Invia Fertility

    Specialists Blog

    IVF pregnancy calculator – When is my baby due?

    The moment you find out you are pregnant, the next question is – when is my baby due? This is true, whether you get pregnant in your bedroom, or after doing IVF! read more

    All About Thawing Frozen Embryos

    In many cases couples decide to cryopreserve their remaining embryos after an in vitro fertilization (IVF) treatment. They could freeze the embryos right after treatment before proceeding to a ... read more

    Ten Quick Tips About Endometrial Thickness

    Good eggs and a healthy embryo aren't enough to assure pregnancy during IVF. A receptive uterine lining (endometrium) is also critical for successful implantation after embryo transfer. A commonly ... read more

    How Many Sperm are Needed for Intrauterine Insemination?

    Intrauterine insemination (IUI) is a reasonable first step in patients with unexplained infertility, minimal or mild endometriosis and mild male factor. The pregnancy rate with IUI vs. intercourse in ... read more

    How Many Times Can You Donate Eggs?

    I’m often asked by donors how many cycles they are allowed to do and the answer is always six. But where did that number come from? Did we make it up? Can they go somewhere else and do more? read more

    No Fertilization? Why Eggs Don’t Fertilize, and What We Can Do

    One of the hardest parts of being an embryologist is having to tell a patient that, after all their hard work getting their eggs ready for retrieval, there is nothing good to report the next morning ... read more

    What We Know About COVID-19 Infection and Pregnancy

    The COVID-19 (SARS-CoV-2, Coronavirus 2) pandemic has created a major public health crisis worldwide. At InVia Fertility Specialists, we have been counselling our patients about the possible risks of ... read more

    3 Key Steps for Handling the Stress of Infertility

    Feeling stress is part of our biological survival mechanism as human beings. It is a signal that danger is impending and action must be taken to seek safety. While it is a simple matter to obey ... read more

    Newer Indications for In Vitro Fertilization (IVF)

    In vitro fertilization (IVF) is now a fairly commonly used procedure and has resulted in the birth of tens of thousands of babies every year. According to the latest statistics available (2015, ... read more

    Abnormal Ultrasound in Early Pregnancy

    In a previous blog we discussed the expected ultrasound findings in a normal intrauterine pregnancy. Variations from the expected pattern of development are worrisome or, if major, definitive for ... read more

    What Dietary Supplements Can Help Fertility?

    Recent studies have suggested a relationship between the diet of both partners and fertility, including the impact of obesity. Dietary supplements for fertility are one of a number of things that ... read more

    Eggs: The good, the bad, and the ugly.

    The importance of egg quality in women trying to conceive can not be stressed enough. Women are born with a certain, and finite, number of eggs. Even though there may be more eggs present in the ... read more

    Fifth vs Sixth Day Blastocyst Grading

    During in vitro fertilization (IVF) in order for implantation and pregnancy to occur, the embryos must reach a stage of development known as ‘blastocyst’. Reaching the blastocyst stage is an integral ... read more

    Tips to Help You Stay Sane While Waiting for Pregnancy Test Results

    The time between your insemination or embryo transfer and the pregnancy test result can be stressful. Here are some tips that may help you get through this potentially challenging period. read more

    Nadine’s InVia Story – Reassurance, Support, and a Baby Boy!

    Even before Nadine started trying for a baby, she had an intuition that things might not go smoothly. But she and her husband Steve spent more than two years attempting to conceive before they ... read more

    Endometrial Polyps and IVF: What You Need to Know

    Endometrial polyps are growths that are attached to the inner wall of the uterus that extend into the uterine cavity. They are usually benign (not cancerous) and are a common finding in women of ... read more

    How Does Cannabis Affect Male Fertility?

    Marijuana is a drug derived from the hemp plant Cannabis sativa or Cannabis indica. Its main psychoactive component is tetrahydrocannabinol (THC), which is linked to altered sensual perception, mood ... read more

    Can I Use My AMH Levels as a “Fertility Test” If I DON'T Want to Get Pregnant?

    Ovarian reserve is a term that is used to determine the capacity of the ovary to provide egg cells that are capable of fertilization resulting in a healthy and successful pregnancy. Cycle day-3 ... read more

    Single Embryo Transfer: Healthy Babies One At A Time

    It is an established fact that risks associated with giving birth to babies conceived through IVF, are increased for both mothers and infants. Most of that increase in risk is related to the higher ... read more

    Why failed IVF occurs even with "normal" embryos

    So, you've been through an IVF cycle. Your doctors have retrieved a good number of eggs with a good number reaching the blastocyst stage. Having counseled about the advantages of SMART IVF, you ... read more

    Top 10 Facts about Miscarriage

    A lot of information is available about miscarriage. But not all of it is true. Here are 10 facts about miscarriage to help you ensure that you're getting accurate information: read more

    Understanding Progesterone, the Hormone of Pregnancy

    Progesterone is a steroid hormone involved in the female menstrual cycle and is essential for pregnancy. Progesterone also has many roles relating to the development of the fetus. read more

    Recurrent Pregnancy Loss: What if All the Tests Are Normal?

    In approximately half the couples with recurrent pregnancy loss (RPL) the tests will all come back normal. These include tests for checking the uterine cavity (hysterosalpingogram, sonohysterogram, ... read more

    Top 5 Questions About Recurrent Pregnancy Loss / Multiple Miscarriages

    When a diagnosis of recurrent pregnancy loss (RPL) is reached after multiple miscarriages, there are many things to consider, including the causes, tests, and common treatments of RPL. read more

    Is There Really a Male Infertility Crisis?

    "Is there a male fertility crisis? I hear sperm counts are decreasing!" There has been controversy about this topic and many, many news outlets have reported on it. Researchers are also studying it. ... read more

    Letrozole or Clomid - Which Drug is Best for PCOS Patients?

    Polycystic ovary syndrome (PCOS) affects 6 – 8% of women and is a common cause of infertility. Women with PCOS often have absent or irregular menses. They therefore either do not ovulate or ovulate ... read more

    Optimizing Implantation: How Can We Treat a Thin Endometrium?

    In a previous blog post, I discussed how a thin uterine lining may reduce IVF success rates. In this post, we will discuss management of a thin uterine lining in the context of artificial cycles ... read more

    Research supports use of metformin with PCOS and IVF

    Polycystic ovary syndrome (PCOS) has become more widely known in recent years as a fairly common hormonal disorder and as a leading cause of infertility. Many doctors prescribe metformin – a drug ... read more

    I Have PCOS and I Don’t Ovulate. What’s the Best Fertility Treatment for Me?

    It is not uncommon for women with PCOS to have a problem with ovulation. Typically, the over-the-counter ovulation predictor kits do not work for PCOS patients because many PCOS patients will get ... read more

    10 Facts About Metformin and PCOS

    Polycystic ovary syndrome (PCOS) is a relatively common hormonal disorder that is one of the leading causes of infertility. Some women who have PCOS develop insulin resistance. This occurs when the ... read more

    Does Pre-Treatment Weight Loss Improve Fertility Outcomes for PCOS Patients?

    Polycystic ovary syndrome (PCOS)is the most common cause of infertility in women. PCOS is often associated with obesity. Obesity, however, is NOT a diagnostic criteria for PCOS, as it can also occur ... read more

    Bleeding During IVF - What's Normal and What Isn't?

    One of the most difficult things IVF patients have to deal with is the fact that there are no external symptoms or signs of what's happening inside their bodies. Are the follicles growing well? Is ... read more

    PCOS and IVF Success Rates

    Anti-mullerian hormone (AMH) is a highly sensitive marker of ovarian reserve. It is released by the cells surrounding follicles in the ovary. AMH levels decrease with age and may be the most ... read more

    Top 5 Takeaways from Our Getting Pregnant with PCOS Webinar

    I recently hosted a webinar for InVia Fertility covering polycystic ovarian syndrome (PCOS). If you haven’t had time to watch it, or if you’re wondering what it’s about, here are five quick important ... read more

    Top 5 Things You’ll Learn in Our Infertility 101 Webinar

    InVia Fertility Specialists recently hosted a webinar, "Infertility 101", where our three board-certified reproductive endocrinologists spoke on the definition, prevalence, causes, investigations and ... read more

    Getting Pregnant at 44: What are the Chances and Options?

    A reader recently posted this question on a previous blog: I am 44 years old healthy non-smoker yoga practitioner, AMH 1.45 and FSH 9, high prolactin (25) but all else normal/good. Cycle regular with ... read more

    hCG levels in pregnancies from day 5 vs. day 3 embryo transfers

    Human chorionic gonadotropin (hCG) is a hormone produced by the embryo after conception. Human embryos can produce hCG as early as 8 days after fertilization. During IVF, however, final egg ... read more

    Don't Delay Frozen Embryo Transfer After Failed IVF

    Many times women are concerned after experiencing failed IVF with a fresh embryo transfer if it is best to move right along into another cycle for a frozen embryo transfer. They wonder if there are ... read more

    Symptoms after IVF Embryo Transfer - The Two-Week Wait

    After months or years of having trouble getting pregnant, all the action and the excitement of taking injections, going for scans, monitoring your blood test results and admiring your embryos is now ... read more

    Hysterosalpingography: What It Is, How It Works

    A hysterosalpingogram (hystero = uterus; salpingo = fallopian tubes; gram = X-ray) or HSG is a simple procedure where X-rays are used to evaluate the uterus and the fallopian tubes. A HSG is a ... read more

    What is a Good First hCG Level after Embryo Transfer?

    You've seen a fertility specialist, started IVF, and gotten through the first embryo transfer. You've spent a long time waiting for good news. And finally you get it! The results of your pregnancy ... read more

    Testing for Pregnancy After IVF Embryo Transfer

    While all IVF patients understand that not every IVF cycle results in success, in their heart of hearts, every patient wants to get pregnant every cycle. After months or years of having trouble ... read more

    I’m Pregnant and I’m Bleeding. What’s Happening to Me?

    Bleeding during pregnancy is scary, particularly when you have been trying to get pregnant for a long time with the help of a fertility specialist. In this post, I’m going to look at different ... read more

    Antioxidants and male fertility

    I have previously written a blog on how to improve your chances of success with fertility treatment. Improving your lifestyle is a big step in the right direction. Weight loss, regular exercise, ... read more

    Why Fertility Doctors Shouldn't Give hCG Booster Injections

    I have by now answered several questions from readers who tell me they have a positive pregnancy test. They will often give me their pregnancy test result and ask me if the level is okay. On further ... read more

    Timeline with images of embryo development in IVF

    Many fertility patients are curious about what exactly happens in the embryology lab, from the time their eggs are retrieved to the time they are transferred. When people have answers to their ... read more

    How To Increase AMH Levels On Your Own

    If you're having trouble getting pregnant, you've probably heard of anti-mullerian hormone or AMH. The level of the hormone's presence in the body is directly linked to the number of growing ... read more

    Top 10 facts about the Causes of Premature Ovarian Failure

    Premature ovarian failure (POF) or premature menopause is diagnosed when a woman stops getting her periods due to cessation of ovarian function before the age of 40 years. The diagnosis is made based ... read more

    Understanding the Blastocyst Grading Scale

    If you're undergoing or researching IVF, you may have learned that not all embryos are able to implant, and therefore sometimes the decision is made not to transfer an embryo to the patient after an ... read more

    Pregnancy Test After IVF is Positive! What’s Next?

    You've been waiting for this for so long and at last your pregnancy test after IVF is positive. Now what happens? Well, in spite of the fact that you might want to shout the good news from a rooftop, ... read more

    How to Support Someone Struggling with Infertility

    One in six couples struggles with infertility, so that means someone, somewhere in your life is trying to cope with the stress and heartbreak brought on by not being able to build a family. Offering ... read more

    Same Sex and Single Parent Fertility Treatment Options

    Nothing should stop any individual or couple who wants a family from achieving that dream. There are several fertility treatment options for same-sex couples and potential single parents to grow ... read more

    What is the Best Drug for PCOS Patients?

    Polycystic ovary syndrome (PCOS) is a common cause of infertility. Women with PCOS often have irregular or absent periods and therefore ovulate infrequently or do not ovulate. read more

    A Message from ASRM on Coping During the COVID-19 Pandemic

    Presented by The American Society for Reproductive Medicine and developed by The Mental Health Professional Group. read more

    Do endometrioma cause a decrease in AMH levels?

    Endometriosis (the presence of the uterine lining outside the uterine cavity) is a common cause of infertility and affects 0.8 – 2% of women of reproductive age. When endometriosis involves the ... read more

    Endometriosis and IVF or Laparoscopy? 4 Steps for Choosing

    Patients with endometriosis who are infertile are often very confused. They don't know which doctor they should go to? Gynecologist? Infertility specialist? What treatment they should take? The first ... read more

    How accurate is a home pregnancy test with IVF?

    10 days!? 12 days!? I have to wait how long to find out if I’m pregnant or not!? While patients engaged in IVF are scheduled as early as possible for their serum (blood) hCG level (pregnancy test), ... read more

    Can Endometriosis Cause Cancer?

    While many people understand why and how endometriosis causes infertility, fewer know whether endometriosis can cause cancer. This is one of the key questions addressed by a group of experts from The ... read more

    What Can Be Done When Sperm Motility is Zero?

    The treatment of male factor infertility was revolutionized in 1992 when Palermo and co-workers introduced intracytoplasmic sperm injection (ICSI). With ICSI, embryologists use a micromanipulator to ... read more

    Should Endometriosis Treatment Come Before IVF?

    Since many patients who have endometriosis are also infertile, they are not too sure about what they should do. Should the endometriosis be treated first or should the infertility be attended to ... read more

    Does Endometriosis Cause Infertility?

    Endometriosis is a condition where the uterine lining (endometrium) is found outside the uterus. It is a common, chronic disease that typically presents with pelvic pain, infertility or an ovarian ... read more

    Does Endometrial Scratching Help with Implantation?

    Most IVF cycles fail after embryo transfer when the embryo fails to implant. The three factors that can cause implantation failure are: Problems with the embryo (e.g. embryo abnormalities, ... read more

    Implantation Failure in IVF - Why Does It Happen?

    “My doctor said that my embryos looked picture-perfect, yet they failed to implant – why did this happen?” This is the question in the minds of women who undergo IVF failure, and this becomes a ... read more

    Acupuncture for Fertility: What You Should Know

    Acupuncture is a centuries old traditional Chinese medical practice that involves placing thin needles in specific points throughout the body. Studies have shown acupuncture is successful in treating ... read more

    Embryo fragmentation: What does it mean?

    Embryo fragmentation is a fairly common occurance. It happens when there is an uneven division of the cells of the embryo. It's as if you were breaking apart a piece of crusty bread. When you try to ... read more

    How to Get the Most from Your Initial Fertility Consultation

    Want to get pregnant in 2019? Maybe you have been trying on your own for a year (six months if you are more than 35 years old) and nothing has happened. You may have been keeping track of ovulation ... read more

    When and Why We Use Metformin to Help Manage Polycystic Ovary Syndrome (PCOS)

    What is polycystic ovary syndrome? Polycystic ovary syndrome (PCOS) is a common cause of infertility. Briefly, its diagnosis is based on presence of two of the following three criteria: read more

    Have Insomina During Fertility Treatment? Here's What Helps.

    Having trouble sleeping? 1 in 3 people do, according to the CDC. For women who are trying to conceive, chronic sleeplessness can interfere with hormone balance, affecting ovulation and menstruation. ... read more

    Christy and Ryan's InVia Fertility Journey: 18 Years, 4 Children!

    Christy and Ryan H. first became patients of Dr. Karande’s back in 2001. All four of their children have been born with help from him and InVia Fertility Specialists! Here, Christy explains the ... read more

    Marijuana Is Legal in Illinois – What Next for Egg Donors?

    Unless you live under a rock, you know that as of January 1, 2020, marijuana is legal in the state of Illinois for recreational use.  Does this change the drug screening policy of our egg donors and ... read more

    Does the shape of the sperm (morphology) matter?

    For many decades, we focused mainly on sperm count and motility when doing a semen analysis. For the past 25 years or so, especially with the advent of in-vitro fertilization (IVF), fertility ... read more

    Top 10 Facts About Thyroid-Stimulating Hormone (TSH) and Fertility

    I have previously discussed the impact of the thyroid gland on female reproduction. Hypothyroidism (“low” thyroid) is fairly common and according to the National Health and Nutrition Examination ... read more

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