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Archive for the ‘Long Island IVF Evenings of Education’ Category

Infertility Podcast Series: Journey to the Crib: Chapter 10 Endometriosis

By David Kreiner MD

April 23rd, 2013 at 7:53 pm

 

Welcome to the Journey to the Crib Podcast.  We will have a blog discussion each week with each chapter.  This podcast covers Chapter Ten: Endometriosis. You, the listener, are invited to ask questions and make comments.  You can access the podcast here:

http://podcast.longislandivf.com/?p=66

 

Endometriosis

Endometriosis is a disease state in which the lining of the uterus, endometrium, is found outside the uterus, most often lining the pelvis behind the uterus and by the ovaries.  Endometriosis can cause pain and/or infertility in some women.  Among women who have infertility, as many as 30% may have endometriosis and this is not always associated with pain.

Though cysts of endometriosis may be suspected by a pelvic ultrasound, the diagnosis is typically made at the time of a laparoscopy by visual inspection and biopsy.  Endometriosis may be minimal or mild with no more than flat implants noted in the pelvic lining.  These are thought to contribute to infertility through chemicals that these implants produce which can cause scarring or adhesions of the ovaries and fallopian tubes thus affecting egg pickup by the tubes.  They may affect egg/embryo transport down the tube, sperm motility, fertilization, embryo cell cleavage and implantation.

Moderate and Severe endometriosis involving ovarian cysts containing old blood from cycles of menstrual-like bleeding from the implants, commonly impact egg pickup by the tubes due to the scar tissue that they cause.  They could affect egg maturation as well as cause all of the other factors that mild endometriosis may cause.

Treatment should be tailored to the major problems caused by the endometriosis. 

When pain is the main issue, medication that suppresses ovulation and estrogen production may be helpful, as can surgical resection or vaporization of the implants.

When infertility is the main issue, the benefits of surgery and medicine must be compared to the downside limitations caused by them, such as the inability to conceive during medical therapy and the risk of destroying limited normal ovarian tissue along with the endometriosis.  This can be a particular issue in cases of more severe endometriosis where the cysts of endometriosis and prior surgery to re-sect them have already diminished the remaining ovarian reserve.  In such cases, aggressive fertility treatment such as In Vitro Fertilization would be the recommended course of therapy to optimize an individual’s chance for successful childbearing.  

Patients with endometriosis and infertility are unfortunately in a race to conceive before the endometriosis destroys too much ovarian tissue and makes achieving a pregnancy with one’s own eggs impossible.

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Was this helpful in answering your questions about Endometriosis and its effects on a woman’s fertility?

Please share your thoughts about this podcast here. And ask any questions.

Or, if you are in the Long Island area, please come down to our Melville office for one or more of our “Evenings of Education” seminars this week. Details are here:  http://blog.longislandivf.com/2013/long-island-ivfs-national-infertility-awareness-week-events/

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Join the National Infertility Awareness Week 2013 Movement

By Tracey Minella

April 22nd, 2013 at 10:34 am

 

A movement is sweeping across the nation this week. RESOLVE, the National Infertility Association, fertility practices, reproductive rights attorneys, infertility bloggers, and infertile couples are joining forces to have our collective voice heard.

But who is listening?

Who must hear us?

·         Our representatives in Washington, so that desperately needed government programs can be enacted to provide funding, insurance benefits, or federal tax credits for infertility treatment for everyone who needs it, regardless of where they live.

 

·         Our employers, so that we don’t have the added stress of going to morning labs and sonos and then sneaking into work late with another fake excuse, leaving a bad impression on the boss and jeopardizing our jobs and our insurance coverage (if we’re lucky enough to have it). Imagine a world where infertile employees didn’t have this added worry? (Now if they’d only do away with the office baby showers!)

 

·         Our families, especially those who have been blessed with fertility. If our families can’t understand that infertility is a disease and give us the emotional and… if possible the financial… support we need, than how can we ever find the strength to look beyond our families for help?

 

·         Our friends who are fertile. The ones effortlessly having child after child while we’re waiting. The ones who don’t understand the pain of infertility and the agony of not knowing when, or even if, our dreams of becoming parents will ever be realized. The ones whose baby showers and kiddie birthday parties we struggle with attending, often having to choose between being the friend we want to be or protecting ourselves from heartbreak.

 

·         The public. We need them to know what to say… and what not to say… to us. Infertility is a disease. It is not our fault we can’t get pregnant. It’s not God’s plan. We don’t need to relax. “Just adopting” is not that easy. And that miscarriage most certainly was not “for the best”.

 

Long Island IVF has free events, with refreshments, each night this week at our Melville offices on many issues of interest to the infertile community. Up tonight at 6:30 pm is Dr. Kreiner’s seminar on “Trying to Conceive: The Complete Fertility Workup”. For a list of all of this week’s “Evenings of Education” events, please click here: http://blog.longislandivf.com/2013/long-island-ivfs-national-infertility-awareness-week-events/

 

If you are wondering how you can join the movement to raise awareness of infertility, RESOLVE has some wonderful ideas right here: http://www.resolve.org/

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What are you planning for NIAW this week?

 

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Infertility Podcast Series: Journey to the Crib: Chapter 9 Polycystic Ovarian Disease

By David Kreiner, MD

April 17th, 2013 at 10:42 pm

Welcome to the Journey to the Crib Podcast. We will have a blog discussion each week with each chapter. This podcast covers Chapter Nine: Polycystic Ovarian Disease. You, the listener, are invited to ask questions and make comments. You can access the podcast here: http://podcast.longislandivf.com/?p=59

Polycystic Ovarian Disease

Polycystic Ovarian Disease (PCOS) is a syndrome, not truly a disease, in which a woman’s hormones are out of balance associated with a failure to ovulate regularly, irregular cycles and sometimes elevated male sex hormones resulting in hair growth on the face, chest or abdomen as well as acne. It can also be part of a “metabolic syndrome” which may include diabetes, hyperlipidemia and hypertension.

PCOS occurs in over 7% of women and usually develops during the teen years. It may be caused by a variety of factors, is often hereditary, the most common being glucose intolerance resulting in abnormally high insulin levels. Insulin stimulates male sex hormone production in the ovaries which blocks the development and maturation of ovarian follicles preventing ovulation which leads to irregular menses and infertility. The ovaries develop numerous small follicles that look like cysts hence the name Polycystic Ovaries.

A diagnosis of PCOS may be made by history and physical examination including an ultrasound of the ovaries. A glucose tolerance test is useful to determine the presence of glucose intolerance and diabetes. Typically patients have an elevated LH/FSH ratio.

Treatment starts with regular exercise and a diet including a controlled carbohydrate intake to reduce insulin production. A diabetes medicine, metformin, can help reduce insulin levels as well. Fertility medications are often needed to get a woman to ovulate and will successfully get 50% of women with PCOS to conceive. The use of gonadotropin hormones without follicular aspiration and egg removal as is performed as part of an IVF procedure may result in Hyperstimulation syndrome and/or multiple pregnancies. However, IVF has been quite successful and offers a means for a woman with PCOS to conceive without a significant risk for developing a multiple pregnancy as she can limit the number of embryos transferred with a single embryo transfer (SET).

Though PCOS can be annoying, aggravating and even depressing it is fortunately a very treatable condition that, with the help of a reproductive endocrinologist, patients can have their families and prevent the health problems often seen with the “metabolic syndrome”.

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Was this helpful in answering your questions about PCOS and its effects on a woman’s fertility?

Please share your thoughts about this podcast here. And ask any questions. Better yet, come to our PCOS seminar next week. See the blog or Facebook for more details.

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Long Island IVF’s National Infertility Awareness Week Events

By Tracey Minella

April 15th, 2013 at 3:47 pm

 

Long Island IVF is pleased to offer an exciting series of seminars for National Infertility Awareness Week 2013. The five (5) seminars in our “Evenings of Education” series will be packed with information on many areas of interest to those trying to conceive. Each event will be led by a different expert at Long Island IVF.

All seminars, which will run for approximately two hours, will take place at our beautiful, centrally-located Melville offices at 8 Corporate Center Drive, Suite 101, Melville, New York and start at 6:30 pm. (Please note the one exception is “The Complete IVF Donor Egg Program” which starts at 7:00 pm). Refreshments will be served at all events. Pre-registration is encouraged.

These seminars are designed to answer all the questions you may have no matter where you are along your journey to parenthood. Maybe you know… or suspect… that you’re suffering from PCOS and worry about its impact on your fertility. Or maybe you’ve been trying to conceive and have been unable to get pregnant, or have suffered from recurrent miscarriages, and think it might be time to move on to an infertility specialist. Maybe you need help dealing with the stress of infertility itself, as well as the financial stress it can bring. Maybe you’re considering getting a second opinion or are questioning the whether the fit is right with your current reproductive endocrinologist.

Take the next step. Come to one…or all…of our seminars. Get a feel for the personal touch we bring to infertility treatment and see what makes our program different from those hospital-based programs that treat you like a number.

Long Island IVF …celebrating our 25th anniversary this year…is the first successful IVF program on Long Island. We brought Long Island its first IVF baby, its first FET baby, and its first donor egg baby. Come meet us during National Infertility Awareness Week. We’ll be looking forward to seeing you.

Here is the Seminar Schedule:

Tuesday, April 16, 2013 at 7:00 p.m.: “The Complete IVF Donor Egg Program”  

Kicking off NIAW early is the first of five seminars in our “Evenings of Education Series”. Presented by a panel of Long Island IVF doctors and staff (Donor Egg Program Director, Dr. Steven Brenner, Donor Egg Clinical Nurse Coordinator, Vicky Loveland, R.N., and Aviva Zigelman, LCSW) this educational seminar, including a slide show, will discuss why a woman may need donor eggs to conceive. The psychological aspects of being an egg donor or recipient will also be discussed. The entire donor egg program and its various processes will be reviewed, including what sets Long Island IVF’s donor egg program apart from others. The discussion will feature a previously successful recipient who used the donor egg program, as a guest speaker. There is no waiting list for egg donors at Long Island IVF. To register for this FREE seminar, Email: victorial@longislandivf.com or call 877-838-BABY or 631-752-0606. Location: Long Island IVF, 8 Corporate Center Dr., Suite 101, Melville, NY 11747

 

Monday, April 22, 2013 at 6:30 p.m.: “Trying to Conceive: The Complete Fertility Workup”   The second of five seminars in our NIAW “Evenings of Education” Series. Presented by Long Island IVF’s Dr. David Kreiner, this educational seminar will help interested people determine when it’s time to see a Reproductive Endocrinologist for assistance in conceiving. Dr. Kreiner will also explain the tests and procedures they may expect as part of a complete fertility evaluation and the full range of available treatment options to maximize the chances for conception. Dr. Kreiner will hold a Q&A session afterwards where attendees may ask him public, or private, questions. Pick the brain of Long Island’s IVF “pioneer” reproductive endocrinologist at the practice that brought Long Island its first IVF baby, first FET baby, and first donor egg baby. Refreshments will be served. To register for this FREE seminar or any of the others we are offering nightly this week, Email: lmontello@liivf.com or call 877-838-BABY or 631-752-0606. Location: Long Island IVF, 8 Corporate Center Dr., Suite 101, Melville, NY 11747

Tuesday, April 23, 2013 6:30 pm: “The Mind-Body Program: Use Your Mind to Help You Conceive” Presented by Long Island IVF’s Bina Benisch, R.N., this third seminar in our series will explain how stress hormones, anxiety, and depression physiologically affect the body and how it is crucial to break this cycle to increase your chance to conceive. Relaxation strategies of the Mind-Body program are taught in small, intimate group settings and include breath work, meditation, progressive muscle relaxation, focused mindfulness, and more. Once learned, you can use these coping strategies daily at home. Meet Bina and see if becoming part of this sacred circle of support is right for you.  Refreshments will be served. To register for this FREE seminar or any of the others we are offering nightly this week, Email: lmontello@liivf.com or call 877-838-BABY or 631-752-0606. Location: Long Island IVF, 8 Corporate Center Dr., Suite 101, Melville, NY 11747

Wednesday, April 24, 2013 6:30 pm: “Conceiving With PCOS” Presented by Long Island IVF’s Dr. Michael Zinger, this educational seminar, the fourth in our NIAW “Evenings of Education” series will address the most common hormonal disorders of reproductive age women: Polycystic Ovary Syndrome. PCOS symptoms vary but the most common are acne, weight gain, extra hair on the face and body, thinning of hair on the scalp, irregular periods and infertility. The most common cause of PCOS is glucose intolerance. Dr. Zinger will discuss the treatment options for PCOS which can not only assist women attempting to conceive, but can help control their symptoms and may prevent long-term health problems. If you are one of the 7% of all women who suffer from this hormonal disorder, you won’t want to miss this seminar. Refreshments will be served. To register for this FREE seminar or any of the others we are offering nightly this week, Email: lmontello@liivf.com or call 877-838-BABY or 631-752-0606. Location: Long Island IVF, 8 Corporate Center Dr., Suite 101, Melville, NY 11747

Thursday, April 25, 2013 6:30 pm: “Fertility and Financial Options” Presented by Long Island IVF’s financial counselor, Chris Graffeo, this educational seminar, the fifth in our NIAW “Evenings of Education” series, will help you navigate the maze of health insurance and infertility treatment. You’ll learn how to find out what, if any, insurance benefits you may have for fertility treatment and how to find a participating reproductive endocrinologist. Chris will also discuss how to apply for Department of Health (DOH) IVF grants, how an IVF Refund Program works, and how a case rate plan can help make fertility treatment more affordable to self-pay patients. If the financial aspect of fertility care has you confused, this night is for you.  Refreshments will be served. To register for this FREE seminar or any of the others we are offering nightly this week, Email: lmontello@liivf.com or call 877-838-BABY or 631-752-0606. Location: Long Island IVF, 8 Corporate Center Dr., Suite 101, Melville, NY 11747

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Which of these do YOU plan to attend? If there is a topic you’d like covered that you’re not sure fits in to one of the planned discussions, please comment below, or email lmontello@liivf.com with your question and we will forward it to one of the doctors. Or just come to one of the seminars and ask the doctor privately.

 

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Long Island IVF’s Donor Egg Seminar this Tuesday Night!

By Tracey Minella

April 13th, 2013 at 9:19 am

 

 Having trouble getting pregnant or staying pregnant? Thinking about exploring Donor Egg?

Well, Long Island IVF has the perfect seminar for you next Tuesday night which will answer all of your questions! In fact, we’re so excited about this seminar that we simply couldn’t wait a week to have it during National Infertility Awareness Week (NIAW).

And when you hear about the very special reason why this free seminar is a must-attend-at-all-costs event, you will want to be here. So mark your calendar and come kick off NIAW one week early.

You will learn how you can have a new beginning with Donor Egg! Your knowledge and hope may grow as you hear presentations by Long Island IVF’s Donor Egg Program Director Dr. Steven Brenner, Donor Egg Clinical Nurse Coordinator, Vicky Loveland, R.N., and Aviva Zigelman, L.C.S.W.

But here is the real unique and special thing about this seminar…

You will hear the story of a previously successful recipient who created her family using donor egg! Imagine how incredibly moving and valuable that would be if you are a considering using or being an egg donor.

And after you take in all this information, you’ll be happy to know that there is no waiting list for egg donors at Long Island IVF. Pre-screened anonymous egg donors are ready to help you when you’re ready to choose this course of treatment. Or, your cycle can be coordinated with a donor of your choosing.

Relax and get your questions answered in a caring and supportive environment. Enjoy the refreshments. See if donor egg is right for you. Want to get a head start on the terminology? Check our website at: http://www.longislandivf.com/donor_programs.cfm

The Donor Egg Seminar takes place on Tuesday April 16, 2013 at 7:00 pm at Long Island IVF’s office at 8 Corporate Center Drive, Melville, New York.

Everyone is welcome.

BE SURE TO CHECK BACK ON MONDAY FOR THE COMPLETE LINE-UP OF LONG ISLAND IVF’S UPCOMING “EVENINGS OF EDUCATION” SERIES FOR NATIONAL INFERTILITY AWARENESS WEEK WHICH BEGINS MONDAY APRIL 22!

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If you could ask any team member…or the guest speaker who used donor egg to start her family… a question about Donor Egg, what would it be?

 

Photo credit: http://www.publicdomainpictures.net/view-image.php?image=10553&picture=young-couple

 

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