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Archive for February, 2012

Long Island IVF Doctors Make “Top Doc” List…Again!

By Tracey Minella

February 27th, 2012 at 8:52 pm

L-R: Dr. Brenner, Dr. Pena, Dr. Kenigsberg, Dr. Kreiner

Forget the Oscars! We’ve got the REAL winners here at Long Island IVF!!!

Looking for the best reproductive endocrinologists on Long Island?

Well, Long Island IVF is proud to announce that, not one, but two of our doctors made the US News 2012 Top Docs List. They join only 300 other Reproductive Endocrinologists in America who have received this distinction.

Significantly, doctors cannot buy a spot on the list, nor can they apply for consideration for one. The Top Docs are determined by the peer recommendations of other doctors and a physician-led research panel. They are the doctors most recommended by other doctors.

Castle Connolly, a New York-based company committed to providing consumers with physician information, has been compiling Top Docs lists annually for almost two decades, and partnered with US News to produce this year’s list. Check out the details at

LI-IVF’s Dr. Daniel Kenigsberg and Dr. Steven Brenner have not only made the 2012 US News list, they’ve both made the last 11 editions of Castle Connolly’s Top Docs in the New York Metro area, as well as appearing on Newsday’s Top Docs on Long Island List repeatedly since 2008. And both were listed in New York Magazine’s Top Doc list in 2002, according to as outlined in the links below.

For information on Dr. Brenner, see

For information on Dr. Kenigsberg, see

We are proud of all our LI-IVF physicians. They’re all top docs to their patients.

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If you have an LI-IVF doc you’d like to recommend or thank, please feel free to give him or her a “shout out” right here. And if you’re reading this on Facebook, feel free to post your miracle baby’s photo along with it! We love to see our handiwork!



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Personhood Bills Threaten IVF

By David Kreiner MD, and Tracey Minella

February 23rd, 2012 at 11:00 pm

Almost exactly a year ago, the post below was written by Dr. Kreiner in response to the first modern day legislative attempt to give constitutional rights to embryos. It was Iowa’s HF 153. It was defeated. But other states have introduced similar “Personhood” bills in its wake.


Personhood bills threaten IVF, among other women’s rights. It’s scary that they are coming so close to passage. Please help spread the word and join the fight against such proposed bills. Last year it was Iowa. This year it is Virginia. Next up is Oklahoma. You can read more here:


In light of today’s surprise defeat of a similar Personhood bill in Virginia’s Senate (which had passed in the House), I’ve reprinted Dr. Kreiner’s thoughtful insights on history, politics, and embryos in opposition to Personhood bills:


TheUnited States of Americais the most amazing nation in the world. It was the birthplace for modern political freedoms and democracy. We have been on the forefront of individual rights and have the Constitution and Bill of Rights to protect us. So, it should not be too surprising when groups of Americans who believe that life begins long before birth and immediately after conception attempt to impose these same rights on embryos.


An Iowa House Subcommittee has advanced a bill, HF 153, which would give constitutional rights to embryos. The bill is being presented to the Human Resources Committee, and then very likely to the full GOP-controlled House, where it stands a good chance of being approved.

Those of us who work with in vitro fertilization (IVF) have enormous respect for the special status of the human embryo. Like the acorn from the oak tree, a human embryo has the potential to become a human life some day. But, let us be clear. I am not speaking of a fetus that resembles an immature developing baby — I am referring to a group of cells, in some cases undifferentiated, prior to the initiation of organ development.

This bill not only threatens the reproductive rights of women, it prevents those who suffer from infertility to seek treatment for their disease. It would take away the rights of an infertile patient to make decisions about embryos created as part of IVF. Excess embryos that otherwise are developed to improve a patient’s chances of having a baby would either not be allowed or would accumulate in a clinic without limit. Embryos with abnormal chromosomes could not be discarded and would be forced to be transferred, giving potential to an abnormal fetus.

Embryos are created for the sole purpose of creating a much-desired human being for those otherwise unable to build a family without the help of assisted reproduction. However, it is a basic American right backed by the courts that the responsibility for determining what happens to an embryo belongs to the progenitors of the embryos. Since most fertilized eggs fail to implant in the uterus, it is unreasonable to assume that an embryo will develop into a person — and, therefore, it is inappropriate to offer it the same constitutional rights as a live human being.

Passage of this bill would result in a ruling that all embryos either be transferred back into a woman’s uterus, which would result in many tragic, unhealthy multiple pregnancies, or that they be kept frozen forever.

This would truly be un-American.

What are your thoughts on this issue? How would passage of this bill affect your infertility treatment plans? If you are against this proposed legislation and its affect on your right to determine the disposition of your embryos, please write to your elected representatives.

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What is YOUR Mom’s Role in Your Infertility Journey?

By Tracey Minella

February 21st, 2012 at 4:19 pm

What role, if any, does your mother play in your infertility journey?

I ask that because I lost my own mom 18 years ago today. She never got to be a grandmother. She was here for the beginning of my journey, but passed right after my first IVF failed. I went through the next six IVFs without her.

I didn’t tell Mom about my infertility initially. I wanted to resolve it myself, without worrying her. I was also embarrassed on some level…far from the person I now am. The technical side of IVF would have been beyond her understanding anyway, but maybe over time she’d have grasped it.

Losing her during the infertile years added a level of guilt and desperation to my journey. How could I let her die without becoming a grandmother? Why did I wait to start trying? And being an only child (and losing Dad shortly thereafter), I desperately wanted that tie to another. The only way to come close to replacing what I lost…the mother-daughter bond…would be to have a child of my own.

While all will never be completely right with my world, it certainly came close when my daughter came along…looking like my mom. And my son followed…looking like my dad. Hard not to think they had something to do with that!

So, I’m wondering: Does YOUR Mom have a part in your journey, or have your kept it all private, or has she passed on already?

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Please share your story to help others struggling with the decision to share the news of their infertility.

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IVF When Single

By David Kreiner MD

February 17th, 2012 at 3:33 pm

No knight in shining armor? No Mr. Right? Biological clock pounding in your ear?

Long Island IVF’s Dr. Kreiner helps the single ladies out there TTC who’ve found themselves at a “reproductive crossroads”:

Last week a patient presented to my office with a question that made me feel like I was responding to a Dear Abby 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 feel like for this woman.

Dear Fertility Doc,

“I am 39 years old, single and I enjoy my career.  However, I always dreamed I would have children.  Unfortunately, I have not yet met a man that I would feel comfortable with to marry and with whom to have a baby.  What should I do?”


At Reproductive Crossroads

The issues that this woman brings up are universal in my practice.  She basically has to weigh her desire to have children now rather than delay, using her own eggs or potentially with an egg donor or to adopt.   She needs to consider the ramifications of taking time off from her career as well as creating a child with donor sperm.  She expressed concern to me that if she were to meet Mister Right how will he respond to this child?  Are there any tests that I can perform that can help this woman make a decision?

First of all, it is imperative in cases like this to do a full fertility screen so that we understand from a fertility perspective how much time she has left and how urgent this patient needs to make a decision. 

To assess her fertility I do a Day 3 serum Estradiol and FSH, an AntiMullerian Hormone and a sonographic antral follicle count.  The FSH is regulated by negative feedback from serum Estradiol and inhibin both of which are produced by the granulosa cells of the ovarian follicles.  With diminishing ovarian activity there are fewer follicles, less estradiol and inhibin so with less feedback, the FSH level is high.  Occasionally, in patients with low ovarian activity, often called reserve, a patient may have an ovarian cyst that produces estradiol.  This will lower the FSH level to otherwise normal activity levels even when there is minimal ovarian activity and inhibin.  One would misinterpret the low normal FSH in the presence of higher estradiol which is why this must be measured concurrent with FSH.

AntiMullerian Hormone is also produced by the granulosa cells and low levels therefore indicate depleted ovaries.  Likewise, few antral follicles seen on ultrasound typically performed during the early follicular phase of the cycle will indicate low ovarian reserve.

Once we know a patient’s relative fertility through this screen we need to decide whether she is prepared to delay her career for pregnancy and motherhood or should she do IVF and freeze her embryos thereby freezing her fertility potential at the current state.

Since she is single without a participating partner we would be using the sperm from an anonymous donor.  The specimens are obtained from sperm banks that are certified byNew YorkStateby virtue of their screening and testing for infectious and hereditary diseases.  Patients may review what is available from the sperm banks.  They can review on the internet the donor’s demographic information, physical attributes, educational and occupational histories, etc for the offered specimens.

If a woman does not have any infertility issues I would attempt donor insemination.  However, due to her advanced age, I would progress to more aggressive therapies if we were not successful after a few cycles.

A common concern for women in this circumstance is that they may meet their soul mate in the future and he may not be comfortable with a child produced with someone else’s sperm.  This is an issue that is very individual and I can only offer to support the patients as they decide what is best for them.

As she prolongs the decision her fertility is diminishing, and thereby risks not being able to have a child using her own eggs.  If conceiving with one’s own eggs is crucial then she must weigh the downside of conceiving a child from an anonymous donor and if she does so, the potential problems associated with finding a man in the future who she may want to have a family with.

It is enormously stressful making these decisions at these reproductive crossroads.

I discuss these issues with my patients and help them arrive at the decision that is right for them.

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Do you go forward with single motherhood, figuring the true Mr. Right would accept this child from your egg and donor sperm? Or do you wait, remain childless, and hope to find Mr. Right only to give up your ability to use your own eggs, having to use donor eggs and his sperm? What would you do?


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Anti-Valentine’s Day

By Tracey Minella

February 14th, 2012 at 5:48 pm

Ugh. Valentine’s Day…another rough day for many infertile couples.

Sure you can have a romantic night alone. But too often, the “alone” part takes the “romantic” part away.

Enough of the alone time. Don’t you want to scream “I love you honey, but I really just want a snotty, crying, feverish baby to keep me up all night instead!”

It doesn’t help when you have to listen to your friends with kids complain how they don’t want to stay home with their little ones and can’t wait til the sitter arrives tonight so they can toast each other over a peaceful candlelight meal. Especially when you’d like nothing more than to have a kid hanging on your neck as you pay the Dominos delivery guy.

You can’t win. You don’t have the kids yet. And the emotional and financial stresses of infertility take the romance out of your time alone. So what do you do?

Well, you can take VD to the extreme and get all silly about it. Over-do it. Do the candy, the flowers, the candles, the rose petals, the satin sheets…the whole, cheesy cliché of it. And then laugh at yourselves. You know the laugh I’m talking about? “Your” laugh. It’s that special thing between you where one can just look at the other and you laugh uncontrollably.

Or you can do the opposite. Anti-Valentine’s Day. Defy it. No card or gift. No succumbing to the pressure of Hallmark’s holiday. Save a rose garden somewhere by rejecting flowers.

I practiced my own version of extreme defiance of all things traditionally Valentine-y today.

First, I ran 80 errands for the benefit of people other than me. Then…are you ready for this one?…I had my annual GYN exam. Oh yeah, baby. I know how to defy pleasure and romance. He hands me the Rx.“Why Doctor, is that a love note for me? Oooo, a mammogram, water sono, and endometrial biopsy?” [I blush] You know just what I need!”

Top it off with a solo run through the golden arches for lunch. Nothing says Valentine’s lunch like a Big Mac meal.

And the big finale for the evening: I invited my mother-in-law for dinner.

True that.

Bet your day’s looking better already. No need to thank me.

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So, what are YOUR Valentine’s Day plans?

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Was Whitney Houston a Good Mother?*

By admin

February 13th, 2012 at 11:25 am

If … a big if…it turns out that Whitney Houston died of an overdose of drugs and/or alcohol, would you call her a bad mother?

Can any parent be a good parent if they use drugs?

This is a controversial topic to throw out to an infertile audience. (So if you were looking for another “rainbows and unicorns” tribute to a fallen celebrity, click away now.)

I am always surprised at the way celebrity deaths are processed by many Americans.

Especially in cases where it could be argued that the celebrity wasted their life and God-given talent, or got involved with drugs or alcohol, or had brushes with the law. 

I don’t mean to sound cold. Really. I was a big fan of hers back in the day. 

I cry every time I listen to “I Will Always Love You” from The Bodyguard soundtrack.  Same waterworks whenever I hear her Olympic song “One Moment in Time”. It kills me. And that’s part of the frustration with these untimely and often suspicious deaths. All I can think when it turns out to be drugs or alcohol is what a waste. So I sit here routing for a “chicken bone in the throat” cause of death, though not really expecting such an ending.

Am I the only one who thought immediately about the daughter she left behind? (Just as I thought of poor Blanket and his siblings when the King of Pop died prematurely.) And what about her poor mother who has to bury her …and find a way to go on now that the natural order of things has been upset.

Will the autopsy show another death from an overdose…or from a health condition caused by her admitted past use of drugs and/or alcohol?

It’s not that I’m not compassionate or don’t understand suffering. I know the pain and challenges of infertility, of raising an autistic child, and of losing my parents way too soon. I guess I don’t get how stressful and unbearable celebrity multimillionaires’ lives must be. I do plenty of charity work. I’m just not compassionate enough to feel sorry for those parents who succumb to the lure of drugs…who made a deliberate choice one day to start taking drugs. And I can live with that. I know it’s not right to judge people, but we all do it; we all have our opinions.

It’s not a popular stand to take at times like this, I know.  It’s easier to jump on the vigil-holders’ bandwagon. But I have to be true to my overwhelming feeling of disgust at the lives and talent wasted and, most importantly, at being selfish enough to leave children behind without a mother. I can’t wrap my head around the idea of anything being more important than one’s child.

And this all makes me ask myself if my views have been affected by my infertility journey? Do I criticize people more harshly because of how hard I worked to have my family?

I am a product of my infertility. I have no patience for people who do stupid or selfish things that seriously, negatively, and permanently impact their children.  If she didn’t have children, I wouldn’t be writing this. But because she did, I feel frustration and anger at the thought of what she threw away if she in fact died from an overdose.  

We didn’t lose anything the other day. We lost her contributions years ago. But a young girl lost everything.

I have no desire to blow the dust off and play her music or hold a vigil.

But I wish I could give her daughter a hug.

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How do you feel about celebrity parents who die untimely from drug or alcohol overdoses? Do you think your feelings have been affected by your infertility experience?

 *This post doesn’t reflect the views of LIIVF.

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The Man’s Role in IVF

By Tracey Minella and David Kreiner MD

February 10th, 2012 at 1:33 pm

What are the man’s responsibilities in IVF? Well, guys can be as involved or detached as they choose. So please choose involved. Yes, it’s scary and overwhelming at first. But everyone’s here to help you and your partner get through this. You really CAN learn to do the injections. I promise. So, be a player, not a spectator.  Not just because it’s the right thing, but because if you choke at the big moment, you may just be forgiven. (Read on for a great tip on taking the stress off of the big moment):

Dr. Kreiner has seen it all. Read on for his perspective:

Many husbands complain that they feel left out of the whole IVF

process as all the attention and care is apparently directed towards

the woman. If anything they may feel that at best they can show up

for the retrieval at which time they are expected to donate their sperm

on demand. If you should fail at this then all the money, time, hope

and efforts were wasted all because you choked when you could not

even perform this one “simple” step. I have not witnessed the terror

and horrors of war but I have seen the devastation resulting from an

IVF cycle failed as a result of a husband’s inability to collect a specimen.

Relationships often do not survive in the wake of such a disappointment.

Talk about performing under pressure, there is more at stake in

the collection room than pitching in the World Series. Husbands and male partners

view IVF from a different perspective than their wives. They are not the ones

being injected with hormones; commuting to the physician’s office

frequently over a two week span for blood tests and vaginal ultrasounds

and undergoing a transvaginal needle aspiration procedure. At least women are

involved in the entire process, speak with and see the IVF staff regularly

and understand what they are doing and are deeply invested emotionally

and physically in this experience. So what is a husband to do?


Get Involved


Those couples that appear to deal best with the stress of IVF are ones

that do it together. Many husbands learn to give their wives the injections.

It helps involve them in the efforts and give them some degree of

control over the process. They can relate better to what their wives are

doing and take pride that they are contributing towards the common

goal of achieving the baby. When possible, husbands should accompany

their wives to the doctor visits. They can interact with the staff, get questions

answered and obtain a better understanding of what is going on.

This not only makes women feel like their husbands are supportive but

is helpful in getting accurate information and directions. Both of these

things are so important that in a husband’s absence I would recommend

that a surrogate such as a friend, sister, or mother  be there if he cannot be.

Support from him and others help diminish the level of stress and especially

if it comes from the husband helps to solidify their relationship.

Husbands should accompany their wives to the embryo transfer.

This can be a highly emotional procedure. Your embryo/s is being placed

in the womb and at least in that moment many women feel as if they

are pregnant. Life may be starting here and it is wonderful for a husband

to share this moment with his wife. Perhaps he may keep the Petri dish

as a keepsake as the “baby’s first crib”.  It is an experience a couple is not

likely to forget as their first time together as a family.


With regards to the pressure of performing to provide the specimen

at the time of the retrieval, I would recommend that a husband freeze a

specimen collected on a previous day when he does not have the intense

pressure of having to produce at that moment or else. Having the insurance

of a back up frozen specimen takes much of the pressure off at the

time of retrieval making it that much easier to produce a fresh specimen.

There are strategies that can be planned for special circumstances

including arranging for assistance from your wife and using collection

condoms so that the specimen can be collected during intercourse.

Depending on the program these alternatives may be available.

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If you did IVF, was your partner involved? How did it go? Any funny or sweet stories to share?

 If your partner wasn’t involved, are you happy about that decision, and if so, why was it the right decision for you?

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Getting Pregnant with Clomid

By Tracey Minella and David Kreiner MD

February 9th, 2012 at 9:23 pm

If doing IVF compares to swimming the English Channel, then Clomid is like dipping your toe in the water. You’ve got to get your feet wet somewhere when moving on from conceiving naturally to conceiving with assisted reproductive technology, and Clomid is that first step for many women.

Dr. David Kreiner answers all your questions about Clomid therapy:

It has become commonplace for women who have been frustrated with repeated unsuccessful attempts to conceive naturally on their own to see their gynecologist who often times will try clomid therapy on them. Clomid, the traditional brand name for clomiphene citrate, is a competitive inhibitor of estrogen. It stimulates the pituitary gland to produce follicle stimulating hormone (FSH) which in turn will stimulate the ovaries to mature follicle(s) containing eggs. Estrogen normally has a negative effect on the pituitary: Clomid blocks estrogen and leads to pituitary FSH production and ovarian stimulation.

Infertility patients — those under 35 having one year and of unprotected intercourse without a resulting pregnancy and those over 35 having six months without pregnancy — have a two to five percent pregnancy rate each month trying on their own without treatment. Clomid therapy increases a couple’s fertility by increasing the number of eggs matured in a cycle and by producing a healthier egg and follicle. The pregnancy rate with clomid therapy alone is approximately ten percent per cycle and 12 -15 percent when combined with intrauterine insemination (IUI). Women who are unable to ovulate on their own experience a 20 percent pregnancy rate per cycle with clomid, the equivalent to that of a fertile couple trying on their own.

Clomid and Your Cervical Mucus

Women who are likely to conceive with clomid usually do so in the first three months of therapy, with very few conceiving after six months. As clomid has an anti-estrogen effect, the cervical mucus and endometrial lining may be adversely affected.

Cervical mucus is normally produced just prior to ovulation and may be noticed as a stringy egg white like discharge unique to the middle of a woman’s cycle just prior to and during ovulation. It provides the perfect environment for the sperm to swim through to gain access to a woman’s reproductive tract and find her egg. Unfortunately, clomid may thin out her cervical mucus, preventing the sperm’s entrance into her womb. IUI overcomes this issue through bypassing the cervical barrier and depositing the sperm directly into the uterus.

However, when the uterine lining or endometrium is affected by the anti-estrogic properties of clomid, an egg may be fertilized but implantation is unsuccessful due to the lack of secretory gland development in the uterus. The lining does not thicken as it normally would during the cycle. Attempts to overcome this problem with estrogen therapy are rarely successful.

Side Effects

Many women who take clomid experience no side effects. Others have complained of headache, mood changes, spots in front of their eyes, blurry vision, hot flashes and occasional cyst development (which normally resolves on its own). Most of these effects last no longer than the five or seven days that you take the clomid and have no permanent side effect. The incidence of twins is eight to ten percent with a one percent risk of triplet development.

Limit Your Clomid Cycles

Yet another deterrent to clomid use was a study performed years ago that suggested that women who used clomid for more than twelve cycles developed an increased incidence of ovarian tumors. It is therefore recommended by the American Society of Reproductive Medicine as well as the manufacturer of clomiphene that clomid be used for no more than six months after which it is recommended by both groups that patients proceed with treatment including gonadotropins (injectable hormones containing FSH and LH) to stimulate the ovaries in combination with intrauterine insemination or in vitro fertilization.

Success rates

For patients who fail to ovulate, clomid is successful in achieving a pregnancy in nearly 70 percent of cases. All other patients average close to a 50 percent pregnancy rate if they attempt six cycles with clomid, especially when they combine it with IUI. After six months, the success is less than five percent per month.

In vitro fertilization (IVF) is a successful alternative therapy when other pelvic factors such as tubal disease, tubal ligation, adhesions or scar tissue and endometriosis exist or there is a deficient number, volume or motility of sperm. Success rates with IVF are age, exam and history dependent. The average pregnancy rate with a single fresh IVF cycle is greater than 50 percent. For women under 35, the pregnancy rate for women after a single stimulation and retrieval is greater than 70 percent with a greater than 60 percent live birth rate at Long Island IVF.

Young patients sometimes choose a minimal stimulation IVF or MicroIVF as an alternative to clomid/IUI cycles as a more successful and cost effective option as many of these patients experience a 40 percent pregnancy rate per retrieval at a cost today of about $3,900.

Today, with all these options available to patients, a woman desiring to build her family will usually succeed in becoming a mom.

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What was YOUR clomid experience like?

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The Infertility Superbowl

By Tracey Minella

February 6th, 2012 at 2:06 pm

When comparing the Superbowl to IVF, IUI, or just TTC on your own, there are plenty of similarities.

For many without coverage, saving up to do IVF is similar to trying to get to the Superbowl. It can take years and, when you finally get there, there’s all the hope of your greatest dream coming true…and all the stress and worry about the effort falling short.

There’s drama. Elation or devastation of a level only those who’ve walked that path can comprehend.

The real Superbowl can be a welcome diversion from the daily stress of infertility treatment. Especially for the guys. Did your man (or you) get to relax yesterday and escape the ever-present thought of having a baby for just a few hours? If so, did you notice how good it felt to have just a few hours of fun? (I’m assuming, of course, that no one ruined it by nagging you about having a baby.)

Never underestimate the power of relaxation and stress reduction, especially when TTC. If you did notice the difference yesterday, try to find other things that will work as a diversion for you, too.

And if the Superbowl wasn’t exactly your idea of fun, find something that is. What do you do for a diversion from the daily stress of infertility? Or what would you do if you stopped to make time for yourself?

I regret never treating myself well while TTC. I always had an excuse. Too little time. Too little money. Even the depressed “I’m not worth it” excuse.

I wish I found time for an occasional massage, or a mani-pedi. A walk on the beach. A candlelit bubble bath. (They don’t just have to be in the movies!) Even a session with a counselor, since my friends didn’t really “get it”. (Today, there are infertility counselors like LI-IVF’s Bina Benisch, so consider making an appointment if you’d like some stress reduction techniques.)

But you can learn from my mistakes. So let’s start today.

* * * * * * ** * * * * * * * *

Tell me what you do…or will now promise to do… as a diversion or stress reliever? What will you do to be good to YOU? Let’s see if anyone is ready to be good to themselves. Maybe your idea will help someone else who is coping with infertility.

Oh, and go enter the NWW photo caption contest from Wednesday before time is out tomorrow!

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Six Superbowl Party Tips for the Infertile

By Tracey Minella

February 3rd, 2012 at 2:31 am

So, the Superbowl is upon us. New York Giant fans are pumped. And even those who don’t care about the Superbowl beyond the half-time show and the commercials are pretty ready to party.

Are you?

Well, in parties in general, can be a drag when you’re TTC without success. Especially if there’s a ton of babies and kids there.  (Actually, it only takes one cutie to pretty much kill it, right?) You’re sad, mad, [insert whatever other unhappy emotion you’re feeling here]. The only celebration you really want to go to is your own long-awaited baby shower. I get that.

But let’s consider the Superbowl. It really is one of those parties that could potentially not have any (or many) kids there. It’s a pretty late start, and depending on the crowd, it often includes loads of beer. Don’t forget the five foot hero, hot wings, and super spicy chili.

So here are six tips on surviving Superbowl Sunday:

1.      Try to find a child-free party. Real Superbowl parties don’t serve chicken nuggets shaped like dinosaurs.

2.      Better yet, host your own party… so you control the guest list.  You can leave those annoying people who nag you about having a baby off the guest list. Leave your friends with kids off the list, too…or include them but make it an adults-only night, so they leave the kids home with a sitter. While you are aching for nights with a baby of your own, they might actually enjoy a night out without theirs.

3.      Stay home and watch… or don’t watch… the Superbowl, just you two. Pretend it’s just another day. (But be sure to check in at the end or check the late night news for the winner, so you don’t look like a dweeb at the office on Monday!)

4.      Do something wild that you’ve never done before for the Superbowl. If you want to be around adults, maybe that means checking out the game at a local sports bar or restaurant. Maybe volunteer at a soup kitchen. Visit someone in a nursing home or hospital.

5.      Feeling like you must acknowledge football? Guys, why not have a touch football game early in the day with some adult friends and come home for a romantic dinner with the wife. (She’ll be the envy of all her friends!) Maybe she’ll even let you watch “Rudy” for the tenth time.

6.      Despite your best efforts, some of you will wind up nibbling dino nuggets alongside seventeen babies (okay, two) donning face paint and football jerseys. Here is where your game strategy comes in. Listen up. If the parents let the baby stay up hours past a reasonable bedtime just to torture you most of the night (or made insensitive comments about your lap being empty of your own little Giants fan), there’s always the well-timed shout of exaggerated excitement as the game ends (“WOO-HOO! THE GIANTS WIN!!!! Ooops…Is that the baby I hear?”) followed by a quick and cowardly exit!

Oh, I’m only kidding about #6. Sort of. ( Shhh… use it only if you have to.)

* * * ** * ** * * * * * * * * * *

What are your Superbowl plans? Any tips on getting through Superbowl Sunday if you’re faced with nosy, difficult people or lots of babies? How do you help your hubby that day if he longs for a little one to share the big game with?

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