Fibroids and Your Fertility

David Kreiner, MD Tubal Disease 0 Comments

Fertility is dependent upon so many things! We must have healthy gametes (eggs and sperm) capable of fertilizing and implanting in a uterus with a normal endometrial lining unimpeded by any uterine or endometrial pathology. The sperm need be in sufficient number and capable of swimming up through a cervix which is not inflamed and provides a mucous medium that …

Secondary Infertility

David Kreiner, MD Assisted Reproductive Technologies, Fertility Testing, IVF, Micro IVF, Secondary Infertility, Treating Infertility 1 Comment

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 …

Minimal Stimulation IVF or MicroIVF May Be Best for Young Patients and Old

David Kreiner, MD Age Related Infertility, Assisted Reproductive Technologies, IVF, Micro IVF, PCOS, Treating Infertility 0 Comments

Minimal stimulation in vitro fertilization, also known as MicroIVF and MiniIVF is a cost effective treatment option for young women who are attempting to conceive. Although traditional full stimulation in vitro fertilization (IVF) procedures produce better pregnancy rates, minimal stimulation IVF (MS-IVF) induces ovarian follicle and egg development with less hormonal stimulation. As a result, patients going through minimal stimulation …

Secondary Infertility

David Kreiner, MD Assisted Reproductive Technologies, Causes of Infertility, Infertility Information, IVF, Secondary Infertility 0 Comments

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 …

Over 40, High FSH and Infertile: What to Do?

David Kreiner, MD Clomid, FSH 1 Comment

You have that dreaded infertility diagnosis, “Over 40 With High FSH Levels.” And there’s no cure or magic herb that will turn back the hands of time. You’re desperate so you are willing to try it all anyway, including acupuncture and some internet recommendations such as DHEA (dehydroepiendosterone). You hear that you can lower your FSH with DHEA or estrogen. The …