Hydrosalpinx

David Kreiner, MD Causes of Infertility, Hydrosalpinx 0 Comments

A hydrosalpinx is a fallopian tube that is blocked at its distal end on the opposite side from the entrance to the uterine cavity. It may be diagnosed by a hysterosalpingogram or in severe cases by pelvic ultrasound. The hydrosalpinx is filled with inflammatory fluid and is most likely the end result of a pelvic infection. This inflammatory fluid can …

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 …

Is This Stress Making Me Look Fat?

David Kreiner, MD Stress Relief 0 Comments

I’m racing a 40 foot sailboat in 25 to 30 NNW winds yesterday out of Manhasset Bay. Gear was breaking, sails ripping, we broached twice….nearly did a “death roll” (when the boat gets knocked down and the tip of the mast nearly hits the water). A competitor had a man overboard; the USCG and NCPD were involved with another boat …

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 …

Medications for IVF Treatment

David Kreiner, MD Dave Kreiner, MD, Infertility Information, IVF, Micro IVF 1 Comment

• The success of IVF largely depends on growing multiple eggs at once • Injections of the natural hormones FSH and/or LH (gonadotropins) that are normally involved in ovulation every month are used for this purpose • Additional medications are used to prevent premature ovulation • An overly vigorous ovarian response can occur, or conversely an inadequate response Medications may …