​With conflicting treatment approaches to hypothyroidism, Dr. Wilshire explains how infertility specialists assess and treat hypothyroidism.

#thyroid #hypothyroidism #hasimotos #thyroidfunction #thyroid101

You may have read that when you're trying to conceive, you need to wait before going to a fertility specialist.  The standard recommendation is if you're under 35, you try for a year; if you're 35 or older, you try for six months - then you start the process of an infertility diagnosis.  Sounds reasonable, except for some women (and men), waiting is wasting time.  Dr. Wilshire explains the ten exceptions to waiting.

The ten reasons are:

• You have irregular periods and do not know when you ovulate
• You're taking multiple medications that may impair fertility
  
• You're underweight or overweight; both extremes may impair fertility
  
• You have a history of pelvic infection, a previous STD (sexually transmitted disease), PID (pelvic inflammatory disease), or previous abdominal surgery (ie. removal of your appendix)
  
• You have painful periods or painful intercourse
  
• There are timing conflicts that will interfere with having relations during your ovulation window
  
• There are known male factor issues, such as treatment for childhood cancer, varicocele, etc.
  
• The male partner is taking multiple medications which may impair fertility
  
• The male partner is untested/unproven (semen analysis has not been done)
  
• Your time is priceless and you want to have a baby now - wasting time is not to your advantage
  

#infertility #drwilshire #ttcjourney #ttc #haveababy

Infertility treatment is never easy; in fact, it can be quite stressful.  There are things you can do each day to help yourself feel in control and empower your thinking toward the positive and not the negative.

Practice Self Awareness: Know yourself, your limits, strengths, weaknesses, and most of all your values.  When you feel run down, tired, or like you want to give up, rest and take care of yourself.  Remember, it's also okay to say no if you don't feel like doing something.

Use Positive Self Talk: Be your own advocate. You are pretty freaking awesome - make sure you REALLY know it. If you don't believe it, say it to yourself, again and again; we tend to believe what we tell ourselves, so be sure you're using positive affirmations to yourself each day.

Strive to Learn: Learn something everyday.  Lifelong learning is a way to keep our minds open, maintain our curiosity, and also not focus on negative things!

Seek to Understand People: We are all different, yet we are also all the same. So before you seek to be understood, seek to understand. 

Live in the Present: Enjoy each and every day. Don't look back, that's not the direction you're heading - your going forward, into the future!

Don't Worry About the Future: Worrying does nothing, so let it go; see live in the present!

Don't Regret Your Past: Own it. Learn from it. Use it. and Let it go. Simple.

Don't Run Yourself Down: See Positive Self Talk above - you are AWESOME. End of Story.

Believe In Yourself: You've got this!

#wednesdaywisdom #loveyourself #selfcare #infertility #columbiamo #missouri

Remember, you are not alone.

​Dr. Gil Wilshire performs an open surgery to remove a fibroid that was causing pain, heavy irregular bleeding, and infertility.  The ability to remove these fibroid tumors without damaging the endometrium (cavity) of the uterus is clearly demonstrated.

​In this video Dr. Wilshire will perform a laparoscopy on a woman in her late 30's, with Fitz Hugh Curtis Syndrome, which caused by a  chlamydia infection that goes up through the uterus and tubes and into the abdomen, infecting the entire abdominal cavity.

#STD #Chlamydia #Infertility #CoMo #Missouri #DrGilMD #MissouriFertility

​The uterus is normally triangle-shaped and hallow on the inside, with a septum, there is  a dip inside, called a septum, and it can cause miscarriages and other reproductive problems. In today's video, Dr. Wilshire performs surgery on a young woman who has a septum in her uterus.