S1 E6: Fertility in Primary Care w/ Dr. Jason Hitkari

Guest: Dr. Jason Hitkari Host: Dr. Chris Morrow Producer: Craig Ferguson Music: "Stand With Me" by Adrian Walther licensed via SoundStripe 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.