IVF Fertility Journey Description IVF https://ivfflorida.com/news-resources/blog-fertility-journey/ Mon, 27 March 2017 00:00:00 Mon, 27 March 2017 00:00:00 March is National Endometriosis Awareness Month Dr. Daniel Christie IVF FLORIDA https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2017/mar/march-is-national-endometriosis-awareness-month/ The month of March marks National Endometriosis Awareness Month and provides a great opportunity to raise awareness about a disorder that affects 1 out of 10 women during their reproductive years (ages 15 to 49) and an estimated 176 million women worldwide.  In the United States alone, over 5 million women suffer from endometriosis and is the most common amongst women in their 30s and 40s.  Here we take a closer look at this chronic disorder and one of the biggest contributors to infertility today. What is Endometriosis?  Endometriosis is a disorder in which the endometrium, the tissue that lines the uterus, grows outside of the uterus.  When a woman suffers from endometriosis, it is most commonly found on the ovaries, fallopian tubes, ligaments that support the uterus, the area between the vagina and the rectum, the outer surface of the uterus, and the lining of the pelvic cavity.  Other less common sites for endometrial growth include the bladder, bowel, vagina, cervix, vulva, in abdominal scars.  Common Symptoms of Endometriosis Include: Pain before, during, or after menstrual periods Painful bowel movements and urination during periods Pain during or after sex Lower back, abdominal, or pelvic pain Infertility Fatigue Frequent yeast infections Gastrointestinal upsets, i.e. diarrhea, constipation, nausea Causes, Diagnosis, &amp; Treatment While there is no known cause for endometriosis, there are several factors that may be associated with the disorder such as genetics, starting menstruation at a young age, and exposure to environmental toxins like the chemical dioxin (TCCD).  Another theory believed to cause endometriosis is retrograde menstruation in which during menstruation, the menstrual tissue backs up through the fallopian, implants in the uterus, and grows.     Some women with endometriosis experience frequent and severe pain, an obvious indication that there is a problem.  On the other hand, some women have little to no symptoms and learn they have the disorder while trying unsuccessfully to get pregnant.  Endometriosis is one of the top three conditions associated with female infertility and about 30 to 40 percent of women with the condition cannot get pregnant on their own.  Diagnosis is typically considered uncertain until proven by a laparoscopy, a minor surgical procedure done under anesthesia that shows the size and location of the endometriosis.   It is one of the most common treatments to remove endometrial tissue, especially for women trying to conceive.  During this procedure, a surgeon will insert a camera through a small incision near the navel.  Should any endometriosis be present, the surgeon will attempt to remove all endometrial tissue through another small incision.  If the laparoscopy proves to be ineffective, further treatment options may need to be considered such as in vitro fertilization (IVF) or other assisted reproductive technologies (ART).  Daniel R. Christie, M.D., is author of this blog and subspecialty certified in Reproductive Endocrinology and Infertility.  He is based out of the IVF Miami office and highly skilled in the areas of assisted reproductive technologies (ART), in vitro fertilization (IVF), and hormone replacement therapy (HRT).  To schedule a consultation with Dr. Christie, please request an appointment at one of our IVF Florida locations.  Resources: www.endometriosis.org, http://www.mayoclinic.org/diseases-conditions/endometriosis/home/ovc-20236421, http://www.endometriosisassn.org/endo.html https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2017/mar/march-is-national-endometriosis-awareness-month/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2017/mar/march-is-national-endometriosis-awareness-month/ Mon, 27 March 2017 00:00:00 This February Celebrate American Heart Month IVF FLORIDA https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2017/feb/this-february-celebrate-american-heart-month/ Aw, sweet, romantic February, a month where we take time to celebrate matters of the heart with roses, candlelight and heart-shaped boxes of chocolate. So it should come as no surprise that the American Heart Association chose February for matters of the heart, too – albeit literal cardiac matters – designating February "American Heart Month." And remembering to focus on your own heart health during your fertility journey – and not just February – is also just as important. With heart disease as the leading cause of death for American men and women, it’s critical to take charge of your health and adopt new, heart-healthy practices that can not only help reduce your risk of heart disease and stroke, but can also help to ready your body to sustain a healthy pregnancy and family. So as you focus on your fertility, you should also (re-) commit yourself to a heart-healthy lifestyle and to making the small changes that will help lay the foundation for a lifetime of health. Here are few ways to achieve heart-focused preconception health: Diet: Nutrition is vital to your health, and the healthier you are, the healthier your pregnancy could be. Be sure to include lean proteins, low glycemic index carbohydrates, and healthy fats. You can also include some prenatal supplements – with the guidance of your health care provider – to make sure you’re getting all the nutrients you need. Sleep: Adequate amounts of rest revitalize us and help maintain the natural rhythm of menstrual cycles and hormone levels. Moreover, studies have linked poor sleep quality to an increased risk of high blood pressure, a potential cause of heart disease. Exercise: Start – or continue – exercising. With the help and guidance of your health care provider, determine if you want to lose or gain weight, build muscle, or improve lung capacity. Yoga is an excellent choice as it’s a calming, centering exercise, and because it incorporates posture, breathing and concentration, it can also prove beneficial during labor. When we’re trying to conceive, we narrow our focus and train all of our attention on our fertility and any subsequent issues. Our minds become highly attuned as we try to make the best possible decisions for ourselves and the life we so long to conceive. So this month, make the commitment to nurture yourself from the inside out by taking small, actionable heart-healthy steps that will yield big results one day soon! https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2017/feb/this-february-celebrate-american-heart-month/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2017/feb/this-february-celebrate-american-heart-month/ Tue, 21 February 2017 00:00:00 Fertility Superfoods Dr. Barrionuevo IVF FLORIDA https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2017/feb/fertility-superfoods/ If one of your New Year’s resolutions was to conceive this year, IVF FLORIDA’s Dr. Barrionuevo can help!  Below he shares a list of superfoods that could boost your fertility. While we all know that diet and exercise help keep our bodies healthy, and healthy bodies are essential for achieving pregnancy, did you know that there are some foods that could help boost your fertility? Add some (or all) of these to your diet this year to potentially improve your changes: Flax seeds contain Omega 3 and 6, which help balance hormones. Add this to a fruit smoothie, or your morning bowl of cereal or oatmeal. Dark leafy greens contain folic acid, which can prevent birth defects and help keep eggs and sperm healthy. Add these to your salads or sandwiches. Carrots have beta-carotene, which studies suggest could increase sperm motility. Iron-rich foods. Women lose their iron reserves every month during menstruation, but iron is vital for ovulation and keeping eggs healthy. Try adding pumpkin seeds or oysters to your diet for an iron boost. Vitamin C not only helps you absorb iron, it can regulate the menstrual cycle for women and increase sperm count for men. Add kiwi and bell peppers to your diet if you don’t want to take a supplement. On the other hand, there are some foods that you should consider omitting from your diet for optimal fertility. Trans fats can raise your LDL cholesterol and lower your HDL cholesterol, which could affect ovulation. Caffeine is a debated topic when it comes to its affects on fertility. Some believe that a lot of caffeine can interfere with implantation in the uterus, so it is best to limit your caffeinated beverage intake if possible, just to be on the safe side. If you have adopted a healthy diet and still have trouble getting pregnant after six months of trying, please schedule a fertility consultation at IVF FLORIDA in Coral Gables, Pembroke Pines, Margate, Boca Raton, Wellington, Jupiter or Port St. Lucie. Sources: http://www.cbsnews.com/htdocs/pdf/082708_fert.pdf and http://www.nutritionsecrets.com/fertility-boosting-superfoods/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2017/feb/fertility-superfoods/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2017/feb/fertility-superfoods/ Thu, 02 February 2017 00:00:00 Quiz: How to Best Relieve Stress IVF FLORIDA https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2017/jan/quiz-how-to-best-relieve-stress/ We all know that for ultimate fertility we should stress less – but how? Enjoy this fun &amp; informative quiz to help uncover your unique ultimate chilling technique. https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2017/jan/quiz-how-to-best-relieve-stress/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2017/jan/quiz-how-to-best-relieve-stress/ Mon, 16 January 2017 00:00:00 What I’ve Learned As A Fertility Doctor Dr. Gene Manko https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2017/jan/what-i-ve-learned-from-working-with-infertility-patients/ The emotional and complicated journey infertility patients embark on can be one filled with great accomplishments and success but could also be filled with disappointment, tremendous stress and loss of self-image and failure.  The IVF FLORIDA medical team that helps guide and encourage patients along their pathway can be very instrumental both in their achievements and support during the more difficult challenges.  As a fertility physician for 42 years, I have learned a lot. 1. The necessity of open communication between the patient and their partner (or support team), as well as between the patient and the medical team. 2. Encouragement and love from family and friends are essential to weather the storms that may lie ahead. 3. Fertility is a team sport and all those involved in patient care should be acutely aware of the sensitivities and emotional stresses these patients are dealing with on a daily basis. 4. The medical team has a unique opportunity to "be in the trenches" with their patients and not only help them through the process but also to teach various coping skills. 5. It is important that all staff involved interacts in a positive way with patients, from the front staff to the physicians. 6. The fertility specialists should not only provide good care and current information to patients, but also individualize the experience.  At times, I remind myself that this is their journey and we are here to help as much as possible. 7. It is a challenge for patients, their partners, and the medical team to navigate through the infertility work up and diagnosis, the various treatment options, and certainly the successes and failures of this emotional roller coaster. Although we know not everyone will be successful in achieving their dream, we can help by being there to share in their joy, their disappointment, to encourage and in some cases to help with closure.  In other words, the IVF FLORIDA reproductive experts are their support and encouragement while being treated for infertility. Gene F. Manko, MD IVF Florida Reproductive Associates https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2017/jan/what-i-ve-learned-from-working-with-infertility-patients/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2017/jan/what-i-ve-learned-from-working-with-infertility-patients/ Mon, 16 January 2017 00:00:00 Tell Your Infertility Journey, Or Keep It Quiet? IVF FLORIDA https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2016/dec/tell-your-infertility-journey-or-keep-it-quiet/ The holidays are always a wonderful time to get together with family and friends and a great opportunity to catch up on the latest and greatest in everyone’s lives.  But what happens this year when it’s your turn to share and you are in the middle of a struggle with trying to get pregnant?  Do you pour your heart out and tell the story of your infertility journey or do you prefer to keep this personal matter private? There are a lot of variables to consider before you decide to tell or not to tell.  First, it depends on your personality.  Are you typically an open book or the silent type?  It depends on your audience.  Will they be understanding or are you scared they will be judgmental?  Most important, it also depends on how you expect to feel after you say something.  Will you be relieved to share your story or regretful that you shared too much?  If you decide to tell, the holidays could actually be a great time for a “therapy session” with your close friends and family.  You may even find that someone else has gone through a similar situation and could offer valuable advice from a place of experience or become an important part of your support system.   If nothing else comes out of it, at least people will stop asking the annoying question, “When are you going to start a family?”  If you decide not to tell, there’s an argument for that as well.  This is especially the case if you’re not one who typically opens up about personal matters or feels funny about divulging such personal information at a party or family dinner. If the right moment and the right audience presents itself, then fine.  If it doesn’t, then that is okay too.  There’s no need for the added stress of feeling like you have to share everything.  You and your partner may even decide to take a break from all things infertility until after the first of the year.  This would give you both a much needed break and a chance to relax and refocus.  Whether you decide to tell or not, you and your partner should agree on the final decision.  It won’t go over well if one of you opens up when the other wanted to keep it quiet.  The last thing you need is to be arguing over the holidays, especially when it’s a time to relax and be merry! From all of us at IVF FLORIDA, we wish you a very happy holiday season! https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2016/dec/tell-your-infertility-journey-or-keep-it-quiet/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2016/dec/tell-your-infertility-journey-or-keep-it-quiet/ Thu, 22 December 2016 00:00:00 Progesterone: The Most Misunderstood Hormone Dr. Wayne Maxson IVF FLORIDA https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2016/dec/progesterone-the-most-misunderstood-hormone/ Progesterone levels have been measurable in the blood since the 1970s.  This test is now easily and inexpensively run, with results often available on the day of blood draw. Progesterone serves a number of functions in the body.  For this hormone to produce an effect it needs to bind to a receptor within a cell.  Therefore, certain body cells with no progesterone receptors will not be impacted by this hormone. Progesterone in the uterus will change a lining (primed by estrogen) to prepare it to accept an embryo for implantation and pregnancy. Without progesterone the uterus has an extremely difficult time supporting a pregnancy.  Very old studies showed that the removal of the ovary that is making progesterone early in pregnancy, results in a miscarriage.  Replacing progesterone prevented that loss. Because of its importance in pregnancy, treatment of a "low" progesterone has excited our expectations for a long time.  Unfortunately, many of these hopes have proven unrealistic and/or unproven. MEASURING PROGESTERONE IN THE SECOND HALF OF THE MENSTRUAL CYCLE (LUTEAL PHASE). A progesterone level of less than 1 ng/mL is generally felt to be associated with lack of evidence of ovulation.  This level, however, does not indicate a progesterone "deficiency," as this low level is perfectly normal during the first 2 weeks of the menstrual cycle and again just prior to the initiation of the period. After a surge of a hormone called LH (that induces ovulation), the small cyst in the ovary (the follicle that holds the egg) then begins producing progesterone to support the pregnancy that the uterus is innocently expecting every month. Progesterone levels rise and peak about 1 week after ovulation (i.e., 1 week before the next menstrual period if pregnancy does not occur). Unfortunately, measuring progesterone in the luteal phase is highly variable, as the day on which the progesterone is drawn may not always be at the time of peak production (7 days prior to the next menstrual period).  In addition, progesterone is released in pulses.  One study during the midluteal phase (second half of the menstrual cycle) showed values ranging from 5 to 35 ng/mL in a single day.  It is no wonder that there is no such thing as a "normal" progesterone in the luteal phase.  We use this hormone measurement simply to tell us whether an LH surge has occurred and whether the ovary has responded to this surge. PROGESTERONE TO SUPPORT PREGNANCY. A second major misconception involves the use of progesterone to support pregnancy. We physicians are often as or more confused than our patients.  In a study that evaluated physicians' self-reported practices in 2016, progesterone was given by many doctors for a wide range of proven or presumed defects of ovulation and infertility.  For example, 70% of doctors gave progesterone for prevention of miscarriage and 24% of physicians "always" used progesterone in patients who were receiving medicines (clomiphene or letrozole) to induce ovulation.  Despite the frequency of prescription writing, it has been difficult to scientifically justify these practices.  In an excellent report in the New England Journal of Medicine this past year, progesterone supplementation was found to be ineffective in preventing miscarriages.  It has also long been known that giving progesterone after a pregnancy test is positive does not alter the subsequent miscarriage rate. THEN WHY DO SO MANY PHYSICIANS PRESCRIBE PROGESTERONE FOR WOMEN WITH THREATENED MISCARRIAGES? The answer is complicated.  The first reason is that an abnormal pregnancy will often be associated with a low progesterone.  The reason is not that the ovary is unable to produce progesterone but that the pregnancy itself (that is, the placenta) is not asking the ovary to produce higher progesterone levels when the pregnancy is failing.  It is therefore no wonder that adding progesterone is of no benefit, as we are treating the messenger and not the actual cause of the problem. Nonetheless, both patients and physicians focus on the actual level of progesterone, and both are desperate to do something that might help support their pregnancy. WHERE IS PROGESTERONE HELPFUL? Progesterone may be of some use in patients with a very short second half of the cycle.  However, we will often treat this condition (called "short luteal phase") by helping ovulation start out correctly in the first place. Progesterone also may help in patients with uterine abnormalities, such as uterine septation or a bicornuate (double) uterus.  Later in pregnancy, progesterone is used to reduce preterm birth in women with either a history of preterm births or women with a short cervix an ultrasound scan after 18 weeks gestation. Progesterone is given in virtually all in vitro fertilization (IVF) cycles prior to implantation and continued into early pregnancy. If you have been unsuccessful in conceiving, schedule an appointment with Dr. Maxson at one of our convenient South Florida infertility clinic locations. https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2016/dec/progesterone-the-most-misunderstood-hormone/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2016/dec/progesterone-the-most-misunderstood-hormone/ Wed, 14 December 2016 00:00:00 Keeping Nutrition in Check During the Holidays IVF FLORIDA https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2016/dec/keeping-nutrition-in-check-during-the-holidays/ Tis the season for good tidings and all things festive, and unfortunately, it’s also a time for serious overindulgence – alcohol, sweet treats, and all those delicious, irresistible small party bites where portion control goes completely out the window.  This holiday season, try your hardest to keep your nutrition in check, especially if you are trying to conceive (this goes for the guys too!).  Here’s why…. Why You Need to Maintain a Healthy Weight Being overweight puts the cardiovascular system in overdrive, promotes pre-diabetic and diabetic states, increases cholesterol, and causes abnormalities in hormone levels in both men and women that can have a negative effect on eggs and sperm. What You Can Do to Stay Healthy Do not skip meals but rather eat smaller meals more frequently throughout the day. Include a balanced diet of lean proteins, low glycemic index (GI) carbohydrates, and healthy fats. Eat protein at every meal (i.e. lean cuts of meat, fish, nuts, beans, dairy products, etc.) Stick to a low glycemic diet that will have a limited effect on raising blood sugar. This includes foods such as vegetables, most fruits (watermelon, bananas, and grapes have a higher GI range), oatmeal, peas, carrots, skim milk, and beans. Avoid high GI foods such as white bread, white potatoes, and sugared sodas.  (Keeping a low glycemic diet is especially important for women effected with PCOS who are already prone to making high levels of insulin.  This is because high level glycemic foods allow large swings in blood sugar, which in turn allow sustained elevations in insulin.  Insulin acts as a growth factor in the ovary and releases male hormones, thus lowering chances to conceive.)  Stop the bad habits!  This means giving up smoking and minimizing alcohol intake.  Exercise more frequently.  This is especially true for men as it can help sperm production.  Men should stop taking male hormone enhancing drugs which routinely decreases sperm production.  While it’s certainly a challenge during the holidays, maintaining a healthy lifestyle can have a positive impact on fertility in both men and women, especially those effected with PCOS.  For more information on fertility treatment options or to schedule a consultation at IVF FLORIDA, please give us a call at (866) 770-2168. https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2016/dec/keeping-nutrition-in-check-during-the-holidays/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2016/dec/keeping-nutrition-in-check-during-the-holidays/ Mon, 05 December 2016 00:00:00 Timing of Ovulation: Apps Versus Urine Testing Dr. Wayne Maxson IVF FLORIDA https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2016/dec/timing-of-ovulation-apps-versus-urine-testing/ Ovulation timing has been practiced for many years, either as a form of contraception to avoid the fertile days of the month or to help increase the possibility of pregnancy.  It is now known that the egg is most healthy for less than 24 hours, while sperm can function for many days.  Some methods of estimating ovulation, based on a rise of basal body temperature in the second half of the menstrual cycle after ovulation or observation of increased mucus amount and thinness just prior to ovulation, are now mostly of historical interest.  Although some of my patients still try to use these very natural methods, they can miss the day of ovulation by four or more days. The recent grafting of cell phones into our lives has blossomed over 1000 apps that purport to help in ovulation timing.  At the same time, urine testing for LH has become a more accurate and less expensive option, utilizing kits that are widely available through pharmacies, grocery stores, and online. Which of these are most useful?Smartphone apps. How smart are these apps really?  Basically, the app averages the length of each menstrual cycle and estimates that ovulation occurs about 14, plus or minus 2, days before the subsequent period.  Thus, a woman with a 26 to 30 day cycle will be presumed "fertile" from cycle days 10 to 18(counting the first day of menstrual flow as the first day of the cycle). Advantages of using smartphone apps for tracking ovulation: Easy recall of menstrual periods, intercourse, and other symptom dates. Avoidance of urine tests, ultrasounds, and blood draws. More natural. Disadvantages of using smartphone apps for tracking ovulation:  No pinpoint accuracy, just educated guessing. A recent article by Moglia et al (Obstet Gynecol 2016:127:1153-s60) evaluated 1116 apps.  After limiting those that cost money, were not in English, or did not track the cycle, 108 remained.  Of these, their investigation deemed 20 both accurate and free of charge.  As noted in their article, the apps felt "most reliable" were: Clue, Day After, FemCal Lite, Fertility Cycle, The Flow, Free Girl Cal, Glow, Groove, iPeriod Period Tracker Free, It's a Girl Thing, Lily, LoveCycles Menstrual, Ovulation and Period Tracker, Menstrual Calendar, Menstruation and Ovulation (now known as "Menstrual Period Tracker"), Mom and Baby to Be, MonthPal (now known as "Touchable Period Tracker"), Period Tracker, GP Apps, Period Tracker, Free Menstrual Calendar, Pink Pad Period and Fertility Tracker Pro. This list should not imply an endorsement, as I have not personally reviewed or used any of these.  The list is provided to help you as you research the 1000-plus options available to you to find the one that works best for you. Because the urine testing apps just produce an estimate, more sophisticated tests are available to time ovulation. The LH surge can now be accurately measured in urine.  Physiologically, the pituitary gland releases a large amount of LH when the brain is primed with sufficient estrogen from the ovary.  In this way, the follicle (egg sac) in the ovary actually controls egg release by signaling the brain when it feels it is mature enough for ovulation to occur.  A massive amount of LH is produced, and ovulation (egg release) occurs within 36 to 40 hours after the initiation of the LH surge.  When we measures LH in the urine, we are not necessarily picking up the onset of the surge but its first detectability.  It has therefore been found that egg release generally occurs within 12 to 24 hours after the LH surge is first detected in urine.  Many kits are available for this use.  My preference is the simplest kit that just measures the LH surge.  Some people prefer a kit that provides a single "yes", such as those with a “smiley face”, while others like to get a kit with two lines, one representing the positive control and one representing the patient’s actual urine result. Several tips on the use of the urine ovulation predictor tests: We prefer to have our patient check her urine the evening, beginning abut four days before an expected positive.  If the couple is seeking a baby, they then should have intercourse twice after the positive surge is detected in the urine, for example that night and the next night.  These are the two "business days" of the month.  Intercourse the remainder of the month should be for fun, as it will not affect the chances of being pregnant that month. Reasons for a negative result on the LH surge kit: Actual absence of LH, as is seen in patients who are not ovulating. Malfunction of the kit. Positive but inadequate LH surge. Mistiming (for example, too early or too late). Urine too diluted (therefore limit water intake) An easy way to see if ovulation has likely occurred when no LH predictor test is seen is to measure a serum progesterone level one week later.  Any value over 3 ng/ml is likely consistent with ovulation. False positives:  There are also a number of false-positive LH surge tests that must be remembered, and your physician can help you in interpreting these. Menopause. Polycystic ovarian syndrome. Pregnancy. Testing the urine immediately after taking clomiphene. Testing the urine immediately after a GnRH agonist injection (for example, Lupron). If you are unsuccessful in achieving pregnancy after one year of trying, consider seeing a fertility specialist at IVF FLORIDA for professional help. https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2016/dec/timing-of-ovulation-apps-versus-urine-testing/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2016/dec/timing-of-ovulation-apps-versus-urine-testing/ Mon, 05 December 2016 00:00:00 IVF Florida Reproductive Associates Now Providing Infertility Care in Coral Gables, Florida IVF FLORIDA https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2016/nov/ivf-florida-now-providing-infertility-care-in-coral-gables/ November 2, 2016, (Coral Gables, FL) - IVF Florida Reproductive Associates is proud to announce the opening of its 7th office in Coral Gables, Florida. IVF FLORIDA, celebrating its 30-year Anniversary of helping patients achieve their dreams of parenthood, now offers convenient access with locations throughout south Florida, ranging from Coral Gables to as far north as Port St. Lucie. The newest office in Coral Gables, FL, will provide comprehensive diagnostic and treatment options for female and male infertility at 126 Aragon Avenue near Miracle Mile and Ponce de Leon Blvd. "Due to the response in demand for IVF Florida Reproductive Associates fertility services in Miami, we’ve located our newest office in the heart of Coral Gables, steps away from Miracle Mile, to provide another convenient IVF FLORIDA location for our patients.  We are very excited to provide the Miami and Coral Gables communities with the experience and success we've achieved for over 30 years throughout south Florida," says Dr. Marcelo Barrionuevo.  “We are happy to have IVF Florida Reproductive Associates here in Coral Gables, they will nicely complement our other fine medical offerings,” says Mayor Jim Cason. IVF FLORIDA strives to make fertility treatment accessible and affordable to more people by offering highly specialized and personalized fertility care and exclusive financial programs that are only offered by IVF Florida Reproductive Associates. Patients may now schedule an appointment for the Coral Gables office or any of the other locations throughout south Florida, by calling IVF Florida Reproductive Associates at 866-770-2168. About IVF Florida Reproductive Associates IVF Florida Reproductive Associates is the leader in providing fertility services in Florida and has been providing individualized compassionate fertility care since 1986. IVF FLORIDA’s physician panel consists of fellowship trained, and subspecialty certified reproductive endocrinology and infertility specialists, committed to helping patients identify and overcome obstacles in becoming pregnant. The superior skill and combined experience make IVF FLORIDA the premier source for fertility treatment in Florida. Providing fertility services in Coral Gables, Pembroke Pines, Margate, Boca Raton, Wellington, Jupiter and Port St. Lucie, IVF Florida Reproductive Associates is the state’s largest infertility and reproductive practice, treating close to 3,000 patients each year. For additional information, visit www.ivfflorida.com https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2016/nov/ivf-florida-now-providing-infertility-care-in-coral-gables/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2016/nov/ivf-florida-now-providing-infertility-care-in-coral-gables/ Wed, 02 November 2016 00:00:00 National Breast Cancer Awareness Month: Egg Freezing & Fertility Preservation Options Prior to Cancer Treatments IVF FLORIDA https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2016/oct/fertility-preservation-options-prior-to-cancer-treatments/ October is National Breast Cancer Awareness Month and a great opportunity to bring awareness to the disease and an emphasis on the importance of early detection.  Check out the statistics below… Breast cancer is the most commonly diagnosed cancer in women and is the second leading cause of death among women. One in eight women in the U.S. will be diagnosed with breast cancer in her lifetime.  On average, a woman is diagnosed with breast cancer every two minutes, and every thirteen minutes, one women will die.  Each year, an estimated 246,660 women will be diagnosed with breast cancer and more than 40,000 will die.  Although rare, each year an estimated 2,600 men will be diagnosed with breast cancer and 440 will die. Today, there are over 2.8 million breast cancer survivors alive in the U.S.  The 5-year survival rate is 98% when detected early (at the localized stage). No woman should fight breast cancer alone, and every woman should be aware of the risk factors, symptoms, and steps to early detection, as well as the available options when facing cancer treatments.   One of the main concerns for women with breast cancer, especially for women who are of reproductive age, is whether or not she will be able conceive after cancer treatments.  Both chemotherapy and radiation can often damage sperm or eggs, leaving many patients infertile.  Fortunately, egg freezing and fertility preservation are options that give women hope and the ability to conceive a child even after going through harsh cancer treatments.  At IVF FLORIDA, we are compassionate to the struggle women face when going through cancer treatments, especially when their fertility may be impacted.  That is why we offer expedited care at a discounted rate for egg or embryo freezing prior to cancer treatments.  For more information on these procedures, please contact us at (866) 770-2168.  For information on how you can participate in National Breast Cancer Awareness Month, please click here. https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2016/oct/fertility-preservation-options-prior-to-cancer-treatments/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2016/oct/fertility-preservation-options-prior-to-cancer-treatments/ Mon, 24 October 2016 00:00:00 Dr David Hoffman Answers Common Questions About the Flu Vaccine Dr. David Hoffman https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2016/oct/dr-david-hoffman-ivf-florida-flu-vaccine-and-fertility/ Trying to conceive? South Florida’s reproductive specialist, Dr. David Hoffman, answers some common questions on how to best navigate the season of sniffles. Q: Is it a good idea to get the flu vaccine while undergoing fertility treatment? A: It is important for all individuals to get the flu vaccine as the benefit of the vaccine in reducing the risk of getting the flu far outweighs the risk of the vaccine. This is especially important to couples that are undergoing fertility treatment as getting the flu during treatment might result in cancellation of the cycle, adversely affect the sperm and/or delay embryo transfer. Q:What are the different types of flu vaccines available? Is there one that is a better choice for those trying to conceive?   A: There are 2 types of vaccines that are available. The first is injectable and utilizes killed virus from strains that are expected to be the predominant strain for that year. This enables you immune system to make antibodies against the virus to reduce your likelihood of getting the flu. The injection is given either in the muscle which is the preferred route or under the skin - subcutaneous. This vaccine is also recommended for pregnant women as well. The other vaccine is given in the nose by a spray (intranasal). This vaccine utilizes attenuated live virus (actual flu virus that is grown in culture to significantly reduce the risk of infection) and also enables your immune system to make antibodies against the virus to reduce your likelihood of getting the flu. This vaccine is not recommended for pregnant women, but is given to young children. The injectable vaccine usually causes soreness at the site of injection and will not give you the flu. It is important when getting the injectable vaccine to answer several questions to reduce allergic reactions or see if you would be better to receive the intranasal preparation. Some individuals that receive the intranasal get mild flu-like symptoms that can be treated with Tylenol and rest. Q: For those undergoing IVF who do come down with the flu, what are the possible complications?      A: Getting the flu can be very serious with lost days from work, possible hospitalization and a very small percentage of individuals can get Guillain-Barré syndrome which can result in paralysis (source: http://www.ninds.nih.gov/disorders/gbs/detail_gbs.htm). The flu virus still results in many deaths worldwide. If you contract the flu, you can be treated with antiviral medications provided it is within the first 48 hours. These medications reduce the duration and severity of the illness. Speak with your healthcare provider. Q:Is it necessary to get the vaccine if you got it last year? A: Even if you have received the vaccine the previous year it is important to get the vaccine every year as immunity does not last longer that the flu season (approximately 9 months) and the strains vary from year to year. Now is the time to take action and get the vaccine. We, as healthcare providers get the vaccine every year and encourage all of our staff and patients to do so as well. For more information on the flu vaccine and fertility or to schedule an appointment with one of the fertility experts at IVF FLORIDA call 866-770-2168 or click here. https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2016/oct/dr-david-hoffman-ivf-florida-flu-vaccine-and-fertility/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2016/oct/dr-david-hoffman-ivf-florida-flu-vaccine-and-fertility/ Thu, 13 October 2016 00:00:00 Dr. Ory Discusses Oocyte Freezing Dr. Steven Ory https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2016/aug/dr-ory-discusses-oocyte-freezing/ So you definitely want to be a mother someday, but you are in your 30’s and you are not ready to have a baby now. You are concerned about your fertility potential and you may have friends or relatives who are dealing with infertility and others who are considering oocyte cryopreservation (egg freezing). How do you decide if this is the right choice for you? You are not alone. Generation X and Millennials are delaying child bearing to a greater extent than any generation in American history for a variety of reasons. While this decision is ideal for many aspects of their lives, it can make having a baby later more challenging because fertility potential in women declines with age. This is because women are born with all the eggs they will have and they lose a few thousand eggs each month up until menopause. Furthermore, the good eggs with the right genetic makeup are expended first and the chance of becoming pregnant decreases over time for all women as a result of the decline in egg quantity and quality. Science has not figured out a way to arrest or slow down this process but it is possible to collect eggs from a woman with good fertility potential and save them for use at a time when she might have less potential to conceive. Egg freezing is a relatively new technology but it seems to be safe and effective particularly for younger women with a good number of eggs remaining. Who are the best candidates for egg freezing? Women under the age of 35 in good general health What are the advantages? It may allow women who otherwise may not have an opportunity to have a baby to conceive at an age of their choosing Peace of mind What is the downside? Limited amount of information about long term success rates and safety Less successful than overall IVF Experience and success rates vary significantly among clinics due to complexity of process IVF FLORIDA has been an industry leader in oocyte cryopreservation and has had a successful program for six years – a long time for a new technology. We would be delighted to meet you and review your situation and the opportunities that our fertility preservation program offers. https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2016/aug/dr-ory-discusses-oocyte-freezing/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2016/aug/dr-ory-discusses-oocyte-freezing/ Fri, 19 August 2016 00:00:00 Fertility Preservation: Elective Egg Freezing IVF FLORIDA https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2016/july/fertility-preservation-elective-egg-freezing/ You never know where life is going to take you, or perhaps the road you’re currently traveling doesn’t include the immediate desire to start a family, at least not quite yet.  Whatever the reason, more and more women are choosing to stop the biological clock and are opting for elective fertility preservation – a process that freezes eggs in order to have children later in life. As women age, the quantity and quality of eggs decline each year – dramatically declining after the age of 35 and leaving only a 5% chance of conceiving by the age of 40.  With egg freezing, a woman can serve as her own egg donor when she is ready to conceive later in life.  Reasons for Fertility Preservation: Medical reasons, including cancer treatment *According to the American Society of Clinical Oncology in the Journal of Oncology Practice, “Oncologists should address the possibility of infertility with patients treated during their reproductive years.  Fertility preservation is often possible, but to serve the full range of options, fertility preservation approaches should be considered as early as possible during (cancer) treatment planning.” The desire to start a family later in life Personal reasons that delay child bearing To avoid freezing surplus embryos after an IVF cycle At IVF FLORIDA, fertility preservation has never been easier with our Egg Freezing Fertility Preservation package.  The first step of the process starts with a physician consultation that includes an in-depth discussion of the patient’s needs and expectations, as well as a detailed description of the procedure.  Once the patient decides to move forward, blood tests and a pelvic ultrasound are performed to assess the number of eggs in the ovaries.  The next step is ovarian stimulation - a two-week process that involves fertility hormone injections (gonadotropins) in order to produce more mature eggs than a typical cycle.  The physician will then determine the exact time to retrieve the eggs which soon after will be frozen and stored.  When a woman decides to attempt a pregnancy, the eggs are thawed, fertilized, and transferred into the uterus.  For more information on elective fertility preservation at IVF FLORIDA, please give us a call today!  Resources: http://jop.ascopubs.org/content/2/3/143.full, http://uscfertility.org/egg-freezing/, http://ivf.org/fertility-preservation/elective-fertility-preservation/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2016/july/fertility-preservation-elective-egg-freezing/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2016/july/fertility-preservation-elective-egg-freezing/ Thu, 14 July 2016 00:00:00 Men’s Health Month: A Closer Look at Male Infertility IVF FLORIDA https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2016/june/men-s-health-month-a-closer-look-at-male-infertility/ June is Men’s Health Month and is celebrated across the country to bring awareness of preventable health problems and encourage early detection and treatment of disease among men.  This month gives us a great opportunity to spotlight a condition that affects millions of men around the world and one of the toughest challenges a man can face - male infertility.  In about 20% of infertile couples, the man is the sole cause of the inability to conceive, and in another 30%-40%, he is the contributing factor.  This is why it is crucial for men to get tested for fertility as well as women.  By discovering male fertility issues early, the better the chances of nixing the problem sooner and achieving a successful pregnancy with their partner.   Most often, male infertility can be attributed to issues with making or moving the sperm.  However, even everyday activities can cause problems.  See below… Causes for low sperm count or abnormal sperm: Varicocele – an abnormal collection of bulging veins above the testicle (Good news! This condition accounts for 38% of male infertility cases and is the most correctable issue.) Undescended testicle Infections in the testicle, the prostate, or elsewhere in the body Chemotherapy or cancer Medicines such as anabolic steroids or anti-seizure medicines Genetic abnormalities Hormone problems Causes for sperm mobility issues: Retrograde ejaculation – semen ejaculates backwards into the bladder instead of out the penis Absence of the vas deferens (the main sperm pipeline) Obstruction anywhere in between the testicles and the penis Anti-sperm antibodies that attack a man’s own sperm on their way to the egg Daily activities that can affect the viability of sperm: Drinking more than 2 drinks per day Tobacco or marijuana use Hot baths and whirlpools Stress Taking testosterone or any over-the-counter androgen like DHEA While this information can be hard to swallow for men suffering from infertility, there is good news.  Most of these conditions can be reversed, HOWEVER, it is critical to have an evaluation by a physician and a treatment plan in place to achieve a successful pregnancy with your partner.  For information on male fertility testing at our South Florida clinics or to schedule a consultation, please give us a call today! Resources: http://www.menshealthmonth.org/, http://www.webmd.com/men/features/male-infertility-treatments?page=1, http://www.webmd.com/infertility-and-reproduction/guide/male-fertility-tests https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2016/june/men-s-health-month-a-closer-look-at-male-infertility/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2016/june/men-s-health-month-a-closer-look-at-male-infertility/ Thu, 16 June 2016 00:00:00 10 Tips to Boost Your Mental Health IVF FLORIDA https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2016/may/10-tips-to-boost-your-mental-health/ Since 1949, the month of May has been observed as Mental Health Awareness Month and an opportunity to educate millions of people about mental health through the media, local events, and screenings.  As part of the “big picture” when dealing with fertility issues and treatments, mental health is just as important as your physical health.  So as we head into summer, check out these ten tips that can help boost your mental well-being. Start your day with a cup of coffee.  Studies show that coffee consumption is linked to lower rates of depression, but remember to stick to just one cup. If coffee isn’t your morning drink of choice, try a cup of tea instead.  Even the non-caffeinated stuff can do the trick.  Plan a vacation.  Did you know that when you have something to look forward to, it can boost your overall happiness for up to 8 weeks?  Go ahead, and book that vacation you’ve been daydreaming about! Get creative.  Experiment with a bunch of new recipes, start a DIY project at home, paint or even just color in a coloring book.  When your creative juices are flowing, your mind is focused and you tend to be in an overall happier place.  Laugh a little.  Laughter is a great way to ease anxiety, so hang with a friend that makes you laugh, see a funny move, read a silly book, or watch funny videos online.  We all have our own quirky sense of humor, so do whatever makes you smile. Dance!  Hit your favorite dance club or simply dance around the house while you do your housework.  Dancing reduces levels of cortisol (the stress hormone) and increases endorphins (the body’s feel-good chemicals).  Take a bath.  Give yourself the gift of a relaxing, warm bath at least once a week.  Add some Epsom salt to soothe aches and pains which in turn will boost magnesium levels and help with depression.  Incorporate omega-3 fatty acids into your diet.  Among their many benefits, omega-3’s have been linked to decreased rates of depression.  Fish oil supplements work, but you can also try adding foods like wild salmon, flax seeds, or walnuts into your diet.  Practice forgiveness.  Put the road rage aside and forgive the guy who totally cut you off.  Studies show that people who forgive have better mental health and are more satisfied with their lives. Go outside for a walk.  Whether it’s a stroll through the neighborhood or a walk in the park, research shows that being outside can increase energy levels, reduce depression, and boost your well-being.  Smile!  When you’re down, the hardest thing to do is smile.  We totally get it.  But keep this in mind, smiling can help lower your heart rate, calm you down, and help you have that all important positive mindset. If you would like more information about IVF FLORIDA fertility centers, please give us a call for more information or to schedule a free consultation.   Resource: http://www.mentalhealthamerica.net/31-tips-boost-your-mental-health https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2016/may/10-tips-to-boost-your-mental-health/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2016/may/10-tips-to-boost-your-mental-health/ Tue, 31 May 2016 00:00:00 April 24 - 30 is National Infertility Awareness Week! IVF FLORIDA https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2016/apr/national-infertility-awareness-week-2016/ April 24 is the beginning of National Infertility Awareness Week and throughout the week you will see us promoting infertility awareness through social media and at our South Florida fertility clinics.  The goal of NIAW is to bring awareness to a disease that affects over 7 million women worldwide.  NIAW is a great opportunity for anyone affected with infertility to communicate a message of hope and understanding. Check out the facts below… Infertility impacts 1 in 8 couples of reproductive ages. One third of infertility issues are considered “unexplained” infertility. One third of infertility issues are attributed to males. Women between the ages of 20-24 have an 86% chance of conceiving after trying a year. As women age, this percentage gradually falls. Between the ages of 40 – 44, the chances decrease to 36%. At IVF FLORIDA, our fertility clinics are showing our support with our #HaveAHeart campaign. This campaign is marked by the color orange (red = love, yellow=happiness), which has represented infertility since ancient times. During NIAW, don’t be surprised if you see touches of orange throughout our offices and even new shirts worn by our staff – a reminder to of our ongoing support system. To learn more about National Infertility Awareness Week and to see how you too can become a part of the NIAW movement, click here. If you are struggling with infertility please contact us to schedule an appointment at one of our South Florida fertility clinics today. https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2016/apr/national-infertility-awareness-week-2016/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2016/apr/national-infertility-awareness-week-2016/ Tue, 26 April 2016 00:00:00 What does being Overweight/ Obese have to do with Reproduction? Carolina Sueldo, M.D. https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/dec/what-does-being-overweight-have-to-do-with-reproduction/ In the United States, almost 2/3 of women and 3/4 of men are overweight or obese. Obesity increases the risks of several medical conditions such as high blood pressure, high cholesterol, diabetes, cardiovascular disease (CVD), sleep apnea, and respiratory problems, ultimately elevating the rate of all-cause mortality. In addition, obesity has several adverse effects on reproduction: Menstrual Cycle Irregularities (As well as a lower chance of conception within 1 year of stopping contraception compared to normal weight women) Ovulatory Dysfunction (BMI &gt;27 women have 3 fold increased risk of anovulation) Altered Endometrial Function Obesity and Male Infertility (Not all obese men have infertility, but those who do have decreased semen quality, impaired erectile dysfunction, and elevated scrotal temperatures.) Altered Ovarian Responsiveness and Oocyte Quality (Higher doses of fertility medications required) Increased Risk of Miscarriage (Well established increased risk for miscarriage in obese women) Maternal-Fetal Environment (Strong association with pregnancy complications such as: diabetes of pregnancy, hypertension of pregnancy, preterm delivery, stillbirth, and cesarean section. Infants are at increased risk as well, such as developmental defects and early neonatal death.) Categories of adult obesity are based upon body mass index (BMI). Follow the link to calculate your BMI. http://www.nhlbi.nih.gov/health/educational/lose_wt/BMI/bmicalc.htm Category BMI (kg/m2) Underweight Less than 18.5 Normal 18.5 – 24.9 Overweight 25.0 – 29.9 Obesity, Grade I 30.0 – 34.9 Obesity, Grade II 35.0 – 39.9 Obesity, Grade III ≥40 Always remember to talk to your IVF FLORIDA Doctor about any questions or concerns you may have, and for more information online, check out ASRM’s website for patients: http://www.reproductivefacts.org/FACTSHEET_Weight_and_Fertility/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/dec/what-does-being-overweight-have-to-do-with-reproduction/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/dec/what-does-being-overweight-have-to-do-with-reproduction/ Fri, 18 December 2015 00:00:00 Coping with Infertility During the Holidays IVF FLORIDA https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/dec/coping-with-infertility-during-the-holidays/ The holiday season is upon us, but for some it won’t be as joyous due to an infertility diagnosis. The fertility doctors at IVF FLORIDA understand how difficult it is to attend parties and family functions, all while dealing with infertility. Below, we share tips to help you cope during this season. If there is a holiday event that you know will have people present that may ask questions about growing your family, etc., feel free to decline the invitation. If you feel obliged, make a quick appearance and attempt to avoid those who will make you feel uncomfortable. Have an answer prepared if someone asks about your plans for expanding your family. If you feel comfortable, you can let them know the situation, but it’s not necessary. Before the holidays, you and your partner should discuss what you will tell others, even if it’s a generic response. Make plans with your friends without kids if it is too painful to see children or pregnant women. Take a vacation away from the family functions if you simply can’t bare it. Volunteer in the community. This makes many people feel grateful for what they have. Either spend some time at soup kitchens or a retirement center. Don’t feel guilty about getting emotional. Whether at home or still at an event, take a breather away from everyone in the restroom to calm yourself down. Talk to someone. If you don’t feel you can talk to family or friends, call the RESOLVE helpline. If you are struggling with infertility, our state of the art fertility center, IVF FLORIDA can help! Request an appointment today to expand your family in time for the next holiday season. https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/dec/coping-with-infertility-during-the-holidays/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/dec/coping-with-infertility-during-the-holidays/ Fri, 04 December 2015 00:00:00 Smoking and Infertility IVF FLORIDA https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/nov/smoking-and-infertility/ Struggling with infertility? Smoking could be a contributing cause to your troubles. IVF FLORIDA shares some facts about smoking and reproductive issues. https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/nov/smoking-and-infertility/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/nov/smoking-and-infertility/ Wed, 25 November 2015 00:00:00 Fertility Preservation for Cancer Patients IVF FLORIDA https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/oct/fertility-preservation-for-cancer-patients/ In honor of breast cancer awareness month, the reproductive specialists at IVF FLORIDA want to assure patients that there is still hope for starting a family through fertility preservation. Once you have been diagnosed with cancer, it is important to seek out a fertility doctor as soon as possible to discuss your options. The most successful fertility preservation methods happen before the first round of chemotherapy or radiation. The amount and location of cancer plays a major role in how destructive it is to your fertility. But you should always consider fertility preservation methods in case you want to have a family down the road. IVF FLORIDA is South Florida’s premier fertility preservation clinic. Our experienced physicians offer egg and embryo freezing to keep your dreams of having a family possible. https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/oct/fertility-preservation-for-cancer-patients/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/oct/fertility-preservation-for-cancer-patients/ Tue, 27 October 2015 00:00:00 Diagnosis of an Abnormal Pregnancy <p><a href="/{localLink:2416}" title="Dr. Carolina M. Sueldo">Carolina M. Sueldo</a>, M.D., IVF FLORIDA Reproductive Associates</p> https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/oct/abnormal-pregnancy-dr-sueldo/ This is the moment you’ve wanted for such a long time…. You’re pregnant. But as the days pass: You are told that your “levels” are not rising appropriately, or You start having vaginal bleeding, or You start having pelvic cramping and/or sharp pains, Or all of the above. The diagnosis of an abnormal pregnancy can be a very scary and isolating thing for a woman / couple. It is hard enough getting to this point, it becomes extremely difficult to understand how an ectopic pregnancy or miscarriage may happen. What is an ectopic pregnancy? This is a pregnancy that is located outside of the uterus. The most common location is the Fallopian tubes. Because of potential tubal rupture with subsequent internal bleeding, it is extremely important that you follow up with your doctor if you are at risk of an ectopic pregnancy. What is a miscarriage? This is a pregnancy that is located inside the uterus. Unfortunately, the pregnancy does not implant/develop normally and typically presents with menses-like cramping and vaginal bleeding. Biochemical loss: Pregnancy hormone levels rise then fall, without evidence of a pregnancy seen by ultrasound. Clinical loss: Pregnancy hormone levels will rise and then fall, but there will be evidence of a pregnancy seen by ultrasound. Common findings may include: an empty sac inside the uterus or a sac with an embryo but no heartbeat. So what do you do? Always talk to your doctor and their team. They will provide information and discuss different treatment options with you to formulate a plan of care. “I don’t want to bother my doctor” or “It’s probably nothing” are not good thoughts. Always let your doctor and their team know about new or worsening symptoms. Do not blame yourself, or think that it’s something you did. According to the American College of Obstetricians and Gynecologists (ACOG), the frequency of clinically recognized early pregnancy loss ranges from  9-17% in women 20-30yo, up to 40% by age 40. Remember, you do not have to go through it alone. Reach out for support. Hope After Loss, www.hopeafterloss.org, is just one of the many resources available. For additional information visit www.IVFFlorida.com. https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/oct/abnormal-pregnancy-dr-sueldo/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/oct/abnormal-pregnancy-dr-sueldo/ Thu, 22 October 2015 00:00:00 Online Fertility Resources to Consider During Treatment <p><a href="/{localLink:2416}" title="Dr. Carolina M. Sueldo">Carolina M. Sueldo</a>, M.D., IVF FLORIDA Reproductive Associates</p> https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/oct/online-fertility-resources-to-consider-during-treatment/ When couples try to conceive and realize they may need help, the vast majority will turn to the Internet to learn more about what they are going through, many times even before seeing an infertility specialist.  With so much information at just the click of a button, it is extremely important that patients be provided with medically accurate online resources. First and foremost, never hesitate to speak with your physician.  The physicians at IVF FLORIDA are affiliated with The American Society of Reproductive Medicine (www.asrm.org).  ASRM provides the most up-to-date information in the care of infertility patients. ASRM also has a patient portal: www.reproductivefacts.org where couples can go to explore several different aspects related to their journey including educational videos, news headlines, and/or the latest research. They also work with a group called Resolve, www.resolve.org, to provide patients with the emotional support they may need during this difficult time. Finally, always remember that you are not alone. Your IVF FLORIDA physician and their team will be there for you with any questions you may have along the way. https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/oct/online-fertility-resources-to-consider-during-treatment/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/oct/online-fertility-resources-to-consider-during-treatment/ Thu, 08 October 2015 00:00:00 Could I Have PCOS? IVF FLORIDA https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/sept/could-i-have-pcos/ While only a doctor can diagnose PCOS, here are some common symptoms that you should bring up to your physician:  Irregular periods Rapid weight gain and/or difficulty losing weight Sleep apnea Anxiety and/or depression Pain in your pelvic region Difficulty conceiving after 12 months of trying Thinning hair Hair growth on body and/or face Lowered libido Feeling excessively stressed Multiple ovarian cysts High blood pressure, cholesterol and/or triglycerides Skin tags and/or darkening skin patches About 5-10% of women have Polycystic Ovary Syndrome but only about half actually get diagnosed. In honor of PCOS Awareness month, let your doctor know if you are experiencing any of the signs above to get treatment immediately. Women who are properly diagnosed and treated can go on to live healthy lives. Contact South Florida’s premier fertility specialists at IVF FLORIDA if you have trouble getting pregnant. https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/sept/could-i-have-pcos/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/sept/could-i-have-pcos/ Fri, 25 September 2015 00:00:00 Meet Our Newest Fertility Specialist IVF FLORIDA https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/sept/meet-our-newest-fertility-specialist/ IVF FLORIDA is proud to welcome our newest reproductive specialist, Dr. Marc Gualtieri. Dr. Gualtieri is now accepting infertility patients in our Wellington and Jupiter offices. He is board certified in Obstetrics and Gynecology and specializes in assisted reproductive technologies, such as embryo transfer and intrauterine insemination; he also is skilled at endoscopic and robotic surgeries. He’s especially interested in natural cycle IVF, diminished ovarian reserve, and fertility preservation. Dr. Gualtieri provides educational training of residents and medical students at the University of Miami. He is also nationally recognized for his work with stem cell technology and patients with diminished ovarian reserve. Learn more about the talented Dr. Gualtieri here. Schedule a fertility appointment today in one of our conveniently located offices! https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/sept/meet-our-newest-fertility-specialist/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/sept/meet-our-newest-fertility-specialist/ Tue, 15 September 2015 00:00:00 Egg Freezing Becoming Increasingly Popular IVF FLORIDA https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/aug/egg-freezing-becoming-increasingly-popular/ With the number of eggs (and their quality) decreasing as women age, egg freezing has become a popular option. Time recently studied egg freezing procedures for six months and discovered some interesting facts: 500 women chose to freeze their eggs in 2009; four years later, nearly 5000 women elected for the procedure. Egg freezing is particularly popular with professional-minded women. They likely want to focus on their careers when they are younger and delay starting a family. Doctors have found that their patients are showing more interest in egg freezing since companies like Apple and Facebook decided to cover the procedure as part of their health insurance. In 2012, a new “quick-freeze vitrification method” has improved success rates of babies being born from a frozen egg.  At IVF FLORIDA, our reproductive specialists understand the many reasons for wanting to freeze eggs, and have developed fertility preservation packages to meet your needs. Schedule an appointment at one of our South Florida fertility clinics to get started. https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/aug/egg-freezing-becoming-increasingly-popular/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/aug/egg-freezing-becoming-increasingly-popular/ Mon, 31 August 2015 00:00:00 Ten Things to Know about Infertility IVF FLORIDA https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/aug/ten-things-to-know-about-infertility/ Have questions about infertility? South Florida’s reproductive specialists at IVF FLORIDA share ten important facts about infertility. Approximately one in eight couples have difficulty getting pregnant or carrying a pregnancy full term. About one-third of infertile couples are undergoing male fertility treatments. While female infertility is the cause of another one-third of fertility cases. The final third is caused by both partners being infertile or unexplainable factors. Women over 35 are likely to be diagnosed with age-related infertility. Those younger than 35 are more likely to have a reproductive condition, such as PCOS. Both men and women who smoke have decreased fertility. You should seek treatment after trying for a full year without success. About 25% of women who suffer from infertility have irregular ovulation. And another 12% of infertile women are either over or under-weight. Learn more about infertility at IVF FLORIDA's site. And be sure to schedule an initial consultation with our South Florida reproductive specialists if you think these infertility issues may be affecting you. https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/aug/ten-things-to-know-about-infertility/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/aug/ten-things-to-know-about-infertility/ Wed, 19 August 2015 00:00:00 Get A Discounted Rate with Attain IVF Flex Plans IVF FLORIDA https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/july/get-a-discounted-rate-with-attain-ivf-flex-plans/ IVF FLORIDA is excited to offer Attain IVF Flex Plans that offer multiple IVF cycles for a discounted fee. The reality is that most women need multiple rounds of IVF in order to successfully conceive, but our South Florida reproductive specialists want to help you conceive, so we offer this program in case your financial burdens may prevent you from completing your treatment. If you have limited or no insurance, you may want to take advantage of this opportunity! We have a variety of options to meet your needs. The Core Plan gives patients two egg retrievals and transferring of embryos.  The Refund plan gives patients up to three egg retrievals and the transferring of embryos. With this plan, if treatment is unsuccessful, you will get 100% of your money back. If however, you plan on using donor eggs, choose our Attain IVF Flex Plan for Donor Egg Recipients. This option allows patients to pre-pay for their treatment plan that may include multiple IVF cycles, for a flat fee. This plan is also 100% refundable if unsuccessful. If you are interested in applying, be sure to schedule an initial consultation! If your doctor recommends IVF, just let your financial counselor know you are interested in the Attain IVF Flex Plans. https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/july/get-a-discounted-rate-with-attain-ivf-flex-plans/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/july/get-a-discounted-rate-with-attain-ivf-flex-plans/ Tue, 21 July 2015 00:00:00 Attain IVF Gives Patients Financial Options IVF FLORIDA https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/june/ivf-florida-proud-to-offer-attain-finance-options-to-patients/ Affording fertility treatment can be a concern for many patients. IVF FLORIDA Reproductive Associates is proud to offer our patients exclusive options through the Attain® IVF Flex Plans. IVF FLORIDA is the exclusive provider in South Florida for these plans that give patients multiple IVF cycles for a single, discounted fee. AT IVF FLORIDA we are committed to making IVF care as accessible as possible – including patients with limited or no insurance coverage for treatment.Hear from our physicians and two patients who have participated in the Attain Program to hear first hand how the program worked for them. How Does it Work? To see if you are eligible for Attain IVF, once your doctor recommends IVF we can submit an application on your behalf to verify which plan(s) you qualify for. Once the Attain IVF clinical team reviews your application, an Attain Customer Care Specialist will contact you directly to review your options and guide you through enrollment. There’s no cost to apply and no obligation to enroll.  All you need to do is tell your Financial Counselor you’re interested in Attain IVF and we’ll take it from there. Our goal is for you to know all of the options available to you so you can make the best possible decision.  About Attain IVF Attain IVF Flex Plans are administered by IntegraMed Fertility. Only select fertility centers throughout the United States are invited to offer their plans and IVF FLORIDA is the sole provider of Attain IVF Flex Plans in our region. Enrolling in an Attain IVF plan has absolutely no impact on your treatment plan. You will receive the same exact care, services and attention at our center. Attain IVF Flex Plans are designed solely to help control the costs associated with your treatment. To learn more about Attain IVF, click here to visit their website. https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/june/ivf-florida-proud-to-offer-attain-finance-options-to-patients/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/june/ivf-florida-proud-to-offer-attain-finance-options-to-patients/ Fri, 19 June 2015 00:00:00 Tips to Boost Fertility During Male Fertility Month IVF FLORIDA https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/june/tips-to-boost-fertility-during-male-fertility-month/ Did you know that approximately half of all infertile couples can’t conceive due to male infertility issues? In honor of June being Male Fertility Month, IVF FLORIDA wants to share the best ways to boost male fertility to help stack the odds in your favor. Maintain a healthy diet. Having a balanced diet improves your overall health. Also try lowering your alcohol intake as it can lower your testosterone levels. De-stress. Just like with women, being stressed out is not going to help you get your partner pregnant. Find ways to relax such as massage therapy, meditation, and yoga. Stay cool. Stay out of hot tubs and saunas because the excessive heat can lower your sperm count. Also try to keep laptops out of your lap for this reason. Exercise. Staying active keeps you healthy, but try to limit your time bicycling; it may cause testicles to overheat. See your doctor. Chemotherapy, steroids, and other drugs may inhibit sperm production, so talk to your doctor to see if you can switch to safer medications. Quit smoking. Smoking can lower sperm count, as well as being exposed to second hand smoke. Try to limit the use of lubricants. If you need a lubricant use Proceed which is safe for conception and was formulated by an REI. Avoid toxins and chemicals. Extended exposure to pesticides, lead, and radiation can lower sperm counts. Avoid testosterone/androgen therapy. Not good for fertility and sperm production. If you and your partner are ready to start a family, start adopting healthy lifestyle choices and you’ll be well on your way! If you have been unsuccessful for over a year, contact the reproductive specialists in Miami for a consultation. Source: http://www.mayoclinic.org/diseases-conditions/male-infertility/basics/definition/con-20033113 https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/june/tips-to-boost-fertility-during-male-fertility-month/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/june/tips-to-boost-fertility-during-male-fertility-month/ Fri, 12 June 2015 00:00:00 Ten Tips to Optimize Female Fertility IVF FLORIDA Staff https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/may/ten-tips-to-optimize-female-fertility/ In honor of Female Fertility Month, IVF FLORIDA has compiled the top ten tips to optimizing female fertility. Keep your BMI in the “normal” range. Being over or underweight can make getting pregnant more difficult. Check your current BMI with this calculator. Don’t drink when you are trying to conceive. Avoiding alcohol helps your overall health as well. Watch your caffeine intake. There isn’t a definitive rule about coffee, but some studies show that cutting back to one or two cups of caffeinated beverages helps women become pregnant faster. Know your most fertile days. Ovulation kits can be a good resource - try one, or track your basal body temperature to make sure ovulation is occurring each month. Try online assessments. Resolve has developed a tool to help you understand fertility and create a family building plan. Don’t stress out. Stress can throw off your cycle and affect your health. Meditation or exercise may assist in helping to maintain a healthy stress level. Get enough rest each night. Having erratic sleep and wake patterns will negatively affect your ability to get pregnant quickly. Don’t smoke. Smoking ages your ovaries, stacking the odds against you getting pregnant. Try to stay healthy. Did you know that being ill could throw off your cycle? Wash your hands before eating and around those who have colds or flus. Eat healthy.  In addition to having a well-balanced diet, you may also want to check with your doctor to see if you should add a multi vitamin or prenatal vitamin to your daily regime. Following these tips may help you conceive, but remember that one in 10 couples will need help from an infertility doctor. If you’ve been trying for over a year without success, contact IVF FLORIDA at one of our South Florida offices today. Sources: http://infertility.about.com/od/tryingtoconceive101/a/How-To-Get-Pregnant-Faster.htm http://www.resolve.org/about-infertility/optimizing-fertility/?referrer=https://www.google.com/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/may/ten-tips-to-optimize-female-fertility/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/may/ten-tips-to-optimize-female-fertility/ Wed, 20 May 2015 00:00:00 National Infertility Awareness Week Starts April 19 IVF FLORIDA https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/apr/national-infertility-awareness-week-starts-april-19/ “You are not alone.” It’s a simple message, but an important one for the many individuals struggling with infertility.  April 19 marks the start of National Infertility Awareness Week and RESOLVE, The National Infertility Association, has chosen these powerful words to help spread the message to the infertility community that they are not alone - that there is hope, help, and support when it’s needed most.      Infertility can affect anyone at any age, however there are often certain contributing factors.  See the statistics below… Infertility impacts 1 in 8 couples of reproductive age. Infertility affects 12% of women (that’s 7.4 million worldwide). One third of infertility issues are considered “unexplained” infertility.  One third of infertility issues are attributed to males. Up to 13% of female infertility is caused by cigarette smoking. The risk of miscarriage is much higher for women who smoke. Women between the ages of 20-24 have an 86% chance of conceiving after trying a year.  As women age, this percentage gradually falls.  Between the ages of 40 – 44, the chances decrease to 36%. You are not alone.  We can all do our part to help spread this powerful message during National Infertility Awareness Week and thereafter. Find a friend or be a friend to others battling infertility through local support groups. For information on how we can help at IVF Florida Reproductive Associates, please contact us.  We are here to answer any questions you may have and to help you through this journey. https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/apr/national-infertility-awareness-week-starts-april-19/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2015/apr/national-infertility-awareness-week-starts-april-19/ Fri, 10 April 2015 00:00:00 What Happened to My Eggs? A Brief Review of Premature Ovarian Insufficiency (POI) or Premature Ovarian Failure (POF) <a href="/{localLink:1172}" title="Dr. Wayne Maxson">Dr. Wayne Maxson</a> https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2014/nov/premature-ovarian-insufficiency-dr-wayne-maxson-ivf-florida/ A woman is born with a certain number of eggs and as far as we know she will not make any more eggs over the course of her life.  Each month the number of eggs decreases:  pregnant or not pregnant, with or without menstrual periods, on or off birth control pills.  Once the number of eggs drops critically low, no more menstrual periods will occur and the woman is said to have menopause.  Although the average age of menopause is 51, the fact is that 1/250 will go through menopause before age 35 and 1/100 before age 40.  The early onset of menopause before age 40 is called Premature Ovarian Insufficiency (POI). Although most women ovulate a single egg per month, some estimates suggest that she may lose between 100 and 1000 eggs during that same month.  The loss of eggs is therefore a normal, natural process that every woman faces.  There are no medical techniques known to help a woman keep up her egg count number.  In this battle, nature always wins.  The number of eggs that a woman has can be estimated with 3 medical tests. The first test, a pelvic ultrasound, can provide an "antral follicle count", basically a traffic report of how many little egg sacs have started to develop that menstrual cycle.  These egg sacs will compete with the largest one shutting down the brain hormones and eliminating the competition, thus resulting in usually a single ovulation. The second test is a blood test called anti-mullerian hormone (AMH).  This test measures the amount of hormone produced by the very small follicles (egg sacs) in the ovary.  The higher the AMH the more eggs are deemed to remain in the ovary and the further away menopause is felt to be. The third test measures a follicle-stimulating hormone level (FSH) on the second or third day of the menstrual cycle.  Coupled with an estradiol level, this gives some estimate of the woman's brain's impression of how many eggs remain. Evaluation of egg reserve at an earlier age, especially for women who have a family history of early menopause, may help in planning a reproductive future. https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2014/nov/premature-ovarian-insufficiency-dr-wayne-maxson-ivf-florida/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2014/nov/premature-ovarian-insufficiency-dr-wayne-maxson-ivf-florida/ Mon, 10 November 2014 00:00:00 Removal of Uterine Fibroids - What About the Old Fashioned Technique of Laparotomy? <a href="/{localLink:1172}" title="Dr. Wayne Maxson">Dr. Wayne Maxson</a> https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2014/oct/removal-of-uterine-fibroids-via-laparotomy/ A laparotomy is an incision in the abdominal wall, either at the bikini line as usually performed for cesarean sections or a midline incision from the belly button down. The utilization and placement of the incision is based on the surgeon's preoperative assessment of the best and safest route for successful completion of the operation. Traditionally, most fibroid tumors in the uterus are removed through one of these laparotomy incisions. Advantages: 1 - The ability to fully expose the uterus to maximize removal of fibroids. 2 - The ability for the surgeon to physically appreciate the uterus and feel fibroids that are deep under the surface, removing them as well. 3 - The ability to suture the uterus in multiple layers, creating the strongest closure possible and providing for a stronger uterus later, thus, potentially lowering the chance of the uterus splitting open during a pregnancy. Disadvantages: 1 - This approach does involve an abdominal scar which can be several inches or more in length and while these incisions usually heal very well, the scars are sometimes a cosmetic concern. 2 - Usually the laparotomy approach requires at least an overnight stay in the hospital. 3- Pain following a laparotomy is often more significant or requires more medication than the robotic approach. 4 - Some reports have shown greater blood loss with the laparotomy than with the robotic approach, but it is not clear whether these cases are more of an exception or a standard. 5 - The laparotomy approach uses sutures that dissolve rapidly and patients are able to try conceiving as early as 2 months after the procedure, whereas, with the robotic approach, the patient often needs to wait 4 to 6 months for the sutures to dissolve before attempting pregnancy. The bottom line is that the traditional approach to removing fibroids is tried and true.  However, for a woman with very discreet fibroids, that could be approached robotically, a laparotomy may not be necessary as long as the additional delay of pregnancy is acceptable.  The laparotomy approach is often superior to the robotic approach in the ability to dig out deeper fibroids which often cannot be visualized with the robot, as well as the fact that it can be accomplished more quickly in the operating room than the robotic surgery. Newer concerns have also arisen about the potential spread of fibroid tissue around the abdomen because these masses are typically ground up at the time of the robotic surgery.  This spread is much less likely with a laparotomy, as the fibroids are removed intact. It is important for you to talk to your doctor in detail about the pros and cons of each of these surgical options with special consideration for the number and depth of your fibroids and the long-term goals for your planned procedure. https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2014/oct/removal-of-uterine-fibroids-via-laparotomy/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2014/oct/removal-of-uterine-fibroids-via-laparotomy/ Fri, 03 October 2014 00:00:00 IVF Florida Reproductive Associates and Donor Egg Bank USA Hit 1,000 Embryo Transfer Milestone IVF FLORIDA Reproductive Associates https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2014/sep/ivf-florida-reproductive-associates-and-donor-egg-bank-usa-hit-1-000-embryo-transfer-milestone/ IVF Florida Reproductive Associates, the premiere fertility center in Florida, and Donor Egg Bank USA, the largest frozen donor egg bank in the United States, have reached the milestone of more than 1,000 embryo transfers completed. IVF Florida Reproductive Associates has partnered with Donor Egg Bank USA to provide frozen donor eggs as a treatment option for women who are unable to conceive using their own eggs. Donor eggs provide the highest pregnancy rates of any fertility treatment. After a frozen donor egg is fertilized with sperm, the resulting embryo is transferred to the patient’s uterus.  As a partner of Donor Egg Bank USA, IVF Florida Reproductive Associates offers local patients access to a national donor database. Pregnancy success rates of frozen donor eggs are nearly equal to that of fresh donor eggs. Of the 1,000 transfers at Donor Egg Bank USA, 59 percent of women became pregnant and 44 percent continue to carry a pregnancy or have delivered a baby.   Left over embryos not used in the original transfer increases a woman’s chances to achieve a live birth from a single egg lot to over 50 percent.  Donor Egg Bank USA is the only frozen donor egg bank that provides pregnancy outcome data for all locations and every transfer.  “Our mission is to help people become parents,” explains Dr. Hoffman of IVF Florida Reproductive Associates. “Frozen donor eggs are an important piece of the fertility treatment puzzle. This option can save patients time and money without compromising success.” “With donor egg offering the highest pregnancy rates of any fertility treatment, this is an important option for couples to have," says Heidi Hayes, CEO of Donor Egg Bank USA. "We’re honored to partner with IVF Florida Reproductive Associates to make this option available to local couples."  In addition to IVF Florida Reproductive Associates, Donor Egg Bank USA is partnered with 28 leading partner practices at 95 locations throughout the United States and Canada. While a traditional (fresh) donor egg IVF cycle can cost $25,000-$38,000, a frozen donor egg IVF cycle is half the cost. Couples can obtain frozen donor eggs immediately and complete an IVF cycle in as little as one to two months. With a (fresh) egg donor the entire process can range from four to nine months.  The national donor database offers a wide range of characteristics such as physical traits, ethnicity, education level and more. All donors in the database have completed their donation cycle and have frozen eggs ready for selection. Donor Egg Bank USA is the only frozen donor egg network to offer the 100% Assured Refund Plan™ Program which guarantees a full refund if a couple does not deliver a baby after six cycles. https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2014/sep/ivf-florida-reproductive-associates-and-donor-egg-bank-usa-hit-1-000-embryo-transfer-milestone/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2014/sep/ivf-florida-reproductive-associates-and-donor-egg-bank-usa-hit-1-000-embryo-transfer-milestone/ Tue, 23 September 2014 00:00:00 The Difference Between IUI and IVF <a href="/our-center/medical-team/dr-wayne-maxson/">Dr. Wayne Maxson</a> https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2014/sep/dr-wayne-maxson-difference-between-iui-and-ivf/ Common confusion results from the simple fact that IUI and IVF begin with the same letter "I." The processes are similar in that something is inserted in the uterine cavity. However, they differ markedly thereafter.IUI stands for “intrauterine insemination”. This is the placement of washed sperm through a small straw into the uterine cavity. This very small, soft tube is inserted through the vagina, past the cervix, and placed where the baby is supposed to grow. This procedure is excellent when there are no obvious problems in the woman and when the sperm count is moderately low.While it is true that only one sperm fertilizes an egg, it actually takes a whole gang of sperm with good movement (motility) to clean layers from around cells off the egg, so that a single sperm can attach to the egg shell and fertilize the egg.  Most sperm die in the vagina after intercourse, due to normal vaginal acidity.IUI is not beneficial if the fallopian tubes are blocked, if the sperm count is extremely low, or if there are significant problems with the sperm motility or quality.IUI has also been used in conjunction with medicines to augment ovulation. In couples with otherwise unexplained infertility, IUI is very helpful in some cases where some couples are so stressed that they are unable to have intercourse at the proper time of the menstrual cycle. IUI is also useful if the cervix is quite tight or if the cervix is lacking mucus (a slippery substance required to help the sperm swim safely from the vagina up into the uterine cavity).IVF, In vitro fertilization, is an entirely different process. Unlike IUI which requires natural egg release, this requires retrieving eggs from the ovary by passing a needle through the vagina and into the ovary. These eggs are then paired with sperm in the laboratory, leading to fertilization and hopefully, embryo development. Embryos are then transferred back into the uterine cavity with a small straw, just like in the process of IUI. IVF is an excellent procedure when the patient has problems safely picking up an egg (blocked tubes, pelvic adhesions, or endometriosis), when the sperm counts are low, or when infertility is otherwise unexplained. https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2014/sep/dr-wayne-maxson-difference-between-iui-and-ivf/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2014/sep/dr-wayne-maxson-difference-between-iui-and-ivf/ Thu, 11 September 2014 00:00:00 Understanding Unexplained Infertility <a href="/our-center/medical-team/dr-wayne-maxson/">Dr. Wayne Maxson</a> https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2014/sep/unexplained-infertility-dr-wayne-maxson/ Many couples will present with infertility (more than one year of unprotected intercourse without conception), initially, without any obvious reason. Truly unexplained infertility, when a full work-up has been completed, is actually quite rare and occurs in less than 5% of our patients.Often, a couple will be told they have "unexplained” infertility after the following three determinations: a semen analysis has shown normal looking sperm, a hysterosalpingogram has shown a normal appearing cavity and open fallopian tubes, and the patient has menstrual cycles that are regular. In more than 70% of these women, a problem inside the pelvis can be detected, which neither ultrasound scan or hysterosalpingogram x-rays can discern. The most common intra-abdominal problems causing infertility are endometriosis and pelvic adhesions (scar tissue). As these are usually invisible to standard diagnostic techniques, they require a surgical procedure (laparoscopy) to find and treat them. Only if the laparoscopy and the other studies are completely normal will the patient be determined to have truly unexplained infertility.Subtle reasons for infertility include absent or abnormal eggs, failure of egg release at the time of supposed ovulation, failure of the fallopian tube to pick up the eggs, failure of the sperm to fertilize the egg, or failure of a fertilized embryo to implant in the uterus. Unfortunately, these events are all microscopic and elude normal diagnostic techniques.In cases of truly unexplained infertility, in vitro fertilization (IVF) can bypass egg pick-up and sperm transportation, as well as bypass endometriosis and pelvic adhesions. Even with a diagnosis of truly unexplained infertility there is still a solution that could result in a successful pregnancy. https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2014/sep/unexplained-infertility-dr-wayne-maxson/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2014/sep/unexplained-infertility-dr-wayne-maxson/ Fri, 05 September 2014 00:00:00 Why Am I Going Through Early Menopause? <a href="/our-center/medical-team/dr-wayne-maxson/">Dr. Wayne Maxson</a> https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2014/aug/why-am-i-going-through-early-menopause/ A woman is born with a certain number of eggs and that number decreases as her age advances. While the average age of menopause is over 50, some women do go through menopause early. The frequency is estimated at 1 in 250 women under 35 and 1 in 100 women under 40. Although in most instances the reason for early menopause is unknown, there are a number of known causes such as: Missing or abnormal X chromosome Reaction of the body to the ovaries or the ovarian follicles (egg sacs), termed as autoimmune cause Chemotherapy or radiotherapy  There also may be specific, minute genetic defects that can lead to early loss of eggs, but these are still being investigated. It is important to diagnoses the condition of early menopause as soon as possible. Although there is usually no treatment, in some cases eggs can be retrieved and frozen in order to preserve future fertility. In addition, the loss of the ovarian hormone estrogen at an early age can cause poor health later in life, including a potential increase in heart disease and osteoporosis. Estrogen replacement may be very beneficial in younger women who have lost ovarian function. https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2014/aug/why-am-i-going-through-early-menopause/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2014/aug/why-am-i-going-through-early-menopause/ Fri, 29 August 2014 00:00:00 Fertility Quiz - When to See a Fertility Specialist IVF FLORIDA Fertility Staff https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2014/aug/fertility-answers-when-to-see-a-reproductive-endocrinologist/ Many people are often surprised at the time it takes to conceive once deciding to start a family. Sometimes it can take several months, leading to stress and concern that there may be a problem.  At IVF FLORIDA, we've created a list of common factors that can contribute to infertility. If you answer yes to any of the questions in our latest infographic, a reproductive endocrinologist may be able to help. There are many potential issues that may contribute to infertility and a reproductive specialist can review your condition and provide options for having a baby. To contact the specialists at IVF FLORIDA, click here. https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2014/aug/fertility-answers-when-to-see-a-reproductive-endocrinologist/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2014/aug/fertility-answers-when-to-see-a-reproductive-endocrinologist/ Tue, 19 August 2014 00:00:00 EmbryoScope Technology Now Available in Florida IVF FLORIDA Staff https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2014/apr/embryoscope-technology-now-available-in-florida/ The latest in cutting-edge technology, The EmbryoScope, is now available to couples seeking fertility treatment in Florida at IVF FLORIDA Reproductive Associates. The EmbryoScope is a sophisticated and noninvasive technique that frequently photographs a single embryo's development from unfertilized egg to the blastocyst stage over a 7 day period of time.  Comprised of an incubator, microscope and time-lapse camera embryo development is monitored from the time of conception, allowing fertility specialists to select the most viable embryos during in-vitro fertilization treatment. This technique allows for continual monitoring of the embryo's development without removing it from a perfectly controlled environment. Traditional embryo monitoring methods required fertility professionals to remove embryos from an incubator once a day to study development through a microscope. "We are now able to select embryos with unprecedented precision," explains Dr. Wayne Maxson of IVF FLORIDA Reproductive Associates. "This new technology may help patients achieve their family by keeping a close eye on the embryo." The EmbryoScope takes photos of each embryo every five to 20 minutes for the entire duration of the incubation period, allowing for comprehensive monitoring of embryo development. The data from each embryo's cell division and appearance are further analyzed by image analysis software, which also creates a unique time-lapse video for each embryo and allows embryologist to analyze hundreds of images compared to the current 2 images used to select embryos today. Abnormal embryo development can be detected without harming the embryo, allowing the most viable embryos to be selected during in-vitro fertilization. "The EmbryoScope provides a technique that is on the leading-edge of fertility technology and we are proud to offer this service to our patients, continuing IVF FLORIDA's mission of providing state-of-the-art procedures in the treatment of infertility," adds Dr. David Hoffman of IVF FLORIDA Reproductive Associates.   "This technology allows us to select embryos that may have a higher success of implanting &amp; enables the laboratory to implement a more successful single embryo transfer program," explains Kathy Miller, Scientific Director at IVF FLORIDA Reproductive Associates. "This technology can also be used with comprehensive chromosomal screening." The technology can prove particularly beneficial for couples who have done multiple IVF cycles or have experienced recurrent miscarriage. By watching the embryos develop, fertility professionals can also monitor abnormal cell splitting, potentially indicating an embryo with genetic abnormality. Data gathered from other centers have shown a 30-50% increase in pregnancy rates and lower multiple birth rate. There are currently an estimated 12 centers offering the EmbryoScope across the country, with IVF FLORIDA Reproductive Associates the first to offer this technology in the state of Florida. https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2014/apr/embryoscope-technology-now-available-in-florida/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2014/apr/embryoscope-technology-now-available-in-florida/ Wed, 30 April 2014 00:00:00 Learn More About Fertility Preservation During National Infertility Awareness Week 2014 IVF FLORIDA Fertility Staff https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2014/apr/learn-more-about-fertility-preservation-during-national-infertility-awareness-week-2014/ Knowledge and information are essential when dealing with fertility.  “It’s important to stay up-to-date on the latest technologies” states Dr. Marcelo Barrionuevo, a fertility specialist at IVF FLORIDA.  In honor  of National Infertility Awareness Week (NIAW), we at IVF FLORIDA, a leading south Florida fertility center, resolve to help you learn more about infertility and how we can help you start a family of your own. Did you know that men have a biological clock too?  Age has only recently become a risk factor associated with men as well as women.  The “biological clock” has long been a cautionary tale for women, and it was thought that men had no similar concern, but scientists are learning that in fact, they do.  Studies show that older men have increased risks in fathering children with birth defects and developmental disorders.  Since many women and couples are choosing to delay having a family (past the age range of 35-40), it is important to be well informed and know your options and solutions.  Often, women and couples do not know they have fertility problems until they try to become pregnant, but in some instances, it may be known ahead of time that their ability to reproduce is in jeopardy.  Whether you have been diagnosed with cancer or are just planning for later, the fertility specialists at IVF FLORIDA can help you explore treatment options.  One such solution is Fertility Preservation or Egg Freezing.  According to IVF FLORIDA fertility specialist, Dr. David Hoffman, egg freezing is “the new frontier in fertility treatment.”  The preservation process involves a relatively new technology called vitrification, a procedure where tissue is placed directly in liquid nitrogen and undergoes a flash freeze.  If you’d like to learn more about when to seek fertility treatment, take a moment to watch the video below.  Let IVF FLORIDA open the door to the possibilities for you or someone you love. https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2014/apr/learn-more-about-fertility-preservation-during-national-infertility-awareness-week-2014/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2014/apr/learn-more-about-fertility-preservation-during-national-infertility-awareness-week-2014/ Mon, 21 April 2014 00:00:00 IVF FLORIDA's Dr David Hoffman Discusses Latest Advances in Fertility Treatments <a href="/our-center/medical-team/dr-david-hoffman/">Dr. David Hoffman</a> https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2014/apr/ivf-floridas-dr-david-hoffman-discusses-latest-advances-in-fertility-treatments/ South Florida’s CBS4-Miami recently featured IVF FLORIDA in a story on the use of EmbryoScopes, a new incubator technology that dramatically improves the success of fertility treatment.  Fertility specialist Dr. David Hoffman talks about this “game-changing” technology that allows stronger embryos to be chosen, decreases the risk for multiples and provides new hope for couples struggling with infertility.  IVF FLORIDA is proud to be one of only 12 Fertility Centers nationwide and the only one in the state of Florida with EmbryoScope technology. VIEW THE VIDEO HERE https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2014/apr/ivf-floridas-dr-david-hoffman-discusses-latest-advances-in-fertility-treatments/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2014/apr/ivf-floridas-dr-david-hoffman-discusses-latest-advances-in-fertility-treatments/ Tue, 15 April 2014 00:00:00 Benefits of Using Donor Eggs in Fertility Treatment <a href="/our-center/medical-team/dr-david-hoffman/">Dr. David Hoffman</a> https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2014/march/benefits-of-using-donor-eggs-in-fertility-treatment/ Using donor eggs can often help couples struggling with infertility realize their dream of having a baby. By using an egg donor, women who have poor egg quality or a low ovarian reserve may find greater success in IVF treatments. The fertility specialists at IVF Florida have seen an increase in the use of donor eggs in recent years which has helped many couples start a family of their own. In the video blog Drs. David Hoffman and Marcello Barrionuevo, physician partners at IVF Florida, explain the benefits of using an egg donor.  Dr. David Hoffman's video transcript portion is provided below. "IVF Florida works with Donor Egg Bank USA to recruit volunteers, stimulate them, retrieve their eggs and freeze these eggs in batches so that they can be used for other couples who need eggs from a donor. All third party reproduction in the United States is regulated by the Food and Drug Administration. They are screened and tested for infectious diseases according to FDA guidelines. They are screened psychologically, for medical history, family history, genetics, and drugs according to the guidelines established by the American Society of Reproductive Medicine. It's going to make it a lot easier for couples because they don't have to wait for somebody to go through their cycle to be synchronized with them so that they can get the embryos back. In this case we just fertilize the eggs that are thawed and replace them in the recipient in an artificial cycle." https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2014/march/benefits-of-using-donor-eggs-in-fertility-treatment/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2014/march/benefits-of-using-donor-eggs-in-fertility-treatment/ Fri, 07 March 2014 00:00:00 What to Expect During an Egg Retrieval and Embryo Transfer <a href="/our-center/medical-team/dr-steven-ory/">Dr. Steven Ory</a> https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2014/feb/what-to-expect-during-an-egg-retrieval-and-embryo-transfer/ Often times the IVF cycle is preceded by a 3-week course of oral contraceptives.  Some literature has suggested that success rates are better following a 3-week course of ovarian suppression.  The stimulation always begins at the start of the cycle in which the eggs will be retrieved and usually is between the second and fourth days of the cycle.  Typically a patient undergoing fertility treatment will be given instructions for injections for 4 days and then instructed to return to assess the response which we determine with an ultrasound to measure the size of the growing follicles, the small cysts which contain the eggs, and the blood estrogen level which is the primary byproduct of the developing cycles.  Once we determine that the eggs are mature with the ultrasound measurements and estrogen levels, we use a different hormone to trigger ovulation.  The egg retrieval has to be precisely timed so that we can retrieve the eggs shortly before the ovaries would otherwise release them.  Once they are released into the pelvis it becomes much more difficult to recover the eggs and the usual time interval from the injection to the planned time of the retrieval is approximately 34 hours, but we do allow a few hours grace period.  The egg retrieval is done with IV sedation so you should be very comfortable through the procedure.  You may experience some pelvic discomfort for a day or so after the procedure.  Since it is surgery there are potential complications and these include bleeding, infection, damage to other organs, and problems with the anesthesia.  In practice, all of these complications are extremely rare. The eggs are removed using a vaginal ultrasound with a needle guide so that the ovary can be entered through the back wall of the vagina where it is very thin and the fluid within the follicles containing the eggs is then drawn through the needle, collected in a test tube, and given to the laboratory for identification of the eggs.  On the same day of the retrieval, the eggs will be fertilized either by adding a predetermined concentration of sperm to the dish containing the egg or by injecting a single sperm directly into the egg, ICSI (intracytoplasmic sperm injection). The following day we will be able to determine whether the eggs fertilized or not and they are then observed for 3 to 5 days after the egg retrieval.  Depending on how they are developing they may be transferred either 3 or 5 days after the retrieval.  The recommendations number of embryos to be transferred depends on the patient's age and for most women under the age of 35 we are recommending 1, no more than 2 embryos be transferred.  For women over the age of 39 we will transfer up to 5 embryos.  This reflects the higher proportion of abnormal embryos in older women and even though more embryos are transferred, the pregnancy rates and multiple pregnancy rates are lower in older women.  The most common reason an IVF cycle is unsuccessful is because the embryos produced have the wrong number of chromosomes to develop into a normal embryo. Additional information on both the egg retrieval and embryo transfer process can be found on the IVF FLORIDA website. For questions specific to your situation, please contact a fertility specialist. https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2014/feb/what-to-expect-during-an-egg-retrieval-and-embryo-transfer/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2014/feb/what-to-expect-during-an-egg-retrieval-and-embryo-transfer/ Fri, 28 February 2014 00:00:00 Egg Quality and Other Success Factors in Fertility Treatment <a href="/our-center/medical-team/dr-steven-ory/">Dr Steven J. Ory</a> https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2014/jan/egg-quality-and-other-success-factors-in-fertility-treatment/ So you are planning on an IVF cycle.  What can you expect?  IVF is the most successful infertility therapy available.  It is high tech and complex but at the heart of it involves uniting an egg and the sperm and ensuring that a normal-appearing embryo arrives in the uterine cavity.  Ultimately the success depends on the quality of the egg and sperm and the receptivity of the uterine cavity.  The most important IVF success factor by far is the egg quality and this is most influenced by the age of the woman providing the egg and her "ovarian reserve."  The ovarian reserve is a concept which reflects the remaining number of eggs.  While we cannot put a specific number on the number of eggs remaining, we can identify women who have significantly above average numbers of eggs and those that have significantly less than average.  In general the egg quality, i.e., the likelihood that the egg has the necessary 23 chromosomes to produce a healthy baby, follows quantity and most importantly decreases with maternal age. The ovarian reserve helps us estimate the chance of success and guides us in terms of the choice of drugs and dose to stimulate the ovaries to produce more than one egg. Prior to beginning an IVF cycle, you will have completed an evaluation to make sure that the uterine cavity is normal, to determine via the semen analysis the best way to fertilize the eggs, and to exclude any preexisting condition which may reduce the chance of IVF success or complicate a subsequent pregnancy. More detail on the steps involved in the IVF process, are detailed here. For questions specific to your situation, please contact a fertility specialist. NOTE: In Dr. Ory's next IVF FLORIDA blog post, egg retrieval and the embryo transfer process will be explored. https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2014/jan/egg-quality-and-other-success-factors-in-fertility-treatment/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2014/jan/egg-quality-and-other-success-factors-in-fertility-treatment/ Tue, 28 January 2014 00:00:00 Eat, Drink and Be Fertile? <a href="/our-center/medical-team/dr-daniel-christie/">Dr. Daniel Christie</a> https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2012/dec/eat-drink-and-be-fertile/ "The Holiday Season."  That single phrase likely conjures a mix of memories, emotions, sentiments, and anticipation.  For many of us, the holiday season is an opportunity to gather with friends and family and to share in traditions both old and new.  There are parties to attend, religious observances to be remembered, and shopping to be done.  And then there is the food (oh, the food!) foisted upon us from seemingly every conceivable direction.  My mouth still waters in thinking back to the Christmas dinner my wife prepared last year - beef tenderloin with whipped horseradish, spiced potatoes, green bean casserole, and pumpkin cheesecake for dessert.  I also recall, less fondly, my pants fitting a little bit tighter and the bathroom scale coldly confirming what I already knew to be true.  The New Year's resolution then invariably turns out to be some vague commitment to A) weight loss, B) exercise, C) better diet, or D) all of the above.     For couples dealing with issues of fertility, matters of weight and diet often take on an additional gravity.  When meeting with patients in my fertility clinic, one of the most common questions that I am asked is, "What kind of diet should we be on to improve our fertility?"  The answer to the basic concept of lifestyle change to improve fertility is nuanced and there is no "one size fits all" response to the question.  There does exist a clear relationship between weight and fertility.  Women who are either overweight or underweight can have an extended time to conception.  On average, it takes women with a body mass index (BMI) greater than 35 or less than 19 twice as long and four times as long, respectively, to conceive. (There are numerous online calculators to  etermine your own BMI - simply use the search term "BMI calculator" to find one.)  Obesity is closely associated with difficulty ovulating, poorer response to fertility treatments, and increased rates of miscarriage.  In men, obesity can be linked to a lower quantity and quality of sperm, lower testosterone levels, and an increased incidence of erectile dysfunction. A recent study from Harvard showed an improved response (more eggs retrieved) in IVF treatment in overweight and obese women who had a modest, short-term weight loss prior to initiating a cycle (Chavarro, et al. Fert Steril 2012).   Moreover, a normalization of body weight in women at the extremes of BMI has consistently been shown by multiple researchers to improve pregnancy rates and pregnancy outcomes.  While a healthy diet is generally recommended to patients for reasons both related and unrelated to fertility, many patients are unclear as to what constitutes a healthy diet.  Little evidence exists that dietary variants such as vegetarian diets, low-fat diets, antioxidants, or herbal supplements have a positive impact on fertility.  Studies have shown, however, that there may be a benefit to increasing slowly digested carbohydrates (fiber-rich carbs) over simple sugars.  In addition, reducing animal protein in favor of plant protein, using  unsaturated vegetable oils, drinking whole milk instead of skim (surprisingly),and staying hydrated with water instead of sugary soda can all help improve fertility based on observational data from the landmark Nurses' Health Study. Alcohol consumption does not have a clear association with fertility.  Studies looking at the effect of alcohol on fertility have shown conflicting results.  Both an increased and a decreased fertility rate with moderate alcohol consumption (up to 2 drinks per day) have been reported.  Still other studies have shown no effect.  A practical recommendation would be to limit alcohol consumption to less than two drinks per day while trying to conceive and most importantly, stop alcohol consumption altogether with pregnancy.  Caffeine, like alcohol, is probably best taken in moderation.  High caffeine intake (5 or more cups of coffee per day or 500 mg of caffeine) is associated with decreased fertility.  During pregnancy, there is evidence to suggest that 200 - 300 mg of caffeine per day (the equivalent of more than two cups of coffee) is linked to a higher miscarriage rate.  One to two cups of coffee per day or its equivalent while trying to conceive or during pregnancy does not appear to have an adverse effect. Finally, stop smoking.  Women who smoke enter menopause one to four years earlier on average than their non-smoking counterparts.  In addition, women who smoke are 60% more likely to be infertile than women who do not.  Lastly, smoking during pregnancy increases the chance of miscarriage.  The evidence regarding male fertility and smoking is less established. Taken in sum, the bottom line is to enjoy this holiday season with your friends and loved ones with moderation being the key.  And if you have that extra slice of grandma's pumpkin pie or one more flute of champagne, fear not, New Year's is just around the corner and you can pledge anew that this will be the year that you will keep your resolution. https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2012/dec/eat-drink-and-be-fertile/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2012/dec/eat-drink-and-be-fertile/ Wed, 19 December 2012 00:00:00 Free Infertility Seminar at IVF FLORIDA's Margate Office IVF Florida Staff https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2012/oct/free-infertility-seminar-at-ivf-floridas-margate-office/ Trying to have a baby? Join us at IVF FLORIDA for a FREE INFORMATION SESSION on October 25, 2012 from  6:00-8:00 PM at our Margate office located at 2960 N. State Rd 7, Ste 300 Margate, FL 33063 - just minutes from the Florida Turnpike, Interstate 95 and the Sawgrass Expressway. At the free information session, the infertility specialists at IVF FLORIDA will be discussing the causes of infertility and new techniques to overcome infertility in both women and men. Ask questions and talk one-on-one with our physicians and staff, in a casual, relaxed environment. Plus you can learn about our Financing Options that can help your dreams become a reality. We will also take you on a tour of our state of the art facility designed with the sole purpose of helping people become parents. Our Margate Fertility Clinic and Surgery Center is our flagship location offering the most comprehensive range of fertility services that include fertility treatments such as ovulation induction, IUI, IVF, and advanced embryology laboratory services, as well as testing and diagnostic services such as in-office Hysterosalpingogram (HSG), Essure &amp; Adiana confirmation testing, and minimally invasive robotic surgery. Our state-of-the-art facility is open seven days per week, 365 days per year, and is available for weekday and weekend monitoring patients. RSVP today as space is limited. Call 954.247.6217 OR email: ivfflinfo@integramed.com to reserve a seat for this informative seminar. https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2012/oct/free-infertility-seminar-at-ivf-floridas-margate-office/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2012/oct/free-infertility-seminar-at-ivf-floridas-margate-office/ Fri, 19 October 2012 00:00:00 IVF FLORIDA Reproductive Associates Proud to be Leader in Frozen-Egg Donor Technology IVF Florida Staff https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2012/sept/ivf-florida-reproductive-associates-proud-to-be-leader-in-frozen-egg-donor-technology/ Recently, IVF FLORIDA's Dr. David Hoffman was interviewed by the Ft. Lauderdale Sun Sentinel and asked to offer his expert point-of-view on new advances in IVF using the egg donor program. The article, " Frozen egg donor banks sprout in wake of new technology," details the exciting new technology that makes frozen-egg donors a viable option in the IVF process.  It has taken years to fine-tune, but specialists are now able to flash-freeze healthy eggs in a process called vitrification where the eggs are coated in a solution and then dipped in liquid nitrogen. The benefits of frozen-egg donation are far-reaching for both recipients and donors.  Dr. David Hoffman, contributed to the article and says, "This is the wave of the future."  He further explains that while the old fresh-egg IVF process costs $30,000 - $35,000 and is lengthy (approximately 12 months), the new vitrification IVF process costs about one half and is often accomplished within two months.  The emotional toll is also significantly reduced, effectively eliminating the need to synchronize menstrual cycles, retrieval and implantation between donor and recipient.  This process would also allow you to freeze your own healthy eggs, preserving them for starting a family later in life, since one of the greatest concerns of women trying to conceive after the age of 35 is, "Will my eggs be healthy enough?" Although very new, there will be considerable growth using this technology going forward and Florida is expected to play a major role in this market.  We are so excited to be partnering with Donor Egg Bank USA to provide screening, egg retrieval, treatment, egg storage and matching services to women and couples seeking this option.  "Being able to choose a donor from a national pool, just as they do in looking for the ideal sperm  donor, offers infertile couples 'wider and more diverse' options than ever before," states Dr. Hoffman in the article. There is so much potential for this process as the market grows and people become more aware of this technology.  If you are considering frozen-egg IVF as a possible solution, as a donor or recipient, and would like more egg donation facts, please click here to read Dr. Hoffman's article or visit our website at www.IVFFLORIDA.com https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2012/sept/ivf-florida-reproductive-associates-proud-to-be-leader-in-frozen-egg-donor-technology/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2012/sept/ivf-florida-reproductive-associates-proud-to-be-leader-in-frozen-egg-donor-technology/ Fri, 14 September 2012 00:00:00 IVF FLORIDA’s Dr. Marcelo Barrionuevo Featured on Miami's WPLG Channel 10 News IVF Florida Staff https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2012/july/ivf-florida-s-dr-marcelo-barrionuevo-featured-on-miamis-wplg-channel-10-news/ Dr. Marcelo Barrionuevo, M.D., was recently interviewed for a television news segment where he discussed the possible causes of infertility and the latest available treatment options. As one of the top fertility specialists in south Florida, Dr. Barrionuevo cited that infertility may be caused by a variety of factors. He pointed that out that pregnancy complications are as different as the women who walk into his office. Infertility issues such as if a patient has cancer or has an odd shaped uterus, were highlighted in the segment. However, he pointed out that the #1 issue contributing to infertility is a woman's biological clock. Dr. Barrionuevo also touched upon three treatment options:  Oral or injected medications, intrauterine insemination (IUI), and in vitro fertilization (IVF). Also featured in the segment was Tamika Luciano, a patient of Dr. Barrionuevo who has suffered, yet, successfully overcome infertility under Dr. Barrionuevo's care. Ms. Luciano openly discussed how she lost both of her fallopian tubes while trying to get pregnant, and how she has achieved pregnancy via IVF treatment.    To learn more about these treatment options, contact us or make an appointment. See the video here. https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2012/july/ivf-florida-s-dr-marcelo-barrionuevo-featured-on-miamis-wplg-channel-10-news/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2012/july/ivf-florida-s-dr-marcelo-barrionuevo-featured-on-miamis-wplg-channel-10-news/ Wed, 06 June 2012 00:00:00 IVF FLORIDA Reproductive Associates Expands to Six Locations and Nine Reproductive Endocrinologists IVF Florida Staff https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2012/march/ivf-florida-reproductive-associates-expands-to-six-locations-and-nine-reproductive-endocrinologists/ IVF FLORIDA Reproductive Associates, a partner center of IntegraMed's (INMD) Attain Fertility Centers, is pleased to announce the acquisition of Palmetto Fertility Center in Miami Lakes, with a medical team consisting of Dr. Graubert and Dr. Cabrera along with a highly specialized team of clinicians. The acquisition of Palmetto Fertility in Miami Lakes adds one of the leading fertility centers in Miami to the IVF FLORIDA fertility team of experts. Palmetto Fertility has been providing highly successful fertility services to patients for over 15 years. This partnership extends IVF FLORIDA's presence in Miami-Dade to now include Miami Lakes in addition to its existing Kendall location. "Joining IVF FLORIDA provides the opportunity to take our practice to the next level," states Dr. Graubert. "We are now part of a larger, more comprehensive fertility practice comprised of 9 reproductive endocrinologists in addition to a team of over 100 highly specialized fertility experts." "At IVF FLORIDA, we are constantly working to improve access and convenience for the thousands of people who seek our services each year and we are thrilled to provide additional service locations with highly skilled staff, which is exactly what our partnership with Palmetto Fertility allows," said Dr. David Hoffman, of IVF FLORIDA. "We are proud to add such an impressive fertility center to our existing operations, Palmetto's success rates speak for themselves and this partnership now provides greater access to our fertility team throughout Miami." According to IVF FLORIDA's Chief Executive Officer, Justin Enoch, "We have received numerous patient requests to expand our presence in Miami and Palmetto Fertility provides the clinical excellence and synergy we were seeking." To further expand patient access to IVF FLORIDA's fertility team of experts and its unique compassionate and personalized patient fertility treatments, IVF FLORIDA in February added a new office location in Wellington. "We are pleased to provide the expert and customer friendly services offered by IVF FLORIDA. Our new locations in Miami Lakes and Wellington will offer patients a new alternative, in a small, intimate, and personalized setting, and provide access to the state's leading fertility program," said Mr. Enoch. IVF FLORIDA now has six locations throughout southeast Florida: Kendall, Miami Lakes, Pembroke Pines, Margate, Wellington and Jupiter. https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2012/march/ivf-florida-reproductive-associates-expands-to-six-locations-and-nine-reproductive-endocrinologists/ https://ivfflorida.com/news-resources/blog-fertility-journey/posts/2012/march/ivf-florida-reproductive-associates-expands-to-six-locations-and-nine-reproductive-endocrinologists/ Mon, 05 March 2012 00:00:00