The Hemp Connection:
multiple births

OK, I watched the interview. I've also been talking to women seeking infertility treatment for going on 10 years. I've heard the same story coming from Atlanta, Columbus, and Sacramento. In that time, I've also worked to create a program that serves as an alternative for those who could benefit. I think I've got enough observations under my belt to contribute an informed opinion about what goes on in the incredibly emotional, expensive, and at times, dangerous, world of reproductive endocrinology.

First and foremost, the fact that we can create babies in so many ways other than the one Mother Nature originally designed…is pretty much a miracle. It is a gift that we as medical professionals can provide this help. That's right, it's a gift. We should accept it with humility and treat it with respect. I never forget that. Every single time I have a new appointment, in person or on the phone, I pause to say a prayer,"God, your will, not mine." I take this work that seriously.

There are some incredible practitioners out there who do their work with respect and humility. However, because infertility treatment is, much of the time, not a medical issue that insurance will pay for…it is a huge money maker for those who practice it. Which means it also attracts individuals with reasons other than altruism for being in the business.

And it is those practitioners who, unfortunately, have pushed the science of reproductive endocrinology ahead much more quickly than those with a conscience have been able to formulate and communicate appropriate codes of ethics by which that science would best be used.

Let's look at how the dynamic develops.

1. You've got a woman who believes she's 100% normal in the reproductive department, who assumes that when the time comes, she'll marry, have children, and happily continue the cycle of life. She may go to the doctor for a routine physical or go because she's not been able to conceive after 6 months of trying. She's told she may have trouble having children. She may be told that she may not be able to have children. Or…as many of my own clients have shared, she may be told that there is no way she will have children without paying thousands of dollars to the man in front of her to make it happen. She has been told that, instead of creating a life with her significant other, in a loving and intimate environment, she must consent to an expensive, invasive, very sterile, and potentially humiliating procedure which can leave her feeling more like a laboratory rat than a beautiful woman and loving-mother-in-the-works. And the person who will be making this happen is not only not someone who loves her, but someone who's going to hand her a huge invoice at the end of the encounter.

2. The combination of desperation on one side of the room and greed on the other…is highly likely to not play out in a way that prioritizes honesty and integrity.

3. A very high percentage of the women I encounter in this work are intelligent and high achieving; everything they've ever wanted in life, from an education, a career, a home of their own, has been attainable with focus and hard work. So being told that one of life's most basic functions, fertility, may not be yours for the taking, becomes one of the most frustrating, confining, maddening, esteem-assaulting things they've ever been forced to ask to accept. The only thing left to throw at the situation is…you guessed it…money.

4. And because this population is so high-achieving and intelligent, they often have that money. Money that can pay for procedures they may not necessarily need. But that they are highly likely to spend because their desperation is being viewed as a profit center for the person sitting on the stool next to their examination table.

5. It just goes downhill from there. On almost a daily basis at this point, I have a conversation with someone who's been through this wringer who finds this blog, who wants help and has been so brainwashed into believing that her problem is so bad that only tens of thousands of dollars and a person with a certain diploma on the wall can fix it. Even when we put solutions and testimonials and support on this blog, completely for free, the sales job these women have been given is so complete and so convincing, dozens and dozens and dozens of women do not even give any other kindler, gentler, less invasive and dangerous option an iota of consideration. So they empty out their bank accounts. Sometimes they get a baby. Sometimes they don't.

When I do my PCOS trainings, I always invite women with the syndrome to come in and share their stories to those who want to help women who have this diagnosis. I do it because I want those who have no experience with the infertility world to understand just how much anxiety and depression their future clients have. They need to understand just how much compassion we owe them when they come to us for help.

Sometimes I sit and listen to the spiels these women have been given about what they must do (which invariably includes making a monthly payment on their physician's mountain home) in order to have a family. And I wonder why this guy bothered spending all the money to get a medical degree when he could simply have left high school and made much bigger fortune selling used cars at the parking lot down the street.

I reiterate, I have had the good fortune of meeting and working with many kind, compassionate, intelligent, and ethical reproductive endocrinologists. I am happy to support their work and the miracles they have been given the talents and power to create.

But I also have a lot of trouble with physicians who forget that they are not God. They are not even one step away from God. They're preying on insecurity and desperation that risks the lives of the women asking for help and the babies who didn't even ask to be part of the situation.

I'm not at all happy to hear this story coming out of California. But…maybe the fact that this happened will encourage more scrutiny of the entire reproductive industry as a whole. Maybe we'll finally work on a code of ethics to protect all of the lives involved. Those who do this work for the right reason deserve to shine and be rewarded. And those who would be better off selling Yugos…can be nudged into the polyester suits and those dusty, moldy offices on America's seediest of car lots.

This post is part of the Women's Health Blogfest. Please click on the links below to read more from other contributors! And thanks to everyone who took the time to participate!

In the almost 10 years I have been studying PCOS, I've learned much about what drives a woman's motivation to seek out information. The top reasons women find this blog are:

1. to improve their fertility,
2. to more effectively manage their weight, and
3. to feel and look better

As I've read and met women with the syndrome, I've learned that PCOS is about a whole lot more.

1. A woman's breastfeeding practices seem to significantly influence her child's hormonal health. Many women I've worked with were formula fed at a time when baby formula did not contain essential nutrients.
2. Whether or not you as a woman with PCOS were born to term, and potentially whether or not you were part of a multiple birth, seem to be red flags for PCOS risk later in life.
3. Just because you're a teenager, too young to want to conceive, or a woman who has already had her children, doesn't mean PCOS isn't something to be concerned about. It can mess with your mood, and in turn your energy level and relationships. It can provoke eating disorders. It can elevate your cholesterol. And…through its link to diabetes, it may increase your risk for Alzheimer's disease.

A blog attempting to tackle a syndrome with such widespread effects is not easy to manage. I've been working since we've started to find experts in areas outside of nutrition to complement what I as a dietitian can discuss and promote. I'm really excited to be partnering with lactation consultants to address breastfeeding issues specific to PCOS, and to have Gretchen Kubacky, PsyD, on board, to help us understand what PCOS can do to thinking, mood, and energy. We have one dietitian, Karen Siegel, who is also an acupuncturist, and another acupuncturist will soon be contributing her insight as well.

For the very first time, we are collaborating with Green Mountain at Fox Run in Ludlow, Vermont, to offer PCOS Program weeks this coming September! It's been a dream of mine to see this kind of program and there is no better place where it could be launched. Green Mountain is also participating in this blogfest, if you'd like to learn even more, be sure to read their contribution.

We don't just care about your ovaries. We care about all of you, from birth through retirement, and we hope that as we grow and diversify, the expert opinions you will see expressed here on this blog will address the many important ways we can keep our hormones working positively for us.

Thanks for stopping by our contribution to the Women's Health blogfest. If you enjoyed us, you can follow us with the signups you see here on the blog, through our Facebook inCYST group, or through Twitter, via @incyst.

For more information on women's health:

Angela White at Blisstree’s Breastfeeding 1-2-3 – Helpful Skills of Breastfeeding Counselors
Angie Tillman, RD, LDN, CDE – You Are Beautiful Today
Anthony J. Sepe – Women's Health and Migraines
Ashley Colpaart – Women's health through women
Charisse McElwaine – Spending too much time on the"throne?
Danielle Omar – Yoga, Mindful Eating and Food Confidence
Diane Preves M.S.,R.D – Balance for Health
Joan Sather A Woman's Healthy Choices Affect More Than Herself
Laura Wittke – Fibro Study Recruits Participants
Liz Marr, MS, RD – Reflecting on Family Food Ways and Women's Work
Marjorie Geiser, MBA, RD, NSCA-CPT – Healthy Women, Healthy Business: How Your Health Impacts a Powerful Business
Marsha Hudnall – Breakfast Protein Helps Light Eaters Feel Full
Michelle Loy, MPH, MS, RD – A Nutritionista’s Super Foods for Super Skin
Motherwear Breastfeeding Blog – How breastfeeding helps you, too
Rebecca Scritchfield, MA, RD, LD – Four Keys to Wellness, Just for Women
Renata Mangrum, MPH, RD – The busy busy woman
Robin Plotkin, RD, LD – Feeding the Appetites of the Culinary, Epicurious and Nutrition Worlds-One Bite at a Time
Sharon Salomon, MS, RD – Calories, longevity and do I care
Terri L Mozingo, RD, CDN & D. Milton Stokes, MPH, RD, CDN of One Source Nutrition, LLC – Crossing the Line: From Health to Hurt
Wendy Jo Peterson, RD – Watch Your Garden Grow