Dr. Cindy Duke
speaker
30 appearances
1 recordings
1 series
first heard Jul 2026
last heard 18 Jul
Dr. Cindy Duke’s voice in public audio — every appearance, attributed to the second.
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recordings per month · last 12 monthsRecordings per month over the last 12 months — 1 in all, peaking in Jul 2026 with 1.
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Some women come in and they're already pretty clear on what options they're willing to try versus not.
So we start there.
We do talk about that reproductive window and what the realistic chances are based on results for her.
So age, of course, is the biggest determinant of success, but other factors play a role.
So that includes age.
what we call her ovarian reserve, that is how many eggs does she have remaining, what are other underlying health conditions that may further worsen her chances, such as things like endometriosis, prior surgeries, prior treatments like chemotherapy or radiation.
And then lastly, whether or not she's interested in some of what we call more rejuvenative therapies, which are therapies that may help the ovaries perform better, not necessarily create new eggs, obviously, but to help them perform better.
So we cover those discussions and, of course, the possible use of eggs from someone younger, which is called donor egg.
You know, I looked at the study and overall, the findings are helpful for guiding the conversation with patients.
But again, like I said, what you have to factor in are other things about that woman's health.
So I can tell you the oldest woman I've been able to get pregnant with donor egg is 56 years old, right?
And so I think it's really about how you have the conversation with the patient, being very honest about her evaluation.
What is especially still taboo and absolutely requires more awareness is around the impact of male fertility on these conversations.
People assume men have no changes as they age as it relates to their fertility.
We now know that is not the case.
And there are a number of changes that happen even in how sperm is made and how it functions.
And so in many cultures, no matter where we are, that's another huge problem that we're trying to overcome, which is encouraging women.
families, men, in different cultures, different religions, to remember that when you talk to a couple about fertility, the burden isn't all supposed to fall on the woman, though culturally it usually does.
And so we do need to raise that part of the conversation since 50% of the time, the fertility issues involve something including the man.
You know, that's a really interesting and evolving part of the conversation.
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