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 …

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 …

In Vitro Fertilization and Embryo Culture

David Kreiner, MD Co-culture of Embryos, IVF Leave a Comment

• Sperm and eggs are placed together in specialized conditions (culture media, controlled temperature, humidity and light) in hopes of fertilization • Culture medium is designed to permit normal fertilization and early embryo development, but the content of the medium is not standardized. • Embryo development in the lab helps distinguish embryos with more potential from those with less or …

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 …

Co-Culture of Embryos Offered at East Coast Fertility

David Kreiner, MD Co-culture of Embryos, FSH, Infertility Information, IVF 3 Comments

In the past 30 years great strides have been made in the field of in vitro fertilization (IVF). The use of ovulation induction to recruit multiple eggs increased the IVF success rate in the late 1970’s. The addition of FSH and a GnRH agonist (such as Lupron) to the stimulation protocol  increased success rates even more. Ultrasound-guided retrievals made the …