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RECURRENT PREGNANCY LOSS IN INFERTILITY

Handling miscarriage is one of the most difficult clinical situations for both the patient and provider. Although miscarriages are common, they are devastating for a patient trying to have a baby. There are different definitions of “recurrent pregnancy loss” however most major organizations such as the American College of OBGYNs and the American Society for… View Article


GENETICS 101: THE BASICS OF YOUR GENETIC LIBRARY

We have all heard about “genes”, “DNA”, and “chromosomes”. These are terms your doctor may use when explaining tests that may be ordered, problems that may explain a patient’s difficulty getting pregnant or why some patients have miscarriages. Without any background knowledge genetics can be confusing! Understanding genetics can be simplified into a library analogy…… View Article


It’s All in the Genes: Megan & Aiden’s story

Nothing can describe that moment when, as a mother, your newborn baby is placed in your arms for the very first time. For nine months, you imagine everything about what this moment will be like. You bask in the joy you and your husband will feel, ponder who the baby will look like, spend time… View Article


Advancing technologies in genetic testing | Part 3

In Part 1 & Part 2 of our series on genetic testing we discussed common questions asked and answered, along with some of the advantages and disadvantages genetic testing has to offer. As our knowledge of genetics grows, so does does our understanding that genetics is and will continue to be the future of medicine. Part… View Article

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The advantages and disadvantages of genetic testing | Part 2

Continuing this month’s series on genetic testing, Part 1 explored the common questions asked and answered. Part 2 dives a little deeper into the advantages genetic testing has to offer, as well as the some disadvantages you’ll want to consider.   What criteria do experts use when referring patients for genetic testing? Unfortunately, there is… View Article


Common Questions Asked & Answered | Genetic Testing Part 1

Understanding the who, what, when, how, and why’s of fertility treatment can be confusing at times. Let’s admit it, sometimes it can be down right scary. Wondering if genetic testing should be a part of your family building plan is a common question we often receive. This month we’ll be exploring a series on genetic… View Article


5 REASONS TO CONSIDER IVF AS YOUR FIRST FERTILITY TREATMENT

1. IVF is dramatically more successful than ovulation induction with intrauterine insemination. Although many couples initially choose Clomid or Femara with intrauterine insemination, pregnancy rates are generally less than 12% per cycle. In world class IVF programs, women under age 35 transferring a single embryo can expect an IVF implantation rate (seeing a sac in… View Article


Don’t ignore the benefits – The Fertility Doctor

I often get asked about the risks of fertility treatments such as IVF. In fact, I am obligated to discuss them before my patients start IVF treatment. Does ICSI cause birth defects? Does ovarian stimulation cause breast cancer? Does embryo biopsy hurt the embryo? Will these injections make me crazy? Will I gain weight? These… View Article


Frozen Donor Eggs vs. Fresh – which option is best for you?

In the last few days, much has been written about the lower success rates of using frozen donor eggs over fresh . It is not surprising that fresh eggs have a significantly higher success rate. Our group at RMANJ published a study on this several years ago looking at sibling oocytes from the same woman…. View Article


IVF: YESTERDAY, TODAY, TOMORROW

It has been 5 years since Dr. Robert Edwards’ landmark contribution to reproductive medicine was recognized with the 2010 Nobel Prize in Medicine, and a great time to reflect on how in vitro fertilization (IVF) has evolved from those early days to the present and also try to catch a glimpse of the future. As with most… View Article


What is Ovulation Induction (OI)?

For women who do not ovulate regularly, oral or injectable medications may be administered to support oocyte or egg development. The purpose of ovulation induction is to produce multiple eggs to increase the likely hood of conception. Ovulation induction (OI) is used in several forms of fertility treatment including, Clomid, intrauterine insemination (IUI), and in vitro… View Article


WHY OVARIAN RESERVE TESTING IS MISLEADING

How the body chooses an egg to ovulate or release is very complicated and we are just starting to understand how this process works. One in eight couples struggle with infertility for a number of different reasons – this is unique to humans and not found in any other mammal species! For animals, it is… View Article


Intrauterine Insemination (IUI) & How It Works

Intrauterine insemination (IUI) is an infertility treatment in which sperm are placed into your uterine cavity through a catheter. Intrauterine insemination (IUI) is a type of artificial insemination in which sperm are injected directly into your uterine cavity near the time you ovulate. Your doctor may recommend IUI to treat many causes of infertility, especially… View Article


Study shows DHEA does not improve IVF outcomes

A recent study conducted at The University of Nottingham and reported in Ob.Gyn. News shows DHEA does not improve IVF outcomes in women with diminished ovarian reserve Reproductive endocrinologists for years have sought an elixir that would help women with low numbers of follicles produce more eggs and, hopefully, have a higher chance of a successful pregnancy…. View Article


How does ICSI work?

Intracytoplasmic sperm injection (ICSI) is performed as part of your in vitro fertilization (IVF) procedure. It is a process in which a single sperm is injected into the cytoplasm (center) of each egg by an embryologist. After the egg has been injected with sperm, the embryologist will observe the egg over the next day or… View Article


When Is It Time to See a Fertility Doctor?

How long should you try to get pregnant before consulting a specialist in your 20s, in your 30s and in your 40s? What changes as you get older? Typically, women under age 35 should attempt pregnancy for about 1 year prior to seeking evaluation for infertility. Women older than 35 should be evaluated after attempting… View Article

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How does sperm quality affect IVF success?

A semen analysis is a rudimentary test of a man’s sperm count. Men with low sperm counts (less than 5 million motile sperm) will likely have difficulties achieving pregnancies. Any man with more than one abnormal defect in his semen analysis will also have a difficult prognosis. Morphology is an interesting area as many men… View Article


JEFFERSON & ABINGTON MERGE INTO ONE

The merger between Jefferson and Abington Health is now complete, and RMA at Jefferson is proud to be an integral part of Jefferson Health through the Division of Reproductive Endocrinology. Visit Jefferson Health’s website to read the full press release.


Frequently Asked Questions about being a patient at RMANJ

Why have the physicians and staff of IVF New Jersey joined RMANJ? With the addition of the IVF New Jersey physicians and staff our organization can be more responsive to the needs and hopes of patients from New Jersey and around the world. This opportunity provides patients many advantages including some of the highest delivery… View Article


2015 PHILADELPHIA PCOS AWARENESS SYMPOSIUM

Dr. William Schlaff will be speaking at the Philadelphia PCOS Awareness Symposium on Saturday, April 18th, 2015 in Philadelphia, PA. He will be speaking on the topic of: Improving Fertility in Women with PCOS. Event Details: Date: Saturday, April 18th Location: The United Plaza Building, 30 South 17th Street, Suite 1410 Philadelphia, PA 19103 RMA… View Article


Reproductive Medicine Associates Of New Jersey comments on recent article “Children conceived via IVF have double the autism rates of other: study”

A recent study has been receiving a significant amount of media attention due to the reported link between autism and children born via IVF. A recent newspaper article warned, “Children conceived via IVF have double the autism rates of others: study” http://www.nydailynews.com/life-style/health/kids-conceived-ivf-double-autism-rates-study-article-1.2163153. However, the headline of this story is quite deceiving given that the second… View Article


JEFFERSON ANNOUNCES PARTNERSHIP WITH RMA OF PHILADELPHIA

Jefferson partners with Reproductive Medicine Associates (RMA) of Philadelphia to offer fertility services at its new Center City OB-GYN facility. RMA is and will remain a completely independent practice. RMA’s doctors will practice side-by-side with Jefferson’s physicians in our new and beautiful, state-of-the-art office, to deliver world-class fertility care to all of our patients. Here… View Article


FIVE POPULAR MISCONCEPTIONS ABOUT IVF

Louise Brown was born 37 years ago as the first human ever conceived from in vitro fertilization (IVF). At that time, infertility was in many ways similar to cancer. It was rarely discussed openly, shattered hopes and dreams, and there were limited treatment options. Since then, major advances in fertility treatment have improved pregnancy success rates… View Article


Saying good-bye to your fertility doctor

The doctor-patient relationship is unique when treating infertility. There’s an intense period of diagnostic tests, counseling, frequent visits for blood work, ultrasounds, procedures – and then it’s over. Most of the time it ends on a happy note with couples being shepherded happily pregnant to an OB/GYN who can manage the rest of the pregnancy… View Article


WHEN BAD THINGS HAPPEN TO GOOD PEOPLE – DEALING WITH ANGER

By Andrea Braverman, PhD Thomas Jefferson University Psychologist The difficult question, “why do bad things happen to good people?” has long challenged all of us.  Simply turn on the evening news and there are countless stories that echo with the question of “why” would this happen?  Watching women and men sitting in the infertility waiting room for… View Article


BOOSTING YOUR FERTILITY: LIFESTYLE MODIFICATIONS

I love the internet! You are probably reading this on the internet. As I sat down to write, I Googled “how to improve fertility” and got almost 18 million results in less than 1 second — and that doesn’t include the actual medical literature that addresses the topic. Needless to say, this is a broad… View Article


Fertility Testing: Laparoscopy

What is a Laparoscopy? Laparoscopy is a surgical procedure your doctor may use to look at your uterus, ovaries, and fallopian tubes. If any problems are diagnosed, your physician may be able to address or correct the issue during this procedure. Laparoscopy is a fertility test that can help your doctor diagnose fibroids, scar tissue (adhesions),… View Article


30 of the Best Responses to “When are you going to have kids?”

We’ve all had the moment where someone asks the question, “When are you going to have kids?” Depending on the person and the day, we may feel anger, frustration, sadness or uncertainty. Whether the question is expected or it comes as a complete surprise, it’s helpful to think ahead about how we might respond. If… View Article


The Uterus Transplant: a risky procedure in search of an indication

There has been an extraordinary amount of media attention on what at first glance seems like an amazing medical breakthrough: the first baby born after a uterine transplantion. While there is reason to celebrate this medical breakthrough, some of the enthusiasm may be overstated. A recent news story from the UK, for example, reported that… View Article


Fertility Testing: Endometrial Biopsy

An endometrial biopsy is a test that evaluates the endometrial tissue that lines the inside walls of your uterus. Around the time you ovulate (release an egg from your ovary), your endometrium (inside lining of your uterus) grows thick with blood vessels, glands and stored nutrients to allow a fertilized egg to implant and grow…. View Article

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