In the second episode of "Before it's too late", the topic of choice is infertility following an interview with Dr. Dimitrios Goulis - an OBGYN doctor who specializes in infertility treatment. For more information about Dr. Dimitrios Goulis, please check out his clinic's website and Instagram page by clicking the links below! Website: https://www.drgoulis.gr/en/ Instagram: https://www.instagram.com/healthclinicdrgoulis/?hl=en Timestamps 0:00 - Introduction 0:12 - Episode overview 0:37 - Episode structure: Three big questions 0:54 - Definition of infertility 1:13 - WHO definition 2:06 - Question: Is infertility a problem? 2:16 - Infertility statistics 3:23 - Dr. Goulis's perspective on infertility 4:28 - Causes of infertility 5:00 - Lifestyle factors 5:12 - Frequency of sexual intercourse 5:38 - Diet and exercise impact 6:02 - Alcohol effects 6:19 - Stress and anxiety impact 6:59 - Obesity and fertility 7:23 - Smoking and drugs impact 7:32 - Chemical exposure 7:39 - STD impact on fertility 8:01 - Pelvic inflammatory disease 9:00 - Medical treatments for infertility 9:14 - Female fertility treatments 9:37 - Male infertility treatments 9:57 - Assisted reproductive technology (ART) 10:27 - Intrauterine insemination (IUI) 10:48 - In vitro fertilization (IVF) 11:06 - IVF success rates 11:15 - Dr. Goulis's insights on IVF 12:19 - UK IVF study results 12:46 - Pregnancy vs. birth rates 13:54 - Egg/sperm preservation 14:56 - Episode summary Reference - Smith, A. D. A. C., Tilling, K., Nelson, S. M., & Lawlor, D. A. (2015). Live-birth rate associated with repeat in vitro fertilisation treatment cycles. JAMA, 314(24), 2654. https://doi.org/10.1001/JAMA.2015.17296 - Treatment for infertility - NHS. (n.d.). Retrieved April 25, 2024, from https://www.nhs.uk/conditions/infertility/treatment/ - Goulart, A. C. X., Farnezi, H. C. M., Medeiros França, J. P. B., dos Santos, A., Ramos, M. G., & Penna, M. L. F. (2020). HIV, HPV and Chlamydia trachomatis: impacts on male fertility. JBRA Assisted Reproduction, 24(4), 492. https://doi.org/10.5935/1518-0557.20200020 - Excess weight may affect sperm production, reduce fertility in men | News | Harvard T.H. Chan School of Public Health. (n.d.). Retrieved April 25, 2024, from https://www.hsph.harvard.edu/news/hsph-in-the-news/excess-weight-sperm-fertility/ - Jóźków, P., & Mȩdraś, M. (2012). Psychological stress and the function of male gonads. Endokrynologia Polska, 63(1), 44–49. - Mascarenhas, M. N., Flaxman, S. R., Boerma, T., Vanderpoel, S., & Stevens, G. A. (2012). National, Regional, and Global Trends in Infertility Prevalence Since 1990: A Systematic Analysis of 277 Health Surveys. PLOS Medicine, 9(12), e1001356. https://doi.org/10.1371/JOURNAL.PMED.1001356 - vander Borght, M., & Wyns, C. (2018). Fertility and infertility: Definition and epidemiology. Clinical Biochemistry, 62, 2–10. https://doi.org/10.1016/J.CLINBIOCHEM.2018.03.012 We write blogs about our medical experience in Greece here https://www.themadicles.com/news Listen to us on Spotify https://open.spotify.com/show/5XKugCXs0PSIt2OG1qd4vh Find us on Apple Podcast https://podcasts.apple.com/us/podcast/the-madicles-podcast/id1715123746 We make memes sometimes here https://instagram.com/the_madicles_podcast TikTok was Nick's idea https://tiktok.com/@the_madicles_podcast