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Archive for the ‘Reproductive Endocrinologist’ tag

Long Island IVF Doctors Again Make Castle Connolly’s Top Doctors Guide

By Tracey Minella

April 4th, 2018 at 4:08 pm

(L-R) Dr. Brenner, Dr. Pena, and Dr. Kenigsberg

Long Island IVF is proud to announce that several of its doctors have again been included in the Top Doctors on Long Island Guide selected from the 2018 Castle Connolly Guide by Newsday.

Daniel Kenigsberg, MD and Steven Brenner, MD, and Joseph Pena, MD consistently appear on the list of Reproductive Endocrinologists that are honored as Top Doctors in their field and this year was no different.

Since doctors do not and cannot pay to appear on this list, but rather are nominated and selected through a peer recognition process, being named to the Top Doctors list is an honor that never gets old for our physicians. The same is true for the satisfaction we get when our patients and their families and friends consistently nominate and vote for us in the Long Island Press’ contest for “Best In vitro Fertility Practice”.

Long Island IVF is proud of all of its physicians, embryologists, nurses and staff for their commitment to its patients and is grateful for the recognition given by Castle Connolly’s Top Doctors Guide honors. But the best reward for a job well done is the satisfaction we get from building families every day and seeing the very real impact our work has on the lives and happiness of our patients.

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Long Island IVF Doctors Again Make Castle Connolly’s Top Doctors Guide

By Tracey Minella

April 3rd, 2018 at 2:21 pm

Long Island IVF is proud to announce that several of its doctors have again been included in the Top Doctors on Long Island Guide selected from the 2018 Castle Connolly Guide by Newsday.

Daniel Kenigsberg, MD and Steven Brenner, MD, and Joseph Pena, MD consistently appear on the list of Reproductive Endocrinologists that are honored as Top Doctors in their field and this year was no different.

Since doctors do not and cannot pay to appear on this list, but rather are nominated and selected through a peer recognition process, being named to the Top Doctors list is an honor that never gets old for our physicians. The same is true for the satisfaction we get when our patients and their families and friends consistently nominate and vote for us in the Long Island Press’ contest for “Best In vitro Fertility Practice”.

Long Island IVF is proud of all of its physicians, embryologists, nurses and staff for their commitment to its patients and is grateful for the recognition given by Castle Connolly’s Top Doctors Guide honors. But the best reward for a job well done is the satisfaction we get from building families every day and seeing the very real impact our work has on the lives and happiness of our patients.

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Don’t Miss Long Island IVF’s Free Fertility Acupuncture Seminar

By Tracey Minella

March 28th, 2018 at 10:01 am

Long Island IVF is the first infertility practice in the region with a reproductive endocrinologist who is also a Traditional Chinese Medicine (TCM) practitioner AND also a certified acupuncturist. So, we can offer acupuncture along with IVF to our patients who are interested.

By offering different and complementary treatment options like acupuncture for fertility into a single comprehensive blended protocol, our patients may benefit from the best therapies of both the Eastern and Western medical worlds.

If there was something holistic—an ancient, trusted treatment—that might improve your chances of success with IVF would you want to learn more about it?

What if this exclusive, yet very affordable, natural therapy might even help if you’ve had prior unsuccessful IVF cycles? And what if this complementary therapy cost less than $200 per IVF cycle? Are you ready to learn more from the doctor who actually performs it on our patients?

We get it–you’re tired of needles. But acupuncture needles are so tiny and thin that they are a walk in the park to anyone who has taken on hormonal injections already! Check it out and see at our free seminar.

Motivated by a desire to find holistic approaches to enhance today’s best Western medical technologies– especially for those who may have failed at IVF before–Long Island IVF co-founder and REI, Dr. David Kreiner, went back to school to study TCM after over 30 years of making IVF babies.

Dr. Kreiner is now applying that acupuncture training in the IVF procedure room, both pre- and post-IVF transfer–exclusively to ALL interested Long Island IVF patients.

Long Island IVF’s Acupuncture Program is hosting a free and interesting seminar with Dr. Kreiner and a special guest–local acupuncturist James Vitale, M.S., LAc–to discuss topics related to improving IVF success with acupuncture. All are welcome to attend.

Don’t miss this special FREE program on Thursday, March 29, 2018 from 6:30 pm-8:30 pm at our Melville office at 8 Corporate Center Drive, Melville, New York. Seating is limited, so pre-registration is required. Register here now. https://goo.gl/GDcB4F

We look forward to seeing you there. Please contact Marj Satnick, Patient Services, at 631-768-8722 or msatnick@longislandivf.com with any questions.

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Are you coming to the Acupuncture Seminar?

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A New Year’s Plan Beats a Resolution When Infertile

By Tracey Minella

January 2nd, 2018 at 8:41 am

breaking resolutions

image credit: Ryan McGuire-Gratisography

We’ve barely cracked into the New Year and I’m already tired of hearing about people’s resolutions. Including yours, I bet. And here’s why…

We all make them. We all break them. The thing that frustrates me about other people’s resolutions is that they are generally related to things that are within the maker’s control to make happen. Something the person can do themselves… or can stop doing. Something that doesn’t require the assistance of somebody else. Something that could be guaranteed to be successful if the person merely put in the required effort.

That’s what’s so hard about infertility and the fertility-based resolutions that come from its sufferers.

How many of you struggling to have a child made the same New Year’s resolution yet again…To have a baby this year?

It’s a wish. It’s a dream. And, yes, it’s everything… but it’s not a resolution. At least not to infertile people. Because it is not something within your power to control. At the very least it requires a third-party – – a reproductive endocrinologist– to make it happen. Plus, it requires money which could be an obstacle for some people.

So, the outcome of your so-called “baby resolution” is not in your sole control. And as important a role as your doctor plays, and as great as IVF success rates have become at a quality practice, success is not guaranteed on the first try– or even at all in some cases. The sad reality is that only the fertile folks can make baby resolutions.

Making a resolution to have a baby is setting yourself up to fail, like the dieters who have already cheated and the smokers already back outside puffing away in the bitter cold. And don’t we already heap enough feelings of failure on ourselves?

So, make a New Year’s plan not a resolution.

It may sound like semantics, but the mere word “resolution” in general is tied so often to failure that you need to leave it behind when it comes to your fertility. Choose to plan.

When you plan, you take action. When you plan, you take control. Rather than weakly resolving that you’re going to have a baby this year, get proactive and plan for it. Take control of what is within your control.

So many factors that could positively impact your fertility (as well as your general health) are within your control, so:

 

  • get adequate sleep,
  • drink lots of water to stay hydrated,
  • eat healthy and/or organic foods,
  • take vitamins and exercise with your doctor’s approval,
  • lose excess weight with your doctor’s approval,
  • stop bad habits like smoking or drinking excessively,
  • consider complementary holistic mind-body therapies and fertility acupuncture,
  • research financial options for infertility treatment.

 

Long Island IVF’s payment options, including grants, may help finance your infertility treatment. While it’s never easy to change jobs (or add an extra job) especially in economically-challenging times, more companies are offering insurance coverage for infertility treatment these days, including positions that don’t require special skills or advanced education, such as at Starbucks.

Listen to the voice in your head if it’s telling you something may be wrong and stop delaying having a consultation with a reproductive endocrinologist about the state of your fertility.

In fact, even if you are not currently trying to get pregnant, you may benefit from a fertility screening to see if there are any noticeable “red flags” about your reproductive health that might impact your future fertility plans. While it might be scary, knowing is always better than not knowing because it can let you take proactive steps before it’s too late, such as freezing your eggs while you are younger as “insurance” for use later if needed. Or just bumping up your baby plans if there are signs that that would be advisable, like a diminished ovarian reserve.

If you would like a fertility screening, or if you have been unable to become (or remain) pregnant and would like an initial consultation for fertility treatment, please contact us at any of our Long Island or Brooklyn offices.

2018 is a milestone year for Long Island IVF as we are celebrating our 30-year anniversary this summer. We are proud to have pioneered IVF here and to have brought Long Island its first IVF baby… and we treasure every baby we’ve helped bring into this world ever since.

Let us help you make 2018 a milestone year as well. Contact us today.

 

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Remembering My Mentor, Dr. Howard W. Jones, Jr.

By David Kreiner, MD

August 4th, 2017 at 6:14 pm

 

I first met Howard W. Jones Jr, when I was 29 years old while still an obstetrics and gynecology resident in 1984.  It is now two years since his passing at the age of 104 and his legacy lives on ever greater with each passing year.

He interviewed me back then for a fellowship position in Reproductive Endocrinology/Infertility and IVF at the Jones Institute in Norfolk, Va., the first successful IVF center in the Western Hemisphere.  I was in awe of this 74-year-old statesman of the IVF/Infertility world.  He was after all famous in the field even before Elizabeth Carr was delivered on Dec. 28, 1981, that first IVF success that Howard W. Jones Jr. and his wife Georgeanna were responsible for in the United States.

In the 1950’s, it was HWJ Jr. who biopsied the cervical cancer of Henrietta Lacks who was made famous from the book and movie, “The Immortal Life of Henrietta Lacks”.  These cells from his biopsy were later utilized in nearly all scientific experiments for the next several decades.

In the 1960’s HWJ Jr. opened the first gender reassignment surgery clinic in the U.S. as well as performing pioneering work on ambiguous genitalia.

In 1965, he and Robert Edwards, the Nobel Prize winner for the world’s first successful IVF birth of Louise Brown, fertilized the first human egg.

In 1975, at the age of 65, Howard W. Jones Jr. was forced to retire from Johns Hopkins.  Ultimately, in 1978, Dr. Howard and Georgeanna retired to Norfolk, VA where he planned to work part-time as Emeritus Professor at the local medical school.  All this changed when Robert Edwards succeeded in creating the first successful IVF that resulted in Louise Brown.

Local journalists, aware of Dr. Jones’s reputation and past work with Prof. Edwards interviewed Howard.  At the conclusion of the interview the journalist asked Dr. Jones what it would take to perform IVF in Norfolk to which he simply replied “money”. The next day a former patient pledged that money and within 2 years the first successful IVF program west of the Atlantic was up and running and quickly became arguably the world’s most successful IVF program.

In his final decades Dr. Howard dedicated himself to promoting IVF as a successful medical treatment for those otherwise unable to conceive and to exploring bioethics in the field of reproduction.  Howard Jones never retired as he loved his work and recognized purpose and the satisfaction of achieving his life’s goals in his endeavors.

At a speech he gave during a celebration of his 100th birthday in a huge gathering of hundreds of professionals in the field, he quoted a professor of his at Amherst College from 80 years earlier, Robert Frost.  These seven lines, he said, exemplify, for him, the way to live:

My object in living is to unite 
My avocation and my vocation 
As my two eyes make one in sight. 
Only where love and need are one, 
And the work is play for mortal stakes,
Is the deed ever really done 
For Heaven and the future’s sakes.

I have aspired to live my life and career as Dr. Howard had taught me. When I am asked what I do for a living I smile and ramble on about feeling privileged to do what I love…helping those in need build families. By doing so I truly feel my endeavors perpetuate Dr. Howard’s standard of making a significant impact on the future of humanity.

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Long Island IVF’s Dr. Zinger is now in Lake Success and Brooklyn

By Tracey Minella

February 22nd, 2017 at 12:27 pm

We are happy to announce that Dr. Michael Zinger has joined Dr. Daniel Kenigsberg and Dr. Steven Brenner in seeing patients at Long Island IVF’s Lake Success location. Dr. Zinger will continue seeing patients in our Brooklyn office as well.

Dr. Zinger has been with Long Island IVF since 2008 as the reproductive endocrinologist who anchors our Brooklyn facility. He enjoys a loyal patient following and has just branched out a bit eastward to reach even more patients closer to where they live and work.

Uniquely-qualified with dual board certifications in Reproductive Endocrinology and Infertility as well as OBGYN, Dr. Zinger appreciates the difficulty frustrated patients face when choosing an infertility specialist as well as the trust it takes for OBGYNs to refer patients out to him for advanced infertility care.

Consistently ranked by his peers as a “SuperDoc” in the New York Times and selected for the Patient’s Choice and Compassionate Doctor awards on vitals.com, Dr. Zinger makes quality, compassionate patient care a priority. He’s one reason the public voted Long Island IVF the “Best In Vitro Fertility Practice” for three straight years– 2015, 2016, and 2017.

Prior to joining Long Island IVF, Dr. Zinger spent six years heading the IVF program at Edwards Hospital. A prolific author of medical textbook chapters and medical journal articles, as well as a presenter at numerous national and international medical meetings, Dr. Zinger was also the recipient of The Endocrine Society’s prestigious Senior Fellow’s Award for outstanding research. His complete bio can be viewed here.

If you are looking for a trustworthy and experienced infertility specialist in the Lake Success or Brooklyn area, you can book an appointment with Dr. Zinger by calling (718) 375-6400 for Brooklyn or (516) 358-6363 for Lake Success.

Long Island IVF has multiple offices throughout Long Island as well as in Brooklyn for your convenience.

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Reflecting on the Contribution of Clomid® Chemist, Frank Palopoli

By David Kreiner MD

August 18th, 2016 at 9:50 am

 

image credit: nenetus/freedigitalphotos.net


I was cooling off in my community pool and a former patient recognized me and proudly  showed off her 13 year old daughter…”just Clomid® right?”, I asked, a trite too brash.  “Yes, and insemination after a couple of failed attempts,” she replied.

I sometimes assume if a patient doesn’t have to do IVF to conceive that they have not sufficiently suffered the infertility rites of passage.  Shame on me…for someone facing the challenge of conceiving, the pain can be most severe and if solved with fertility pills—Clomid®–then it is just as miraculous a cure as the newer technologic marvel of IVF.

I have experienced in my 31 years as a reproductive endocrinologist specializing in fertility several hundred such successes and babies born from this highly successful fertility pill that was developed by a team in the 1950’s led by Frank Palopoli who died last week at the age of 94.

Clomiphene®, the generic form of the estrogen receptor inhibitor that came on the market in 1967, works by blocking the negative feedback of estrogen resulting in an increase of pituitary hormones, FSH and LH which in turn stimulates the ovaries to ovulate.

Clomid® may be used by itself or augmented with injections of LH and/or FSH as well as HCG used as a trigger for ovulation when the ovarian follicles stimulated by Clomid® have reached maturity.  The pills are usually taken in the beginning of the cycle for five days and the response carefully monitored with serum estradiol and LH levels as well as follicular ultrasounds.

As tens of millions of babies have been born since Mr. Palopoli developed Clomid® we in the field and those who have reaped the rewards of this medication owe him a tremendous debt of gratitude.

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Did Clomid® play a part in your fertility journey?

 

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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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Age and Fertility

By David Kreiner MD

February 2nd, 2015 at 4:23 pm

 

credit: photostock/free digital photos.net


You’ve heard the “Reproductive Bell” toll and may question “Is it real?”…

You see celebrities getting pregnant well into their 40’s and think “Then why can’t I?” So, is your reproductive clock as critical as modern doctors say?

I have come across fertility advice from non-physician practitioners, such as acupuncturists and Chinese herbalists, who encourage their patients to “question the Western dogma” when it comes to age and fertility. They claim the effect of aging and fertility is “exaggerated by the Medical profession and can be overcome with a shift in an individual’s health and lifestyle”.

Unfortunately, this advice comes without any cited research or statistics in support of it.  According to the Society of Assisted Reproductive Technology, as published on SART.org, a review of the 2012 national statistics, those most recently published of IVF cycles started, the age breakdown for IVF live birth rates are the following:

 

Age <35= 40.2%

 

Age 35-37=31.3%

 

Age 38-40=22.2%

 

Age 41-42=11.8%

 

Age >42=3.2%

 

It is true that a woman’s health and physiology gets worse as she gets older.  Some of these non- physician practitioners argue that perhaps if this can be improved then the diminishing fertility commonly seen with aging can be reversed. But though improving a woman’s general health may help it is not sufficient in most cases.  Fertility rates decrease with increasing age in large part because there is an increase in genetic abnormalities found in gametes (eggs and sperm) as patients (women in particular) age.  This is the result of long-term environmental exposure to toxins, in addition to the increased likelihood of genetic damage over time.  Miscarriage rates increase with age for the same reason in large part due to the greater likelihood of embryos having chromosomal abnormalities.

Many women as they age also will experience a significant drop in their ovarian activity, referred to as diminished ovarian reserve.  This activity can be assessed by your physician with a blood level of Anti Mullerian Hormone (AMH) and day 3 FSH and estradiol levels.  Women with lower AMH levels and elevated FSH in the presence of a normal low estradiol have fewer ovarian follicles, and hence eggs, that will respond to ovarian stimulation.  Since the likelihood of these eggs being genetically normal is less, then fertility is reduced and the probability of IVF and other fertility treatments resulting in a live birth becomes significantly lower.

The challenge to any practitioner dealing with an aging patient attempting to conceive is to optimize their patient’s chance to have a healthy baby which optimally would include an integration of multiple modalities.  Therefore, ideally a physician specially trained in the fertility process (a Reproductive Endocrinologist), should implement state-of-the-art Western therapies with a complementary holistic approach that aims to shift their patient’s health and fertility.  These holistic approaches include diet and lifestyle changes as well as fertility-directed acupuncture and herbal therapy treatments.

Lifestyle changes that may improve fertility primarily include those that reduce stress and improve diet and activity.  Stress at work, at home, and with family and friends can create pathology from both Eastern and Western perspectives.  Diets that do not support adequate blood production or create Eastern patterns of cold or heat can affect fertility.  Excesses or deficiencies of particular foods…such as dairy, fat, or grains… can create imbalances or pathology that may affect fertility or result in obesity or malnutrition which also impact reproduction.

Inactivity may impair fertility. Therefore some level of exercise, combined with an improved diet directed at improving fertility, stress reduction techniques, acupuncture, and supplements (which may include Chinese Herbs as well as Western supplements) will optimize your chances of successfully building your family.

The first step is to seek help from a reproductive endocrinologist skilled in state-of-the-art fertility therapies who can coordinate a program which is ideal for you. But if you are hearing the “Reproductive Bell” tolling, it is important to take that first step soon, because, while these many complementary approaches can optimize your fertility, they may not be enough to overcome the reality of the negative effect of advanced age in fertility.

Long Island IVF offers complementary holistic approaches to achieving pregnancy (See our Mind-Body Program http://www.longislandivf.com/mind_body.cfm ) as well as a well-respected Donor Egg Program http://www.longislandivf.com/donor_programs.cfm  with no wait for pre-screened, multi-ethnic donor eggs, or Donor Embryos.

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Has the increased visibility of older celebrity moms getting pregnant made you think you have more time? Have you considered combining Western and Eastern medicine in your family-building treatment?

 

 

http://www.freedigitalphotos.net/images/Younger_Women_g57-Young_Woman_Holding_Clock_p49428.html

 

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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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