In this very special episode, my own doctor Dr. Alexander Kofinas & I discuss Unexplained Infertility & Recurrent Pregnancy Loss including answers to the following questions:
- How did Dr. Kofinas identify my condition & save the lives of my two babies?
- Why should specialists practice with the mindset of a general practitioner?
- What is Maternal-Fetal Medicine (MFM)?
- How does someone desiring pregnancy know which type of doctor to see?
- Why does Dr. Kofinas consider an "IVF failure" of a normal baby a pregnancy loss?
- What is the true rate of pregnancy loss?
- Most doctors define infertility as the inability to get pregnant after one year, but why does Dr. Kofinas argue that women with even one pregnancy loss should have a basic workup?
- When does ovarian function & egg quality begin to decline?
- Why is the term "unexplained" infertility inaccurate?
- Which environmental factors contribute to infertility & pregnancy loss?
- What basic workup should be done for a woman desiring children PRIOR to seeking infertility treatment?
- At what age should the fertility evaluation begin?
- How do diet/nutrition, exercise & insulin resistance affect a couple's fertility?
- What does a fertility workup involve?
- What tests should be done on the male partner?
- What is the difference between IVF, IUI & ICSI?
- What is a HSG?
- What are endocrine disruptors & why are they dangerous?
- What are the effects of polyphenols?
- What does research say about the Mediterranean Diet?
- What are telomeres & why are they important?
- How does placental health correlate with life expectancy?
- What systemic medical conditions can affect fertility?
- Why is it so important to identify & treat endometriosis early on?
- What are MTHFR, PAI & ACE gene deletions?
- What guidance does Dr. Kofinas give for women who do not have insurance, benefits or finances to cover the cost of fertility workup & treatment?
- How does Vitamin D correlate with autism?
- Where can you find Dr. Kofinas's book The Working Womb?
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Alexander D. Kofinas, MD is the Director & Founder of KOFINAS PERINATAL. He is board certified in Ob/GYN & Maternal-Fetal Medicine. Dr. Kofinas trained in MFM at Wake Forest, where he kept a full-time position for 5 years. He has taught medical students, residents, & conducted research in the physiology of the myometrium & the mechanism of labor, as well as pioneering research on fetal cardio and uteroplacental vascular systems.
Since his return to NY in 1994, Dr. Kofinas has been involved in ongoing research & is regularly invited to speak at perinatal forums in the US & abroad. His research has been published in the most authoritative American and international medical journals & textbooks. Dr. Kofinas’ exceptionalism, however, comes from his unparalleled understanding of the fetal placenta, the most neglected human organ according to an official NIH statement. His experience with infertility patients has imparted him with an inestimable view of the placenta from its absolute earliest stages at five weeks gestation, allowing him to identify & resolve prenatal complications earlier & more effectively than anyone else in his field.
Dr. Kofinas has been selected by the New York magazine as one of the very few "Best Doctors" in the major tristate area eight times & has been one of the "Top Doctors" in New York metro area according to the New York Magazine. In addition, Dr. Kofinas has earned numerous awards as the most compassionate & of the highest quality by other regional and online rating agencies.
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For more from Dr. Kofinas check out:
https://www.kofinasperinatal.org/