Our next guest is the owner of a company called
Genesis that literally makes babies
she's an expert in fertility and
2,000 new lives owe their existence to her and her team she
Faces some of the greatest challenges in so many cases had made a miracle of a new life possible
But she's also keenly aware of the complex dramas that swirl around this existential function without which
human society
would not exist
Please welcome Sonya Kashyap
Thank you for having me here tonight. I'm truly honored to be in all of your presence, and that's a hard act to follow
So I thought I would tell you a little bit about myself I
Grew up in st. John's, Newfoundland the eldest daughter of immigrant parents
my mother later became a single parent and she gave up her personal dreams for those of her four daughters I
Came to Vancouver's a circuitously
Studied at Queens. I was at the University of Ottawa
I studied at Cornell Medical College in New York City and the University of California, San Francisco
is where I worked before I returned home to Vancouver I
Returned to Vancouver with two dreams
number one
To bring what I had learned at renowned fertility centers in the u.s.
Home to Canada and to advance fertility care and success rates here and number two hopefully
To settle and start a family of my own
Helping couples and individuals
Build families is an incredible privilege and an awesome responsibility
Today with assisted reproductive technologies we can not only cure infertility. There's very little in medicine that we actually cure
But we can actually
diagnose lethal genetic conditions before the embryos are transferred into the uterus thereby preventing the
suffering of future generations and
Today we can also help couples and singles have opportunities to choose when they will start their family
in
2013 at the age of 41 I became the medical director of Genesis fertility center
The byproduct of that decision was that my focus would be on my practice and less on my personal life
My mother asked me what had she done wrong
She said why were her daughters not having children and when would she be grandmother I
Told her she had done everything right she had raised us to be strong and independent women
Who would work diligently to make honest and meaningful contributions to the world?
She'd given me the dreams in the determination that
So many parents wish for their daughters and
In that moment I realized that those dreams in that determination
Would help other families to build the dreams of a family of their own?
Even if it delayed my own
In many areas of Medicine we have been able to narrow or close the gender gap
We recognize that different diseases present
Differently in men and in women and even the same diseases can present with different symptoms
Or different risk factors, and so we treat appropriately
One area where we now have the opportunity to be so much more successful is what I call the fertility gender gap
This gap is real and it still exists
Women as women we are given a finite number of eggs during fetal life in our ovaries
And they start to decline even before we hit puberty
equality also declines
precipitously after ages 35 37 and 40
therefore more women will experience
Miscarriages and infertility after these ages. Why is this?
Well from an evolutionary perspective this made some sense in the past after all as women
we have to carry pregnancy and presumably we should be healthy enough to do so as
Yet
Men cannot do it
But stay tuned
So it is true
That mother nature, built a biological clock into our eggs
She didn't know that we would live longer and healthier lives and that we would be trying to balance family and career
She didn't know that we would devise methods through science and technology to help us achieve pregnancy and Families when we were ready
As you can see here men also suffer from the decline in fertility, but not as drastically
Men make new sperm every two months so no matter a man's age his sperm is only two months old
also makes some sense
Egg freezing can help close the fertility gender gap
That people are starting their families later in life is often not by choice
It takes longer to finish your education
it takes longer to establish a career and
It takes longer to find a partner, and we all know that in Vancouver it takes longer to find a house
Many of the women who present to us for egg freezing do so after age 35
They are artists and actresses. They're doctors and lawyers. They're
scientists
And engineers, but they haven't met their partner yet, and they deserve to meet the right partner
Professional women are faced with choices that professional men are not
Since the time of suffrage we have fought for the right to vote for the right to work and for equal pay and promotion
Some suggest that we should focus on career in education and independence, but then it can be difficult when we try to start our families
Others suggests. Well. Why don't you start on family first, but sometimes after the loss of a spouse we find ourselves alone?
And it's difficult to support the family with limited skills or means
Reproductive freedom is essential for women to enjoy equality at home and at work
Today with assisted reproductive technologies we can finally
Truly attempt to plan both family and career in
the past
Equality at work really focused on the prevention of childbearing
Contraception was legalized in the 1960s and abortion was decriminalized in the 1970s
These are important milestones in reproductive health
But now in 2017 there should be no glass ceiling for women personally or professionally
We recognize that parental leave and stopping the clock is
Necessary for women not only to contribute to the workplace but to thrive in the workplace
The question is can we now stop the biological clock?
So that the race against time to start a family is more manageable
The answer is yes
The technology for egg freezing was perfected in Italy
Where it was by law every egg that was fertilized in an in vitro
Fertilization cycle had to be transferred to the uterus
You can imagine the dilemma when twins triplets and higher resulted with frequency
Egg freezing, then became used more frequently for medical fertility preservation
So for cancer and other patients whose fertility was threatened by their
disease
Medical fertility preservation allowed them the hope of having a family after their disease was in remission
But this technology took a long time to perfect
This little tiny egg
So powerful, but so fragile
120 microns it is the largest cell in the body, and it is the most water Laden cell in the body
Unlike the sperm which is literally a packet of almost indestructible DNA
So egg freezing was difficult to do and
As the eggs were frozen the eggs were
prone to developing crystals that could damage its delicate and
very
Intricate machinery
but today
We can now successfully through fast freezing and vitrification
Freeze and thaw eggs for use when we are ready
whatever ready means
today 10 eggs frozen before age 35 have better than a 60% chance of a successful pregnancy
We were proud to introduce this technology to Vancouver and to have the first egg freezing baby in Vancouver
Today many women elect for social egg freezing I
believe that women deserve to understand their reproductive options I believe that education about egg freezing is as important as
education about contraception when it comes to family planning
in
2017 there should be no glass ceiling and
egg freezing is one way to help close the fertility gender gap and offer women reproductive choice and
hopefully
Help our mothers fulfill their dreams of seeing their daughters have all the choices in the world
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