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It is estimated that 10% of women of reproductive age are impacted by polycystic ovarian syndrome, also known as PCOS.  This condition has to do with a hormonal imbalance where high amounts of androgen and insulin can be found in the body.  Though the cause of PCOS is unknown the hormonal abnormalities can lead to metabolic and reproductive challenges.

Symptoms of PCOS include:

  • Irregular periods 
  • Increased hair growth on the face, chest, back, stomach 
  • Severe acne or oily skin
  • Weight gain
  • Thinning hair or hair loss on the head
  • Insulin resistance
  • High cholesterol and/or blood pressure

Research shows that a healthy diet and physical activity can help to manage PCOS and improve symptoms.  Eating a balanced diet that is rich with high-fiber vegetables and fruits, lean protein and anti-inflammatory foods can help to lower your blood sugar, improve your body’s use of insulin and regulate your hormone levels.  This food pyramid created by Dr. Joel Furham is a great example of food choices that will support managing PCOS:

 

Foods to avoid if you have PCOS are:

  • Refined carbohydrates and processed foods
  • High sugar snacks and drinks
  • Inflammatory foods such as processed red meats

In addition to eating well, getting plenty of daily physical activity (shoot for 10,000 steps!) can also help.  

If have PCOS and have been struggling to conceive, contact us today to schedule a consultation.

When women or couples experience challenges with fertility, they look for possible causes. While there may be medical reasons for a woman’s difficulties in getting pregnant, research has shown other factors such as stress and environmental toxins may also play a role. 

Many men and women encounter toxins in their personal care routines every day, often unaware of the impact these could have on their fertility.  Research has identified four primary areas of fertility that are impacted by toxins in personal care products. Learn more about these effects below. 

Endocrine Disruption and Reproductive Harm

The endocrine system is the body’s chemical messenger system. It is responsible for transmitting information that makes hormones. These hormones control everything from moods, growth, development, metabolism, and reproduction. 

Many cosmetics and personal care products contain synthetic byproducts such as parabens, phthalates, glycol ethers, fragrances, cyclosiloxanes, and bisphenol A (BPA).  These can act as endocrine disruptors causing interference with hormone signaling, production, and excretion. 

What’s In Your Personal Care Products?

An article by the Environmental Working Group cited women use an average of 12 products containing 168 unique ingredients every day. Men use about six products daily with 85 unique ingredients. Their study shows that some of the chemicals in personal care and cosmetic products have been linked to health problems.

The most common effects of exposure to endocrine disruptors appear to be reproductive and developmental effects. These include ovulation disorders, fibroids, disruption of thyroid function, male sexual dysfunction, low sperm count, possible link to cancer, and low birth weight in babies.

Common Toxins In Personal Care Products

  • Parabens are perhaps one of the most common toxins added to personal care products as a preservative. They can act as estrogens and disrupt hormone signaling. They have been linked to potential fertility issues in men and women, congenital disabilities, a link to breast cancer, as well as a link to more aggressive tumor growth and the formation of malignant cancers. Many moisturizers, facial cleansers, sunscreens, deodorants, shaving gels, kinds of toothpaste, cosmetics, and other personal care products contain parabens. 
  • Phthalates are commonly found in some cosmetic fragrance mixtures, nail polishes, hairsprays, after-shaves, deodorants, and other personal care products like shampoos, conditioners, and moisturizers. Phthalates have been found to cause reproductive abnormalities such as reduced testosterone and sperm quality in men and early puberty in girls.
  • Formaldehyde is a preservative commonly added to products to add to shelf life and prevent mold and bacteria growth. Nearly one in five cosmetic products contains a substance that generates formaldehyde, a known carcinogen. These products include shampoos, conditioners, bubble baths, and other personal care products, including those marketed for children. Formaldehyde and formaldehyde like chemicals are also found in hair straighteners and “smoothing” creams marketing for the BIPOC community. Exposure to formaldehyde can include risks of reduced fertility and increased risk to the fetus. 
  • Triclosan and triclocarban are chemicals found in a variety of products.  Triclosan was banned in antibacterial soaps in 2017. However, they are still found in some dish soaps, personal care products, and toothpaste. It is used in a variety of products but won’t be on the label. To avoid triclosan do not buy products listed as antibacterial. Although this might seem tempting and should make things cleaner, its all harm and no good in this situation.  Even at low levels, these chemicals have been shown to interfere with thyroid signaling and male and female sex hormone signaling leading to reproductive abnormalities. 

Unfortunately, the cosmetic industry in the United States is largely self-regulated at this time, and there is not any restriction on the use of harmful chemicals in personal care products.. In February 2020, the California Assembly reintroduced the Toxic-Free Chemicals bill under A.B. 2762 which proposes banning 12 toxic ingredients, such as mercury and formaldehyde, from the beauty and personal care products sold in California. This is the third time such a bill has been proposed, earlier iterations of the bill being blocked in April 2019 and failing in January 2020. You can read about their efforts here. 

Toxins such as those listed are readily absorbed into your skin and metabolized by your body. Because you use these products daily, the exposure to such toxins compounds over time creating a greater effect of harm on your body. 

Defend yourself against toxins

Your best defense is taking the time to educate yourself about the products you use and making changes to clean products. Although this article specifically addressed personal care products, environmental toxins are all around us. To learn more and find out how you can reduce your exposure you can find additional references and articles here on our website.

To start educating yourself about toxins in your personal care products and other purchases you make, I suggest the Environmental Working Group’s website www.ewg.org.  EWG is a non-profit, non-partisan organization dedicated to protecting human health and the environment. They also have a database created specifically for products. Some are EWG Verified, meaning the products are free from harmful chemicals, provide full transparency in labeling, and follow good manufacturing practices. Other products rated on a scale from 1 to 10 indicating least to most harmful in terms of your health. You can enter your current products in the search in the Skin Deep Database and see how they measure up. 

Reducing or eliminating toxins in personal care products is one facet of integrative medicine we suggest to women and couples we work with at our clinic.  If you are interested in a consultation to see if integrative techniques can further support your fertility journey, contact us to set up a consult with Dr. Shala Salem.

When your body, mind and spirit are in good health you can give yourself the best chance at a successful fertility treatment. Health trends come and go, they can be challenging to implement long-term, or carry a high price tag that isn’t manageable for most.  But one trend for improving health that likely has staying power is mindfulness. Why?  Because it’s easy to try, free or low-cost, and it now has plenty of evidence-based research backing it.  If you are considering or starting fertility treatment, it may be worth your while to start a mindfulness practice.

Here are six ways that mindfulness has been shown to improve health.

Less Stress

Studies have shown that mindfulness-based stress reduction can be helpful to reduce symptoms associated with stress, anxiety, and depression. 

Heart Healthy

A regular mindfulness practice can help to lower blood pressure and has been recommended by the American Heart Association as an adjunct treatment for heart disease.

Improved Immune Function

Regular meditation may help your body heal and fight disease.  Studies have shown meditation to have a positive impact on immune response.  

Mental Focus

Meditation can reduce reactivity to stress or challenging situations, at the same time, it makes it easy to draw your attention back when distractions happen.  This is why proponents of meditation say they experience a clear, focused mind is a benefit of the practice.  

Increased Emotional Regulation and Self-Control

Mindfulness trains the practitioner to slow down and be in the present moment.  By developing the skill of self-awareness and observation, you are able to be less reactive and more in control of emotions.

Slows Cell Aging

Cell aging occurs naturally over time and can increase with stress and disease. Research has shown that meditation could help slow this process.

Now that you know some of the physical and mental benefits of mindfulness, it’s time to integrate it into your life.  Building a mindfulness practice can happen over time.  You can start small with just a few minutes of meditation each day.   Begin by sitting calmly and breathing slow with your eyes closed, for just a few minutes.  Add this into your morning routine or a time of the day that makes sense for you.  If you need more guidance, try a yoga, tai chi, or qi gong class to adopt mindfulness techniques.  Practice builds consistency, but for most people, it will take time to build your practice, so be patient with yourself.  Even 20 minutes a day can have a huge benefit on your overall well-being.  

If you are interested in learning more integrative approaches to fertility, schedule a consult with Dr. Shala at PRC.

What Is The Mediterranean Diet?

In our practice, Dr. Shala Salem works with patients seeking integrative fertility support. Often they ask if there are specific foods the couple can eat to improve their chances of conception. Many of my clients have had success following The Mediterranean Diet for fertility. 

An integrative approach to health takes into account the whole person, including all aspects of lifestyle. How and what we eat plays a crucial role in the body’s ability to heal and function optimally. While nothing can guarantee a couple’s success in conception, the Mediterranean Diet is a sound way of eating that can be sustained throughout a lifetime for good health. 

What Foods Are Included?

The Mediterranean Diet has its roots in ancient times. Farmers in the area known as the Mediterranean basin commonly ate foods like sheep cheese, vegetables, olives, nuts, fresh fish, and very little meat or bread. 

To incorporate this way of eating into your lifestyle, focus on eating fresh fruits and vegetables, whole grains, legumes, nuts, healthy fats such as olive oil, moderate amounts of fish, seafood, dairy, eggs, and poultry. Red meat and simple carbohydrates are limited. You can find some resources about getting started here

Choose Fresh, Whole Foods

One of the most important things to remember is that the Mediterranean Diet features fresh, organic, minimally processed foods. When fresh foods are not available, opt for foods that have been flash-frozen to retain most of the nutrients.

A typical “western diet” full of highly processed foods is usually unfavorable to conception. Processed foods are likely to contain trans-fats, sugar, pesticides, BPA, and other ingredients that have been found to adversely affect metabolism and ovulation. 

Enjoy Your Meals

The culture of the Mediterranean is also important to mention. Imagine the pleasure of enjoying fresh, healthy meals, eating slowly, and spending time in the company and conversation with friends. This is the type of mindset you will want to have while eating. Allow yourself to taste each of the flavors on your plate and take time between bites. 

Having a slow, leisurely meal is unlike the way most of us Americans tend to eat. We are much more likely to grab a bite and eat while working or eat a take-out meal in our car while running errands.  By slowing down during mealtimes and reducing stress you begin an integrative approach to fertility.  

Benefits of The Mediterranean Diet for Fertility

Health Benefits for Women

Foods like broccoli, asparagus, brussels sprouts, and eggs are all rich in folate and B6. These minerals and vitamins have a positive relationship with the possibility of conception. Vitamin D is also essential when trying to conceive. Vitamin D helps to increase both progesterone and estrogen levels, which regulate menstrual cycles and ovulation. Dietary sources like oily fish (salmon, herring, sardines), egg yolks, and mushrooms are rich sources of Vitamin D. 

The Mediterranean Diet is high in antioxidants because of the large number of fresh vegetables and fruits recommended. This creates a healthier endometrium; or mucus membrane of the uterus, preparing it for embryo implantation.

Health Benefits for Men

Women aren’t the only ones who benefit from monitoring their eating habits while trying to conceive. Men’s dietary choices play a role in conception as well. In men, Vitamin D supports both the semen quality and semen count. It can also increase their levels of testosterone, which boosts libido. 

Stress and Vitamin and Mineral Levels

Trying to conceive or facing infertility treatments can be stressful for couples. Stress is known to deplete essential vitamins and minerals within the body, which can hinder pregnancy efforts. The B vitamins, vitamin C, vitamin E, magnesium, zinc, and iron are the most common nutrients affected by stress. 

All of these play a vital role in fertility, as well as overall wellness. Remember, part of the Mediterranean Diet is slower, more leisurely meals. So being less stressed during meals will hopefully have a ripple effect throughout your day and allow you to retain some all-important building blocks within your body. 

The Mediterranean Diet has numerous health benefits, and they reach far beyond improving fertility success. It’s never too early for men or women to adopt this lifestyle, but it is recommended to be more intentional about your choices at least three months before trying to conceive. 
If you find you need additional support with your fertility journey, consider setting up a consultation with Dr. Shala Salem.

What Is Acupuncture?

Acupuncture is an ancient technique practiced in Traditional Chinese medicine. According to the practice, there are over 2,000 acupuncture points each connected by different pathways or meridians. Energy, or qi, flows through the pathways promoting overall health, but when the paths become blocked, this can lead to poor health or disease.

Acupuncture seeks to reopen the pathways and stimulate the energy flow by inserting thin, metallic needles into the points and then stimulating them manually or electronically. The stimulation is sometimes augmented by heat, pressure, or friction. Chemicals from the body’s central nervous system are released into the bloodstream, muscles, spinal cord, and brain, triggering the body’s natural healing abilities. 

Many diagnoses, including digestive, neurological, musculoskeletal, respiratory, emotional, and gynecological conditions, may benefit from acupuncture. Some studies have shown that acupuncture, when used in conjunction with other fertility treatments, may increase success.

Acupuncture and Infertility Treatments

Acupuncture may help with infertility treatments by increasing blood flow to the reproductive organs, balancing hormones, and reducing stress. It appears to be most beneficial when started in the three months before beginning other treatments, such as IUI or IVF, and while couples are undergoing supplemental care.  

Acupuncture appears to support a variety of conditions that appear to play a role in infertility. These include hormone imbalance which affects the uterus and ovaries, thyroid issues, irregular menstruation, ovarian cysts, fibroids, blood stagnation, endometriosis, problems with the fallopian tubes, obesity, stress, and low sperm count and sperm motility.  

Increased Blood Flow

For patients who may be preparing for in-vitro fertilization or embryo transfer, acupuncture can be used to increase endometrial blood flow. The additional blood flow to the uterus helps the lining develop and thicken, preparing it to receive the embryo and increasing the chances of a successful transfer.  

Hormone Balancing

Acupuncture stimulates the central nervous system and triggers the release of neurotransmitters, endorphins, and insulin sensitivity. This can help patients diagnosed with PCOS or who might need support in normalizing reproductive hormones and ovulation. 

Patients who may have hypothyroidism or high FSH (follicle-stimulating hormone) levels and receive acupuncture benefit from improved egg quality.  

Acupuncture has also been found to be very useful in the treatment of insulin sensitivity. Patients who are insulin resistant and obese may experience difficulty with fertility due to irregular ovulation or no ovulation. 

Acupuncture and Infertility in Men

Men may also play a role in the fertility success of a couple. If this is the case, acupuncture may support the sperm count, sperm motility, and sperm morphology. Improving blood flow and balancing hormones through acupuncture can positively affect these areas, increasing the likelihood of conception. 

Stress and Anxiety Relief

For many couples trying to conceive and pregnancy can be a stressful time. This can be especially true of couples experiencing infertility. Stress has been found to contribute to additional difficulties in conception. Stress plays a role in lowered libido, a reduced immune system, decreased sperm quality, hormonal disruption, and disordered eating. 

In the same way, acupuncture balances hormones through the release of endorphins, it also serves to reduce stress and anxiety. Endorphins act as natural pain killers within the body. They work with the body through the central nervous system to decrease reactions to stress and regulate body systems like the immune system, digestive system, emotions, moods, and sexuality.

We are now offering integrative fertility consultations at PRC. Our goal is to support you as a whole person focusing on your mind, body, and spirit throughout your fertility journey. Acupuncture may work best when used alongside our other modalities. Please contact us for a treatment plan designed especially for you. 

Additional Resources

For some additional reading, click here:

https://www.reproductivefacts.org/news-and-publications/patient-fact-sheets-and-booklets/documents/fact-sheets-and-info-booklets/acupuncture-and-infertility-treatment/

A fertility journey can feel like a lot of uncertainty. You may feel a lot of anxiety with the ups and
downs. Many couples find it stressful and overwhelming. The good news is that decades of
research have shown that there is a lot you can do lifestyle-wise to boost your chance of
success with fertility treatments. Here are some simple and evidence-based tips.


1) Eat healthier
Nutrition is one of the best building blocks for a healthy pregnancy, so you want to prepare your
body by improving your overall diet. I encourage home cooking as often as possible to ensure
that you always have healthy and nutritious meals. I also advise cutting back on sugar, alcohol,
and processed foods in favor of more whole and nutrient-dense foods, such as vegetables and
fruits.
Eat more of
● Colorful vegetables and fruits. Even better if you can get them fresh and local.
● Whole grains and legumes
● Clean and organic meat, poultry, and fish
● Nuts and seeds
Eat less of
● Fast foods
● Pre-packaged foods, such as canned or frozen foods
● Packaged snacks like chips and crackers
● Candies
● Sugar and sugar-containing foods


2) Use clean cosmetic and household products
Hormone disruptors are chemicals that can throw off your hormones and reduce your fertility.
These include parabens, phthalates, BPA (bisphenol-A), perfumes, and triclosan, to name a
few. You can find them in typical cosmetics, soap, shampoo, sunscreens, and cleaning and
laundry products.
Since consumers have become more conscious of these hormone disruptors, you have a big list
of clean options to choose from nowadays. A great resource for this is the Environmental
Working Group at ewg.org. You can check the products you already have around the house on
there and shop from their safe EWG-verified list .


3) Eat the rainbow
I emphasize eating the rainbow—as many colors of plants as you can. Also, eat more plants.
The pigments that give plants their colors are antioxidants that protect your cells and DNA from
oxidative stress.
Oxidative stress, or having more free radicals than antioxidants, is a fact of the modern lifestyle.
In healthy doses, such as from exercising and getting the sun (without burning), free radicals
improve your ability to fight off more oxidative stress. However, too much oxidative stress, such
as from mental stress or toxic exposure, can damage sperms and eggs.
Fortunately, the solution is rather delicious. This summer, visit a farmer’s market to pick up your
local produce or sign up for a Community Supported Agriculture box. Try as many new
vegetables and fruits as you can. Learn to make new salads and cook your vegetables in
different ways.


4) Chill out
Your reproductive functions work best when you are in rest and digest mode. Yet, it is too easy
to be constantly on and always have so much expected of ourselves. We have all gone to
school to learn and accomplish things, but we are not taught enough about how to wind down,
turn off, and just be.
If you are gearing up for fertility treatment or preparing for pregnancy, now is a great time to
develop a stress-busting routine. Meditation, yoga, dancing, or walking in nature are excellent
(and free) ways to reduce your stress. Regular spa or acupuncture treatments are also amazing
ways to recharge. It is also a great time to revisit your priorities, eliminate stressors, and
establish healthy boundaries.


5) Get sun and vitamin D
Summer has arrived. It is a great time to enjoy being outside, from gardening to hiking. Although
the sun gets a bad rep because it is associated with skin cancer, getting sun can actually boost
your fertility. Healthy levels of sun exposure (without getting sunburns) can reduce inflammation,
balance your immune system, and promote blood vessel health, all of which are important for
pregnancy.
Many people only think of vitamin D as important for bone health and calcium absorption. But, in
fact, vitamin D is also essential for fertility and pregnancy. Studies have confirmed that healthy
vitamin D levels increases the odds of a successful pregnancy following IVF.
If you burn easily, be sure to use a non-toxic sunscreen. Also, the Dminder app has alarms that
can warn you to cover up before you burn. If you need to supplement, vitamin D3 form is better
than D2.


6) Get your shut-eye
Getting enough rest is an important part of preparing your body for a pregnancy. It can be hard
not to work, surf on social media, or watch TV late into the night, especially if you struggle to get
your “me” time during any other times of the day. But prioritizing sleep and your bedtime routine
is a worthy time investment. Restorative sleep helps reset your stress response and keep your
hormones balanced.
Allocate 1 – 2 hours to prepare yourself for bed. Create a sacred and relaxing bedtime routine.
You can spend this time taking a candlelit hot bath, reading a relaxing book, journaling, or
having sex (unless your doctor tells you not to). If you need to be on a screen or watch TV, use
blue-blocking glasses. These routines will help you get the most restorative sleep that will
support your fertility journey.


Getting fertility treatments and starting a family is an exciting, although very uncertain, journey.
You want all hands on deck to boost your chance of a successful pregnancy, and studies have
shown that the basics like these are very impactful.

If you are interested in learning more about integrative fertility, Dr. Shala Salem at PRC is an integrative fertility specialist who can help. Contact us today.


References:

  1. Rattan S, Zhou C, Chiang C, Mahalingam S, Brehm E, Flaws JA. Exposure to endocrine
    disruptors during adulthood: consequences for female fertility. J Endocrinol .
    2017;233(3):R109-R129. doi: 10.1530/JOE-17-0023
  2. S CM, Elmas C. The Effects of Oxidative Stress and Some of the Popular Antioxidants on
    Reproductive System: A Mini Review. Journal of Nutrition & Food Sciences . 2016;06(02).
    doi: 10.4172/2155-9600.1000464
  3. Fung JL, Hartman TJ, Schleicher RL, Goldman MB. Association of vitamin D intake and
    serum levels with fertility: results from the Lifestyle and Fertility Study. Fertil Steril .
    2017;108(2):302-311. doi: 10.1016/j.fertnstert.2017.05.037
  4. Zhao J, Huang X, Xu B, Yan Y, Zhang Q, Li Y. Whether vitamin D was associated with
    clinical outcome after IVF/ICSI: a systematic review and meta-analysis. Reprod Biol
    Endocrinol . 2018;16(1):13. doi: 10.1186/s12958-018-0324-3
  5. Hollis BW, Johnson D, Hulsey TC, Ebeling M, Wagner CL. Vitamin D supplementation
    during pregnancy: double-blind, randomized clinical trial of safety and effectiveness. J Bone
    Miner Res . 2011;26(10):2341-2357. doi: 10.1002/jbmr.463

Deciding to grow your family is an emotional, personal decision, but can sometimes met with challenges in the conception process. Traditional medicine has allowed for many advances that can assist women in this journey, but often fails to recognize the individuality of a woman. The practice of integrative medicine is a specialty practice that combines conventional medicine and select fields of natural medicine, and focuses on treating the whole person in mind, body, and spirit for optimal health. You may choose this approach in your fertility journey because it is more aligned with your beliefs, values, and philosophies about health. 

It’s a Partnership Between the Patient and the Practitioner

Integrative medicine seeks to work together with the patient in their current state toward common goals. There is open dialogue about any obstacles to lifestyle changes and the likelihood of complying with treatment guidelines before making recommendations. Sometimes, it’s agreed upon that certain conditions may be managed rather than cured as a goal. Both parties agree on the next steps, possible outcomes, and the likelihood of achieving various goals.   

Wellness for Fertility includes Mind, Body, and Spirit

Integrative medicine looks at the whole person. We are multidimensional, dynamic beings and all of our systems affect each other in profound ways. As an example, fertility issues might be caused by diet. Instead of approaching the treatment of a symptom, like anovulation perhaps which of course can be a factor, integrative medicine might explore outside influences of diet. Recommended practices focus on nutrition to help support ovulation. 

Conventional and Alternative Methods are Used to Help Your Body

Using a combination of therapies allows for integrative medicine to be as personalized as possible. Offering both traditional medicine and integrative techniques, affords patients the best options for them, their needs, and their lifestyle. 

In this collaborative relationship, patients are provided with education about how and why different systems work together and benefit from various therapies to continue making choices in their best interests and maintaining health. 

Integrative Medicine Based on Inquiry and New Paradigms

The practice of medicine is dynamic. It’s essential to have an innate sense of curiosity, observation, and investigation in integrative medicine. If something does not appear to be working as expected, other possibilities can be explored. 

How We Use This Model to Support Your Journey 

Dr. Shala Salem is trained in integrative fertility, where she participated in a fellowship at the University of Arizona with Dr. Andrew Weil. Most medical training lacks so much of the information about nutrition, mind body techniques, toxic exposures and how all of these things affect body functions, including our ability to conceive.  Dr. Shala made it her mission to bring all of these disciplines together to help women achieve optimal wellness healing their minds, bodies, and spirits.  Once put into practice these natural methods such as yoga, acupuncture, and healing foods support a pregnancy.

Remember, any of these steps alone may not lead to pregnancy success in a person struggling with infertility. Each and each set of circumstances is unique. We focus on integrative practice, weaving together the best options for you, your goal, and your lifestyle. If you are interested in a consultation to see if integrative techniques can further support your fertility journey, contact us today.

Learn an integrative approach to infertility

Planning to conceive can be exciting, overwhelming, or even stressful, depending on your unique circumstances.  Whether you are newly embarking on your fertility journey or have been experiencing infertility, a woman’s fertility can be impacted by lifestyle factors, so it is critical to provide your body with a balanced foundation for conception. 

Trying an integrative approach to fertility will help to optimize your body for pregnancy.  Integrative fertility means taking a whole-person approach to fertility; treating the body, mind and spirit to help you achieve well-being.  This approach combines conventional treatments with nutrition, mental health, acupuncture, meditation, yoga and toxin removal to optimize your body for fertility.

Integrative strategies can help you build confidence and feel strong as you prepare for pregnancy or fertility treatments.  By developing healthy habits prior to conception, you can take these habits into your pregnancy and parenthood to build a healthy family.  Research shows that using integrative approaches to improve physical and emotional well-being can help to improve quality of life, both for women who have not yet tried to conceive and for those undergoing fertility treatments. 

If you’d like to learn ways to improve your health from experts, consider enrolling in the new Fertility Foundations Course with Dr. Shala Salem.  This is a 4-week course led by:

  • Shala Salem, MD, Fertility Specialist
  • Zermina Akbary, BSN, RN, CHHC, Holistic Health & Fertility Nurse Consultant
  • Susana Marquez, LMFT, Licensed Marriage and Family Therapist
  • Beth Summerl, RN, Mindfulness-Based Stress Reduction (MBSR) Instructor

This is a virtual program that is being offered at an introductory price. 

Learn more

Pacific Reproductive Center is open and our staff continues to provide care for our patients.  Please reach out to us with any questions you have regarding fertility care.

Effective April 13th, we will be able to see patients in-clinic for:

  • diagnostic testing
  • semen analysis
  • ultrasounds
  • blood tests
  • Clomiphene or Letrozole ovulation induction
  • frozen embryo transfers
  • intrauterine insemination

Though we are only able to see patients in – clinic for some treatments, we are offering Telemedicine and phone consultations to patients in lieu of in-person visits.  We are here to support you in your fertility journey.  Please call us to set up a consultation today.

Please note that there is a possibility of cancelation of your treatment if you develop symptoms of COVID-19, or you are exposed to anyone who develops symptoms, or has confirmed COVID-19.

We are currently following American Society of Reproductive Medicine for guidance on when we will open up dates for In Vitro Fertilization cycles.   However, we are currently helping patients prepare for their IVF cycles, so please call us to learn how we can help you prepare.

To ensure the safety of our patients and staff at our clinics we are following the steps listed below:

  • We are screening our patients on the phone prior to their appointments to identify potential risk of COVID – 19.  
  • We are screening our patients in-person prior to entry with temperature check, and symptom checklist.
  • Our staff is wearing masks in accordance with CDC guidelines and we are encouraging patients to wear masks.  
  • We are staggering our patients in such a way to avoid multiple patients in the waiting room.
  • Our staff is performing rigorous cleaning of our office multiple times a day to help reduce exposure.
  • We are not allowing any visitors who are not patients at this time.

 Please call our office before your appointment if you answer yes to any of the following, as we will need to re-schedule you:

  1. Have you traveled outside the country in the last 14 days ?
  2. Have you had any close contact with a person who was diagnosed with COVID or has had symptoms of fever, dry throat, cough, shortness of breath?
  3. Have you experienced any symptoms of fever, dry throat , cough, or shortness of breath?

  General Safety Guidelines

  • Wash hands often with soap and water for at least 20 seconds
  • Alcohol-based hand sanitizer is the next best option if soap and water is not available.
  • Avoid touching your face, eyes or mouth with unwashed hands
  • The CDC is now recommending wearing face masks when out in public, please make sure to put masks on and take masks off with freshly washed hands. 

This is a challenging time for all of us.  We will do our best to continue providing support any way we can.  Please contact us today if we can be of assistance to you.  Call us at 866-423-2645

At PRC, protecting the health and safety of our patients and staff is a top priority. During this time, we are following guidelines from the American Society of Reproductive Medicine to help stop the spread of coronavirus (COVID-19).

We are being asked to limit seeing patients in our clinic unless it is deemed medically necessary. However, we want to support our community in continuing to provide virtual support and education during this pandemic.

For past or existing patients, we are here to answer your questions. You can email us or set up a virtual visit.

For new patients, or those we have not yet met at our clinic, we want to help you to continue your fertility journey. To do this, we are offering free virtual consultations for all new patients. Also, for a limited time, we are offering $1000 off of a single-cycle fertility treatment for any new patient who receives a virtual consult by May 31st. No deposits are required for this offer, but some exclusions do apply. Contact us for details.

This is a challenging time for all of us.  We will do our best to continue providing support any way we can.  Please contact us today if we can be of assistance to you.  Call us at 866-423-2645

What to Expect with a Virtual Fertility Consultation

• Review your health history with an experienced clinical coordinator
• Discuss your medical records and assess treatment options
• Receive lifestyle tips for fertility from an integrative health specialist
• Get answers to your all of your questions about fertility treatment
• Meet with our Financial Coordinator to discuss payment options
• Leave with a customized plan for your fertility needs

Contact us today at (866)-423-2645

Visit Pacific Reproductive Center

Pacific Reproductive Center® is a world-class fertility center in Southern California. With more than 70 years of collective reproductive clinic experience diagnosing and treating infertility, PRC is a leading provider of IVF and fertility care.

PRC is easily accessible whether traveling from local communities including Los Angeles, Orange County, Riverside or points slightly further including San Diego, Temecula, Inland Empire and La Jolla


PRC Torrance
3720 Lomita Blvd, Suite 200 Torrance, CA 90505
Monday – Saturday: 8am – 5pm
Sunday: Closed
PRC Glendale
116 E. Broadway, Suite 300 Glendale, CA 91205
Monday – Friday: 8am – 5pm
Saturday – Sunday: Closed
PRC Irvine
10 Post Irvine, CA 92618
Monday – Friday: 8am – 5pm
Saturday – Sunday: Closed
PRC Corona
381 Corporate Terrace Corona, CA 92879
Monday – Friday: 8am – 5pm
Saturday – Sunday: Closed
CALL TODAY! 866-423-2645

Lifestyle Tips for Fertility – For Free!