Center for Reproductive Medicine

Patient Newsletter Archive

Spring 2013

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CRM eNewsletter
 

Center for Reproductive Medicine Newsletter
 


Spring 2013

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Think spring!
  
  
Our Locations: 
Minneapolis
2828 Chicago Avenue #400
Minneapolis, MN.  55407
612-863-5390
 
St. Paul
991 Sibley Memorial Hwy. #100 
St. Paul, MN.  55118
651-379-3110
  
  
  
Join Our Mailing List 
National Infertility Awareness Week:
April 21-27, 2013
Since 1989 RESOLVE has organized National Infertility Awareness Week® (NIAW).
Infertility affects 7.3 million people in the U.S.  This figure represents 12% of women of childbearing age, or 1 in 8 couples. (2002 National Survey of Family Growth).  Despite these eye-opening statistics, much of society has little or no awareness of infertility.
Isn't it about time that a spotlight was shined brightly on those who bravely face the disease of infertility?  Here are some ways that you can partner with us in NIAW:
  • Brush up (or enlighten others) on infertility etiquette.  What should you never say?  What should you say when you cannot find the words?
  • Ask your library to set up a display of infertility related books and provide them with signs about NIAW.
  • Host a dinner party and invite those who have helped you during your infertility journey as a way to say thank you for their support.
  • Are you a blogger?  Visit the RESOLVE Blogger's Unite page for submission guidelines to enter in this year's Hope Award for Best Blog.
  • Ask your yoga instructor to host a free mind/healthy body class for those struggling with infertility and bring resources for the group (builds client base for her!)

For more ideas and tools check out the RESOLVE page for National Infertility Awareness Week (April 21-27).

 Thursday, April 11, 2013
 
Are you or is someone you know interested in learning more about in vitro fertilization? The Center for Reproductive Medicine (CRM) offers free monthly seminars for those who are interested in learning more about IVF.  

All seminars are hosted by CRM physicians. The goal of the seminar is to better understand the IVF process. Topics covered include:

  • IVF procedure
  • Embryology/IVF laboratory
  • Pre-conception health
  • Getting started/timeline
  • Medications
  • Costs and financial options
    (discussed with you by our qualified administrative staff)

This seminar is open for both current and prospective patients who are looking for information on IVF. Attending this seminar does not obligate you to pursue treatment at CRM.

Registration is required:  

Please call 612-863-5777 or
Email crmregistrations@ivfminnesota.com

Dr. Bruce Campbell, Dr. Lisa Erickson, Dr. Paul Kuneck,

Dr. John Malo & Dr. Colleen Casey 
 



Winter 2012

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CRM eNewsletter
 

 
Special Issue
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Have a happy holiday season!
  
  
Our Locations: 
 

Minneapolis
2828 Chicago Avenue #400
Minneapolis, MN.  55407
612-863-5390
 
St. Paul
991 Sibley Memorial Hwy. #100 
St. Paul, MN.  55118
651-379-3110
  
  
  
Join Our Mailing List 
In Vitro Fertilization Demystified:
A "How To" Informational Session 
for People Considering IVF 

    

Are you or is someone you know interested in learning more about in vitro fertilization? Center for Reproductive Medicine (CRM) offers free monthly seminars for those that are considering IVF treatment.

 

All seminars are hosted by CRM physicians. The goal of the seminar is to better understand the IVF process. Topics covered include:

  • IVF procedure
  • Embryology/IVF laboratory
  • Pre-conception health
  • Getting started/timeline
  • Medications
  • Costs and financial options
    (discussed with you by our qualified administrative staff)
  • Additional resources

    This seminar is open for both current and prospective patients who are looking for information on IVF. Attending this seminar does not obligate you to pursue treatment at CRM.

    Registration is recommended:

Please call 612-863-5777 or

Email  crmregistrations@ivfminnesota.com 

 

Parking in the ramp is free. Please exchange your parking ticket for a token at the front desk.

 

Presentation Dates:

January 10, 2013
February 7, 2013
March 14, 2013

April 11, 2013

 (All sessions begin at 6:30 p.m.)

 

Location:

Center for Reproductive Medicine

2828 Chicago Avenue South, Suite #400

Minneapolis, MN 55407

 

Hope to see you there! 

Dr. Bruce Campbell, Dr. Lisa Erickson, Dr. Paul Kuneck,

Dr. John Malo & Dr. Colleen Casey 
 



Fall 2011

Website Banner

CRM eNewsletter

 
Special Issue
In This Issue
Patient Survey
Announcing "IVF Explained"
Join Our Mailing List 
Patients We Need Your Opinions:
Attain Logo
Take the Attain Patient Survey for 2011.  Help us determine your needs so we can serve you better.
Quick Links...
Enjoy your Summer!
Enjoy your Summer!  
Our Locations:
Minneapolis
2828 Chicago Avenue #400
Minneapolis, MN.  55407
612-863-5390
 
St. Paul
991 Sibley Memorial Hwy. #100 
St. Paul, MN.  55118
651-379-3110
In Vitro Fertilization Demystified: 
A "How To" seminar for people considering IVF 

    

Center for Reproductive Medicine (CRM) is offering a free seminar for those that are considering in vitro fertilization (IVF) treatment. 

 

These seminars will be presented by CRM physicians and will be held monthly.  

 

The goal of the seminar is to better understand the IVF process including the IVF procedure, embryology and the IVF Laboratory, pre-conception health, getting started, timeline, medications, and other resources. Details including costs and financial options will also be discussed by our qualified administrative staff.

 

This seminar is intended for both current and prospective patients who are looking for information on IVF. Attending this seminar does not obligate you to pursue treatment at CRM.

 

A Question and Answer session will follow the presentation. 

 

Registration is recommended:

Please call 612-863-5777 or

Email  crmregistrations@ivfminnesota.com 

 

Parking in the ramp is free. Please exchange your parking ticket for a token at the front desk.

 

Presentation Dates:

September 14, 2011

October 4, 2011

November 2, 2011

January 11, 2011

** All Sessions Begin at 6:30 P.M.

 

Location:

Center for Reproductive Medicine

2828 Chicago Avenue, Suite 400

Minneapolis, MN 55407

 

Hope to see you there! 


Dr. Bruce Campbell, Dr. Lisa Erickson, Dr. Paul Kuneck,

Dr. John Malo and Dr. Colleen Casey 
 



Summer 2011

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CRM eNewsletter

 
Summer 2011
In This Issue
Patient Survey
Antral Follicle Count (AFC)
Join Our Mailing List 
Patients We Need Your Opinions:
Attain Logo
Take the Attain Patient Survey for 2011.  Help us determine your needs so we can serve you better.
Quick Links...
Enjoy your Summer!
Enjoy your Summer!  
Our Locations:
Minneapolis
2828 Chicago Avenue #400
Minneapolis, MN.  55407
612-863-5390
 
St. Paul
991 Sibley Memorial Hwy. #100 
St. Paul, MN.  55118
651-379-3110
Antral Follicle Count (AFC) Can Help Predict
 Reproductive Age and Treatment Response

 

Unlike men who produce sperm throughout their lifespan, females are born with all of their eggs. In fact, the maximum number of potential eggs, or primordial follicles are present prior to birth.  At the time of birth, neonatal girls have already lost 80% of their eggs.  After puberty, she will go on to ovulate approximately 400 eggs in her lifetime.  This pool gradually empties and an accelerated loss begins at approximately 38 years of age with only 25,000 remaining primordial follicles which is ultimately exhausted just after menopause. 

Antral follicles are a small fraction of the total primordial pool that develops in any given menstrual cycle.  The number of antral follicles is a proportion of what remains in the primordial pool and can be used to estimate a woman's "reproductive age."  Antral follicle counts decline with chronological age and often precedes any hormonal changes.  The lower pregnancy rates seen in women during their mid to late thirties reflect this decrease in antral follicles and ultimately the number of remaining eggs.  Loss occurs at every stage of life, regardless if she is pregnant or on oral contraception. 

The goal of ovarian reserve testing is to determine which patients will likely respond favorably to ovarian stimulation medications that will result in a successful pregnancy.  Current ovarian reserve tests include day three follicle stimulating hormone (FSH), estradiol, inhibin B and anti-mullerian hormone levels.  All of these tests require a blood sample.  Elevations in FSH often reflect a late manifestation of decreased ovarian reserve.  A less invasive test is a measure of the basal antral follicle (AFC) count, performed by vaginal ultrasound.

To determine the AFC, each ovary is visualized by vaginal ultrasound and every follicle measuring 2-10 mm is counted.  The number of small antral follicles in the ovaries is proportional to the number of remaining follicles.  If <4 total follicles are measured in both ovaries, the chances of successful pregnancy is significantly reduced, even if she is undergoing in vitro fertilization (IVF).  The table below illustrates the average number of AFC based on age in a fertile population.

Age

Average AFC (each ovary)

Range (25-75%)

20

15

11-21

25

13

9-18

30

11

8-15

35

9

6-12

40

7

5-10

45

5

4-7

 

            

 

 

 

 

 

 

In summary, AFC performed with vaginal ultrasound is an easy and noninvasive test to help predict reproductive age and response to fertility treatment.

Sincerely,

 


Dr. Bruce Campbell, Dr. Lisa Erickson, Dr. Paul Kuneck,

Dr. John Malo and Dr. Colleen Casey 
 



Spring 2011

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CRM eNewsletter

 

April 2011
In This Issue
New Physician-Colleen Casey, M.D.
Life Choices and Fertility
Join Our Mailing List 
Quick Links...
Announcing the Addition of Dr. Colleen Casey!

Dr Casey

Dr. Casey began seeing patients in January 2011.
Our Locations:
 
Minneapolis
2828 Chicago Avenue #400
Minneapolis, MN.  55407
612-863-5390
St. Paul
991 Sibley Memorial Hwy. #100 
St. Paul, MN.  55118
651-379-3110

Life Choices and Fertility      
 
There are many lifestyle choices that can be modified to increase chances of achieving pregnancy.

Body weight: Low body weight (BMI <19), particularly when combined with emotional, physical or dietary stress, can cause menses and ovulation to become irregular or stop. Excess weight (BMI >30), can cause menses and ovulation to cease and may lead to increased levels of insulin. In both instances, ovulation and normal fertility can often be achieved by optimizing weight.

About 1 in 4 women of reproductive age are obese. Obesity is defined as having a body mass index (BMI) equal to or greater than 30. BMI is a measure of weight for height. Based on BMI, a 5'4" woman is considered obese if she weighs 174 pounds or more. A BMI of 18.5 to 24.9 is considered normal, which is a weight of 110 to 140 pounds for a 5'4" woman.  The Web site of the U.S. Centers for Disease Control and Prevention provides a BMI calculator.  At of your initial visit to our clinic we will check your height and weight to calculate your BMI for you.

 Obese women are at increased risk for a number of health problems, including heart disease, stroke, diabetes and, possibly, certain cancers. Obesity also poses special health risks for a pregnant woman and her baby. Overweight women have increased risk of many pregnancy complications. Risks begin at a BMI of 30, are substantial at a BMI of 35 to 40, and are dramatic in those with a BMI greater than 45. 

In an ideal world, one would not want to take these risks of poorer outcome if there were acceptable alternatives.  One alternative is to wait until you have lost sufficient weight so that you are no longer in the obese range.  If you do a brisk 30 minute walk every day and eliminate 200 calories from your food intake, you will lose 30 pounds per year. Many people have had a more rapid success with programs such as Weight Watchers. Rapid weight loss and high protein diets while attempting pregnancy have been correlated with decreased fertility in animal studies. The higher concentration of ammonia found in reproductive tissue may inhibit embryo development or cause abnormal gene function. Thus "crash diets" while attempting pregnancy are not good. Patients with extreme obesity (BMI of greater than 40) can consider weight loss surgery. Unfortunately this all takes time and is a more difficult decision for older patients. 

 

Smoking:  Smoking has a major adverse effect on both sperm and egg quality and is not recommended while seeking fertility treatment. With female smoking and second-hand smoke,  natural fertility is decreased, the chance for successful pregnancy with IVF is decreased by as much as 50% and the risk for miscarriage increases.   Recipients of egg donation who smoke also have a significantly lower pregnancy rate.   In the male, smoking can increase miscarriage and decrease IVF success by a third.

 

Alcohol:  Drinking alcohol reduces fertility in both partners and alcohol intake by the male may increase miscarriage. The effects appear to be greater with IVF.  Alcohol intake is not recommended while seeking fertility treatment.

 

Caffeine:  Caffeine intake does not appear to affect male fertility unless it is more than 3 cups of caffeinated drinks per day.  However, moderate amounts of caffeine in females reduces fertility, increases risk of miscarriage and may reduce success with IVF. 

  

Stress:  Any discussion of life choices and fertility would be incomplete without discussing the effects of anxiety, stress, and depression. Various studies have shown a reduced success rate in achieving pregnancy in women experiencing these symptoms.  Stress can be reduced by taking on fewer tasks, reducing work load, and by techniques such as yoga, massage, and acupuncture.

The following resources also offer options for assistance:

·         Institute for Health and Healing

o    www.abbottnorthwestern.com

o    612-863-3333

      ·         Mind-Body Program for Fertility and Family Building

                  o    www.doctorjeanette.net

                  o   651-226-4704

 

       ·         Resolve of the Twin Cities

                  o   www.midwest.resolve.org

                  o   952-223-1339

 

 

Click here for further information:  CRM Website  
Sincerely,


Dr. Bruce Campbell, Dr. Lisa Erickson, Dr. Paul Kuneck, Dr. John Malo and Dr. Colleen Casey 


Winter 2011

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 CRM eNewsletter

  March 2011
In This Issue
Attain IVF Program -100 % Refund
Join Our Mailing List 
Quick Links...
Our Locations:
 
Minneapolis
2828 Chicago Avenue #400
Minneapolis, MN.  55407
612-863-5390
St. Paul
991 Sibley Memorial Hwy. #100 
St. Paul, MN.  55118
651-379-3110

 

NEW!

    
The Attain 100% Refund Program has been extended to include women age 39 and under!  
  
 Attain Logo
  
The Attain IVF Program is designed to increase your opportunity to get the outcome you want (a baby) while managing the cost of IVF treatment.
  
At the Center for Reproductive Medicine, we understand that many patients do not have insurance coverage for IVF, and that financial anxiety can complicate the decision to pursue treatment. 
  
Links to Program Details:

 

Attain IVF Program

 

 

There is no risk or obligation to find out if you qualify for  Attain Fertility Financing

 

  
Sincerely,

 


Dr. Bruce Campbell, Dr. Lisa Erickson, Dr. Paul Kuneck, Dr. John Malo and Dr. Colleen Casey


Fall 2010

Fall 2010
In This Issue
Insurance Coverage Changes
Attain IVF Program -100 % Refund
Patient Financing Program
 
Quick Links...
Start thinking about your Insurance Plan Renewals Now
Now is the time to start looking into changes that may occur with your yearly plan renewals.  Make sure your plan has not made changes to your infertility coverages.  Read our update.
Our Locations:
 
Minneapolis
2828 Chicago Avenue #400
Minneapolis, MN.  55407
612-863-5390
St. Paul
991 Sibley Memorial Hwy. #100 
St. Paul, MN.  55118
651-379-3110
Introducing the Center for Reproductive Medicine e-newsletter.  We will have articles relating to treatment options, finanicial information, health tips and insurance information with each new edition. Enjoy!
Insurance Coverage Update

 CRM Front Desk

 
 
 
 
 
 
 
CRM-Minneapolis
Front Office
 
Healthpartners and Medica are making changes in their infertility coverage with employer plan yearly renewals.

What does that mean for you?  Because group insurance plans renew throughout the year, members will be affected as their own plans renew between 7/1/10 and 1/1/11.  Check with your plan administrators to determine if there are changes impacting your insurance coverage for infertility.

Medica and Healthpartners

  • Insurance plans renewing on or after July 1, 2010, will provide coverage for up to diagnosis of infertility only.
  • Infertility drugs and treatment will not be covered.
  • Self insured employer groups can design their own plans and choose the coverage they want to offer and are not included in the above changes.

Medica

  • All group insurance plans are affected by the changes. 

Healthpartners

  • Small group insurance plans and EZ plans will be affected by the change

If you have been informed of changes to your infertility benefit, please contact us to discuss coverage and options.

Center for Reproductive Medicine Offers the
 Attain™ IVF Program with up to a 100% Refund
 
 
 
 
Thousands of people have made their dream of having a family come true through In-Vitro Fertilization (IVF) treatment.  But the reality is that some people will require more than one IVF cycle to be successful.  Patients who commit to three cycles almost double their chances of having a baby.
At the Center for Reproductive Medicine, we understand that many patients do not have insurance coverage for IVF, and that financial anxiety can complicate the decision to pursue treatment. We're pleased to announce the availability of the Attain IVF Program.
The Attain IVF Program is designed to increase your opportunity to get the outcome you want (a baby) while managing the cost of IVF treatment.
Links to Program Details:
 
 
 
There is no risk or obligation to Find out if you Qualify- visit Attain Fertility Financing for more details.
 
 Financing Available for CRM Patients 
 
 
 
 
 
The Center for Reproductive Medicine offers payment options for our patients. 
CRM participates with most major insurance carriers. Insurance often covers services provided by the Center for Reproductive Medicine, depending on your insurance network provisions.
It is important to remember that if your insurance plan does not cover infertility treatment such as intrauterine insemination or in-vitro fertilization, then it may not pay benefits to any provider.  In this case you may need help financing your treatment.  CRM offers a service provided by Springstone Patient Financing.  For more information on convenient fertility payment plans, go to their website at Springstone Fertility Financing.
We hope you found this e-newsletter informative and helpful.  Please be sure to visit our website for more information about Center for Reproductive Medicine or to contact us. 
 
Sincerely,
 

Dr. Bruce Campbell, Dr. Lisa Erickson, Dr. Paul Kuneck and Dr. John Malo and Staff