25
Aug

Jacqueline & Brandon

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3
Jan

Paige & Rob

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11
Dec

The Dreaded Holiday Question

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The holidays aren’t easy when you’re struggling with infertility. Actually, it’s simpler than that. Family gatherings aren’t easy when you’re struggling with infertility. The holidays just amplify all of your insecurities and anxiety about struggling to conceive because you see so many people, some of whom you may only see during the holiday season.

Many people who haven’t experienced infertility assume that the biggest problem with family functions is the babies. Between my husband’s family and mine, we have seventeen aunts and uncles, so it’s almost inevitable that a baby will be present at any gathering. I’ve been fortunate enough to never get to an emotional place where I want to avoid babies. I love their squishy faces and fat legs. I adore snuggling them; I don’t remember ever saying no to the opportunity to hold one. Yes, they tugged at my heart strings. Yes, I felt a twinge of jealousy when I spoke to their parents. Yes, I wondered why I still wasn’t the one passing around a bundle of joy. Despite that, I still held the babies. The peace that comes with cradling a child was worth it.

If it’s not the babies, what is the problem with the holidays? It’s the Question. The inevitable Question that pops up when you’ve been with your partner for what your family deems “long enough.”

Picture this: your plate is full of delicious food. Your favorite aunt sits on your left and your significant other on your right. Everyone is talking, laughing, and enjoying the meal. Then someone, most likely well-meaning, brings up the fact that you haven’t had children yet. You laugh it off, smile weakly, or utter a lame response as you clutch your partner’s hand under the table and try to hide your pain. How many times does that or a similar scenario play out during the holiday season?

 “When are you having kids?”

It’s the Question every infertile couple dreads. I especially love when it’s supplemented with something like, “You guys better get moving.” Ugh.

We decided to try to conceive about a year-and-a-half into our marriage. At first, I was excited and welcomed the Question. I would blush—I’m a chronic blusher—and tell people that we were trying. Then the months stretched into years. Two of our three sisters had children. The Question started to feel inevitable. After all, when you’ve got such a large family, someone is bound to say something.

When I think back to those family functions, it’s the A side—as I’ll call it—of the family that I remember asking the Question along with a wink, nudge or laugh. It was simple conversation on a holiday. Except it wasn’t. Each Question was a reminder that we should be conceiving, we should be having babies. Each Question brought feelings of sadness, anxiety, and isolation. When you’re in the middle of a family with children of all ages running around, your environment highlights the fact that your body or your partner’s body is not performing the way you want it to.

In 2014, we left my parents’ house the day after Christmas to drive back to Syracuse and meet with Dr. Kiltz. Did I tell anyone what we were doing while we celebrated the holidays? Nope. Looking back, I realize the main reason was being afraid of judgement. When they asked the Question, I thought they wouldn’t understand the truthful answer: we’re struggling so we’re getting help. Talk about an awkward conversation around the dinner table or next to the Christmas tree. My instincts told me they wouldn’t understand.

But the point really isn’t what my family thought or said. It’s that being infertile brings with it a whole set of hurdles. It’s unfortunate that one is the holidays, but, in our culture, marriage or long relationships naturally evolve to having children. Can you imagine being a woman one hundred years ago who struggled to conceive? What people must have said about her! What she must have thought about herself! At least we have the growing awareness of infertility as well as the expanding trend of not having children to help buffer curious minds. But still, especially in family situations, the Question remains.

I’ve had a lot of time to reflect back on those days when I dreaded the Question. In each situation, I wish I would have done one of two things. The first is to come clean, for lack of a better phrase. I wish I would’ve had the guts—or, more accurately, the confidence—to say, “I have PCOS, and we’re struggling to conceive. We’ve been trying for this many years; hopefully, it will happen soon since we’re going to do fertility treatments. Please keep us in your prayers.”

As simple as those words sound, I never found the courage to say anything like them, even with my favorite aunts and uncles, until after I was pregnant with our first son. At that point, I still only told a select few family members. That fear of judgement did not go away until our little miracle was almost a year old.

The other response is something I can only fantasize about. A part of me regrets not shoving the Question back down their throats. Although I consider myself a nice, fairly calm person, I wish I would have lost it, just once. I wish I would have told someone how much it hurts to see all the babies and not understand why I don’t have one. How much I love holding little ones, but it also makes me want to cry. How much the Question completely sucks, and that they shouldn’t assume I can easily conceive just because they have four kids and barely had to try. Or how about the fact that being married doesn’t mean that you have to have kids and why didn’t it ever occur to them that maybe we were trying and it wasn’t working. Oh man, that rant would have felt great.

Great for the moment, but awful for the long run. Because the other thing about family is that it doesn’t go away. And, no matter how satisfying it may have been to let those words fly, it wouldn’t be worth the broken bridges they might cause. The first option obviously would have been the smart one, but I couldn’t bring myself to tell anyone. It was too much to explain or even express, especially because I wasn’t sure of the reaction. What if they had told me I was doing the wrong thing? What if they convinced me to stray from the course we had chosen? What if they judged me harshly and the bridge burned anyway?

So, instead, I laughed or smiled or shrugged. I specifically remember one incident. We were with a pregnant cousin. A well-meaning cousin, who I adore, asked the Question. My breath caught. I can still picture his smiling face. He didn’t mean anything by the Question; he was genuinely interested in the response, not realizing that we had been trying for four years. I don’t remember my response, but I do remember that moment. That deer-in-the-headlights feeling followed by a vanilla comment.

Maybe that’s the true issue with the holidays. When you’re struggling to conceive, you can feel the expectations even if the Question isn’t being asked. When you’re looking around and seeing growing families while yours stays the same size, you’re unsure how to tell anyone that you’re infertile, and you think you need or are using medical science to conceive. Maybe the issue really is that infertility, for some reason, is still taboo. The assumption is that you can conceive, that you just aren’t ready yet or are dragging your feet. It doesn’t cross people’s minds that maybe there’s something else there, something else going on that explains why you’re not holding that squishy baby.

Do I think you need to go out and declare your infertility to your entire family? No. What I am saying is that the Question is out there, and it will be asked. Do better than me. Come up with a response that works for you, even if you ask your partner to say it because you can’t. One of the worse things about infertility is the feeling of isolation and maybe, just maybe, this year’s holidays are the perfect time to get at least some of your family behind you.

If that’s not what you’re comfortable doing, at least prepare yourself for the inevitable. Figure out how you will answer the Question. Make a signal or decide on a word that tells your significant other that you need to be rescued from a conversation. Determine beforehand if you’re going to hold the offered baby. Don’t be afraid to say no and certainly take a moment to yourself, if you need it. After all, the holidays are a time to celebrate, and you need to keep yourself in a positive mindset as much as possible.

Most of all, don’t forget that one of the best parts of the holidays is the spirit of hope that they bring. Hope is the greatest emotion that you can embrace if you’re trying to conceive. Hope is what keeps us trying, is what makes up get up at 5 a.m. for a blood draw, is what makes us move forward with the next step in treatment. Hope is what keeps us going. Whatever you do, don’t lose hope, especially during the holidays.

 

By CNY Grad: Ashley

9
Nov

How To Deduct the Cost of IVF

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6
Nov

Choosing to be an Embryo Donor: The Gift of Life

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IVF is a big deal: the surgery, the shots, the embryos, the transfer. Not one part of it is simple. Between the physical toll on your body and the wide range of emotions, IVF affects every part of your life. That story’s been told many times. But what about after IVF? What about those unused embryos? That’s the story I’m going to tell today.

It wasn’t a surprise that our infertility journey ended with IVF. My husband, Chuck, and I tried to conceive naturally for three years before we sought fertility treatments. In July of 2015, after two fertility centers and too many negative pregnancy tests, I was facing surgery on my reproductive system to make sure I didn’t have Endometriosis. Dr. Kiltz also did Ovarian Drilling (not as scary as it sounds). After that, I insisted on one more round of IUI, my way of holding on to hope that we wouldn’t have to do IVF. 

The IUI cycle was typical for us: great follicles, excellent sperm, negative pregnancy test. We got the call that gave us the news while we were at the New York State Fair. I knew what was next; we’d already agreed that we would do IVF if this IUI failed. I’m grateful we made that decision before the phone call because it made it much easier emotionally to move forward.

The nurses had been hinting that we should do IVF for months. Chuck had agreed with them. He was sure that was our route to a pregnancy. I, on the other hand, wanted to avoid it. Why? Because I struggled with the fact that we would probably have embryos that we wouldn’t use. To me, an embryo is a life. Although I’m Catholic, it wasn’t really a religious thing. It was more like after trying for so long, I couldn’t imagine disposing of our embryos or giving them to someone else. 

With all those reservations, what made me agree to IVF? Two things. The first was how sure Chuck was that it was the right move. He’d been so patient and so encouraging through our whole journey, and I knew he wouldn’t support IVF if he didn’t truly believe it was the right decision. The second was the uncertainty of IVF. Like all fertility treatments, there was no guarantee that we would conceive a baby. I didn’t know that we would have extra embryos, so there was really no reason to stress about them. One of my favorite mantras is don’t stress about things you can’t change. I couldn’t control how many embryos we would have and how many would become viable pregnancies; once I got into that mentality, it was easier to say “yes” to IVF.

Once the decision was made, the cycle felt like it flew by. Dr. Kiltz was able to extract 27 eggs, which became ten viable embryos. The news was so exciting! Ten chances for a child; it was a dream come true. The fact that we would have to deal with extra embryos—if there were any—was driven from my mind. A baby seemed closer than it ever had been before. We transferred two five-day embryos and conceived our little Chase. 

Around Chase’s first birthday, the inevitable happened: we started to talk about baby number two. It was such an odd feeling. We’d dreamed and hoped for baby number one for so long that I’d never let myself really consider having multiple children. Now we had eight embryos waiting to be used. 

Almost exactly two years after our transfer for Chase, we transferred two frozen embryos. When I got the call about our pregnancy test, the nurse told me my HCG levels were very high. I joked that “there may be two in there.” 

Before our twin boys were born, we started talking about what to do with our six remaining embryos. We’d always wanted two or three children, so we knew we wouldn’t use them ourselves. Since Chuck and I think of our embryos as living beings, discarding or donating to research were not viable options for us. Both were outside of our comfort zone, which, of course, was my fear when we decided to do IVF. Realistically, we couldn’t pay to store our embryos forever, but I also hated the options in front of us.

At some point, I read an article about embryo adoption. It was written from the perspective of the people who adopted the embryos, and their gratitude and joy was beautiful to experience. It got me thinking: if we could help a couple like that, why wouldn’t we?  The thought stayed in my mind, swimming around the reality that someone else would be raising our biological child. 

I was also nervous about what Chuck would say. How would he feel about another couple using our embryos? It’s a huge thought, one almost too big to wrap your head around. Needless to say, I was pretty nervous when I broached the subject one day when we were driving somewhere.

Chuck’s response sank deep into my heart. Without hesitation, he said he wanted to donate the embryos because he wanted to give them the chance to live, and that was the only way they would get it. His answer was the key to me making my half of the decision. If I wanted our embryos to have a shot at life, I needed to give them to someone else. CNY does embryo donation, not adoption, and that had become the clear choice for us.

After we decided on embryo donation, the reality of actually signing the papers seemed too far away to fathom. In the fertility treatment world, pregnancy loss is always at the back of your mind, so we decided to wait to move forward with donating until our twins were born. I was blessed with an easy pregnancy and gave birth via c-section to our boys at 38 weeks. A couple months after their arrival, I realized we needed to take care of our embryos. Our storage fee was due soon, and I wanted to donate them before that.

I talked to a few people about what Chuck and I wanted to do, and the response was usually, that’s wonderful but what if you see a child someday that looks like yours? Initially, I thought I could never reconcile that. But I just kept going back to what I had become my mantra: they need a chance to live. At some point, it clicked. This was the right decision.

I finally made the phone call when the twins were 2½ months to CNY about donating our embryos. They sent us the paperwork, but I wanted to meet with someone in person. Luckily for me, I got to pick which doctor we sat down with, and, of course, I chose Dr. Kiltz, the man who I credit for the conception of our three boys.

By the time we met with Dr. Kiltz, I had a list of questions. Does CNY charge the people who use the embryos? How do they decide who gets them? Do they all go to the same person? Would the couple know who gave them the embryos? I couldn’t sign that paperwork until I got the answers.

We took our boys to CNY for the meeting. It’s so much fun to see the nurse’s faces when they see fertility treatment babies. We spent over an hour in the office that day, and we were never without a smiling face talking to us about our precious children.’

Dr. Kiltz, as expected, came into the room like a whirlwind. The first thing he asked was if we had a couple in mind for our donation. I was taken aback; I’d never known anyone who needed embryos. When we answered no, we discussed if our donation would be anonymous. We chose anonymous with a note that, if the recipients wanted to contact us, the fertility center could ask us if we wanted to connect with them.

Dr. Kiltz answered the rest of my questions in a few short minutes. Namely how CNY doesn’t charge the recipients for the embryos, only the procedures needed to implant them and that the embryos could go to more than one couple.

What struck me the most was when he said most people discard their embryos or store them indefinitely, which is why there is a waiting list for embryos. That blew my mind. I’d assumed, for some reason, that needing embryos was rare. With just a little effort on our part, Chuck and I would be helping a couple—or couples—experience the joy that we’d so desperately wanted for years: holding our baby in our arms. 

By the time Dr. Kiltz left the room, the last puzzle pieces had clicked into place. I was 100% positive we were making the right decision. We did the bloodwork and urine samples and signed the custody of our embryos over that day. A week later, I sent in the medical questionnaires. 

Then, in an odd parallel to the two-week wait, we waited to see if our embryos were accepted. I was nervous—what if something on the medical questionnaires was a red flag? What if they say no? What will we do then? There was no plan B.

As the weeks passed, I couldn’t get the medical questionnaires out of my thoughts. They had been simple to fill out. We laughed over some of the questions while I read them to Chuck, and he answered while doing the dishes. Chuck and I are both fairly healthy, so I wasn’t concerned about that. However, a few of our relatives have medical conditions, one of which is pretty rare. I couldn’t imagine a couple saying no to our embryos because of it, but I didn’t know what the fertility center would do. 

I’m a worrier, so I could never quite push the doubt from my mind. I tried to focus on the fact that three of the four embryos we had used had become little boys. How could a long waiting list not want those odds?

Today, I found out that everything has been finalized. It’s an odd feeling, knowing that we no longer have the option of using those embryos to have children. That said, it’s a feeling that I’m content with. Occasionally, my mind goes back to the question people have asked me. What will happen if I’m walking through the mall, and I see a little boy that resembles my sons or a little girl that looks a bit like me? Will I wonder? I don’t know. But, if I truly need to take a second or third look, at least I will know that I gave that child, if it is one of my embryos, a chance to walk, talk, and laugh. The most important thing is that Chuck and I did something that very few people have the privilege of doing: we gave another couple a chance—maybe six chances—to have a child.

By Ashley Hurd

23
Oct

October IVF Giveaway

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We all know that access to high-quality fertility care is incredibly limited due to the financial barrier created by the current state of health care coverage and the cost of fertility care at most clinics. If you’re reading this, you’re most likely familiar with our affordable treatment pricing and payment plans for those without insurance coverage, but, even with prices less than 1/3 the national average most people do not have the luxury of spending thousands of dollars carefree on something that is not a guarantee to work.  

But, let’s not remember the incredible beauty that is IVF and other fertility treatments and the opportunity we all have because of these incredible scientific breakthroughs. To celebrate this and help some conceive without the financial burden always weighing over them, we are pleased to introduce our 10 IVF giveaway of 2018 that will include 1 IVF cycle and free accommodation provided by the Maplewood Suites Extended Stay.

Important Rules and Info for our October IVF Giveaway:

  • Submissions for the Giveaway will end on the last day of October at midnight PST.
  • There are two ways to enter the giveaway.  You can enter both ways to increase your odds of winning.
    •  like/love/other emoji & comment on one of Dr. Kiltz’s Sunday Night Facebook Lives every Sunday at 8 PM EST on our Facebook Page during the month of October.
    • Love and comment on the Instagram post with about the giveaway that has the same photo used in this post.  The comment must be at least 3 sentences long and include a little about your story and what it would mean for you to win the giveaway.
  • Partners and spouses can comment/submit separately.
  • The winner will be selected on or around November 1st.
  • Due to HIPPA policy, the winner will not be publicly identified unless they sign a waiver.
  • Please note that our Facebook live videos are public and that family members and friends can see your comments.

What the winner gets:

  • IVF Giveaway Includes: Oocyte Retrieval, Intracytoplasmic Sperm Injection (ICSI), Assisted Hatching, Embryo Transfer, and Cryopreservation of Surplus Embryos, and storage of frozen embryos for a period of one year following the fresh IVF cycle. 
  • A free stay in a Single Queen Efficiency Room (up to 3 people) at Maplewood Suites in Syracuse, NY for up to 7 nights if you are coming from out of the area. Blackout dates apply and are subject to change at any time.
    • Free Accommodation is good for one treatment cycle. Accommodation will not be provided for multiple Frozen Embryo Transfers.

More about Maplewood Suites Extended Stay:

Maplewood Suites is our premier hotel partner providing accommodations for our out of town clients in the Syracuse area for only $99/night. As included in all of their stays, Maplewood Suites provides our clients with free transportation to and from the airport, CNY Fertility, and between any entertainment/restaurant/etc and the hotel (not from one entertainment location to the next) within 5 miles of the Hotel.

Additionally, Maplewood Suites provides complimentary breakfast, afternoon snacks, 24/7 Starbucks coffee, and two free drinks (non-alcoholic during your treatment at CNY) per day from their restaurant lounge.

 

 

NOTE: There is no cash value for the winners of the free IVF cycle You must schedule an initial consultation with one of our CNY Fertility Center locations within six months of the completion of this giveaway. You will not be charged for this consultation if your insurance doesn’t provide you coverage. If you are a past CNY Fertility client we will need you to come in for a follow-up appointment. You must use your free IVF within 1 year of the completion of this Giveaway. The giveaway cannot be applied retroactively. The free IVF cycle does not include testing, monitoring, medications, anesthesia, or Frozen Embryo Transfers ($250/transfer). Donor Egg, Sperm, or Embryo cycles are not part of this giveaway.

2
Oct

Rebecca and Mick – September’s IVF Giveaway Recipients

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Meet Rebecca and Mick, the recipients of our September IVF Giveaway.

“All my life I had dreamed of being a mommy and having my own family. Having a family is what was next on our list, I found my soul mate, had a beautiful wedding and start of our marriage, and this was what our next life event would be. I am a planner, and if you’re anything like me, you like to know what is next and be prepared.

Mick and I married 2013, my husband and I began trying to conceive immediately. You don’t think when you get married it’s going to be so hard to have a child. A year later and we still hadn’t conceived, decided to visit the doctors, to see what they could suggest.

After many tests, The doctors commissioned the usual tests and we attended appointments and procedures and one surgery for the endometriosis and just for good measure the doctor took my appendix also. My husband and I have tried 9 IUI and timed intercourse with injectables I was dreading the injections I’ve never been great with needles, in fact, I passed out during one of my flu shots. So I was terrified really, which was why I was hoping I’d only ever have to do it once. I didn’t know what to expect at all the scans and I didn’t really know what a ‘good’ reaction to the treatment was, however, the doctor’s office soon made it clear that it was not going well. The scans were showing only two follicles growing, nothing much else was happening and they were already talking as if the cycle had failed. It was a really worrying time and I felt very lost and alone.

After 5 years we finally decided that we both had enough and stopped the meds and I broke up with Wanda. I was free. Kinda there was still the pain and hurt and still no baby. We decided to take some time and travel. Fast forward January 16, 2018, I found out I was pregnant after tasking 17 yes. I really did take 17 home pregnancy test. 3 things crossed my mind I was either dying, going through the change or pregnant. Holy cow was I ever. I was 6 weeks and I was over the moon with joy and excitement. We had a heartbeat, and everything looked good, but sadly, it was not fine and at 8 weeks we lost the baby. We found out later that it was trisomy 22 and it was a girl.

I can’t explain to you the pain of losing a child unless you have been there. What followed was months and months of heartbreak, pain, and devastation. Infertility makes you feel like you are broken and angry and its just unfair The doctors told me I had little chance to conceive without the help of ivf which I have never been able to do due to the cost. I am so thankful that I’m surrounded by such a supportive husband, family, and great friends. As much as I hate to see anyone go through this, it’s nice to have another person to share things with. I have no idea what God has in store for us – I’d be lying if I said I knew. I know God uses all kinds of experiences and hardships (and heartaches) for His good. I also know that however, this all works out, it will be according to His plan and even though it may be hard at times, I trust Him fully. I will remain grateful for every single little good thing we continue to experience every day.

I am so thankful for CNY that we have the opportunity and option to try IVF. I am also incredibly grateful for my husband, who is so wonderfully supportive and ready to do this with me. We are all in and going through the last few years of this journey with him, I love him more and more every day. I hope and pray that at the end of this, I’ll be looking into a tiny little face that reminds me of the man I get to have by my side through all of it.”

11
Sep

Ectopic Pregnancy: Meaning, Causes, Diagnosis, Treatments, and Concerns

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Ectopic Pregnancy is a scary topic and one that not many people know about.  Below, Board Certified Reproductive Endocrinologist and Fertility Expert Dr. Edward Ditkoff answers some questions regarding what an ectopic pregnancy is, it’s causes, diagnoses, treatments, future concerns and more.

Q:  What does ectopic pregnancy mean?

A:  The definition of an ectopic pregnancy is a pregnancy that occurs outside the uterine cavity. The most common site for an ectopic pregnancy is the fallopian tube, however, there are other areas where an extra-uterine pregnancy may attach.  Extra-uterine or ectopic pregnancies may also occur in other areas, such as the ovary, the interstitial or cornual part of the uterus.  This is the part of the uterus between where the fallopian tube and uterus join.  They can occur in the cervix—called cervical pregnancies, abdominal pregnancies and even Caesarean scar pregnancies.  Ectopic pregnancies can even occur while there is a normal pregnancy in the uterus.  This is called a hetero-ectopic pregnancy. These are different meanings of an ectopic pregnancy.

Q:  Why does an ectopic pregnancy happen?

A:  It’s felt that any patient with any underlying tubal disease or tubal damage or trauma is at increased risk for an ectopic pregnancy.  On the other hand, any pregnant woman could potentially have an ectopic pregnancy even without these risk factors. As mentioned, damage to the fallopian tubes will predispose these women to an ectopic pregnancy.  High-risk conditions include:  prior ectopic pregnancy, history of tubal surgery, previous tubal sterilization, history of any sexually transmitted infections, tubal infection or pelvic adhesions, and current use of an IUD can increase the probability of having an ectopic pregnancy if one is pregnant with an IUD in place.  Conceptions resulting from IVF are thought to increase the risk of an ectopic pregnancy up to 1% (or 1 out of 100). Those are various reasons why it happens.

Q:  How is it diagnosed?

A:  It’s diagnosed primarily by testing hCG levels in the blood and ultrasound examination. These are the two most useful methods of diagnosing an early ectopic pregnancy.  It is said that hCG levels should increase at a minimum of at least 53% over a 48-hour period.  Once the hCG level reaches that conservative/discriminatory number, it’s felt that the pregnancy should be visualized in the uterine cavity by that time.  In other words, if the hCG level is not rising appropriately and/or the hCG level is above the discriminatory zone and there is no evidence of a pregnancy in the uterus, these patients are considered at high risk for an ectopic pregnancy and should be followed more closely.

Q:  How is it treated?

A:  Typically, if an ectopic pregnancy is not ruptured, it’s generally treated these days by using methotrexate. There are two methotrexate protocols that are generally used.  We generally use what’s called the single methotrexate protocol. The single dose methotrexate treatment protocol means that once we suspect there is an ectopic pregnancy and there are no contraindications to the use of methotrexate, then this drug is given. In the case of a ruptured ectopic pregnancy or an urgent medical condition where the patient is at risk for bleeding and having hemodynamic instability, then surgery becomes the treatment for ectopic pregnancy.  The single methotrexate dose is thought to be 15 mg/m2 intramuscular. That dose is given and then four days later the patient has her hCG level rechecked and again three days after that. Day 1 is the first day of treatment; Day 4 and Day 7 are follow-up checks of hCG levels.  If the hCG level is not decreasing by more than 15%, then the second dose of methotrexate would be given.

Sometimes ectopic pregnancies are treated empirically because we don’t really know where the pregnancy is.  The two main forms of treatment are methotrexate, which is medical management, and surgery, which is surgical management.

Q:  What concerns might a woman have if she wants to become pregnant again?

A:  Unfortunately, patients who have had one ectopic pregnancy are at increased risk for having another ectopic pregnancy. The odds ratio is ten-fold increased in a patient with a history of one ectopic pregnancy compared to the general population.  On the other hand, if someone has had at least 2-3 ectopic pregnancies, their risk factor goes up another 25%.  Women with a prior history of an ectopic pregnancy need to be followed very carefully once they suspect they are pregnant. If they miss a period or if they are having irregular vaginal bleeding, they should be evaluated to see if they are pregnant because of this high degree of recurrent risk of another ectopic pregnancy.

Q:  What other measures might your doctor take to monitor the pregnancy?

A:  I think the best measure we can take in these types of patients is to see them as early as they are pregnant and follow the hCG blood test levels, as I mentioned earlier, to make sure the levels are rising appropriately so we can visualize a pregnancy in the uterine cavity at the earliest time possible.  Typically, we can see a gestational sac in the uterus by 5 – 5 ½ weeks pregnant, and we could/should hopefully see a heartbeat by 6 weeks gestation.  However, because dating of ovulation is not always precise, we have to be lenient and look at the big picture because we don’t want to treat a patient with methotrexate prematurely.

 

 

Sources:

Q: William Kiltz

A: Dr. Edward Ditkoff, Board Certified Reproductive Endocrinologist and Fertility Specialist

10
Sep

September IVF Giveaway

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At CNY Fertility Center, we understand that access to quality fertility treatment is the number one barrier to those suffering from infertility. With our affordable treatment pricing and payment plans, more and more without insurance coverage are saying “I can do it!”  But, even with prices less than 1/3 the national average,  $3,900 plus monitoring and medications is still more than most people can easily afford.  That’s why at CNY, we are happy to give everyone the chance to win an IVF cycle.

Important Rules and Info for our September Giveaway:

  • Our September IVF Giveaway will run through the month of September.
  • To enter the raffle, you will need to like/love/other emoji and comment on one of Dr. Kiltz’s Sunday Night Facebook Lives every Sunday at 8 PM EST on our Facebook Page during the month of September.
  • Only one submission is allowed per person – partners and spouses can comment/submit separately.
  • Liking/Commenting on each Sunday Night Live will increase your odds by having multiple submission in the giveaway.
  • The winner will be selected on or around October 1st.
  • Due to HIPPA policy, the winner will not be publicly identified unless they sign a waiver.
  • IVF Giveaway Includes: Oocyte Retrieval, Intracytoplasmic Sperm Injection (ICSI), Assisted Hatching, Embryo Transfer, and Cryopreservation of Surplus Embryos, and storage of frozen embryos for a period of one year following the fresh IVF cycle.
  • The free IVF cycle does not include testing, monitoring, medications, anesthesia, or Frozen Embryo Transfers ($250/transfer). Donor Egg, Sperm, or Embryo cycles are not part of this giveaway.
  • Please note that our Facebook live videos are public and that family members and friends can see your comments.

NOTE: There is no cash value for the winners of the free IVF cycle You must schedule an initial consultation with one of our CNY Fertility Center locations within six months of the completion of this giveaway. You will not be charged for this consultation if your insurance doesn’t provide you coverage. If you are a past CNY Fertility client we will need you to come in for a follow-up appointment. You must use your free IVF within 1 year of the completion of this Giveaway. The giveaway cannot be applied retroactively. 

28
Aug

Dr. Kiltz’s Ice Cream Recipe

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Let’s just put it this way – you’ve never had Ice Cream like this before. Quite frankly after trying this pulling out that Ben and Jerries Pint is going to feel like a bit of a shame.

 

Plus . . . IT’S KETO AND B.E.B.B. approved.