Reproductive Endocrinology: Then and Now

Dr. Kreiner Assisted Reproductive Technologies, Causes of Infertility, Co-culture of Embryos, Cryopreservation, Embryo Glue, Endometriosis, High order Multiple Births, Infertility Information, IVF, Laboratory, Micro IVF, Physicians, Regulation of IVF, Reproductive Health, Research, Single Embryo Transfer, Treating Infertility, Tubal Disease 0 Comments

My son is starting his second year residency in obstetrics and gynecology. He, like I was 30 years ago, is turned on by reproductive medicine and enjoys performing gynecologic surgery. When I decided then to specialize in reproductive endocrinology and infertility (REI) I was looking forward to being on the frontier of fertility medicine. The details of Reproductive physiology were …

Creating One Baby At A Time

David Kreiner, MD Assisted Reproductive Technologies, Dr. Howard and Georgeanna Jones, Embryo Transfer, IVF, Reproductive Health, The Jones Institute for Reproductive Medicine, Treating Infertility 0 Comments

It was fifteen years ago that I sat listening to a lecture about the hazards of multiple pregnancy and how IVF had increased multiples so drastically in the preceding ten years. What a depressing thought. I loved helping women conceive. I was living my dream, practicing the infertility and IVF I had learned ten years earlier at the Jones Institute …

Embryo Mix-Up: Tragic Error Leads To Miracle Baby

David Kreiner, MD Assisted Reproductive Technologies, Embryo Transfer, IVF, Laboratory, Reproductive Health 1 Comment

The case of a mix-up of frozen embryos in a Michigan IVF program in Feb. 2009 yet again became a media splash with the affected couple appearing on ABC News to promote their new book, “Misconceptions”.  The couple who already had a set of twins as a result of a successful IVF recounts a story about their experience including the …

Embryo Co-Culture To Improve Pregnancy Success

David Kreiner, MD Assisted Reproductive Technologies, Co-culture of Embryos, Embryo Transfer, IVF, Treating Infertility 0 Comments

Successful IVF is dependent on many factors.  The quality of the egg and embryo, the placement of the embryo into the uterus and the environment surrounding implantation are all paramount to the ultimate goal of creating a pregnancy that leads to a live baby. Typically, patients present with their own gametes so the genetics and pregnancy potential of the eggs …

A Better Way To Screen Embryos For Genetic Defects: ACGH

David Kreiner, MD Age Related Infertility, Assisted Reproductive Technologies, Fertility Screening, IVF, PGD 1 Comment

Pre-embryo genetic screening (PGS) was developed to help weed out embryos containing inherited metabolic disorders and genetic abnormalities prior to implantation. It was thought that PGS could be used to minimize the risk of miscarriage and perhaps even increase live birth rates in older women IVF undergoing . We have thus far been disappointed in our results obtained using the …

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 …