Good Neighbor Podcast North Atlanta
EP #99: Muna Fertility - Egg Freezing is Here To Change the Game! with Dr. Karenne Fru
Learn how the modern trend of delaying parenthood intersects with fertility preservation, and why companies are offering egg freezing benefits to retain top female talent. Dr. Frew guides us through the technical process of egg freezing, from initial assessments of egg reserve to hormone injections and monitoring. While it's not a guaranteed solution for future pregnancies, understanding the procedure can offer peace of mind and career flexibility. Tune in to grasp the vital aspects of egg freezing and make informed reproductive choices with confidence.
Learn how the modern trend of delaying parenthood intersects with fertility preservation, and why companies are offering egg freezing benefits to retain top female talent. Dr. Frew guides us through the technical process of egg freezing, from initial assessments of egg reserve to hormone injections and monitoring. While it's not a guaranteed solution for future pregnancies, understanding the procedure can offer peace of mind and career flexibility. Tune in to grasp the vital aspects of egg freezing and make informed reproductive choices with confidence.
This is the Good Neighbor Podcast, the place where local businesses and neighbors come together. Here's your host, Stacey Risley.
Speaker 2:Hello friends and neighbors, Welcome to North Atlanta's Good Neighbor Podcast. Today we are back with Dr Corrine Frew, the founder and medical director of Mooner Fertility here in Atlanta, and we're here to talk about freezing your eggs. So welcome back to the show, Dr Frew. It's such a pleasure to have you back with us.
Speaker 3:Thank you, Stacey, for the repeat invitation to come back and talk about something that is very near and dear to my heart.
Speaker 2:Yeah, well, so this is a subject we actually touched on last time that you were here and, if you're listening, for the first time with Dr Frew, she is the expert contributor for fertility and reproductive medicine in the North Buckhead Neighbors publication and she is back with us to discuss her article for this month, and it's all about freezing your eggs. And she is back with us to discuss her article for this month and it's all about freezing your eggs. And she has made this really easy for me as a host because in her article she answers the most frequent questions that she comes across when it comes to freezing eggs. So with that, dr Frew, let's go ahead and start with your first question what is an egg? What are we freezing exactly?
Speaker 3:Thank you. I know when I tell my toddlers about eggs they think of what our chicken produces in the backyard and that would make absolutely no sense to try and freeze. And that would make absolutely no sense to try and freeze, especially for women. But like chickens and much like any female of the species that reproduces sexually, the egg is the female gamete, Like the sperm is the male gamete, and you need to put those two together to make an embryo or a zygote and that has the possibility of establishing a pregnancy and turning into a new little tiny human.
Speaker 2:Wonderful. Well, I am so glad that we're not freezing your chicken's eggs. That would make for a very interesting snack, I'm sure.
Speaker 3:But yeah, that's what a lot of people think about, and what we're talking about is a microscopic cell.
Speaker 2:Yeah, and when you put it in those terms, it's definitely something to consider, definitely something to consider. That is something so microscopic and something we don't think about. You know that we're even producing eggs, so how important is the egg in the?
Speaker 3:reproductive process. So for every species, again, the egg is orders of multitude larger than the male gamete or the sperm, even though it's microscopic.
Speaker 3:Yes. So if you compare an egg and the sperm, for any species, the egg is huge compared to the parents, because the sperm is only DNA. I describe it as a DNA delivery device. That's great, and it's got a DNA payload in the head and its job is to get into an egg and for fertilization to happen. On the other hand, does all the work for early embryo development for like the first three days of life, because it's got not only genetic material but it has all the substructures within the cell in order to facilitate cell division to the point of a cleavage stage embryo and at that point the male and female genetics integrate and then the embryo runs itself, runs its own cell division from there. But up till then it's all on the egg.
Speaker 2:So the egg has all of the work to do so, parallel with some other things in life. Indeed, indeed, I'm just kidding All you gentlemen out there, I'm teasing Well, so why does all of this matter, dr Frew?
Speaker 3:Because eggs are not getting recruited and grown from scratch from stem cells every month, like happens with the sperm. So every woman or every individual out there with ovaries had those eggs predetermined before they were born. And then there's a massive die-off at the point of birth and then, when you reach puberty, you start recruiting cohorts of eggs and ovulating one out of the entire cohort. You might recruit 20, you ovulate one, and this happens every time you have a menstrual cycle, and so you're constantly depleting the total number of eggs that you have in store. But also those eggs have seen every single biologic, physiologic, environmental event that you yourself have gone through.
Speaker 2:So what I tell my women who come in at 40, but look like 28, is that their eggs know exactly how old they are because they were there before they were even born and aware that they were alive and so that's a really good point that you're making, because so many of us, especially you know we are, you know I'm, I'm well into my forties, well, well, well, and you know we try to keep up with ourselves, just because you know you may not look 40, you may not act 40. You may not feel 40, but your eggs know that you're 40, you know and that's like you said, that that I think that that people need to understand that at you know, while you may put your career getting started and people are starting to have children later and later in life, you know, and that this really plays an important part, you know, for all of us to be thinking about.
Speaker 3:And there are more stories in the media and popular culture of older women successfully giving birth and having children, and it may be that some of these individuals took advantage of egg freezing. So it's like doing an egg donation to your future older self. And it may be that some of these women have taken advantage of donor eggs, which are eggs that are taken from a much younger version of yourself, from a much younger version of yourself, and then inseminated with sperm of your choosing, and you get to carry that pregnancy and experience being pregnant and giving birth, and that is your child. So it is not immediately clear how that 50-year-old got to that pregnancy, got to that frequency, and so it has fostered this belief that you can have kids until you're in your 50s, and that just isn't true.
Speaker 2:Yeah, I mean, and it might be true for one person, but it's not for the vast majority of all of us.
Speaker 3:My outliers there are outliers out there, but typically when I encounter the outliers they have been having kids all along and then very late into what would be typically perimenopause.
Speaker 2:I just have to say my greatest fear as a, you know I was. I worked in the church, nursery, I babysat, I knew I wanted to be a teacher. When I was in kindergarten I would line up my dolls and I would. You know, I was just very children focused my whole life and I happened to, you know, marry, my college sweetheart and, you know, have kids, right, you know, pretty, pretty young and well by, and it was. I was young, I was in my twenties, you know.
Speaker 2:But had that not been the case for me, like, had that, had I not been, had that not been my path, and I think this would have given me so much peace of mind and I think I would have possibly slowed down, you know, and not been in such a hurry to have kids. You know, I was in a hurry to have them because that was truly my biggest fear, that I wouldn't be able to have kids, because that would have been devastating to me. So had I known about egg freezing in my 20s, you know, or in my teens, and not so focused on getting out of college and starting my family, I may have waited a little while, you know. I'm glad now that I didn't, because I have my girls. But you know, like this, this isn't just for people who are struggling to have kids. Like this is for this is for people to prevent that from happening down the road.
Speaker 3:right, like this can be like a no, there are so many reasons why people opt to freeze their eggs. In fact, we started looking into this technology particularly for women and other people going through cancer treatments, and so the cancer treatment was going to render them infertile, and the number one regret that most survivors of childhood and, you know, earlier in life cancers had was that nobody talked to them about the impact of the treatment on their fertility, and so this technology was meant to address that problem. But, as you are probably very well aware, as a community actually the entire world, every country the birth rates have been declining old. Every country, the birth rates have been declining and the reproductive lifespan has been getting stretched to the max because people are, for all sorts of reasons, right, if you are drowning in student debt, you're just thinking how can I feed myself and pay off my loans, and not how can I have a child? Right, and that's just the reality for most of us who took on loans to go to school.
Speaker 3:And so, between that and how competitive the workplace has become and how you know, now, with Instagram and TikTok, you get to watch people traveling all over the world and having this carefree in-between phase in their lives, maybe with their partners, but not with children, and so some people opt to do that while they're young. Right, certainly sounds like a better idea than when you're old and everything hurts. But you can't. There's opportunity cost. You do all these things, and then the way to find out if you're fertile or not fertile is to try to have children.
Speaker 2:Yeah, and it doesn't have to be the pecking order of that right.
Speaker 3:The thing is, you might then, at the end of all your adventures or misadventures, find out that actually having a child is going to be a bit of a challenge, and it might just be.
Speaker 3:I'm not putting this all on the women, I'm just saying that by the time some people get around to oh okay, I think I better do this now. It's too late. Right, they have very low egg reserve, based on their age. The communication between the brain and the ovaries which runs everything yes, all sex begins in the brain, has, you know, that whole system is shut down or is on its way to failing, and so the mechanisms aren't there for us to even access the low number of eggs that they do have in reserve. And so, if that is you, wouldn't it be so much better to have set some eggs aside when you were younger? And I'll even mention there's a category of young women that I'm now starting to see, who are the undecideds. Now, they're a really cool, interesting category. They do not know if they wish to become moms in the future. They're not as certain as you are, stacey. Right, they value making that choice themselves and not having age and time take it away from them.
Speaker 2:I love that and that's that is a great point, dr Frew, that you don't have to know in your teens whether you want to be a mom or not. You know that doesn't. If you had asked my daughters they're, they're in their early twenties now, both of them. But if you had asked them five years ago, they both would have said I'm never having kids, like both of them would have said that you know, and they're now. They're kind of leaning towards. Maybe they do, but they would fall in that category, the undecideds. You know they are not as certain as I was, but so let's talk about that group. You know these people in their 20s say that are undecided or they don't know yet. If they, they just haven't, they haven't met their person, they haven't. You know. Whatever the case may be, what's the step for them? How do they go about freezing their eggs and is it appropriate for them to be thinking about in their early 20s?
Speaker 3:Oh, absolutely. I think you know you graduate college. This should be an option. You've made all the hard decisions, you've matured, you've given yourself time to think about it. You're not yet 30. Your fertility should be at its peak, and so this is the time to freeze your plan B, because that's all this is. These are backup for if, in the future, you are unable to conceive on your own, so that individual would come see someone like a reproductive endocrinologist. We do an assessment of what's called your egg reserve, meaning how many eggs do we think you have left on your ovaries. It's not a quantitative number like 12 million,000. But we see if it's appropriate for your age, because sometimes we get surprises. There are young women out there whose communication between their brains and their ovaries is already dysfunctional and who have lower egg reserve than we would anticipate at, lower egg reserve than we would anticipate at, say, age 26. All right, we would not know this without doing some blood tests and an ultrasound to look at the ovaries.
Speaker 2:Okay, so that would be the step one, that you would do some blood work. Step one is let's talk about it A conversation.
Speaker 3:Two is let's do the testing so that you understand what you're getting tested for. And then step three is, with the start of your next period, if you choose to proceed, you go into a treatment cycle and we collect the eggs and they're in storage and you go about your life.
Speaker 2:So the question, the very next question, the will it hurt? Question I know that that would be. I'm thinking of my daughters right now. So I'm because they're, like I said, in their early twenties. This is something they need to consider and they would definitely ask that question.
Speaker 3:For pain. Okay, because all our medications are needle delivered. All the medications are actually exact replicas of the hormones that are made by a woman's body, except they are higher levels than what your body would normally make. Because what we're trying to do is to rescue the eggs that would otherwise have died. Okay, so I told you that every month, you recruit a cohort of eggs. That is a competition. The one with the most receptors for the hormones makes it. Everybody else dies.
Speaker 2:So I think people realize this. When it comes to the male gamete right, the fastest, strongest sperm is going to get there.
Speaker 3:And the one that holds on the longest. They entered their own competition. Hopefully, only one makes it into the egg and everybody else just dies. And so for an egg recruitment to work, for us to rescue everybody, we have to give you enough FSH to keep everyone alive.
Speaker 3:So that makes me collect them at the end. So it's 10 to 14 days typically for egg freezes, 9 to 10, realistically, of injections in the belly, of injections in the belly, an average of three to four ultrasounds just to check on the growth of the follicles. Because we can't see the eggs are microscopic. So we check to make sure that the follicles are getting bigger and bigger appropriately and there is a size that corresponds to mature eggs. Why do I make this distinction? Because mature eggs are the ones that get frozen because they are capable of being fertilized and turning into an embryo.
Speaker 2:Got it, so that is all happening within that 10 to 14 day period.
Speaker 1:So they're getting.
Speaker 2:they're doing the shots in the belly. I know one of my girls used to have allergy injections. Is it similar to that?
Speaker 3:Yes, so the auto injectors for allergy meds. So most of the time we use these pens that you dial up to the dose that your doctor has asked you to take and you press it up against the skin in your belly and inject, it gets deposited in the fat that is typically underneath the skin.
Speaker 2:Allergy shots are nothing Like that's not even when you say they're needle administered. That might scare some people off, Not like a big old nasty shot, nasty shot.
Speaker 3:These are, these are. Let me, let me say I was a lot more sympathetic and a lot more oh you poor baby. Until I had to go through IVF. So this is like going through the front end of IVF and then, on the other side of it, I was like, oh my God, that was nothing, that was absolutely nothing. This is not terrifying in the least, unless you're a needle foam, In which case I would say, get somebody else to do it for you.
Speaker 2:But because even then, even if you're scared of needles, because I I when I don't particularly like to have my blood drawn, you know like I'm, I can take a shot, have a shot all day long and that's okay. But but having my blood drawn is not my favorite thing in the world. But these shots in the belly are literally nothing. You said they're daily shots.
Speaker 3:They're daily, they're typically at night. Two shots in the evening and then we add a third shot in the morning to prevent the high estrogen towards the end of the cycle from triggering an LH surge which would release the eggs. So we're in control. We're stopping the brain from doing what it wants to do and we're making the ovaries keep a whole lot more eggs alive than it wanted to. And then you get something called a trigger shot and which helps the eggs mature and get ready to release. Except we don't let them release into your abdomen, that would be useless. We take you to the OR, you get an IV, you get some medication that makes you sleep. There's no tube going down your throat or anything. It's a 15-minute procedure and my favorite question after an egg retrieval is am I awake?
Speaker 2:You are awake or you wouldn't be asking the question.
Speaker 3:And most people report having a very, very good nap, including yours truly. I had the best nap ever. And then the eggs are taken to the lab, where they are stripped so that you can identify all the mature ones, and then frozen.
Speaker 2:And so typically for most women, and this is a one month thing that you're doing, it's like a two week cycle in there. That you're, I mean that you're doing all of this in that two-week period. Do most women? Can they knock it out in one month? Is it done after one month?
Speaker 3:Yes, if the egg count is high enough. I use something called the BWH egg calculator tool or counseling tool in order to have conversations with patients before they go through with egg freezing. And really what determines if you will need multiple rounds of egg freezing is how many eggs did we get to begin with, how old you are right and how many children are you wanting, because for each woman that will differ. If you want one child, you of course need fewer eggs to get to that goal, right. If you want multiple children and you're older, you're going to take more rounds to get to the number of eggs to get to that goal Got it that makes perfect sense.
Speaker 3:The counseling is patient specific. But for my typical you know my ideal patient in their twenties with good egg reserve, they need very minimal medication. So then it's not as expensive. Some people's insurance will pick it up and they're done by day nine. They get retrieved. So you get your trigger on day nine, you get retrieved on day 11 in the morning and we freeze, you know 15 to 20 eggs and and they're there.
Speaker 2:Wow, and you've got them if and when you need them down the road.
Speaker 3:Yes and so, but for most people it's we tell you. I will tell you go ahead and try to have kids on your own. Then find your person and you know you're trying for pregnancy by age 35. I see no reason why you should need those eggs, unless, of course, we run into a male factor.
Speaker 2:Right. Well, it's like an insurance policy really. You know like it's peace of mind. You know that, like I said, if you're one of those women, like I was, as a young woman, knowing that I wanted children, but if I had not found my partner, this would have given me such peace of mind and I think I may have, you know, like I said, made different decisions. You know, it's just, it's nice.
Speaker 2:I love what you said earlier about women want to be able to make that decision on their own. They don't want time to make that decision for them, or their age to make that decision on their own. They don't want time to make that decision for them or their age to make that decision for them. Cause it, it, it stinks growing older. You know, we don't like that. I don't like that. I'm in my late forties, but if, if I was, I can see that getting getting older would be a lot harder. If I knew, if I had that in the back of my head, like, oh gosh, I've got to get married because I've got to have kids, I want to get. You know, just, I think it puts people on the wrong path. You know that are making decisions for the wrong reason out of fear instead of because it's the right thing.
Speaker 3:Fear-based decision-making is the devil. I really try to counsel people away from that because once you have two fused gametes, you and that other person are linked for life, especially if there's a child. That comes out of it Absolutely and unanimous. And there are very many court cases where splits have happened and there are embryos and one person wants to do one thing and the other person wants to do something entirely different. The gametes, the eggs, are always, always yours.
Speaker 2:Yeah, love that.
Speaker 3:And women find that empowering. In fact, I have a lot of women who are getting married and planning on having kids, who have frozen eggs just in case.
Speaker 2:Yep, I love that. I mean, I'm really, I'm really. I'm going to be telling both of my girls about this, just so that neither of them are in a hurry. You know to do anything, Slow down, take your time, you know it is. I want them both to do that.
Speaker 3:It's gotten more complicated for us than it was with our parents. Right, our incomes don't allow us to immediately buy a house and do all the things that were expected, especially in the boomer generation, and so it's just. The reality of things is different, and the studies are now showing that older moms are more patient moms, both with the kids and themselves, and that might have better effects on their offspring.
Speaker 2:I so can believe that. I mean that's just a the more patient they know. I mean they're calmer, you know, for lack of a better word, just I can. Better, yeah, Better resource, yeah, yeah, that makes a whole lot of sense. So you touched on finances, you know. So let's, let's talk about that for just a second. And you did also mention I wanted to circle back to you you mentioned that some people's insurance would pick this, the cost of this, up. So let's, it's twofold, but first let's talk about the expense of it and then let's talk about that group of people and who would you know who that might entail that insurance would cover?
Speaker 3:So I always bring up the point of cost because, yeah, it costs money to get the meds and recruit and retrieve and store these eggs right. However, as a retention tool and I was talking to a young lady who works for a finance company and they offered this benefit and the way they push it is you don't have to have kids now, you can have kids later, so that they can get all the work out of you, was her cynical take on the whole thing. Well, okay, but it might afford you an opportunity to get into the C-suite before you start having kids.
Speaker 2:Yeah, yeah, maybe they can change their perspective on that a little bit.
Speaker 3:But the companies know that this is something that is important to retention of female talent Right Especially, and so I mean Google was a leader back in the day, but now I mean Walmart does it, amazon does it, starbucks. I mean I could go on.
Speaker 3:Oh yeah, piedmont Hospital offers fertility benefits. Lot of large employers have realized that this is important to their constituency and if you don't want to have people flee your ranks and go work for Starbucks, then you offer them benefits and some of them will use it for egg freezing and some of them will use it for IVF. It does cost less than IVF because we're not billing for the back end, which is the fertilization, growth and storage of the embryos.
Speaker 2:Okay, so break down the cost. So what does it cost for this?
Speaker 3:In Georgia it's anywhere from 8,000 to 12,000 per cycle, not including the meds. The meds tend to be another couple of grand, but that depends on the specific doctor and what protocols they're using. So in a good prognosis patient the meds are typically around 2,500.
Speaker 2:with me, Okay, and so all together for the, just to say, you know the median yeah, Like 10,000. 10,000 total.
Speaker 3:And then that's peace of mind for you know, ever as long as you want. They can stay vitrified indefinitely.
Speaker 2:So that's it's indefinitely.
Speaker 3:That's the answer to how long the egg will last, but understand that most people will not assist you in getting pregnant much beyond the natural the median age of menopause in this country, which is 51.
Speaker 2:The median age is what 51.
Speaker 3:That's the median age of menopause in the US, so most practices will not go try to get you pregnant much beyond that for the increased risk.
Speaker 2:I'm approaching 50. I'm getting pretty close and I cannot even, you know, I can't imagine having a baby at this point in my life. But I know that women do it and I can't.
Speaker 3:For people? The answer has been no until now. And then they move mountains to make it happen.
Speaker 2:Right, let's circle back now to the group of people that insurance will cover this for, people that this, that insurance will cover this for you know you, you mentioned that earlier. So like what type of of people will insurance cover it?
Speaker 3:Anyone for whom it's a benefit. So if you have fertility benefits, got it Okay.
Speaker 2:We'll cover your egg freezing. So that just depends on your insurance policy. I didn't know if maybe with certain conditions endometriosis or some, maybe some different things.
Speaker 3:Specific. That's the good news, and I like that because I mean, the people were trying to have freeze. Their eggs don't yet have any medical diagnoses, are healthy, have not tried to get pregnant, they're, they're your optimal, yeah, and so you don't have to, you just have to want to. If your insurance covers it, yeah, absolutely. And then the out of pocket just depends on your deductible and you move on with life.
Speaker 2:This is going to be, I think, a game changer for a lot of people. I think people are going to look at this differently and consider this People that didn't even know this was an option or that it's something that they should consider in their 20s. You know that's not. And let's what if they are listening to this and they are in their you know 30s? So they've passed their peak reproductive time, you know, biologically speaking. Let's talk about that group of people real quick, before we finish up.
Speaker 3:Let's talk about that group of people real quick before we finish up.
Speaker 3:So if you are not considering having children imminently, as in you're not about to start trying, then the sooner you get your eggs frozen the better. So yes, I said peak fertility less than 30. But people have perfectly fine fertility, typically between 30 and 35. Right and so. And it also done the better, because I've had individuals counter with well, what if I meet my person in the next year or two? And my counter is what if you have some life-altering diagnosis in the next year or two that makes this too dangerous to even attempt?
Speaker 2:that makes this too dangerous to even attempt Absolutely. I mean to go back to the analogy. That is an insurance policy. You know this isn't. It's hopefully it's something that you won't have to use, but that doesn't stop any of us from having, you know, car insurance.
Speaker 1:That's not you know we have to have car insurance.
Speaker 2:Right, you know, hopefully you're not going to get into an accident and have to use that car insurance, but we all have to pay for it every month.
Speaker 3:No, we do and we pay for other people's mistakes. But yeah, no, this is an insurance policy, it's a peace of mind policy. It is not a panacea. It will not automatically guarantee that you get pregnant and have a baby A lot of things can happen during a pregnancy but it at least affords you the opportunity to try. And there are a lot of women who would give their left arm to have the opportunity to try with their own genetic material arm, to have the opportunity to try with your own genetic material. And the answer from me is I'm so sorry, the only way you're becoming well, not the only way, but if you wish to carry a pregnancy, you're going to have to use somebody else's egg.
Speaker 2:Well, I love that we've had this topic. I love this conversation. This whole conversation has been enlightening for me and I think it will be for a lot of other women out there and people that want to have babies later, or the undecideds as you've called them, which I love.
Speaker 3:Which is fine. I mean, you're allowed to be undecided on majors. Why do you have to be decided on motherhood?
Speaker 2:That is such another great love that, yeah, you don't have to know what you want to do for the rest of your life. You know, why do you have to know if you want to be a parent yet? So I think that's perfectly okay to slow down and take your time, especially in your 20s. You know like, but if you're going to slow down and take your time, I consider that this is very important the decision to not have to decide now. You know, and make that decision today, absolutely. If they want to learn more, if anyone listening wants to reach out to you, what is going to be the best way for them to get in touch, Dr Fru.
Speaker 3:So the best way to get in touch with me is to go to our website it's MUNA Fertility, that's M-U-N-A fertilitycom and just request a new patient visit and during that visit we can have all your very specific conditions and questions answered. Right, because right now I can tell you that there's a tool to figure out how many eggs you need, but we've not gone through that tool for you and that answer is going to be unique to you, right, and I don't know what diagnoses you might have. So there are a lot of details that go into. Will I be able to shepherd you through this process safely? And the part that shocks most people is that I'm evaluating to see if they would be good candidates or not to go through the process. But you know it first starts with a conversation and then, if you qualify, we move on very quickly.
Speaker 2:Well, a conversation with you is super easy. I can assure anyone listening to have a conversation, that's an easy thing to do. That's not a you're not. You're not even having to decide whether you want to freeze eggs at that point. It's just a conversation. If you're in your twenties and you or thirties, yeah, that's right, twenties or thirties.
Speaker 3:Twenties or thirties, absolutely, and and just want to have a conversation about egg freezing for yourself, just sign up on the website, just request a consult and then, if you know someone who could benefit from it, maybe they're starting on a very long path. Ahem, ahem, med school. I wish someone had had this conversation with me on day one of med school. Instead, they showed us a nice little graph of declining fertility and increased miscarriages. Little graph of declining fertility and increased miscarriages. The middle of the X was right at 35 and I started counting on my fingers how old I was going to be by the time I got done with fellowship. Yeah right, I mean, that's what it is old.
Speaker 3:You're getting closer and closer to, or past that right in your mind, you're already doing the math it's like doing the math and I would have preferred if they said well, if you would like the option, we have this doctor you can go talk to about oh my goodness, I I'm going to put them all to Dr Frew Constructive as they see the panic set in.
Speaker 2:They need to see all the women doing the math, I'm never, going to be in that baby, so good. Never going to Well. Dr Frew, it has been such a pleasure having you on. I look forward to having you back again in the future to discuss your next topic, and we're not even going to allude to what that is because I don't even know.
Speaker 3:So I'm sure that something will come up in this productive universe that we live in, because without it we go extinct.
Speaker 2:Absolutely no job is more important than yours.
Speaker 3:That is definitely true. I think that's safe to say. Oh sorry, I was just going to mention real quick that there is more of me hamming it up and answering common questions on the Instagram at Muna Fertility. So that's just. I answer questions that we come across. I don't answer as many questions as I'm sure people have, but it might be a good starting point for some people Wonderful.
Speaker 2:So you can reach out to Dr Frew at MunaFertilitycom or or at Munafertility on Instagram and learn more. And again, it's been such a pleasure having you on. I look forward to next time. Thank you, Me too. Well, that's all for today's episode. Atlanta. I'm Stacey Risley with the Good Neighbor Podcast. Thanks for listening and for supporting the local businesses and nonprofits of our great community. The local businesses and nonprofits of our great community.
Speaker 1:Thanks for listening to the Good Neighbor Podcast North Atlanta. To nominate your favorite local businesses to be featured on the show, go to GNPNorthAtlantacom. That's GNPNorthAtlantacom, or call 470-946-7007.