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Archive for the ‘IVF Long island’ tag

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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The IVF Transfer

By Tracey Minella

February 7th, 2015 at 9:24 am

 

photo credit: marin/freedigital photos.net


In vitro fertilization (IVF) is a long process. The transfer is at the end of the line.

When people do IVF, they endure weeks of daily hormone injections and blood work and ultrasounds designed to make the woman produce more than the one egg she would otherwise likely produce. When the time is right, an injection is given that leads to the final maturation of the eggs and the egg retrieval is scheduled for about 34 hours thereafter, so that the eggs will not be ovulated and the cycle lost.

Once the eggs are retrieved, they are placed in a petri dish with the partner’s sperm, and in some cases, Intra-Cytoplasmic Sperm Injection (ICSI) is performed. With ICSI, a single sperm is isolated and injected into a single egg to increase the odds of fertilization, usually in cases where sperm count or quality is an issue. Then, you wait a day for a fertilization report.

If there is fertilization, the resulting embryos are continually monitored and graded based on how they grow and develop. An agreed upon number of Day 3 embryos (or Day 5 blastocysts) get transferred back to the woman’s uterus via catheter. Each embryo or blastocyst has the potential to develop into a baby, or in rare cases, may even split into twins. Excess embryos are usually cryopreserved (frozen) for future use.

In order to make it to Transfer Day, a couple must survive all the prior phases: cycle suppression, ovarian/follicle stimulation with blood work that corresponds to the number and size of the follicles, a uterine lining that is thick enough for embryo implantation, retrieval of quality eggs, fertilization of eggs, development and growth of quality-grade embryos. Then, the transfer.

Optimists may relax more as each hurdle is cleared. Worry-warts hold their breath ‘til the end. And even then, they beg to lay there for the next two weeks with their hips elevated by pillows or they slam their partners’ driving with every bump on the ride home.

The transfer is a magical moment. It’s not only the end of the treatment cycle, but for many it’s the closest they may ever have been to getting pregnant.

The beauty of IVF comes in the knowledge that you did create embryos…they are real and you can literally see them. If you get pregnant you have breathtakingly beautiful photos of your child from the earliest moments of conception. You know the exact date of conception. You even see the glow of the embryos in the uterus after transfer.

There is nothing quite like the feeling of hope on transfer day. You can bask in the literal moment you may be becoming a mom. Visualize implantation happening. Will it to happen. Allow yourself to believe it because you never know what the effect of positive thinking could be.

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What was your transfer day like? What do you most remember about it?

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Long Island IVF WINS “Best In Vitro Fertility Practice” in Best of Long Island 2015!

By admin

January 20th, 2015 at 2:28 pm

 

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. Unlike prior years, for the 10th anniversary of the BOLI contest, there could only be one winner per category with no runners-up.

We just received word that we won. Thanks to all of you!

The doctors, nurses, embryologists, and the rest of the Long Island IVF staff are so proud of 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. But your endorsement of us to your friends, families, and the public (by voting for us) means so much and will enable us to help even more infertile couples fulfill their dreams of building a family.

As we usher in 2015…our 27th year…we will continue to offer our unique blend of cutting-edge medical technologies and holistic, personal support… wrapped in the comfort of a private, non-hospital setting.

Thanks again. Happy New Year to all.

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You Have to See the Baby… at Long Island IVF

By Tracey Minella

January 16th, 2015 at 10:04 am

 

You Have to See the Baby!


When you’re struggling to conceive, it can be frustrating to hear the ever-present nagging of your friends and family who’ve become new parents. “You have to see the baby!” It’s like being trapped in a Seinfeld episode. Except no one’s laughing.

But “You have to see the baby” can be a good thing, too. Whether you’ve completed your journey to the crib or are still on the way, Long Island IVF has given this phrase new meaning.

Anyone who’s needed medical intervention to build their family knows that while there are ups and downs along the way, the one thing to never lose is hope. Hope sees you through the rough times.

So, we’ve created something wonderful at Long Island IVF: “YouHaveToSeeTheBaby.com” Take a peek here http://bit.ly/16OZQD7 . Potential new patients who would like information about Long Island IVF are encouraged to complete the blue contact form on the YouHaveToSeeTheBaby.com  page for more information.

The page is a beautiful testimonial of hope, a snapshot of lives in progress, a mosaic of stories of what Long Island IVF’s miracle babies are doing today, up to a quarter century later. Some are in college or getting married. Others are performing at Carnegie Hall and having Sweet Sixteens. Many are enjoying first soccer games and dance recitals. And tons are celebrating milestones like walking, talking, and sleeping through the night.

YouHaveToSeeTheBaby is by you and for you.

We invite our patients to submit your own Long Island IVF children for inclusion. The instructions for submitting are attached at the bottom of this post, so read through to the end.   And if you are still on your journey to parenthood, we hope you will visit YHTSTB and be inspired by the sight of so many lives created by LIIVF. And that your hope is renewed by the vision of your own future addition.

Here are the instructions:

YouHaveToSeeTheBaby.com Easy Upload Instructions:

If you’d like to submit your child(ren) for inclusion in our YouHaveToSeeTheBaby.com photo and profile montage, easy submission instructions are below.

By submitting your child(ren)’s names, photos, and stories you expressly consent to Long Island IVF and its agents using, displaying, and sharing same on its website and social media platforms without providing compensation of any kind.   You realize that submitting these materials for inclusion on our website and social media may result in your child(ren) being recognized as being created through the use of assisted reproductive technologies with the assistance of Long Island IVF and you indemnify Long Island IVF and its agents from any and all claims whatsoever with respect thereto. Submitted content may be edited at the discretion of Long Island IVF, for space or other considerations. Submission of content does not guarantee placement or use on the website or elsewhere. Photos may be removed at any time by Long Island IVF for any reason.

Photos should be non-professional and not subject to copyright (or must be accompanied by a written release by the photographer for this intended use). We are not able to give photo credit to photographers. Photos may only include the featured Long Island IVF child(ren) and should be clear and high definition jpeg photos.

  • To submit your child(ren) for consideration, please provide the following by email or regular mail to lmontello@longislandivf.com :
  • One clear high definition photo of your child(ren) in jpeg format (or if by mail then not to exceed 5×7 size)
  • Your Child(ren)’s name(s):
  • A Short paragraph on your experience with LIIVF (subject to editing)
  • A Short statement about a recent milestone of your child(ren) (subject to editing)
  • Your Full Name(s)
  • Your Signature (or if by email, you must reply to this email consenting to it’s terms)
  • Your contact info (phone number or email or preferably both)

 

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Have you uploaded your story yet?

 

 

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Long Island IVF Family Reunion 2014 Memories

By Tracey Minella

November 11th, 2014 at 4:26 pm


Long Island IVF just celebrated its 26th Annual Family Reunion event. With schools closed and many people off from work, we were blessed with an exceptionally high turn-out of babies and new parents. And we couldn’t have been happier!

The family reunion is the highlight event of our year because it’s when the doctors and staff get to meet the newest crop of little miracles. The last time some of these babies were held, they were only a few cells in size! It’s such an emotional experience for doctors and patients alike. This year, 99 of the newest babies came out. Maybe we’re biased, but they were all gorgeous! And their parents were bursting with smiles and pride…happiness and gratitude replacing the worry and stress of the past. A photographer was capturing the little dickens in a fall-themed pumpkin patch.

It was remarked that if we’d had all of the babies we helped to create for the past 26 years, we’d have filled the Nassau Coliseum!

We were also so lucky to have the event covered by several media outlets, including CBS, Fox, FIOS, and News 12. Not only did that coverage expose our practice’s success to potential patients who may need our family-building services, but it enabled all of our patients, past and present, to share in the reunion experience. You could feel the happiness in the air.

Please check out some of the videos of that news coverage on our Facebook page or at these links and check back often as we will update them as they are available:

http://longisland.news12.com/news/long-island-ivf-celebrates-26-years-of-helping-families-1.9608352

http://newyork.cbslocal.com/video/10839273-proud-parents-reunite-with-doctors-to-celebrate-birth-of-little-miracles/

 

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Have you been to a LIIVF family reunion? If so, what was the best part? If not yet, what part do you imagine would be the most fulfilling?

 

 

 

 

 

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Long Island IVF Builds Families for GLBT Community

By Tracey Minella

November 4th, 2014 at 6:57 pm

 

credit: david castillo dominici/free digital photos.net


Long Island IVF is so excited to return to the Long Island GLBT Expo this weekend on Sunday, November 9, 2014 at the Long Island Hilton in Melville, New York. We’ll have a raffle again, too, so be sure to stop by.

Long-committed to helping the GLBT community build their families, we love being able to reach out in person in a supportive environment like the expo. It gives you a chance to get a feel for us in a casual, rather than clinical, atmosphere. Some of our staff belongs to the GLBT community, so we understand what you’re feeling. Choosing a fertility practice is one of the biggest decisions you’ll ever make, so come over to our booth and say hello and ask us some questions.

Here’s a true story: Last year, a couple of guys (let’s call them “Max” and “Larry”~ not their real names) came by our booth at the expo. We talked. We bonded. And today, Max and Larry are a couple of proud new dads!  Their beautiful baby’s birth announcement just recently arrived. And it all started with a conversation at this expo.

There are so many options available and amazing new advances in assisted reproductive technologies that can help resolve your unique family-building challenge. We offer the most cutting edge technologies, including PGS (Pre-implantation Genetic Screening), and EEVA (Early Embryo Viability Assessment), many of which are only available at a handful of fertility centers in the country. We have pre-screened, multi-ethnic anonymous donors ready to help you, if needed. And we offer personal financial representatives to help navigate insurance issues and explain our many grant programs and flexible payment options.

We look forward to welcoming you into our family as we help you build yours.

 

LONG ISLAND IVF was nominated BEST IN VITRO FERTILITY PRACTICE in the Long Island Press’s “Best of Long Island 2015″ contest. If you’d like to vote to help us win, you can vote once per day from now through Dec 15 here: http://bestof.longislandpress.com/voting-open/

 

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Will we be seeing you at the expo on Sunday?

 

Photo credit: David Castillo Dominici/freedigitalphotos.net http://www.freedigitalphotos.net/images/latin-mother-with-daughter-and-aunt-photo-p200021

 

 

 

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Are Secondary Infertility Patients Like Second Class Citizens?

By David Kreiner MD

November 1st, 2014 at 10:13 am

 

Credit: stock photos/free digitalphotos.net


Sometimes my patients who have difficulty conceiving their second child feel like second class citizens in the infertility world.

Unlike their infertile peers without a child they perceive that friends, family and even their doctor’s offices do not have the same sympathy and concern for them as they observe others without a child receive.

I have had patients express guilt and anger in addition to the routine sadness often associated with the inability to conceive.

Those of you with secondary infertility need to know that you are not alone in feeling this way. My patients all express this alienation which exacerbates the depressing effects of infertility universally experienced among those affected. You have as much a right to fertility care as anyone else as well as the respect and care.

There are some unique characteristics to patients with secondary infertility that are worth discussion. Those of you who have had a caesarian section, ectopic pregnancy or abdominal surgery are more likely to have a tubal factor causing your infertility. Scar tissue can form that can obstruct, or displace a fallopian tube making it more difficult for the tube to pick up an ovulating egg or the fertilized egg to make it to the uterus.

Borderline sperm counts and endometriosis typically make it more difficult to conceive so that it is not unusual that it took longer than expected to conceive the first time and now you are not experiencing any success at all.

We perform a semen analysis and hysterosalpingogram and consider the potential benefit of laparoscopic investigation. Alternatively, if the semen analysis is not too bad and the HSG is normal, patients may benefit from insemination with hormonal stimulation. Otherwise, in vitro fertilization either with minimal or full stimulation will offer significantly superior success rates.

Facing secondary infertility may be as difficult emotionally as infertility for those without prior pregnancies. However, treatment options are available that are highly successful in delivering you the family of your dreams.

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If you’re experiencing secondary infertility, what’s been your experience with the support (or lack thereof) of others and with your own feelings?

Photo credit: stock images/courtesy of free digital photos.net http://www.freedigitalphotos.net/images/Family_g212-Beautiful_Mom_Kissing_Her_Pretty_Daughter_p111862.html

 

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There’s No Sugar-Coating Halloween’s Impact on the Infertile

By Tracey Minella

October 31st, 2014 at 11:59 am

 

Credit; Stuart Miles/free digital photos.net


I’ve got nothing.

Usually, I can muster up some tips to get you through the roughest days of the year. But this one is hard and I find the tips I’m brewing up are either too lame or too sinister to share. What makes Halloween so tough?

Halloween is the one universal children’s holiday…celebrated by all children. We all remember Halloween fondly, the costumes, the candy, the parties, the doorbells. The sugar-rush, shaving cream fights, and the eggs… for you rebels out there. Bolting from house to house for hours, until our feet dragged from the weight of a pillowcase that rivaled Santa’s sack. Mom and dad watching from the curb.

“Just one more house, PUH-LEEEZE?”

Halloween by its very nature is the most “in-your-face” of the holidays. Literally. It’s an onslaught. Even worse than Christmas or Chanukah… where you only have to deal with the kids in your immediate families. Today, kids are everywhere. All day and night. In the streets and at your door. You can’t hide. No place is safe.

Childhood memories of Halloween make us want to be kids again. And simultaneously makes us want to have our own so they can experience the same wonder. And so we can be the one at the curb today, the one who checks the bags for safety, the one posting 102 pictures to Facebook.

And not having it feels like a little pirate’s plastic dagger in the heart.

Another year that the dream of dressing up a little boy or girl in the perfect costume hasn’t come true. Another year to wait. How can I sugar-coat all this pain?

So I’m telling you to hide as best as you can. Stay off social media once the onslaught begins later. If you can go to an adults-only party or a romantic restaurant to escape children tonight, that’s great. But if it hurts to answer the door 372 times, lower the lights, put a bowl of treats out, and retire early… with a bag or two of your own favorite candy.

Or you could always open the door in the middle of an injection, screaming “TRICK!” and frighten the bejeebers out of the nineteenth Anna and Elsa that come knocking. (Oops, did I just say that out loud?)

The choice is yours. You can “let it go”… or you can be a witch if you want to. After all, it is Halloween.

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How do/did you handle Halloween when infertile?

 

LONG ISLAND IVF was nominated BEST IN VITRO FERTILITY PRACTICE in the Long Island Press’s “Best of Long Island 2015″ contest. If you’d like to vote to help us win, you can vote once per day from now through Dec 15 here: http://bestof.longislandpress.com/voting-open/

 

photo credit: Stuart Miles/free digital photos.net

http://www.freedigitalphotos.net/images/halloween-kids-indicates-trick-or-treat-and-children-photo-p271393

 

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Infertility Care: Starting with the Basics

By Steven Brenner MD

October 18th, 2014 at 10:52 am

credit: wpclipart.com

“Thinking the worst” is a very common reaction for individuals experiencing adversity.

This is especially true for people experiencing infertility. Concerns regarding the question of establishing the family someone has dreamed of since they were young is daunting and can leave a person with significant anxiety and doubt regarding her/his future.

In this context it is important to go back to basics regarding fertility and understand that many people suffering from this disorder will be successfully treated with relatively simple techniques and therapies. For the more severe abnormalities, it is comforting to know current available therapies can address these issues with great success.

Establishing a pregnancy without infertility treatment requires a healthy egg, functioning sperm and an anatomic path that allows sperm to ascend the genital tract and an egg to travel into a fallopian tube where fertilization takes place. The anatomic path needs to allow the fertilized egg to travel into the uterine cavity. A receptive uterine lining is then required for the pregnancy to implant and grow. To make things more challenging, sperm and egg have a very small window of time to find each for fertilization to take place.

Many couples have experienced infertility as a result of improperly timed intercourse.  This often results from the couple not being aware of the timing of ovulation and the short duration of egg viability. The “fix” for something like this is very simple, requiring merely an understanding of the basic physiology.  Sexual dysfunction can plague a relationship, but it is often not until fertility is compromised that couples seek treatment. The simple fix for fertility may involve nothing more than inseminations timed to natural ovulation. Much more in depth therapies may be required to overcome the other, additional concerns associated with sexual dysfunction.

Ovulatory dysfunction, while a very complex issue, is often very easily addressed with simple treatments. Weight loss or gain may be all that is needed to establish regular ovulatory cycles. Correction of hormonal abnormalities leading to problems with ovulation can often be treated with medications that do not require the intense monitoring of injectable fertility medications associated with in vitro fertilization procedures.  Sluggish thyroid activity and elevations in a hormone named prolactin are such issues that readily respond to oral medications.

A receptive uterine lining to allow for implantation of an embryo that formed in the fallopian tube is needed to allow a pregnancy to be established in the uterus. Although a scarred endometrium or one that is distorted from fibroids may require surgical repair, other disorders of the lining can be treated with local hormonal supplementation. The endometrium, the uterine lining, may not develop appropriately after ovulation secondary to hormonal abnormalities. This may reflect an abnormality in egg production and the hormones associated with ovulation.

Therapies directed at improving ovulation or directly supporting the lining of the uterus with vaginal application of the hormone progesterone may be all that is needed to correct this problem.

Anatomic problems such as scarring of the fallopian tubes may require surgical correction. However, blocked tubes may be opened by minimally invasive procedures at the time of a hysterosalpingogram (HSG). In such procedures, a tube blocked where it inserts into the uterus is opened with a catheter in a setting that does not require general anesthesia.

Many patients will be successfully treated with simple techniques and procedures that are not associated with the expense and invasiveness of the therapies that most people think they will require.

For each infertile person a plan of evaluation and therapy needs to be developed, beginning with the basics. It does not necessarily lead to those treatments that are more detailed and invasive.

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Did you put off an infertility evaluation out of fear of needing expensive, invasive fertility treatments?

 

Photo credit: http://www.wpclipart.com/phps.php?q=ostrich

 

 

 

 

 

 

 

 

 

 

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Long Island IVF’s Annual Family Reunion is Coming!

By Tracey Minella

October 17th, 2014 at 7:10 am

 

credit: imagery majestic/ freedigitalphotos.net


With a feeling of thanksgiving in the autumn air, we’re eagerly preparing for LIIVF’s Annual Family Reunion…a celebration of the births of our newest batch of special babies.

I remember waiting a long, long time for my chance to attend this special celebration. I actually aspired to it. It was one of those things on my mental list of perks of getting pregnant. I’d heard talk of it in hushed tones among newly pregnant patients in the waiting room. My turn finally came on the LIIVF 10th Anniversary in 1998.

Back then, it was held outside the Long Island IVF office in Port Jefferson, behind Mather Hospital. And a huge fire truck…the kind with the bucket that soars amazingly high…would arrive to take a group photo of all the parents and their babies. Shortly thereafter, space limitations unfortunately necessitated limiting the attendees to the most recent crop of newborns.

If you haven’t experienced or heard of it, the reunion is a fun-filled, camera-clicking day where proud new parents show off their little miracles and our doctors and staff gets to meet the latest additions to the LIIVF family. (Just ask any “alumni” parents of our older babies if their infants’ reunion party was special.)

We know it may be hard to hear about this event if you’re still on your journey to parenthood. And we’re really sorry for that, and look forward to seeing you at a future reunion. But we want to be sure we haven’t missed any patient who is eligible to attend this year…

So… if your special little bundle was born between January 1, 2013 and today, please email Lindsay Montello at lmontello@liivf.com  so we can put you on the invitation list. (And if your baby’s older and you missed the last reunion…or you just really, really want to come this year, please email Lindsay anyway!)

This year’s event will be held on Tuesday, November 11, 2014 from noon until 2:30 pm, so save the date! More exciting details will come in your invitation.

We’re so looking forward to seeing you again and meeting your new little pumpkins!

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Have you been to a reunion? What’s the best part?

 

LONG ISLAND IVF was nominated BEST IN VITRO FERTILITY PRACTICE in the Long Island Press’s “Best of Long Island 2015″ contest. If you’d like to vote to help us win, you can vote once per day from now through Dec 15 here: http://bestof.longislandpress.com/voting-open/

 

Photo credit: freedigitalphotos.net and imagery majestic http://www.freedigitalphotos.net/images/agree-terms.php?id=100116728

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