Neway Fertility – Doctor Spotlight – Dr. Edward Nejat:

In 2015, we are launching a doctor spotlight series on our blog in order for our patients to see the doctors who helping our patients build their family dreams.  Our spotlight this week will be on Dr. Edward Nejat – often described by his patients as a physician who has “exceptional knowledge and unlimited compassion.” 

 

edwardWe hope all of you reach your family goals in the new year and know Dr. Nejat can help you take the first steps. 

 

Dr Nejat Bio:

Dr. Nejat is an accomplished reproductive endocrinology and infertility specialist who considers the doctor-patient relationship to be paramount. He believes that spending adequate time with his patients, being accessible to answer their questions, and having empathy, in addition to possessing exceptional clinical ability are crucial to his ability to provide state-of-the-art medical care. His particular areas of scientific interest include repeated implantation failure, unexplained infertility, reproductive surgery, diminished ovarian reserve and oocyte cryopreservation.

He has received numerous awards and has published widely in the field of reproductive endocrinology and infertility with contributions to scientific journals including The New England Journal of Medicine, Human Reproduction, Fertility and Sterility and The Journal of Clinical Oncology. He has presented his work at national and international academic conferences and various media outlets have reported on his research including the BBC, The Telegraph, Medscape, Pregnancy.org and IVF.net.
Dr. Nejat has spent the vast majority of his academic and professional career in New York City. He received his bachelor’s degree in biology from New York University’s College of Arts and Science, his medical degree from Weill Cornell Medical College and his masters in business administration from The Johnson School of Management of Cornell University. He then completed residency in obstetrics and gynecology at NewYork-Presbyterian Hospital – Weill Cornell and his fellowship in reproductive endocrinology and infertility at the Albert Einstein College of Medicine. He was part of a Manhattan private practice prior to joining Neway.

Outside of work, Dr. Nejat remains devoted to his alma mater – he sits on the board of directors of the Weill Cornell Medical College Alumni Association. He also enjoys travel and photography, and is proficient in Spanish. After living in Manhattan since 1996, he recently moved back to his hometown of Great Neck, NY with his wife, also a physician, and their one-year-old son.

Headed to the Fertility Clinic? Sunscreen may be to blame

Men who use sunscreen may be at increased risk for infertility. A study by the New York Health Department and National Institutes of Health reveals that two of the chemicals commonly used in sunscreen can impair the body’s production of hormones and endocrine system processes.

According to the study, men with high exposure to UV filters BP-2 or 4OH-BP experienced a 30-percent reduction in fertility.

As part of the Longitudinal Investigation of Fertility and the Environment (LIFE) study, more than 500 couples in 16 counties in Michigan and Texas were followed.

None of those studied had an actual medical diagnosis of infertility. Scientists followed the couples until they were able to conceive or for up to a year. Subsequently, urine samples were tested to identify concentrations of five UV filters that could be responsible for disrupting endocrine activity.

Scientists found that some, but not all, filters reduced fertility in men. While woman had a greater exposure to UV filters overall, they did not experience decreased fertility.

“In our study, male fecundity seems to be more susceptible to these chemicals than female fecundity,” said Germaine Louis, Ph.D., director of the Division of Intramural Population Health Research at the Eunice Kennedy Shriver National Institute of Child Health and Human Development. “Our next step is to figure out how these particular chemicals may be affecting couple fecundity or time to pregnancy—whether it’s by diminishing sperm quality or inhibiting reproduction some other way.”

Fortunately, our New York Fertility Clinic can assist men and women who are experiencing fertility struggles. Neway Fertility Clinic has both an impeccable reputation and success rate among fertility clinics in New York City. Contact our fertility clinic NYC today to learn how we can help you conceive the baby you’ve longed for.

The Future of Fertility – IVM (in vitro Maturation (IVM)

Anyone going through Fertility treatments knows the toll it can take on a
woman’s body, mind, and pocketbook during their quest to get pregnant. At
our clinic, Neway Fertility will revolutionize fertility treatments in 2015
with its cutting-edge treatment – In Vitro Maturation (IVM).

As one of the only clinics in the U.S. to offer IVM, a unique alternative to
conventional IVF which is minimally invasive, it allows multiple eggs to be
harvested from a woman’s ovaries with little to no medication. This
procedure is ideal for women with irregular anovulatory cycles, those with
PCOS or hormone-sensitive cancers, or those who have experienced ovarian
hyperstimulation syndrome.

With IVM, immature eggs are collected from smaller follicles in the ovary
and then matured in the laboratory under specially designed culture
conditions. Several embryos can be created without exposing women to high
doses of stimulating injections and possible side effects.

Other benefits of IVM treatment at Neway Fertility include:

– Less expensive than tradition IVF

– Not as time consuming for the patient

– Less invasive medication and side effects

– Relief from multiple ultrasounds and blood tests

Call today to set up a consultation with one of our doctors and see if this
treatment is right for you.

Neway Fertility is the leading clinic for IVM – more info can be found at
http://ch.newayfertility.com/fertility-services/in-vitro-maturation-ivm/

Cutting Edge Fertility Treatment: In Vitro Maturation

While in vitro fertilization is an effective option for many couples who are trying to conceive, it doesn’t result in a baby for all. A cutting edge option for sone women is in vitro maturation followed by intracytoplasmic sperm injection (ICSI).

With IVF, woman take drugs to stimulate egg production maturation within the body. With IVM, immature eggs are harvested and allowed to mature in a lab. This is important as some women can’t take fertility drugs due to interactions with other medications or because of Ovarian Hyper-Stimulation Syndrome (OHSS).

Here’s how IVM works:

A woman’s immature eggs are collected from unstimulated or minimally stimulated ovaries using ultrasound for guidance. The eggs are matured in our New York Fertility Clinic laboratory for 24-48 hours using a culture medium and small amounts of hormones. Intracytoplasmic sperm injection (ICSI) is conducted so the matured eggs are fertilized. The resulting embryos are transferred to the woman’s uterus

Who is IVM right for?

Women with PCOS have a particulary high risk of developing OHSS when taking fertility drugs, so IVM is a great option.

oman who can’t tolerate the side effects of fertility medications will benefit from IVM treatment. IVM can be particually helpful for women undergoing treatment for cancer who want to preserve their eggs, but can’t take fertility drugs due to a possible interaction with other medications or because fertility drugs could stimulate cancer cell growth.

Other women who should consider IVM at fertility clinics in New York City. include:

  • Younger women with normal menstruel cycles should consider since it’s less expensive and safer than IVF.
  • As a way to salvage immature eggs collected during a standard IVF/ICSI procedure.
  • Women who are younger than 35 and have antral follicle count of 10 or more.
  • Prematurely Aging Ovary patients since IVM avoids expensive gonadotropins and risks related to ovarian hyperstimulation.

At the Nuway Fertility Clinic NYC, we are proud to offer myriad ways to help your fertilization dreams become reality. Contact us today to learn more about IVM or any other of our effective treatment options.

Should I Keep an Ovulation Calendar?

What is ovulation?

Ovulation is the moment when a mature egg is released from your ovary. This is the time when a pregnancy becomes possible. Usually, an egg is released from one of your ovaries every month. This happens on alternating sides. One month your left ovary will release an egg, the next month your right ovary will release an egg.

As the ripe egg travels through the fallopian tube, it may encounters sperm. If the sperm fertilizes the egg, it will continue into the womb and may implant itself into the lining of the uterus, which has thickened in preparation for a pregnancy. If no pregnancy takes place, this lining will be shed as a normal, monthly menstrual period.

Signs of ovulation can be, according to the Mayo Clinic, very subtle. They can include a slight pinching sensation low on your side, changes in vaginal secretions, or a slight rise in your normal resting body temperature, sometimes referred to as you basal body temperature. Some women also experience tender breasts or slight spotting when they are ovulating.

Why should I track my ovulation cycle?

Pregnancy can only take place when a ripe egg is available. Ovulation only happens once a month, and once an egg is released, it is only viable for about 12 to 24 hours. Sperm can only live in the reproductive track for three to five days. This gives you a rather narrow window of time when a pregnancy can take place. If you are trying to get pregnant, it’s important to know when ovulation is occurring so you can take advantage of your most fertile time of the month to try for a pregnancy.

What is an ovulation calendar?

Sometimes called an ovulation calculator, an ovulation calendar is simply a record you keep of your ovulation cycles. Using this record, you will be able to predict when you are at your most fertile and most likely to conceive. This can be very useful for couples who have tried for at least a year to start a pregnancy but have not been able to conceive.

How do I keep an ovulation calendar?

Tracking your ovulation is fairly simple, though predicting ovulation in this way works best for women who have regular menstrual cycles. You can keep track of your cycles using an ordinary calendar, or you can choose one of the many free online calendars. Simply track the start and end of your menstrual cycles. Most women can then predict their peak fertility to fall in the 11 to 21 days following the first day of their last menstrual cycle.

Coping with Infertility during the holidays

Holidays are stressful for everyone, but even more so for those looking to
start a family. Those suffering with infertility have to find ways to cope
with the holidays. Receiving photo cards of friends and family’s little
ones can pull on heartstrings and make it very difficult for a couple who
has yet to conceive or carry a child to term. Below are some tips to help
with the holiday baby blues:

1. Don’t expect perfection and don’t expect to be happy. It may be
quoted as the most wonderful time of the year, but it is ok to grieve during
this time of year. Allow yourself to be sad and don’t expect yourself to be
happy just because “tis the season.”

2. Find ways to have a childfree season. Everyone thinks of the
holidays with expressions of children and their childhood, so plan a ski
trip or a cruise or a trip to warmer weather during the holiday.

3. Be selective of the parties you are invited to. Skip the ones where
a lot of children or pregnant women may be present. It is OK to say no.

4. Finally, don’t feel bad about missing out on family festivities.
You may feel that you will get into the grove, but constant reminders with
nieces and nephews running around could make the time difficult.

Remember you and your partner are going through a trying time. Those that
love you will understand and support you. During the holidays you can over
indulge in yourself and your partner. Plan a nice evening for just the two
of you. Start your own family traditions and share your feelings with your
partner so the two of you are on the same page and understand what each of
you is feeling.

Neway Fertility is committed to providing the most innovative and personal
care possible to help patients achieve their goals of starting a family.
Their mission is to provide top-quality medicine that is centered on
compassion and individualized attention. For more information please visit
their website:  www.ch.newayfertility.com.

How can you determine your fertile period?

 

For women who are looking to start their families, knowing the time of the month you are most fertile is important. Every woman’s body is different, but the basic guidelines below can assist in helping you conceive during the best time of the month.

  • Begin counting on the first day of your menstrual period. Women normally ovulate about 14 days from the first day of their period, although it can vary from woman to woman.
  • Your fertile period starts about four to five days before ovulation and ends about 24-48 hours after it. Sperm can live in your body for approximately four to seven days and the egg can live for 24 hours after being released.  You are most fertile the days before and the day of ovulation.
  • Make sure to track your menstrual periods to know if and when you ovulate.  An easy method is a do-it-yourself ovulation kit available over the counter to help you predict your ovulation in morning urine samples.
  • Woman can also chart their basal body temperatures in order to get a better fix on their fertile periods. This temperature reading should be taken first thing when you wake up. When ovulating, your body temperature should rise for a few days. Peak fertility occurs on the days just before this temperature rise.
  • Finally, woman can monitor for changes in their cervical mucus. Three to five days before ovulation estrogen levels rise and mucus becomes clear, stretchy and with increased amounts. This is to help keep sperm alive and nourished to travel forward.

Make sure to contact your doctor before for medical advice before seeking out a specific method.

Neway Fertility is committed to providing the most innovative and personal care possible to help patients achieve their goals of starting a family. Their mission is to provide top-quality medicine that is centered on compassion and individualized attention. For more information please visit their website: www.ch.newayfertility.com.

Artificial Insemination as a Treatment for Infertility

One of the earliest forms of infertility intervention, artifical insemination — also known as intrauterine insemination — is still a commonly used treatment to facilitate pregnancy at fertility clinics in New York City. During this technique, a man’s sperm are inserted into a woman’s reproductive organs to allow for fertilization. Unlike other forms of infertility treatment (such as in vitro fertilization), artificial insemination is a simple, relatively non-invasive procedure that makes it a popular first intervention for those trying to become pregnant.

The Artificial Insemination Procedure

To be effective, artificial insemination must be performed when a woman is ovulating. Your New York fertility clinic doctor may use blood tests or an ovulation kit to ensure that ovulation is occurring at the time of insemination. Prior to ovulation, the male partner is asked to refrain from sexual activity resulting in ejaculation for two to five days before the appointment, ensuring that the best quality sperm is used for the procedure.

After collecting the sperm sample, it is sent to a laboratory to be “washed,” which removes certain chemicals from the semen and separates out the most active sperm. This enhanced semen sample is placed into the uterus through a thin catheter. For most women, the procedure is reminiscent of a Pap smear and is relatively pain-free. Following insertion of the semen, you may be asked to lie down for 30 to 45 minutes to increase sperm motility toward the egg.

Types of Infertility Treated by Artificial Insemination

Artificial insemination is not an effective treatment for every type of infertility, although many couples enjoy high success with this method. Your doctor at Neway Fertility clinic NYC may suggest it for the following infertility problems:

  • Low sperm count.
  • Poor sperm quality. Sperm that aren’t robust enough to travel through the vagina, into the cervix, and up the Fallopian tubes are unlikely to result in successful fertilization. Placement of these sperm directly into the uterus enhances outcomes.
  • Endometriosis. Women suffering from endometriosis may benefit from artificial insemination.
  • Women with unreceptive cervical mucus. When the mucus in the cervical area is hostile to sperm, even high-quality sperm are unable to reach the Fallopian tubes. Artificial insemination bypasses the cervix to increase reproductive success.

Success Rates for Artificial Insemination

Success of the procedure depends on your age and type of fertility problem. Artificial insemination tends to be less successful for older women, men with poor sperm quality, women with poor egg quality, women with severe endometriosis or damage to the Fallopian tubes. However, taking fertility drugs such as Clomid significantly increase the likelihood of successful pregnancy. These induce “superovulation,” in which multiple eggs are released during each fertility cycle.

When is it time to consult a fertility doctor?

When you are ready to start a family, it is not uncommon to think that if you do not become instantly pregnant, there must be something wrong. In fact, according to a recent survey, nearly 20% of women and 13% of men age 18-29 think they may be infertile. Among the general population, only about 6% actually are.

There are, however, several issues that may merit the attention of a fertility doctor. Here are four occasions you may need to visit a New York fertility clinic.

1. You’ve been trying a really long time

Many couples think that if they haven’t conceived after a few months of trying, there must be a problem. However, for women under 35, most fertility clinics in New York City recommend that couples continue with regular, unprotected intercourse for up to a year before considering other methods of conception.

2. There is a history of miscarriage

What constitutes a “history” of miscarriage? Three or more miscarriages are cause for concern and are what doctors refer to as a “history” of miscarriage. Miscarriage can be a traumatic experience, and many women think if they have a single miscarriage that they may never be able to have a healthy pregnancy. However, the numbers tell a different story. Most women who miscarry go on to have a healthy pregnancy. Fewer than 5% of women have two miscarriages in a row and only 1% have three or more.

3. An analysis shows a low sperm count

As we all know, it takes two to tango—and sometimes men can benefit from a trip to a fertility doctor. If a couple is experiencing difficultly conceiving, testing a man’s sperm count is one of the first tests that will be run. A doctor specializing in men’s fertility can check for other conditions that affect fertility, such as varicose veins in the scrotum and hormone levels. Additional testing can also examine the quality of the sperm, including their movement and morphology. These tests are almost always less invasive than tests related to women’s fertility; therefore, they are often done first.

4. Your tests are normal, but you’re still not pregnant

When a couple is having difficulty conceiving, they may choose to seek an evaluation from their primary care physician. Often a general practitioner will have the knowledge to perform basic tests, such as semen analysis. If you have been trying for a long time, and your tests come back normal, it may be time to see a doctor who specializes in fertility. A fertility doctor may be able to identify a problem that was overlooked by a general practitioner or suggest treatments that could increase your chances of conception.