news item: Glow: An iPhone App That Aims To Get you Pregnant

Nothing gets my geeky economic-major heart beating faster than reading about “aggregate data analysis.” And when all that aggregate data is being collected in regards to fertility to help women achieve pregnancy? SWOON!

The new Glow app aims to help couples achieve pregnancy by collecting personal data such as cycle lengths, number of days for menstruation, basal-body temperatures, etc. The Glow app collects this data, like many other ‘fertility trackers’, BUT then it does something other programs don’t. It sends your data, along with all the other users data, and AGGREGATES it!

Aggregate data, not a simple average, but a collection and analysis as a whole of disparate sets of information. It also ‘learns’ about your personal information, and based on that and other analyses adapts and offers recommendations.

Why is this so cool? First because this is the potential for a large collection of infertility data to be analysed and looked at for patterns as a whole. Regression Analyses can be done to look for insights to infertility. What types of answers could all this data get us? One potential insight into infertility is why for some people does IUI work, and relatively easily, but for others they have to do IVF? Yes, there are many factors to this answer. But what if a regression analysis is run on all the data and it shows women with cycles that average between 36-40 days have an overwhelming success rate with IUI, but women who average 41-50 day cycles have a much worse outcome with IUI? Could this help us refine what sort of treatments we seek out?

Second, this app also has a buy-in option:

Glow users can choose to contribute $50 a month for up to 10 months to the fund. If they get pregnant during that time, they don’t get their money back. If they don’t, they get a share of the pooled money to use for fertility treatments. Huang says that the company hopes that Glow First will be able to cover the entire cost for such procedures, which can run from $20,000 to $40,000.

As the article mentions, there is another company out there that also collects and aggregates data. But the buy-in option really sets Glow apart. It is an interesting idea, with very few insurance companies offering any, or paltry, infertility coverage, this might be a real option for some people.

Now the downside of this is that this requires full participation by a large number of people over a long period of time. It also requires you to be okay with your personal health information being shared, (anonymously), with other people. It also requires you to be honest as it ask such personal questions as sexual position and the ever popular, cervical mucus description.

Check out the full article here: Glow Iphone App.

Slate magazine also does an excellent write-up of this new app, however it does have a negative slant, check it out here: Glow App, and let us know your take on it.

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Do you find this new App and company hopeful or another gimmick?
Would you consider doing the buy-in option?
What do you think about a private company collecting (anonymously) fertility data?

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pail mmm 8-20-12 (2)Chandra is a Mom and Foster Mom. She holds a Master’s degree in Theology and is particularly interested in the theology of infertility. Chandra grew up in the Northeast but she and her husband are raising their daughter in the middle-of-nowhere Indiana. She has 3 chickens that drive her crazy, a huge garden, and a penchant for bacon. She occasionally attempts to make sense of all those things, and more, over at her blog, MetholicBlog. She never has a tidy house and she is in constant need of coffee.

news item: Latest IVF Scare: ICSI and Intellectual Disabilities

The news was full of dramatic headlines about the results of the latest IVF study last week. This study, the first to compare IVF treatments and the risk of neurodevelopmental disorders in children, found that ICSI was associated with an increased risk of intellectual disability and autism in children.

Researchers analyzed over 2.5 million Swedish birth records and compared those born via IVF with those conceived naturally. Here’s the data:

  • 1.2% or 30,959 children were born via IVF
  • Of the 6959 children diagnosed with autism, 103 were born via IVF
  • Of the 15,830 with intellectual disability, 180 were born via IVF

The Good News

While there does not appear to be an increased risk for autism for children born from IVF, there is a small increased risk of intellectual disability for children born from IVF: about 47 in 100,000 infants born from IVF compared to 40 in 100,000 for those conceived naturally. Unsurprisingly, this increase disappeared when researchers factored in multiple births.

The Bad News

More concerning, however, was what the researchers found when they compared outcomes by IVF procedures: fresh embryos, frozen embryos, ICSI, and if ICSI was used, how the sperm was obtained (surgically or ejaculated).  The researchers found that children born from IVF utilizing ICSI (regardless of fresh or frozen embryos) were at a 51% increased risk of intellectual disability (62 to 93 births out of 100,000). Even when the researchers adjusted for pre-term and multiple births, IVF using ICSI and fresh embryos was still associated with an increased risk of intellectual disability.

The news outlets are interpreting these findings as a much-needed reminder that male-factor infertility exists and could have ramifications for couples to consider since ICSI began as a treatment for male infertility.  What many of the articles ignore is that clinical usage of ICSI has expanded beyond male-factor infertility to be used for many patients undergoing IVF. My husband does not have male-factor infertility, but our eggs were fertilized using ICSI during both of our fresh IVF cycles because, as this article notes, ICSI works.

The problem is that injecting the sperm into the egg bypasses the “survival of the fittest” process most sperm have to go through to fertilize an egg. I’m speculating here, but it’s likely that the line of though most embryologists and clinics take is that if the sperm is bad, the egg won’t develop or the embryo will arrest before transfer or freezing or will result in an early miscarriage. Nature’s safeguards will still prevail.

I’m concerned that this study and the emphasis it places on male-factor infertility will confirm the general public’s tendency to believe that ART is playing God and that interventions such as IVF and ICSI allow couples who possibly should not be able to reproduce to do so.  I also worry about the despair it could cause couples suffering from male-factor infertility and/or relying on ICSI as part of their treatment arsenal: they really are genetically inferior.

It’s important to remember that the outcome of intellectual disability after ICSI is still very rare and that ICSI remains a safe option for the overwhelming majority of couples using it.  These types of articles frustrate me because they tend to overstate the results of these studies almost gleefully: of course IVF is unsafe. We told you so!  The bottom line is that having children, having healthy children, is a crap shoot that every couple faces regardless of whether they use ART or conceive naturally. And reproductive science continues to advance all the time. On the heels of the sensational IVF/intellectual disability headlines came the news about Connor Levy, a baby born after his parents had cells from their IVF embryos sent to Oxford for scientists to analyze for genetic abnormalities. The results of the analysis enabled the Levys’ doctors to transfer the best embryo; the screening process is being hailed as revolutionizing IVF and potentially reducing the number of multiple births.  Maybe in a few years, we’ll regard the study’s findings about ICSI as a quaint example of IVF’s earlier days.

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What do you think of the results of the survey? Did you use ICSI? Would it change your usage of ICSI?

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Keanne of Family Building With a Twist in her own words: I’m KeAnne (like LeeAnne w/ a “K”). Mommy to 1. Wife to someone who knows how my mind works. Scary (you should see what goes on in my mind). Owned by 3 cats. I work full time and don’t craft or DIY (you’re welcome). I like books, conspiracy theories, Downton Abbey and cooking. I dislike chocolate, zinfandel, carpet beetles and experts. Expect over-thinking, the occasional rant, strong opinions and the occasional (OK, often) piece of useless knowledge.

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