Guest: Dr. Jason Hitkari

Episode Timestamps

[00:00] – Introduction and episode overview

[00:29] – Guest introduction: Dr. Jason Hitkari

[01:05] – Declining fertility rates in Canada and BC

[03:54] – The rise of egg freezing and its exponential uptake

[05:20] – Elective vs. medical egg freezing (oncofertility)

[05:51] – Cost of egg freezing and lack of MSP coverage

[06:44] – CFAS guidelines on egg freezing: who and when

[07:32] – The primary care provider's role in egg freezing counselling

[08:05] – When to investigate infertility: age-dependent timelines

[09:46] – The basic infertility workup in primary care

[10:51] – AMH testing: what it is and how to interpret it

[11:53] – Pelvic ultrasound and tube assessment (HSG)

[13:44] – Who should be referred to a fertility specialist

[14:17] – Approaching the "fertility assessment" request in primary care

[15:44] – Overview of fertility treatments: IUI, IVF, and ICSI

[17:43] – Male fertility: lifestyle factors and semen analysis

[21:21] – BC's new MSP IVF funding: eligibility and coverage

[23:00] – The IVF waitlist and what patients can expect

[23:39] – How patients access the funded IVF program

[24:03] – Equity and access: financial, LGBTQ+, and legal barriers

[25:21] – Rural access to fertility care in BC

[27:05] – Key takeaways for primary care providers

[28:24] – Knowledge nugget: a brief history of fertility

[30:18] – Credits and CME information

Studies & Research Mentioned

Janecka M, Mill J, Basson MA, et al. Advanced paternal age effects in neurodevelopmental disorders—review of potential underlying mechanisms. Transl Psychiatry. 2017;7:e1019. doi:10.1038/tp.2016.294

Janecka M, Haworth CMA, Ronald A, et al. Paternal age alters social development in offspring. J Am Acad Child Adolesc Psychiatry. 2017;56(5):383–390. doi:10.1016/j.jaac.2017.02.006

Grossman DC, Curry SJ, Owens DK, et al. Screening for Ovarian Cancer: US Preventive Services Task Force Recommendation Statement. In: StatPearls. Rockville, MD: Agency for Healthcare Research and Quality; 2018. https://www.ncbi.nlm.nih.gov/books/NBK442158/

Practice Committee of the American Society for Reproductive Medicine. Fertility evaluation of infertile women: a committee opinion. Fertil Steril. 2021;116(5):1255–1265. https://www.asrm.org/practice-guidance/practice-committee-documents/fertility-evaluation-of-infertile-women-a-committee-opinion-2021/

© UBC Faculty of Medicine All Rights Reserved

Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.