June 2008 Newsletter

Welcome to the June 2008 Newsletter.

In This Issue
Meet Our Staff
Dr. Rob’s Intention of the Day Mailing List
IVIG Therapy
Sperm Washing
Living Your Best Life Workshop
Honoring Loss Workshop
Resolve Information
Success Stories
Affordable IVF

Quick Links


Join Our List
Join Our Mailing List

Meet Our Staff

Judy DeCoste, Office Manager, oversees the daily operation of the front office. Judy is integral in acquiring pre-determination letters from insurance companies prior to procedures. She orders medications for patients, and schedules Dr. Kiltz’s surgeries. She also performs Human Resources duties. Judy regularly meets with patients during their consultations to explain their insurance benefits, as well as the costs that pertain to their treatment. She received her Medical Assistant Certificate from BOCES in Liverpool and joined the CNY Fertility Staff in September of 1997.

Email me (jdecoste@cnyfertility.com)

Join Dr. Rob’s Intention of the Day Mailing List!
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If you are interested in receiving Dr. Rob’s uplifting and enlightening daily intention, click on the link below and sign up.

Issue: #4
June 2008
Dear Lareina, Welcome to June’s E-newsletter! We hope you find it informative and interesting. We have several upcoming events including our Party with the Animals, at the zoo on June 21st, our Living Your Best Life workshop on June 25th, and our ongoing support groups.Please email us with any comments or suggestions lfoster@cnyfertility.com.


IVIG Therapy
IVIG therapy is used by fertility patients who have recurrent implantation failures or recurrent pregnancy losses. IVIG therapy is thought to repress a woman’s immune system, which may be attacking the embryo or fetus, mistaking it for a foreign body. IVIG is made up of human antibodies, derived from washed and processed donor blood. It is not clear exactly how IVIG works, but studies suggest that it may reduce the amount of natural killer (NK) cells in the body, and/or may absorb or block a woman’s antibodies, which are causing the body to attack the pregnancy.Women who have tested positive for natural killer cells and have experienced multiple miscarriages or implantation failures, may opt for the use of IVIG therapy to increase their chance of conceiving and carrying a pregnancy to term.During a treatment session, IVIG is introduced to the body very slowly through an intravenous drip in the arm, possibly taking several hours. It is recommended that IVIG be administered prior to embryo transfer, and then two additional times following a positive pregnancy test.Currently, ASRM suggests that IVIG therapy be considered experimental treatment because studies have reported inconclusive results on the positive effects of IVIG therapy for recurrent pregnancy loss patients.The cost of IVIG therapy at CNY Fertility Center is $1500 per treatment, plus $500 for nursing costs. The nursing costs can be submitted to insurance; however, IVIG therapy is seldom covered by insurance.

Sperm Washing
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Sperm washing is performed on semen samples that will be used for Intrauterine Insemination (IUI), In Vitro Fertilization (IVF) or IVF with Intracytoplasmic Sperm Injection (ICSI). The sperm washing process facilitates the segregation of motile sperm from immotile sperm, dead sperm and seminal fluid.

Procedures requiring sperm washing
Sperm washing is important for patients planning to have an IUI. During natural conception, the vagina and cervix act as automatic ‘sperm washers,’ removing seminal fluids containing prostaglandins, which can cause cramping in the uterus. After sperm washing, the isolated motile sperm are placed directly into the uterus, bypassing the vagina and cervix, bringing the sperm into close proximity to the fallopian tubes, where eggs are fertilized.
Sperm washing is used to prepare semen samples for IVF and IVF with ICSI as well. The separation of motile sperm allows the embryologist to add the motile sperm into a petri dish, containing eggs for IVF. To fertilize eggs for patients using IVF with ICSI, each sperm is individually selected using a micro tool on a powerful microscope, and then directly injected into an egg. Removing unnecessary debris from a semen sample allows the embryologist to pick sperm easily, without clogging the micro tool.The sperm washing process
After a semen sample is collected, the andrologist allows it to liquefy for approximately 20 minutes on a warmer. The sample is then assessed for sperm count, motility, progression, volume and viscosity. Once all the parameters are determined, the semen is placed in a test tube, on top of two liquids with different densities (called a “gradient”), which will act as a filtering system.The gradients contain silane-coated silica particles in a specific concentration. The top gradient is less concentrated than the lower gradient. The semen and gradients are then centrifuged, causing the seminal fluid to be trapped in the top layer, non-motile sperm in the middle layer, and motile sperm in a pellet at the bottom. The pellet of motile sperm is re-suspended in another liquid media, and the concentration, motility and progression of the sperm are evaluated. The sample is then ready for IUI, IVF or IVF with ICSI.

Living Your Best Life Workshop
with Robert J. Kiltz, MD and Elaine Wolf Steinberg, LMFT, MSW “Living Your Best Life”
with Dr. Robert Kiltz, MD and Elaine Wolf Steinberg, LMFT, MSW

CNY Healing Arts is proud to offer a mini-workshop that focuses on helping you improve your life. We are excited to share tools we have learned to succeed in life with you. Our meeting will focus on creating positive attitudes and intentions. In essence, you will “learn the secret.” We will begin by learning and doing some breathing techniques together. Then Dr. Kiltz will share his passion and wisdom about the subject with you. Elaine will clearly spell out “the secret” and guide an activity to help you learn and integrate the same. We will do some easy movement together and end with meditation if time allows.

Meeting: Wednesday June 25th from 6:30-8pm at
CNY Healing Arts Center, 191 Intrepid Lane, Syracuse, NY.
Please reserve your spot by calling 315.671.5755.
This group is a complimentary service of CNY Healing Arts Center.
Dress comfortably and expect a meaningful and fun time!

Honoring Loss Workshop
cny ha A Creative Workshop Toward Healing Grief“Being alive requires of us a relationship with the mysterious life-long experience of letting go” -Molly FumiaCNY Healing Arts is pleased to offer you a complimentary workshop to
help honor our losses and process our grief. This workshop is meant
for anyone who is dealing with loss. It may be the loss of a family
member, a dear friend, an unborn child, a long held dream or wish, a
pet, a relationship, a sense of meaning, any loss that touches you in a
deep way. Our wish is to create a safe and sacred space to process the
grief, in whatever form that takes, and begin (or continue) the journey
of healing.
The workshop will include:– Creation of community with others experiencing loss- Quiet time of reflection &/or writing- A ritual to create a symbolic expression of your grief, and

– A sacred space for sharing and building relationship with your grief

Date: Saturday, June 28th 1-4pm

Location: CNY Healing Arts, 191 Intrepid Lane

Facilitators: Cheryl Flynn, MD, MS, MA & Elaine Wolf Steinberg, LMFT, MSW

If interested, please call 671-5755; advance registration is
required to ensure we have enough supplies. If you have questions about
the workshop, please ask to speak with Elaine.


Federal Legislation

Watch our Take Action video.

Family Building Act of 2007
Let’s pass the Family Building Act of 2007 — it’s time that infertility is covered by insurance! Help us reach our goal — we want to send 1,000 messages to the 110th Congress! Take less than five minutes to send an email to your representatives.
Read more about the Family Building Act here.
Contact your representatives and ask them to sponsor the bill here.

Adoption Tax Credit
The Adoption Tax Relief Guarantee Act, introduced by Senator Jim Bunning (R-KY) (S. 561) and Joe Wilson (R-SC) (HR 471), would make permanent the tax credit available for families who adopt.
Contact your representatives and senators and ask for their support.

Contact Your Senators
Currently there are no bills relating to insurance coverage of infertility treatment in the Senate. Write your senators now and urge them to sponsor infertility coverage legislation.
Contact your senators here.

Success Stories
Past patients share their experiences.
Would you like to share your story? Click here!

Danielle & Sean’s Story
My husband Sean and I visited CNY Fertility in the fall of ’06. We had been trying for 5 years to get pregnant on our own without success. We had visited a fertility clinic prior to CNY, and after 2-3 cycles had taken a break because it was very disappointing to not have it work after the anticipation and many visits. We went to CNY in Aug/Sept ’06 and I had prepared myself for this not to work again, especially on the first cycle. What a shock when the nurse called me at work to tell me we were pregnant! I was pregnant with twins and lost one very early, but ended up with a beautiful little girl named Raina Lynn born April 27, 2007. We are going to begin trying for a second child this fall and will turn to CNY again for their help. The staff we met with was very helpful, understanding and empathetic to our situation. I felt very much at ease there and would not hesitate to go again. We appreciate everything CNY did for us and for giving us Raina. She truly is a blessing and the best thing that has ever happened to us.cny ha
Robin & Wayne’s Story
Thank you to the great team at CNY Fertility for the recent additions to our family. Brooke and Mason were born 12/8/07. I was diagnosed with PCOS in 2000. After 5 long years and 2 different doctors in FL, we were blessed with our 1st son, Clay, in 2005. We relocated back to central NY to be closer to all our family and friends. I knew that I wanted to have more children, but was unsure that I wanted to go through all the “stuff” again. I finally got the courage to call CNY and make an appointment. After meeting with the doctors and staff, I was confident and ready to start treatment again. After only 1 cycle using injectables, we discovered it worked and we were having twins. Clay is a very proud big brother. Thanks again to everyone at CNY for making our little family of 3, a 2 caravan family of 5!

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Shelly & Drew’s Story
Dear Dr. Kiltz & Staff – Thank you doesn’t begin to express how grateful we are to you for making our dream become a reality. After many years of unsuccessful treatments at different fertility centers, we met with you in March of 2007. You were very optimistic and reassured us that we would soon be parents. On January 23, 2008 we welcomed our daughter, Myah, into the world. She is such a blessing to us! You and your staff are such wonderful people and we are so happy to have met you. Again, thank you!cny ha
Wendy & Cheryl’s Story
I first visited Dr. Kiltz when he was located over at Community General Hospital. In June of 1999, I tried to get pregnant for my second child. That attempt failed. I was successful the second time around although we did find out that it was an ectopic pregnancy. I was devistated and after a couple of years of waiting, we decided to try again. After many, many failed attempts at IUI with Clomid, IUI’s with injectables, and many, many “Sorry, you aren’t pregnant” phone calls, we made the decision to try IVF. I was very scared, but hopeful too, since I had managed to conceive 2 times (I have an older child who was conceived by the way old fashioned ICI back in 1991). We started our IVF process at the end of May 2002 ,had a retrieval of 6 eggs on June 16th, and put back 2 embryos on June 19th. On July 2nd, I had a positive pregnancy test and on February 27, 2003 gave birth to a healthy 7 pound, 2 oz baby girl. She is 5 years old today and we can’t imagine life without her. Thank you Dr. Kiltz, and everyone on your staff for making our dreams of completing our family come true. I often tell friends who are struggling with getting pregnant to go to CNY Fertility Center because if you can get pregnant, you will!cny ha
Denise & Richard’s Story
Dear Dr. Kiltz and staff: Would like to thank you again – Teague Richard welcomed his sister Kaelyn Michelle on February 12th, 2008. You and your staff were wonderful to deal with. We have never experienced such caring people.

Affordable IVF
This interest free option was created to help our
non-insured patients pay for their treatments over a period of
one year. We do require a minimum payment prior to retrieval, and
the balance will be divided into twelve interest-free monthly payments.
On the 15th of every month, we will withdraw payment from your
debit or credit card. Your payment includes egg retrieval, ICSI, assisted hatching,
embryo transfer, cryopreservation, storage and transfer of frozen
embryos for up to one year. After one year, any additional frozen
transfers will be $1,000.00. These prices DO

Cycle Number Cost of IVFProcedure Minimum paymentdue at time ofprocedure Amount Financed Monthly Payment(1)
1 $5500 $3000 $2500 $208.33
2 $4500 $2500 $2000 $166.67
3+ $3500 $2000 $1500 $125.00

(1) Payment is withdrawn monthly from a debit or credit card.
(2) These prices do not include medications (approximate cost $3,000),
follicular monitoring ($500) or any additional blood work or
ultrasounds required after transfer.

Please contact us at 1.800.539.9870 (Syracuse) or 1.866.375.4589 (Albany) for more information, or with any questions you might have about our articles or services.

CNY Fertility Center Staff

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