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Chapter 34 – Fertility Treatment During This Economic Downturn

November 8th, 2012 at 4:19 pm

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Chapter 32 – Octomom

October 19th, 2012 at 12:56 am

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Chapter 31 – When Are You Too Old To Be A Mother

October 11th, 2012 at 5:53 pm

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Chapter 30 – The Gift Of Life And Its Price

October 4th, 2012 at 11:49 am

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Chapter 29 – Why The Wyden Bill Does Not Support Infertility Patients

September 27th, 2012 at 10:55 pm

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Chapter 28 – No More Jon And Kate Casualties

September 20th, 2012 at 5:48 pm

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Chapter 27 – A Dozen Embryos! Who Will Stop This Madness?

September 13th, 2012 at 10:52 am

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Chapter 26 – Alternative Therapies And Holistic Medicine

September 6th, 2012 at 9:03 pm

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Chapter 24 – I Look Pretty Good In Scrubs

August 30th, 2012 at 11:26 pm

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Chapter 23 – Nominated For Best Supporting Role Is

August 23rd, 2012 at 4:50 pm

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Chapter 22 – Cryopreservation Of Embryos

August 16th, 2012 at 5:32 pm

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Chapter 21 – Things You Should Know About Embryo Transfer

August 9th, 2012 at 10:17 am

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Chapter 20 – CoCulture Of Embryos Offered at East Coast Fertility

August 2nd, 2012 at 1:58 pm

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Chapter 19 – Fertility Drugs Do Not Increase Risk For Ovarian Cancer

July 27th, 2012 at 1:47 pm

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Chapter 18 – Medications for IVF Treatment

July 19th, 2012 at 4:17 pm

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Chapter 17 – In Vitro Fertilization and Embryo Culture

July 12th, 2012 at 1:21 pm

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Chapter 16 – MicroIVF (Minimal Stimulation IVF)

July 5th, 2012 at 10:26 am

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Chapter 15 – Intrauterine Insemination (IUI)

June 29th, 2012 at 9:50 am

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Chapter 14 – Treatment of Infertility, Trying to Conceive with Clomid Therapy

June 21st, 2012 at 11:26 am

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Chapter 13 – Sperm Meets Egg, Why Doesn’t it Work Every Time?

June 14th, 2012 at 12:35 pm

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Chapter 12 – What Do You Know About Your Fertility

June 7th, 2012 at 3:37 pm

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Chapter 11 – Endometriosis And Your Infertility

May 31st, 2012 at 11:01 am

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Chapter 10 – Endometriosis

May 24th, 2012 at 10:12 am

Endometriosis is a disease state in which the lining of the uterus, endometrium, is found outside the uterus, most often lining the pelvis behind the uterus and by the ovaries.  Endometriosis can cause pain and/or infertility in some women.  Among women who have infertility, as many as 30% may have endometriosis and this is not always associated with pain. Read More.

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Chapter 9 – Polycystic Ovarian Disease

May 17th, 2012 at 10:07 am

Polycystic Ovarian Disease (PCOS) is a syndrome, not truly a disease, in which a woman’s hormones are out of balance associated with a failure to ovulate regularly, irregular cycles and sometimes elevated male sex hormones resulting in hair growth on the face, chest or abdomen as well as acne. It can also be part of a “metabolic syndrome” which may include diabetes, hyperlipidemia and hypertension. Read More.

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Chapter 8 – Hydrosalpinx

May 10th, 2012 at 10:00 am

A hydrosalpinx is a fallopian tube that is blocked at its distal end opposite the entrance to the uterine cavity.  It is filled with inflammatory fluid most likely the end result of a pelvic infection.  This fluid can flow into the uterine cavity thereby creating a hostile environment for a potentially implanting embryo. Read More.

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Chapter 7 – Are Fibroids And Polyps Preventing You From Getting Pregnant

May 3rd, 2012 at 10:39 am

Fibroids, also known as myomata, are benign smooth muscle tumors of the uterus.   Most are located in the muscle wall and become clinically significant if they invade the uterine cavity or take up so much space in the uterine wall that they may distort the uterine cavity, obstruct the blood vessels serving the endometrial lining or even block the fallopian tubes.   Fibroids may also extend outside the uterine surface, subserosal or pedunculated when connected to the uterus by a stalk. Read More.

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Chapter 6 – Causes Of Infertility – Have You Had A Fertility Workup

April 26th, 2012 at 11:37 am

A fertility specialist called a Reproductive Endocrinologist, who has performed a three year fellowship training in IVF and infertility after an Obstetrics and Gynecology residency, will initiate the fertility workup by conducting a history and physical examination.  The exam includes a pelvic ultrasound of a woman’s uterus and ovaries to determine if there are any abnormalities that may affect implantation or pregnancy, as well as assess ovarian activity and the presence of endometriosis.  Read More.

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Chapter 5 – Meet The Doctor

April 19th, 2012 at 10:30 am

A woman’s desire to have children can be colossal, yet many are unable to take that first step to overcoming the impediments to their fertility. Seeking assistance from a qualified reproductive endocrinologist whose sole focus and practice is on such issues will put affected individuals on the right path to achieving motherhood. Read More.

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Chapter 4 – Where Do You Go

April 12th, 2012 at 12:18 pm

In this chapter, I try to help the reader understand the published statistics offered online by SART, the national organization of IVF programs that provides a registry of IVF programs who submit their data for audit by SART.  Rates are offered with a numerator and a denominator with the critical goal of a live baby per retrieval or transfer being the most crucial statistic. Read more.

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Chapter 3 – What Are My Odds

April 5th, 2012 at 9:50 am

This chapter is dedicated to informing patients regarding the potential for success with fertility therapy. Success, in particular with IVF has been increasing significantly over the years as physicians and embryologists became more experienced. The tools we use are more accurate and effective today and the protocols, media and laboratory conditions are all far superior to that which was standard not so many years ago. Read More.

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Chapter 2 – The Journey Begins – The Pregnancy Test Is Negative Again – What Do I Do

March 29th, 2012 at 12:32 pm

A negative pregnancy test is a reminder of all the feelings of emptiness, sadness and grief over the void created by infertility. This chapter was written to arm the reader with infertility with a strategy to fight off the potentially damaging effects that this condition can do to the afflicted individual. Read More.

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Chapter 1 – Through My Eyes – An Historical Perspective On IVF

March 27th, 2012 at 1:59 pm

The first chapter introduces the reader to the writer, me (Dr. David Kreiner), and my early experiences in the field of reproductive endocrinology, infertility and IVF. This was during the early years of IVF and I was a new doctor driven by a passion for fertility; the science, the surgery and the new technology of in vitro fertilization. Read More.

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