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Archive for the ‘Free Micro IVF Contest’ tag

Infertility Podcast Series: Journey to the Crib: Chapter 18 Medications for IVF Treatment

By David Kreiner MD

July 24th, 2012 at 3:29 pm

Welcome to the Journey to the Crib Podcast.  We will have a blog discussion each week with each chapter.  This podcast covers Chapter Eighteen: Medications for IVF Treatment. You, the listener, are invited to ask questions and make comments.  You can access the podcast here: http://podcast.eastcoastfertility.com/?p=106 

 Medications for IVF Treatment 

Prior to Dr. Georgeanna Seegar Jones initiating gonadotropin therapy for IVF, success rates were a pitiful 1%.  Utilizing Follicle Stimulating hormone (FSH) and Leuteinizing Hormone (LH) to stimulate the ovaries and recruit a number of eggs improved pregnancy rates for IVF  to a more respectable 10% by 1980 in Norfolk, Virginia in what later became known as the Jones Institute for Reproductive Medicine at Eastern Virginia Medical School. 

Dr. Jones had pioneered the use of FSH and LH in the U.S. for ovulation induction in the 1960′s.  Today, nearly 50 years later, these hormones are used annually in hundreds of thousands of cycles and have resulted in over 5 million births by IVF alone with success rates for IVF at Long Island IVF for example greater than 50% live birth rate per fresh embryo transfer. 

Still, concern has been expressed regarding the safety of these hormones.  Multiple pregnancies, a common side effect of IVF in the 1980′s and 1990′s due to the inefficiency of the procedure necessitating multiple embryo transfer is seen in less than 25% of cases and rarely results in more than twins. 

The risk of cancer, which has been a concern raised by many over the years, is either minimal or nonexistent. 

Recently, the risk of ovarian hyperstimulation syndrome (OHSS) has been raised in the media with a sensationalized 10% incidence reported.  OHSS is a syndrome whereby a woman’s ovaries enlarge, fluid accumulates in the abdomen, sometimes in the soft tissues of the legs and occasionally around the lungs.  It rarely can cause clotting in the blood that increases the risk of a pulmonary embolus, a complication I have seen twice since 1985 (both women had babies and did fine afterwards). 

In fact most studies identify a 3% incidence of OHSS which due to recent prophylactic treatments is becoming less common with less severe symptoms.  At Long Island IVF, patients at increased risk identified by having an estradiol of greater than 3000 are prophylactically treated with a medication, cabergoline, which minimizes the OHSS.  Additionally, the final stage of maturation in these cases is triggered using lupron and a very low dose of hCG further minimizing the risk for OHSS.  In patients with the greatest risk for OHSS, all embryos are cryopreserved and the patient undergoes embryo transfer in a subsequent unstimulated cycle. 

As a result of these measures, OHSS has become a rare serious side effect of gonadotropin use in IVF at Long Island IVF while live baby rates have flourished. 

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Was this helpful in answering your questions about medications for IVF treatment? 

Are you aware that Long Island IVF is giving away a free basic Micro-IVF cycle, valued at $3,900.00? Check out the contest here: http://bit.ly/LHbmQR 

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

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Micro-IVF Can Further Reduce Rare Risk of Ovarian Hyperstimulation Syndrome

By David Kreiner MD

July 17th, 2012 at 6:29 pm

Recent media attention* regarding the risk of ovarian hyperstimulation syndrome (OHSS) in in-vitro fertilization (IVF) cases– estimated by most sources at three percent (3%) for patients undergoing traditional IVF — has increased interest in minimal stimulation IVF, also known as Micro-IVF or Mini-IVF.  

Long Island IVF’s Micro-IVF program is five (5) years old and is registered with the Society of Assisted Reproductive Technology separately as East Coast Fertility under the medical directorship of Dr. David Kreiner and embryology directorship of Dr. John Moschella, who have a combined fifty years of IVF experience.

Since the merger of East Coast Fertility with Long Island IVF in October, 2011, the pregnancy rate for women under 35 years of age exceeds 50% per transfer with MicroIVF.  

Using clomid and two days of lowest dose gonadotropin hormones, this minimal stimulation has a 0% incidence of OHSS at Long Island IVF.  

Furthermore, a Micro-IVF procedure costs $3,900.00 plus the cost of the medications, and $500.00 for optional anesthesia.  

In tune with the safer minimal stimulation IVF, Long Island IVF also offers their Single Embryo Transfer (SET) Program to motivate patients to select the very safest procedure by avoiding the increased risk of multiple pregnancyassociated with a multiple embryo transfer.  Patients electing SET for traditional IVF or Micro-IVF pay nothing to freeze excess embryos and store them up to a year.

Certainly those concerned about OHSS, or those looking for a less costly alternative to traditional IVF should inquire about whether Micro-IVF–successfully performed by Long Island IVF’s doctors for five years—might be for them.

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Long Island IVF is holding its annual “Extreme Family-Building Makeover” contest to award a Free basic Micro-IVF cycle, valued at $3,900.00, to a woman without (or who has exhausted) infertility insurance coverage. You do not have to be a LIIVF patient or even a New York resident. Contest ends August 26, 2012. For details, rules, and to enter, click here: http://bit.ly/LHbmQR

Have you experienced severe OHSS during traditional IVF that required hospitalization? If so, did it stop you from pursuing traditional IVF again? Would you consider Micro-IVF?

*This letter was prompted in response to today’s New York Times article, entitled “High Doses of Hormones Faulted in Fertility Care”, by Jacqueline Mroz. See the full article here: http://nyti.ms/OJT4yu

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Infertility Podcast Series: Journey to the Crib: Chapter 17 In-Vitro Fertilization and Embryo Culture

By David Kreiner MD

July 13th, 2012 at 8:03 am

Welcome to the Journey to the Crib Podcast.  We will have a blog discussion each week with each chapter.  This podcast covers Chapter Seventeen: In-Vitro Fertilization and Embryo Culture. You, the listener, are invited to ask questions and make comments.  You can access the podcast here: http://podcast.eastcoastfertility.com/?p=103 

In-Vitro Fertilization and Embryo Culture 

In-Vitro Fertilization revolutionized infertility care when Nobel prize-winning scientist, Robert G. Edwards, succeeded in achieving the first successful birth utilizing an egg retrieved in a natural cycle and fertilized in the lab.  Back then, in 1978, the procedure was rarely successful until Georgiana Seegar Jones together with her husband Howard W. Jones Jr. in Norfolk, Virginia started stimulating the woman’s ovaries with gonadotropin hormone injections achieving their first pregnancy in 1980. 

Since that time pregnancy rates have improved as a result of experience and improvements in technique with ovarian stimulation and handling of the gametes, sperm and eggs, in the lab and, in particular, with dramatically improved culture media.  Egg retrievals, performed by laparoscopy during the early years, are now performed by transvaginal aspiration under ultrasound guidance.  The embryo transfer became much less traumatic with more accurate placement when also performed utilizing ultrasound visualization. 

Until IVF became efficient, multiple embryos were transferred resulting in many high risk, high order multiple pregnancies.  Today, single embryo transfer (SET) offers a better than 50% pregnancy rate to women under 35.  Double embryo transfer leads to pregnancy in many centers 70% of the time in these women. 

A recent study published in the New England Journal of Medicine documents that pregnancy rates for IVF are comparable to that of fertile couples and is as high as 80% after three donor egg cycles. 

According to the Center for Disease Control, IVF with single embryo transfer would save $1.1 billion annually, if used rather than insemination with fertility drugs.  Perhaps it is time for society to support safe IVF as the preferred therapy for infertile couples.  

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Was this helpful in answering your questions about IVF and Embryo Culture? 

Are you aware that Long Island IVF is giving away a free basic Micro-IVF cycle, valued at $3,900.00? Check out the contest here: http://bit.ly/LHbmQR 

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

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Dr. Kreiner’s Letter to the Editor of Newsday

By David Kreiner, MD

July 12th, 2012 at 3:29 pm

credit: wpclipart.com

 

Long Island IVF’s co-founder, Dr. David Kreiner responds to the assertion that in-vitro fertilization, or IVF as it’s known, is a treatment of “last resort”. Here is his letter to the Editor of Newsday published on July 8, 2012:

“ Adrian Peracchio wrote an interesting account of in vitro fertilization, a technology that is now 34 years old ["The future is now," Opinion, July 1]. As stated in the article, IVF is a procedure that was born in a hailstorm of controversy and remains today accountable for 3 percent of all births in the developed nations.

A reason for IVF’s rise in popularity is a tremendous improvement in success rates. As reported in the June 28 issue of the New England Journal of Medicine, live birthrates with IVF approximate natural conception in fertile couples. Also, IVF reaches success rates as high as 80.7 percent for couples using donor eggs after three cycles.

Peracchio points out that the cost of IVF, as much as $15,000 in many centers, is often not covered by health insurance, and that IVF was intended as a “last resort” treatment.

This is a misunderstanding of IVF as an alternative only after the failure of less aggressive treatments — such as inseminations with fertility drugs. Insurance providers cover the drug treatment, which is ironically more expensive. Fertility drug treatments can lead to multiple pregnancies and premature deliveries. According to the Centers for Disease Control and Prevention, we could save $1.1 billion a year if single embryo transfers with IVF were performed instead.

It is a shame that the technology developed by Robert G. Edwards for which he was awarded the Nobel Prize for Medicine remains available only to a minority of couples and is still not recognized by insurance companies.”

Dr. David Kreiner, Plainview

Editor’s note: The writer is the co-founder of Long Island IVF, an infertility care center.

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We’d love your thoughts here on the blog.

But if you’d like to respond to this article on Newsday.com and reply to the thread of unsympathetic comments, the link to the letter is here: http://bit.ly/NcuEwn (I’m guessing a stress-busting vent session will result for anyone willling to take up the cause!)

 

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LI IVF Announces Second Early Entry Winners in Free Micro-IVF Contest!

By Tracey Minella

July 9th, 2012 at 12:09 am

Long Island IVF’s Extreme Family Building Makeover Contest…where the Grand Prize is a Free Micro-IVF cycle… kicked off during National Infertility Awareness Week on April 23, 2012. It runs through August 26, 2012.

To enter the contest for your chance to win a Free Micro-IVF cycle, and other great prizes, go to the April 23, 2012 blog post right here at: http://bit.ly/LHbmQR

Or click on Long Island IVF’s Facebook Page Contest tab to learn more right here: http://on.fb.me/L15L9Z

Each month the essay and video entries that get the most “likes” and/or comments and views will win an early entry incentive prize. Today’s prizes are awarded based on June entries. There’s still plenty of time to enter an essay and/or a video. Take your time and send in your best work.

Congratulations to Melissa819 for her essay entry “Keep Fighting” which raked in the most likes and comments of all the June entries. Melissa, please email your full name and address to Lindsay at lmontello@liivf.com so we can send you your prize: a beautiful, hand-made fertility-themed necklace from Hoping Believing Waiting, identical or similar to this one.

Congratulations also to Jessica for her video entry “We’ll Never Stop Hoping” which got lots of attention on our YouTube channel. Jessica, please email your full name and address to Lindsay at lmontello@liivf.com so we can send you your prize: A gift certificate for a Signature Stressbuster Massage from T.Carlton Spalon of Smithtown (or a Spa-Finder gift card)!

Imagine how your life could change if you won a free Micro-IVF cycle? Don’t delay…enter the contest today! Maybe your essay or video will win the early incentive prize for July. Or maybe it will win the Grand Prize. But you gotta be in it to win it, as they say.

Last year’s competition was fierce and this year promises to be more of the same. An essay or video telling the story of your fertility journey will make a wonderful personal keepsake for the future, whether or not you win the Grand Prize. And, unlike the early incentive prizes, the Grand Prize is awarded by a panel, not by “likes”, so you can enter to win right up to the last minute! By why wait?

So grab those keyboards and camcorders and get your story going! We can’t wait to see what you come up with!

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Infertility Podcast Series: Journey to the Crib: Chapter 16 Micro-IVF

By David Kreiner MD

July 5th, 2012 at 9:39 am

Welcome to the Journey to the Crib Podcast.  We will have a blog discussion each week with each chapter.  This podcast covers Chapter Sixteen: Micro-IVF. You, the listener, are invited to ask questions and make comments.  You can access the podcast here: http://podcast.eastcoastfertility.com/?p=101 

Micro-IVF 

Micro-IVF, also known as Mini-IVF, is a minimal stimulation IVF that differs from routine IVF only in the ovarian stimulation hormones that are used.  We typically stimulate with clomid 100mg for the first five days followed by 75 units of FSH hormones for two days.  We monitor, retrieve the eggs, fertilize the eggs in the lab and perform the embryo transfer in the same exact way as we do with all other IVF patients.  

In 2006, a friend and colleague of mine, Suheil Muasher, who completed the Jones Institute fellowship two years before me, introduced the idea of Micro-IVF to me.  My initial reaction was not unlike most other reproductive endocrinologists who question “Why offer an IVF alternative that has a lower success rate?”  Well, as they say, the proof is in the pudding. And it doesn’t hurt that the pudding costs less with ingredients that have less of an effect on the body. 

Since October, when East Coast Fertility merged with Long Island IVF, we have had a better than 50% pregnancy rate for our patients under 35 years of age utilizing Micro-IVF.  That the cost is $3900 and the exposure to fertility drugs is minimal makes this an astounding success rate. 

Furthermore, our patients who transfer just one embryo with the fresh transfer qualify for the Long Island IVF Single Embryo Transfer program and as a result are entitled to cryopreserving and storing up to one year any excess embryos for free.  

With such great results, I recommend Micro-IVF as a safer and superior alternative to FSH/IUI and sometimes even Clomid/IUI cycles especially in our younger age patients. 

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Was this helpful in answering your questions about Micro-IVF? 

Are you aware that Long Island IVF is giving away a free basic Micro-IVF cycle, valued at $3,900.00? Check out the contest here: http://bit.ly/LHbmQR 

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

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Infertility Podcast Series: Journey to the Crib: Chapter 15 Intrauterine Insemination

By David Kreiner MD

June 29th, 2012 at 9:33 am

Welcome to the Journey to the Crib Podcast.  We will have a blog discussion each week with each chapter.  This podcast covers Chapter Fifteen: Intrauterine Insemination. You, the listener, are invited to ask questions and make comments.  You can access the podcast here: http://podcast.eastcoastfertility.com/?p=98 

Intrauterine Insemination 

Intrauterine Insemination or IUI involves preparing the sperm usually by a washing procedure removing prostaglandins and debris that would otherwise cause severe cramping when the sperm is introduced into the uterine cavity.  Since clomid, an anti-estrogen, can thicken the cervical mucus and create a cervical barrier to the sperm, IUI is a valuable adjuvant to clomid therapy. 

The disadvantage of IUI is that as many eggs as you ovulate can fertilize and implant.  In cases where multiple eggs are developed in ovarian hyperstimulation therapy like clomid and FSH (bravelle, menopur, gonal F, Follistim) the risk of multiple pregnancy occurring is enhanced.  The increase in pregnancy rate from this therapy as well as the increased risks associated with IUIs needs to be compared with the relatively superior success rate from In Vitro Fertilization where a single embryo transfer may be performed and excess embryos cryopreserved for a subsequent cycle.  If costs of the treatments are a consideration, such reduced-cost procedures like Minimal Stimulation IVF or Micro-IVF may prove to be a cost effective alternative to IUI when insurance does not cover the IUIs. 

Interestingly, not all insurance companies have caught on to this issue of a higher risk of multiple pregnancy with IUI associated with clomid or FSH.  Some require patients to go through a minimum number of IUIs prior to covering the more effective and safer IVF.

Ironically, a multiple pregnancy will cost the insurance company far more than if they had covered IVF. 

Worth repeating from the last podcast on clomid therapy: For those patients without insurance coverage, Micro-IVF, minimal stimulation IVF (utilizing Clomid), costs approximately the same as three Clomid/IUI cycles but offers women under 35 years of age a better than 40% pregnancy rate and as such may be a more cost effective alternative. 

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Was this helpful in answering your questions about Intauterine Insemination? 

Are you aware that Long Island IVF is giving away a free basic Micro-IVF cycle, valued at $3,900.00? Check out the contest here: http://bit.ly/LHbmQR

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

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Your Wildest Dreams Can Come True

By Tracey Minella

June 28th, 2012 at 9:00 am

Some ladies have crushes on their RE. Do you ever dream about your IVF doctor?

Ever fantasize that he comes to you in the wee hours of the morning, a hulking presence walking through the misty fog just past dawn? You feel the excitement in the thick air as he moves toward you with hurried anticipation. He meets your gaze and whispers “Let’s make a baby…”

Phew, is it getting hot in here or is it just me?

Well, for one lucky woman, this dream will come true on September 4, 2012! That woman would be the winner of Long Island IVF’s “Extreme Family-Building Makeover” Contest. She will receive a Free basic Micro-IVF cycle, valued at 3,900.00! And if she happens to come from the Long Island or Brooklyn area, she may get the good news by a personal visit from one of our doctors on the day after Labor Day!

The annual contest launched during National Infertility Awareness Week in April and runs through August 26, 2012. You can enter by essay or video. Please see full rules here:

http://blog.longislandivf.com/2012/win-a-free-basic-micro-ivf-cycle-in-long-island-ivfs-extreme-family-building-makeover-contest/

You can also get to the rules via Long Island IVF’s Facebook Page at: http://www.facebook.com/longislandivf and clicking on the “Contest” tab.

 In addition to the awesome Grand Prize of a Free basic Micro-IVF cycle, there are early incentive prizes awarded each month of the contest, so get those entries in, ladies.

A prior Micro-IVF winner tucks her baby boy in each night in Georgia. Will you be next?

 

 

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Infertile Men are Fathers, Too

By Tracey Minella

June 17th, 2012 at 8:56 am

If you are a man who wants to be a father, but infertility is standing in the way, I don’t have to tell you how tough it is getting through today. If male factor infertility is all or part of the problem, there’s often an added level of misplaced guilt as well. And if you’ve lost your own dad along the way, the day is even worse.

I could tell you to take care of yourself today, but you’re probably more concerned about your wife or partner. How she wants the baby, the card and the homemade clay presents that Father’s Day is supposed to be about.

If you’re seeing your own dad… and siblings with children will be there… there can be guilt about not making grandchildren yet and the sense of urgency to do so while he’s still alive. But you will manage, despite the ache in your heart, to smile for your dad today and to play a little catch with those nephews.

And you may have to endure the insensitive and hurtful comments…sometimes directly targeted at your manhood… by ignorant brothers or in-laws. You know the ones. I won’t repeat them. But you’ll laugh it off to keep the peace and pretend it’s the barbeque smoke stinging your eyes.

Today I want you to know that you are a dad. You’re a father “in-the-making”.

Good dads are selfless. They put everyone else’s needs before their own. They take care of their wives and their parents. They often hide their pain. Without realizing it, some practice their “dad skills” on nieces and nephews. They get stronger by facing and overcoming adversity. Their commitment to their wife deepens by battling this challenge together.

All this crap you are going through… this journey… has either given you or fine-tuned all the traits you need to be a great dad someday.

So, Happy Father’s Day to a great dad-to-be. And I hope that next year will be the year of the baby to complete the deal.

To our patients who have already become fathers, Happy Father’s Day. Enjoy those miracles… and their homemade clay presents!

Happy Father’s Day to the wonderful doctor dads of Long Island IVF…great men and loving fathers/grandfathers who use their gifts every day to help build our families.

And finally, Happy Father’s Day to my husband Adam, not just for being the wonderful father I knew he’d be, but for hanging in there during the many years of our own 7 fresh IVF cycles journey to parenthood.

If winning a free Micro-IVF cycle (valued at $3,900.00) would assist you on your infertility journey, please enter Long Island IVF’s “Extreme Family-Building Makeover” Contest. Details are on the April 23, 2012 blog post or click here: http://blog.longislandivf.com/2012/win-a-free-basic-micro-ivf-cycle-in-long-island-ivfs-extreme-family-building-makeover-contest/

 

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Tell us how you get through days like this. Did anyone say something hurtful? How did you respond?

Photo credit: http://www.wpclipart.com/holiday/fathers_day/index.html

 

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LIIVF Announces First Early Entry Essay Winner in Free Micro-IVF Contest!

By Tracey Minella

June 8th, 2012 at 1:46 am

Long Island IVF’s Extreme Family Building Makeover Contest…where the Grand Prize is a Free Micro-IVF cycle… kicked off during National Infertility Awareness Week on April 23, 2012. It runs through August 26, 2012.

To enter the contest for your chance to win a Free Micro-IVF cycle, and other great prizes, go to the April 23, 2012 blog post right here at: http://bit.ly/LHbmQR

Or click on Long Island IVF’s Facebook Page Contest tab to learn more right here: http://on.fb.me/L15L9Z

Each month the essay and video entries that get the most “likes” and/or comments will win an early entry incentive prize. In April and May, only essays were received. Totally understandable as videos take much more time and effort!

Congratulations to Jessica for her essay entry “Never Giving Up” which raked in the most likes and comments of all the April and May entries. Please email your full name and address to Lindsay at lmontello@liivf.com so we can send you your prize: a beautiful, hand-made fertility-themed necklace from Hoping Believing Waiting, identical or similar to the one below.

beautiful, handmade necklace from Hoping Believing Waiting

Imagine how your life could change if you won a free Micro-IVF cycle? Don’t delay…enter the contest today! Maybe your essay or video will win the early incentive prize for June. Or maybe it will win the Grand Prize. But you gotta be in it to win it, as they say.

The first video entry was just posted this week. Last year’s competition was fierce and this year promises to be more of the same. An essay or video telling the story of your fertility journey will make a wonderful personal keepsake for the future, whether or not you win the Grand Prize.

So grab those keyboards and camcorders and get your story going! We can’t wait to see what you come up with!

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