Trying to Conceive with Clomid Therapy

David Kreiner, MD Clomid 1 Comment

It has become commonplace for women who have been frustrated with repeated unsuccessful attempts to conceive naturally on their own to see their gynecologist who often times will try clomid therapy on them. Clomid, the traditional brand name for clomiphene citrate, is a competitive inhibitor of estrogen. It stimulates the pituitary gland to produce follicle stimulating hormone (FSH) which in …

Endometriosis and Your Fertility

David Kreiner, MD Endometriosis Leave a Comment

Endometriosis has made the news lately because Top Chef host Padma Lakshmi has stepped up to use her celebrity to shed light on this disease. I don’t have to tell you that endometriosis can be a very painful illness and that it can cause infertility. It is often a reproductive lifelong struggle in which tissue that normally lines the uterus …

There’s No Business Like Show Business, Except Fertility

David Kreiner, MD IVF, News, Octomom, Single Embryo Transfer Leave a Comment

The Fertility news is constantly highlighted in sensational headlines, the most recent of which was, “49 year old woman conceives with own egg through IVF”. In the past several months, readers have been entertained with “Octomom”, “a woman pregnant with a supposed dozen”, “Jon and Kate plus eight” and “a 62 year old mother through IVF” not to mention the …

Micro IVF May Be Your Answer

David Kreiner, MD Micro IVF Leave a Comment

You’ve already crossed the bridge from “We’re going to get pregnant!” to “We need help…” But this other side looks filled with more obstacles, including expensive and risky fertility medications. How far do you have to go just to have a baby? Micro IVF (sometimes called MiniIVF) may be your answer. The primary point of MicroIVF: fewer fertility drugs, less …

Hydrosalpinx

David Kreiner, MD Causes of Infertility, Hydrosalpinx Leave a Comment

A hydrosalpinx is a fallopian tube that is blocked at its distal end on the opposite side from the entrance to the uterine cavity. It may be diagnosed by a hysterosalpingogram or in severe cases by pelvic ultrasound. The hydrosalpinx is filled with inflammatory fluid and is most likely the end result of a pelvic infection. This inflammatory fluid can …

Fertility Treatment During This Economic Downturn

David Kreiner, MD Making It Affordable, Micro IVF, NYS IVF Grant 1 Comment

Financial hardships have increased fertility challenges for many couples attempting to build their families. According to a new study release at the ASRM meeting in Atlanta last week, the recession has severely affected access to fertility treatment in this country. Fifty eight percent of infertile couples who chose not to pursue therapy cited cost as the primary reason. About 7 …

Reproductive Tourism

David Kreiner, MD International Leave a Comment

There has been a lot of negative press recently about “reproductive tourism” – or cross-border reproductive care; that is traveling abroad for fertility services. However, the fact remains that in some areas couples struggling to start a family sometimes have no other option but to seek help away from their homes. This is the case for couples in the U.K. …

Embryo Mix Up – Can We Prevent Them?

David Kreiner, MD Cryopreservation Leave a Comment

Father Thomas Berg, Executive Director of the Westchester Institute for Ethics and the Human Person, said the recent case of a woman implanted with an embryo from another couple was the sort of “tragic mistake” that can happen” in “the unregulated world of IVF.” I agree that mixing up gametes and embryos is tragic and society must do everything humanly …

Drs. Howard and Georgeanna Jones, the Pioneers of IVF in the USA

David Kreiner, MD Dave Kreiner, MD, Dr. Howard and Georgeanna Jones, The Jones Institute for Reproductive Medicine Leave a Comment

In 1987, I completed my Reproductive Endocrinology and Infertility fellowship under  Drs. Howard W. Jones Jr. and his wife Georgeanna Seegar Jones, the two pioneers of in-vitro fertilization in the USA and the entire western hemisphere. This picture was taken at their house on the Elizabeth River in Norfolk during one of the bimonthly journal clubs.  It was routine for …