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 …

Drs. Howard and Georgeanna Jones, the Pioneers of IVF in the USA

David Kreiner, MD Dave Kreiner, MD, Dr. Howard and Georgeanna Jones, The Jones Institute for Reproductive Medicine 0 Comments

In 1987, I completed my Reproductive Endocrinology and Infertility fellowship under  Drs. Howard W. Jones Jr. and his wife Georgeanna Seegar Jones, the two pioneers of in-vitro fertilization in the USA and the entire western hemisphere. This picture was taken at their house on the Elizabeth River in Norfolk during one of the bimonthly journal clubs.  It was routine for …

East Coast Fertility Leads the Way in Saving Healthcare System $1 Billion

David Kreiner, MD Saving Healthcare System $1 Billion 0 Comments

Dr. David Kreiner of East Coast Fertility is using his conscience and his expertise to provide solutions in the fertility industry. He is the first in the country to offer an In-Vitro Fertilization (IVF) package using Single Embryo Transfers (SET) at one set price to patients, while still providing high quality care. It can save the healthcare industry $1 Billion. …

How to Make Single Embryo Transfer a Reality

David Kreiner, MD Single Embryo Transfer 0 Comments

It’s been so long since you first dreamed about having a baby. If you’re like many fertility patients, by now you’ve had a few thoughts that an adorable set of twins might be challenging — but a fun relief after all of your waiting! The sobering truth: multiple pregnancies — even with ‘just’ twins — are sometimes dangerous to the …

Why “The Wyden Bill” Does Not Support Infertility Patients

David Kreiner, MD Regulation of IVF 0 Comments

Patients often seek my help, desperate to try In-Vitro Fertilization (IVF) after having a previous cycle cancelled at an outside clinic. These patients stimulated with fewer follicles and therefore due to their lower pregnancy expectations were not allowed to proceed. We presented our data on IVF performed on patients with 3 or fewer follicles at the American Society for Reproductive …

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 …

What Are My Odds?

David Kreiner, MD Age Related Infertility, Assisted Reproductive Technologies, Co-culture of Embryos, Embryo Glue, Infertility Information 1 Comment

One of the first questions that most people ask is “what is the chance for success?”  In 2002 about 28% of cycles in the United States in which women underwent IVF and embryo transfer with their own eggs resulted in the live birth of at least one infant. This rate has been improving slowly but steadily over the years.  Patients …

Co-Culture of Embryos Offered at East Coast Fertility

David Kreiner, MD Co-culture of Embryos, FSH, Infertility Information, IVF 5 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 …