Invia Fertility

    Specialists Blog

    A New Approach for Treating Poor Responder IVF Patients: DuoStim

    Despite remarkable advances in IVF treatment protocols, the success rates with poor responder patients remain low (a live birth rate of around 7%).  Poor responders are defined as those that satisfy ... read more

    AMH level and menopause. Does AMH level predict age at menopause?

    Anti-mullerian hormone (AMH) level is now routinely used to evaluate ovarian reserve. AMH levels decrease with age and are a more consistent predictor of “ovarian age” than antral follicle count on ... read more

    Top 10 Facts about Cycle Day-3 Follicle Stimulating Hormone (FSH) Level

    1) It is generally accepted that as a woman ages, her ability to reproduce will diminish and she will begin having trouble getting pregnant. read more

    Infertility Rates Are Rising: Should I Be Worried?

    Takeaway: If you’re having trouble getting pregnant, don’t wait. See a Reproductive Endocrinology and Infertility Specialist! read more

    Varicocele surgery: does it work?

    Varicocele is the presence of abnormally dilated veins in the scrotum. Its association with infertility, treatment and indications for varicocele surgery has been discussed in previous blogs. This ... read more

    Trouble getting pregnant with low AMH level?

    One of the commonest questions I get is from women with low AMH (anti mullerian hormone) levels who are having trouble getting pregnant. These women are often frantic and worried that they will never ... read more

    What is the Best Time to Get Pregnant?

    Many couples who are trying to get pregnant think that the more sex they have, the better.The truth is that there is only a small window each month during which a woman can become pregnant. This time ... read more

    Top 10 Facts about the Thyroid Gland and Female Reproduction

    The thyroid is a butterfly-shaped gland in the base of your neck just below the Adam’s apple. It produces several hormones, all of which play an important role in your body's metabolism-- and your ... read more

    Can You Do Genetic Testing on Frozen Embryos?

    Many patients who have been through an in vitro fertilization (IVF) cycle have blastocysts that have been frozen. These blastocysts are cryopreserved by a process known as vitrification, which is a ... read more

    Studies Suggest Frozen Embryo Transfer Babies Do Better Than Fresh

    The first live birth after an IVF frozen embryo transfer was in 1983. Since then, there have been hundreds and thousands of babies born the world over with frozen embryos. A third of the babies born ... read more

    Do AMH Levels Vary?

    We use several blood tests to assess a woman's potential to respond to fertility treatment. Initial research on measuring anti-Mullerian hormone (AMH) levels, used for gauging assessing ovarian ... read more

    Ten Facts on Pregnancy After 45

    Today it has become increasingly common for women to achieve their educational goals, find a partner, and establish a career path before they consider having children. It often takes years to obtain ... read more

    White Blood Cells in Semen - When Are They a Problem?

    One of the first steps in fertility testing for any male infertility issues is a semen analysis. A semen analysis gives a good representation of the male’s quantity and quality of sperm, as shown in ... read more

    InVia Fertility Specialists Adds INVOCELL®, An Innovative Option Used in Fertility Treatment, to its Reproductive Health Services

    InVia Fertility Specialists aims to expand fertility options and help improve access to care with the addition of the INVOCELL Intravaginal Culture (IVC) System The INVOCELL IVC System is a ... read more

    ICSI IVF – What Is It And Why Is It Used?

    ICSI is an acronym for intra-cytoplasmic sperm injection. In basic terms it means we are injecting a sperm into an egg. ICSI IVF differs from the conventional IVF process in that a single sperm is ... read more

    Can You Lower My FSH Level?

    One of our routine tests is to evaluate egg quality is a day-3 follicle stimulating hormone (FSH) level. A high FSH level indicates diminished quality of a woman's eggs (ovarian reserve). Patients ... read more

    Use of Birth Control Pills In the IVF Process

    You may be surprised to find out that in many cases, the first step in the IVF process is to take birth control pills. Though this seems to be counter-productive to your goal of getting pregnant, ... read more

    High dose stimulation for the poor ovarian responder: is more better?

    The patient in the in vitro fertilization / IVF process who is a “poor ovarian responder” remains a challenge in clinical practice. The European Society for Human Reproduction and Embryology (ESHRE) ... read more

    Progesterone: IVF Requires Injections, and Here's Why

    Given a choice, a majority of patients would prefer to take medications orally. So when it comes to progesterone, why do we prefer the intramuscular or the vaginal route? It's simple: the oral route ... read more

    Do I Have PCOS?

    PCOS stands for polycystic ovary syndrome. It is a common condition related to an imbalance of hormones. It affects as many as 1 out of 15 women, and is a leading cause of infertility as well as ... read more

    Understanding the Causes of Failed IVF

    A failed IVF cycle is heart-wrenching.Your dreams of a pregnancy are shattered, your hard-earned money has gone down the tube, and you do not know what to do next! As humans we all need explanations ... read more

    Does Letrozole Increase the Risk of Birth Defects?

    Letrozole (marketed as Femara in the U.S.) is a drug that is approved for the treatment of breast cancer after surgery. It is also used (“off label”) for ovulation induction. I have discussed its ... read more

    Actually, Oral Contraceptives DO Lower Women's AMH Levels

    An anti-mullerian hormone (AMH) level is a test now routinely used to evaluate ovarian reserve. AMH levels were believed to NOT vary during the menstrual cycle and can be drawn any time. In a recent ... read more

    What Do Pus Cells in the Semen Mean?

    The presence of white blood cells (WBCs), or pus cells, during semen analysis often causes concern to infertile couples and their doctors. There are several reasons why WBCs might be present in the ... read more

    hCG measurements in pregnancies following in vitro fertilization (IVF)

    A pregnancy test, in an IVF cycle, is generally scheduled approximately two weeks after an embryo transfer. This involves a blood test to measure the hormone of pregnancy - hCG (human chorionic ... read more

    Early Pregnancy Bleeding: Why It Happens and What You Should Do

    Early pregnancy bleeding is fairly common and occurs in 20 – 30% of pregnancies. Vaginal bleeding in early pregnancy can be worrying, so it's only natural that if it happens to you, you're concerned ... read more

    Top 10 facts about anti-mullerian hormone levels and ovarian reserve testing

    Anti-mullerian hormone (AMH) is the substance that is responsible for destroying the mullerian ducts (female reproductive organs) in developing male embryos... read more

    Why Does a Thin Endometrium Lower Embryo Implantation?

    For successful implantation to occur, an embryo needs a “receptive” uterine lining (endometrium). A thin endometrium can result in lower implantation of the embryo. In previous blogs, Katie Koss and ... read more

    FAQ for Gay Men: Sperm Provider Selection, PGS

    There are many choices to make in starting a family as a gay male couple. Let's say you've chosen a fertility clinic that has a track record of success serving same-sex couples, and you've secured an ... read more

    Do I Need an Egg Donor?

    Women are born with all the eggs that they will ever have. In fact, when a female fetus is only 5 months along, she has approximately seven million eggs in her ovaries. By the time that baby girl is ... read more

    Why Do We Freeze Slow-Developing Embryos?

    You have had your egg retrieval and are now waiting for your embryo transfer. Instead of having your transfer 5 days later, you are told that the embryos are “dividing slowly” and the transfer is ... read more

    Treatment of Uterine Septum

    A uterine septum is a common anomoly of the uterus that is seen in 1 – 15 per 1,000 women (shown in the picture at right). In this condition, the cavity of the uterus is separated by a long piece of ... read more

    Bed rest after embryo transfer could negatively affect IVF outcome

    “Should I lie down for a while after my embryo transfer to optimize our chances of success?” That is a question we are asked on a daily basis. We've always advised our patients that bed rest after ... read more

    What Are Follicles? Not Eggs!

    We often talk about follicles (affectionately called "follies") during the IVF process. But IVF patients often don’t understand the difference between follicles and eggs. If eggs aren't follicles, ... read more

    Top 10 Facts About Vaginal Progesterone and Assisted Reproductive Technologies

    I have written previously on the role of progesterone (P) and the various methods of administering P. Historically, during the early days of IVF, P was administered exclusively via intramuscular (IM) ... read more

    Top 10 Facts about Adenomyosis

    What is adenomyosis? Adenomyosis is defined as the presence of endometrial tissue, which normally lines the uterus, which has grown into the muscular wall of the uterus. It can be diffuse or ... read more

    Do AMH levels predict IVF pregnancy rates?

    Anti-mullerian hormone (AMH) levels are now routinely used clinically to assess ovarian reserve. AMH levels are believed to reflect the pool of oocytes (eggs) that remain in the ovary (ies). Low AMH ... read more

    InVia Fertility Specialists Named a First Blue Cross Blue Shield Blue Distinction® Center+ for Fertility Care

    We have always done everything we can to ensure you receive the best possible fertility care when you trust InVia Fertility Specialists to help you on your pathway to pregnancy. Now, we’re proud to ... read more

    Megan and Phil’s InVia Fertility Journey

    My husband and I met at the young age of 19. We met one night in Philadelphia through a mutual friend and essentially fell in love. I know it’s extremely cheesy, but it’s the truth. We were both in ... read more

    Top 10 Questions About Endometriosis

    Endometriosis affects one in ten women in the United States, and can cause fertility problems. At InVia Fertility, we have treated many women who have this condition over the years. Here are the top ... read more

    InVia Fertility Journeys: Mehgan and Kevin K.

    My husband Kevin and I met in 2000 and got married in 2008. We knew we always wanted children but were in no rush. When the time came to start trying, our mentality was “whatever happens, happens”. ... read more

    Letrozole for Ovulation Induction: How It Works, Why We Use It

    Letrozole is an oral non-steroidal aromatase inhibitor approved for the treatment of hormonally responsive breast cancer after surgery. It has been used (off-label) for ovulation induction as part of ... read more

    Miscarriage after IVF treatment

    Patients are very excited when their HCG test is positive! They are on top of the world that the IVF process has succeeded, and they look forward to cradling their baby in their arms in a few months. read more

    Ovarian reserve testing with Ovarian Assessment Report

    The Ovarian Assessment Report from ReproSource Fertility Diagnostics is used by some fertility clinics—including InVia Fertility Specialists—for ovarian reserve testing in patients. According to ... read more

    Ovarian Endometrioma: Surgery or IVF?

    Endometriosis is a common cause of infertility. Findings associated with endometriosis include: painful periods that are getting progressively worse, pain with intercourse, infertility and ovarian ... read more

    Facts on AMH Levels and Ovarian Reserve Testing

    AMH or anti mullerian hormone level testing and ovarian reserve testing are frequent topics of questions from people who are having trouble getting pregnant. Since my last blog on this subject, a lot ... read more

    What to Expect at a Male Fertility Examination

    The male partner can sometimes be overlooked when couples try to conceive. Approximately 15% of couples pursuing a pregnancy experience infertility. Within these couples, a “male factor” is the sole ... read more

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