RBMC - Jessica Salas Mann, M.D., FACOG
Raritan Bay Medical Center
2 Hospital Plaza, Suite 340 • Old Bridge, NJ 08857 • (732) 786-7900 • www.rbmc.org
Jessica Salas Mann, M.D., FACOG, is an experienced reproductive surgeon and infertility specialist, board certified in Reproductive Endocrinology and Infertility and Obstetrics and Gynecology. Her areas of clinical interest and expertise are pregnancy loss, ovulation induction, in vitro fertilization, polycystic ovarian syndrome, and third party reproduction. Dr. Mann educates her patients and works with them to develop the best plan to help them build their family while respecting their unique wishes.
If I’m trying to conceive, when should I see a fertility specialist?
It’s important to be open and proactive about your reproductive health. On average, it takes a couple five to seven months to conceive.
If you are a female under age 35 and have not conceived after 12 months of unprotected sex, it’s time to see a fertility specialist. If you are over age 35, see a specialist after six months of unprotected sex if conception hasn’t occurred.
Biological clock ticking? Egg preservation could be an option for you.
Yes, the tick-tock of our biological clocks is real. As a woman ages, the odds of conception begin to decrease, while the risk of miscarriage increases. At about age 38, on average, the risk of miscarriage rises to nearly 50 percent as the odds of conception begin to fall dramatically. If you are considering delaying childbearing, then it becomes vital to consider your biological clock.
While some women have good egg reserves well beyond their 30s, two facts do hold true for most women. The quantity of our eggs declines with age and, equally important, the quality of our eggs also declines with age.
However, the current state of assisted reproductive technologies has made tremendous advances. While we aren’t yet able to restore a woman’s decline in egg reserve and egg quality, the option of egg freezing allows women to delay the time of childbearing until they feel comfortable with the decision to be a mother.
What other reasons may make a woman opt for elective fertility?
Women with cancer or other serious medical conditions who may be about to undergo medical or surgical treatment that may damage their eggs, may choose elective fertility. Prior to these medical therapies, these women can have their eggs frozen and essentially, preserve their fertility.
What is the process to prepare for egg preservation?
Elective fertility preservation involves stimulation of the ovaries through medication followed by retrieval of the eggs. Prior to the procedure, the condition of the woman’s ovaries, more commonly termed “ovarian reserve testing,” is assessed through blood tests. Then, injectable medications are given to perform controlled ovarian stimulation, promoting growth and development of a group of eggs. When the eggs are mature, the patient undergoes an outpatient retrieval procedure to collect the eggs. Finally, in a laboratory setting, the mature eggs are rapidly frozen and stored for later use.
How safe is egg preservation?
Egg preservation is a proven process that allows women to start a family when they are ready, and that results in healthy children. Egg preservation is supported by both the American College of Obstetricians and the American Society of Reproductive Medicine. If you think elective fertility may be of interest, speak with a board-certified infertility specialist experienced in this specialty. Knowledge is an important tool for women considering this option.