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Infertile patients cannot afford to wait for treatment while their eggs get older.

Dr. Sherman Silber, Infertility Center of St. Louis, is offering video consultations for patients who need to plan now for their treatment while stay-at-home orders are in place. He is talking to and evaluating patients in their home to comply with social distancing measures.

Dr. Silber is discovering that patients actually prefer this method of telemedicine consultation over the conventional office visit. Patients have conveyed that “it is so much more convenient and less stressful” to have a telemedicine personal consultation than to take a day off from work to travel to the doctor’s office and sit with other nervous patients in the waiting room.

The COVID-19 pandemic is thus changing much of the way we will do things in the future, and for the better. “Our patients are surprisingly much happier with this approach. Of course, at some point we need to perform hands on treatment. But with this new manner of seeing patients, we can come to the right diagnosis and treatment plan for most patients more efficiently, quickly, and painlessly, with no loss of personal one-on-one communication.” This is a very welcome new era of telemedicine that has been forced on us by the current difficult times.

Frozen Ovary and IVF for a Cancer Survivor


Video Transcript:

I’d like to start out by just telling you about an exciting case today. It was a patient who had cancer. And had treatment which made her completely sterile at age 25. But she’s cured of the cancer. She’s 33 years old now. I can’t identify any more than that. That wouldn’t be appropriate. But her ovary tissue was frozen before she had that sterilizing cancer treatment. She’s cured. Fantastic human being; happily married. And you know, we have a lot of ovary transplant cases from women that had a similar story, but these are women who had a high number of eggs when their tissue was frozen and none of the eggs were really damaged. But here was a case where she had very few eggs. So I didn’t think IVF would be very effective because I didn’t know if we get any eggs or even no more than one egg.  Better for her to ovulate every month and just get pregnant naturally. But she insisted that we do IVF so we did. We got only one egg and it fertilized. And we just put back a beautiful spectacular embryo – from a 25 year old egg in a 33 year old woman. So I think the chances of success pregnancy in a baby from this are extremely high. And this we thought would be one of our very rare ovary transplant failures and it looks like it’s going to be a success.