Do Financial Discussions Have A Place In The Fertility Consultation With The Doctor?

David Kreiner, MD Assisted Reproductive Technologies, IVF, Micro IVF, Treating Infertility 1 Comment

One of the most distressing things I face in practice is when I get negative feedback from a referring physician.  Fortunately, it happens rarely but recently I was shocked about the complaint.  Apparently, his patient was offended that I discussed the finances involved with her treatment.  Her Ob Gyn agreed with her that it was inappropriate for me to discuss …

Through My Eyes: A Historical Perspective of the Birth of IVF

David Kreiner, MD Assisted Reproductive Technologies, Dave Kreiner, MD, Dr. Howard and Georgeanna Jones, Journey To The Crib Video Series, Pamela Madsen, The Jones Institute for Reproductive Medicine 0 Comments

Journey To The Crib – Ep. 3 – Giving Birth To IVF at the Jones Institute on Vimeo. My first day of fellowship training in Reproductive Endocrinology at the Jones Institute was the day the Institute moved from the old quarters at the medical school to their new location at Hoffheimer Hall.  Movers carried boxes laden heavy with text books …

Things you should know about your Embryo Transfer

David Kreiner, MD Assisted Reproductive Technologies, Embryo Transfer, IVF 0 Comments

After a few days of development, the best appearing embryos are selected for transfer The number chosen influences the pregnancy rate and the multiple pregnancy rate A woman’s age and the appearance of the developing embryo have the greatest influences on pregnancy outcome Embryos are placed in the uterine cavity with a thin tube Excess embryos of sufficient quality that …

Cryopreservation of Embryos

David Kreiner, MD Assisted Reproductive Technologies, Cryopreservation, Dr. Howard and Georgeanna Jones, Infertility Information, Micro IVF, Single Embryo Transfer 0 Comments

In 1985, my mentors, 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, proposed the potential benefits of cryopreserving or freezing embryos following an IVF cycle. They predicted that cryopreserving embryos for future transfers would increase the overall success rate of IVF and make …

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 …