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Fertility and Reproductive Medicine Blog

ACFS2000 Blog

How Professor Robert Edwards Changed Infertility

The sound of cheering that we heard yesterday when the Nobel committee chose Professor Robert Edwards to receive the 2010 Nobel Prize in Physiology or Medicine was that of the 4 million children conceived through IVF and the many millions of parents. The birth of Louise Brown in 1978 ushered in an era in reproductive medicine that forever changed the fate of millions of infertile people by offering them the hope that someday they would become parents. Edwards, along with his partner, were responsible for the first IVF baby in the world, born in 1978.  Some of the basic science research that ultimately lead to Professor Edwards success came from animal research done by ACFS laboratory director, Robert W. McGaughey, Ph.D.

This well-deserved accolade is overdue.  Not only did Professor Robert Edwards usher in an era of wonderful treatments for countless infertile couples, this technology has also paved the way for stem cell research, that may provide new cures for millions of people with debilitating diseases.

Visit us at www.acfs2000.com to learn more about IVF and where we are 30+ years later.

Posted in IVF - In Vitro Fertilization

Jay S. Nemiro, M.D. Awarded America’s Top Obstetricians

Jay S. Nemiro, M.D. awarded AMERICA’S TOP OBSTETRICIANS

AND GYNECOLOGISTS

Phoenix and Scottsdale, Arizona in

REPRODUCTIVE ENDOCRINOLOGY AND INFERTILITY- 2010

2010 Top OBGYN Phoenix and Scottsdale Arizona

www.acfs2000.com

Posted in General ACFS News, IVF - In Vitro Fertilization

August 2010 – ACFS, a top infertility clinic in Arizona, again passes CAP on-site inspection with no deficiencies.

August 2010 – ACFS, a top infertility clinic in Arizona, again passes CAP on-site inspection with no deficiencies.

See Laboratory Services under Services on ACFS website.

Posted in General ACFS News, IVF - In Vitro Fertilization

Jay S. Nemiro, M.D. again picked as Top Doc for the Scottsdale, Phoenix and Arizona metropolitan area in Reproductive Endocrinology/Infertility by Phoenix Magazine – 2010

Jay S. Nemiro, M.D. again picked as Top Doc for the Scottsdale, Phoenix and Arizona metropolitan area in Reproductive Endocrinology/Infertility by Phoenix Magazine – 2010

Top Reproductive Doctor in Phoenix and Scottsdale Arizona

Who picks the doctors?
The physicians are selected through a peer-review survey. The theory is that medical professionals are best qualified to judge medical professionals. To select the physicians, PHOENIX magazine randomly surveys 5,000 Valley physicians, including M.D.s (medical doctors), D.O.s (osteopathic doctors) and N.D.s/N.M.Ds (naturopathic doctors). The surveys ask the doctors to nominate other doctors who, in their judgment, are the best in their field and related fields.

Does PHOENIX magazine check out all of the doctors on the list?
Yes. Once the list is compiled, PHOENIX magazine’s fact-checkers verify the doctors’ names, addresses, phone numbers and specialties. In addition, each name is checked against the state’s medical boards to determine if the doctor has been convicted of or has settled in a malpractice lawsuit. Those who have are removed from the list.

Why not ask patients to rate the best doctors?
Every year we get several calls asking this question, and the simple answer is that patients generally lack the medical expertise to judge a doctor’s qualifications. Should we ever do a ranking based solely on bedside manner, querying patients might be an option.

Was my doctor left off the list because he doesn’t advertise in PHOENIX magazine?
Absolutely not. Like any credible publication, PHOENIX magazine’s editorial content is not dictated by who advertises. There are cases, however, when a doctor on the list also has an ad in the magazine, but this is merely coincidence. Doctors – as well as our sales representatives – have no advance knowledge of whether they’ve made the list. Like you, they have to wait until the magazine is published to find out who has made the list. The only exceptions are the doctors who have been profiled for this feature.

If my doctor’s not on the list, does that mean he/she is not a good doctor?
No. Although peer-review is considered the most reliable methodology, it’s not perfect. To be recognized by a large number of peers, it stands to reason that a doctor would have to have practiced in the Valley for several years. There are many newcomers who are undoubtedly excellent physicians but haven’t yet gained widespread recognition. In addition, there are many doctors in small practices or outlying areas that, likewise, haven’t gained widespread recognition.

Do the same doctors make the list every year?
Many doctors do, but there are many new doctors on the list each year, too. Because the established, well-known doctors are exactly that – established and well known – the list might favor that kind of physician. Given the importance of choosing a doctor, however, PHOENIX views that as a healthy bias.

My doctor was on the list last year but isn’t there this year. What does that mean?
It doesn’t necessarily mean anything, and it certainly shouldn’t be viewed as evidence of a drop-off in the doctor’s effectiveness. Getting on the list once doesn’t guarantee that a doctor will be on the list indefinitely – the selection process begins anew each year.

Each year, you do short feature profiles on a handful of doctors. How do you choose which ones to profile?
Essentially, we “throw a dart at the map.” Because every doctor on the list is considered among the best in the Valley, every doctor is worthy of being profiled. Obviously, it would be impossible to profile all of them, so we randomly select a handful each year.

www.acfs2000.com

Posted in General ACFS News, IVF - In Vitro Fertilization

Arizona Center For Fertility Studies Receives 2010 Best of Scottsdale Award

Press Release

FOR IMMEDIATE RELEASE

Arizona Center For Fertility Studies Receives 2010 Best of Scottsdale Award

U.S. Commerce Association’s Award Plaque Honors the Achievement

NEW YORK, NY, August 23, 2010

For the second consecutive year, Arizona Center For Fertility Studies has been selected for the 2010 Best of Scottsdale Award in the Fertility Specialists category by the U.S. Commerce Association (USCA).

The USCA “Best of Local Business” Award Program recognizes outstanding local businesses throughout the country. Each year, the USCA identifies companies that they believe have achieved exceptional marketing success in their local community and business category. These are local companies that enhance the positive image of small business through service to their customers and community.

Nationwide, only 1 in 70 (1.4%) 2010 Award recipients qualified as Two-Time Award Winners. Various sources of information were gathered and analyzed to choose the winners in each category. The 2010 USCA Award Program focuses on quality, not quantity. Winners are determined based on the information gathered both internally by the USCA and data provided by third parties.

About U.S. Commerce Association (USCA)

U.S. Commerce Association (USCA) is a New York City based organization funded by local businesses operating in towns, large and small, across America. The purpose of USCA is to promote local business through public relations, marketing and advertising.

The USCA was established to recognize the best of local businesses in their community. Our organization works exclusively with local business owners, trade groups, professional associations, chambers of commerce and other business advertising and marketing groups. Our mission is to be an advocate for small and medium size businesses and business entrepreneurs across America

SOURCE: U.S. Commerce Association

CONTACT:

U.S. Commerce Association
Email: [email protected]
URL: http://www.uscaaward.com

www.acfs2000.com

Posted in General ACFS News, IVF - In Vitro Fertilization

In Support of Overcoming Infertility, Arizona Center for Fertility Studies Sets Goal of a 1000 Facebook Fans

Arizona Center for Fertility Studies was founded in 1982 with a commitment to the successful evaluation and treatment of infertility, as well as to the emotional well being of couples and individuals. Some say that infertility cannot be overcome. At ACFS, we are committed to your vision of having children become a reality. The clinic embraces all patients, regardless of age, marital status and gender preference. What speaks far louder than the words of our commitment to you are the more than 8000 babies born to our patients. Today, the Center stands at the leading edge of fertility studies and scientific research.

ACFS continues to strive for new breakthroughs in the field of reproductive medicine by staying in the forefront of state-of-the-art techniques. This also supports us in offering you accurate information and the emotional support you need. Couples seeking to have children are often confused by the barrage of complex language and statistics that surround treatment. Yet, with the rapidly expanding options available, there is much to be gained from persistence in asking the right questions and demanding the answers that you can understand. In fact, we believe that with up to date technology and a clear understanding of your goal, pregnancy is now possible for more couples than ever before.

With best wishes and a successful outcome,

Jay S. Nemiro, M.D.

Become a fan of Arizona Center for Fertility Studies on Facebook at www.acfs2000.com


Posted in General ACFS News, IVF - In Vitro Fertilization

ACFS Has Had It’s First and Only Set of Identical Triplets in 25 Years of Practice.

ACFS has had it’s first and only set of identical triplets in 25 years.  What a wonderful, inspirational and miraculous story.  What a privilege to work with such a remarkable woman.  The odds of such births are one-in-a-million, and some experts put them as high as one-in-200-million.

http://www.myfoxphoenix.com/dpp/news/only_on_fox/gayles-girls-5-25-2010

Published with permission of Gayle Jensen

Posted in General ACFS News, IVF - In Vitro Fertilization

Pregnancy Found ‘Safe’ for Breast Cancer Survivors.

New large meta-analysis suggest that women are not putting their lives at risk and that pregnancy may even have protective effect on overall survival. There is a wide perception in the medical community that women with a history of breast cancer should not get pregnant. This study strongly argues against that.  In all, 14 trails published between 1970 and 2009 were included in this meta-analysis.  Together these trials involved more than 19,000 women with a history of breast cancer, of whom 1,417 were pregnant and 18,059 were not pregnant at the time of the study.  Women who became pregnant after being treated for breast cancer had a 42% decreased risk of dying when compared with women who did not get pregnant.  These studies show that pregnancy is safe in women with a history of breast cancer, said Dr. Azim of the Institut jules Bordet in Brussels. Further analysis of the data are planned and more information is necessary but this is a great start.  “For the time being, the take-home message is that women who want to get pregnant following breast cancer can do so-it’s safe,” Dr. Azim said.  Published in OB.GYN News, May 2010

Posted in General ACFS News, IVF - In Vitro Fertilization

Arizona Governor Signed 2 Infertility Bills

SB 1306 (the egg bill)

The good news:  SB 1306 no longer bans compensation for egg donors (which would have effectively ended egg donation treatment in Arizona).

The bad news:  It still mandates unprecedented informed consent procedures for egg donation that apply only in Arizona.  Informed consent is already obtained by all physicians before any medical procedure, but the Arizona Government is now dictating to fertility doctors exactly how and when egg donor consent must be done.  The goal, it appears, is to discourage the long-standing and mainstream therapeutic treatment of egg donation for infertility, regardless of how much it might be needed by an infertile couple to have a family.

SB 1307 (the embryo bill)
The good news:  IVF should be unaffected because the bill dropped language making it a crime if an embryo were harmed in the course of “nontherapeutic research.”  The bill has also dropped language that equated microscopic embryos and people.
The bad news:  The bill bans embryonic stem cell research and somatic cell nuclear transfer.  For many infertility patients, donating unneeded embryos to research is a preferred option, but with this bill no such option will be available in Arizona. Arizona will not be an attractive destination for scientific institutes and researchers.
SB 1307 is getting a fair amount of ridicule in the media because it also bans creating human-animal hybrids, chimeras, and cellular combinations that are the stuff of science fiction.  The truth, however, is that some important mainstream research (including research designed to create stem cells without embryos) is now going to be banned.
So, at least for this legislative session, IVF and egg donation therapy will be able to continue.  For all of our patients in Arizona who are struggling with infertility, we are relieved that you will not have the burdens of these bad laws to add to your troubles. I am  still concerned, however, that this was only the first attack, and that more anti-family bills will be coming.
The best way to ward off future anti-family laws is to put a face on infertility by getting to know your legislators.  Please, in the next month and over the summer — call, write, and most of all VISIT your state representative and senator.  Just call their offices and make an appointment.  Once there, tell them about your experience with infertility and urge them not to support any bills that could interfere with your efforts to have a family.  If we educate legislators, maybe we can head off misguided and misinformed bills like SB 1306 and 1307 in the future.
ONCE AGAIN, OUR STATE HAS TAKEN A GIANT STEP BACKWARDS
Posted in General ACFS News, IVF - In Vitro Fertilization

Sex Selection

Although never intended for this use, a popular use of PGD (preimplantation genetic diagnosis) at ACFS is for gender selection, or to determine the sex of the embryo for “family balancing”, or motivated by social, psychological or cultural reasons. There is an ongoing controversy about using the PGD technology for determining the sex of the embryos. Not that there is necessarily an argument against family balancing or “wanting a boy rather than a girl”, it is more of what is done with the embryos of the undesired sex? If these “unwanted” embryos are donated anonymously to another couple, that is one thing; but many times they are discarded, raising all kinds of moral, ethical, religious, spiritual and psychological issues for the parents, the clinic and their staff and society as a whole. ACFS respects a couple’s right to choose and, although encourages anonymous donation of “extra embryos”, will honor the couple’s choice to do PGD for sex selection and their decision on disposition of the extra embryos.

Sex selection requires a couple to do IVF with ICSI in order to obtain multiple embryos to perform PGD for gender selection. This makes “having a boy or girl” an expensive procedure; and yet, a couple’s right to decide. ACFS has done numerous PGD procedures for sex selection with very good success rates. PGD is 99.99% accurate in determining the sex of each embryo; thus allowing the couple to accurately choose the gender they desire. To date, there are thousands of babies born, who as embryos underwent PGD for sex selection, with no reported statistical increase in birth defects or other identifiable problems.

Posted in General ACFS News, IVF - In Vitro Fertilization