At Reproductive Crossroads….

Dr. Kreiner Assisted Reproductive Technologies, Causes of Infertility, Fertility Testing, FSH, IVF, Male Infertility, Treating Infertility 0 Comments

Last week a patient presented to my office with a question that made me feel like I was responding to a Dear Abbey letter requesting help to make some crucial life decisions that were related to her reproductive health.  As I pondered her query that I had heard so many times before I wondered how terribly nerve racking it must …

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 …

Trying to Conceive with Clomid Therapy

David Kreiner, MD Clomid 2 Comments

It has become commonplace for women who have been frustrated with repeated unsuccessful attempts to conceive naturally on their own to see their gynecologist who often times will try clomid therapy on them. Clomid, the traditional brand name for clomiphene citrate, is a competitive inhibitor of estrogen. It stimulates the pituitary gland to produce follicle stimulating hormone (FSH) which in …

Is My Biological Clock Running Out?

David Kreiner, MD Age Related Infertility, Fertility Screening, FSH, IVF, Micro IVF 0 Comments

Tears start to course down the cheeks of my patient, her immediate response to the message I just conveyed to her. Minutes before, with great angst anticipating the depressing effect my words will have on her, I proceeded to explain how her FSH was slightly elevated and her antral follicle count was a disappointing 3-6 follicles. I was careful to …

Fertility and the MIND & BODY connection

David Kreiner, MD FSH, Infertility Information, Mind-Body Fertility Connection, Stress Relief 0 Comments

by: Bina Benisch, M.S., R.N. At East Coast Fertility, we understand the emotional aspect that accompanies infertility, and we believe it is equally important to support our patients emotionally as well as physically. It is important to understand fertility holistically. In addition to treating the various physical etiologies of infertility, we must take into account the effects of stress and …

Co-Culture of Embryos Offered at East Coast Fertility

David Kreiner, MD Co-culture of Embryos, FSH, Infertility Information, IVF 4 Comments

In the past 30 years great strides have been made in the field of in vitro fertilization (IVF). The use of ovulation induction to recruit multiple eggs increased the IVF success rate in the late 1970’s. The addition of FSH and a GnRH agonist (such as Lupron) to the stimulation protocol  increased success rates even more. Ultrasound-guided retrievals made the …