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Archive for the ‘Pamela Madsen’ tag

Making IVF Affordable for Couples

By East Coast Fertility

December 19th, 2010 at 6:19 pm

Most people do not have insurance coverage for in vitro fertilization (IVF), forcing many patients to make treatment decisions based on their budget and not on best practices. Unfortunately, fertility clinics have not made care more affordable to assist their patients in making better decisions. Without good options, patients often resort to less expensive treatments including ovulation inducing hormones that stimulate multiple eggs to ovulate resulting in high risk, costly multiple pregnancies. IVF can avoid these multiple pregnancies by limiting the number of embryos transferred. In this way, affordable IVF saves money with less need for hospital beds, NICU beds and disability care. 
“It is my strong belief that every infertility center in the United States needs to restructure their costs in some way even if means making less money,” says David Kreiner, MD FACOG| Medical Director at East Coast Fertility (ECF). “Our clinic’s Single Embryo Transfer Program incentives transferring one embryo at a time so patients don’t have to feel they must hedge their bets and transfer more embryos to increase the chance of pregnancy.” 
A patient in the ECF program pays only for the initial fresh cycle. Thereafter, the cryopreservation of the embryos, the storage of the embryos and unlimited frozen embryo transfers are free. This eliminates the financial need for the patient to put all her eggs in one basket. 
ECF also offers a minimal stimulation program, MicroIVF, that not only is affordable ($3900) but eliminates the risk of hyperstimulation syndrome, uses fewer medications and minimizes the risk of developing a multiple pregnancy. MicroIVF is essentially the cost of IUI with ovulation inducing medications without the risk and better than twice the success. 
“I am so proud to work with a clinic who is a leader not just in reproductive care but in reproductive ethics,” says Pamela Madsen, founder of The American Fertility Association and The Fertility Advocate. “ECF offers income based sliding scale grants including the NYState DOH grant to patients doing IVF.” 
When combining an ECF grant with an IVF study, patients receive ICSI, cryo, unlimited frozen embryo transfers, medications, coculture and embryo glue for $6900. Some patients have a limited budget that they can apply to IVF treatment. For them a money back refund such as in ECF’s IVF Guarantee Program is ideal because in the absence of the birth of a live baby, the IVF fee minus the cost for medication and anesthesia is refunded 100%. 
“My wish is to assist all patients in need with creating that healthy family of their dreams without adding unnecessary risk,” says Kreiner. “Our programs help them in their quest. Until the government and insurance companies step up with coverage, it is up to the IVF programs themselves to help patients get the IVF that they need to build their families.”

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The Power of Believing In Your Fertile Dreams

By Pamela Madsen

December 9th, 2010 at 8:01 am

I am in one of those places again in my life.  You know, they really never stop if you just pay attention. Do you know what I am talking about? For you – right now – it might be the possibility of a child.  The possibility of moving onto doing your first IVF cycle.  Or exploring an option like donor egg – something that you may never have considered before. But now – you are dwelling in the place of possibilities – and in that place anything is possible.

I have always been a person that lives fully. But I have gotten better at it as I have gotten older.  I think that for me, it has been finally feeling totally unapologetic about who I am, and how I choose to live my life.  Now that doesn’t mean that I believe that I get to hurt people, step on people, or do things that are destructive. 

To me, living an unapologetic life – means not having to explain  or justify who I am, and what drives me.  It is about having confidence in my own soul.  And once you can get into that space – it become easier to dwell in all the possibilities that life has in store for you.  For instance – if you can stop feeling guilty for a choice that you made years ago – and finally let it to and forgive yourself and others, perhaps you can see what is possible for yourself in your life right now.  Now I don’t mean to be glib, and I am not saying that any of this is easy. We get stuck in our dark places – it is perhaps human nature. And perhaps you have heard this stuff before – either here or on Oprah! But give me a chance this morning….and open your heart one more time.

I have always had a sheer determination of spirit. It was born to me…it was how I landed out of my mother’s womb.

But it still needed cultivation. I still had to work at facing my own fears, and my own broken places. I still do. You know, the places where the fear of failure and the fear of that particular pain held the danger of me not trying at all.

IVF was new when I was trying to have children. There was a lot of trust involved and a willingness to go when I had never gone before. I also had to face my own shame over not being able to conceive my children on my own.

I also had to find the money to pay for it all, but I didn’t want to miss having children for anything in the world, so I did what seemed impossible at the time. It it took huge amounts of courage, and I had to drag my husband Kai along with me every step of the way…

He would say to me, "Why do you want this so much?” “I would never put my body through what you are putting your body through”.

I remember my husband, Kai holding Tyler, born premature at four pounds five ounces in the delivery room, the tears streaming down his face…sheer joy and amazement in his eyes…

I remember him thanking me for leading him to his son, because he would never had done it. All the steps involved with creating his son, because he didn’t know – couldn’t know the joy he was feeling in his heart in that moment of holding that child.

In that moment, Kai knew that missing this child would have been like not living at all…it would have been worlds missed.

There are so many parts of our lives like that. So many challenges that we all have to face everyday. It could be a job loss, a transition in careers or relationship, illness or parenting. There are so many opportunities to decide whether we are going to live fully or not.

Even this time of a recession – do we stop our lives or do we continue on and reach for that brass ring! It becomes a decision about whether or not we are simply going to be spectators in our own lives, or whether or not we are going to live our lives fully.

I challenge you to look at those places. Perhaps you are in one right now. Perhaps for you it is whether or not to take the risk and fly to China and adopt a child and the entire process feels incredibly overwhelming.

I don’t know what it is for you, perhaps it is working to raise the money for an IVF cycles that feels out of reach or perhaps it has nothing to do with reproduction or fertility at all! Just this week I have watched two of my favorite girlfriends give up their home in San Francisco for a new life in North Carolina! It’s a big jump and they are jumping! A good friend took a new job in a different state and is pulling up stakes. All of this takes courage and a belief in living their lives to the fullest.

But what I want to say to you is something very simple – "Go for it!"

Deep dig within yourself and go where you never thought you could ever go because this life is not a dress rehearsal. You have arrived.  Right now, in my own life,  I find myself looking deeply at the joys and dangers of playing full out and full court. Oh, I know that it can be complicated. and difficult. But trust me, you will never look back because of the incredible joy that you will be creating in your life as your leave your security blankets behind.

My youngest Spencer is rolling out of bed, my Cryo Preserved IVF Embryo. We played full court to have that kid. He won’t get a hair cut right now. His hair is in his eyes and I try not to notice or say anything. Spencer is playing his own full court as a seventeen year old right now. He is applying to colleges and biking all over NYC. I find myself grabbing him and holding him. I breathe him in. He bring me so much joy. I would not have missed him for the world.

I am feeling sentimental – can you tell? I have never been happier in my own life – and I went through my own recreation which was painful and like a rebirth. And I am writing about it which is hard and delicious work.

I am full of wanting for everyone. for all of you to find that place in yourself enables you to live your life fully. Go on – face things that scare you that may be preventing you from getting all that you want in this life. You can move through that to a place of having what you want. And I want you to have it, shamelessly.

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Frozen Peas And Other Crazy Fertility Advice!

By Pamela Madsen

December 8th, 2010 at 8:56 am

When you have been around as long as me in the world of fertility and baby making, you have heard it all. I am sure that you have heard about drinking Robitussin cough syrup  to make your cervical mucus all runny and sperm friendly right?  And how about "Just relax" or "Adopt and you will get pregnant!" (and how insulting is that one to adopted children?"   But I bet you have never heard the one about about sniffing the head of a newborn baby, standing on your head after intercourse or putting a frozen bag of peas on your partner’s testicles!

If I had to stand on my head after sex to conceive a child – there would never have been a Tyler or a Spencer! I simply don’t bend that way! And if I ever threw a bag of frozen peas on Kai’s testicles as some kind of kinky fertility friendly foreplay – I might have needed to sleep on the couch that night!

Sometimes, I wonder why some of this stuff doesn’t go away.  You know – the way a bad rumor after awhile just fades into the distance and no one repeats it anymore because they know that they will look foolish.

The problem is that attitudes towards people with conception difficulties really hasn’t changed much through the years. There is still a bit of blame the victim mentality out there when it comes to how the world see fertility problems – and telling someone that all they have to do is relax and not see a doctor is misleading and hurtful.  The fact is that too many people wait way too long to see a doctor – the average couples thinks that they should wait for 48 months before consulting a fertility specialist.  The real advice is 12 months for a woman who is under the age of 35 – and six months for a woman over the age of 35.

A part of the problem is that many of these old wives tales had some bit of logic in them, and are based in some kind of truth! Heat IS bad for sperm production – so hot tubs and tight shorts are no no’s!  Boxer shorts are in for men who are trying to make a baby! But how did that turn into frozen veggies on a man’s testicles?  It probably turned up on some fertility message board some where and flew around like some kind of bad virus along with eating crushed rubies (please don’t!)!

People on the baby making road do need to pay attention to where they get their fertility advice!  That’s why ECF’s blog, and message boards are so important to our patients. We have reputable doctors who will answer your questions in real time –  and articles that offer patients information, support and advice. Know where you are going before you go! And once you are there – if the advice that you are being given is different than the advice that you doctor has given you – perhaps it is time for second opinion! Second opinions can be good things! Don’t be frightened of them! And East Coast Fertility offers free consultations that can be very useful in getting that second opinion.

Don’t just go off and do your own thing! Take a breath and check it out! And if you are on a website that has fact sheets on them – make sure that they are up to date! The science of fertility treatment changes much faster than fact sheets can be written sometimes – so check that copyright date!

The world is full of "Aunt Sadies" who knows just what you should to do to help you get pregnant.  So pile up the pillows, have sex on your head while the moon is full in a circle of fire and never think of pointy things while you are trying to conceive! Most of our friends and family mean well. They are trying to help in a situation where most of us feel helpless – even them.  They really do mean well – and are trying to help not hurt. So keep that in mind when they are trampling on your feelings – and giving you ridiculous advice. Count to ten, smile and tell them that you already know that one! And that you have a team of specialists working with you to make your dreams come true.

And when you are along at night with your computer – your google search engine at the ready – click carefully- and take  back what your learn back to a consultation with your doctor.  What you have found may turn out to be gold – or it may be crushed colored glass.

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Taking Back The Joy of The Holidays In the Midst of Infertility

By Pamela Madsen

December 3rd, 2010 at 7:15 am

This can be a rough time of the year for folks who were hoping to have a pregnancy bump to show off to their family and friends – or who dreamed of sharing the holidays this year finally with a baby. The sound of jingle bells and Hanukkah Lights may not be welcome to everybody.

When I was going through infertility – the holiday blues started for me on Halloween…when those cute little trick or treaters started ringing my door bell. For me it was bitter sweet.

Yes…the holidays can be tough stuff when you are trying to conceive. After all, they are about celebration and we may not feel like celebrating. Holiday’s can be about giving thanks and we may not be feeling very thankful at the moment. Holidays are markers of time and remind us that once again we are not sharing these potentially joyous celebrations with a little one or a swelling belly. Holidays are about gatherings and seeing family. Our extended families may be growing around us, and we may feel like the flawed couple in the midst of toddlers and pregnancy announcements. Our families may be looking for “updates” if we have been open about our struggles, or may ask subtle inquiries about our plans for family building. Holidays that have the expectations of being filled with joy, can for those of us experiencing infertility, be a conundrum. One big problem.

How do you cope? Can you reclaim the joy that you used to feel during the holidays before infertility came a calling? There are many theories and suggestions by mental health experts who specialize in caring for the emotional health of the couple experiencing infertility. Everyone acknowledges that this is a toughie.

Suggestions often center around taking yourself into as many “kid free” zones as possible. Try to attend adult only parties. Permission is given for you to skip family functions or situations that are just too painful, explaining to family and friends that you just can’t handle it right now. Suggestions are given for gift giving, such as using catalogs instead of dealing with stores that could be filled with painful reminders and situations. Coming to celebrations late after the part of the tradition that causes you the most pain is over, or leaving early before they begin.

These can be good suggestions, and if they fit with your coping style, you may want to test one or more of them out and see if they ease the sadness. I also need to bring into the picture another point of view.

Reproductive difficulties or infertility is a robber. A thief that is trying to steal your dreams of a family. A burglar of joy. If you loved decorating your door with orange pumpkins and spooky witches…should you allow infertility to take that joy away too?

Perhaps, thought should be given into taking charge of the holidays the way you are encouraged to take charge of your infertility!

Maybe you should be the one to host and coordinate the holiday dinner. You tell everyone what to bring. When to come. When to go! Being a host and hostess takes effort and planning. If you enjoy cooking, you can experiment with new recipes and really out do yourself! You can pick the music and your favorite traditions. You are in charge of the guest list. You might want to include some friends that are also experiencing infertility. You and your spouse will be very busy during the festivities making sure the soup is just right and you will be the boss, not the guest which puts you in a different role for the evening. One of my friends who has experienced infertility told me that she always made Mother’s Day! She was able to be in control, a part of a family day, and have an important role that she was able to receive praise and satisfaction for. Infertility is isolating enough, and your family want to see you and include you.

Being the hostess is a good way to be a important part of the celebration and having a focus other than your private pain.

Another way to take charge of the holidays is to volunteer. Please don’t groan! But maybe you REALLY REALLY can’t stand seeing your pregnant cousin this year, but you want to be with people and enjoy the holidays. Volunteering to serve dinner at a soup kitchen or visiting the lonely at nursing homes or hospitals can really lift the spirits. You can be a part of the holiday season and do a good deed by helping people who are in a different kind of pain. Sometimes, as awful as it sounds, seeing and helping people who for example, don’t have enough food to eat, may help you feel blessed with all that is good with your life.

Take charge of the holidays and hopefully next year, someone else will be in charge!

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Join The Team At East Coast Fertility For A Special Event: The Path To Parenthood

By East Coast Fertility

November 12th, 2010 at 10:12 am

Please Join East Coast Fertility For a Special Evening of Education and Support!

We will be discussing:

What’s New in Infertility Treatment 

The Importance of Getting The Support You Need

How To Finance Infertility Treatment

How Holistic Medicine Can Support Your Fertility Treatment

Our panel of experts will include Dr. David Kreiner, Founder of East Coast Fertility,  Rosa Fernandez, B.S.N., RN, Nurse Coordinator, John Moschella,MS, ELD, Lab Director, Bina Benisch, R.N., M.S., Support Group Coordinator, Maryanne Abramowitz, Billing Administrator, and Mike Berkley Director of The Berkley Center for Reproductive Medicine at East Coast Fertility

The panel will be moderated by Pamela Madsen, The Founder of The American Fertility Association

When: November 18, 2010

Time:   6:30 to 8:00 pm

Where: East Coast Fertility
            Plainview Office
            245 Newtown Road
            Plainview, NY  11803
            Click here for directions

RSVP Please to Lindsay, lmontello@eastcoastfertility.com or call 516 939 2229

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The Paths To Parenthood

By admin

November 2nd, 2010 at 6:44 am

Please Join East Coast Fertility For a Special Evening of Education and Support!

We will be discussing:

What’s New in Infertility Treatment 

The Importance of Getting The Support You Need

How To Finance Infertility Treatment

How Holistic Medicine Can Support Your Fertility Treatment

Our panel of experts will include Dr. David Kreiner, Founder of East Coast Fertility,  Rosa Fernandez, B.S.N., RN, Nurse Coordinator, John Moschella,MS, ELD, Lab Director, Bina Benisch, R.N., M.S., Support Group Coordinator, Maryanne Abramowitz, Billing Administrator, and Mike Berkley Director of The Berkley Center for Reproductive Medicine at East Coast Fertility

The panel will be moderated by Pamela Madsen, The Founder of The American Fertility Association

When: November 18, 2010

Time:   6:30 to 8:00 pm

Where: East Coast Fertility
            Plainview Office
            245 Newtown Road
            Plainview, NY  11803
            Click here for directions

RSVP Please to Lindsay, lmontello@eastcoastfertility.com or call 516 939 2229

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East Coast Fertility Leads the Way With Few Premature Births

By East Coast Fertility

October 26th, 2010 at 8:51 am

With all of the negative publicity surrounding the fertility industry in the wake of "octomom" and other sensational news stories, it is no wonder public opinion has turned sour towards the doctors and clinics that perform the services. Society now questions the safety, practicality and costs of aggressive treatments that often result in multiple births.

The topic made front page news in the New York Times a few months ago with its article "The Gift of Life and Its Price." So how do infertile couples pursue a more conservative route to parenthood – one that’s safer for them and their baby, still offers high success rates, yet is affordable? Dr. David Kreiner of East Coast Fertility is using his conscience and his expertise to provide a solution. He is the first in the country to offer an In-Vitro Fertilization (IVF) package using Single Embryo Transfers (SET) at one set price to patients.

In a typical IVF cycle, a doctor will transfer two, three and sometimes more embryos back into the uterus, depending on many factors, in order to achieve the highest chance of success. However, this protocol lends itself to a high risk of multiples, making risky pregnancies, long NICU stays, babies with developmental problems and handicaps, and thus extremely high healthcare costs.

With a Single Embryo Transfer, just one embryo is placed back into the woman’s uterus, nearly eliminating the chance of achieving multiples. The remaining embryos are frozen and can be transferred to the woman in future cycles.

While SET is the optimal choice for many women, the current cost structure favors transferring multiple embryos over this method. Because transferring a single embryo has a lower success rate than transferring multiple embryos, a patient may have to undergo several SET cycles before achieving a successful pregnancy. Clinics charge for each additional procedure. The patients are expected to absorb what could add up to $100 million per year in extra costs. Thus, patients and programs are pressured to transfer dangerously high numbers of embryos. The real irony lies in the fact that research has shown that universal adoption of single embryo transfers could save the healthcare system a total of $1 billion in healthcare costs. Yet, the patients who choose SET are expected to foot the bill.

That’s all changing at East Coast Fertility. Their Single Embryo Transfer Program attempts to take the financial incentive out of this push to put "all your eggs in one basket." Dr. Kreiner and his staff are making it cost neutral to transfer only one embryo at a time by offering free cryopreservation, free embryo storage and free embryo transfers until a patient achieves a live birth, all for the cost of a single IVF cycle. ECF absorbs the extra costs in cases where successive transfers are needed. So, the patient can choose the more conservative route without having to worry about the financial implications. Dr. Kreiner believes the benefits to the patient and society are obvious, and he doesn’t feel he is sacrificing the success of his practice. "It is with confidence in our highly successful embryo cryopreservation program that we are able to limit the number of embryos transferred without decreasing the number of births that result from IVF cycles at ECF. We are willing to sacrifice some margin in those cases where patients need successive transfers."

It remains to be seen if other clinics will follow ECF’s lead. Perhaps society should demand that fertility doctors start doing what is best for the patient even if it means having to cut into their profits on occasion. "Hopefully talking about these issues will highlight some of the negative incentives that exist in the world of Reproductive Endocrinology, and bring about change in the industry," says Pamela Madsen, fertility blogger (www.thefertilityadvocate.com) and founder of The American Fertility Association. She continues, "It is refreshing to see Dr. Kreiner as an ethical standout in the fertility world – a patient activist who is not letting greed get in the way of practicing good medicine."

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Understanding How Holistic Medicine Can Support Your Journey to Family

By East Coast Fertility

September 28th, 2010 at 8:50 am

The Berkley Center for Reproductive Wellness at East Coast Fertility invites
you to join us on October 13, 2010 at 7pm for our grand opening, light refreshments and a special presentation.

Featuring:

Dr. David Kreiner, Medical Director and Founder of East Coast Fertility

Mike Berkley – The first acupuncturist in the U.S. to devote his practice solely to the care of those faced with fertility challenges

With a welcome by: Pamela Madsen, Founder of The American Fertility Association and Patient Advocate for East Coast Fertility

East Coast Fertility provides state-of-the-art, high tech fertility care and
The Berkley Center for Reproductive Wellness provides holistic modalities including acupuncture, herbal medicine, and massage. With their proven track records, there is no doubt this team will improve your fertility outcomes,
helping to transform you from patient to parent.

Please join us for our grand opening presentation at our Plainview
office, 245 Newtown Road. After the presentation, we invite you to
take a brief tour of our new holistic center at 1074 Old Country Rd.
Come learn how we can make your dream of family a reality

To reserve your seat at this special presentation or to make an appointment please call (516) 204-7149

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East Coast Fertility to Open the First Holistic Fertility Center on Long Island

By East Coast Fertility

September 22nd, 2010 at 6:32 am

In association with The Berkley Center for Reproductive Wellness, the first complementary medicine Center in the U.S. to specialize in the care and treatment of those faced with fertility challenges, ECF will offer an “East meets West” approach to fertility treatment.  There is current research which shows that by combining holistic medicine with traditional Western medical approaches, outcomes for many may be improved.  The new Center is scheduled to open October 15th, 2010 in Plainview, New York.

ECF’s fertility clinics will continue to provide innovative assisted reproductive technologies, while The Berkley Center will focus on such holistic treatments as acupuncture, herbal medicine, massage, and clinical counseling.  Mike Berkley, the Director of Complementary Medicine Services, is the first acupuncturist in the U.S. to devote his practice solely to fertility care.  It is believed that combining these holistic treatments with advanced medical care can enhance the experience for many patients and help them achieve success.

 

The Center will be called The Berkley Center for Reproductive Wellness at East Coast Fertility, and will hold its grand opening presentation on October 13, 2010 at 7pm.  All are welcome to come and see the new facility and stay for a special presentation titled “Understanding How an East meets West Approach to Care Can Increase Your Odds!’.

Pamela Madsen, Founder of The American Fertility Association and Patient Advocate for East Coast Fertility will welcome you, your partner, and any friend you wish to bring. Mike Berkley will discuss his thoughts about the benefits of holistic fertility care, and  Dr. David Kreiner, Medical Director and Founder of East Coast Fertility, will share his insights.  

Reserve your seat at this special event by calling:  516.204.7149.

 
Dr. Kreiner is eager to offer patients holistic services to compliment their fertility treatments.  “Anything we can offer patients to enhance their experience or make them more comfortable during cycles can contribute to a successful outcome,” says Kreiner.  “It’s also about giving our patients options.  We want them to know they can come to ECF for comprehensive treatment, and holistic therapies are a part of that.”

Mike Berkley adds, “Many patients that use natural fertility techniques during IVF cycles have success.  It’s our job to offer them every possible resource to make their dreams of having a family a reality.”

East Coast Fertility has always focused on giving patients high quality care, and offering them holistic options along with their state-of-the-art medical care will surely be a benefit to all.

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East Coast Fertility Leads The Way In Providing Safer, Effective, and Affordable Fertility Treatment!

By East Coast Fertility

September 14th, 2010 at 9:21 am

With all of the negative publicity surrounding the fertility industry in the wake of “octomom” and other sensational news stories, it is no wonder public opinion has turned sour towards the doctors and clinics that perform the services. Society now questions the safety, practicality and costs of aggressive treatments that often result in multiple births. So how do infertile couples pursue a more conservative route to parenthood – one that’s safer for them and their baby, still offers high success rates, yet is affordable? Dr. David Kreiner of East Coast Fertility is using his conscience and his expertise to provide a solution. He is the first in the country to offer an In-Vitro Fertilization (IVF) package using Single Embryo Transfers (SET) at one set price to patients.

In a typical IVF cycle, a doctor will transfer two, three and sometimes more embryos back into the uterus, depending on many factors, in order to achieve the highest chance of success. However, this protocol lends itself to a high risk of multiples, making risky pregnancies, long NICU stays, babies with developmental problems and handicaps, and thus extremely high healthcare costs.

With a Single Embryo Transfer, just one embryo is placed back into the woman’s uterus, nearly eliminating the chance of achieving multiples. The remaining embryos are frozen and can be transferred to the woman in future cycles.

While SET is the optimal choice for many women, the current cost structure favors transferring multiple embryos over this method. Because transferring a single embryo has a lower success rate than transferring multiple embryos, a patient may have to undergo several SET cycles before achieving a successful pregnancy. Clinics charge for each additional procedure. The patients are expected to absorb what could add up to $100 million per year in extra costs. Thus, patients and programs are pressured to transfer dangerously high numbers of embryos. The real irony lies in the fact that research has shown that universal adoption of single embryo transfers could save the healthcare system a total of $1 billion in healthcare costs. Yet, the patients who choose SET are expected to foot the bill.

That’s all changing at East Coast Fertility. Their Single Embryo Transfer Program attempts to take the financial incentive out of this push to put “all your eggs in one basket.” Dr. Kreiner and his staff are making it cost neutral to transfer only one embryo at a time by offering free cryopreservation, free embryo storage and free embryo transfers until a patient achieves a live birth, all for the cost of a single IVF cycle. ECF absorbs the extra costs in cases where successive transfers are needed. So, the patient can choose the more conservative route without having to worry about the financial implications. Dr. Kreiner believes the benefits to the patient and society are obvious, and he doesn’t feel he is sacrificing the success of his practice. “It is with confidence in our highly successful embryo cryopreservation program that we are able to limit the number of embryos transferred without decreasing the number of births that result from IVF cycles at ECF. We are willing to sacrifice some margin in those cases where patients need successive transfers.”

It remains to be seen if other clinics will follow ECF’s lead. Perhaps society should demand that fertility doctors start doing what is best for the patient even if it means having to cut into their profits on occasion. “Hopefully talking about these issues will highlight some of the negative incentives that exist in the world of Reproductive Endocrinology, and bring about change in the industry,” says Pamela Madsen, fertility blogger (www.thefertilityadvocate.com) and founder of The American Fertility Association. She continues, “It is refreshing to see Dr. Kreiner as an ethical standout in the fertility world – a patient activist who is not letting greed get in the way of practicing good medicine.”

no comments


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