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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


QUESTIONS TO ASK DURING YOUR FINANCIAL CONSULTATION

We understand that when you first meet with one of our expert financial counselors, you have a lot on your mind and may be overwhelmed.   Insurance coverage, payment options, treatment packages, and the fear of the unknown all play a role. RMA’s compassionate financial counselors will meet with you (and your partner) in person or… View Article


Fertility Testing: Understanding Ultrasound Testing

Ultrasound uses high-frequency sound waves to create images of your internal organs on a monitor. Ultrasound can help your doctor monitor your ovulation and diagnosis conditions such as pelvic masses and early pregnancy. Your doctor can also examine the thickness and pattern of your uterine lining. Ultrasound is also used to monitor cycles during which… View Article


LIVING WITH FERTILITY AND UNCERTAINTY

By Pamela Madsen, The Fertility Advocate, Guest Blogger Perhaps the late, great Gilda Radner said it best : I wanted a perfect ending. Now I’ve learned, the hard way, that some poems don’t rhyme, and some stories don’t have a clear beginning, middle, and end. Life is about not knowing, having to change, taking the… View Article


SAY YES TO YOUR FERTILITY

By Pamela Madsen, The Fertility Advocate, Guest Blogger I hear an enormous amount of noise and encouragement around the word “No”. And “No” is a great word. No can protect us and free us, and allow us to rest. But what about the word “Yes”? I want to hear more about what saying “Yes” can… View Article

fertility vitamins
What Vitamins and Supplements to Take to Achieve Pregnancy?

Women undergoing treatment for infertility often ask if there are any vitamins or supplements that they can take to improve their chances of achieving pregnancy and having a healthy baby. Women who are attempting pregnancy should be taking adequate amounts of two vitamins. The first is folic acid, a B vitamin. This vitamin helps the body… View Article


INFERTILITY TREATMENT FOR THE OLDER PATIENT

It is well known that there is a significant decline in fertility after age 35. The standard of care for women 35 and older who are having difficulty achieving pregnancy is to consult a fertility specialist if, after six months of trying (i.e. unprotected intercourse), pregnancy has not been achieved. Based upon the increasing number… View Article


Fertility Testing: Hormones

Hormonal evaluation studies identify hormonal imbalances that may impair your fertility. Hormones control every step in achieving pregnancy, from stimulating the development of an egg to ovulation and implantation of a fertilized egg in the uterus. Each hormone that plays a role in the conception must be produced in a specific amount at a precises time… View Article


Male Infertility Otherwise Known As: Male Factor

The cause of infertility may be due to a problem with the man’s reproductive system, or a problem that involves both partners. The cause of male infertility is often unknown. However, some causes have been identified, include problems related to: sperm production the anatomy or structure of the man’s reproductive organs the man’s immune system… View Article


RMA OF PHILADELPHIA AND CENTRAL PENNSYLVANIA ALS ICE BUCKET CHALLENGE

Our dear friends at Center for Women’s Health in Langhorne challenged the Doctors at RMA to complete the ALS Ice Bucket Challenge! Drs. Arthur Castelbaum, Martin Freedman, and Jacqueline Gutmann all accepted the challenge and gathered in King of Prussia this past Sunday to show their support for ALS research. The doctors at RMA have nominated… View Article


ARE YOU IN “YOUR SEASON OF DISCONTENT”?

By Pamela Madsen, The Fertility Advocate, Guest Blogger I was so sad to hear about Maya Angelou’s passing. She was one of the strongest, most insightful women of my generation. And she once said something that has stuck with me ever since. “If you don’t like something, change it. If you can’t change it, change… View Article


Medicine is a humbling profession or “the other 40 percent”

“Medicine is a humbling profession.” I must have heard that once, but I can’t remember where. Just a single line dropped nonchalantly somewhere along the way of 11 years of postgraduate medical education. At the time it was one of those things you hear, know is important and profound, but won’t be able to fully… View Article


TOP 5 REASONS WHY YOUR FERTILITY SPECIALIST SHOULD BE SUB-SPECIALTY BOARD CERTIFIED IN REPRODUCTIVE ENDOCRINOLOGY AND INFERTILITY

As a Fellow of the American College of Obstetrics and Gynecologists, an American Board of Obstetrics and Gynecologists (ABOG) oral board examiner for over 20 years, and an REI sub-specialty board examiner I bring a unique perspective to this topic. Becoming sub-specialty board certified in Reproductive Endocrinology and Infertility (REI) is a rigorous and comprehensive… View Article


DR. CASTELBAUM DISCUSSES FERTILITY JOURNEY WITH PARENTS OF 2

Meet Nikki and Adam David. The Davids were featured prominently in a recent Wall Street Journal article on the risks of multiple births associated with fertility treatments. Dr. Arthur Castelbaum of RMA of Philadelphia helped Nikki conceive her twin daughters through IVF. The Davids and Dr. Castelbaum sat down to discuss their experience at RMA. Hear what… View Article


TRANSITIONING FROM YOUR FERTILITY SPECIALIST TO YOUR OB/GYN

First you realize that you are having trouble getting pregnant. This creates anxiety. Then, your doctor suggests that you see a reproductive endocrinologist (RE, a.k.a. fertility specialist). While you are likely approaching this visit with hope, there is anxiety that the treatment will not be successful, anxiety of seeing a new doctor, anxiety about the… View Article

hsg chart
What should I expect during a Hysterosalpingogram (HSG)?

A hysterosalpingogram (HIS-teh-roh-sal-PING-oh-gram) (HSG) is a test that lets your doctor examine the inside walls of your uterus and fallopian tubes.  This minor procedure is designed to provide information about the shape and contour of the endometrial cavity (uterus) or to document the presence of endometrial polyps, leiomyomata (fibroids), or scarring. In addition the procedure will determine whether the fallopian tubes are patent (open)…. View Article


A DAY IN THE LIFE OF A WORLD-CLASS REPRODUCTIVE ENDOCRINOLOGIST FEATURING DR. MARTIN FREEDMAN

At RMA we recognize how overwhelming your fertility journey can be. Oftentimes, knowing what to expect can help alleviate some of the anxiety. Check out this informative video that offers a glimpse into a “typical” day of one of our world-class reproductive endocrinologists. Follow Dr. Freedman as he speaks to a patient on his morning… View Article


Single Embryo Transfer in the eyes of an OBGYN – Dr. Allan Kessel

“Where you stand depends on where you sit.”  These words could not be truer for couples undergoing IVF treatments.  Some of these couples will have the opportunity to transfer one embryo (single embryo transfer, or SET) or two in what becomes one of the most important decisions of their entire treatment.  For many, there will… View Article


Getting Pregnant after 40 With or Without Fertility Treatment

Until the last several years, the common wisdom was that all the wonderful advances at improving the “take home baby” rate for the infertile mainly benefited women under the age of 35. Women over the age of 38 to 40 were encouraged (pushed?) to use donor eggs or, to a lesser degree, donor embryos. Medical… View Article


THE CHRONICLES OF A FROZEN EMBRYO TRANSFER

I frequently receive pictures and cards from patients who have successfully undergone fertility treatment.  My favorite Christmas card is a picture of an older and a younger child.  In a sense, they were twins separated at conception.  The older child was the product of a fresh In Vitro Fertilization (IVF) embryo transfer.  The younger child was the… View Article


Dr. Eric Forman Comments on KABC-TV’s “Mini IVF Provides Fertility Alternative” Article

I recently saw an online article from KABC-TV in Los Angeles titled “Mini IVF Provides Fertility Alternative” and wanted to provide some additional insights and comments on the subject. The idea of “mini-IVF” has received a lot of positive media attention lately as an alternative to “traditional” IVF. Often touted as being cost effective since… View Article


LOVING THE SOMEDAY DAD ON FATHER’S DAY

Men often get lost in fertility treatment. Unless there is a male factor issue, all of the attention is on their partner. They have several big performances to make to supply the other 50% of the baby, but beyond that – not too many people are asking “The Guy” how he’s doing. So often men are left… View Article


The Culmination of an Embryo Transfer

It all comes down to this. Months of waiting. Weeks of preparing. Nights of injections. Countless mornings waking early to an annoying alarm to rush to the office for an ultrasound and blood draw. Hours of waiting for this day to arrive. Minutes waiting for a full bladder. Seconds until it finally happens. And it… View Article


RMANJ Announces New Fertility Consult Hours at Overlook Hospital in Summit, NJ

Starting June 1st  2014, RMANJ physicians will see patients for a fertility consult on Monday’s and Thursday’s at their office in the MAC II building on the Overlook Hospital campus. “For over 5 years, RMANJ has had a presence at Overlook to meet the needs of local patients and providers looking for access to unique, well-validated,… View Article


Why I Skipped Writing About Mother’s Day?

I know that this may be like saying that I don’t like the American Flag and Apple Pie (which I do!!!) but I have to be raw and vulnerable with you. I am coming out. I hate “Mother’s Day”. It’s just not a comfortable holiday for me. And I am not alone. It’s so loaded… View Article


Surviving Mother’s Day With Infertility

Tips for coping with infertility during Mother’s Day. Peace and comfort on Mother’s Day to all of us who are only mothers in our hearts.


DECREASING TWIN PREGNANCIES

The last 30 years have seen a dramatic increase in the incidence of twin and triplet pregnancies in the United States. Fertility doctors have been largely responsible. 1 in every 30 infants born in 2009 was a twin; double that of 30 years ago. The serious risks of triplet pregnancies are generally well understood. Most people, however,… View Article


Dr. Nathan Treff of RMANJ on Improving IVF

Recently our Director of Molecular Biology, Dr. Nathan Treff was interviewed by Research Media.EU for a piece on Improving IVF by a well known international publication, International Innovation.  Here’s a sneak-peak of the publication-


INFERTILITY IS LIKE THE WEATHER

One of my favorite quotes of all time, by Pema Chodron, is this: “You are the sky; everything else—it’s just the weather.” It is easy to apply this thinking to infertility. You are the sky; the rest is infertility! I love this quote in the context of infertility because it embodies the notion that we… View Article


MAKING IT SAFE FOR MEN TO TALK ABOUT MALE INFERTILITY

We like to think of ourselves as enlightened, capable of intelligent discussion and rational action. Few things put those admirable qualities to the test as fast as male infertility. Mention male factor at a party and reflexively, most men blanch, squeeze their knees together and change the subject, even if they’re not affected. Not that things… View Article

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