SBP0008498

Avoiding IVF Disasters: Are Your Embryos in Safe Hands?

Dr. David Kreiner Assisted Reproductive Technologies, Embryo Transfer, Infertility Information, IVF, Laboratory, Treating Infertility 0 Comments

Practicing medicine for the past 30 years, I have developed an enormous respect for those things that happen to people that are beyond our control.  Sometimes, the issue of preventability is a gray one and defies definitive blame assignment.  Yet, when the dust settles there remain victims who are harmed for whom we are all sympathetic.  It is for this …

Egg Freezing: Could You One Day Be Your Own Egg Donor?

Dr. Kreiner Age Related Infertility, Assisted Reproductive Technologies, Egg Donation, Egg Freezing, Fertility Screening, Infertility Information, IVF, Secondary Infertility, Treating Infertility 0 Comments

We are approaching a time that freezing eggs will be a standard option for an IVF program much like Embryo freezing is today.  Despite the fact that hundreds of babies have been born apparently without an increase in defects or abnormalities, the American Society for Reproductive Medicine (ASRM) has proclaimed that Egg freezing is still considered experimental. This is not …

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 …

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 …

Embryo Mix Up – Can We Prevent Them?

David Kreiner, MD Cryopreservation 0 Comments

Father Thomas Berg, Executive Director of the Westchester Institute for Ethics and the Human Person, said the recent case of a woman implanted with an embryo from another couple was the sort of “tragic mistake” that can happen” in “the unregulated world of IVF.” I agree that mixing up gametes and embryos is tragic and society must do everything humanly …

In Vitro Fertilization and Embryo Culture

David Kreiner, MD Co-culture of Embryos, IVF 0 Comments

• Sperm and eggs are placed together in specialized conditions (culture media, controlled temperature, humidity and light) in hopes of fertilization • Culture medium is designed to permit normal fertilization and early embryo development, but the content of the medium is not standardized. • Embryo development in the lab helps distinguish embryos with more potential from those with less or …

A Dozen Embryos!?$#… Who will stop this madness?

David Kreiner, MD Cryopreservation, High order Multiple Births, Octomom, SART, Single Embryo Transfer 2 Comments

Just when I thought it was safe to go back to my office at East Coast Fertility, a little over 5 months post Octomom, I was confronted once again with shocking news. This time it was a record breaking 12 embryos implanted. Eight is alarming and wrong, a dozen just five months later makes me wonder how such a horrific …