What Do You Know About Your Fertility? – Part 1, Biological Clock

David Kreiner, MD Age Related Infertility, Infertility Information Leave a Comment

What Do You Know About Your Biological Clock? Women have a biological clock. Everyone knows that. The problem is that a lot of the information people think they know about their fertility and reproduction is not true. The blurring of fact, opinion, myth and misunderstanding makes for a treacherous misinformation landscape. The knowledge gap has claimed millions of victims, people …

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 …

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 …

Sperm Meets Egg – Why Doesn’t It Work Every Time?

David Kreiner, MD Male Infertility, Mind-Body Fertility Connection Leave a Comment

Why me? My wife never had an infection, surgery or any other problem? I have no difficulty ejaculating and there’s plenty to work with so why can my friends, neighbors and coworkers get pregnant and we can’t? I hear these questions daily and appreciate the frustrations, anger and stress felt by my patients expressing these feelings through such questions. There …

Is My Biological Clock Running Out?

David Kreiner, MD Age Related Infertility, Fertility Screening, FSH, IVF, Micro IVF Leave a Comment

Tears start to course down the cheeks of my patient, her immediate response to the message I just conveyed to her. Minutes before, with great angst anticipating the depressing effect my words will have on her, I proceeded to explain how her FSH was slightly elevated and her antral follicle count was a disappointing 3-6 follicles. I was careful to …

When Are You Too Old To Be a Mother?

David Kreiner, MD Age Related Infertility, Egg Donation, Infertility Information, News, Ovum Donation Leave a Comment

When I saw that Maria de Carmen Bousada (the oldest mother to conceive at the time with donated eggs and the help of an IVF program) had died, my first thought was to extend my sincere condolences to her family and in particular to her two year twin boys. My heart truly went out to them. It is a great …

Polycystic Ovarian Disease

David Kreiner, MD Infertility Information, PCOS 1 Comment

Polycystic Ovary Syndrome (PCOS) is a condition in which a woman’s hormones are out of balance.   It can cause problems with your periods and make it difficult to get pregnant.  PCOS may affect the way you look and can be associated with a variety of health problems including diabetes, hyperlipidemia and hypertension. PCOS is the most common hormonal disorder of …

What Are My Odds?

David Kreiner, MD Age Related Infertility, Assisted Reproductive Technologies, Co-culture of Embryos, Embryo Glue, Infertility Information 1 Comment

One of the first questions that most people ask is “what is the chance for success?”  In 2002 about 28% of cycles in the United States in which women underwent IVF and embryo transfer with their own eggs resulted in the live birth of at least one infant. This rate has been improving slowly but steadily over the years.  Patients …