IVF Today: Building Families One Baby at a Time

Dr. Kreiner IVF Leave a Comment

I entered the field of IVF in 1985 when the pregnancy rate at the Jones Institute, the most successful program in the country, was 15 percent. This rate was achieved by transferring six embryos at a time. As a consequence, we experienced many high order multiple pregnancies. Unfortunately, these were often complicated and did not always end well. Aside from …

As in life, sometimes we a need an IVF “Do Over”

Dr. Kreiner Assisted Reproductive Technologies, Infertility Information, IVF, Reproductive Health, Treating Infertility Leave a Comment

I was at a college graduation party for Rebeka, one of the first IVF babies I ever helped create. Her parents and grandparents beamed with pride, bragging about Rebeka’s achievements and plans while passing the hot wings and beers. I shared in this proud moment, feeling as if I bore some responsibility, since were it not for IVF, the party …

At Reproductive Crossroads….

Dr. Kreiner Assisted Reproductive Technologies, Causes of Infertility, Fertility Testing, FSH, IVF, Male Infertility, Treating Infertility Leave a Comment

Last week a patient presented to my office with a question that made me feel like I was responding to a Dear Abbey letter requesting help to make some crucial life decisions that were related to her reproductive health.  As I pondered her query that I had heard so many times before I wondered how terribly nerve racking it must …

The Perfect Game

Dr. Kreiner Assisted Reproductive Technologies, Fertility Screening, Infertility Information, Mind-Body Fertility Connection, Reproductive Health, Treating Infertility Leave a Comment

I grew up on baseball in the 1960’s with the likes of Mickey Mantle and Roger Maris.  A few years later Tom Seaver and the Miracle Mets held my fancy.  Over the years I have been intrigued by many baseball spectaculars such as Mark McGwire and his run to break Roger Maris’s homerun record and Barry Bonds’s overcoming Mark McGwire’s …

Reproductive Endocrinology: Then and Now

Dr. Kreiner Assisted Reproductive Technologies, Causes of Infertility, Co-culture of Embryos, Cryopreservation, Embryo Glue, Endometriosis, High order Multiple Births, Infertility Information, IVF, Laboratory, Micro IVF, Physicians, Regulation of IVF, Reproductive Health, Research, Single Embryo Transfer, Treating Infertility, Tubal Disease Leave a Comment

My son is starting his second year residency in obstetrics and gynecology. He, like I was 30 years ago, is turned on by reproductive medicine and enjoys performing gynecologic surgery. When I decided then to specialize in reproductive endocrinology and infertility (REI) I was looking forward to being on the frontier of fertility medicine. The details of Reproductive physiology were …

Creating One Baby At A Time

David Kreiner, MD Assisted Reproductive Technologies, Dr. Howard and Georgeanna Jones, Embryo Transfer, IVF, Reproductive Health, The Jones Institute for Reproductive Medicine, Treating Infertility Leave a Comment

It was fifteen years ago that I sat listening to a lecture about the hazards of multiple pregnancy and how IVF had increased multiples so drastically in the preceding ten years. What a depressing thought. I loved helping women conceive. I was living my dream, practicing the infertility and IVF I had learned ten years earlier at the Jones Institute …

Embryo Mix-Up: Tragic Error Leads To Miracle Baby

David Kreiner, MD Assisted Reproductive Technologies, Embryo Transfer, IVF, Laboratory, Reproductive Health 1 Comment

The case of a mix-up of frozen embryos in a Michigan IVF program in Feb. 2009 yet again became a media splash with the affected couple appearing on ABC News to promote their new book, “Misconceptions”.  The couple who already had a set of twins as a result of a successful IVF recounts a story about their experience including the …

Embryo Co-Culture To Improve Pregnancy Success

David Kreiner, MD Assisted Reproductive Technologies, Co-culture of Embryos, Embryo Transfer, IVF, Treating Infertility Leave a Comment

Successful IVF is dependent on many factors.  The quality of the egg and embryo, the placement of the embryo into the uterus and the environment surrounding implantation are all paramount to the ultimate goal of creating a pregnancy that leads to a live baby. Typically, patients present with their own gametes so the genetics and pregnancy potential of the eggs …

A Better Way To Screen Embryos For Genetic Defects: ACGH

David Kreiner, MD Age Related Infertility, Assisted Reproductive Technologies, Fertility Screening, IVF, PGD 1 Comment

Pre-embryo genetic screening (PGS) was developed to help weed out embryos containing inherited metabolic disorders and genetic abnormalities prior to implantation. It was thought that PGS could be used to minimize the risk of miscarriage and perhaps even increase live birth rates in older women IVF undergoing . We have thus far been disappointed in our results obtained using the …