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Archive for the ‘IVF Long island’ tag

Teacher Appreciation Day: When Will it be YOUR Turn to be the Parent?

By admin

May 9th, 2017 at 3:27 pm

 

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We know it’s a tough job to be a teacher…especially when you are struggling with infertility. To spend all day, each day surrounded by little faces—playing a big part in not just in educating these children entrusted to your care, but also in raising them. It’s not a job you can turn off when the final bell rings. You keep thinking about them 24/7. Just like infertility.

When will it be your turn to be the parent at the parent teacher conference?

Well, maybe we can help you get that family started.

Did you know that Long Island IVF is a designated Center of Excellence for the Empire Plan, the insurance provider for many local Teachers as well as other NY State and Local Government Employees? That’s great news for Long Island’s insured teachers and others who want to take advantage of the substantial financial benefits that come with choosing a COE provider for your fertility care and have those services provided on Long Island.

Even those who aren’t able to take advantage of the Empire Plan’s COE benefits can confidently trust Long Island IVF with their fertility care. Our doctors are consistently voted Top Docs and Super Doctors by their peers. We brought Long Island its first IVF baby and many other firsts in the field.

In addition to the assurance of working with a program that has achieved high quality measures, our COE designated program affords our Empire Plan patients an additional financial advantage — once treatment is approved by the Empire Plan, you receive full benefits with no co-payments or co-insurance requirements for the services covered by their insurance plan.

Now is the perfect time to start planning for infertility treatment this summer—especially for teachers! Free from the stress of a teacher’s rigid schedule, the summer months offer the flexibility to do IVF (or IUI) in a more relaxed frame of mind.

If you are not already a Long Island IVF patient and would like to jump start your family-building plans, call us today. With six offices across Long Island and Brooklyn, there is sure to one that’s conveniently located near you.

We look forward to welcoming brand new patients as well as patients transferring from other practices for insurance reasons. Let’s start building that family together this summer. School is almost out. Sounds like the perfect time for a personal project.

Call our New Patient Coordinator at 877-838-BABY to schedule your initial consultation today.

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Are you a teacher or government employee who may need help conceiving—or do you know of someone else who does? Please share. You never know if that great teacher who your child loves is secretly longing for a baby of her own.

 

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“New Beginnings through Donor Egg” Seminar at Long Island IVF

By Tracey Minella

April 14th, 2017 at 9:15 am

Right on the heels of National Infertility Awareness Week (April 23-29) is a seminar especially for women who think they might need an egg donor to build their family. It’s called “New Beginnings through Donor Egg”.

Have you ever met a woman who became a mom through egg donation? Wouldn’t it be helpful to hear about her experience and ask her questions in person knowing she once shared the same concerns you may have about the process?

Well, you won’t want to miss this seminar! The donor egg recipient mom who is coming can’t wait to tell you all about her experience. Like many women who turn to donor egg, she suffered through disappointment and loss before finally considering and then deciding to use an egg donor to build her family. Her story is fascinating and her heart is big.

On Tuesday, May 2, 2017, at 7:00 pm, Long Island IVF will host a free event “New Beginnings through Donor Egg” that could potentially change the course of your family-building journey. Our caring doctors and staff…and that happy donor recipient mom… will go over everything you could ever need to know about egg donation.

Women whose eggs have been compromised by advanced age, premature ovarian failure, failed IVF treatment, cancer, or poor egg quality should consider donor egg therapy. Long Island IVF offers many ways to build a family through the donor egg program. Gay men wanting biological children also need the help of an egg donor.

Admittedly, conceiving with donor eggs is rarely the first choice, but often is an acceptable alternative after weighing many personal, physical, emotional, psychological, and financial considerations. Decades of happy moms agree that using donor eggs was the best decision they ever made and many wish they’d come around to the idea sooner.

Maybe you’re not yet ready to act on the information you’ll receive. No problem. We’re just here to offer information and emotional support. So, why not attend the seminar and learn about Egg Donation as an opportunity to create your family? It’s right before the often-dreaded Mother’s Day and a perfect time to get educated and empowered about this powerful family-building option.

Victoria Loveland, RN & Donor Egg Nursing Coordinator, Aviva Zigelman, LCSW & Donor Egg Program Director, and Long Island IVF partner and reproductive endocrinologist Steven Brenner, MD will all be there to answer your questions. You can even speak to them privately if you’re more comfortable.

Long Island IVF offers several different egg donation options, including:

  • Sole Recipient Fresh Egg Donation,
  • Shared Recipient Fresh Egg Donation, and
  • Frozen Egg Donation.

Each option offers its own unique benefits, costs, and other considerations. We have young, healthy, pre-screened, anonymous egg donors representing multiple ethnicities ready to help build your family. Or you can use a known donor if you prefer.

Register here for “New Beginnings through Donor Egg”. Walk-ins are always welcome, too. Bring a friend or partner. Take that first step, even if you’re hesitant. We look forward to seeing you and answering your questions about the exciting option of egg donation. This seminar is generally intimate, low-key and not overly-crowded.

Location: Long Island IVF 8 Corporate Center Drive, Suite 101, Melville, NY

Date: Tuesday May 2, 2017

Time: 7:00 pm- 9:30 pm

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Will you be there? If you’d like to attend but can’t, please call anyway and ask for Vicky Loveland, so we can make other arrangements to help you.

 

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Long Island IVF Hosts Holistic Approaches to Fertility Event

By Tracey Minella

July 31st, 2015 at 12:05 pm

Ever since we brought Long Island its first IVF baby over 27 years ago, we’ve always been pioneers in the field of infertility treatment. And we continue to innovate today.

Don’t miss our free event, “An Evening of Holistic Approaches to Fertility” in our Melville office on Tuesday, September 15, 2015 at 6:30 pm.

Keep reading for details!

You won’t find another practice on Long Island that integrates the best of Western medicine’s cutting edge assisted reproductive technology with the holistic principles of Eastern medicine and the power of a Mind-Body Program. No one else offers all this support.

Long Island IVF’s Mind-Body Program… led by our own caring psychologist, Bina Benisch M.S., R.N… is packed with an arsenal of tools to help manage the stress and frustration of infertility. Tools like breath work, meditation, and Reiki. Plus Bina offers wildly popular individual, group, and couples’ counseling specifically geared for infertility-related issues.

And you have to meet Jim. We promote fertility acupuncture to, among other things, increase blood flow to the uterus in the hope of maximizing the chances for conception. Don’t miss the live demonstration and presentation by Jim Vitale from Suffolk County Acupuncture.

We also encourage many holistic principles like massage, fertility yoga, and optimizing fertility through a healthy diet.

Are you doing everything you can to maximize your fertility?

Why not come down to this free, fun, and informative event to find out if any of these practices may complement your own fertility treatment plan. Here’s the exciting lineup:

Bina Benisch, MS, RN— Relaxation techniques, Reiki live demo!

 

Dr. Kreiner— Welcome and Western Medicine vs Eastern Medicine!

 

Jim Vitale from Suffolk County Acupuncture– Acupuncture live demo!

 

LI IVF billing team–Offering financial counseling and info and applications re: Jade grant, DOH grant, etc

 

Watch Jim do acupuncture. See Reiki with Bina. Apply for a free IVF grant. Nibble on Dr. Kreiner’s famous fertility trail mix as he explains the fascinating way holistic and Eastern medicine can complement traditional Western medicine when treating infertility. It’ll be the most fun you’ve ever had on a Tuesday night!

Please RSVP to Lindsay at lmontello@liivf.com and bring a friend or partner. All are welcome, you don’t have to be a LIIVF patient and there is no cost to attend.

We’re looking forward to seeing you there. And hey, we’ve got that trail mix…

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Is there anything you’re particularly interested in learning about at the seminar? Let us know!

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

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 contest.

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 27 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.

 

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Long Island IVF Announces Office Hours in the Hamptons

By Tracey Minella

July 22nd, 2015 at 9:41 am

Forget the beautiful beaches and trendy shops. There’s a bigger draw to the Hamptons. And it will last year ‘round.

Long Island IVF is happy to announce that two of its reproductive endocrinologists, Dr. Daniel Kenigsberg and Dr. Kathleen Droesch are seeing patients in the Hamptons. Until now, infertile couples in Eastern Suffolk County had to travel exceptionally long distances to reach us for fertility treatment. Now, those in the Hamptons area… for the summer and year round… will have the convenience of expert care closer to home!

For more information on the days and hours of doctor availability and to schedule an appointment with Dr. Kenigsberg or Dr. Droesch in the Hamptons, please contact our Stony Brook office at (631) 331-7575.

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How long do/would you travel for fertility care?

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Long Island IVF Brew for the Family Event Wrap-Up

By Tracey Minella

June 11th, 2015 at 12:20 pm

We’ve hosted some fun gatherings in the past, but the Long Island Brew for the Family 2015 ranks right up there among the all-time best. It was a SOLD-OUT event!

Last Thursday, over a hundred hopeful infertile folks… many joined by their friends and families… kicked back at the Great South Bay Brewery and enjoyed a night full of music, tons of delicious food, multiple samplings of craft beers, a brewery tour, vendor giveaways, souvenir glasses, and a silent auction. Many of the LIIVF doctors  were mingling with the crowd.  There was so much going on in this hip, relaxed setting that it may even have distracted the attendees’ attention—briefly– from the prize most of them came hoping to win… the free IVF cycle door prize donated by Long Island IVF.

The event was co-sponsored by the Tinina Q. Cade Foundation, a nationally-recognized charitable organization dedicated to helping people overcome infertility. The Cade Foundation fundraising events raise money for infertility education as well as for grants of up to $10,000 to off-set the costs of infertility treatment or adoption expenses. Many other regional sponsors also contributed, including Kings Pharmacy. Kraupner Pharmacy, EMD Serono, Enzo, South Shore Acupuncture and Fertility Wellness, Morgan Stanley, Acupuncture for Fertility, Counsyl, Damianos Realty Group, Suffolk County Acupuncture and more.

The event venue and theme was appealing to local infertile couples, who live with the stress of infertility. It offered them a chance to relax for a few hours and reconnect with each other or the friends who came to support them and help increase their chances to win the transferable free IVF cycle door prize. In fact, it was a brother-sister team who won the prize this year. The sister needed IVF and her brother attended to give her a second chance at the prize. Their shrieking, hugging and high-fiving celebration upon winning won’t soon be forgotten.

As happy as we are to offer this door prize to a lucky winner, our hearts did break along with those of the other hopefuls who came out that night. If you were one of them, we’d like you to know that there is still hope. We strongly encourage you to apply for one of the Cade Foundation’s Family Building Grants, which are awarded twice per year and allow you to use your choice of fertility practice. Because the grants are for up to $10,000 each and they don’t have to be repaid, it’s like a second chance to win that free IVF cycle. The deadline for the current fall grant program cycle ends on July 1, 2015 so please go check that out and apply today. All you need is to be a legal permanent US resident with a medical diagnosis of infertility. It’s easy. http://bit.ly/1GwCvXk

There are also several grants available at Long Island IVF, including the exclusive, new Jade IVF Grant, so please call the office and speak to a financial services rep for more details.

The doctors and staff of Long Island IVF thank everyone who attended or was in any way involved in the Brew for the Family event for supporting this worthy fundraiser designed to help overcome infertility. See you at the next big event!

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Were you at Brew For the Family? What was your favorite part?

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Is Clomid Right for You?

By David Kreiner MD

May 22nd, 2015 at 12:27 pm

 

Photo: imagery magestic/ freedigitalphotos.net


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 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-estrogenic 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.

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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Did you start out with Clomid? Did you have success with it or did you move on to IVF?

 

photo credit: imagery majestic http://www.freedigitalphotos.net/images/Couplespartners_g216-Young_Romantic_Couple_p75136.html

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The Fertility Awareness Opportunities Angelina Jolie Missed

By Tracey Minella

March 27th, 2015 at 11:57 am

 

 

credit: Paul Sherman/ wpclipart


Actress, director, humanitarian, ambassador, mom of twins, adoptive mom, wife of Brad Pitt. And she’s gorgeous.

What’s not to hate?

Oh, I’m just sort of  kidding. No, really. But despite all the good she does, there will always be haters. People who want her money, her talent, her babies, or her man. Jealousy can do that.

I don’t necessarily admire many celebrities… and that’s fine, because their only job is to entertain me, not impress me. But I am impressed with Angelina Jolie. She’s charitable with her time and money and seems pretty grounded for a megastar. And she uses her celebrity for good.

It’s been only two years since Jolie made headlines for undergoing a preventative double mastectomy after testing positive for the BRCA gene mutation… a mutation that significantly increases the lifetime risk of getting breast cancer. At that time, she was open about her decision and used her celebrity to increase breast cancer awareness.

Now Angelina revealed that she took those preventative measures to the next level. This time, she had both of her ovaries and fallopian tubes removed in the hope of avoiding ovarian cancer…another deadly cancer linked to the same gene mutation. Jolie lost her mom to ovarian cancer and said in a recent New York Times Op Ed piece that she doesn’t want her children to experience the same loss. Her openness is raising awareness of ovarian cancer.

But there is another untold story here, too…a fertility awareness story…and it needs to be heard.

Unless you’ve been hiding under a rock, you know Jolie has six children. She adopted three children internationally and gave birth to a singleton and a pair of twins. Practically eliminating her risk of getting ovarian cancer is not the only result of her surgery.

The media is reporting that she can no longer have biological children. And Jolie acknowledged how hard her decision would be for a woman who has not completed her family-building. Perhaps because of the size of her family, this point seemed lost on the general public. But it’s not lost on you, is it? This surgery is a big deal. And before others who may not be done with their family-building journeys emulate Jolie and follow her path, some crucial missing information needs to be shared.

In fact, there are three opportunities here to increase fertility awareness and educate the public about advances in the field of reproductive technologies, namely PGD, Egg donation, and Egg-freezing.

First, there’s pre-implantation genetic diagnosis (“PGD”). PGD enables couples who are concerned about passing a life-threatening genetic disease on to their children to have their embryos pre-screened for gene mutations. This screening can only be done in conjunction with an in-vitro fertilization (IVF) procedure, where eggs are retrieved and fertilized in a lab and the resulting embryos can be tested. Then, only those embryos that did not test positive for the mutated gene would be transferred into the uterus…virtually eliminating the chance of passing on that hereditary disease. BRCA is one of the many genes that can be screened through PGD. Long Island IVF offers PGD.

Second, there’s egg donation. If a woman has her ovaries and tubes removed, she cannot thereafter have a biological child…one created using her own eggs… however she may still experience childbirth. If she still has a healthy uterus, it may be possible for her, through IVF, to use eggs from an egg donor and the sperm of her partner or a donor, and have the resulting embryos transferred into her uterus where a pregnancy can implant and grow to term. Long Island IVF’s Donor Egg Program brought Long Island its First donor egg baby decades ago.

Finally, there’s the latest breakthrough in women’s fertility preservation technology: egg freezing. Egg-freezing offers an exception to the egg donor statement above. If… prior to removing her ovaries… a woman undergoes IVF for the purpose of either freezing her retrieved eggs (or freezing the embryos resulting from the fertilization of her retrieved eggs), then instead of needing donor eggs, she would be able to later have her own frozen eggs (or embryos) thawed and transferred into her uterus in the hope of becoming pregnant with her own biological child. Or if her uterus was unsuitable or absent, she could still have a biological child by having someone else carry a pregnancy for her. (Note: Surrogacy and gestational carrier laws vary from state to state.) Long Island IVF has an Egg Freezing Program.

These three fertility awareness opportunities, when coupled with Jolie’s breast cancer and ovarian cancer awareness, will further empower women everywhere to make better medical choices and take charge of their fertility and general health.

Shame on the haters. It’s wonderful that Jolie is open about her health in a way that raises awareness for others. She is a just a mom. A selfless mom who just wants to be there to see her children and future grandchildren grow up.

Is there something wrong with being proactive after tests show you carry a gene that could one day take your life, like it took your mother’s? Are the haters just jealous of her? Is she a hero?

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What do you think? What would you do?

 

 

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Additional Extended Evening Office Hours at Long Island IVF

By Tracey Minella

February 23rd, 2015 at 11:23 am

 

Did you know that Long Island IVF offered evening office hours? Well not only have we offered extended hours in all of our offices for ages, we’ve added even more!

 

Infertility treatment can be stressful. And while some appointments and blood tests simply need to be done in the early morning hours, there are times when an evening appointment is feasible and might be more convenient. Especially for those who work full-time or who might be taking off certain mornings for less flexible monitoring appointments.

 

We’re pleased to announce that in an effort to be even more accessible to her patients, Dr. Satu Kuokkanen will be available on Wednesday evenings in the Lake Success office, starting in March.

 

The hours, nights, and doctors covering these evening appointments vary for each office so check with your doctor or LIIVF office for the specifics. Or if you are a new patient, contact the office you’re interested in for more information.

 

 

 

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Is the availability of evening doctor appointments an important factor in your decision to choose a reproductive endocrinologist?

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Will You Conceive in the Chinese Year of the Sheep, Um, Goat?

By Tracey Minella

February 19th, 2015 at 8:40 pm

credit: Feelart/ free digitalphotos.net

You don’t have to be Chinese to appreciate the richness of that culture’s traditions and the mystique of the Chinese methods of enhancing fertility.

 

The Chinese zodiac consists of a cycle of 12 years, with each year being named for a different animal, and supposedly bestowing upon those born in that year certain characteristics which are similar to the traits of the featured animal.

 

It’s the celebration of Chinese New Year. The 2014 Year of the Horse is ending. Each year, the passage of one animal year to the next is clear and routine. Except for the year that follows the year of the Horse. This year. Why?

 

An apparent ambiguity in the interpretation of the term “yang” has led to a difference of opinion among Chinese people on whether the year after the horse is the year of the ram, sheep, or goat. But the Chinese zodiac symbol recognizes it as the year of the Goat, so we’re going with that.

 

Children born in the Year of the Goat will be among other things “gentle, mild-mannered, shy, stable, sympathetic, amicable, and brimming with a strong sense of kindheartedness and justice”. * How wonderful!

 

But despite these great Goat qualities, many Chinese people try hard to avoid having children born during the year of the Goat. This is due in part to a popular Chinese folk saying ‘Only one out of ten people born in a year of the Goat finds happiness’ (十羊九不全). While this may seem to be a silly superstition to many…especially to infertile couples who usually wouldn’t care what day or year their baby was born…there is a real concern among many Chinese that Goat babies will be followers, not leaders, and may be destined for failed marriages, unhappy families, and bad luck.*

 

So, in the spirit of seeking all the good luck we can get when trying to conceive, I offer these four tips taken from Chinese New Year traditions.

 

Make Dumplings: On New Year’s Eve, the Chinese often celebrate by eating dumplings called “jiaozi”, which translates literally to “sleep together and have sons” according to http://www.theholidayspot.com. If you’re not “culinarily-challenged”, consider making these challenging dumplings.

 

Sweep Away the Bad Luck: Then, sweep out the house from top to bottom with a broom and give it a good cleaning. It symbolizes the sweeping away of all the bad luck of the past year so the good luck can enter. I do this religiously every single year. It feels authentic. You must try it.

 

Wear Red: Wear something red. It’s the color of good luck and symbolic of wealth. The Chinese elders often give young ones red envelopes with money inside on Chinese New Year. Maybe you can start a new tradition and break out a red envelope and get your relatives to contribute to the IVF fund.

 

Hide the Knives: Put away the knives…this is good advice for hormonal women anyway. Using knives and scissors at this time symbolizes the “cutting off” of the good luck and is an omen of bad luck in the year to come. Remember this one at mealtime.

 

You don’t have to be Chinese to embrace some of the Chinese culture

and have some fun with Chinese New Year traditions. Wear red. If you’re feeling adventurous, try making a batch of jiaozi from an internet recipe. Or just buy some wonton soup! Try your hand at chopsticks. Surround yourself with the richness of red and gold. Sweep out that old bad luck and embrace the New Year that awaits.

 

Basically, do whatever floats your goat.

 

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Do you celebrate Chinese New Year or follow any other cultural traditions with fertility-related traditions? Would the characteristics associated with children born in a particular year of the Chinese zodiac impact your family-building plans in any way?

 

 

* http://www.chinahighlights.com/travelguide/chinese-zodiac/goat.asp

Photo credit: http://www.freedigitalphotos.net/images/Other_Holidays_and_E_g321-Chinese_Lanterns_p140201.html

 

 

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To Single Embryo Transfer (or Not to)?: That is the Question

By Tracey Minella

February 11th, 2015 at 12:24 pm

 

Credit: stockimages/ freedigitalphotos.net


One of the hardest parts of undergoing in vitro fertilization is the difficult decision of how many embryos to transfer back…because each embryo transferred has the potential to implant and develop into a baby.

In the 1980s when IVF was new and success rates were understandably low, it was common to transfer as many as 6 embryos back. Even then, many women did not conceive. Others conceived multiple pregnancies. Still others conceived only one.

Happily, today the technology has been dramatically fine-tuned, resulting in much higher IVF success rates and, because fewer embryos are being transferred, fewer multiple pregnancies.

Some women can’t or don’t want to have a multiple pregnancy and are interested in a program that virtually eliminates the risk of more than a singleton pregnancy. Some of their reasons include possible health risks for the mother or babies, concerns over the higher costs of raising multiples, or the fear of being placed on bed rest and its potential financial impact.

On the other hand, because IVF can be expensive and often not covered by insurance, and because the couples attempting it may have already been trying to conceive for a long time with and without medical assistance and expense, it’s tempting to want to “put all your eggs in one basket”. These couples want to transfer a higher number of embryos back to maximize their chance of conceiving in that one cycle or because they can’t afford to do more cycles. Many couples think of the possibility of twins as a bonus. Two-for-one. Instant family. Dream come true.

But if the financial burden was lessened, and the odds of a live birth from transferring one embryo were nearly comparable to the odds for transferring more, would that make a difference to you? Would you opt for the statistically safer singleton pregnancy vs. the statistically riskier multiple pregnancy? Would you really prefer a multiple pregnancy or would you rather have a succession of singleton pregnancies, the way you originally planned before infertility entered your life?

Deep, emotionally-charged decision. No right answer. Just the right answer for you.

Some good news that may affect your decision is 20-year study of 92,000 patients from Denmark, Norway, Sweden, and Finland, recently published in the on-line Oxford Journal, Human Reproduction, on January 21, 2015. The Nordic study found that the health of children born from IVF has significantly improved and that the risks of pre-term or severely pre-term births have declined dramatically…and it’s primarily due to transferring just one embryo. In addition, the stillborn and infant death rate for singletons and twins born through IVF has declined. http://bit.ly/1Ejgg1o

For those interested, Long Island IVF has a well-established Elective Single Embryo Transfer Program with success rates comparable to traditional IVF in select patients. If you elect to transfer one embryo in your fresh cycle you get free cryopreservation of your embryos and free storage for six months or until a live birth occurs. As an additional incentive to motivate patients to make safer choices, we offer patients transferring a single embryo during their fresh stimulation cycle up to three frozen embryo transfers, within a year of their retrieval or until a live birth occurs, for the price of one. For more details and information on whether SET may be right for you, visit http://www.longislandivf.com/single_embryo_transfer.cfm or ask your LIIVF physician.

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What did/would you consider when deciding how many embryos to transfer? Is the elective SET program something you did/would consider? Why or why not?

 

 

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