Why ovarian drilling gets a bad rap and how it can be an effective treatment for many PCOS patients

About Ricardo Azziz, M.D., M.P.H., M.B.A.

Ricardo Azziz is an internationally recognized physician, scientist and executive who currently serves as Chief Officer, Academic Health & Hospital Affairs, the State University of New York (SUNY), the largest university system in the nation. Dr. Azziz's biomedical research focuses on the study of reproductive endocrinology and androgen excess disorders. He has published over 500 original peer-reviewed articles, book chapters and reviews and is consistently ranked one of America's Top Doctors. He has received, among other recognitions, the 2000 President's Achievement Award of the Society for Gynecologic Investigation, and was elected member of the Association of American Physicians.
He previously served as deputy director of the Clinical & Translational Sciences Institute and assistant dean for Clinical and Translational Sciences at UCLA, and director of the Center for Androgen-Related Disorders at Cedars-Sinai Medical Center, Los Angeles. He is the founder and serves as senior executive director of the Androgen Excess & PCOS Society.
Among other advisory capacities, he served on multiple NIH committees, chaired the U.S. FDA Advisory Board on Reproductive Health Drugs and served on the oversight committee for the California Institute for Regenerative Medicine. Dr. Azziz previously also served as president of Georgia Health Sciences University and then founding president of Georgia Regents University, one of Georgia's four comprehensive research-level universities. He also served as founding CEO of the Georgia Regents Health System, the state's only public academic health center.

About Mark P. Trolice, M.D.

Mark P. Trolice, M.D., FACOG, FACS, FACE is Director of Fertility CARE: The IVF Center in Winter Park, Florida and Associate Professor of Obstetrics & Gynecology (OB/GYN) at the University of Central Florida College of Medicine in Orlando responsible for the medical education of OB/GYN residents and medical students as well as Medical Endocrinology fellows. He is past President of the Florida Society of Reproductive Endocrinology & Infertility (REI) and past Division Director of REI at Winnie Palmer Hospital, part of Orlando Health.

He is double Board-certified in REI and OB/GYN, maintains annual recertification, and has been awarded the American Medical Association’s “Physicians’ Recognition Award” annually. He holds the unique distinction of being a Fellow in all three American Colleges of OB/GYN, of Surgeons, and of Endocrinology. His colleagues select him as Top Doctor in America® annually, one among the top 5% of doctors in the U.S. In 2018, he was awarded the&

Of all the causes of infertility, a male factor is responsible for 40%. Yet the focus of infertility treatment traditionally has mainly been on the female. Recent research has indicated that males now produce less than half as many sperm and of lower quality compared with the early 1970s. So, what do you need to know about advances in male infertility treatment options with sperm blockages or severely low sperm counts?

In this episode, Zamip Patel, M.D., a board-certified urologist, fellowship-trained in andrology, and chief of staff at Florida Hospital East Orlando, joins host Mark P. Trolice, M.D., to discuss the role of male infertility and the latest advances in male infertility treatment. Listen in as he shares insights on everything from low sperm count treatment, sperm retrieval surgery, and ICSI, to vasectomy reversal, hormone treatment, and sperm freezing.

Tune in to discover:

• The importance of the male factor in treating infertility
• When males should consider the use of assisted reproductive technologies like IVF
• The genetic factors involved in treating azoospermia (zero sperm)
• Why a thorough anatomic, environmental, genetic and hormonal evaluation by an experienced fertility specialist is critical before deciding on a treatment plan
• The latest areas of advances in male infertility

About Zamip Patel, MD

Zamip Patel, MD is a board-certified urologist and one of the few physicians in the Orlando area with fellowship training in andrology, which is the study of the male reproductive system including male infertility. As a member of the highly credentialed medical team at Florida Urology Associates, he sees patients at the practice’s east Orlando and Oviedo locations and performs both inpatient and outpatient procedures at Florida Hospital East Orlando. Dr. Patel received his advanced sub-specialty training in andrology at the University of Illinois in Chicago after earning his medical degree at Ross University in the West Indies and completing his urology residency at Mount Sinai School of Medicine in New York.

Dr. Patel conducted his urology residency at the Mount Sinai School of Medicine, New York, and his andrology fellowship at the University of Illinois Chicago, a region known to establish standards for assisted reproduction. He is one of a handful of Urologists with specialty training in male reproduction in the Southeast. As one of the urologists at East Orlando Urology, Dr. Patel provides both inpatient and outpatient procedures at Florida Hospital East Orlando, offering patients quality and convenient urological health care options. Specialties include treating the following urological conditions: disorders of the urinary tract, bladder, prostate and kidneys; cancers of the kidney, bladder, prostate, adrenal glands and testes; and male infertility, erectile dysfunction, vasectomy and vasectomy reversal.

https://www.floridahospital.com/doctor/zamip-prakash-patel-md-1437318326

About Mark P. Trolice, M.D.

Mark P. Trolice, M.D., FACOG, FACS, FACE is Director of Fertility CARE: The IVF Center in Winter Park, Florida and Associate Professor of Obstetrics & Gynecology (OB/GYN) at the University of Central Florida College of Medicine in Orlando responsible for the medical education of OB/GYN residents and medical students as well as Medical Endocrinology fellows. He is past President of the Florida Society of Reproductive Endocrinology & Infertility (REI) and past Division Director of REI at Winnie Palmer Hospital, part of Orlando Health.

He is double Board-certified in REI and OB/GYN, maintains annual recertification, and has been awarded the American Medical Associatio