Julian Escobar MD

International Donor Conception Awareness Day
We need to highlight donor conception, families built via egg, sperm and embryo donation, and the Children that complete them. We do this in the clinic EVERY DAY and although others may not be aware, many of us have been given the GIFT OF PARENTHOOD thanks to donors!
I am grateful for the selflessness of the donor who donated her eggs for us to become parents.
Valentino and Paloma changed our lives, they are the most perfect, beautiful, happy, trilingual smart children I know!!! 😍🤩
They are 100% mine (ours) and they are donor-conceived!
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Be proud to build your dreams. Be proud of your accomplishments. Be proud of your family!
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Celebrate w us! Celebrate Family!
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TRUST THE PROCESS!
Amanda’s mountain 🏔 was higher than most’s. Be inspired by her!
She had cancer, early in life. Conquered
She lost her uterus
She lost precious years
But she NEVER lost Faith & HOPE!
She never stopped loving life, her husband, her amazing family… and food. She is an amazing cook, and loves to entertain!
Hope & Trusting the Process kept her going. That is how we met and together, w a huge team of people, we made this miracle come to life. Liam. You were loved much before you existed and you are so lucky to have the most amazing as your Mother!
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HOPE is an ACTIVE word, it takes action. And in Fertility most will succeed with help!
Action and support will get you HOPE and the family you desire.
1:8 couples struggle. Fertility services are way underutilized in the United States, and access to care starts w providing a safe and caring environment that is culturally sensitive & individualized.
It is YOUR journey, you are in the driver seat, you must take that 1st step, and we will help carry you along the way!
Do not wait longer than a year to reach out, if you are over 35 yo wait at the most 6 months, and If over 40 yo, 3 months only! Obviously if you have reproductive issues, such as irregular cycles, abnormal bleeding, endometriosis, history of STDs, miscarriages, seek help sooner!
GET THE HELP THAT YOU NEED.
Get rid of all Preconceptions and Pride, there is a solution, and turn Infertility into Fertility!
@conceivefertilitycenter
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What’s your story? Share it, you are an inspiration to so many, and also a voice to demonstrate that infertility is real and affects all of us
1:8 couples, 12% of women and 10% of men.
Having a family, reproduction, is a basic human right! It is recognized as a disease by the WHO and AMA but not by the government or insurance companies. 😤Therefore we have to tell our stories, show how prevalent it is and how life changing its treatment can be! 🤰🏼
Building a family is at the core of our existence, our life journey and patients need to be supported by friends and family, they need the time and financial support from work and insurance, they need access to modern fertility evaluation and care!
Whether you are TTC or protecting your future fertility, TELL 📣 your story &
TAG 🏷 me Julian Escobar MD
Progyny
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These 4 factors put you at risk for blaming yourself 🫵🏼 for your infertility and pregnancy losses!
Poor reproductive outcomes are not likely to be caused by you, but the stress that they cause, and the social pressures, can lead women to have self blame.
You need the right information and support to empower yourself, this means:
A good supportive fertility trained physician that practices data-proven medicine in an environment where financial strain is minimized is the ideal setting to prevent misinformation, doubt, confusion, lower stress, and have a direct and concrete evaluation and treatment strategy!
Get help! Infertility and pregnancy loss are real medical conditions. They are treatable and can be overcome.
Take them, yourself, and your family, seriously 🙏🏻
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And yes, this has been investigated and there is data to prove it 🙌🏼: J assist reprod genet 2021 Apr,38[4]:877-87
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LH - Luteinizing Hormone
This is the hormone that make you ovulate!
It loosens the egg from the follicular wall
It ruptures the follicle so that the egg can be caught by the Fallopian tube
It makes your egg mature (get rid of excess chromosomes so that it can make a genetically normal - euploid - baby) 🧬
It makes the follicular cells to switch from making estrogen to progesterone - ie the Luteal Phase of the cycle - last 14 days before menses
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This is the hormone that you test for in the urine in OPKs - ovulation predictor kits
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In fertility we use HCG injections instead of LH to make you ovulate as both work the same in you, use the same receptor in your cells
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In men LH causes Testestorone production 💪🏼
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These are the Main Causes of Stress in Fertility Patients!
Stress makes everything in life more difficult, and thus recognizing causes of stress, keeping them under control and building a support system is imperative!
1. Family pressure
2. Unsupportive Partner
3. Expense
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🙌🏼 To the authors of this study for quantifying and describing one of the biggest issues in fertility. Stress is extremely difficult to measure and thus study. We need more work on this area. Bravo 🙌🏼
J Hum Reprod Sci 2018;11:172-9
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FSH - Follicle Stimulating Hormone
The hormone that grows and matures eggs… and sperm
The medication we use to grow eggs in IVF
The hormone that Clomid and Letrozole make you release to induce ovulation
The marker for ovarian reserve!
Listen 🎧 to learn more
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Fertility Warrior!!! Must listen 👂 🤩
Young patient did IVF twice at two practices in the DFW, after many many cycles and no baby, just failed transfers and biochemicals, she was ready to move on, and came to me to do surrogacy. A painful transition, but full of hope!
I asked her to let me do some testing on her. We found new important things! I then asked her to consider one last transfer, and after much thought she accepted, but still without hope and wanting to move ahead w surrogacy.
Her transfer came before the surrogate’s, AND SHE CONCEIVED!!! 😍
We just transferred the surrogate, and the patient herself is nearly 10 weeks!!!
😍😍😍😍😍😍👣👣👣👣👣👣
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Estrogen in Fertility!
Known as the “female” hormone, estrogen is a common word that represents 3 similar hormones, the most important being Estradiol, or in fertility lingo, E2
Estradiol is made by the cells that line the egg and the follicle (nest where the egg grows that looks like a black circle ⚫️ in sonogram). These are the same cells that make AMH (Granulosa cells)
The bigger the follicle, and the more follicles, the higher the level
When u get your period E2 levels should be low (

NEVER say that to a person suffering from infertility or pregnancy loss
Much worse, DO NOT inflict blame or let them blame their stress for their fertility issues, as this commentary literally means that people are “sabotaging their own fertility, their family, their pregnancy on purpose”! 🤯
These comments and mentality also imply that people “have control”…. When in actuality a large part of stress in life is trying to control the uncontrollable… thus creating futile expectations that lead to sadness, depression, loneliness, isolation, and more stress…
Infertility causes stress. Stress makes dealing w infertility much tougher.
Listen to people
Support them
Guide them into professional help, for their fertility and mental health issues!
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Introducing…. SuperMom 🦸‍♀️ 🤰🏻
Sometimes you pray and pray, and work really hard for that one Miracle… but life gives you ✌🏻👯‍♂️
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Day 3 labs, or FSH - E2 - LH
These are baseline labs as your ovaries are quiet and thus measure how hard your brain has to work to wake up the ovaries!
The higher your FSH the harder the brain has to work to recruit an egg and thus the lower your egg reserve!
FSH - Follicle Stimulating Hormone
LH - Luteinizing Hormone
E2 - Estradiol or the main Estrogen secreted
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They ARE CHAMPIONS, TRAILBLAZERS, & FERTILITY WARRIORS.
Sometimes it takes a village, but it takes a strong willed, determined person to build a village. And she did.
She had bad, bad endometriosis. So bad her MD in California wouldn’t start IVF
She started w us, frustrated w her endo, but got moving
Moving we did. It took several IVF cycles.
It took them switching jobs for the benefit of health insurance covering fertility 🤩🙌🏼
And then, the miracle happened 🤰🏻
Even miracles are created and villages have to be built!
Be inspired and start building your support system and working towards your miracle!!
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Much, much congratulations to this wonderful couple and all the BEST during the delivery 👼🏼
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