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HRC Rancho Cucamonga - Blog

The following area consists of relevant news and events as well as informative material and stories by the staff at HRC Fertility, Rancho Cucamonga. Please subscribe to our Blog and receive up to the minute information from HRC Fertility Rancho Cucamonga serving the Inland Empire.

Dr. Norian Attends Families Through Surrogacy Conference

2016 families through surrogacy conference dr norianDr. John Norian of HRC Fertility Rancho Cucamonga recently attended the "Families Through Surrogacy" U.S. Conference.  During the conference, Dr. Norian was able to meet with intended parents and surrogates and also share with peers the latest in surrogacy.  

To learn more information about the excellent HRC Rancho Cucamonga and Inland Empire surrogacy program, please click here.  Also, if you would like to set up a consultation with Dr. Norian about surrogacy, please fill out our online request an appointment form.

 

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Help! I’m Being Overrun with Hormones – Hers!

sad couple2Hello, and happy National Infertility Awareness Week. In recent years, the hard work of many people, including those coping infertility, organizations who support those living with infertility such as Resolve.org and medical professionals who provide interventions to fight infertility, such as HRC Fertility – Pasadena/Rancho Cucamonga, have brought much needed help to those struggling to conceive. These efforts need to be applauded as so many people have received hope and resolution to their infertility as a result. Although more progress is needed in regards to supporting all those who face the disease of infertility, there is one population who remains significantly underserved in this arena and they are we guys - the men who so want to be a father, yet are not able to be due to either their own infertility issues and/or that of their partner. If this is you or the man you love, I am here to tell you that the desire to be a parent is a man’s world too! 

You do not need to look any further than the animal kingdom to know that the instinct to be a father is as natural as it gets. Lions, wolves, rams and elephants (to name few) fight in order to have their bloodlines continue. If you and your partner are challenged with infertility you may not need to fight in that same way; however, it is a battle nonetheless. Rest assured that your desire to be a father is as natural as anything on the planet. 

Speaking of the “fight,” one of my main goals in providing counseling services to men and their partners who are battling infertility is to help you fight the disease and not one another. One of the common struggles that I hear men say is: “I’m being overrun by her hormones!” The following are a few strategies for coping with her hormones and the emotions they may bring. 

Do not take it personally. When in the course of your infertility journey that your wife/girlfriend/partner is prescribed infertility medications, it possible that her hormones will be impacted, leading to a heightened range, depth and irrationality in her emotions. Remember, most likely this has nothing to do with you. It is the drugs talking (along with her own heart-break and frustration in dealing with infertility.) Your job in these situations is to be comforting and supportive. Focus on how to best do so. 

Be empathetic and understanding. Remember this hard on her too. Plus she’s the one taking all those medications. Although the mediations are hopefully helping the infertility issues, they are also wreaking havoc in her body so to speak. Odds are that she likely doesn’t like being so emotional and that it is no piece of cake for her either. 

Ask how to support her. At times it may seem like everything you do in an effort to understand and be comforting is the wrong thing. This can be beyond frustrating. However, the best way to know how to support your partner is to ask and have her make it explicit. But here is a little tip: often the best time to ask is not in the heat of the moment, but rather when she (and you) is not so emotional. At that point you both will be able to think about and communicate your needs rationally. And yes, it is okay to tell her how the tense moments affect you, just be sure to use “I” statements in regards to how you feel about certain things, and not play the blame game. It is also a good idea to have a debrief session after an emotional time (once you both are calm) or after a procedure or an injection, etc. to check in with her to ensure that you both support one another in positive ways.

Take care of yourself. This should be an essential component throughout your infertility journey, but especially when your emotions are being taxed. Do whatever you like to do to recharge your batteries. Be it sports, cars, art, cooking, a hobby or whatever; make time for it. In addition, I highly recommend that you make a part of your self-care something that is health/exercise related. The stress relief, the endorphins release, the emotional decrease and the overall health benefits will make you feel better. 

In the end, remember that the two of you are in this together, even though you have different roles to play. Figuring out how to best support one another is one of the greatest gifts you can give to each other at this time. Also remember, “this too will pass.” She will not always be taking infertility medications and her doing so now, along with all the interventions you are doing, is a part of your “fight” for fatherhood. When that happens, it will all be worth it and you will feel like the king of the jungle.

About the Author:

Fred Harlan, MA, MA, MFTI is a resourceful Marriage and Family Therapist Intern (IMF 74125), who specializes in helping men cope with infertility, be it their issue or that of their partner, and with couples who seek to strengthen their relationship. Fred experienced the challenges of infertility firsthand as he and his wife struggled through eight years of infertility before becoming parents.

Fred is an expert in communication and interpersonal relationships. He is a skilled educator and speaker having taught and spoke in university, professional and community settings. He holds masters degrees in Clinical Psychology and Speech Communication, and a BA in Theatre. 

Fred works in private practice in Thousand Oaks, CA. He enjoys sports, the arts, and most of all, and doing anything with his wife and son. 

Hello, and happy National Infertility Awareness Week. In recent years, the hard work of many people, including those coping infertility, organizations who support those living with infertility such as Resolve.org and medical professionals who provide interventions to fight infertility, such as HRC Fertility – Pasadena/ Rancho Cucamonga, have brought much needed help to those struggling to conceive. These efforts need to be applauded as so many people have received hope and resolution to their infertility as a result. Although more progress is needed in regards to supporting all those who face the disease of infertility, there is one population who remains significantly underserved in this arena and they are we guys - the men who so want to be a father, yet are not able to be due to either their own infertility issues and/or that of their partner. If this is you or the man you love, I am here to tell you that the desire to be a parent is a man’s world too!

You do not need to look any further than the animal kingdom to know that the instinct to be a father is as natural as it gets. Lions, wolves, rams and elephants (to name few) fight in order to have their bloodlines continue. If you and your partner are challenged with infertility you may not need to fight in that same way; however, it is a battle nonetheless. Rest assured that your desire to be a father is as natural as anything on the planet. 

Speaking of the “fight,” one of my main goals in providing counseling services to men and their partners who are battling infertility is to help you fight the disease and not one another. One of the common struggles that I hear men say is: “I’m being overrun by her hormones!” The following are a few strategies for coping with her hormones and the emotions they may bring. 

Do not take it personally. When in the course of your infertility journey that your wife/girlfriend/partner is prescribed infertility medications, it possible that her hormones will be impacted, leading to a heightened range, depth and irrationality in her emotions. Remember, most likely this has nothing to do with you. It is the drugs talking (along with her own heart-break and frustration in dealing with infertility.) Your job in these situations is to be comforting and supportive. Focus on how to best do so.

Be empathetic and understanding. Remember this hard on her too. Plus she’s the one taking all those medications. Although the mediations are hopefully helping the infertility issues, they are also wreaking havoc in her body so to speak. Odds are that she likely doesn’t like being so emotional and that it is no piece of cake for her either.

Ask how to support her. At times it may seem like everything you do in an effort to understand and be comforting is the wrong thing. This can be beyond frustrating. However, the best way to know how to support your partner is to ask and have her make it explicit. But here is a little tip: often the best time to ask is not in the heat of the moment, but rather when she (and you) is not so emotional. At that point you both will be able to think about and communicate your needs rationally. And yes, it is okay to tell her how the tense moments affect you, just be sure to use “I” statements in regards to how you feel about certain things, and not play the blame game. It is also a good idea to have a debrief session after an emotional time (once you both are calm) or after a procedure or an injection, etc. to check in with her to ensure that you both support one another in positive ways.

Take care of yourself. This should be an essential component throughout your infertility journey, but especially when your emotions are being taxed. Do whatever you like to do to recharge your batteries. Be it sports, cars, art, cooking, a hobby or whatever; make time for it. In addition, I highly recommend that you make a part of your self-care something that is health/exercise related. The stress relief, the endorphins release, the emotional decrease and the overall health benefits will make you feel better. 

In the end, remember that the two of you are in this together, even though you have different roles to play. Figuring out how to best support one another is one of the greatest gifts you can give to each other at this time. Also remember, “this too will pass.” She will not always be taking infertility medications and her doing so now, along with all the interventions you are doing, is a part of your “fight” for fatherhood. When that happens, it will all be worth it and you will feel like the king of the jungle.

About the Author:

Fred Harlan, MAMA, MFTI is a resourceful Marriage and Family Therapist Intern (IMF 74125), who specializes in helping men cope with infertility, be it their issue or that of their partner, and with couples who seek to strengthen their relationship. Fred experienced the challenges of infertility firsthand as he and his wife struggled through eight years of infertility before becoming parents.

Fred is an expert in communication and interpersonal relationships. He is a skilled educator and speaker having taught and spoke in university, professional and community settings. He holds masters degrees in Clinical Psychology and Speech Communication, and a BA in Theatre.

Fred works in private practice in Thousand Oaks, CA. He enjoys sports, the arts, and most of all, and doing anything with his wife and son. 

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Complete Chromosomal Screening with IVF

Dr. John Norian along with the staff of Fertility Authority authored the following article about "Next Generation Sequencing" preimplantation genetic screening. To read the full article, please click here to go to the Fertility Authority website.

Written in Partnership with HRC Fertility, October 8, 2015

Several techniques have been developed to screen the chromosomal DNA of embryos created with IVF. This is commonly referred to as PGS, preimplantation genetic screening; however a better term might be complete chromosomal screening (CCS). PGS determines if an embryo contains the correct number of chromosomes (46,XX for a female and 46,XY for a male), and can identify embryos that have the normal number of chromosomes (euploid) or the abnormal number of chromosomes (aneuploid).

Next Generation Sequencing, the most current iteration of PGS, is a different, deeper way of doing PGS, according to Dr. John Norian. The current PGS techniques use array-CGH which probe each chromosome hundreds of times to determine the proper number of chromosomes. Next Generation Sequencing, as its name implies, uses sequencing instead. It involves biopsying a day-5 embryo (blastocyst), amplifying the DNA and determining euploidy. “We amplify the DNA to determine if there are two copies of each chromosome by sequencing multiple conserved regions of each chromosome,” Norian says.

“The core group of patients I recommend PGS to are women who are at risk for aneuploidy – women who are in their mid-to-high 30s, and particularly low 40s, who are at risk for Down syndrome and other chromosomal errors,” say Norian, a fertility doctor with HRC Fertility in Rancho Cucamonga, CA. " In addition it gives us more information as clinicians, diagnostically, to better understand why people are not getting pregnant.”

HRC Fertility is currently using Next Generation Sequencing for PGS, and Norian is involved with a clinical trial looking at the technology for better selection of embryos with IVF. He’s very excited and optimistic with the preliminary data. “Next Generation Sequencing is going to allow us to be safer as reproductive endocrinologists. It’s going to allow us to put back fewer and healthier embryos; more importantly, to do single embryo transfers while maintaining high pregnancy rates.” According to Norian pregnancy rates of up to 75 percent are being reported.

Next Generation Sequencing in its current iteration requires frozen embryo transfer. “There are arguably benefits to frozen embryo transfer,” Norian says. “So long as you have a good, robust embryology lab that’s very used to freezing, thawing and vitrifying embryos, that’s where you’re going to have the highest success. I think there’s benefit for frozen embryo transfer in that you more closely mimic the natural cycle, at least in terms of the estrogen levels, while not over stimulating the lining.”

Norian says that with PGS and Next Generation Sequencing, “We have much more valuable embryo data and it allows us to put back a single embryo with confidence.”

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HRC Fertility Rancho Cucamonga 2014 Holiday Card

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HRC Fertility Rancho Cucamonga 2014 Holiday Video

Enjoy a short video of the wonderful times and new friends we met in 2014 at HRC Fertility Rancho Cucamonga. We look forward to what 2015 bring us!

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