Do Financial Discussions Have A Place In The Fertility Consultation With The Doctor?

David Kreiner, MD Assisted Reproductive Technologies, IVF, Micro IVF, Treating Infertility 1 Comment

One of the most distressing things I face in practice is when I get negative feedback from a referring physician.  Fortunately, it happens rarely but recently I was shocked about the complaint.  Apparently, his patient was offended that I discussed the finances involved with her treatment.  Her Ob Gyn agreed with her that it was inappropriate for me to discuss …

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 …

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 …

Sperm Meets Egg – Why Doesn’t It Work Every Time?

David Kreiner, MD Male Infertility, Mind-Body Fertility Connection 1 Comment

Why me? My wife never had an infection, surgery or any other problem? I have no difficulty ejaculating and there’s plenty to work with so why can my friends, neighbors and coworkers get pregnant and we can’t? I hear these questions daily and appreciate the frustrations, anger and stress felt by my patients expressing these feelings through such questions. There …

Through My Eyes: A Historical Perspective of the Birth of IVF

David Kreiner, MD Assisted Reproductive Technologies, Dave Kreiner, MD, Dr. Howard and Georgeanna Jones, Journey To The Crib Video Series, Pamela Madsen, The Jones Institute for Reproductive Medicine 0 Comments

Journey To The Crib – Ep. 3 – Giving Birth To IVF at the Jones Institute on Vimeo. My first day of fellowship training in Reproductive Endocrinology at the Jones Institute was the day the Institute moved from the old quarters at the medical school to their new location at Hoffheimer Hall.  Movers carried boxes laden heavy with text books …

MicroIVF, a Better Alternative to Intrauterine Insemination

David Kreiner, MD Infertility Information, IVF, Micro IVF 0 Comments

MicroIVF, also known as MiniIVF and minimal stimulation is an IVF procedure whereby a patient’s ovaries are stimulated with oral medications (clomid) usually with a minimal amount of injectable gonadotropins. The process then proceeds in identical fashion to conventional IVF with egg retrieval, fertilization, embryo culture and ultrasound guided embryo transfer. This new protocol cuts down on costs and diminishes …

MiniIVF

David Kreiner, MD Infertility Information, IVF, Micro IVF 0 Comments

MiniIVF, also known as MicroIVF and minimal stimulation is an IVF procedure utilizing oral medications with or without minimal use of injectable gonadotropins when going through In Vitro fertilization. The process then proceeds in similar fashion to conventional IVF with egg retrieval, fertilization, embryo culture and embryo transfer. This new protocol is said to not only cut down on costs, …