Virtual Support: Positive Reading, Coping with Failed Cycles, and Releasing Tension


art_lotus_12009915a-300x239.jpgWe love being able to provide care for our busy and traveling clients, but sometimes distance and packed schedules can make attending a support group session challenging, or even impossible.  In order to keep you sharing and connected, we have created three support opportunities for you this month designed for you to enjoy from the comfort of your own home, wherever that may be.
Thursday, April 16th, Lisa will offer a webinar on Positive Reading to Support your Fertility.  This is an interactive experience where you will be able to ask questions and suggest topics to cover.  To register please visit the following link:
Our Fertility Support Teleworkshop is a phone conference call offered Monday, April 20th at 7:00p.  This month, Lisa is focusing on strategies for coping with multiple failed cycles. You will have an opportunity to ask questions, or you may submit questions before via email.  Please email for call-in information:
Finally, on Thursday, April 23rd Lisa will offer a Relaxation Webinar focusing on Deep Breathing to Release Tension.  This webinar will guide you through a breathing exercise that you can then take and use as a coping tool for challenging situations.  To register please visit the following link:
We are also hosting our regular Circle of Hope Support Group sessions in Albany and Syracuse this month.
Syracuse will meet on Wednesday, April 8th from 7:30p-8:30p
Albany will meet on Tuesday, April 14th from 5:30p-6:45p
For all of our fertility support offerings, please check our CNY Fertility and CNY Healing Arts calendars.  Please let us know if you have any questions, and we look forward to hearing from you during these sessions!
One last note, did you know that we started  new Private Facebook Fertility and Pregnancy Groups for current clients?  Here, you can find a safe and secure space to share with other women and men facing similar challenges.  You can get immediate support and feedback!  If you are interested in joining, please message Lisa Stack within the Patient Portal.
If you are interested in a more private one-on-one support situation, Lisa Stack is our CNY Fertility Center Support Coordinator, she offers her services as a lay support person and can be contacted by email at if you are not yet a client or via the Patient Portal if you are a current client.


Video: Interactive Fertility Support on Stress Reduction and Honoring Emotions


Lisa Stack, CNY Fertility Support Coordinator, facilitated an Interactive Fertility Support Webinar in August 2013 and discussed stress reduction techniques and honoring your emotions. She covered many different support topics and shared the various programs and opportunities that are available to our clients at all of our CNY Fertility locations – Syracuse, Albany and Rochester, NY.
Did you know that we started a new Closed Facebook Support Group?  Here, you can find a safe and secure space to share with other women and men facing similar challenges.  You can get immediate support and feedback!  We also now have a Closed Facebook Pregnancy Support Group.
For our support opportunities, both in-office and virtual, please check our CNY Fertility and CNY Healing Arts calendars.


If you have any questions about the support available, please feel free to contact us at any time.
If you are interested in a more private one-on-one support situation, Lisa Stack is our CNY Fertility Center Support Coordiator, she offers her services as a lay support person and can be contacted by email at
If you are interested in an initial fertility consultation either over the phone (if you live out of the NY State region) or in-office, please call our toll-free number at 800.539.9870 or request a consult here.


Inside-Out Wellness: The Wisdom of Mind/Body Healing Dr. Wayne W. Dyer and Christiane Northrup, M.D.

by Wellness: The Wisdom of Mind/Body Healing is a 4-CD set of lectures given by both Dyer and Northrup.  These two lectures are inspiring, relaxing, and push the listeners to want a better life for themselves.  These are two great lectures that motivate the audience to desire more out of both themselves, and their healthcare practitioners.
Utilizing positive thinking and an innate trust in the body’s processes, we can heal from within.  We, as women, have the ability to manifest our dreams, work though anatomical and/or hormonal challenges, and achieve overall wellness.  This CD series gives an inspiring motivation for women at various different stages of their fertility, to take charge of their health, and allow all of their dreams to become reality.  This is a great supplement to a meditative practice. Available to purchase in our webstore here.


Embryo Transfer – Day 3 versus Day 5


CNY Fertility Center has locations in Syracuse, NY Albany, NY and Rochester, NY. CNY Fertility offers affordable fertility treatments including low cost IVF (In Vitro Fertilization). Patients often have questions about the day that their embryos will be transferred back to their uterus following their IVF procedure. This article is a quick summary of the history and advantages of both Day 3 and Day 5 embryo transfers.
Until about 10 years ago, all embryos were routinely placed in the uterus on day 3 of the cycle. Embryos are then at the 6-8 cell stage.

(8 celled embryo – Day 3)
Culture methods then emerged which allowed healthy embryos to continue developing to day 5, the blastocyst stage which has several attractive features.  Most importantly it allows some of the embryos which are doomed to failure due to internal defects to fall by the wayside as they arrest and do not continue to develop. Thus the more hardy embryos are self selecting and the rate of implantation of each embryo is higher.  Culturing embryos out to the blastocyst stage reduced the number of embryos that were transferred back as well, reducing the incidence of multiple gestations.

(Blastocyst stage embryo – Day 5)
Initially it seemed as this was applied in IVF practice, that the ability to choose the more robust embryos by self selection in this manner would raise pregnancy rates. In a common scenario, the choice if a patient had 5 embryos available for transfer, all about equal in quality on inspection under the microscope, the option would be to replace 3 embryos on day 3 or two on day 5. It was hoped that the day 5 embryo transfer would yield higher results for the IVF patient. This has not turned out to be the case. It is however true that the number of triplets is reduced by use of the day 5 strategy, which is an important option to consider when the risk of multiples is paramount.


Notes on The Seven Spiritual Laws of Success by Deepak Chopra


seven_spiritual_lawsThe Seven Spiritual Laws of Success By Deepak Chopra
This month we read The Seven Spiritual Laws of Success by Deepak Chopra.  This short book is filled with great suggestions for working towards living your best life.  I have taken highlights from each of the seven chapters for us to focus on, and hopefully utilize as we continue to grow and discover our full potential.

The Law of Pure Potentiality
Chopra holds that our essential, most basic state is one of pure potentiality, or pure consciousness.  This is characterized by unlimited possibility and creativity.  However, we tend to become distracted by the world around us, and we stray from our initial form.  In order to return to who we are, and this moment of clarity and creativity we must return to our true selves.  This can be accomplished by:

  1. Practicing meditation because in stillness, we connect with pure awareness.
  2. Practicing non-judgment because judgment creates chaos in our minds, and bodies.
  3. Spend time in nature to reconnect with simplicity.

Law of Giving and Receiving Read more


Reproductive Dysfunction


Hi this is Dr. Rob talking about reproductive dysfunction, infertility, the inability to conceive and recurrent pregnancy loss. All these things affect our ability to conceive and deliver a healthy baby.

A 20% delivery rate per month is normal. After one year it may drop down to the 5-10% per month range and after two years it may drop to 1-5% per month range, but it doesn’t drop to zero! Keeping at it, I’m finding, is the key to all of this and I believe that stress, anxiety and fear are some of the major causes of reproductive dysfunction.

I believe in treating the patient as a whole entity, not just treating their reproductive organs. The mind, body and spirit play a huge role in each person’s day to day wellness and quality of life. Incorporating things like yoga, meditation, acupuncture, and maya abdominal massage are some steps from eastern treatments which work toward healing and normal reproductive function. Certainly it’s also important to look at western medical treatments for things such ovulation failure, pelvic adhesions, endometriosis, tubal factors, uterine factors such as uterine fibroids or intrauterine adhesions and diminished ovarian reserve from age factor infertility. All these can all affect egg function and implantation.

Let us not forget the male and sperm factors. There are two important halves to healthy reproductive function, and sexual dysfunction for many of us, can begin with the very basic inability to come together at the right time. There may be an inability to deposit sperm in the right place. There is also the question that if the sperm is properly placed, is the semen of normal count, motility and function?

In reality it all comes down to function, even though everything looks normal, regular cycles every 28 days, a normal hysterosalpingogram that documents that the fallopian tubes are open and the uterus is normal. A semen analysis that documents that there are at least 20 million sperm with 50% motility and the morphology is fantastic and normal. It’s all about the function of our organs (including the brain!), and the gametes. With unexplained factor (idiopathic) infertility there are unknown components preventing conception. It could be a genetic or chromosomal issue, a immunologic factor or a hormonal issue. We can treat these all with eastern and western treatments. We should start with the mind in all of these. With visualizing exactly what we want, we want – a baby, a family. There is an instinctual natural drive for these things. We do harbor fear, anxiety, worry, regret, guilt and judgment. Through yoga, meditation, acupuncture, massage, herbs, support group, connecting positively with other women and sharing stories, often sharing our pain, we can let it go.

I believe that journaling each and every day, a simple five minute journal entry, is helpful. Just write down how you are feeling. Then continue with working on the positive mantras of the day with meditation, which is really important. It can help. Studies by Ali Domar, of the mind body institute at Boston IVF have shown an increased success for patients who included a mind-body-spirit regimen with fertility treatments. Randine Lewis has shown with eastern treatments, significant improvements in outcomes that often do not require shots or pills or surgeries, both for the male and the female.

The fertility evaluation should start with sharing your story with your practitioner, whether it’s a Reproductive Endocrinologist, an OBGYN, family doctor or a Traditional Chinese practitioner. Share your story, or even if it’s with your partner or friend, share your story. There is guidance, there is assistance there.

Some blood work may be important for both the male and female. Patients may benefit from testing hormone levels, looking at immunologic factors, karyotyping and chromosomal factors. Performing a hysterosalpingogram to look at the fallopian tubes and uterine patency can add to the diagnostic picture. A pelvic ultrasound can be performed to look at the uterus, ovaries, ovarian reserve and fibroids. Additionally a laparoscopy and hysteroscopy could be recommended. These are operative procedures to look into the woman’s pelvic organs and uterine cavity. Through these procedures we are able to look for adhesions which may affect the transport of the egg and sperm. Both hysteroscopy and laparoscopy are out patient procedures, often done in the office.
Endometriosis is an infertility factor which we believe is the implantation of the glands from the endometrial cavity, either coming directly out of the fallopian tube or just spontaneously growing on the reproductive organs, causing inflammation and scar tissue and sometimes diminishing ovarian reserve. Via the laparoscopy, endometriosis and adhesions can be removed and increase a couple’s odds of delivering a baby.

It may be that the cycles are regular, the fallopian tubes are open and the semen analysis is normal. It may be as simple as trying a few timed clomiphene citrate cycles with intrauterine insemination, which will bump your delivery rate from about 1-5% per cycle to 5-10% per cycle. There are some side effects from medications. Clomid has an anti-estrogenic effect and can often cause some emotional upheaval, some depression, anxiety, PMS type symptoms, or premenstrual syndrome.

There are many options available to couples experiencing infertility, both invasive and non-invasive, Eastern and Western, and each offers some benefit to the patient guiding them closer to parenthood. I believe that doing something is always better than doing nothing, especially when trying to create a family. For more information about any of our services you can call CNY Fertility Center and CNY Healing Arts and speak with our highly knowledgeable staff.
Have a spectacular day!
Dr. Rob


H1N1 (Swine Flu) Information and Suggestions


HandWashing_250pxWe would like to share with you some information and suggestions regarding the H1N1 Flu, commonly known as the Swine Flu.  All of these suggestions could also be applied for the regular flu that circulates annually.  Although it is easy to become alarmed with the increased news coverage of this impending flu season, we urge you to please be cautious, but not fearful.  There are many precautions you can take to stay healthy this winter, and protect those around you.

  1. Wash your hands! Continuous and thorough hand washing is the best preventative.  Be sure to especially wash after contact with others, and high traffic areas (handrails, bathrooms).  A disinfectant hand sanitizers or wipes are perfect for these situations.
  2. Cover your mouth/nose! If you have to sneeze or cough, cover your mouth and nose completely with a tissue or sleeve, and then wash or sanitize your hands after.
  3. Get plenty of rest! Lack of sleep can lower your immune system, leaving you more susceptible to becoming sick.
  4. Eat well and drink plenty of fluids! Eating a healthy, balanced diet with plenty of fluids boosts your immune system, helping you fight off viruses and bacteria.
  5. Be mindful and respectful of symptoms! If you are noticing any of the following symptoms, please call your physician and try to stay home to rest and prevent spreading the virus to others: fever, cough, sore throat, runny or stuffy nose, body aches, headache, chills and fatigue.
  6. Is someone else infected? Stay away! Unless it is absolutely necessary, stay away from those who are infected with the flu, as it is contagious.
  7. One more time…Wash your hands! Read more

Why join a support group?


handsI remember being nervous the first time I attended a support group.  I wasn’t so sure I wanted to share my story, and I didn’t feel comfortable speaking about such a personal topic in front of total strangers.  I finally attended and was completely surprised.  I found that the benefit of a support group is not necessarily the counseling aspect, but the community.  It was amazing to see a group of people with the same problems that I had.  For so long I felt alone, and that no one could possibly understand what I was experiencing.  I was wrong, here was a group of people that knew exactly what I was feeling, and enduring.  It is also great to bring your spouse, if you feel they don’t completely understand how difficult this time may be for you.  It could help them to hear others speak and use the same language as you do, to describe their worry.
Even if you never speak during a support group session, just come to listen.  You may be pleasantly surprised by the similarities in your stories.
Here is a link to The Benefits of Support Groups from :
Check the calendar section of for updated meeting times and locations.
Hope to see you soon,
Lisa Stack


Time to turn off the TV


summer-flowerIf you have ever attended a CNY Fertility Circle of Hope Support Group session with Dr. Rob Kiltz you know that he encourages us to turn off the TV and surround ourselves with positive, healthy media such as music and literature.  However, all too often when it comes to making time for ourselves to do activities such as reading or exercising we are simply too busy to fit it in.
While life does get incredibly busy with work and family, we truly need to make a conscious effort to spend some leisure time doing what we love.  According to a recent Nielson study, the average American watches 5 hours of TV a day.  5 hours!  Imagine if instead of spending time in front of the TV you went for a long walk outside, or spent time with family?  I guarantee 10 years from now you won’t be upset you missed that one episode or that hour of the news.  Instead you will be grateful for all the good times and laughs you had.
This is especially important if you are trying to conceive.  Sitting on the couch is not helping your body at all.  Why not take these summer months and work towards becoming the healthiest and best version of yourself yet!
Try it today, just turn off the set and get outside!

Lisa Stack


April's journey to fertility: Week six


Fertility SymbolApril is a CNY Fertility Center patient and has been on her journey to fertility for approximately two years. April will share candid stories and a unique perspective on the fertility challenges many women and couples face.
Week Six: Bahama Mama
As I was recently ordering lunch at a local coffee shop, another teacher noticed that there was a bag of Bahama Mama coffee next to me and asked if it was mine. She initially thought I was buying it and wondered how it tasted. When I told her it was not mine, she looked at me for a quick second and excitedly declared, “Bahama Mama – you’re going to be a MAMA. It’s a sign!” Her excitement immediately spread to me, and I began to believe that Bahama Mama was a sign. Of course, this excitement soon transformed into my familiar internal conflict; Yes, I am going to be a mama, but what if…. My list of what ifs is terribly long and downright dismal, but I have been diligently trying to change my negative thought patterns. However, I have to admit that consistently replacing negative thoughts with positive ones requires vigilant commitment and immense effort.
I know that as future mamas-to-be, we consistently hear the so-called encouraging phrase, it will happen. Our friends and family tell us to just relax and not think about it or share stories of those women who adopt and then surprisingly conceive. It always amazes me how easily those who have children, or who have no interest in having children, are quick to dismiss my terribly real fear that I may not have children. However, my Bahama Mama experience has given me a different perspective on the entire thought process relating to when and how I will become a mother. Simply stated, if others believe it will happen, why don’t I, especially since I know numerous stories of couples who try (and try, and try) for so long and do eventually achieve pregnancy?
Stories of couples who persevere and do conceive nurture my spirit and provide motivation for me to persist. My intention for you this week, is to remember such a story. If you are sure you have not heard a successful fertility story, please do some research (friends, valid websites, etc.) until you learn of a story that can serve as personal encouragement. If you feel comfortable enough to share such a story, please do so in the comment section.
Let me begin with one of my favorite fertility stories.
An acquaintance of mine went through a multitude of assisted cycles, including one IVF cycle in which fertilization did not take place. Afterward, the doctor explained that she and her husband were “incompatible.” They were encouraged to look into other options including donor egg possibilities and adoption. Three months later the couple naturally conceived. Although this alone would have been complete joy for the couple, they were even more ecstatic when they learned the mother was carrying twins!
Again, please feel free to inspire each other by sharing any encouraging fertility stories.
Inspirational wishes,
April all Year
Below are links to April’s past articles in case you missed any of them:
Week five: The right path for us
Week four: Our fertility treatment “break”
Week three: Deliberate choices
Week two: This moment
Week one: My story