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Archive for the ‘David Kreiner MD’ tag

Long Island IVF Acupuncture Seminar with Dr. Kreiner

By Tracey Minella

September 29th, 2016 at 10:18 am

 

Dr. Kreiner performing acupuncture for fertility


Have you been trying to conceive without success? Have you even failed to conceive with IVF? Are you losing hope?

What if there was a very inexpensive holistic treatment that might help your chances of conceiving–something that’s been practiced in Traditional Chinese Medicine for hundreds of years and is now being used in conjunction with IVF to help couples conceive? What if adding it to your IVF protocol cost less than $200 per IVF cycle? And what if you didn’t have to hear how it works at a huge event with lots of experts speaking?

Fertility acupuncture is old, yet new. It’s new in that Long Island IVF has the first Reproductive Endocrinologist who is also a certified acupuncturist—Dr. David Kreiner.

Imagine sitting down in a smaller setting to hear him tell of how he went back to school after three decades of building families on Long Island to learn TCM and acupuncture in an effort to offer couples every chance of conceiving through a blend of the best Western and Eastern medicine therapies.

Dr. Kreiner is now applying that acupuncture training in the IVF procedure room, both pre- and post-IVF transfer. IVF patients… especially those for whom Western medicine alone has not yet produced a baby…may benefit from adding this ancient therapy. The treatment is available to all LIIVF patients, not just his patients.

Why not sit down with Dr. Kreiner in a relaxed and casual setting to learn more about how this exclusive, yet very affordable, natural therapy might help increase your chances of conceiving? Not only is he completely approachable, but he’ll be toting bags of his famous home-made Dr. Dave’s Fertility Trail Mix. How can you resist stopping by at the end of your workday?

Register to attend this intimate discussion on Thursday, October 6, 2016 at 6:30 pm at our Melville office at 8 Corporate Center Drive, Melville, New York. The seminar is free, but seating is limited and seats are going fast, so pre-registration is required.

We look forward to seeing you there. Please contact Lindsay Montello, Patient Services, at 631-752-0606 or LMontello@liivf.com with any questions.

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Can we tell Dr. Kreiner you’ll be there?

 

 

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Improving IVF Success with Acupuncture at Long Island IVF

By Tracey Minella

September 8th, 2016 at 11:22 am

Would you be interested in learning about an exclusive, yet very affordable, natural therapy that might help increase your chances of conceiving with IVF –even if you’ve had prior unsuccessful cycles? What if this ancient, complementary therapy could cost less than $200 per IVF cycle?

Long Island IVF… the practice that brought Long Island its first IVF baby, first Donor Egg baby and First baby from a cryopreserved embryo… is pleased to announce another major “first” on Long Island:

We are the first infertility practice with a Reproductive Endocrinologist who is also a Traditional Chinese Medicine (TCM) practitioner and a NYS certified medical acupuncturist.

Motivated by a desire to find complementary holistic approaches to enhance today’s best Western medical technologies, Long Island IVF co-founder and REI, Dr. David Kreiner, went back to school to study TCM after 30 years of making babies.

Dr. Kreiner is now applying that acupuncture training in the IVF procedure room, both pre- and post-IVF transfer–exclusively to all interested Long Island IVF patients. IVF patients… especially those for whom Western medicine alone has not yet produced a baby…may benefit from adding this ancient therapy.

Long Island IVF’s Acupuncture Program is hosting a free symposium with a panel of some of the region’s experts on fertility acupuncture to discuss topics related to improving IVF success with acupuncture.

Don’t miss this special program on Thursday, September 15, 2016 at 6:30 pm at our Melville office at 8 Corporate Center Drive, Melville, New York. The seminar is free, but seating is limited, so pre-registration is required. Preregister here.

Topics:

1- Western Medicine Approach to Infertility – Dr. David Kreiner, MD REI and NYS Certified Medical Acupuncturist, Long Island IVF

2- Acupuncture Diagnosis and How Treatment is Individualized – James Shinol, LAc, LMT

3- Fertility Enhancement with Diminished Ovarian Reserve and Preventing Miscarriage – Dr.Yang XinJuan, Ph.D, MD (China)

4- Acupuncture, Herbs, and Moxibustion to Increase IVF Success – Dr. Yali Li, Ph.D., MD (China)

 

We look forward to seeing you there. Please contact Lindsay Montello, Patient Services, at 631-752-0606 or LMontello@liivf.com with any questions.

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Are you coming to the Acupuncture Symposium?

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Long Island IVF-WINNER: Best in Vitro Fertility Practice 2015 AND 2016

It is with humble yet excited hearts that we announce that Long Island IVF was voted the Best In Vitro Fertility Practice in the Best Of Long Island 2015 and 2016 contest…two years in a row!

The doctors, nurses, embryologists, and the rest of the Long Island IVF staff are so proud of this honor and so thankful to every one of you who took the time to vote. From the moms juggling LIIVF babies… to the dads coaching LIIVF teens…to the parents sending LIIVF adults off to college or down the aisles… to the LIIVF patients still on their journeys to parenthood who are confident in the care they’re receiving…we thank you all.

We love what we’ve gotten to do every day more than 28 years…build families. If you are having trouble conceiving, please call us. Many of our nurses and staff were also our patients, so we really do understand what you’re going through. And we’d like to help. 631-752-0606.

 

 

 

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Cupping for Competition—and Conception

By David Kreiner MD

August 11th, 2016 at 1:41 am

 

image credit: GraphicsMouse/freedigital photos.net


What treatment might Olympic athletes and fertility-challenged women have in common?

Evidence of Cupping on many competing in the Olympics, especially the swimmers, has made quite a splash…but what is cupping and why the purplish circular marks on the skin?


Cupping is a form of traditional medicine found in many cultures throughout the world. This treatment involves placing cups containing a negative pressure which exerts suction onto the skin that if left on long enough breaks small blood vessels or capillaries resulting in a bruise in the affected area. This sounds painful, but it isn’t.

Cupping is a popular form of Traditional Chinese Medicine (TCM) that works to unblock “Qi”, a form of life energy. Once unblocked, the energy can flow smoothly throughout the meridians or pathways in the body.

With cupping, TCM practitioners, commonly called acupuncturists, help to remove congestion and stagnation (stagnant blood and lymph) from the body and to improve the flow of “Qi” throughout the body.  It also will increase the blood flow to the area upon which the cup is applied.

Musculoskeletal disorders are aided by increasing the flow of blood and “Qi” to the muscles underlying the applied cups.  Hence, Michael Phelps and other Olympians have been going for cupping treatment to alleviate their sore muscles.  Some TCM practitioners will also use cupping to treat breathing problems or respiratory conditions such as a cold, bronchitis or pneumonia.

Cupping may also be utilized to improve fertility in conjunction with acupuncture, moxibustion (heat applied to acupuncture point through burning herbs) and/or herbal therapy.  From a TCM perspective, improving the flow of “Qi” at specific points or meridians may correct an imbalance that is preventing conception.  From a Western scientific view, cupping and acupuncture cause the body to release endorphins.  The endorphin system consists of chemicals that regulate the activity of a group of nerve cells in the brain that relax muscles, dull pain, and reduce panic and anxiety.

It is believed that these therapies may also trigger the release of more hormones, including serotoninSerotonin is a brain chemical that has a calming effect resulting in a serenity that aids the fertility process.  Cupping, like acupuncture, reduces inflammation which could also benefit fertility.  Whether it be the challenge of an Olympic trial or a battle against infertility cupping may be a valuable addition to one’s program.

 

 

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#StartAsking About National Infertility Awareness Week 2016

By Tracey Minella

April 25th, 2016 at 1:16 pm

 

National Infertility Awareness Week (NIAW) kicked off yesterday with this year’s theme being #StartAsking, according to Resolve, the National Infertility Association.

The sobering stats show that 1 in 8 couples suffer from infertility. Despite those significant numbers, a social stigma persists that often forces affected couples to suffer in silence. That has to change.

NIAW is an annual tradition, with a calendar of events, activities, ideas and suggestions on how to raise awareness of infertility in the hope of removing the stigma, enacting legislation to mandate better coverage for infertility/adoption services, encouraging people to “come out” of the infertility closet, and getting people the financial and emotional support they need to battle infertility.

Long Island IVF is presenting an informative FREE Symposium: “Improving IVF Success with Acupuncture”. It is jam packed with eight (8) experts, and is scheduled right after NIAW—on May 12th from 6:30-8:30 pm in our Melville office.

Long Island IVF is the only fertility practice in the region that has a reproductive endocrinologist who is also a certified acupuncturist. Co-founder, David Kreiner, MD went back to the classroom after 30 years of family-building to study and now offer this affordable, complementary therapy in an effort to potentially boost IVF success rates. Register today.

Don’t miss this exciting lineup of experts:

  • Western Medicine Approach to Infertility
    David Kreiner, MD, Reproductive Endocrinologist and NYS Certified Medical Acupuncturist
  • Acupuncture Diagnosis and How Treatment is Individualized
    James Shinol, Licensed Acupuncturist
  • Fertility Enhancement with Diminished Ovarian Reserve – Improving Ovarian Stimulation
    XinJuan Yang, PhD, MD (China), Licensed Acupuncturist
  • Fertility and Diet
    Roberta Siegelson, Licensed Acupuncturist
  • PCOS and Acupuncture
    Christine Bauer, DC, Licensed Acupuncturist
  • Enhancing Uterine Receptivity
    Ping Zhu, PhD, MD (China), Licensed Acupuncturist
  • Acupuncture to Minimize Risk of Miscarriage
    Mike Berkley, Licensed Acupuncturist
  • Japanese Acupuncture
    James Vitale, Licensed Acupuncturist

 

We look forward to seeing you there!

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What are you doing to “start talking” about infertility this week?

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Long Island IVF-WINNER: Best in Vitro Fertility Practice 2015 AND 2016

It is with humble yet excited hearts that we announce that Long Island IVF was voted the Best In Vitro Fertility Practice in the Best Of Long Island 2015 and 2016 contest…two years in a row!

The doctors, nurses, embryologists, and the rest of the Long Island IVF staff are so proud of this honor and so thankful to every one of you who took the time to vote. From the moms juggling LIIVF babies… to the dads coaching LIIVF teens…to the parents sending LIIVF adults off to college or down the aisles… to the LIIVF patients still on their journeys to parenthood who are confident in the care they’re receiving…we thank you all.

We love what we’ve gotten to do every day more than 28 years…build families. If you are having trouble conceiving, please call us. Many of our nurses and staff were also our patients, so we really do understand what you’re going through. And we’d like to help. 631-752-0606.

 

 

 

 

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Long Island IVF and LGBT Network Alliance

By Tracey Minella

April 7th, 2016 at 4:25 am

 

image courtesy of LGBT Network


Long Island IVF is proud to partner with the Long Island LGBT Network as the exclusive family planning service for the LGBT Network community.

On April 7, 2016, Long Island IVF physicians, Dr. David Kreiner, Dr. Steven Brenner, and Dr. Satu Kuokkanen presented a check in the sum of $17,000 to LGBT Network’s Jonathan Chenkin, Development Officer for Corporate and Business Relations and Robert Vitelli, COO – Director of Development. This donation will fund and support our mutual educational and outreach efforts here on Long Island.

Long Island IVF has been building families in the LGBT community for decades and has long practiced its belief that every person is entitle to become a parent. Not only are some staff members also members of the LGBT community, but our entire staff has been trained to be sensitive to our LGBT patients. Your needs and treatment are unique and your comfort is important to us.

Long Island IVF will again sponsor the Family Services Pavilion at the Long Island Pridefest on June 11, 2016. Be sure to come by and meet our team. Some of our patients and their little miracles often drop in, and they love to share their LIIVF family-building experience with others just starting their journeys.

If you’d like to schedule an initial consultation with one of our physicians, please call 877-838-BABY today. With six offices across Long Island and Brooklyn, there is sure to be one convenient to you.

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Will we see you at Pridefest?

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Long Island IVF-WINNER: Best in Vitro Fertility Practice 2015 AND 2016

It is with humble yet excited hearts that we announce that Long Island IVF was voted the Best In Vitro Fertility Practice in the Best Of Long Island 2015 and 2016 contest…two years in a row!

The doctors, nurses, embryologists, and the rest of the Long Island IVF staff are so proud of this honor and so thankful to every one of you who took the time to vote. From the moms juggling LIIVF babies… to the dads coaching LIIVF teens…to the parents sending LIIVF adults off to college or down the aisles… to the LIIVF patients still on their journeys to parenthood who are confident in the care they’re receiving…we thank you all.

We love what we’ve gotten to do every day more than 28 years…build families. If you are having trouble conceiving, please call us. Many of our nurses and staff were also our patients, so we really do understand what you’re going through. And we’d like to help. 631-752-0606.

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Reminiscing on Doctor’s Day

By David Kreiner MD

March 30th, 2016 at 12:54 pm

I once had a dream that my lab would be staffed by the most skilled embryologists I could find and that my physician partners would be the recognized experts in the field.

Throughout my career, I have met some of the world’s best specialists in Reproductive Endocrinology and IVF from my time at the Jones Institute and in my 24 years of practice since I left Norfolk to found Long Island IVF with Dr. Dan Kenigsberg. Together, in 1988, we developed the first successful IVF program onLong Island.

I am most excited to announce that we have assembled since the merger of Long Island IVF and East Coast Fertility such a “Dream Team”. Three of our embryologists have been directors of very successful IVF labs. The other embryologists by virtue of their experience, advanced degrees, and skills could start a successful IVF lab of their own. Instead, we have assembled under the leadership of Dr. Glenn Moodie arguably the strongest embryology team in the nation.

Likewise, Drs. Joseph Pena, Michael Zinger and myself have joined nationally recognized, Castle Connolly’s “Best Doctors in America”, Drs. Dan Kenigsberg and Steven Brenner, as well as Drs. Kathleen Droesch and Satu Kuokkanen.

This “Dream Team” of Reproductive Endocrinologists and embryologists in our first three months together produced remarkably successful IVF as good as anywhere in the country. 

For women under 35, during our first three months as a combined program, October 1, 2011 through December 31, 2011, Long Island IVF achieved 35 clinical pregnancies in 53 fresh transfers (66.0%).  For women 35-37, 18/30 (60.0%), 38-40, 20/37 (54.1%) and for women 41 and 42, 8 of 28 (28.6%) achieved clinical pregnancies.

Additionally, the East Coast Fertility MicroIVF program featuring minimal stimulation and a cost of $3900 achieved 5 pregnancies in 8 women under 38 yrs of age.

It is apparent that the whole of the combined Long Island IVF is greater than the sum of its independent parts of the two merging practices (East Coast Fertility + Long Island IVF).

There is perhaps no more rewarding work than to help build families for those who would otherwise never be able to do so but for our efforts. Working as part of the Long Island IVF “Dream Team” is that much more enjoyable knowing that we can give our patients their very best chance to realize their own dreams of creating their families.

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Long Island IVF-WINNER: Best in Vitro Fertility Practice 2015 AND 2016

It is with humble yet excited hearts that we announce that Long Island IVF was voted the Best In Vitro Fertility Practice in the Best Of Long Island 2015 and 2016 contest…two years in a row!

The doctors, nurses, embryologists, and the rest of the Long Island IVF staff are so proud of this honor and so thankful to every one of you who took the time to vote. From the moms juggling LIIVF babies… to the dads coaching LIIVF teens…to the parents sending LIIVF adults off to college or down the aisles… to the LIIVF patients still on their journeys to parenthood who are confident in the care they’re receiving…we thank you all.

We love what we’ve gotten to do every day more than 28 years…build families. If you are having trouble conceiving, please call us. Many of our nurses and staff were also our patients, so we really do understand what you’re going through. And we’d like to help. 631-752-0606.

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Too Fat for Fertility Treatment?

By David Kreiner, MD

March 11th, 2016 at 12:39 pm

 

image credit: OhMega1982 at freedigitalphotos.net


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 they shed their excess weight. “Come back to my office when you have lost 20, 30 or more pounds,” is a typical remark heard by many at their REI’s office. “It’s not healthy to be pregnant at your weight and you risk your health and the health of the baby.” Closing the door to fertility treatment is what most women in this condition experience.

An article in Medical News Today, “Obese Women Undergoing Infertility Treatment Advised Not To Attempt Rapid Weight Loss”, once suggested that weight loss just prior to conception may have adverse effects on the pregnancy, either by disrupting normal physiology or by releasing environmental pollutants stored in the fat. The article pointed out what is obvious to many who share the lifelong struggle to maintain a reasonable Body Mass Index (BMI): Weight loss is difficult to achieve. Few people adhere to lifestyle intervention and diets which may have no benefit in improving pregnancy in subfertile obese women.

The bias in the field is so strong that when I submitted a research paper demonstrating equivalent IVF pregnancy rates for women with excessive BMIs greater than 35 to the ASRM for presentation, it was rejected based on the notion that there was clear evidence to the contrary. Here’s the point I was trying to prove: IVF care must be customized to optimize the potential for this group.

Women with high BMI need a higher dose of medication. Those with PCOS benefit from treatment with Metformin. Their ultrasounds and retrievals need to be performed by the most experienced personnel. Often their follicles will be larger than in women of lower weight. Strategies to retrieve follicles in high BMI women include using a suture in the cervix to manipulate the uterus and an abdominal hand to push the ovaries into view.

Most importantly, a two-stage embryo transfer with the cervical suture can insure in utero placement of the transfer catheter and embryos without contamination caused by inadvertent touching of the catheter to the vaginal wall before insertion through the cervical canal. Visualization of the cervix is facilitated by pulling on the cervical suture, straightening the canal and allowing for easier passage of the catheter. The technique calls for placement of one catheter into the cervix through which a separate catheter, loaded with the patient’s embryo, is inserted.

Using this strategy, IVF with high BMI patients is extremely successful. With regard to the health of the high BMI woman and her fetus, it’s critical to counsel patients just as it is when dealing with women who live with diabetes or any other chronic situation that adds risk.

We refuse to share in the prejudice that is nearly universal in this field. It’s horrible and hypocritical to refuse these patients treatment. Clearly, with close attention to the needs of this population, their success is like any others.

Women who have time and motivation to lose significant weight prior to fertility therapy are encouraged to do so and I try to support their efforts. Unfortunately, many have tried and are unable to significantly reduce prior to conception.

What right do we have to deny these women the right to build their families?

It can be hard to deal with obesity and even more so when combined with infertility. If you are feeling sad or depressed, it may help to talk to a counselor or to others who have the condition. I advise you to ask your doctor about support groups and for treatment that can help you including fertility treatment. Long Island IVF has a complete Mind-Body program with counselors for men and women suffering from infertility and we welcome those who are not yet our patients. See http://www.longislandivf.com/mind_body.cfm

Remember, though this condition can be annoying, aggravating and even depressing, seek an REI who is interested in supporting you and helping you build your family and reject those who simply tell you to return after you have lost sufficient weight.

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Have you been turned away from an RE because you’re overweight or obese? Do you think that’s fair?

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Photo credit: Ohmega 1982 at freedigitalphotos.net  http://www.freedigitalphotos.net/images/Other_health_and_bea_g278-Female_Hand_Touching_Stomach_Fat_p86222.html

 

Long Island IVF-WINNER: Best in Vitro Fertility Practice 2015 AND 2016

 

It is with humble yet excited hearts that we announce that Long Island IVF was voted the Best In Vitro Fertility Practice in the Best Of Long Island 2015 and 2016 contest…two years in a row!

 

The doctors, nurses, embryologists, and the rest of the Long Island IVF staff are so proud of this honor and so thankful to every one of you who took the time to vote. From the moms juggling LIIVF babies… to the dads coaching LIIVF teens…to the parents sending LIIVF adults off to college or down the aisles… to the LIIVF patients still on their journeys to parenthood who are confident in the care they’re receiving…we thank you all.

 

We love what we’ve gotten to do every day more than 28 years…build families. If you are having trouble conceiving, please call us. Many of our nurses and staff were also our patients, so we really do understand what you’re going through. And we’d like to help. 631-752-0606.

 

 

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Improving IVF Success With Acupuncture

By David Kreiner MD

March 3rd, 2016 at 11:08 am

image credit: Praisaeng/ Freedigitalphotos.net

I have been studying and practicing fertility treatment since 1985.  Over the past 31 years, I’ve witnessed first-hand the enormously improved success we have been able to achieve with advancements in in-vitro fertilization (“IVF”).  Every day now, people we previously thought could never be helped to conceive are having babies as a result of today’s state-of-the-art IVF technology.  However, successful as we have been, there are those who remain unhelped and still in need despite modern technology and medicine.  For those, I went back to school to study Traditional Chinese Medicine (“TCM”) and acupuncture.

 

TCM has been successfully used for nearly all health problems since before recorded history.  In fact, approximately 2400 years ago the ancient Chinese medical text, Yellow Emperor’s Canon of Internal Medicine, was written dealing with the relationships among the internal organs and with the concepts of yin and yang as applied to medicine.  In TCM, the yin and yang principle proposes that the bodily organs are interdependent and support each other in harmony.  Disease is defined as a loss of this state of balance within and among the organs.  Treatment with TCM is based on the restoration of the body’s natural harmony and rebalancing of all the organs.

 

Applying TCM to conventional Western medical diagnosis mixes different worlds without a common language.  The science of TCM is based on the flow of Qi (the body’s life energy) that connect the organs through channels and runs throughout the body.  Deficiencies and stagnations of this Qi arising from the different organs result in patterns of symptomatology– including the inability to conceive.  Treatment is individualized based on the unique patterns that are evident in each patient.  These symptoms and patterns are elucidated upon taking the patient’s history and performing a physical examination.

 

Integrating TCM with state-of-the-art Western medicine involves focusing on these patterns and  connections that help us filter each patient’s story and emerge with a clear map of how to use all the tools of medicine… including the most effective TCM and high-tech Western medicine.

 

Though the West was first introduced to acupuncture and TCM when President Nixon visited China, it was not until 2002 that the American Society for Reproductive Medicine (“ASRM”) took notice when a published article in Fertility and Sterility showed that pre- and post- transfer acupuncture increased pregnancy rates.

 

The Manheimer review published in Human Reproduction in June 2013 showed statistically improved success when acupuncture was used as adjunctive therapy in IVF programs that had lower pregnancy rates.  Recently, Dr. Shahar Lev-Ari from Tel Aviv University Sackler School of Medicine reported when combining IUI with TCM treatments, 65.5% of a test group of 29 women between ages 30 and 45 (average 39.4) were able to conceive, compared with 39.4% of the control group of 94 women between ages 28 and 46 (average 37.1) who received no herbal or acupuncture therapy.  The TCM treatment included weekly acupuncture and Chinese herbs.

 

At ASRM 2015, Dr. Paul Magarelli presented a study he performed from his program in Colorado demonstrating significantly higher pregnancy rates when acupuncture was initiated at least 6 weeks prior to embryo transfer and included pre- and post- transfer treatments.

 

How does acupuncture help fertility?  From a Western perspective, acupuncture’s successful treatment of stress is effective to improve fertility mostly by improving hormonal function.

There is evidence that acupuncture also increases blood flow to the reproductive organs and helps balance the endocrine system.

 

If we are to assume that combining TCM with modern reproductive medicine optimizes a patient’s success, then how can we best help our patients?  At Long Island IVF we work with some of the most qualified fertility acupuncturists on Long Island and, in addition, offer TCM and acupuncture on-site in the Melville office including pre- and post- transfer.

 

As a certified acupuncturist and reproductive endocrinologist with over 30 years of experience in IVF, I feel I am uniquely qualified to offer our patients the most effective fertility treatment that includes the best that Western medicine has to offer as well as TCM and acupuncture.

 

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Do you think adding acupuncture to your treatment plan could be beneficial?

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Long Island IVF-WINNER: Best in Vitro Fertility Practice 2015 AND 2016

It is with humble yet excited hearts that we announce that Long Island IVF was voted the Best In Vitro Fertility Practice in the Best Of Long Island 2015 and 2016 contest…two years in a row!

The doctors, nurses, embryologists, and the rest of the Long Island IVF staff are so proud of this honor and so thankful to every one of you who took the time to vote. From the moms juggling LIIVF babies… to the dads coaching LIIVF teens…to the parents sending LIIVF adults off to college or down the aisles… to the LIIVF patients still on their journeys to parenthood who are confident in the care they’re receiving…we thank you all.

We love what we’ve gotten to do every day more than 28 years…build families. If you are having trouble conceiving, please call us. Many of our nurses and staff were also our patients, so we really do understand what you’re going through. And we’d like to help. 631-752-0606.

 

 

 

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IVF and Comprehensive Chromosomal Screening (CCS) a/k/a Pre-embryo Genetic Screening (PGS)

By David Kreiner MD

January 20th, 2016 at 1:55 pm

 

credit T. Minella

In 1985, when I started my fellowship training at the Jones Institute, IVF technology was so new that we numbered each baby that was born as a result of IVF and it was still in double digits. People came to us for IVF from all over the world because our success rate was the best — at that time, just 15 percent.

The technology of IVF was so inefficient then, it was routine to transfer six embryos at a time. That’s what it typically took to create a singleton pregnancy. Sometimes the result was multiples. My experience with multiple pregnancies in those early years opened my eyes and heart to the additional struggles that accompanied patients’ tremendous joy at finally being pregnant.

With the discoveries and improvements in both clinical and laboratory procedures and techniques in the early 2000’s, success rates for IVF boomed… allowing for the transfer of a much more limited number of embryos that depended on patient age and embryo quality. Ultimately, the goal was Single Embryo Transfer (SET), the transfer of one high quality embryo to eliminate the additional risks associated with multiple pregnancies.

The challenge has been that, despite the transfer of an embryo that appeared of highest quality, one could not tell by simply looking under the microscope that the embryo was genetically normal. Abnormal embryos were not just less likely to implant, but if they did, would miscarry or result in an abnormal fetus.

Technology to test embryos with CCS to determine if they were chromosomally normal before transferring them into the uterus has been available for over 10 years but previously the test was often inconclusive, occasionally inaccurate, and potentially hazardous to the embryos. In addition, the test cost between $5000 and $7000. Today, CCS (also known as PGS) has improved to the point that it is nearly 100% accurate and rarely inconclusive or damaging to embryos and the cost is generally not significantly more than $3000, depending on the number of embryos tested.

Incorporating CCS/PGS into IVF will increase the ability for a patient to achieve a live birth of a normal healthy baby while minimizing the risk for a miscarriage and to do so in fewer embryo transfers since only normal healthy embryos need be transferred. It is envisioned that the additional cost of PGS will be offset by virtue of going through fewer frozen embryo transfers .

These 30 years, I have seen a number of game changers in IVF.  CCS/PGS may be among the most significant.

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Would you consider using CCS/PGD?

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Long Island IVF WINS– AGAIN!! Best of Long Island 2016: Best In Vitro Fertility Practice!

By Tracey Minella

January 10th, 2016 at 8:32 am

We are beyond excited to announce that… for the second consecutive year… Long Island IVF was voted the Best In-Vitro Fertility Practice in the Best Of Long Island 2016 contest.

And it’s all because of YOU!

To be the best infertility practice on Long Island means that you’ve trusted us not only with your care…but with your biggest dream. And that we came through for you in a way that compelled you to recommend us to others by voting.

The doctors, nurses, embryologists, and the rest of the Long Island IVF staff are so humbled by this honor and so thankful to each and every one of you who took the time to cast a vote in our favor. From the moms juggling LIIVF toddlers… to the dads coaching LIIVF teens…to the parents sending LIIVF adults off to college or down the aisles… to the LIIVF patients still on their journeys to parenthood who are confident in the care they’re receiving…we thank you all.

We love what we get to do every day…build families. And that’s all the thanks we really need. However, when you recommend us to your friends and families and endorse us to the public by voting for us, you enable us to help even more infertile couples fulfill their dreams of building a family. And we’re thankful for that as well.

As we’ve done for almost 28 years, we offer patients our unique blend of cutting-edge medical technologies and holistic, personal support… wrapped in the comfort of a private, non-hospital setting. Because we believe all people have the right to pursue their dream of parenthood, we have long-offered family-building treatments specially designed for the LGBT community’s unique needs. We also offer grants and other programs to help make treatment options more affordable. https://www.longislandivf.com/ivf_grants.cfm

Thanks again for your vote and for trusting us with your care.

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