Amidst the excitement of a new pregnancy, miscarriage can be a daunting fear — even more so for those who have experienced a miscarriage before. Dr. Edwin Robins from Center for Reproductive Health in Spokane, Washington, shares answers to the two most common fertility questions from those who have experienced a miscarriage.
1. “WILL THIS KEEP HAPPENING?”
Unfortunately, miscarriages are common. According to the Mayo Clinic, 10-20 percent of known pregnancies end in miscarriages. Fortunately, an early pregnancy loss (within the first 20 weeks) is unlikely to create issues with the uterus. Having a miscarriage, or even two, does not make you less fertile. But having several miscarriages consecutively may be a sign of an existing condition that is affecting your fertility. Women who’ve had two or more miscarriages are considered to have recurrent miscarriages, and should be evaluated by a Fertility Specialist.
2. “WHAT CAN I DO TO PREVENT IT FROM HAPPENING AGAIN?”
For women with recurrent miscarriages, a visit to a fertility specialist is crucial. If a cause can be determined, you may be able to take preventative measures to reduce the likelihood of future miscarriages. Miscarriages are often caused by a genetic abnormality in the embryo. Other causes could be anatomical, immunological, or hormonal issues, or unknown causes. There are a number of different tests we can perform to determine the likely cause of recurrent miscarriage. There are also treatment and surgery options available to help correct issues preventing a full-term pregnancy. Women should be sure to discuss all the options with their Fertility Specialist.
Fear of miscarriage may not go away entirely, but with a cause identified and prevention plan in place, women can pursue pregnancy with less fear and improve chances of having a successful pregnancy.
Polycystic Ovary Syndrome (PCOS) affects up to 1 in 10 women of child-bearing age. Polycystic ovaries contain many small cysts just below the surface of the ovaries. PCOS can have several different manifestations, but most women experience irregular, unreliable ovulation and menstrual periods. This condition often leads to trouble getting pregnant.
A PCOS diagnosis doesn't necessarily mean you'll never have a baby of your own. There are ways to manage symptoms, boost ovulation and maximize chances of conception.
Lead a Healthy Lifestyle.
By staying active and eating properly, your body can regulate hormones and insulin levels. A healthy lifestyle typically leads to a healthy weight and body mass index (BMI), which can improve ovarian function. Also consider talking with your doctor about taking vitamins and supplements for managing certain symptoms.
Communicate with your partner.
While this may not directly affect your symptoms, PCOS affects both you and your partner. Tell your loved one that you need their love and support. PCOS can cause mood swings and depression and some medications may cause side effects. If your partner knows this in advance, they can better prepare to support you. If you’re trying to lose weight to manage your PCOS symptoms, ask your partner to join you in pursuing a healthier lifestyle. We suggest hitting the various hiking trails around Spokane and the Inland Northwest together!
Visit a Fertility Specialist.
Once you’re ready to start a family, see a fertility specialist right away. The team at Spokane's Center for Reproductive Health will walk through all the options with you, so you can make the best decisions for your future family. There are several different medications and treatments to encourage ovulation and increase your chances of getting pregnant and staying pregnant.
Struggling to have a baby can be one of the most difficult side effects of PCOS. At Center for Reproductive Health, Dr. Robins utilizes innovative technology and over 20 years of experience to help you reach your goal of a healthy pregnancy. If you have questions about getting pregnant with PCOS, or want to come in for a free nurse consultation, call the Center for Reproductive Health at (509) 462-7070.
Join the top fertility care team in the Inland Northwest!
The Center for Reproductive Health is looking to expand our team. We are currently seeking talented, motivated and compassionate people in Spokane, Washington. The Center for Reproductive Health helps patients from across Washington, Idaho and Montana realize their dreams of becoming parents. Our work is rewarding, challenging and fun.
The following positions are currently available. We look forward to hearing from you!
This full-time position works closely with the Physician, Embryologist, Nurse Coordinators, Medical Assistants, and Front Office to ensure a positive patient experience. Nursing duties include, but are not limited to: educating patients about cycles and medications, coordinating treatment cycles, phone triage, and maintaining a high level of confidentiality. A successful candidate must be organized, possess superior customer service skills, excellent time management, and the ability to be a team player. Skills/Requirements: Graduate of accredited School of Nursing and prefer two years experience in related field. Must have current RN license and applicants must be available to work Monday-Friday with the ability to work early mornings and occasional weekends. CRH offers an excellent compensation and benefit package including a generous retirement plan. Join us in changing people’s lives and building families! To apply, please email a resume and cover letter with “Registered Nurse” as the subject line, to NataleeC@fertilitydoctor.net. Compensation: $24- $32 /hr, depending on experience.
Required license or certification:
The Center for Reproductive Health is offering a great opportunity to work with patients throughout their fertility treatment. CRH specializes in advanced reproductive technologies for both men and women. Our goal is to offer leading edge technology with unsurpassed patient service. The Certified Medical Assistant (CMA) position currently available is 24 hrs/week with opportunities for additional hours. We offer competitive pay and opportunities for growth.
CMA duties include rooming patients, assisting and chaperoning in-office procedures, ensuring efficient clinical flow focused on solid communication with physician and nursing staff, assisting in OR with infertility procedures, prepping/stocking/cleaning exam rooms, phlebotomy and injections, chart prep and review, lab data entry, and nursing support.
If interested, please email your letter of interest and resume to NataleeC@fertilitydoctor.net.
The Center for Reproductive Health is looking for an experienced administrative professional to join our Financial Coordinating and Scheduling Department. Successful candidates must have the ability to be able to work closely with co-workers as well as independently. Attention to detail, excellent attendance and strong work ethic are a must in this position. Primary duties include financial consults, scheduling patients, verifying insurances, some billing and answering mult-line phones. A minimum of one year previous experience in a medical practice setting and/or relevant education is preferred. Centricity practice management knowledge would be helpful along with medical terminology. We offer a competitive compensation package dependent upon level of experience. Benefits are provided after a probationary period along with a 401k plan once certain criteria are met. To apply please email your resume and cover letter with "Financial Coordinator/Scheduler" as the subject line to NataleeC@fertilitydoctor.net. This position is full time and salary is negotiable depending on experience.
If you have questions about any of the listed positions, please call us at (509) 462-7070.
You did it. You fought through infertility. You and your partner are finding your groove as new parents. Maybe it’s the lack of sleep or erupting hormones talking, but you find yourself dreaming of another baby.
You’re not alone! According to the U.S. Census Bureau, the average family has 2-3 children. For those who sought fertility treatment to conceive their first child, the idea of seeking treatment again can be physically, emotionally and financially daunting. The looming question remains: If you had trouble getting pregnant the first time around, does it mean you’ll need treatment to get pregnant again? Each case and individual is unique, but it’s likely.
If you're considering adding another baby to your family, it’s important to stay healthy, think positive, and once you’ve decided to have another child, start trying. You should make an appointment to see a specialist right away. Depending on the issues and treatment you experienced in your first pregnancy, Dr. Robins and the team at Center for Reproductive Health can recommend a plan for conception and discuss every option with you.
Some symptoms or conditions you experienced may no longer be a problem for you, but issues such as growths in your uterine lining, have a likelihood of coming back and affecting your fertility. Age is also a contributing factor in fertility health and the same treatment that helped you get pregnant the first time, may not be as effective the second time around.
Dr. Robins at Center for Reproductive Health has helped thousands of Pacific Northwest families get pregnant – many of them more than once. Once you’re ready to continue growing your family, make the call and the top specialists will work with you to create a plan that is best for your health, your family and your goals to have a healthy pregnancy and baby.
To make an appointment, call (509) 462-7070.
The team at Center for Reproductive Health is excited to announce that Dr. Robins is now seeing patients in Missoula, Montana! Men and women from around the country have started their families at Center for Reproductive Health in Spokane, but we understand that traveling for an appointment can be difficult. We are partnering with local physicians in Missoula, Yakima, and Tri-Cities to bring the fertility experts to you.
Missoula appointments are available on the following dates:
Monday, June 5, 2017
Wednesday, July 5, 2017
Monday, August 14, 2017
Monday, October 2, 2017
Dr. Robins will be seeing new patients in Dr. Tim Burke’s office: 2835 Fort Missoula Rd #305, Missoula, MT 59804
To schedule an appointment, call (509) 462-7070 .
Edwin Robins, MD is Center for Reproductive Health's Medical Director and a Board Certified Reproductive Endocrinologist. He opened the Center for Reproductive Health in Spokane in 1998. Prior to moving to Spokane, Dr. Robins was an Associate Director at the Institute of Reproductive Medicine and Science of St. Barnabas.
Dr. Robins served as head of the Division of Reproductive Endocrinology at the National Navy Medical Center in Bethesda, Maryland. Dr. Robins received his M.D. degree and completed his residency at Loma Linda University School of Medicine in California. He did a fellowship at the National Institutes of Health and Federal Fellowship Program, where he later started the assisted reproductive technology program.
The author of numerous research papers, Dr. Robins also served as assistant professor at the Uniformed Services University of the Health Sciences in Bethesda, Maryland. Dr. Robins is committed to treating every patient with dignity and respect and takes time to understand each case of infertility, ensuring you get the most appropriate and effective approach to your care.
You can learn more about new patient consultations and other appointments offered outside of Spokane by calling (509) 462-7070. We look forward to seeing you!
Photo taken by Taylor Robbins for Destination Missoula.
The Mann-Grandstaff Veterans Affairs (VA) Medical Center and the Center for Reproductive Health (CRH) in Spokane are announcing a new partnership to provide Veterans injured in combat with the opportunity for fertility treatments, including In Vitro Fertilization (IVF) for Veterans enrolled in the VA health care system.
Last September, Congress passed legislation allowing the VA to fund medically-appropriate IVF services to Veterans wounded in combat and no longer able to naturally conceive.
Now, contracts are in place between Mann-Grandstaff VA Medical Center and the Center for Reproductive Health and the University of Washington for eligible Veterans. Spokane’s Center for Reproductive Health fertility clinic has served the Inland Northwest for nearly 20 years and helped thousands of families conceive and birth healthy babies.
“The science and technology behind IVF continues to advance and make it possible for more people to start families, even those who have suffered traumatic injuries,” CRH’s Medical Director, Dr. Edwin Robins, explained. “As a Navy Veteran, this opportunity is particularly close to my heart. I am honored to have the opportunity to work with Veteran families and help them build a family.”
IVF is complex and can be costly, depending on one’s medical insurance. The VA hopes to relieve some stress and financial burden on local families by covering the treatment costs.
“We are so excited for our Veterans,” said Julie Liss, RN, BSN, (U.S. Navy Ret.) Women Veterans Health Program manager, at the Mann-Grandstaff VA in Northwest Spokane. “This partnership allows us to continue meeting the needs of our Veteran population throughout Eastern and North Central Washington, and Northern Idaho by providing young families with the care they need to start a family.”
The legislation passed by Congress secures funding through September 2018. Reimbursement of adoption expenses may also be available to eligible Veterans.
Veterans seeking access to fertility treatment and have a documented reproductive injury can contact the Mann-Grandstaff VA Medical Center in Spokane at (509) 434-7009 to make an appointment.
In times of stress or uncertainty, it’s common to find ourselves tossing and turning, instead of sleeping through the night.
There is not enough sufficient evidence to prove that sleep habits directly impact fertility, but we do know that lack of sleep can negatively affect your physical health and overall happiness. Sufficient sleep allows our busy bodies to repair cells and regulate our hormones. Lack of sleep can sometimes disrupt menstrual cycles and compromise the production of leptin, a crucial hormone for weight control and energy.
How much sleep are you getting each night? If your answer is less than 4 hours, you’ll want to consider some lifestyle changes and aim for 7-9 hours each night.
Here are some of our most successful sleep tips from CRH clients:
Start a sleep diary.
Set an alarm to go to bed.
Other ways to improve sleep include exercising regularly, avoiding caffeine and alcohol, setting your bedroom temperature to 68-70 degrees, and talking with your doctor about any medications your taking that could interfere with sleep.
At Center for Reproductive Health, we look at your whole-body health to help you achieve a healthy pregnancy as soon as possible. We hope some of these tips can help you find the rest you need to recharge! If you have questions about fertility health or want to make an appointment for a free nurse consultation, call (509) 462-7070.
The Inland Northwest's top infertility expert, Dr. Edwin Robins, recently went to Facebook Live to answer your commonly asked fertility questions. You can watch the full video here:
If you have additional questions about infertility or your individual fertility health, you can send a message to a Center for Reproductive Health specialist on our Contact Us page. We also offer free, in-person nurse consultations for new patients. You can make an appointment by calling (509) 462-7070.
Commonly known as the “two-week wait,” the time between ovulation and your expected period can be riddled with hopes and anxieties. For many women trying to conceive, the wait plays one question on replay: “Am I pregnant this time?” And for those of us going through fertility treatments, the resounding fears of failure and hopes for success can be even louder.
The team at Center for Reproductive Health compiled some of our favorite tools to help you quiet the noise:
Waiting is hard, but we hope some of these tips can make it a little more bearable. If you’re looking for additional help, Center for Reproductive Health is pleased to recommend professional counselors for patients. You can call (208) 462-7070 if you have any questions.
An entire day devoted to celebrating love. There is no clearer embodiment of love than parenthood. Each day, our team at Center for Reproductive Health works with men and women going to extraordinary lengths to pass down a legacy of love to the next generation. You inspire us!
We understand that between office visits, regimens, and procedures, fertility treatment can take a toll on a relationship. Valentine’s Day serves as a reminder that some days are difficult and tiring, but we can’t lose sight of our love and commitment to those battling beside us.
You may have just begun fertility treatment, or feel exhausted by months of trying. Either way, Center for Reproductive Health wants to encourage you to spend time with your partner, without the pressures of conceiving.
Here are a few local suggestions for escaping fertility talk for the day:
We hope time together can strengthen your relationship for when you face challenges in the future, infertility-related or not. If you’re visiting Spokane, stop by our clinic to say hello to Dr. Robins and the Center for Reproductive Health team. We would love to see you and wish you a Happy Valentine’s Day!
You can contact the Center for Reproductive Health at (509) 462-0707.
Fertility health is an increasingly popular topic of conversation these days, thanks to celebrities, the media and more people openly sharing their stories and struggles. This trend has led to an increase in support and awareness, but many misconceptions have also arisen in the process. We’re here to set the record straight on a few of common fertility myths.
MYTH #1: Taking ‘the Pill’ for many years reduces your chances of getting pregnant.
Oral contraceptives, better known as the birth control pill, prevent pregnancy by preventing ovulation. When a woman stops taking the pill, the hormones leave the body within a couple of days, regardless of how many years she took the pill. Once the hormones are out of the system, the body starts to produce hormones to start your menstrual cycle. For most women, it will take a couple of pill-free weeks to ovulate, others may take a few months.
MYTH #2: Infertility is only a female problem.
About 40% of infertility cases are attributed to male factors. Initial tests conducted at Center for Reproductive Health include a semen analysis where experts assess the volume, concentration, movement and shape of the sperm. Even if the male has had a child in the past, it doesn’t guarantee easy conception in the future. If a male has gained weight or developed a thyroid disorder, it may affect fertility. Learn More: Patient Resources
MYTH #3: All Couples should try for at least a year before seeking fertility help.
Infertility is typically defined as not conceiving after one year of unprotected sex, but some couples should come in sooner to get evaluated if they don’t become pregnant. Dr. Robins at The Center for Reproductive Health recommends that women age 35 and older get evaluated by a specialist after trying for six months. Women younger than 35 should still try for a year, unless they have a condition that could make it difficult to become pregnant, such as an abnormal menstrual cycle, history of miscarriages, endometriosis or other complex medical conditions. Learn more: When Should I See a Fertility Doctor?
MYTH #4: IVF is the only fertility treatment option.
In vitro fertilization, or IVF, is a term commonly interchanged with fertility treatments, and as a result, many of our new patients think that they need IVF. The reality is that there are several non-invasive or low-tech treatment options available. Center for Reproductive Health offers a full range of fertility treatments including ovulation induction, timed intercourse, or intrauterine insemination (IUI) and many other techniques. Depending on your age, medical history and fertility test results, your care team will help you determine which fertility treatments will work best for you. Learn more: Getting Started
MYTH #5: Medical insurance doesn’t cover fertility treatments.
The cost and insurance coverage for fertility treatment varies based on the type of fertility treatment needed. The Center for Reproductive Health works with all insurance plans and the large majority of patients with insurance will have full coverage for their initial consultation. About 60%-70% of patients have some level of coverage for further treatments. Our financial staff works with you and your insurance provider to make treatment more affordable. Also ask about our Shared Risk X3 Guarantee Program and ReadyGO Egg Donor program to ensure your investment is beneficial. Learn more: Financial Information
If you have further questions about fertility treatment or want to make an appointment, call (509) 462-7070.
What you eat can impact your likelihood of getting pregnant. As your body nears ovulation, it needs plenty of B vitamins and other nutrients to support the release of the egg and promote implantation. Some studies have shown that vitamins such as Zinc and Vitamin C may play a role in progesterone production, as well.
Essential fatty acids (EFAs) are also crucial during the ovulation phase. The best source: omega-3s from fish and fish oil supplements. These EFAs promote blood flow to the uterus and support the opening of the follicle to release the egg. Fish oil can increase blood circulation and boost the natural testosterone in a woman’s body. During ovulation, fill your plate with leafy greens, whole grains, eggs, legumes, meat, fish and lots of water. Water plays a key role in transporting hormones and developing follicles. It also helps thin out cervical mucus, which may make it a little easier for sperm to reach the egg.
You’ll want to avoid acidic foods like coffee, alcohol, meat and processed foods, which may make your cervical mucus hostile to sperm. If you’re ovulating, serve up some salmon and brown rice with a side of sautéed greens for dinner tonight. You can also add a bowl of berries and a little dark chocolate for dessert... romantic and delicious!
For many of us women, holiday parties and events will include conversations with the prying friend or family member asking questions about when we plan to have a baby. Depending on the inquisitor, you may choose to share or keep your choice to pursue fertility treatment private. Either way, the team at Center for Reproductive Health has compiled a few graceful (and perhaps humorous!) responses to get you through the small talk over eggnog.
DANCE AROUND THE ISSUE
GO BLUNT OR GO HOME
GOOD FUN & HUMOR
SHARE THE REALITY
Since your fertility is your business, you can choose what to share. If you’re feeling bombarded with questions, consider sharing your concerns with your partner and perhaps they can help you change the subject during uncomfortable conversations. At Center for Reproductive Health, you can connect with professionals and other local women who understand what you may be going through. We can help you obtain community or counseling services with fertility treatment.
If you have more questions, contact us today.
Whether it's for work, family holidays, or a long-awaited vacation, you may be wondering how to arrange travel while undergoing fertility treatment. It's possible – but not recommended during the active phase of your IVF cycle.
Here are some guidelines to consider before you pack your bags:
- If you're flying, contact the airline to find out what is required for you to carry on treatment medications and/or syringes. If necessary, Dr. Robbins can write a letter stating your need to travel with your fertility medication.
- Don't forget to pack extra accessories like needle tips, alcohol wipes and hand sanitizer.
- Bring a travel sharps container to ensure you properly dispose of any needle tips.
- If your medication needs to be refrigerated, use frozen gel packs (they will need to be frozen solid, not slushy to get through TSA screening).
- Make sure you have received all the proper vaccinations if you're traveling outside the country. Contact us to review your vaccinations, as some may not be recommended for patients in the midst of fertility treatment.
At Center for Reproductive Health, we will work with you to accommodate your plans and sometime busy life. If you know about travel plans in advance, call us at (509) 462-7070 to discuss your medications and where you are in your cycle.
If you’ve been trying to get pregnant, you’ve probably been told to “just relax and let it happen.” While the advice is typically well-intended, it can be frustrating for couples trying to get pregnant. Welcomed or not, it turns out there may be some validity to that advice. Studies show that high levels of stress can interfere with fertility in both men and women.
Chilling out is easier said than done, so here are some tips to help you de-stress and promote fertility:
1. Sleep on it – A good night’s rest allows your body to recover from daily stress. Too little sleep can cause hormonal imbalances, wreaking havoc on your ovulation cycle. The exact number of hours needed per night will vary person to person, but if you’re fighting to find energy and feel like you’re running on empty, you may need to catch some more Zzz’s.
2. Write it down – Journaling can help you rid of emotional pressure and process through some feelings you may not be comfortable sharing with your family or friends. Sometimes it’s helpful to express your stress on paper and then rip it to shreds for a physical release of that tension.
3. Schedule time to enjoy your hobbies – Continuing the activities you enjoy is essential to reducing stress and dedicating time for yourself can take your mind off of pregnancy. A walk along the Centennial Trail or taking pictures of the gardens at Manito Park can be the refresher you need to feel at ease.
4. Evaluate your life - Is there a sudden stress, such as a new job, death in the family or upcoming event that is affecting your daily feelings and activities? Identifying and addressing these stress triggers can help you avoid or remove yourself from stressful situations.
5. Connect - At Center for Reproductive Health, you aren’t alone. Our staff is here to help and can refer you to a counselor or local support group.
Reducing stress will not only help your fertility, but can improve your quality of life, overall. By taking a few of these steps, you can better handle anxious moments and defeat stress.
Thinking about starting a family, but not sure if you should consult a fertility specialist? It's difficult to pinpoint an exact age or circumstance when someone should make the call, but there are many good reasons to talk to a fertility specialist.
You're Paving the Way to Pregnancy
Many women don't talk with their doctor about fertility or family planning until their mid-to- late 30's. By bringing it up sooner rather than later, you can familiarize yourself with the options to optimize your fertility and increase your chances for pregnancy. A fertility specialist can help you identify your fertility window and give you tools to monitor your cycle.
Before you're trying to get pregnant, a fertility doctor at Center for Reproductive Health may be able to perform preconception diagnostic testing that could potentially prevent genetic diseases. Couples with a known, existing issue should consult a fertility specialist right away. Some causes for concern include either partner having a chronic medical condition or having had a previous STD.
You're Trying and Waiting
Women under the age of 35 that have not become pregnant after 12 months should consult with a fertility doctor. Women 35 or over should only wait 6 months. Irregular periods or monitoring your ovulation without a positive result or suffering from irregular periods can also be signs that it's time to consider seeing a specialist.
You're Planning for the Future
Maybe you're not ready for parenthood for a variety of good reasons. Talking to a specialist at Center for Reproductive Health can take some pressure off of making baby decisions right now. Age is a leading cause of infertility among couples, so your doctor can discuss options like embryo freezing as a back-up for getting pregnant in the future, on your terms.
If you're interested in a free consultation with our experienced nurses, contact Center for Reproductive Health today at (509) 462-7070. We will work with you to explore all the available options and plan your path to parenthood.
At the Center for Reproductive Health, we're focused on understanding families. Every situation is different, and every potential parent has his or her fears or concerns. So while we're indeed a leader in reproductive technologies, we're also here to enlighten and instill confidence. As an overview, the techniques we employ afford us comprehensive chromosomal profiles, resulting in reduced miscarriage rates and higher implantation rates for healthy embryos. We can make building your family an exciting reality.
Now seeing patients in
Missoula, MT & Tri-Cities, WA