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 …

Minimal Stimulation IVF or MicroIVF May Be Best for Young Patients and Old

David Kreiner, MD Age Related Infertility, Assisted Reproductive Technologies, IVF, Micro IVF, PCOS, Treating Infertility Leave a Comment

Minimal stimulation in vitro fertilization, also known as MicroIVF and MiniIVF is a cost effective treatment option for young women who are attempting to conceive. Although traditional full stimulation in vitro fertilization (IVF) procedures produce better pregnancy rates, minimal stimulation IVF (MS-IVF) induces ovarian follicle and egg development with less hormonal stimulation. As a result, patients going through minimal stimulation …

Secondary Infertility

David Kreiner, MD Assisted Reproductive Technologies, Causes of Infertility, Infertility Information, IVF, Secondary Infertility Leave a Comment

Sometimes my patients who have difficulty conceiving their second child feel like second class citizens in the infertility world.  Unlike their infertile peers without a child they perceive that friends, family and even their doctor’s offices do not have the same sympathy and concern for them as they observe others without a child receive.  I have had patients express guilt …

Over 40, High FSH and Infertile: What to Do?

David Kreiner, MD Clomid, FSH Leave a Comment

You have that dreaded infertility diagnosis, “Over 40 With High FSH Levels.” And there’s no cure or magic herb that will turn back the hands of time. You’re desperate so you are willing to try it all anyway, including acupuncture and some internet recommendations such as DHEA (dehydroepiendosterone). You hear that you can lower your FSH with DHEA or estrogen. The …

Infertility and the “Yuck Factor”

David Kreiner, MD Treating Infertility Leave a Comment

Those of us who work in the infertility field are often presented with situations that make us ponder whether we should assist in endeavors that make us feel a bit, well, uncomfortable. I suppose it’s common to have these experiences in our field as family building is a cornerstone of our society. But manipulating a family affects not just the …

Corporate Denial of Right To Watch Favorite TV Show

David Kreiner, MD Innovating the Financing of Infertility Leave a Comment

It’s now official. Disney withdrew WABC, channel 7 from Cablevision affecting 3 million viewers in the New York Metropolitan area. My wife is distraught. Her favorite television shows; Brothers and Sisters, Desperate Housewives, Lost and others are no longer viewable on our TV sets. The Oscars is not available. She like so many others is frustrated and depressed at the …

Having a Baby with Donor Egg or Donor Sperm

David Kreiner, MD Egg Donation, Sperm Donation Leave a Comment

As a reproductive endocrinologist (and, therefore, a supposed expert on heredity), I’m often asked how much of a child’s development and ultimate personality is a result of genetics (nature) and how much is a result of its environment (nurture). Typically, this question arises when dealing with patients contemplating using donor sperm or donor egg. I don’t have the answer to …

Infertility and The Overweight Woman

David Kreiner, MD Obesity, PCOS 11 Comments

The most shocking thing I’ve experienced in my 30 year career in Reproductive Endocrinology has been the consistent “resistance” among specialists to treat women with obesity. This “resistance” has felt at times to both me and many patients to be more like a prejudice. I have heard other REI specialists say that it is harder for women to conceive until …

My Faith Made Me Do It Or Not, Jeniffer Lopez Don’t Mess With IVF

David Kreiner, MD News 1 Comment

Back in 1985 when I started my fellowship at the pioneering mecca of IVF, the Jones Institute For Reproductive Medicine, there were still many people and religious leaders who objected passionately with the use of Assisted Reproductive Technology to help people in need conceive.  Arguments ranged from accusing IVF of being immoral to the potential dangers of playing God. Physician …