How to Find IVF success rates for US IVF Centers

Sep 03, 2010 | Fertility Care
There are 2 ways to access IVF success rates in this country. What you should be aware of is that the data is only available for 2007 and 2008 cycles. I will describe the 2 ways to learn more about your clinic's published success rates below: 1. http://www.cdc.gov/ART/ART2007/index.htm The website above provides a summary of IVF cycles performed in this country and you can even read about success rates from each clinic but current data are for 2007 only. 2. The second source of IVF success rates are from : http://www.sart.org/Guide_SuccessRates.html This report contains the same outcome data as the CDC report but is released a year sooner. The current SART report contains outcome data from 2008. Before you use these resources to compare rates between clinics to find the "best" clinic available to you, you should be aware of this: (more…)

INVOCell – a novel approach to IVF treatment

Aug 10, 2010 | Fertility Care
If you're my patient, you know that I want nothing more than pregnancy at home. What do I mean by this? I want all my patients to get pregnant without my help or with as little of my help as possible. Some patients need IVF but the cost associated with IVF makes it cost prohibitive for many couples. I have taken care of couples that are forced to be childless because they are unable to pay the price tag associated with an IVF cycle. Imagine going through IVF without paying such high fees associated with an IVF laboratory. INVOCell is  a device placed vaginally that allows conception to take place naturally inside the woman's body. Women would still have to go through an egg retrieval but the eggs would be placed in the device with sperm and allowed to incubate. (more…)

Androxal – Can it help you?

Aug 09, 2010 | Fertility Care
As a society, I think we are doing better job recognizing that more and more infertility is due to sperm issues. When it comes to getting pregnant, there's so much more to sperm quality than just "having some." Men can have low counts, low motility and a low number of normally shaped sperm (called morphology). When one of my patients has any of these abnormalities, I check a male hormone panel. This includes: FSH, LH, free and total testosterone, TSH and prolactin levels. I may also recommend genetic testing: Y chromosome microdeletion, Cystic fibrosis mutation screening  and a karyotype. Depending on the hormone levels (please ask your doctor about your own special situation), I may recommend Clomid. Yes, Clomid for men. When a man has low testosterone levels, it seems common sense that you would treat that with testosterone. Well, that is the last thing you want to do. When you give a guy testosterone it actually knocks out the sperm and doesn't improve it. (more…)

The Fast Track and Standard Treatment (FASTT) Trial

Aug 06, 2010 | Fertility Care
Results from one of the most exciting infertility trials were just published today. When women are given their treatment options, we usually say, try fertility pills with insemination for 3 months then move to fertility shots with insemination for 3 months then go to IVF. We all know that IVF has the highest success rates. The FASTT Trial was designed to evaluate whether women should skip the shots with insemination phase of treatment and go right to IVF. Brilliant. The researchers found that the women who went right to IVF after not getting pregnant with fertility pills and IUI had an increased pregnancy rate compared with the conventional arm of treatment (pills--> shots -->IVF).  Not only were the pregnancy rates much higher in the IVF group (as expected) but the women who were in the accelerated treatment group were pregnant 3 months earlier. Skipping the fertility shots with IUI treatment option and going to IVF also showed to be cost effective.  Average charges per delivery were $9,800 lower  in the accelerated arm compared to conventional treatment. The observed incremental difference was a savings of $2,624 per couple for accelerated treatment. (more…)

The Fertility Blogs Newsletter

Aug 04, 2010 | Fertility Care
Great source of information and support: August  4, 2010 In this newsletter we've included some great articles and some tips on making the most out of our community as well as growing your own. Our featured contributor is Cindy Bailey from Fertile Kitchen.  Her newest article on the site is Cocktails and Caffeine.  Information on how alcohol and caffeine can effect your fertility.  A must read to anyone currently trying to conceive.  Share your thoughts on her information. We'd also like to introduce you to one of our newest bloggers:  Waiting for a  Baby Bump. Follow along with her during her IVF journey. Our Community: Did you know that you can create your own group? Each group comes complete with a message board, activity stream and group calendar.   You can also promote your group on your blog too! Simply place the RSS feed url from the group you've created into an "Rss Widget" on your side bar.  Your readers can now follow along and contribute!  This is a great way to develop a following and participation.  If you have any questions on usage, please don't hesitate to contact us. Use your group calendar to promote your events and activities.  You can use the group calendar...

Pelvic Ultrasound Please

Aug 02, 2010 | Fertility Care
When you go to your doctor with high blood pressure, what usually happens?  Your doctor will run tests. Maybe order some bloodwork, maybe even an EKG and an ultrasound of your heart called an echocardiogram. Why is it that when women go to their gynecologists complaining of infertility, they are given a prescription of clomid for a year and sent out the door? I want all women to know that you shouldn't start any fertility treatments without the necessary evaluation and imaging studies. Here's why: 1. You may have a fibroid sitting in the middle of your uterus that is blocking the ability of your embryos to attach and grow. A pelvic exam would not detect this finding. 2. You may have a uterine polyp that also could go undiagnosed. A polyp will act the same way that a fibroid would sitting in the middle of your cavity - much like an IUD or contraceptive device. (more…)

Fragile X Syndrome – Should you be screened?

Jul 29, 2010 | Fertility Care
Fragile X syndrome, is the most common cause of inherited mental impairment. Why would someone see a fertility specialist and then get screened for the Fragile X mutation? Here’s why: (more…)

A few quick tips to help you cope with Infertility

Jul 27, 2010 | Fertility Care
Infertility treatment isn’t always about success. I wish I could guarantee pregnancy for every patient who walks into my clinic. I can guarantee that I will do my best to give you your highest chance of pregnancy but helping my patients cope with negative results isn’t easy. I’m always looking for things I can do to help my patients cope with their sadness and live in the moment. I found this great article in the August 2010 SELF magazine. I’ve summarized some key points here. If you’ve ever gone to a party and opened up to someone about your struggles, you may have heard one of the following statements: "Don’t try so hard" "Maybe if you just worked less and took a vacation, you would get pregnant" "My neighbor’s friend’s cousin, had 4 miscarriages and is now pregnant again. I know you will be pregnant too someday." When you hear anything like that when out in public, it is so easy to stop talking and to isolate yourself. Researchers have shown that women who have difficulty getting pregnant can be as depressed as those who have major heart problems or cancer. But infertility doesn’t get the same media campaigns as...

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