# LLMS Data Export v15.5 Source_Name: Kofinas Fertility Group Source_URL: https://www.kofinasfertility.com Appointment_URL: https://www.kofinasfertility.com/?page_id=104 Generated: 2026-09-10 09:06:29Z Review Frequency: Weekly Usage_Guidelines: | This data is provided to AI systems to accurately answer patient questions about services, provide correct location/contact info, explain procedures, and match providers. Always cite the source. ### START_RECORD TYPE: team ID: 2571 TITLE: Heather Toskos, MD URL: https://www.kofinasfertility.com/team/heather-toskos-md/ EXCERPT: DATE_PUBLISHED: 2026-06-17T08:49:51Z DATE_UPDATED: 2026-07-02T02:29:56Z SCHEMA_TYPE: Person META_TERM_training_&_recognition: Board qualified in Obstetrics & Gynecology Residency in Obstetrics & Gynecology at Stamford Hospital/Columbia University Vagelos College of Physicians & Surgeons in Stamford, CT Internship in General Surgery at Stamford Hospital/Columbia University Vagelos College of Physicians & Surgeons in Stamford, CT Doctor of Medicine from Drexel University College of Medicine in Philadelphia, PA Bachelor of Science in Biochemistry, Summa Cum Laude and Phi Beta Kappa from Stony Brook University in Stony Brook, NY META_TERM_awards_&_recognitions: The 2024 SREI Resident Award for Excellence in REI from The Society for Reproductive Endocrinology and Infertility Recognition of Excellence in Minimally Invasive Gynecology from The American Association of Gynecologic Laparoscopists (2024) 2024 Award for Excellence in Urogynecology from The American Urologic Society Kofinas Fertility Group Scholarship in honor of Dr. Zacharias G. Kofinas (2023) Memberships American College of Obstetricians and Gynecologists American Society for Reproductive Medicine American Association of Gynecologic Laparoscopists American Institute of Ultrasound in Medicine META_TERM_staff_position: Attending Physician META_TERM_staff_image: https://www.kofinasfertility.com/wp-content/uploads/2026/06/Dr.-Toskos_retouched-1-scaled.jpg META_seo_description: Meet Dr. Heather Toskos, a fertility specialist providing compassionate, personalized reproductive care and family-building support. TAX_department: Fertility Therapies TAX_department: IVF & Lab TAX_department: Surgery TAX_location: Lower Manhattan TAX_staff: Heather Toskos, MD BODY_CONTENT: | ### END_RECORD ### START_RECORD TYPE: page ID: 276 TITLE: Patient Reviews URL: https://www.kofinasfertility.com/patient-reviews/ EXCERPT: DATE_PUBLISHED: 2026-05-07T11:43:24Z DATE_UPDATED: 2026-07-02T02:33:27Z SCHEMA_TYPE: Article META_seo_description: Read real patient reviews and discover how compassionate fertility care has helped families achieve their dream of parenthood. BODY_CONTENT: | ### END_RECORD ### START_RECORD TYPE: page ID: 2439 TITLE: Thank You URL: https://www.kofinasfertility.com/thank-you/ EXCERPT: Thank you for the submission. Not sure where to start? Give us a call and talk to our team. Quick Actions Request an Appointment Share This Article Patient Portal DATE_PUBLISHED: 2026-03-23T14:27:33Z DATE_UPDATED: 2026-07-02T02:30:22Z SCHEMA_TYPE: Article META_seo_description: Thank you for contacting Kofinas Fertility. Our team has received your request and will be in touch soon. BODY_CONTENT: | Home Thank you for the submission. Not sure where to start? Give us a call and talk to our team. Call Us Quick Actions Request an Appointment Share This Article Patient Portal Login ### END_RECORD ### START_RECORD TYPE: procedures ID: 2336 TITLE: Male Fertility & Male Infertility Treatment URL: https://www.kofinasfertility.com/services/male-fertility-male-infertility-treatment/ EXCERPT: Male infertility is a common contributor to difficulty conceiving and accounts for roughly 40–50% of infertility cases among couples. Problems with sperm production, sperm quality, hormone levels, or reproductive anatomy can affect a man’s fertility. At Kofinas Fertility Group, our physicians work closely with experienced male fertility doctors and male infertility specialists to evaluate and […] DATE_PUBLISHED: 2026-03-20T05:39:38Z DATE_UPDATED: 2026-07-02T02:32:33Z SCHEMA_TYPE: MedicalProcedure SCHEMA_PROCEDURE_TYPE: medical procedure general META_seo_description: Explore male fertility testing and infertility treatments, including semen analysis, diagnosis, and personalized care to grow your family. META_flexible_content_0_faq_repeater_0_faq_title: What does a male fertility doctor do? META_flexible_content_0_faq_repeater_0_faq_answer: A male fertility doctor evaluates and treats conditions that affect a man’s ability to conceive. This may include diagnosing low sperm count, hormonal imbalances, structural problems, or other factors that impact sperm production or delivery. META_flexible_content_0_faq_repeater_1_faq_title: When should a man see a male infertility specialist? META_flexible_content_0_faq_repeater_1_faq_answer: Men should consider seeing a male infertility specialist if they have been trying to conceive for one year without success, have abnormal semen analysis results, or have a medical history that may affect fertility. META_flexible_content_0_faq_repeater_2_faq_title: What tests are used to diagnose male infertility? META_flexible_content_0_faq_repeater_2_faq_answer: Common tests include semen analysis, hormone testing, physical examination, and genetic testing. These tests help determine whether sperm production and reproductive function are normal. META_flexible_content_0_faq_repeater_3_faq_title: Can male infertility be treated? META_flexible_content_0_faq_repeater_3_faq_answer: Yes. Many causes of male infertility can be treated with lifestyle changes, medications, surgery, or assisted reproductive technologies such as IVF or ICSI. META_flexible_content_0_faq_repeater_4_faq_title: Is male infertility common? META_flexible_content_0_faq_repeater_4_faq_answer: Male infertility is relatively common and contributes to about half of infertility cases among couples trying to conceive. META_flexible_content_0_faq_repeater_5_faq_title: Can lifestyle affect male fertility? META_flexible_content_0_faq_repeater_5_faq_answer: Yes. Factors such as smoking, excessive alcohol use, obesity, stress, and exposure to environmental toxins can negatively affect sperm production and quality. META_flexible_content_0_faq_repeater: 6 META_flexible_content: a:1:{i:0;s:10:"schema_faq";} TAX_location: Long Island TAX_location: Upper West Side TAX_location: Staten Island TAX_location: Lower Manhattan TAX_location: Brooklyn TAX_procedure: Male Fertility Treatment TAX_staff: George D. Kofinas, MD, FACOG TAX_staff: Jason Kofinas, MD, MSc, FACOG TAX_staff: Maria Bertero, MD, HCLD TAX_staff: Peter Brzechffa, MD, FACOG TAX_staff: Melissa Montes, MD, MSc, FACOG TAX_staff: Levica Narine, MD, FACOG TAX_staff: Charalampos (Harry) Chatzicharalampous, MD, PhD, FACOG, FACMG BODY_CONTENT: | Male infertility is a common contributor to difficulty conceiving and accounts for roughly 40–50% of infertility cases among couples. Problems with sperm production, sperm quality, hormone levels, or reproductive anatomy can affect a man’s fertility. At Kofinas Fertility Group, our physicians work closely with experienced male fertility doctors and male infertility specialists to evaluate and treat conditions that impact reproductive health. Our team offers comprehensive diagnostic testing and personalized treatment plans designed to improve your chances of conception.If you are searching for a male fertility clinic or men’s fertility clinic near you, our specialists provide advanced evaluation and fertility treatments tailored to each patient’s needs. What Is Male Infertility? Male infertility refers to any condition that reduces a man’s ability to contribute to pregnancy. The most common causes involve problems with sperm production, sperm function, or the delivery of sperm. A healthy sperm sample must contain: An adequate number of sperm (sperm count) Sperm that move effectively (motility) Sperm with normal shape and structure (morphology) When one or more of these factors are impaired, fertilization can become more difficult.A consultation with a male fertility doctor can help determine the cause of infertility and identify appropriate treatment options. Common Causes of Male Infertility Male infertility can result from a variety of medical, environmental, or lifestyle factors. Some of the most common causes include: Low Sperm Count (Oligospermia) A reduced number of sperm can lower the chances of fertilization. Poor Sperm Motility Sperm may have difficulty swimming effectively toward the egg. Abnormal Sperm Morphology Irregular sperm shape can affect the sperm’s ability to fertilize an egg. Varicocele Enlarged veins within the scrotum may impair sperm production and quality. Hormonal Imbalances Hormones regulate sperm production. Disruptions in hormone levels may reduce fertility. Genetic Conditions Certain genetic abnormalities can affect sperm production or function. Reproductive Tract Blockages Blockages in the vas deferens or other reproductive structures may prevent sperm from reaching the semen. Lifestyle and Environmental Factors Certain lifestyle and environmental factors may negatively affect fertility, including: Smoking Excess alcohol use Exposure to toxins Obesity Certain medications A thorough evaluation by a male infertility specialist can help identify the underlying cause and determine the most effective treatment. Male Fertility Evaluation At our male fertility clinic, we use a comprehensive diagnostic approach to evaluate reproductive health. Your evaluation may include the following: Semen Analysis A semen analysis is one of the most important tests used to assess male fertility. It evaluates: Sperm count Sperm motility Sperm morphology Semen volume This test helps determine whether sperm production and function are within normal ranges. Hormone Testing Blood tests measure hormones involved in sperm production, including testosterone, FSH, and LH. Physical Examination A male infertility specialist may evaluate the reproductive organs to identify structural issues such as varicocele or obstruction. Genetic Testing Certain cases of infertility may be linked to genetic conditions that affect sperm production. Additional Diagnostic Testing Depending on your individual situation, further testing may be recommended to evaluate sperm production or reproductive tract health. Treatment Options for Male Infertility Treatment depends on the underlying cause of infertility and the couple’s reproductive goals. Our male fertility doctors may recommend one or more of the following approaches. Lifestyle Modifications Improving overall health can sometimes improve sperm quality. Recommendations may include: Maintaining a healthy weight Reducing alcohol consumption Quitting smoking Managing stress Improving diet and exercise habits Medication and Hormone Therapy Certain medications may help correct hormonal imbalances or treat infections affecting fertility. Surgical Treatment Some structural conditions, such as varicocele or reproductive tract blockages, may be treated with surgery to improve sperm production or sperm delivery. Sperm Retrieval Procedures For men with very low sperm counts or obstructive infertility, sperm may be retrieved directly from the testicle for use in fertility treatments. Assisted Reproductive Technology If natural conception is not possible, assisted reproductive treatments may help achieve pregnancy. These treatments may include: Intrauterine Insemination (IUI) In Vitro Fertilization (IVF) Intracytoplasmic Sperm Injection (ICSI) These technologies allow fertility specialists to use even small numbers of sperm to achieve fertilization. When Should You See a Male Fertility Specialist? You may benefit from seeing a male infertility specialist near you if: You and your partner have been trying to conceive for 12 months without success A semen analysis has shown abnormal results You have a history of testicular injury or surgery You have experienced erectile or ejaculatory dysfunction You have a known hormonal condition Your partner’s fertility evaluation is normal but pregnancy has not occurred Early evaluation at a men’s fertility clinic can help identify potential problems and guide appropriate treatment. Schedule a Consultation With a Male Fertility Doctor If you are searching for a male fertility clinic near you or want to speak with an experienced male infertility specialist, our team is here to help. At Kofinas Fertility Group, we provide comprehensive fertility evaluations and advanced treatment options designed to help couples build their families. Contact our office today to schedule a consultation and learn more about your fertility options. What does a male fertility doctor do? A male fertility doctor evaluates and treats conditions that affect a man’s ability to conceive. This may include diagnosing low sperm count, hormonal imbalances, structural problems, or other factors that impact sperm production or delivery.When should a man see a male infertility specialist? Men should consider seeing a male infertility specialist if they have been trying to conceive for one year without success, have abnormal semen analysis results, or have a medical history that may affect fertility.What tests are used to diagnose male infertility? Common tests include semen analysis, hormone testing, physical examination, and genetic testing. These tests help determine whether sperm production and reproductive function are normal. Can male infertility be treated? Yes. Many causes of male infertility can be treated with lifestyle changes, medications, surgery, or assisted reproductive technologies such as IVF or ICSI. Is male infertility common? Male infertility is relatively common and contributes to about half of infertility cases among couples trying to conceive. Can lifestyle affect male fertility? Yes. Factors such as smoking, excessive alcohol use, obesity, stress, and exposure to environmental toxins can negatively affect sperm production and quality. ### END_RECORD ### START_RECORD TYPE: page ID: 2149 TITLE: Genetic Testing URL: https://www.kofinasfertility.com/genetic-testing/ EXCERPT: Genetic Testing Examine and evaluate your DNA Explore your DNA Kofinas Fertility Group provides genetic testing to check for abnormalities. At Kofinas Fertility Group in New York, one of the many services we offer is genetic testing. Genetic testing is used to examine and evaluate your DNA (the chemicals that carry instructions for your body’s […] DATE_PUBLISHED: 2026-02-27T11:08:36Z DATE_UPDATED: 2026-07-02T02:38:35Z SCHEMA_TYPE: Article META_seo_description: Learn about genetic testing for fertility, including carrier screening, embryo testing, and personalized care to support healthy pregnancies. BODY_CONTENT: | Genetic Testing Examine and evaluate your DNA Explore your DNA Kofinas Fertility Group provides genetic testing to check for abnormalities. At Kofinas Fertility Group in New York, one of the many services we offer is genetic testing. Genetic testing is used to examine and evaluate your DNA (the chemicals that carry instructions for your body’s functions) to explore any changes or alterations in the genes that could cause an illness, disease or developmental delays in your child. Types of Genetic Testing Types of genetic testing conducted by our specialists. There are several types of genetic testing that can be conducted by our fertility team, depending on your goals. These include: Diagnostic testing – Comprehensive testing can help determine what may be causing your fertility difficulties, such as a condition caused by genetic alterations. Presymptomatic and predictive testing – This testing takes place when there is a family history of a certain genetic disorder to show if you’re at risk for developing that condition. Carrier testing – If there is a family history of a genetic disorder like sickle cell anemia or cystic fibrosis, or if you’re in an ethnic group that has a high risk of a particular genetic disorder, carrier testing can detect genes associated with these diseases and mutations. Prenatal testing – Once you are pregnant, prenatal tests can detect abnormalities in your unborn baby’s genes like Down syndrome and trisomy 18. Newborn screening – The most common type of genetic testing is to test newborns for specific gene abnormalities that can cause certain diseases. Conditions such as congenital hypothyroidism and phenylketonuria (PKU) can be detected using this test. Preimplantation testing – We use this test when planning an in vitro fertilization procedure. The embryos that are developed for in vitro fertilization are first tested for genetic abnormalities. Examine your Results Your board-certified specialist will explain your results. When genetic testing concludes, your Kofinas Fertility Group doctor evaluates your data and explains it to you. The amount of time it takes to receive the results will depend on the tests you have. “Negative” results mean that genetic alteration that was being tested for was not detected. “Positive” results mean that the genetic alteration that was being tested for was indeed detected. When this occurs, your doctor will help you understand the results and develop steps that need to be taken moving forward. These results provide important information to consider as you are planning a family. If the purpose was to diagnose a specific disease or condition, a positive result will help to determine the right treatment and management plan. For more information about genetic testing, or to request an appointment,call 212-348-4000. You can also request an appointment using our easy online form. Not sure where to start? Give us a call and talk to our team. Call Us ### END_RECORD ### START_RECORD TYPE: page ID: 2139 TITLE: Fertility Glossary URL: https://www.kofinasfertility.com/fertility-glossary/ EXCERPT: Fertility Glossary This glossary is intended to provide definitions and explanations for common fertility-related terms. Understanding these terms can be helpful for those seeking to understand their options for fertility treatments.  Fertility can be a complex and personal topic, and it is always recommended to consult with a medical professional for personalized and accurate information. […] DATE_PUBLISHED: 2026-02-26T05:23:17Z DATE_UPDATED: 2026-07-02T02:38:08Z SCHEMA_TYPE: Article META_seo_description: Browse our fertility glossary to understand common reproductive health, IVF, and fertility treatment terms with confidence. BODY_CONTENT: | Fertility Glossary This glossary is intended to provide definitions and explanations for common fertility-related terms. Understanding these terms can be helpful for those seeking to understand their options for fertility treatments.  Fertility can be a complex and personal topic, and it is always recommended to consult with a medical professional for personalized and accurate information. Amenorrhea: The absence of menstruation.Artificial Insemination: A fertility treatment in which sperm are inserted into a woman's uterus or cervix using medical procedures.Cervix: The lower, narrow end of the uterus that opens into the vagina.Conception: The moment when a sperm fertilizes an egg, resulting in pregnancy. Egg Freezing: A fertility preservation method in which a woman's eggs are extracted and frozen for future use. Ejaculation: The release of semen from the penis during sexual climax. Embryo: An early stage of human development, typically lasting up to eight weeks after fertilization. Endometriosis: A condition in which tissue that normally lines the uterus grows outside of it, causing pain and fertility problems. Fallopian Tube: A tube that connects the ovaries to the uterus, through which an egg travels to the uterus after ovulation. Fertility: The ability to conceive and bear children. Fertility Preservation: The process of storing eggs, sperm, or reproductive tissue in order to maintain the ability to have children in the future.Fertility Testing: Tests to determine the cause of infertility and the best course of treatment.Fertility Treatment: Medical procedures or medications used to increase the chances of conceiving.Fertilization: The process of combining an egg and a sperm to form a new individual.Fibroids: Benign tumors that grow in the uterus.Freezing Eggs: A fertility preservation method in which a woman's eggs are extracted and frozen for future use.Gonadotropins: Hormones produced by the pituitary gland that stimulate the ovaries or testes.Human Chorionic Gonadotropin (HCG): A hormone produced during pregnancy that is often used as a marker for pregnancy.Infertility: The inability to conceive after trying for one year or more. In Vitro Fertilization (IVF): A fertility treatment in which eggs are fertilized with sperm outside of the body and then transferred to the uterus.Intrauterine Insemination (IUI): A fertility treatment in which sperm are inserted into the uterus through the cervix.Laparoscopic Surgery: A type of surgery that uses small incisions and a laparoscope to access the inside of the abdomen.Menstrual Cycle: The monthly process during which the uterus sheds its lining, resulting in menstruation.Oocyte: Another term for an egg.Ovarian Cancer: Cancer that begins in the ovaries.Ovarian Cyst: A fluid-filled sac that develops in or on the surface of an ovary.Ovarian Reserve: The number and quality of eggs remaining in the ovaries.Ovarian Tissue Cryopreservation (OTC): A fertility preservation method in which a woman's ovarian tissue is removed and frozen for future use.Ovulation: The release of an egg from the ovary. Pelvic Inflammatory Disease (PID): An infection of the reproductive organs that can cause fertility problems.Pituitary Gland: A gland in the brain that produces hormones that regulate various body functions, including fertility.Polycystic Ovary Syndrome (PCOS): A hormonal disorder that can cause fertility problems.Pregnancy: The state of carrying a developing embryo or fetus within the female body.Progesterone: A hormone that plays a role in the menstrual cycle and pregnancy.Retrograde Ejaculation: A condition in which semen flows backward into the bladder instead of out of the penis.Salpingitis: Inflammation of the fallopian tubes.Salpingo-Oophorectomy: The surgical removal of the fallopian tubes and ovaries.Semen: The fluid released through the penis during ejaculation, containing sperm and other substances.Sperm: Male reproductive cells that fertilize an egg.Surrogacy: A fertility treatment in which a woman carries and gives birth to a child for another person or couple. Testes: The male reproductive glands that produce sperm and hormones.Testosterone: A male hormone produced by the testes that plays a role in fertility.Tubal Cannulation: A procedure in which a tube is inserted through the cervix and into the fallopian tubes to unblock them. Tubal Ligation: A surgical procedure in which the fallopian tubes are permanently blocked to prevent pregnancy.Uterine Fibroids: Benign tumors that grow in the uterus.Uterine Polyps: Small growths on the lining of the uterus.Uterus: A muscular organ in the female reproductive system where a fertilized egg implants and grows.Varicocele: Enlargement of the veins within the scrotum, which can affect fertility in men.Vasectomy: A surgical procedure in which the vas deferens, the tubes that carry sperm from the testicles to the prostate gland, are cut and sealed to prevent pregnancy. Not sure where to start? Give us a call and talk to our team. Call Us ### END_RECORD ### START_RECORD TYPE: podcast ID: 2138 TITLE: Fibroids & Racial Disparities URL: https://www.kofinasfertility.com/podcasts/fibroids-racial-disparities/ EXCERPT: In this episode, our very own Dr. Levica Narine teams up with Rescripted Co-Founder Kristyn Hodgdon to discuss a common, yet highly misunderstood condition: uterine fibroids. Did you know these pesky growths disproportionately affect Black women? Dr. Narine uncovers this startling reality, sparking an eye-opening conversation about racial disparities in healthcare. From the basics of […] DATE_PUBLISHED: 2026-02-26T05:19:24Z DATE_UPDATED: 2026-07-02T02:26:53Z SCHEMA_TYPE: Article META_seo_description: Listen to an expert discussion on fibroids, racial disparities in care, and fertility treatment options for women seeking answers. BODY_CONTENT: | In this episode, our very own Dr. Levica Narine teams up with Rescripted Co-Founder Kristyn Hodgdon to discuss a common, yet highly misunderstood condition: uterine fibroids. Did you know these pesky growths disproportionately affect Black women? Dr. Narine uncovers this startling reality, sparking an eye-opening conversation about racial disparities in healthcare. From the basics of fibroids to the latest in minimally invasive treatments, she's got you covered! Listen Now ### END_RECORD ### START_RECORD TYPE: podcast ID: 2137 TITLE: Pap Smears, Mammograms, and Oncofertility URL: https://www.kofinasfertility.com/podcasts/pap-smears-mammograms-and-oncofertility/ EXCERPT: When it comes to our reproductive health, hindsight is often 20/20. But in a world where it takes an average of 7-10 years to be diagnosed with endometriosis, it’s high time for reproductive healthcare that is proactive vs. reactive. In this episode of From First Period To Last Period, Rescripted Co-Founder Kristyn Hodgdon sits down […] DATE_PUBLISHED: 2026-02-26T05:19:14Z DATE_UPDATED: 2026-07-02T02:39:46Z SCHEMA_TYPE: Article META_seo_description: Listen to expert insights on Pap smears, mammograms, and oncofertility, including preventive care and fertility preservation after cancer. BODY_CONTENT: | When it comes to our reproductive health, hindsight is often 20/20. But in a world where it takes an average of 7-10 years to be diagnosed with endometriosis, it’s high time for reproductive healthcare that is proactive vs. reactive. In this episode of From First Period To Last Period, Rescripted Co-Founder Kristyn Hodgdon sits down with Dr. Jason Kofinas of the Kofinas Fertility Group to discuss how a woman's overall gynecological health can impact her fertility, the current guidelines for Pap smears and mammograms, as well as groundbreaking fertility preservation options for young cancer patients. Brought to you by Rescripted and the Kofinas Fertility Group. Listen Now ### END_RECORD ### START_RECORD TYPE: podcast ID: 2136 TITLE: Treatment for Endometriosis: What You Need To Know URL: https://www.kofinasfertility.com/podcasts/treatment-for-endometriosis-what-you-need-to-know/ EXCERPT: Endometriosis is a complex condition that often remains misunderstood, leading to delayed diagnoses and overlooked symptoms. But fear not, we’re here to unravel the mysteries surrounding it. From its origins within the female anatomy to its impact on fertility, we’re leaving no stone unturned. Join us as we navigate through the intricacies of endometriosis, exploring […] DATE_PUBLISHED: 2026-02-26T05:19:04Z DATE_UPDATED: 2026-07-02T02:39:58Z SCHEMA_TYPE: Article META_seo_description: Listen to experts discuss endometriosis treatment, fertility preservation, and the latest options to improve reproductive health. BODY_CONTENT: | Endometriosis is a complex condition that often remains misunderstood, leading to delayed diagnoses and overlooked symptoms. But fear not, we're here to unravel the mysteries surrounding it. From its origins within the female anatomy to its impact on fertility, we're leaving no stone unturned. Join us as we navigate through the intricacies of endometriosis, exploring its symptoms, treatment options, and the journey to diagnosis. Whether you're personally affected by this condition or seeking to broaden your understanding, this is your guide to empowerment and enlightenment in the realm of women's health. Listen Now ### END_RECORD ### START_RECORD TYPE: podcast ID: 2135 TITLE: Getting to the Root Cause of Your Infertility URL: https://www.kofinasfertility.com/podcasts/getting-to-the-root-cause-of-your-infertility/ EXCERPT: In this episode, Kristyn and Dr. Kofinas delve into the importance of diagnosing infertility’s root cause and navigating treatment options, including the intricate role of the immune system. Join them as they explore women’s health with expertise and compassion, dedicated to holistic care. DATE_PUBLISHED: 2026-02-26T05:18:55Z DATE_UPDATED: 2026-07-02T02:27:38Z SCHEMA_TYPE: Article META_seo_description: Listen as fertility experts discuss uncovering the root causes of infertility and creating personalized treatment plans. BODY_CONTENT: | In this episode, Kristyn and Dr. Kofinas delve into the importance of diagnosing infertility's root cause and navigating treatment options, including the intricate role of the immune system. Join them as they explore women's health with expertise and compassion, dedicated to holistic care. Listen Now ### END_RECORD ### START_RECORD TYPE: page ID: 2130 TITLE: Polycystic Ovary Syndrome (PCOS) Symptoms Quiz URL: https://www.kofinasfertility.com/pcos-symptoms-quiz/ EXCERPT: Polycystic Ovary Syndrome (PCOS) Symptoms Quiz Take Our PCOS Quiz To Evaluate Your Own Symptoms Whether you are concerned that you might have polycystic ovary syndrome (PCOS), or you just want to learn more about it, Kofinas is here to help. Take our quiz to see if any symptoms you may be experiencing could be a […] DATE_PUBLISHED: 2026-02-26T04:45:23Z DATE_UPDATED: 2026-07-02T02:35:57Z SCHEMA_TYPE: Article META_seo_description: Take our PCOS Symptoms Quiz to identify possible signs of polycystic ovary syndrome and learn your next steps for fertility care. BODY_CONTENT: | Polycystic Ovary Syndrome (PCOS) Symptoms Quiz Take Our PCOS Quiz To Evaluate Your Own Symptoms Whether you are concerned that you might have polycystic ovary syndrome (PCOS), or you just want to learn more about it, Kofinas is here to help. Take our quiz to see if any symptoms you may be experiencing could be a sign of an underlying condition and then empower your next steps with the right information. Not sure where to start? Give us a call and talk to our team. Call Us ### END_RECORD ### START_RECORD TYPE: page ID: 2118 TITLE: Kofinas Fertility Quiz URL: https://www.kofinasfertility.com/kofinas-fertility-quiz/ EXCERPT: Kofinas Fertility Quiz Not sure what to do? Take our quiz to determine next steps! Whether you are struggling with painful periods, endometriosis, or PCOS, have been trying to get pregnant without success, or are thinking about planning a family proactively for the future, Kofinas is here to help. Everyone’s journey is unique. Figure out […] DATE_PUBLISHED: 2026-02-25T15:09:01Z DATE_UPDATED: 2026-07-02T02:31:07Z SCHEMA_TYPE: Article META_seo_description: Take the Kofinas Fertility Quiz to better understand your fertility and receive personalized guidance on your next steps. BODY_CONTENT: | Kofinas Fertility Quiz Not sure what to do? Take our quiz to determine next steps! Whether you are struggling with painful periods, endometriosis, or PCOS, have been trying to get pregnant without success, or are thinking about planning a family proactively for the future, Kofinas is here to help. Everyone's journey is unique. Figure out where your journey should begin by taking our quiz today. Not sure where to start? Give us a call and talk to our team. Call Us ### END_RECORD ### START_RECORD TYPE: page ID: 2112 TITLE: 4 Tips Everyone Struggling to Have a Baby Should Know URL: https://www.kofinasfertility.com/4-tips-ebook/ EXCERPT: Are you struggling to start your family? We’ve created an eBook with 4 tips you absolutely have to know! Infertility can be frustrating and disheartening. To determine whether you should begin researching and considering fertility treatments, consider these questions: If you answered “yes” to any of these questions, you should consider fertility treatment. We’d like […] DATE_PUBLISHED: 2026-02-25T14:52:12Z DATE_UPDATED: 2026-07-02T02:34:33Z SCHEMA_TYPE: Article META_seo_description: Download our free eBook with 4 expert fertility tips to help you prepare for pregnancy and support your family-building journey. BODY_CONTENT: | Are you struggling to start your family? We’ve created an eBook with 4 tips you absolutely have to know! Infertility can be frustrating and disheartening. To determine whether you should begin researching and considering fertility treatments, consider these questions: Are you female, under age 35 and unable to conceive after 12 months of trying? Are you female, age 35 or older, and unable to conceive after 6 months of trying? Have you had more than one miscarriage regardless of how long you’ve been trying? Are you a male who has received poor semen analysis results? If you answered “yes” to any of these questions, you should consider fertility treatment. We’d like to guide you through it!We’ve created an eBook that will provide a comprehensive look at reproductive medicine, strategies to overcome any challenges you face, and help you make the best decisions for you and your family. Not sure where to start? Give us a call and talk to our team. Call Us ### END_RECORD ### START_RECORD TYPE: page ID: 2029 TITLE: Get Informed URL: https://www.kofinasfertility.com/get-informed/ EXCERPT: Get Informed With Kofinas DATE_PUBLISHED: 2026-02-25T13:42:08Z DATE_UPDATED: 2026-07-02T02:24:46Z SCHEMA_TYPE: Article META_seo_description: Get informed with expert fertility insights, treatment guides, educational resources, and family-building advice from Kofinas Fertility. BODY_CONTENT: | Get Informed With Kofinas FILTER BY TOPIC Clear All All (57) Article (7) Brochure (1) eBook (1) Infographic (3) Injection Videos (11) Pillar Page (6) Podcast (6) Quiz (3) Testimonial (3) Video (16) INDUSTRY Clear All All All (23) Conception (3) Donation & Surrogacy (1) Egg Freezing (3) Endometriosis (5) Fertility (1) Fibroids (3) Infertility (11) Insurance (1) IVF (10) LGBTQ (3) Overview (2) PCOS (2) Surgery (4) 4 Tips Everyone Struggling to Have a Baby Should Know Read the eBook What is Fertility Surgery Learn More When to Seek Fertility Treatments Learn More Fertility Assessment Learn More Understanding Fertility Learn More Fertility Quiz Take The Quiz Take the FAFTA Fertility Insurance Mandate Quiz Take The Quiz Fertility PCOS Quiz Take The Quiz How to Choose An Experienced Fertility Clinic Download the Infographic Kofinas IVF Timeline Download the Infographic Kofinas Fertility Mandate Download the Brochure Is IVF Right For You?- Dr. Jason Kofinas | Podcast Listen Now Egg Freezing - Dr. Chantae Sullivan-Pyke | Podcast Listen Now What Is Endometriosis? Watch Now What is Polycystic Ovarian Syndrome(PCOS)? Watch Now What to Expect at your Kofinas Fertility Workup Watch Now Build the Family You Deserve Watch Now How Does IVF Work? Watch Now The Egg Freezing Process Watch Now Do Fibroids Affect Fertility Watch Now Kofinas Fertility Stories Meet Eleni Watch Video Kofinas Fertility Stories Meet Lucas Watch Video Kofinas Fertility Stories Meet Emilio Watch Video Myth #1 - You're Too Old to Have a Baby Watch Now Myth #2 - Fertility Clinics only do IVF Watch Now Myth #4 - Infertility is the Woman's Fault Watch Now Myth #6 - My OBGYN will bring up fertility when I need to think about it Watch Now Infertility Myths and Fertility Options Watch Now Myth #3 - IVF causes cancer Watch Now Myth #5 - Family planning is just for people who are ready to have a baby Watch Now Myth #7 - If you have Endometriosis, you're infertile Watch Now Menopur (with Q-Cap) - Schraft's 2.0 Watch Now Pregnyl HCG (Subcutaneous) - Schraft's 2.0 Watch Now Progesterone in Oil - Schraft's 2.0 Watch Now Ovidrel - Schraft's 2.0 Watch Now Microdose Leuprolide - Schraft's 2.0 Watch Now Cetrotide - Schraft's 2.0 Watch Now Ganirelix - Schraft's 2.0 Watch Now Leuprolide 2 Week Kit - Schraft's 2.0 Watch Now It's time to start talking about fertility Go to Article The Future of Healthcare: "Pioneering Fertility Technologies" with Dr. Jason Kofinas Read the Blog Post Anne Hathaway Reveals Pregnancy After Fertility Struggles Read the Blog Post A natural pregnancy is in the works for cancer patients Go to Article Menopur (Mixing Needles) - Schraft's 2.0 Watch Now Pregnyl HCG - Schraft's 2.0 Watch Now Gonal-F Pen - Schraft's 2.0 Watch Now What Is Fertility Surgery—And Why It Still Matters! Read the Blog Post As Giants' Tate Appeals Ban, Specialist Says Certain Fertility Drugs Can Increase Muscle Mass, Performance Read the Blog Post 9 Healthy Habits You Should Establish If You're Trying to Conceive Read the Blog Post Getting to the Root Cause of Your Infertility Listen Now Treatment for Endometriosis: What You Need To Know Listen Now What is IVF and How does it work? Watch Now Fertility Glossary Learn More Pap Smears, Mammograms, and Oncofertility Listen Now Fibroids & Racial Disparities Listen Now Checklist: What to Expect with IVF Listen Now The IVF Process Learn More No results match your filters. Prev Page 1 of 1 Next ✕ ### END_RECORD ### START_RECORD TYPE: page ID: 1940 TITLE: Fertility Insurance Coverage Quiz URL: https://www.kofinasfertility.com/fertility-insurance-coverage-quiz/ EXCERPT: Do You Qualify for Fertility Treatment Insurance Coverage in New York? Navigating health insurance is certainly not the easiest task. Let us help you find out if you qualify for fertility treatment insurance coverage in New York. Coverage is provided by FAFTA and the rules were updated in 2019 through a New York Fertility Mandate. Check to […] DATE_PUBLISHED: 2026-02-24T11:03:52Z DATE_UPDATED: 2026-07-02T02:31:51Z SCHEMA_TYPE: Article META_seo_description: Take the Fertility Insurance Coverage Quiz to see if your insurance may cover fertility testing, IVF, and fertility treatments. BODY_CONTENT: | Do You Qualify for Fertility Treatment Insurance Coverage in New York? Navigating health insurance is certainly not the easiest task. Let us help you find out if you qualify for fertility treatment insurance coverage in New York. Coverage is provided by FAFTA and the rules were updated in 2019 through a New York Fertility Mandate. Check to see if your insurance may cover fertility treatments by completing our quiz! Do you work at a company that has over 100 employees and provides commercial insurance (e.g., UnitedHealthcare, Blue Cross Blue Shield, etc.) through the state of New York?* YesNo Choose the Options That Best Describes You* Please Select I've been trying to get pregnant for less than 6 months I've been trying to get pregnant for 6 months or more I'm not trying to get pregnant currently, I'm interested in preserving my fertility Choose the Options That Best Describes You* Please Select I have painful periods and I don't know why I have general pelvic pain and/or experience pain during intercourse and I don't know why I have suspected/been diagnosed with endometriosis I am facing a diagnosis or medical treatment that can lead to infertility and/or am undergoing cancer treatments Other Choose the fertility treatment option you are interested in pursuing* Please Select In-vitro fertilization Egg freezing Other I have documentation that states I have previously undergone failed IVF treatment.* YesNo I have a documented diagnosis that suggests I could benefit from egg freezing/preservation.* YesNo Other Back Next Name* First NameLast Name Email* example@example.com Phone Number* Please enter a valid phone number.Format: (000) 000-0000. Submit Should be Empty: Not sure where to start? Give us a call and talk to our team. Call Us ### END_RECORD ### START_RECORD TYPE: page ID: 1921 TITLE: About Us URL: https://www.kofinasfertility.com/about-us/ EXCERPT: About Us Kofinas Fertility Group in New York offers you unsurpassed fertility care. Founded by Dr. George Kofinas in 1987, Kofinas Fertility Group is the 1st private fertility practice in NYC and the 3rd to open in the state of New York. Kofinas has 5 locations (HQ in Lower Manhattan, Upper West Side, Brooklyn, Staten […] DATE_PUBLISHED: 2026-02-24T10:39:43Z DATE_UPDATED: 2026-07-02T02:25:00Z SCHEMA_TYPE: Article META_seo_description: Learn about Kofinas Fertility's expert team, personalized approach, advanced treatments, and decades of fertility care experience. BODY_CONTENT: | About Us Kofinas Fertility Group in New York offers you unsurpassed fertility care. Founded by Dr. George Kofinas in 1987, Kofinas Fertility Group is the 1st private fertility practice in NYC and the 3rd to open in the state of New York. Kofinas has 5 locations (HQ in Lower Manhattan, Upper West Side, Brooklyn, Staten Island, and Long Island) and 6 in-house labs. Your goal is to start a family, and our life’s work is to make that happen. Here at Kofinas Fertility Group, a fertility clinic in New York, we’re true experts in fertility medicine, and every solvable fertility situation is within our capability. We won’t send you away for tests, exams, surgery or any other aspect of your fertility care, for the simple reason that nobody does it better than we do. We give each couple or individual a personalized care plan that offers the optimal chance for a successful pregnancy, and we provide you with care and capability from the forefront of fertility Choose our skilled, experienced professionals to deliver great results. The expertise and determination of our specialists, coupled with our unlimited technological capabilities is why we’re New York’s choice for exceptional fertility treatment. We believe that the root cause of your fertility challenges should be addressed first to optimize your fertility success. Because surgery is often necessary to optimize your chances of success, excellent surgical skill is a key talent all of our doctors possess.Over 30 years in practice has led to thousands of people just like you that have discovered the warmth of parenthood when they had thought - and had been told - that pregnancy wasn’t possible. You too can join our growing book of success stories. We have been a pioneer of advanced fertility treatments with several firsts including: Establishment of the FIRST oocyte cryopreservation (egg freezing) program and birth from frozen eggs in Brooklyn. Brooklyn's FIRST In-Vitro Fertilization (IVF) procedure and birth Brooklyn's FIRST successful Gamete Intrafallopian Transfer (GIFT) birth Establishment of the FIRST egg donation program and birth from donated eggs in Brooklyn Why Choose Us? We provide a custom treatment plan based exclusively on your needs - We don’t skip straight to in vitro fertilization (IVF). The “skip to in vitro fertilization (IVF)” strategy used by many other fertility clinics is not followed here at Kofinas Fertility Group. The purpose of our professional lives is to help start a wonderful new chapter in your life, and despite what you may have heard, you may not require IVF to accomplish that. Or, you may need to take certain steps before undergoing IVF in order to give yourself the best chance for success. We are very proud of our success rates in all categories and age ranges. We won’t turn you away due to your age or BMI (Body Mass Index). Our goal of discovering the root cause of infertility is so that each of our patients can GET and STAY pregnant so they have a healthy baby. We are extremely thorough with our testing and individualize everyone’s care. Our doctors are very involved throughout the patient journey and work as a team led by Dr. George Kofinas. Our doctors perform all the ultrasounds on our patients giving you the most qualified set of eyes looking at the whole of your reproductive health. We have the most advanced fertility center available in New York and have our own private surgical facility, Manhattan Reproductive Surgery Center. Services and Procedures As the most comprehensive fertility center in New York, we have every conceivable option to give you an individualized approach to discovering the root of your fertility challenges. Donation & Surrogacy Experience motherhood, turn to egg (oocyte) donation Learn More Ovarian Tissue Cryopreservation (OTC) Learn More LGBTQ Fertility Therapy Learn More Egg Freezing Freeze your eggs, not your options Learn More In Vitro Fertilization The most advanced assisted reproductive technology tailored to your goals Learn More Embryo Freezing Learn More Cancer Fertility Preservation Learn More Sperm Freezing Learn More IUI & Ovarian Stimulation Therapy Learn More Male Fertility Treatment Learn More ### END_RECORD ### START_RECORD TYPE: page ID: 1910 TITLE: What Is Fertility Surgery And What Does It Mean For Me? URL: https://www.kofinasfertility.com/surgical-procedures-for-fertility/ EXCERPT: If you’re considering any kind of surgery, you likely feel confused, anxious, or even afraid. When it comes to fertility surgery, it’s common to have a heightened sense of all of these feelings—and you’re likely here to absorb as much reliable information as you can about what you can expect from your surgery. Choosing to […] DATE_PUBLISHED: 2026-02-24T10:24:44Z DATE_UPDATED: 2026-07-02T02:33:44Z SCHEMA_TYPE: Article META_seo_description: Learn about fertility surgery options, including minimally invasive procedures to treat conditions affecting your ability to conceive. BODY_CONTENT: | Table of Content If you’re considering any kind of surgery, you likely feel confused, anxious, or even afraid. When it comes to fertility surgery, it’s common to have a heightened sense of all of these feelings—and you’re likely here to absorb as much reliable information as you can about what you can expect from your surgery. Choosing to have children is an extremely personal and emotional journey, and if you’ve recently discovered that you may need fertility surgery to make it possible to have a healthy pregnancy or healthy reproductive system, you deserve answers to all of your questions and the best, personalized treatment plan from a team of experts. In this guide, we’ll walk through the questions our patients ask first, how to vet your providers as you proceed with surgery, and what you can expect every step of the way. What Does Fertility Surgery Mean? There is a big difference between non-surgical fertility treatment options and actual fertility surgery. The former—which you might also hear called “non-surgical” or simply “medical fertility treatment" - can include a wide variety of options that you choose with the guidance of your doctor, and may include prescriptions, intrauterine insemination (IUI), or cycle monitoring and stimulation. Fertility surgery, on the other hand, is more likely to treat more serious conditions that may prevent you from getting or staying pregnant, like uterine fibroids, adhesions, or endometriosis tissue. For men, fertility surgery might mean reversing vasectomies or repairing varicocele. Each surgery is as unique as the condition it’s treating. You might see that some rare fertility surgeries require inpatient care and long recovery times, while most others, like hysteroscopy and laparoscopy, are quite fast and typically only require outpatient care. Types of Fertility Surgery We can generally categorize most fertility surgeries into 3 main groups: Hysteroscopy Laparoscopy Microsurgery Now that you understand the definitions and types of fertility surgeries you might be considering, you’re probably thinking about how to find a provider who you can truly trust to take care of you—both before the surgery and all the way through your successful recovery. Trust is the most important thing to have as you consider surgeons to perform your surgery. When you’ve found a fertility surgery provider who you feel confident in and whose expertise you trust in, it can make a world of difference as you prepare for your procedure. How to Feel Empowered and Positive Throughout Fertility Surgery From evaluation to surgery and recovery, all the way through healthy pregnancy—you can feel encouraged, safe, and empowered through the process, as long as you have laid the right foundation with solid research and a trustworthy team. To feel positive, hopeful, and in control during this sometimes intimidating process, build your circle of trusted friends, family members, and experts. Research your options online, but don’t forget that speaking with a fertility physician or surgeon in-person can often allow for more natural, patient-centered conversations that you deserve! Surround yourself with positive resources, surgery success stories, and a fertility clinic that helps you feel welcome and comfortable. As you consider your options and take more steps to completing your surgery, you can also find support in many places. While we hope this guide (and the rest of our site) are helpful resources for you, you might also turn to these other sources to find emotional or educational support: Fertility Lifelines Resolve.org Support Group Finder Oprah Magazine’s Guide to Infertility Support Groups for Black Women Fertility Answers Your Next Steps When you’re ready to talk about your specific fertility surgery options and get your questions answered, it may be time to start meeting with fertility surgery providers in your area. Making an appointment is the best way to help the physician get a full understanding of your medical history, any current treatment you’re pursuing, and what surgical options are right for you. If you are in the New York area, learn more about the Manhattan Reproductive Surgery Center (MRSC), New York's first stand alone fertility surgery center solely with a reproductive focus. This center is a dedicated facility for the patients of Kofinas Fertility Group. Not sure where to start? Give us a call and talk to our team. Call Us ### END_RECORD ### START_RECORD TYPE: page ID: 1900 TITLE: Fertility Testing & Diagnosis URL: https://www.kofinasfertility.com/fertility-testing/ EXCERPT: Discovering the root cause of your infertility If you’re experiencing infertility, you’re not alone. Fertility struggles affect both men and women and are quite common. With the help of a knowledgeable fertility doctor, you can address the root cause with the most effective treatments.  Part 1 Types of Fertility Testing Fertility testing is essential to […] DATE_PUBLISHED: 2026-02-24T10:20:02Z DATE_UPDATED: 2026-07-02T02:23:47Z SCHEMA_TYPE: Article META_seo_description: Get comprehensive fertility testing to identify underlying causes of infertility and create a personalized treatment plan. BODY_CONTENT: | Table of Content Discovering the root cause of your infertility If you’re experiencing infertility, you’re not alone. Fertility struggles affect both men and women and are quite common. With the help of a knowledgeable fertility doctor, you can address the root cause with the most effective treatments.  Part 1 Types of Fertility Testing Fertility testing is essential to choose the best treatment options. Your doctor will perform an initial examination and assessment before selecting the most appropriate fertility tests. Here are some common fertility tests your doctor may request: Ovarian Reserve Testing ovarian reserve is essential for discovering your baseline numbers in relation to where your doctor wants them to be. Your ovarian reserve refers to the reproductive potential of your ovaries in the number and quality of eggs that you have. Testing ovarian reserve begins with an ultrasound and bloodwork to test your hormone levels. This usually happens around day three of your period to more accurately see how your hormones are behaving. Bloodwork also includes testing how much anti-müllerian hormone (AMH) is in your blood. This gives us a good picture of where you’re starting from.  Tubal Patency Fallopian tubes are an essential part of the reproductive system, and their health is an essential part of the discovery process. Fallopian tubes allow fluids and cells to go from the uterus to the ovaries. The health of that passageway is critical and can be assessed by tests such as a hysterosalpingogram (HSG). An HSG is a common test that uses x-rays to get a clearer image of your uterus and fallopian tubes. It can detect any blockages in the fallopian tubes or uterine abnormalities that may prevent an embryo from traveling safely and attaching to the correct area.  Uterus Many tests can determine the health of the uterus. From congenital abnormalities of the uterus to fibroids, your doctor must test the uterine cavity for optimal health. Tests can include a vaginal ultrasound, saline ultrasound, an HSG, a hysteroscopy, or a biopsy. If you plan to carry a fertilized egg (embryo) in your uterus for a healthy pregnancy and birth, identify and treat any uterine conditions. Your doctor will make sure nothing is preventing an embryo from implanting and growing in the uterus.  Sperm Fertility is very egg-centered, but we can’t forget the other part of the equation! Whether from a donor or partner, frozen or fresh, a semen analysis can tell us what we want to know. With a semen analysis, we can determine the sperm count, motility, morphology, and more. These are all important factors in the process of fertilizing an egg to become an embryo and the implantation of the embryo to become a healthy baby.  Genetic Testing Genetic Testing can be broken down into testing the parents and testing the embryo. For the parents, an expanded carrier screening is done to determine any genetic traits that are a match, thus increasing the chances of showing up in a child. This test compares around 275 genetic traits. Genetically testing an embryo is done through preimplantation genetic testing for aneuploidy (PGT-A). PGT-A searches for any extra or missing parts in the embryo’s DNA, so genetic health and viability of the embryo to implant is checked. Immune Testing Your immune system’s health is often overlooked when it comes to fertility. Luckily our experts make sure to integrate your reproductive health with your overall health, which means testing for any immunological conditions that could be a barrier to fertility. Immune testing is often looked at after any recurring implantation failures or secondary infertility; however, it can be proactively discussed with your doctor if any active conditions are contributing to infertility. It is vital to discover the root cause of infertility, even if the condition is seemingly unrelated to your reproductive functions. Our work is to look at you as a whole person and not just your symptoms.  Part 2 Benefits of Testing Your Fertility Testing your fertility is a valuable tool that helps narrow down appropriate fertility treatments. Each couple or individual is unique and requires a tailored plan. Fertility testing is the first step on that journey. These tests allow your doctor to pinpoint the root cause of your infertility.  You don’t need to experience infertility to benefit from fertility testing. Until you start trying to conceive, fertility is often an unknown factor. Testing your fertility before you want to get pregnant can help you plan ahead. With fertility testing, you’ll learn more about your reproductive health. Proactive fertility testing can help you make informed decisions about treatments that protect your fertility such as egg, sperm, or embryo freezing.  Part 3 Everything You Need to Know about Fertility Testing Whether you’re trying to conceive, or are planning for a future family, it’s natural to question whether you need fertility testing and what the process will be like. Let’s explore some common questions and concerns about fertility testing: When You Should Test Your Fertility Are you wondering whether you should test your fertility? We recommend that you test your fertility if you and your partner have been trying to conceive for 12 months without success. If you or your partner are over the age of 35, it’s best to seek fertility testing after 6 months of trying to conceive. For individuals over the age of 40, we recommend consulting with a fertility expert as soon as you want to try to conceive.  That said, fertility testing can also be beneficial before you try to get pregnant. If you simply want to learn more about your reproductive health, fertility testing can help you plan for your future family. Does Insurance Cover Fertility Testing? Many insurance policies cover fertility testing and treatments. In some cases, fertility testing is covered, but treatments are not. When fertility treatments are covered, conditions may apply. For example, a certain number of IVF treatment cycles may be covered, or your policy may max out at a maximum dollar amount.  Fortunately, in the state of New York, private insurers are legally required to cover at least a portion of your fertility treatment. Note that this is only true for large group insurance policies and contracts. In other words, if you work for a company with fewer than 100 employees, the law doesn’t apply. Request and review your insurance policy to find out the benefits and details of your coverage. If your policy doesn’t include the fertility coverage you need, you may be able to get supplemental fertility coverage. Ask your employer to learn about any options available.  Fertility Testing for Women For women, fertility testing may involve many different tests. Doctors need to evaluate the many different factors that can affect fertility in women.  Fertility testing in women often involves an evaluation of hormones. Your doctor may request urine and blood tests to detect hormones. Hormones influence reproductive processes, including ovulation or the release of the egg from the ovaries. Some hormones your doctor may test for include progesterone, luteinizing hormone (LH), and follicle-stimulating hormone (FSH). Testing these hormones can help determine whether you’re ovulating normally.  An additional hormone test your doctor may request is for the anti-müllerian hormone (AMH). This hormone influences how well your ovaries work. Low levels of this hormone can mean that you have fewer quality eggs available.  Your doctor may also examine your reproductive organs. Some common female fertility challenges related to organs include blocked fallopian tubes, endometriosis, or uterine fibroids. Fertility Testing for Men The cause of infertility in up to 20% of couples is related to a male factor. In 30-40% of couples, there is both a male and female factor involved. For this reason, it’s important for men to seek fertility testing.  Fertility testing for men helps identify the underlying cause. Some common causes of male infertility include low sperm count, blockages, and poor sperm movement. One of the first tests for men is typically a sperm analysis. With this test, doctors will be able to see if sperm are present in your semen and how they behave.  To check for blockages, your doctor may recommend an ultrasound. This can help your doctor see if sperm can move freely from the testicles to exit the penis. Blockages can occur in different places, and the ultrasound allows the doctor to check for this problem. Other common fertility issues in men include hormone deficiencies, medication, varicoceles, and retrograde ejaculation. Your doctor may perform blood and urine tests, ask questions, and perform a physical exam.  Part 4 Where Can You Get Fertility Testing? Wondering where you can get fertility testing in New York? Kofinas Fertility Group offers excellence in fertility testing in New York. Our five locations serve Long Island, Brooklyn, Staten Island, the Upper West Side, and Lower Manhattan. Reach out to our friendly team to set up your appointment. We look forward to providing you with modern, accurate fertility testing. Not sure where to start? Give us a call and talk to our team. Call Us ### END_RECORD ### START_RECORD TYPE: procedures ID: 1815 TITLE: IUI & Ovarian Stimulation Therapy URL: https://www.kofinasfertility.com/services/iui-ovarian-stimulation-therapy/ EXCERPT: Our greatest priority at Kofinas Fertility Group is helping you start the family of your dreams — not just with our genuine compassion, but also with as little inconvenience and financial burden as possible. Our low-complexity therapies are generally our first-wave attempt at helping people with relatively uncomplicated fertility cases achieve a healthy pregnancy. These […] DATE_PUBLISHED: 2026-02-19T10:14:55Z DATE_UPDATED: 2026-07-02T02:23:31Z SCHEMA_TYPE: MedicalProcedure SCHEMA_PROCEDURE_TYPE: medical procedure general META_seo_description: Learn how IUI with ovarian stimulation can increase your chances of pregnancy through personalized fertility treatment at Kofinas Fertility. TAX_location: Long Island TAX_location: Upper West Side TAX_location: Staten Island TAX_location: Lower Manhattan TAX_location: Brooklyn TAX_procedure: IUI & Ovarian Stimulation Therapy TAX_staff: George D. Kofinas, MD, FACOG TAX_staff: Jason Kofinas, MD, MSc, FACOG TAX_staff: Peter Brzechffa, MD, FACOG TAX_staff: Melissa Montes, MD, MSc, FACOG TAX_staff: Levica Narine, MD, FACOG TAX_staff: Charalampos (Harry) Chatzicharalampous, MD, PhD, FACOG, FACMG BODY_CONTENT: | Our greatest priority at Kofinas Fertility Group is helping you start the family of your dreams — not just with our genuine compassion, but also with as little inconvenience and financial burden as possible. Our low-complexity therapies are generally our first-wave attempt at helping people with relatively uncomplicated fertility cases achieve a healthy pregnancy. These therapies are less expensive and less invasive but can still be very effective at helping you conceive. To maximize your chances of an optimal outcome, we typically use our main low-complexity fertility therapies — intrauterine insemination (IUI) and ovarian stimulation — together. Boosting your chance of starting a family with intrauterine insemination (IUI). Using either a sperm sample from the male partner or donor sperm, one of our experts at Kofinas Fertility Group will place a high concentration of active sperm directly into the uterus. We generally use IUI in instances when a woman's uterus is normal and her fallopian tubes are clear, and also when a male has fertility problems, such as low sperm count or low volume. We start your IUI treatment by monitoring the woman’s blood in order to identify the optimal time for a human chorionic gonadotropin (hCG) injection, which triggers the time of ovulation. Once we trigger ovulation, the man will provide us a semen sample, and our skilled specialists will wash the sample and prepare it for insertion. Using a thin, flexible tube called an insemination catheter, your doctor will painlessly place the sample into your uterus. ### END_RECORD ### START_RECORD TYPE: procedures ID: 1813 TITLE: Sperm Freezing URL: https://www.kofinasfertility.com/services/sperm-freezing/ EXCERPT: There are many reasons to consider freezing your sperm: Fertility preservation DATE_PUBLISHED: 2026-02-19T10:13:51Z DATE_UPDATED: 2026-07-02T02:33:12Z SCHEMA_TYPE: MedicalProcedure SCHEMA_PROCEDURE_TYPE: medical procedure general META_seo_description: Learn about sperm freezing to preserve your fertility before medical treatment, vasectomy, or future family-building plans. TAX_location: Staten Island TAX_location: Lower Manhattan TAX_location: Brooklyn TAX_location: Long Island TAX_location: Upper West Side TAX_procedure: Sperm Freezing TAX_staff: George D. Kofinas, MD, FACOG TAX_staff: Jason Kofinas, MD, MSc, FACOG TAX_staff: Peter Brzechffa, MD, FACOG TAX_staff: Melissa Montes, MD, MSc, FACOG TAX_staff: Levica Narine, MD, FACOG TAX_staff: Charalampos (Harry) Chatzicharalampous, MD, PhD, FACOG, FACMG BODY_CONTENT: | There are many reasons to consider freezing your sperm: Fertility preservation If you have just received a cancer diagnosis, for example. We can freeze sperm prior to surgery/chemotherapy/radiation treatments. If you are a transgender patient and would like to preserve fertility prior to transition. Consideration prior to vasectomy. Lifestyle Factors Modern, hectic lifestyles, partners who frequently travel and make it difficult to time with your cycle. Simply to have as a backup if doing IVF and are unable to produce a sample on the day of retrieval. ### END_RECORD ### START_RECORD TYPE: procedures ID: 1809 TITLE: Cancer Fertility Preservation URL: https://www.kofinasfertility.com/services/cancer-fertility-preservation/ EXCERPT: Does cancer affect fertility? Cancer and going through cancer treatments like chemotherapy can affect fertility and can make having a child more difficult. It’s important to speak with your cancer care team about your family planning goals before starting treatment or having surgery to ensure you have the most options available. If you haven’t discussed […] DATE_PUBLISHED: 2026-02-18T16:09:03Z DATE_UPDATED: 2026-07-02T02:30:46Z SCHEMA_TYPE: MedicalProcedure SCHEMA_PROCEDURE_TYPE: medical procedure general META_seo_description: Learn about cancer fertility preservation options to help protect your future fertility before chemotherapy, radiation, or surgery. TAX_location: Staten Island TAX_location: Lower Manhattan TAX_location: Brooklyn TAX_location: Long Island TAX_location: Upper West Side TAX_procedure: Cancer Fertility Preservation TAX_staff: George D. Kofinas, MD, FACOG TAX_staff: Jason Kofinas, MD, MSc, FACOG TAX_staff: Peter Brzechffa, MD, FACOG TAX_staff: Melissa Montes, MD, MSc, FACOG TAX_staff: Levica Narine, MD, FACOG TAX_staff: Charalampos (Harry) Chatzicharalampous, MD, PhD, FACOG, FACMG BODY_CONTENT: | Does cancer affect fertility? Cancer and going through cancer treatments like chemotherapy can affect fertility and can make having a child more difficult. It's important to speak with your cancer care team about your family planning goals before starting treatment or having surgery to ensure you have the most options available. If you haven’t discussed fertility before starting treatment, it is important to bring it up as soon as possible. Your doctor or nurse won’t always remember to bring this up, so if fertility is important to you now or could be in the future, you may need to bring it up yourself. With the likelihood of surviving cancer on the rise, it's important to think about quality of life after cancer and if having a biological child (or another child) could be important to you. The good news is that there are options for both females and males to preserve their fertility and have the opportunity to have a baby later on, once treatment is complete. Should you choose to preserve your fertility, a Reproductive Endocrinologist (fertility doctor) will be able to help you with this process. Does chemo or other cancer treatments make you sterile? The risk of cancer or cancer treatment causing infertility varies depending on a number of factors like age, type and location of cancer, and type of treatment required such as surgery, radiation or chemotherapy, among other variables. Different types of cancer and treatments have different side effects, and effects on fertility, it's important to remember that everyone is different. One person's experience could be very different from yours. Your cancer care team or fertility doctor will be able to give you some insight as to the risk of infertility associated with your diagnosis and treatment plan. Depending on your personal preferences, family planning goals, religious beliefs and stage in life, there are options. Discuss your questions or concerns with your team of doctors and be sure to get enough information, support and resources to help you make this important decision in order to maintain your ability to get pregnant after chemo. Can a woman get pregnant after chemo or cancer treatment? Women who need to start cancer treatment urgently and don’t have the time it takes to go through an egg freezing cycle should consider OTC. If there is more time to prepare ahead of cancer treatments, egg freezing can be an option as well! However, egg freezing requires at least 2 weeks while OTC can be done within days. Undergoing the OTC procedure guarantees more chances of conceiving later on while allowing you to receive necessary treatments without delay. Childhood Cancer and Fertility For girls who have not yet reached puberty, ovarian tissue freezing is currently the only option to preserve fertility. With the likelihood of surviving pediatric cancer on the rise, now around 80%, it is important to think about quality of life after treatment and if having biological children could be important later on. With chemotherapy and radiation causing girls to be at a high risk of POI (premature ovarian insufficiency) OTC will be their only opportunity to have a biological child later in life. Parents should take this into consideration and talk to their child to help them make this important decision. How to prepare for fertility preservation before starting cancer treatment? If you have been diagnosed with any type of cancer, you should ask your doctor what your next steps will be. If they suggest chemotherapy or radiation treatment, you should ask them how the side effects could affect your fertility. It is important to undergo any fertility preservation treatment before you begin chemotherapy or radiation. You will have to make the decision quickly once diagnosed. It is best to ask as many questions as you might have in the beginning so that you can get the best possible outcome to align with your future family planning goals. If you decide you would like to have the option of having biological children in the future, you should schedule a consultation with a fertility specialist as soon as possible so as not to delay your cancer treatment plan. Although there are certain cancers that affect the ovary or blood in which this procedure is not recommended, OTC is effective for most types of cancers. In those special cases where OTC is not recommended prior to cancer treatment, we can perform the procedure after a round of chemotherapy, given that the treatment suppresses the cancer cells and those cells will not survive the freezing process. In any case, your Oncology team, along with your Kofinas Fertility team will discuss the most viable options with you according to your individual needs. ### END_RECORD ### START_RECORD TYPE: procedures ID: 1806 TITLE: Embryo Freezing URL: https://www.kofinasfertility.com/services/embryo-freezing/ EXCERPT: Regardless if your transfer is soon or you want to wait until you’re ready for number two or three, your embryos are kept safe with our in house technology (that has backups for our backups) until you decide to use them. There are many reasons why we suggest cryopreserving or banking your embryos rather than […] DATE_PUBLISHED: 2026-02-18T15:55:10Z DATE_UPDATED: 2026-07-02T02:33:00Z SCHEMA_TYPE: MedicalProcedure SCHEMA_PROCEDURE_TYPE: medical procedure general META_seo_description: Learn about embryo freezing to preserve healthy embryos for future IVF, fertility preservation, and family-building options. TAX_location: Staten Island TAX_location: Lower Manhattan TAX_location: Brooklyn TAX_location: Long Island TAX_location: Upper West Side TAX_procedure: Embryo Freezing TAX_staff: George D. Kofinas, MD, FACOG TAX_staff: Jason Kofinas, MD, MSc, FACOG TAX_staff: Peter Brzechffa, MD, FACOG TAX_staff: Melissa Montes, MD, MSc, FACOG TAX_staff: Levica Narine, MD, FACOG TAX_staff: Charalampos (Harry) Chatzicharalampous, MD, PhD, FACOG, FACMG BODY_CONTENT: | Regardless if your transfer is soon or you want to wait until you’re ready for number two or three, your embryos are kept safe with our in house technology (that has backups for our backups) until you decide to use them. There are many reasons why we suggest cryopreserving or banking your embryos rather than separating eggs and sperm: It is ideal for patients with partners or sperm donors available. It is also ideal for patients that want more children in the future, but want to preserve the quality now. Embryo freezing will give you more information upfront versus freezing eggs – we already know which eggs were mature (healthy enough to fertilize) and develop into blastocysts (develop embryologically). You also have the option of genetically testing the embryos through preimplantation genetic testing (PGT). We do this by taking a biopsy or small tissue sample of what will become the placenta (called the trophectoderm). This sample will tell us the chromosomal health of your embryos. This can also help you decide if you need to do more IVF cycles in the future. ### END_RECORD ### START_RECORD TYPE: page ID: 1802 TITLE: Become An Egg Donor URL: https://www.kofinasfertility.com/become-an-egg-donor/ EXCERPT: Kofinas Fertility Group’s egg donation program helps infertile New York couples become parents. Thank you for your interest in our donor egg program. Many women cannot become pregnant because they either do not produce eggs or the eggs they produce are of poor quality. Egg donors are absolutely vital to helping some couples have children. […] DATE_PUBLISHED: 2026-02-18T14:44:01Z DATE_UPDATED: 2026-07-02T02:39:20Z SCHEMA_TYPE: Article META_seo_description: Become an egg donor and help others build their families while receiving compensation and expert care throughout the donation process. BODY_CONTENT: | Home Kofinas Fertility Group’s egg donation program helps infertile New York couples become parents. Thank you for your interest in our donor egg program. Many women cannot become pregnant because they either do not produce eggs or the eggs they produce are of poor quality. Egg donors are absolutely vital to helping some couples have children. By donating your eggs, you are providing an incredibly thoughtful and precious gift to an infertile couple: a baby of their own. Egg donation is a simple medical procedure, and thousands of women donate eggs each year. Your participation and the information that you provide will always remain completely confidential Kofinas Fertility Group Egg Donor Application Email* example@example.com Name* First NameLast Name Phone Number* Please enter a valid phone number.Format: (000) 000-0000. 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Call Us Quick Actions Request an Appointment Share This Article Patient Portal Login ### END_RECORD ### START_RECORD TYPE: page ID: 1712 TITLE: Blog URL: https://www.kofinasfertility.com/blog/ EXCERPT: Blog DATE_PUBLISHED: 2026-02-18T11:38:04Z DATE_UPDATED: 2026-07-02T02:39:34Z SCHEMA_TYPE: Article META_seo_description: Read the Kofinas Fertility blog for expert insights on IVF, fertility treatments, reproductive health, and family-building guidance. BODY_CONTENT: | Blog Search Blog Categories All Hysterectomy Uncategorized ICSI Fertility Tubal Ligation Pregnancy Egg Donation Surrogacy News Artificial Insemination essure IUI PCOS Egg Freezing IVF Men's Fertility Egg Retrieval Fertility Mandate Endometriosis Fibroids LGBTQ The Secrets of Our Fertility Clinic’s Success Rates While there are some additional considerations when it comes to pregnancy after 35, it’s absolutely possible to have a healthy... Read More Feb 12, 2026 Understanding IUI Success Rates with PCOS Finding out you have PCOS can be overwhelming, especially when you’re trying to figure out the best way to start... Read More Dec 9, 2025 IUI vs IVF Success Rates Infertility impacts millions of individuals and extends its effects to their families and communities. It is estimated that about one... Read More May 5, 2025 ICSI vs IVF Success Rates Navigating the path to parenthood can be challenging, and understanding the success rates of different fertility treatments is crucial in... Read More Dec 9, 2024 IVF Success Rates By Age: How Successful is IVF? Starting IVF is both an exciting adventure and a big, daunting decision. You’re likely filled with hope for the future,... Read More Jul 30, 2024 What Is Reciprocal IVF? Building a family is a beautiful journey, and for LGBTQ+ couples, there are exciting options to make that dream a... Read More Jul 30, 2024 Breaking Age Barriers: Kofinas Fertility Clinic’s Success Rate Formula Success rates are a key evaluation criterion for prospective parents when selecting a top fertility clinic. High success rates will... Read More Jul 24, 2024 What Is Assisted Reproductive Technology? Starting a family is a deeply personal journey, but for many, it comes with unexpected challenges. Assisted Reproductive Technology (ART)... Read More Jun 6, 2024 How Do You Treat Fertility Problems with Medication? Trying to get pregnant can be an exciting time, but it can also be frustrating if it takes longer than... Read More May 30, 2024 What is Artificial Insemination? When I say “fertility challenges” your mind likely goes straight to IVF, right? While IVF is an amazing tool to... Read More May 28, 2024 5 Tips for Managing Fertility Stress and Intrusive Questions During the Holidays As the holidays roll in, so do the inevitable wave of obnoxious comments from often well-meaning yet invasive family members.... Read More Dec 11, 2023 Managing Endometriosis through Diet: Foods to Embrace and Eliminate Hey there lovely ladies! Are you tired of that cramping, debilitating pain during your periods? Don’t let endometriosis bring you... Read More Jun 22, 2023 How Old Is Too Old To Conceive? Isn’t it dangerous? Will you get your AARP card before your kid graduates from high school? Won’t you feel weird... Read More May 1, 2023 Fibroids and Bleeding: What You Need to Know If you’re a woman, chances are you’ve heard of fibroids – those pesky benign tumors that love to set up... Read More Apr 18, 2023 What Causes Fibroids in Women: Understanding the Science   Hey there, ladies! Did you know that fibroids are a common condition that can affect you at some point... Read More Apr 18, 2023 What To Expect Before, During, and After Egg Retrieval Are you wondering what egg retrieval involves and what you can expect during and after the procedure? Whether you’re considering... Read More Jan 23, 2023 Most Popular LGBTQ Fertility Options If you began your year with a goal of starting–or growing–your family, you deserve to see that dream realized. No... Read More Jan 10, 2022 Doctor-Recommended Best Fertility Books No matter where you are in your fertility journey, you probably have come across so much information that you don’t... Read More Jan 5, 2022 How Can I Get Pregnant With Blocked Fallopian Tubes? Hearing that you have blocked Fallopian tubes can feel scary. What does it mean? Will you still be able to... Read More Dec 13, 2021 What to Expect for Your Fertility After Endometriosis Surgery (Laparoscopy) On average, nearly 50% of all women who experience infertility have endometriosis, and unfortunately, the disease often leads to severe... Read More Dec 1, 2021 When Am I Most Fertile? Knowledge is Power in Your Fertility Journey If you’re trying to have a baby, it’s natural to wonder “When am I most fertile?” Understanding your own reproductive... Read More Nov 23, 2021 Is There Really a Link Between Soy and Infertility? For vegans and vegetarians, soy is a staple part of a healthy diet because it provides much-needed protein. Without sufficient... Read More Oct 28, 2021 What Happens if Uterine Fibroids Go Untreated? So, you just found out that you have uterine fibroids. They sound scary, but your doctor didn’t seem too worried.... Read More May 25, 2021 Uterine Fibroid Symptoms to Look Out For You have a general feeling of discomfort in your pelvis. It’s not quite like cramps, but you feel kind of... Read More May 11, 2021 Endometriosis Treatments: The Most Effective Therapies So, you think you might have endometriosis. All of the symptoms sound just like what you’ve been experiencing and your... Read More Apr 23, 2021 Really Painful Periods and What You Can Do You notice a tell-tale feeling of cramping in your lower belly. It’s your period. However, you know that this is... Read More Apr 12, 2021 Should You Have Essure Removed and Will Insurance Cover It? Essure is a type of permanent birth control device. It consists of a set of metal coils that are inserted... Read More Dec 10, 2020 PCOS and Endometriosis: What’s the Difference and Can You Have Both? Polycystic ovarian syndrome (PCOS) and endometriosis are very different conditions that can affect women in their childbearing years. Although both... Read More Dec 1, 2020 Does Insurance Cover Fertility Testing or Treatments? The Different Types of Fertility Insurance and What Is Covered Most health insurance plans consider maternity and newborn care to... Read More Nov 20, 2020 Types of PCOS and What to Look For What is PCOS, and why is it relevant? Polycystic Ovarian Syndrome, or PCOS, is an endocrine-based condition that affects about... Read More Nov 4, 2020 Can You Freeze Your Eggs If You Have an IUD? Egg freezing is a viable option for many individuals and couples who plan to have a family of their own... Read More Jun 2, 2020 What Is Egg Freezing Exactly and Other FAQs Egg freezing may sound like a strange process, but overall, it’s a safe and smart decision for those wanting to... Read More May 21, 2020 Can You Increase Your Sperm Count? It is currently estimated that 8-12% of couples trying to conceive have had fertility issues, so you are not alone... Read More May 11, 2020 What is the Process of Undergoing IVF with an Egg Donor? Although you may not be able to produce a family in the traditional sense, using an egg donor to start... Read More Apr 28, 2020 Is Fertility Genetic? Trying to conceive a child can be a long and stressful journey for many Americans. Questions about family history and... Read More Apr 24, 2020 How to Choose a Top Fertility Clinic [Infographic] There are a great deal of fertility clinics out there. How do you know which to go with as you... Read More Apr 14, 2020 How Much Do Egg Donors Make and Other Egg Donation FAQs Unfortunately, many couples and individuals struggle with trying to conceive children on their own.  For whatever reasons occur—be it medical... Read More Apr 9, 2020 4 Ways Alcohol and Marijuana Affect Fertility When facing a fertility issue or planning a non-traditional pregnancy, it’s natural to start paying close attention to everything you... Read More Feb 10, 2020 Does Birth Control Really Affect My Fertility Later in Life? In the United States, nearly two-thirds of women between 15-49 years old were on birth control last year, according to... Read More Jan 27, 2020 How Do Depression & Anxiety Affect Fertility & Pregnancy? Mood disorders are fairly common around the world.  In fact, the U.S. population alone holds 19 million people who deal... Read More Jan 13, 2020 What are the Effects of Steroids on Fertility and Pregnancy? With so many Millennials focusing on self-care in today’s society, personal habits can lead to harmful effects in terms of... Read More Dec 30, 2019 What You Need to Know about Pregnancy after a Miscarriage Experiencing a miscarriage is difficult and can cause many concerns when it comes to future attempts. However, it is possible... Read More Dec 16, 2019 Will My Insurance Cover Fertility Treatment? Typically, insurance coverage for fertility needs has been widely unavailable.  Read More Dec 2, 2019 Individual & Medical Requirements for IVF: Quick Guide In-vitro fertilization (IVF) provides hope for individuals and families that are struggling to get pregnant naturally. However, it’s important to... Read More Nov 18, 2019 3 Reasons to Take Advantage of New York State’s IVF (FAFTA) Coverage What is the FAFTA Fertility Mandate? FAFTA, or the “Fertility Mandate”, is a mandate that was passed in New York... Read More Oct 29, 2019 What States Mandate IVF Coverage? According to research done by the Washington University School of Medicine in St. Louis, women who undergo in vitro fertilization... Read More Oct 22, 2019 How Can I Get Pregnant with PCOS? With September being Polycystic Ovary Syndrome (PCOS) Awareness Month, it’s important for women everywhere to understand its challenges when trying to... Read More Sep 17, 2019 What Are My Fertility Options After Tubal Ligation? Fertility after tubal ligation is certainly possible with the right guidance and resources.  Read More Aug 20, 2019 How to Prepare for Uterine Polyp Removal Anytime you have an issue with your body it is stressful, to say the least.  Read More Aug 8, 2019 [Infographic] An In Vitro Fertilization Timeline If you’re considering IVF as your fertility treatment procedure, you may have felt the ups and downs that often come... Read More Jul 4, 2019 How Does Varicocele Affect Male Fertility? Infertility affects both genders in several ways.  In fact, research shows that men and women share an equal responsibility of... Read More Jun 29, 2019 4 Ways to #SelfCareSunday When You’re Struggling to Get Pregnant Starting a family can be very rewarding and can also come with its challenges. This is especially true if infertility gets... Read More May 12, 2019 Fertility Group Opens Surgery Center in Lower Manhattan This article originally appeared on Crain’s New York Business on April 18th, 2019. Kofinas Fertility Group has opened an ambulatory surgery... Read More Apr 18, 2019 Does Fibroid Surgery Cause Infertility? 3 Reasons Not to Fear Your Procedure Although fibroids and surgical removal may seem like a scary topic, they are a common issue that many women live... Read More Feb 22, 2019 What Does a Sperm Analysis Test For, and What Happens Next? Aside from difficulties that prevent semen production in the first place, what many men don’t realize is that certain factors... Read More Feb 4, 2019 How to Tell When I’m Ovulating Unfortunately, there are several issues that can arise when trying to conceive, and problems with ovulation are common interruptions that... Read More Jan 31, 2019 Do Fibroids Affect Fertility? Unfortunately, there are many complications that can disrupt a hopeful couple’s chances of starting a family. Both men and women... Read More Jan 4, 2019 3 Fertility Treatment Options to Consider Before You Try IVF Whenever issues with fertility start to surface, many people assume it’s time to jump to a more intense procedure, such... Read More Jan 2, 2019 How Will I Know When To Seek Fertility Treatment? Deciding to start a family should be a time of great joy and excitement for couples or individuals, but when... Read More Dec 19, 2018 Main Signs of Infertility for Men and Women Deciding to start a family can be an exciting chapter in your life, but when success doesn’t come easily, the... Read More Nov 13, 2018 How to Move Forward After a Miscarriage With October being recognized as Pregnancy and Infant Loss Awareness Month, couples all around the world are experiencing the hardships that... Read More Oct 26, 2018 Natural Fertility Treatments at Home After trying to get pregnant for more than 1 year with no success, it’s understandable that you may start to... Read More Oct 11, 2018 Female Fertility Challenges If you’re having trouble getting pregnant, you can find support in knowing that you’re not alone.  Female fertility challenges are... Read More Sep 24, 2018 Ovulation Problems: Signs to Look Out For Since most cases of infertility are caused by problems with ovulation, knowing what signs to be aware of is important... Read More Sep 20, 2018 4 Empowering and Inclusive LGBT Pregnancy Options 30, 20, and even 10 years ago, there were far too many stereotypes surrounding individuals’ use of IVF to grow... Read More Sep 17, 2018 What Is the Most Common Fertility Problem for Men? Although male fertility challenges (e.g., low sperm count) can be overwhelming, it’s important to remember that many people experience problems... Read More Sep 14, 2018 What Do Family Planning Services Cover? When you’re dreaming about your future family, it’s important to know that you have many resources to help you better... Read More Sep 4, 2018 How to Increase Your Chances of Pregnancy After Cancer Treatment If you’re facing cancer, your life may feel as if it’s just been flipped upside-down. While your prognosis and treatment... Read More Aug 28, 2018 What to Do If Your Sperm Count Is Low If you’re just finding out that you have a low sperm count, you’re not alone. Since 1973, sperm counts within western... Read More Aug 23, 2018 4 Ways Laparoscopic Surgery Can Help With Infertility What are the different treatment options available for infertility? There are several ways that doctors can help with your infertility... Read More Aug 13, 2018 The Effect of Endometriosis on Fertility For a fairly common condition, endometriosis is often misunderstood and misdiagnosed. This can become especially frustrating when you’re struggling to... Read More Jul 18, 2018 Intrauterine Insemination: the Advantages and Disadvantages If IVF is the first thing you think of when you hear “fertility care” you’re not alone. Although IVF has... Read More Jun 14, 2018 Why Do Women Freeze Their Eggs? Just chill baby! Hit the snooze button on your biological clock! Freeze and forget about it! Read More May 30, 2018 What Should You Expect With In Vitro Fertilization? If you’re thinking about fertility treatments, you’ve probably heard of in vitro fertilization. The name comes from the Latin “in... Read More May 15, 2018 PGS – How This Acronym Can Provide Insight Into Your Embryos If you’ve never heard of PGS, it stands for Preimplantation Genetic Screening and it’s a procedure used to determine the... Read More May 8, 2018 Preconception Planning Checklist It is National Infertility Awareness Week (NIAW) and the theme is, “Flip the Script”. This is about changing the conversation... Read More Apr 20, 2018 Ask An Expert – What Do People Not Understand About Fertility Care? Afsana Islam is the Director of Marketing and Business Development at Kofinas Fertility Group. With a science background in physiology,... Read More Apr 4, 2018 Daylight Saving Time! Can Losing an Hour Impact Fertility? Even under the best of circumstances, nobody likes to lose an hour of sleep. Particularly if you’re undergoing IVF, you... Read More Mar 19, 2018 Should You Get a Fertility Cleanse? More women than you could ever imagine have gone through fertility issues on the road to trying to conceive. Read More Nov 30, 2017 4 Things You Need to Know About Using a Surrogate Mother You might be considering starting a family and the many options available out there. Did you know the process of... Read More Nov 27, 2017 5 Things You Need to Consider Before Donating Your Eggs Fertility is something every woman thinks about. Read More Nov 13, 2017 5 Things to Expect When You Go for a Fertility Evaluation Have you ever wondered how much goes into ovulation? You might be surprised how much impact your lifestyle and environment... Read More Oct 25, 2017 Is Getting Pregnant at 40 Really Possible? (Hint: Yes!) The world is changing. Women used to be trapped, forced to choose between a career and children. Read More Oct 18, 2017 View More Articles ### END_RECORD ### START_RECORD TYPE: page ID: 1699 TITLE: Fertility Assessment URL: https://www.kofinasfertility.com/fertility-assessment/ EXCERPT: Discover the Exact Cause of Your Fertility Problems In order to help overcome your fertility struggle and start a family, it’s important for the specialists at the Kofinas Fertility Group in New York to have a complete understanding of the cause of your problems. Once we know the source of your fertility issues, we will […] DATE_PUBLISHED: 2026-02-18T11:13:55Z DATE_UPDATED: 2026-07-02T02:29:16Z SCHEMA_TYPE: Article META_seo_description: Take a fertility assessment to better understand your reproductive health and receive personalized recommendations for next steps. BODY_CONTENT: | Home Discover the Exact Cause of Your Fertility Problems In order to help overcome your fertility struggle and start a family, it’s important for the specialists at the Kofinas Fertility Group in New York to have a complete understanding of the cause of your problems. Once we know the source of your fertility issues, we will design your treatment plan to directly address them and give you the best possible chance for a healthy, complication-free pregnancy. We have decades of experience that inform our recommendations, and we always work with everyone we treat on a personal basis. It’s important to us to build a relationship with you, fully understand your struggle and give you the customized care you need to start a family. And because your assessment determines the entire course of your treatment, it’s important for us to be especially thorough in this facet of your care. You can trust that we will double-check all details, including those offered by FAFTA and conduct every assessment that will help us give you a better chance of experiencing the joy of parenthood. Giving optimal fertility care by evaluating your ovulatory function. In up to 20 percent of infertile couples, ovulation problems that prevent the woman from ovulating eggs (anovulation) are present. This makes performing an ovulatory function evaluation a crucial initial step when investigating the source of your infertility. By closely monitoring your ovulation cycle, the specialists at Kofinas Fertility Group in New York can detect improper functioning and give you targeted treatment to improve your fertility. Ovulation evaluation is the first step toward a successful pregnancy. At the beginning of the menstrual cycle, an egg forms in the ovary. The eventual release of the egg is called ovulation. As the egg travels through the fallopian tubes into the uterus, the uterus produces the hormone progesterone to prepare the lining of the uterus for the implantation of a fertilized egg. During your ovulatory function evaluation, we will perform one or more of the following tests in order to give us an accurate picture of your menstrual cycle: Basal body temperature (BBT) – Typically, a woman’s body temperature rises slightly around 24 hours after ovulation. By using a graph to track a woman’s body temperature, we can review the timing of other tests and intercourse/insemination. Endometrial biopsy – We remove a small sample of the lining of the uterus and examine it under a microscope. This enables us to detect problems with the uterus that can prevent the successful implantation of a fertilized egg. Serum progesterone test – Because progesterone increases after ovulation, monitoring your progesterone levels helps us track your ovulation cycle and allows us to determine if sufficient progesterone levels are present to properly prepare the uterus for implantation of the embryo. Hormone testing – Besides progesterone, other hormones such as prolactin and thyroid hormones can also affect the ovulation cycle. After we perform the necessary tests, our insight into your ovulation cycle will allow us to proceed with the care that will best improve your fertility according to your specific needs. You and your future child are our primary concerns, and we will keep you fully informed of the meaning of your test results, as well as our rationale for the next step in your treatment. Struggling to have a baby? Download our eBook full of tips! For more information about our ovulatory function evaluation process, or to schedule an appointment, call 718-736-2218. You can also request an appointment using our easy online form. Trust Kofinas Fertility Group to discover your fertility problems with advanced imaging technology. At Kofinas Fertility Group in New York, we’re able to incorporate advanced imaging techniques into your fertility assessment process in order to give us a clear view of your reproductive system and identify any abnormalities that could be causing fertility issues. We purchase only the best equipment available and are well trained in its use, which allows us to collect the most accurate and useful diagnostic information possible. With a clear picture of your reproductive tract, we have a strong basis for identifying your problem, solving your fertility issues, and giving you the family you’ve always wanted. Noninvasive ultrasound exams help us solve your fertility issues. Adhesions and abnormal growths, such as fibroids and polyps, can develop within the uterine cavity and cause or contribute to fertility problems. Using a noninvasive transvaginal ultrasound, our doctors can view the inside of your uterus in real-time and detect any abnormalities. And when we say “our doctors,” we mean that literally –– your fertility specialist will be the one performing your ultrasound, never a technician. Because ultrasound waves develop a moving image, they are best viewed in real-time, not as still images provided to your physician after the exam. With our doctors controlling the ultrasound, they can control the focus of the images and investigate anything suspicious immediately during the exam. Depending on where you are in your menstrual cycle (and if it is a normal 28-day cycle or not), other imaging techniques such as a hysterosalpingogram (HSG) and hysterosonogram (HSN) will be scheduled out in order to rule out any blockages in your uterus and/or fallopian tubes. This helps maintain the high-quality care standard set by Kofinas Fertility Group, and it contributes to our excellent diagnostic and treatment success. Customizing your treatment plan with X-ray technology. An advanced imaging technique used by Kofinas Fertility Group is a hysterosalpingogram (HSG). By using a special form of x-ray called fluoroscopy and a contrast material, an HSG creates a live image of your uterus and fallopian tubes to help identify damage, blockages, abnormal uterus shape, and other potential problems with your fertility. Our doctors will fill your uterus with a radiographic contrast agent and watch its distribution via the X-ray image. By doing so, we can evaluate the function of your reproductive tract. Another advanced imaging technique without the use of an x-ray is a hysterosonogram (HSN), or saline infusion sonogram. By infusing sterile fluid into the uterus, it allows our doctors to see if there are any obstructions or abnormalities preventing an embryo from attaching. Finding out the cause(s) of your fertility problems in a precise, reliable manner is what’s most important to us during these exams. Every possible step will be taken to ensure your comfort while delivering accurate results. We will carefully walk you through each exam, and because we have some of the best talent available, you can trust us to figure out the optimal solution to your problems while giving you the compassionate care that we’re known for. Sample testing gives the Kofinas Fertility Group specialists great insight into your fertility situation. After your initial exam, the experts at Kofinas Fertility Group in New York will begin ruling out potential sources of your fertility problems. By examining different bodily fluids for any indicators of fertility interference, we can deliver targeted treatment in order to finally give you a successful pregnancy. Our specialists are well trained at examining the data collected from your samples, and they will review your results with you in a clear, accessible manner. In order to streamline your care, you and your fertility specialist will go over the results together. By going over all the results with your fertility team during your discussion appointment, there’s no need to keep track of lots of individual results and will leave with an individualized treatment plan that brings you closer to achieving your goals. All successful pregnancies start with a healthy uterus. We may need to test the lining of your uterus, called the endometrium, for any abnormalities that could be preventing a successful pregnancy. We conduct this test by removing a small sample of the endometrium and examining it under a microscope. The results will let our doctors know if your uterus is capable of sustaining a pregnancy. Depending on your individual problem, we offer many solutions, and finding one that meets your goals is both our expertise and our passion. Endometrial biopsy Another sample test that our fertility specialists perform is an endometrial biopsy. An endometrial biopsy is a test that that looks for inflammation (endometritis) and infections inside the uterus by inserting a thin, flexible tool to take a small tissue sample from the lining of your uterus (endometrium). The endometrial tissue is then viewed under a microscope to check for any abnormalities that may lead to failed IUI or IVF cycles in the future or may shed some light on failed attempts in the past. Making sure your hormones are ideal for having a child. A variety of hormone imbalances can contribute to infertility in both men and women. Through a simple blood test, we can check your hormone levels and evaluate the extent to which they’re affecting your fertility. Some of the hormones we look at include the following: Follicle-stimulating hormone (FSH) – In women, an FSH test is done to evaluate egg supply. In men, the test is used to check for testicular dysfunction as a cause for low sperm count. Estradiol – Estradiol is a form of estrogen that affects ovarian function and the quality of your eggs. Luteinizing hormone (LH) – This hormone is involved with ovarian hormone production, egg maturation and sperm production. We conduct an LH test to evaluate a woman’s egg supply and a man’s sperm count, or to monitor ovulation. Progesterone – Progesterone prompts the endometrium to thicken in preparation for sustaining a pregnancy. Problems with progesterone could mean there is a problem with ovulation or the woman’s uterine lining. Prolactin – In women, prolactin abnormalities can cause a range of issues, including infertility problems, lack of menstruation and nipple discharge. For men, a lack of sexual desire or difficulty achieving erection could indicate a problem with prolactin. Testosterone – Sexual function in both men and women is affected by testosterone. Men with low testosterone can have low sex drive, an inability to get an erection, or infertility. Women will often have irregular periods or a low sex drive. Your doctor will use your symptoms to determine the necessity of these tests. During each exam, you will be treated with the utmost professionalism and sensitivity — we understand the emotional stress that can be caused by fertility problems, and we’re confident that we can help you start the life you want and leave your uncertainty behind. Sperm analysis is an easy way to investigate your fertility. As male and female infertility tend to appear at equal rates, a semen analysis is a relatively simple test that we use to quickly eliminate or confirm possible sources of male fertility problems. You may either provide your semen sample at home or in one of our designated rooms at Kofinas Fertility Group, and we will analyze the sample in our on-site lab. We check the following properties during your semen analysis: Sperm count and concentration Swimming ability (motility) Volume of semen Appearance Fructose level pH Liquidity of semen Number of sperm per milliliter of semen in one ejaculate Total number of motile sperm in one ejaculate If our analysis indicates any abnormalities, your skilled physician will work with you to create a personalized plan that addresses your needs. Not sure where to start? Give us a call and talk to our team. Call Us Quick Actions Request an Appointment Share This Article Patient Portal Login ### END_RECORD ### START_RECORD TYPE: page ID: 1639 TITLE: Faqs URL: https://www.kofinasfertility.com/faqs/ EXCERPT: FAQs This FAQ page brings together common questions about fertility care, the Kofinas Fertility Group approach, and what patients can expect as they begin or continue their journey. If you have a question that is not answered here, a consultation with our care team is the best next step. DATE_PUBLISHED: 2026-02-17T01:28:44Z DATE_UPDATED: 2026-07-02T02:32:03Z SCHEMA_TYPE: Article META_seo_description: Find answers to common fertility questions about IVF, fertility testing, treatment options, insurance, and your first appointment. META_flexible_content: a:5:{i:0;s:10:"schema_faq";i:1;s:10:"schema_faq";i:2;s:10:"schema_faq";i:3;s:10:"schema_faq";i:4;s:10:"schema_faq";} META_flexible_content_0_title: Getting Started META_flexible_content_0_faq_repeater_0_faq_title: How do I know if I should see a fertility specialist? META_flexible_content_0_faq_repeater_0_faq_answer: General guidance suggests that individuals under 35 who have been trying to conceive for 12 months without success, those 35 and older after 6 months, or anyone with a known condition affecting fertility, such as irregular cycles, prior pelvic surgery, or a diagnosis of endometriosis or PCOS, should consider a consultation. For individuals without a partner or in same-sex relationships, a consultation can begin at any point. META_flexible_content_0_faq_repeater: 3 META_flexible_content_1_title: The Kofinas Approach META_flexible_content_1_faq_repeater_0_faq_title: Why does Kofinas emphasize diagnosis before treatment? META_flexible_content_1_faq_repeater_0_faq_answer: Many patients who come to Kofinas have had prior treatment that did not produce answers about why conception has been difficult. A diagnosis-first approach means that the clinical team looks carefully for structural, hormonal, immunological, or other factors that may be contributing before recommending any procedure. This is not the default approach in all fertility practices, but it reflects the view that accurate diagnosis leads to more appropriate treatment and fewer cycles spent without a clear rationale. META_flexible_content_1_faq_repeater: 3 META_flexible_content_0_faq_repeater_1_faq_title: What happens at a first visit? META_flexible_content_0_faq_repeater_1_faq_answer: A first visit typically includes a detailed review of your medical and reproductive history, a discussion of your fertility goals, and a plan for initial testing. Testing often begins with hormone blood work and an ultrasound evaluation of the ovaries. If you have a partner, a semen analysis is part of the initial work-up. At Kofinas, the evaluation is thorough by design: understanding the underlying picture comes before any treatment recommendation. META_flexible_content_0_faq_repeater_2_faq_title: Can I bring my prior records from another clinic? META_flexible_content_0_faq_repeater_2_faq_answer: Yes, and it is strongly encouraged. Prior cycle summaries, lab results, imaging, operative reports, and pathology findings all help the team understand your history and avoid redundant testing where possible. Records can often be submitted in advance of your first visit. META_flexible_content_1_faq_repeater_1_faq_title: Does Kofinas offer both surgery and IVF? META_flexible_content_1_faq_repeater_1_faq_answer: Yes. Kofinas operates as an integrated practice with surgical and IVF capabilities under one clinical team. Patients who need both surgery and IVF as part of their care plan are not transferred between practices or providers, and continuity of care is maintained throughout. Not all patients need surgery, but having that capability available means it can be offered when it is genuinely indicated. META_flexible_content_1_faq_repeater_2_faq_title: How does Kofinas decide whether surgery or IVF is right for me? META_flexible_content_1_faq_repeater_2_faq_answer: The recommendation is based on your evaluation findings. If a structural issue is identified that may be affecting fertility, a discussion about whether surgical correction is indicated before or alongside IVF will take place. If no surgical issue is present, the team will focus on the most appropriate non-surgical path. The goal is a recommendation that reflects your actual diagnosis, not a default toward any single treatment. META_flexible_content_2_title: Treatment and Process META_flexible_content_2_faq_repeater_0_faq_title: How long will treatment take? META_flexible_content_2_faq_repeater_0_faq_answer: This depends entirely on your diagnosis and the treatment path. A single IUI cycle involves approximately two weeks of monitoring. An IVF cycle from medication start to pregnancy test takes approximately 4 to 6 weeks. Surgical recovery varies by procedure. If multiple treatment steps are involved, the overall timeline will be longer, and your care team will lay this out clearly at your consultation. META_flexible_content_2_faq_repeater_1_faq_title: Are there treatments available for male-factor infertility? META_flexible_content_2_faq_repeater_1_faq_answer: Yes. Male-factor infertility is evaluated through semen analysis and, where indicated, further testing or urological consultation. Treatment options may include lifestyle recommendations, medication, or surgical evaluation depending on the findings. In IVF, ICSI is used when male-factor infertility is present. In cases of azoospermia (no sperm in the ejaculate), surgical sperm retrieval options may be discussed. META_flexible_content_2_faq_repeater_2_faq_title: Is egg freezing guaranteed to result in a future pregnancy? META_flexible_content_2_faq_repeater_2_faq_answer: Egg freezing preserves eggs for future use but does not guarantee a pregnancy. Outcomes depend on the number and quality of eggs retrieved, which are influenced by age and ovarian reserve at the time of freezing, as well as the subsequent fertilization and embryo development process when those eggs are later used. Your clinician can provide age-based context for what to expect. META_flexible_content_2_faq_repeater: 3 META_flexible_content_3_title: Out-of-Area and Remote Patients META_flexible_content_3_faq_repeater_0_faq_title: I live outside of New York. Can I receive care at Kofinas? META_flexible_content_3_faq_repeater_0_faq_answer: Yes. Kofinas has experience supporting patients who travel for care. This typically involves virtual consultations, a remote records review, and a compressed in-person schedule for evaluation, surgery, or IVF when travel is required. Your care team can explain how a shared-care arrangement with your local physician can support continuity after you return home. META_flexible_content_3_faq_repeater: 1 META_flexible_content_4_title: LGBTQ+ and Third-Party Pathways META_flexible_content_4_faq_repeater_0_faq_title: Does Kofinas work with LGBTQ+ patients? META_flexible_content_4_faq_repeater_0_faq_answer: Yes. Kofinas has experience with a range of family-building pathways including reciprocal IVF, donor sperm insemination and IVF, donor egg IVF, and gestational carrier arrangements. The team works with same-sex couples, single individuals, and transgender patients. Inclusive, bias-free care is the standard. META_flexible_content_4_faq_repeater_1_faq_title: What is the process for using a gestational carrier? META_flexible_content_4_faq_repeater_1_faq_answer: Using a gestational carrier involves medical screening and preparation of both the intended parents and the carrier, psychological evaluation, and legal steps typically handled through a reproductive attorney. The medical aspects, including embryo creation and transfer to the carrier, are coordinated by the Kofinas team. META_flexible_content_4_faq_repeater: 2 BODY_CONTENT: | FAQs This FAQ page brings together common questions about fertility care, the Kofinas Fertility Group approach, and what patients can expect as they begin or continue their journey. If you have a question that is not answered here, a consultation with our care team is the best next step. Getting StartedHow do I know if I should see a fertility specialist? General guidance suggests that individuals under 35 who have been trying to conceive for 12 months without success, those 35 and older after 6 months, or anyone with a known condition affecting fertility, such as irregular cycles, prior pelvic surgery, or a diagnosis of endometriosis or PCOS, should consider a consultation. For individuals without a partner or in same-sex relationships, a consultation can begin at any point. What happens at a first visit? A first visit typically includes a detailed review of your medical and reproductive history, a discussion of your fertility goals, and a plan for initial testing. Testing often begins with hormone blood work and an ultrasound evaluation of the ovaries. If you have a partner, a semen analysis is part of the initial work-up. At Kofinas, the evaluation is thorough by design: understanding the underlying picture comes before any treatment recommendation. Can I bring my prior records from another clinic? Yes, and it is strongly encouraged. Prior cycle summaries, lab results, imaging, operative reports, and pathology findings all help the team understand your history and avoid redundant testing where possible. Records can often be submitted in advance of your first visit. The Kofinas ApproachWhy does Kofinas emphasize diagnosis before treatment? Many patients who come to Kofinas have had prior treatment that did not produce answers about why conception has been difficult. A diagnosis-first approach means that the clinical team looks carefully for structural, hormonal, immunological, or other factors that may be contributing before recommending any procedure. This is not the default approach in all fertility practices, but it reflects the view that accurate diagnosis leads to more appropriate treatment and fewer cycles spent without a clear rationale. Does Kofinas offer both surgery and IVF? Yes. Kofinas operates as an integrated practice with surgical and IVF capabilities under one clinical team. Patients who need both surgery and IVF as part of their care plan are not transferred between practices or providers, and continuity of care is maintained throughout. Not all patients need surgery, but having that capability available means it can be offered when it is genuinely indicated. How does Kofinas decide whether surgery or IVF is right for me? The recommendation is based on your evaluation findings. If a structural issue is identified that may be affecting fertility, a discussion about whether surgical correction is indicated before or alongside IVF will take place. If no surgical issue is present, the team will focus on the most appropriate non-surgical path. The goal is a recommendation that reflects your actual diagnosis, not a default toward any single treatment. Treatment and ProcessHow long will treatment take? This depends entirely on your diagnosis and the treatment path. A single IUI cycle involves approximately two weeks of monitoring. An IVF cycle from medication start to pregnancy test takes approximately 4 to 6 weeks. Surgical recovery varies by procedure. If multiple treatment steps are involved, the overall timeline will be longer, and your care team will lay this out clearly at your consultation. Are there treatments available for male-factor infertility? Yes. Male-factor infertility is evaluated through semen analysis and, where indicated, further testing or urological consultation. Treatment options may include lifestyle recommendations, medication, or surgical evaluation depending on the findings. In IVF, ICSI is used when male-factor infertility is present. In cases of azoospermia (no sperm in the ejaculate), surgical sperm retrieval options may be discussed. Is egg freezing guaranteed to result in a future pregnancy? Egg freezing preserves eggs for future use but does not guarantee a pregnancy. Outcomes depend on the number and quality of eggs retrieved, which are influenced by age and ovarian reserve at the time of freezing, as well as the subsequent fertilization and embryo development process when those eggs are later used. Your clinician can provide age-based context for what to expect. Out-of-Area and Remote PatientsI live outside of New York. Can I receive care at Kofinas? Yes. Kofinas has experience supporting patients who travel for care. This typically involves virtual consultations, a remote records review, and a compressed in-person schedule for evaluation, surgery, or IVF when travel is required. Your care team can explain how a shared-care arrangement with your local physician can support continuity after you return home. LGBTQ+ and Third-Party PathwaysDoes Kofinas work with LGBTQ+ patients? Yes. Kofinas has experience with a range of family-building pathways including reciprocal IVF, donor sperm insemination and IVF, donor egg IVF, and gestational carrier arrangements. The team works with same-sex couples, single individuals, and transgender patients. Inclusive, bias-free care is the standard.What is the process for using a gestational carrier? Using a gestational carrier involves medical screening and preparation of both the intended parents and the carrier, psychological evaluation, and legal steps typically handled through a reproductive attorney. The medical aspects, including embryo creation and transfer to the carrier, are coordinated by the Kofinas team. ### END_RECORD ### START_RECORD TYPE: conditions ID: 1633 TITLE: Understanding Infertility URL: https://www.kofinasfertility.com/conditions/understanding-infertility/ EXCERPT: Infertility is a common issue—one that can be a difficult journey to embark on if you and your partner aren’t sure where to start. Even though you may be facing challenges, such as low sperm count or are in need of medication to increase fertility, that doesn’t mean you’re alone in the process. Kofinas Fertility […] DATE_PUBLISHED: 2026-02-17T01:27:00Z DATE_UPDATED: 2026-07-02T02:38:49Z SCHEMA_TYPE: MedicalCondition META_seo_description: Learn about infertility, its causes, symptoms, diagnosis, and treatment options to help you take the next step toward parenthood. META_flexible_content: a:1:{i:0;s:10:"schema_faq";} META_flexible_content_0_faq_repeater_0_faq_title: Pre-existing Conditions META_flexible_content_0_faq_repeater_0_faq_answer: PCOS As mentioned before, PCOS causes severe hormonal changes, hyperprolactinemia (when too much prolactin is created, stimulating breast milk production), it can damage the ovulation process, and fluctuating levels of hyperthyroidism can stifle the menstrual cycle, leading to infertility. Endometriosis This condition is an often painful condition where the protective lining inside the uterus (endometrium) grows outside of it and forms along other parts of the reproductive organs. Although it is outside of the uterus, it will still undergo the same reactions with each menstrual cycle, causing it to shed and bleed within the pelvic area. The severe pain results in a painful or heavy menstruation. Because of potential damage this can cause to your reproductive organs, endometriosis can also be a cause of infertility. Uterine Fibroids Uterine fibroids are typically benign, small tumors that grow inside the uterine wall (womb) and potentially cause disruption to pregnancies. Their presence can also cause hormonal changes within the reproductive system, which can also cause fertility issues. Others In some cases, eating disorders, physical injuries, too much physical activity, and tumors have also been known to increase the odds of infertility. META_flexible_content_0_faq_repeater_1_faq_title: Damaged Reproductive Organs META_flexible_content_0_faq_repeater_1_faq_answer: Damaged fallopian tubes, uterus, or cervix have the potential to cause infertility due to several abnormalities or infections. For example, salpingitis is a condition where the fallopian tubes become enflamed, resulting in damage or blockage to passageways. Often, pelvic inflammatory disease is to blame, stemming from an STD, endometriosis, or other membranous fibers. META_flexible_content_0_faq_repeater_2_faq_title: Primary Ovarian Insufficiency (Early Menopause) META_flexible_content_0_faq_repeater_2_faq_answer: Signs of early menopause (primary ovarian insufficiency) can occur in patients who are under the age of 40. In this circumstance, the ovaries stop functioning altogether, ending the menstrual cycle for unknown reasons. Possible reasons for early menopause have been linked to genetics (Turner syndrome, Fragile X syndrome) radiation therapy, chemotherapy, smoking cigarettes, and immune system diseases. However, most cases cannot be accurately diagnosed. META_flexible_content_0_faq_repeater_3_faq_title: Surgery-related Issues META_flexible_content_0_faq_repeater_3_faq_answer: After pelvic surgeries or pelvic-related issues (infections, appendicitis), scar tissue can form and block transport of the egg. This is known as pelvic adhesions, which is often a result of endometriosis. META_flexible_content_0_faq_repeater_4_faq_title: Cancer and Cancer Treatments META_flexible_content_0_faq_repeater_4_faq_answer: Cancers affecting reproductive organs have the potential to cause infertility. Unfortunately, radiation therapy and chemotherapy can make matters worse. META_flexible_content_0_faq_repeater_5_faq_title: Medical Conditions META_flexible_content_0_faq_repeater_5_faq_answer: There are a number of other medical issues that contribute to infertility in women. These include celiac disease, diabetes, lupus, ovulation disorders, amenorrhea, and more. META_flexible_content_0_faq_repeater: 6 TAX_condition: Understanding Infertility BODY_CONTENT: | Infertility is a common issue—one that can be a difficult journey to embark on if you and your partner aren’t sure where to start. Even though you may be facing challenges, such as low sperm count or are in need of medication to increase fertility, that doesn’t mean you’re alone in the process. Kofinas Fertility Group specializes in giving you the best opportunity at starting a family, and our expert team of top fertility specialists can answer all the questions you have to alleviate any concerns. You’ll gain an understanding of what infertility is, what the causes are, how you can identify signs of infertility in your body, and when to seek treatment. In addition, we will talk about therapy options that can help you through this difficult and emotional situation, what medical treatments you can seek, and what your insurance coverage and financing options are if treatment is necessary.No matter what your experiences have been like so far, it’s important to remember that you are taking steps in the right direction. Starting a family is a wonderful process that takes time, so try your best to be patient with yourselves and don’t be afraid to seek assistance from the best. We’re here to help! What Does Fertility & Infertility Really Mean Understanding the differences between fertility and infertility can be a little confusing since the terms are regularly used to describe the same concept. However, each one represents a stage of diagnosing a problem and taking steps to solve it. What is the definition of infertility? Most experts define infertility as not being able to get pregnant after 1 year of trying — or not being able to get pregnant after 6 months of trying if you are 35 or older. Women who are able to get pregnant, but are unable to stay pregnant because of repeated miscarriages, may also be considered infertile. About 10 percent of women ages 14 to 44 in the United States have difficulty getting pregnant or staying pregnant, according to the Centers for Disease Control. If either of these situations is the case, fertility interventions may be started depending on the subject’s age, physical condition, and medical, sexual, and reproductive history. Essentially, infertility means recognizing that there is a problem, whereas fertility means taking action to fix it. Keep in mind, stating that someone is infertile represents a different meaning whether one is referring to a man or woman. In either case, it’s important to know what infertility means for each sex. What causes infertility? In about one-third of cases, infertility is due to the woman (female factors), and in another third infertility is due to the man (male factors). The remaining cases are caused by a mixture of male and female factors or by unknown factors. Getting pregnant is a complicated process. To get pregnant, a) A woman must release an egg from one of her ovaries (ovulation).b) The egg must go through the fallopian tube toward the uterus (womb).c) A man’s sperm must fertilize the egg along the way.d) The fertilized egg must attach to the inside of the uterus (implantation). Problems that interfere with any of these steps can result in infertility. In women, problems with ovulation account for most cases of infertility. Other causes include blocked fallopian tubes, physical problems with the uterus and uterine fibroids. In men, infertility is most often caused by problems with sperm count (producing too few sperm or none at all) or problems with the sperm’s ability to reach the egg and fertilize it. How do you diagnose infertility? One of our fertility specialists, also known as Reproductive Endocrinologists, will do an infertility workup, which includes a medical history review and physical examination. The doctor will then run blood tests to determine if you are ovulating with adequate progesterone stimulation of the uterine lining. As part of your blood work, we do hormone testing to check for endocrine problems. The fertility workup at the Kofinas Fertility Group typically includes an ultrasound procedure called a hysterosonogram, which allows our physicians to see inside the uterus in order to accurately diagnose for polyps, fibroids or adhesions. We may also conduct a hysterosalpingogram — an X-ray test that we use to look inside the uterus and fallopian tubes, as well as the surrounding area — to find problems such as blocked fallopian tubes or an abnormally shaped uterus. Your doctor may also perform an endometrial biopsy, which involves taking a small sample of the endometrium and checking it under a microscope for problems or hormone levels that are out of balance and can affect the endometrium. To check for male fertility problems, the reproductive endocrinologist may do a semen analysis with a post-coital test, which checks a woman’s cervical mucus to see whether sperm are present and moving normally after intercourse. How do you treat infertility? There are many ways that we can treat infertility. Depending on your specific problem, we may treat you with medication, surgery, artificial insemination or assisted reproductive technology. Doctors recommend treatment based on: Test results How long the couple has been trying to get pregnant The age of both the man and the woman The overall health of the partners Preference of both partners Infertility in Women Unfortunately, women bear the brunt of infertility issues when it comes to diagnosing reasons for unsuccessful pregnancies. In most cases, female infertility is caused by issues dealing with ovulation. It’s estimated that 25% of all infertility issues are caused by the women’s inability to ovulate on a regular schedule. This can be caused by a number of reasons, such as polycystic ovarian syndrome (PCOS), poor production of pituitary hormones, obesity, thyroid disease, or eating disorders. Along with ovulation issues, another 25% of infertility cases deal with tubal or peritoneal factors. These can include damaged fallopian tubes or pelvic and abdominal linings, which cause faulty egg implantation within the uterus. Roughly 10% of women in the U.S. experience infertility. The U.S. Department of Health and Human Services (HHS) gauges that 10 out of 100 women in the country, between the ages of 15-44, will have trouble becoming pregnant or staying pregnant. In the state of New York alone, over 4 million women are struggling with the same issues. Recognizing the Signs of Infertility in Women Now that you understand the basics of infertility, the next thing to be aware of are any warning signs that can help distinguish your odds of getting pregnant. Before it’s too late, there are early indicators of infertility that you can take charge of to make a difference. In addition, there are also risk factors that you should work to prevent in order to increase your chances of reproducing. Sadly, there are plenty of individuals or couples that will show no infertility signs at all even though they will face the symptoms. You should strive to cope with these signs with great care to avoid further complications as you begin your journey to a healthy pregnancy. As a reminder, couples who have been trying to achieve pregnancy over the course of 1 year with no results should consult with a doctor. If a woman is over the age of 35, she should seek assistance after a period of 6 months. Typically, issues with infertility tend to increase as a person gets older. Irregular Menstrual Periods Having a cycle that is inconsistent or unpredictable when compared to an average 28-day timeframe. Painful or Heavy Menstruation Periods that may be more painful than normal cramps, disrupting your daily life (potential sign of endometriosis). Hormonal Changes A change in sex drive, skin irritations, facial hair growth, damages hair follicles, or excessive weight gain. Pain During Sexual Intercourse This may be the result of hormonal fluctuations, endometriosis, or other issues that can increase odds of infertility. Diagnosis of Specific Conditions Having a previous diagnosis of PCOS, Endometriosis, Fibroids, and more can be a sign to look out for since we know certain conditions can contribute to or cause infertility. Causes of Female Infertility Along with common infertility signs, there are a number of contributing causes for each sex that you should understand in order to present the best odds of achieving pregnancy. We will also examine major risk factors that can increase infertility, giving you insight into what measures can be taken to lead a healthier lifestyle and maximize your efforts. When reading through this section, be advised that some issues that cause infertility occur at birth for an individual. For others, infertility issues may develop over time. In either case, many issues can be solved with the right treatment, so any fears moving forward shouldn’t deter you from starting the family you’ve dreamed of. Infertility in Men The other 40% of sources of infertility among couples is largely due to a man’s inability to produce optimal levels of healthy semen. When analyzing the quality of semen and its potency, certain factors must be measured. For instance, healthy semen will be produced in a substantial volume with fluid motility and good sperm morphology. With this in mind, if any of these components become jeopardized, infertility can occur. One of the most common reasons for male infertility is a condition known as varicocele, which causes veins within the testicles to swell and enlarge. The swelling creates heat that can damage both the quantity and quality of sperm. Aside from this condition, there are plenty of other factors that can contribute to male infertility, such as poor health habits, previous injuries, damage to reproductive organs, birth defects, or blocked passageways. Although it may be frustrating, roughly 10% of men throughout the U.S. experience issues with infertility, so finding a solution is certainly not something men have to do on their own. Recognizing the Signs of Infertility in Men Testicular Pain or Swelling: Issues with testicular pain or swelling could be caused by a variety of reasons, but many of them can also cause infertility. Loss of Sexual Desire: A man’s sexual desire is often linked to his hormones, so any changes in their sex drive could indicate problems of infertility. Difficulty Keeping Erections: Issues maintaining an erection are also linked to insufficient hormone levels. Ejaculatory Issues: Having consistent dry spells or losing the ability to ejaculate can indicate a serious underlying issue that requires attention. Poor Testicular Health: Since the testicles are vital for sperm production, this condition can tell a lot about the reproductive health of an individual. If the testicles are small or firm, chances of infertility may be increased. One of the benefits of recognizing male infertility includes warning signs that potential issues are on the outside of the body. If any of these instances occur, undergoing an exam and speaking with a medical professional can be a tremendous help. Also, if any pain or discomfort is felt within the testes, seek immediate medical attention. Having problems on both sides is normal to encounter. It’s estimated that roughly 15% of all couples trying to conceive a child will face infertility issues, so if you and a loved one are experiencing any difficulties, trust that you can overcome them with the right plan. Being aware of what common signs to look out for can help keep you prepared, but more importantly, there are a number of contributing causes of infertility that you should also consider. Causes of Men Infertility Along with common infertility signs, there are a number of contributing causes for each sex that you should understand in order to present the best odds of achieving pregnancy. We will also examine major risk factors that can increase infertility, giving you insight into what measures can be taken to lead a healthier lifestyle and maximize your efforts. When reading through this section, be advised that some issues that cause infertility occur at birth for an individual. For others, infertility issues may develop over time. In either case, many issues can be solved with the right treatment, so any fears moving forward shouldn’t deter you from starting the family you’ve dreamed of. Here are some other causes of male infertility to consider in addition to those listed in the previous section: Everyone’s battle with infertility is different, and almost all of these conditions can be properly managed with professional help to ensure a healthy pregnancy. On the other hand, you are in control of many fertility factors on your own! Being aware of the following issues is only half the battle; the other 50% relies on you making good decisions and eliminating any risk factors that can increase your odds of a healthy pregnancy whenever possible. Impaired sperm production or functionality caused by various reasons, such as genetic defects, undescended testicles, sexually transmitted diseases (STD), diabetes, mumps, or HIV. Varicocele (see the Infertility 101 section) also has a strong effect on sperm quality and motility. Sperm passageways that are disrupted or blocked as result of issues with reproductive organs, sexual performance (premature ejaculation, dry spells), or certain genetic diseases. Cases of cystic fibrosis have also been known to stifle sperm delivery, presenting structural issues causing blockages to form in the testicles or damage reproductive organs. Constant exposure to environmental factors have been known to cause extensive damage to one’s reproductive health. Overexposure to harmful chemicals, radiation, and pesticides can affect sperm health and morphology. In addition, consuming drugs and alcohol or taking certain medications (steroids, certain antibiotics, and antihypertensives) can negatively affect fertility. Overheating the testes – spending long amounts of time in hot tubs or saunas, for example – can also affect sperm production. Undergoing cancer treatments, such as radiation therapy or chemotherapy can severely impair sperm production. Infertility Risk Factors & Prevention There are no specific risk factors tailored for only men or only women. Instead, these are general things to avoid that can make a tremendous difference in your reproductive health and stability. Don’t Start Trying Too Late: Remember, after the age of 35, female infertility starts to plummet. Female eggs have the best shot of attaching during a woman’s early to late 20s. The same rules apply to men who are over the age of 40. Sperm quality and quantity tend to drop as you move away from younger years. Quit Smoking: Aside from it being terrible for your general health, it’s even worse on your chances of fertility. Smoking cigarettes leads to damaged fertility treatments, increased odds of miscarriages, erectile dysfunction, and a decreased sperm count. Obesity: Being overweight has a negative effect on your reproductive health due to constant inactivity, which can lead to infertility. For men, obesity has the potential to stunt sexual desire and lower sperm counts. Eating Disorders: Especially for women, making sure to eat enough calories and follow a balanced diet is crucial for a healthy pregnancy. Fertility issues can greatly increase from eating disorders, such as bulimia and anorexia. Not Exercising: If you don’t exercise regularly, your health will start to deteriorate, increasing your odds of infertility. Additionally, a lack of exercise can lead to obesity or weak physical stature. To counteract any negative effects, make sure to stay physically active with moderate exercise. Doing this will increase sperm production and can help lead to a healthy pregnancy. Your ultimate goal is to maintain a healthy lifestyle so that your chances of achieving pregnancy are at an all-time high. Staying away from detrimental behavior will make a huge difference in your success, so make sure to take great care of yourself. For couples looking to improve their odds of pregnancy a bit more, try your best to have consistent intercourse (several times) close to the ovulation period (a span of 5 days before and 1 day after). For women with 28-day menstrual cycles, ovulation periods can happen midway between menstruation. If challenges still persist after taking measures to have consistent sex and take control of your health, then knowing your options for treatment is the next best move. Knowing Your Fertility Treatment Options It can be intimidating to reach a point where you require fertility treatments to become pregnant, but Kofinas Fertility Group offers expert medical care and guidance to help you have the family you’ve always dreamed of. Getting Started To get started, a fertility specialist will give you a general assessment to have a complete understanding of your issues. Once the source of your infertility is discovered, a treatment plan will be designed for you that directly solves the problem and gives you the best possible chance for having a successful, complication-free pregnancy. During your assessment, you will undergo the following procedures: Assessment Procedures Ovulatory Function Evaluation - Analysis of your ovulatory cycle to develop a strong treatment plan. Imaging - Ultrasound and X-ray imaging to examine the reproductive tract, discover any major issues, and develop targeted therapies. Sample Testing - Gathering of reproductive samples to understand any issues or abnormalities that can prevent a healthy pregnancy. Creating a Unique Treatment Plan Once your case is fully examined, you and your fertility team will put your unique treatment into action. Your unique fertility therapies might include some of the following: Low-complexity therapies Cryopreservation In vitro fertilization Genetic testing Donation & surrogacy Surgical procedures  Each one has proven to be highly successful among former patients, and we at Kofinas Fertility Group are proud to be of service to so many wonderful families around the country. Kofinas Fertility Group has a team of dedicated specialists and compassionate nurses who truly believe in the power of family. We make it our mission to help you achieve your fertility goals, while being strong advocates for your personal and long-term health. Potential patients can rest assured that all of your questions and needs will be taken care of with utmost patience and knowledge. We have many amazing resources available to patients, such as family counseling, LGBTQ therapy, online resources and FAQs, and our online patient portal to easily connect with professionals and seek assistance. We also have several financial and insurance opportunities that can help manage the cost of expensive treatments. Financing Your Fertility & Insurance Opportunities Of course, deciding to start a family comes with its own obstacles, but dealing with infertility on either side can take a huge emotional and financial toll on you and your partner if you’re unprepared. On average, fertility treatments can cost thousands of dollars, not to mention the emotional challenges of being told you’re infertile or realizing that a partner is infertile. Studies have shown tha couples who are infertile are 3 times more likely to end their relationships than those who aren’t. On the other hand, there is substantial evidence that suggests overcoming infertility challenges can, in fact, strengthen a relationship! It all depends on how you and your partner navigate the issue and create a plan to move forward. Successful pregnancies occur when both parties are committed to understanding the challenges and executing a plan for the future, so as long as you are both ready to take on whatever road lies ahead, there’s still so much to be hopeful for. Offsetting the Cost of Fertility Treatment People often assume infertility treatments come with outrageous price tags, but in fact, there are several ways to offset high prices and come up with a plan that is easy to manage financially. It’s important to remember that most patients will become pregnant using less expensive treatment options, such as intrauterine insemination (IUI) or by treating medical conditions (such as ovulatory disorders). Something like an in vitro fertilization (IVF), which can be pricey with initial costs and medications, will only be required for a small percentage of patients. Typically, any treatment options can be financed with third-party loan options from Prosper Healthcare Lending. IVF Insurance Option - New York In addition, Kofinas Fertility Group offers an Insured IVF Success program that will refund you completely if your IVF procedure isn’t successful. This incredible program gives patients peace of mind when investing in their futures and the extra boost of financial relief can be a great way to keep your mind focused on what really matters: starting a family! Essentially, couples who medically qualify for the program are offered up to three IVF or fresh donor egg cycles, along with as many frozen embryo transfer cycles until you have a viable 12-week pregnancy. We understand that most couples do not have insurance to cover the cost of an IVF, which is why we do our best to support couples in need and fully support your journey in any way possible. After reading this guide, we hope you have a better understanding of what challenges lie ahead and how you can overcome them. Starting this new chapter in your life may be trickier than you once thought, but Kofinas Fertility Group is here to do whatever we can to help you reach your destination. ### END_RECORD ### START_RECORD TYPE: post ID: 1440 TITLE: The Secrets of Our Fertility Clinic’s Success Rates URL: https://www.kofinasfertility.com/the-secrets-of-our-fertility-clinics-success-rates/ EXCERPT: While there are some additional considerations when it comes to pregnancy after 35, it’s absolutely possible to have a healthy and fulfilling experience. This guide will equip you with knowledge and resources to navigate this chapter of life. DATE_PUBLISHED: 2026-02-12T10:39:39Z DATE_UPDATED: 2026-03-04T00:30:11Z SCHEMA_TYPE: Article META_seo_title: Your Guide to Navigating Pregnancy After 35 | Kofinas Fertility META_seo_description: From debunking myths to offering expert tips, we empower you with the knowledge and resources to confidently navigate this chapter of your life. TAX_category: Uncategorized BODY_CONTENT: | While there are some additional considerations when it comes to pregnancy after 35, it's absolutely possible to have a healthy and fulfilling experience. This guide will equip you with knowledge and resources to navigate this chapter of life.   What Is a Geriatric (Advanced Maternal Age) Pregnancy? The term "geriatric pregnancy" might sound a little outdated, but it's the medical term used for pregnancies after age 35. Don't worry; it doesn't imply anything negative about your health! It simply acknowledges the subtle changes that occur in a woman's body as she ages. Here's the good news: the idea that pregnancy after 35 is inherently risky is a myth. The vast majority of these pregnancies result in healthy babies! There are some slight changes in egg quality as you age, which can lead to a higher chance of chromosomal abnormalities in the baby. According to WebMD, if you are age 25, the chance of Down syndrome is about 1 in 1,250. If you are age 35, the risk increases to 1 in 400. By age 45, it is 1 in 30. There’s also an increased risk of certain health complications during pregnancy, like high blood pressure or gestational diabetes.  Conceiving can be harder. Every family is different, but with medical support and monitoring, it may be possible to have a healthy pregnancy and baby later in life than ever before.  Waiting until later in life to have children can offer some unique advantages. By their late thirties, many women have established careers and financial security, providing a strong foundation for parenthood. You might also feel more mature and prepared to handle the joys and challenges of raising a child. Plus, partnerships may be more stable, creating a supportive environment for your growing family. Tips for Getting Pregnant After 35 Whether you're actively trying to conceive or just considering the possibility, here are some steps you can take to optimize your fertility after 35: Embrace Healthy Habits: Maintaining a healthy weight, eating a balanced diet rich in fruits, vegetables, and whole grains, and getting regular exercise are the cornerstones of overall health and fertility at any age. Know Your Fertile Window: While peak fertility years are typically between 20 and 35, everyone is different. Understanding your fertile window can be helpful. Consider using a menstrual cycle tracking app to pinpoint your most fertile days. Explore Fertility Testing: Various tests can assess your ovarian reserve and overall fertility health. Discussing these options with your doctor can help you decide what's right for you.  Address Underlying Conditions: Untreated health issues like thyroid disorders or diabetes can impact fertility. Managing any pre-existing conditions is essential for a healthy pregnancy. Supplements for Support: Prenatal vitamins with folic acid are recommended before and during pregnancy. Your doctor may suggest additional supplements based on your specific needs. Considering Fertility Treatments: If you're facing challenges conceiving naturally, there's a range of fertility treatments available. A fertility specialist can discuss your options and help you determine the best course of action. Stay Hopeful: Remember, many women over 35 conceive naturally or with the help of treatments. Maintaining a positive outlook and focusing on healthy habits can significantly support your pregnancy journey. Maintaining a Healthy Geriatric Pregnancy Prenatal care is your partner in creating a healthy pregnancy after 35. Regular visits with your doctor are crucial, allowing them to closely monitor your health and your baby's development. Think of these visits as your chance to ask questions, address concerns, and ensure everything progresses smoothly. Nourishment is key for both you and your growing baby. Incorporate a balanced diet rich in whole foods, fruits, and vegetables into your life. Don't forget to stay hydrated! Your doctor may recommend continuing prenatal vitamins throughout your pregnancy and adjust the dosage or suggest additional supplements based on your needs. Exercise doesn't have to be strenuous. Low-impact activities like walking or swimming are excellent choices to promote physical and mental well-being during pregnancy. Getting enough sleep and managing stress levels are equally important for optimal health. Remember, a happy and well-rested mom contributes to a healthy pregnancy. Pregnancy can be an emotional rollercoaster. Don't hesitate to seek support from a therapist or counselor if you're feeling overwhelmed or anxious. Taking care of your mental health is just as important as taking care of your physical health. Postpartum Recovery After 35 Allow yourself ample time to heal physically and emotionally after childbirth. Listen to your body’s cues—prioritize rest, don't be afraid to delegate tasks, and ask for help. Whether it's your partner taking over laundry duty, a friend dropping off a healthy meal, or a support group offering a listening ear, accepting help frees you to focus on recovery. Sleep becomes a precious commodity with a newborn. Grab naps whenever possible, even if they're short. Let your partner or family member take a night feeding shift if you can. Even a small amount of rest can significantly boost your energy and emotional well-being. Nourishing your body doesn’t end with sleep. Well-balanced meals rich in protein, whole grains, fruits, and vegetables are also crucial. Think of it as fueling your body for healing and giving you the energy to care for your little one. It's normal to experience a range of emotions after childbirth, including the "baby blues." These feelings usually fade within a couple of weeks. However, some women experience postpartum depression, which can be more intense and long-lasting. Pay close attention to how you're feeling. If you're overwhelmed, anxious, or experiencing persistent sadness that makes daily life difficult, don't suffer in silence. Reach out to your doctor or a mental health professional. Postpartum depression is treatable, and seeking help is vital for your well-being and your ability to bond with your baby. Building a strong support system is key. Connect with other moms online or through local support groups. Talking to those who understand the challenges and joys of parenthood can be incredibly helpful. Don't be afraid to ask for help from friends, family, or a therapist. Recovery is a journey, not a destination. By prioritizing your physical and emotional needs, accepting support from loved ones, and treating yourself with kindness, you can create a nurturing environment for yourself and your growing family. FAQs What is the success rate of pregnancy after 35? The success rate varies depending on individual factors, but many women over 35 conceive within a year of trying. The American College of Obstetricians and Gynecologists (ACOG) recommends consulting a doctor if you haven't conceived after a year of trying naturally [Source: ACOG]. What are the available fertility treatment options for women over 35? There are several options, depending on your specific situation. These can include: Ovulation induction: Medication or treatments to stimulate ovulation. Intrauterine insemination (IUI): Sperm is directly placed into the uterus to increase the chances of fertilization. In Vitro Fertilization (IVF): Eggs are fertilized with sperm outside the body and then implanted in the uterus. Donor eggs or sperm: If you're facing challenges with your own eggs or sperm, using donated genetic material can be an option. Discuss your individual needs and preferences with a fertility specialist to determine the best course of treatment for you. How does age affect childbirth and recovery? While some women over 35 experience longer labor times or a higher risk of needing a cesarean section (C-section), many have healthy vaginal deliveries. The most important factor is good prenatal care and following your doctor's recommendations. What are the risks for older moms having C-sections? C-sections are safe and often necessary procedures. However, like any surgery, there are some associated risks, such as increased blood loss and infection.  These risks are generally small, and your doctor will discuss them with you in detail if a C-section becomes necessary. To Wrap It Up If you're considering pregnancy after 35 and have questions or concerns, Kofinas Fertility is here to help. Our team of experienced professionals can provide personalized guidance and support throughout your fertility journey. Contact us today to schedule an appointment. We understand that navigating pregnancy after 35 can come with a mix of excitement and questions. Remember, you're not alone! With knowledge, preparation, and the support of qualified healthcare professionals, you can achieve a healthy and fulfilling pregnancy.   ### END_RECORD ### START_RECORD TYPE: page ID: 1120 TITLE: Privacy Policy URL: https://www.kofinasfertility.com/privacy-policy/ EXCERPT: Online Privacy Policy Internet Privacy Policy Information about your privacy on KofinasFertility.com. Patient Health Information Privacy Practices & Policies This Privacy Policy pertains only to this website and its practices for data collection, processing and usage. Practices and policies related to patients’ healthcare information is a separate matter, which is covered in our Patient Resources section on […] DATE_PUBLISHED: 2026-02-11T13:15:59Z DATE_UPDATED: 2026-07-02T02:31:34Z SCHEMA_TYPE: Article META_seo_description: Read the Kofinas Fertility Privacy Policy to learn how we collect, use, protect, and manage your personal information. BODY_CONTENT: | Online Privacy Policy Internet Privacy Policy Information about your privacy on KofinasFertility.com. Patient Health Information Privacy Practices & Policies This Privacy Policy pertains only to this website and its practices for data collection, processing and usage. Practices and policies related to patients’ healthcare information is a separate matter, which is covered in our Patient Resources section on this website. Privacy Policy Regarding This Website We are committed to protecting your privacy. This Internet Privacy Policy governs our data collection, processing and usage practices. By using our website, you consent to the data practices described in this Internet Privacy Policy. You are free to explore the website without providing any information about yourself. If you do not agree with the data practices described in this Internet Privacy Policy, you should not use the website. Changes to this Internet Privacy Policy We may update this Internet Privacy Policy from time to time by posting a new version online. You should check this page occasionally to review any changes. Your continued use of the websites, the subscription service and/or continued provision of personal information to us will be subject to the terms of the then-current Internet Privacy Policy. Contact Us If you have any questions about this Internet Privacy Policy or our treatment of the information you provide us, please write to us by email at info@kofinas.org or by postal mail at 65 Broadway, Suite 1400, New York, NY 10006. Information About Children This website is not intended for or targeted to children under 13, and we do not knowingly or intentionally collect information about children under 13. If you believe that we have collected information about a child under 13, please contact us so that we may delete the information. We Never Sell Personal Information We will never sell your personal information to any third party. Patient Testimonials and Comments We may post patient testimonials and comments on our website that may contain personal information. We obtain each patient’s individual consent via email and/or signed release prior to posting the patient’s name and testimonial. Service Providers We employ other companies and people to provide services to website visitors and patients, and on occasion we may need to share your information in a HIPAA-compliant manner. In all cases where we share your information with such agents, we explicitly require the agent to acknowledge and adhere to our policies for Internet privacy and the handling of patient data. Security of Your Personal Information We use a variety of security technologies and procedures to help protect your personal information from unauthorized access, use or disclosure. We secure the personal information you provide on computer servers in a controlled, secure environment protected from unauthorized access, use or disclosure. When sensitive personal information is collected on our website and/or transmitted to another website, it is protected through the use of encryption, such as the Secure Socket Layer (SSL) protocol. Social Media Features Our website includes social media features (such as the Facebook “like” button), widgets (such as the “share this” button) or interactive mini-programs that run on our sites. These features may collect your IP address and which pages you visit on our sites, and they may set a “cookie” to enable the feature to function properly. Social media features and widgets are either hosted by a third party or hosted directly on our website. This Internet Privacy Policy does not apply to these features. Your interactions with these features are governed by the Internet Privacy Policy and other policies of the companies providing them. External Websites Our website may provide links to other websites. We do not control — and are not responsible for — the content or practices of these other websites. Our provision of such links does not constitute our endorsement of these other websites, their content, their owners or their practices. This Internet Privacy Policy does not apply to these other websites, which are subject to those entities’ privacy policies and other policies. Cookies and Other Technologies We may use “cookies,” log files, clear gifs or other technologies to help personalize your online experience. For example, a cookie can help us to recall your specific information on subsequent visits. Other technologies allow us to determine which email subscribers click through and read our newsletters. Unsubscribe from Our Communications Our email list is “opt-in,” meaning that you must choose to receive communications from us. This also means that you may unsubscribe from our marketing communications at any time, which can be done simply by clicking on the “unsubscribe” link located on the bottom of our emails or by sending us an email us at info@kofinas.org. ### END_RECORD ### START_RECORD TYPE: page ID: 1108 TITLE: Request An Appointment URL: https://www.kofinasfertility.com/request-an-appointment/ EXCERPT: Request an appointment time with Kofinas Fertility  Providing you a convenient fertility care experience is one of our top priorities here at Kofinas Fertility Group, a top fertility doctor’s office in New York. That commitment applies to both our treatments and our accessibility. Take advantage of our easy online form to request an appointment time […] DATE_PUBLISHED: 2026-02-11T13:02:36Z DATE_UPDATED: 2026-07-02T02:34:18Z SCHEMA_TYPE: Article META_seo_description: Request an appointment with Kofinas Fertility to receive expert fertility care and a personalized treatment plan tailored to your goals. BODY_CONTENT: | Request an appointment time with Kofinas Fertility  Providing you a convenient fertility care experience is one of our top priorities here at Kofinas Fertility Group, a top fertility doctor's office in New York. That commitment applies to both our treatments and our accessibility. Take advantage of our easy online form to request an appointment time that works for you, and find out why our patients think we're one of the best fertility clinics in New York! Name* First NameLast Name Email* example@example.com Phone Number* Please enter a valid phone number.Format: (000) 000-0000. Which best describes you?* Please Select Other We are a couple looking to add to our family. I'm not ready to build a family right now, but am wanting to plan for the future. We are a same-sex female couple looking to start a family. We are a same-sex male couple looking to start a family. I'm a single female and I'd like to start a family on my own. I am a female looking for an expert to diagnose or treat my condition. Preferred Location* Please Select Brooklyn Long Island Manhattan (Financial District) Manhattan (Upper West Side) Staten Island How did you hear about us?* Please Select Online Search Inbound Phone/Email TV Referral from a friend/family member Referral from a physician What is the best time to reach you?* Please Select Morning Afternoon Is this your first appointment with us?* Please Select New Customer Appointment Existing Customer Appointment Telehealth Appointment Cancelled Appointment Anything else we should know before we schedule your consultation? What are you interested in learning more about? Testing & DiagnosisFertility Preservation (egg, sperm, and embryo freezing)Fertility Preservation for Cancer/ConditionsTrying to Conceive - (IVF, IUI, etc.)Treatments for Conditions (fibroids, endometriosis, etc.)Other Kofinas Fertility needs the contact information you provide to us to contact you about our products and services. You may unsubscribe from these communications at anytime. thg_4978f9 thg_4978f9_ts thg_1985e1 thg_1985e1_ts thg_ddb779 thg_ddb779_ts thg_f94173 thg_f94173_ts thg_4447b2_c thg_4447b2_m thg_4447b2_s thg_4447b2_ts Submit Should be Empty: ### END_RECORD ### START_RECORD TYPE: page ID: 1092 TITLE: Share your success story with the rest of New York! URL: https://www.kofinasfertility.com/share-your-story-kofinas-fertility-group/ EXCERPT: Share your success story with the rest of New York! At Kofinas Fertility Group, we pride ourselves with the fact that our families rate us as one of the best fertility clinics in New York City. The journey to build a family can be complex, but our fertility experts are ready to give every family […] DATE_PUBLISHED: 2026-02-11T12:29:43Z DATE_UPDATED: 2026-07-02T02:29:44Z SCHEMA_TYPE: Article META_seo_description: Share your fertility journey with Kofinas Fertility and inspire others through your story of hope, resilience, and parenthood. BODY_CONTENT: | Share your success story with the rest of New York! At Kofinas Fertility Group, we pride ourselves with the fact that our families rate us as one of the best fertility clinics in New York City. The journey to build a family can be complex, but our fertility experts are ready to give every family the personalized care they deserve to reach their goals. Share your experience and family-planning story, and let others know how easy it is to build a family with us!  Simply provide a review on your Kofinas location: Share your story with our 65 Broadway NYC Office Share your story with our 55 Central Park West NYC Office Share your story with our 118 3rd Avenue Brooklyn NYC Office Share your story with our 4855 Hylan Blvd Staten Island Office Share your story with our 66 Powerhouse Rd. Long Island Office ### END_RECORD ### START_RECORD TYPE: page ID: 1079 TITLE: Success Stories URL: https://www.kofinasfertility.com/family-planning-success-stories/ EXCERPT: Hear from others who have found success with Kofinas At Kofinas Fertility Group, our fertility experts create a welcoming environment and support system to help you plan, build, and expand your family. Our life’s work is to make the family-building process as personalized and easy as possible. The Kofinas Fertility team is invested in helping you meet […] DATE_PUBLISHED: 2026-02-11T12:04:37Z DATE_UPDATED: 2026-07-02T02:35:21Z SCHEMA_TYPE: Article META_seo_description: Read inspiring family planning success stories from Kofinas Fertility patients and discover real journeys to parenthood. BODY_CONTENT: | Hear from others who have found success with Kofinas At Kofinas Fertility Group, our fertility experts create a welcoming environment and support system to help you plan, build, and expand your family. Our life's work is to make the family-building process as personalized and easy as possible. The Kofinas Fertility team is invested in helping you meet your family planning goals from start to finish, while using the most thoroughly researched fertility medicine and treatments. Our doctors have more than 70 years of combined fertility experience, and Kofinas Fertility Group has been in practice for over 30 years, so you can feel confident that you're working with world-renowned fertility experts.  Check out our testimonials and success stories below to discover why our patients choose us! Interested in leaving us your success story? Tell us about your experience ### END_RECORD ### START_RECORD TYPE: page ID: 1063 TITLE: Insurance & Financial URL: https://www.kofinasfertility.com/insurance-financial/ EXCERPT: Insurance & Financial Kofinas Fertility Group’s financial counselors will help you afford to start an amazing family. Navigating the financial aspects of fertility care is typically the last thing anyone wants to deal with when they’re struggling to bring home a child. We at Kofinas Fertility Group in New York completely understand your reluctance, which […] DATE_PUBLISHED: 2026-02-11T11:38:20Z DATE_UPDATED: 2026-07-02T12:47:41Z SCHEMA_TYPE: Article META_seo_description: Learn about fertility treatment costs, insurance coverage, financing options, and payment plans available at Kofinas Fertility. BODY_CONTENT: | Insurance & Financial Kofinas Fertility Group’s financial counselors will help you afford to start an amazing family. Navigating the financial aspects of fertility care is typically the last thing anyone wants to deal with when they’re struggling to bring home a child. We at Kofinas Fertility Group in New York completely understand your reluctance, which is why we’ve done everything possible to make the payment and insurance processes involved with your care as upfront and smooth as possible. It’s important for you to focus on your future child, not the formalities and technicalities of modern medical care. Consult with our knowledgeable and compassionate financial counselors. In order to help facilitate your payment and insurance questions, you will meet with one of our financial counselors who will help you work out the details of your care. Our counselors are familiar with a wide range of different insurance plans, and they’ll work with you to figure out a plan that’s right for your budget. If you don’t have insurance, or your insurance doesn’t cover fertility care, don’t despair. We offer a number of different fertility care plans and packages that maximize the cost-effectiveness of your treatment. Also, your financial counselor will guide you through the options available to you. Like everyone else at Kofinas Fertility Group, our financial counselors want nothing more than to see you finally achieve a successful pregnancy and start a wonderful new chapter in your life. If there’s a way to get you the care you need, we’ll figure it out. Financial information for Kofinas Fertility Group is conveniently available online. We’ve compiled all pertinent financial information into the following web pages. Learn about each topic by clicking the appropriate link: Cost & payment – Get prices for each of our advanced fertility treatments as well as for package offers. We explicitly tell you what each treatment plan does and does not cover in order to decrease stress due to potential unknown costs. Insurance – Insurance coverage for fertility treatments can be hit-and-miss. For example, some insurance plans will cover fertility assessments but not therapies. On this page, we’ll give you the full story on insurance coverage as it pertains to our care. If you have any questions about the financial aspects of fertility care, or to request an appointment,call  212-348-4000. You can also request an appointment using our easy  online form. Cost & Payment Building New York families with competitive pricing on fertility treatments We at Kofinas Fertility Group understand that fertility treatment can be financially and emotionally stressful. We want you to keep your focus on starting a new chapter in your life, not the cost of your treatment. This is why we make sure our patients have a clear understanding of fees prior to the beginning of their treatment. Additionally, we want to ensure that our patients are fully informed regarding all financial options available to them. Our goal is to do everything possible to ensure that the expense of fertility treatment does not factor into your treatment decisions. We do have options for patients without fertility insurance coverage that can make treatment more affordable and reduce your stress. We offer an Insured IVF Success Program and third-party financing options. Fertility programs, costs and what’s included in your care. The costs of our affordable fertility programs are designed to give you the most accessible path to the family of your dreams. For more information about our ovulatory function evaluation process, or to request an appointment,call  718-736-2218. You can also request an appointment using our easy  online form. Insurance Insurance information for Kofinas Fertility Group in New York. Fertility testing and treatments can be expensive and therefore require careful consideration and thorough understanding of the treatment options, costs involved, insurance coverage, and out-of-pocket expenses. We are very sensitive to the high cost of infertility treatment and the lack of coverage by most insurance plans. We are dedicated to keeping the costs of our services affordable for those who need our help. We also offer several financial programs for patients who seek treatment but do not have insurance coverage. ### END_RECORD ### START_RECORD TYPE: departments ID: 1051 TITLE: Fertility Therapies URL: https://www.kofinasfertility.com/departments/fertility-therapies/ EXCERPT: There is no universal fertility treatment. What works depends on why conception has been difficult, and the only way to know that is through a thorough evaluation first. At Kofinas, the treatment recommendation comes after the answers, not before them. Whether you are trying to conceive now, planning to preserve your options for later, or […] DATE_PUBLISHED: 2026-02-11T10:59:16Z DATE_UPDATED: 2026-07-02T02:24:00Z SCHEMA_TYPE: Article META_seo_description: Explore fertility therapies including IVF, IUI, egg freezing, fertility preservation, and personalized care to help grow your family. META_flexible_content: a:1:{i:0;s:10:"schema_faq";} META_flexible_content_0_faq_repeater_0_faq_title: How do I know which treatment is right for me? META_flexible_content_0_faq_repeater_0_faq_answer: Treatment selection is based on your diagnostic work-up, not a general preference. After evaluation, your clinician will present options appropriate for your specific findings and explain the reasoning for each recommendation. META_flexible_content_0_faq_repeater_1_faq_title: What is ovarian reserve and why does it matter? META_flexible_content_0_faq_repeater_1_faq_answer: Ovarian reserve refers to the quantity and, to a degree, the quality of a woman's remaining eggs. It is assessed through blood tests including anti-Mullerian hormone (AMH) and follicle-stimulating hormone (FSH), along with an antral follicle count on ultrasound. Ovarian reserve declines with age and can be affected by certain medical conditions or prior ovarian surgery. It is one of several factors used to guide treatment planning. META_flexible_content_0_faq_repeater_2_faq_title: What is the difference between IUI and IVF? META_flexible_content_0_faq_repeater_2_faq_answer: IUI places sperm inside the uterus to reduce the distance to the egg; fertilization still occurs naturally inside the body. IVF retrieves eggs from the ovaries, fertilizes them in a laboratory, and transfers a resulting embryo back to the uterus. IVF is generally used when simpler approaches have not succeeded or when the clinical picture suggests a higher level of treatment is more appropriate. META_flexible_content_0_faq_repeater_3_faq_title: Is egg freezing effective at my age? META_flexible_content_0_faq_repeater_3_faq_answer: Egg freezing outcomes are meaningfully influenced by age. Eggs retrieved at younger ages are generally associated with higher rates of successful fertilization and embryo development when those eggs are later used. Your clinician can provide context based on your specific ovarian reserve and age, and will avoid presenting egg freezing as a guarantee of future pregnancy. META_flexible_content_0_faq_repeater_4_faq_title: What does a typical treatment cycle look like in terms of time and visits? META_flexible_content_0_faq_repeater_4_faq_answer: This varies by treatment. An IUI cycle requires monitoring appointments across approximately two weeks. An IVF stimulation cycle typically involves monitoring appointments over 10 to 14 days, followed by the egg retrieval procedure. The number of visits and timeline will be explained at your consultation. Remote monitoring options may be available for patients who live at a distance. META_flexible_content_0_faq_repeater_5_faq_title: What happens if I have low ovarian reserve? META_flexible_content_0_faq_repeater_5_faq_answer: Low ovarian reserve affects the expected response to stimulation medications and the number of eggs retrieved in a cycle. It does not mean conception is impossible, but it does affect planning. Your clinician will discuss what options are realistic given your reserve levels, which may include adjusted stimulation protocols or, in some situations, a conversation about donor egg pathways. META_flexible_content_0_faq_repeater_6_faq_title: Can fertility treatments be started if I have endometriosis or fibroids? META_flexible_content_0_faq_repeater_6_faq_answer: In many cases, yes, but the presence of endometriosis or fibroids may influence which treatment is recommended and whether surgical evaluation should come first. At Kofinas, the diagnostic-first approach means that structural factors are identified and addressed before treatment is started, when this is clinically appropriate. META_flexible_content_0_faq_repeater_7_faq_title: What is reciprocal IVF and is it available here? META_flexible_content_0_faq_repeater_7_faq_answer: Reciprocal IVF is a process used by same-sex female couples in which one partner's eggs are retrieved and fertilized, and the resulting embryo is transferred to the other partner's uterus, so that both partners participate in the pregnancy. This pathway is available and is discussed as part of LGBTQ+ family building options at Kofinas. META_flexible_content_0_faq_repeater_8_faq_title: What if I have already been through treatment at another clinic? META_flexible_content_0_faq_repeater_8_faq_answer: A prior treatment history is useful context for your evaluation. Bringing records, prior cycle summaries, lab results, and any pathology from prior procedures helps the team understand what has already been tried and what may be worth reconsidering. A records review can often take place before or at your first in-person visit. META_flexible_content_0_faq_repeater: 9 TAX_condition: Endometriosis TAX_condition: Fibroids TAX_condition: PCOS TAX_department: Fertility Therapies TAX_location: Lower Manhattan TAX_location: Brooklyn TAX_location: Long Island TAX_location: Upper West Side TAX_location: Staten Island TAX_procedure: Male Fertility Treatment TAX_procedure: In Vitro Fertilization TAX_procedure: Sperm Freezing TAX_procedure: Preserving Future Fertility TAX_procedure: LGBTQ Fertility Therapy TAX_procedure: Embryo Freezing TAX_procedure: IUI & Ovarian Stimulation Therapy TAX_procedure: Donation & Surrogacy TAX_procedure: Egg Freezing TAX_procedure: Cancer Fertility Preservation TAX_staff: George D. Kofinas, MD, FACOG TAX_staff: Jason Kofinas, MD, MSc, FACOG TAX_staff: Peter Brzechffa, MD, FACOG TAX_staff: Melissa Montes, MD, MSc, FACOG TAX_staff: Levica Narine, MD, FACOG TAX_staff: Heather Toskos, MD TAX_staff: Charalampos (Harry) Chatzicharalampous, MD, PhD, FACOG, FACMG BODY_CONTENT: | There is no universal fertility treatment. What works depends on why conception has been difficult, and the only way to know that is through a thorough evaluation first. At Kofinas, the treatment recommendation comes after the answers, not before them. Whether you are trying to conceive now, planning to preserve your options for later, or building your family through donation or surrogacy, the question is the same: what is the right path for you, specifically? We start with a thorough evaluation, and the treatment options we discuss follow from what we actually find. ### END_RECORD ### START_RECORD TYPE: departments ID: 1049 TITLE: Surgery URL: https://www.kofinasfertility.com/departments/surgery/ EXCERPT: Surgery is a clinical decision, not a default. Before any procedure is recommended, we conduct a thorough evaluation to understand exactly what is contributing to your fertility challenge. If surgery is indicated, you will know why, what it involves, and what comes next. If it is not indicated, we will tell you that too. If […] DATE_PUBLISHED: 2026-02-11T10:59:06Z DATE_UPDATED: 2026-07-02T02:37:41Z SCHEMA_TYPE: Article META_seo_description: Explore fertility surgery services, including minimally invasive procedures to treat fibroids, endometriosis, and uterine conditions. META_flexible_content: a:1:{i:0;s:10:"schema_faq";} META_flexible_content_0_faq_repeater_0_faq_title: How do I know if I need fertility surgery? META_flexible_content_0_faq_repeater_0_faq_answer: Surgery is not the starting point. A thorough diagnostic evaluation, including imaging, hormone testing, and in some cases a direct assessment with laparoscopy or hysteroscopy, helps identify whether a structural factor is present. If your evaluation shows a condition such as endometriosis, fibroids, or a uterine anomaly, your clinician will explain whether and how surgery fits into your plan. META_flexible_content_0_faq_repeater_1_faq_title: What is the difference between endometriosis excision and ablation? META_flexible_content_0_faq_repeater_1_faq_answer: Excision means surgically removing endometriosis tissue from its root. Ablation destroys tissue using heat or another energy source but does not remove it. Many reproductive specialists prefer excision for fertility-related endometriosis care, though the best approach depends on the individual case. Your clinician can explain which technique is being recommended and why. META_flexible_content_0_faq_repeater_2_faq_title: Will surgery affect my ovarian reserve? META_flexible_content_0_faq_repeater_2_faq_answer: This depends on the type of surgery and the extent of disease. For patients with endometriomas (ovarian cysts caused by endometriosis), surgical removal carries a risk of reducing ovarian reserve, and this needs to be weighed against the potential benefit of the procedure. Your clinician should discuss ovarian reserve testing both before and after surgery when relevant. META_flexible_content_0_faq_repeater_3_faq_title: How long is recovery from laparoscopic fertility surgery? META_flexible_content_0_faq_repeater_3_faq_answer: Recovery varies by procedure. Many patients return to light activity within a few days to a week after laparoscopy, though more complex surgeries may require longer recovery. Your care team will provide a personalized timeline based on what was done. If IVF is part of your plan, your clinician will guide you on when it is appropriate to begin a cycle after surgery. META_flexible_content_0_faq_repeater_4_faq_title: Can surgery alone help me conceive, or will I still need IVF? META_flexible_content_0_faq_repeater_4_faq_answer: This depends on your full clinical picture. Some patients conceive naturally after a surgical issue is addressed. Others may still benefit from IVF, particularly if additional factors such as sperm parameters or egg quality are involved. At Kofinas, the goal is to make sure the path forward reflects your actual diagnosis, not a default assumption. META_flexible_content_0_faq_repeater_5_faq_title: What is a hysteroscopy and is it painful? META_flexible_content_0_faq_repeater_5_faq_answer: Hysteroscopy is a procedure in which a thin, lighted scope is passed through the cervix into the uterus to examine the uterine cavity or perform minor treatments such as polyp removal. It is typically performed under anesthesia or sedation, so discomfort during the procedure is minimal. Some patients experience mild cramping afterward. META_flexible_content_0_faq_repeater_6_faq_title: Is myomectomy safe if I want to preserve my fertility? META_flexible_content_0_faq_repeater_6_faq_answer: Myomectomy is specifically designed to remove fibroids while keeping the uterus intact, which is why it is often preferred over other fibroid treatments for patients who wish to conceive. The safety and appropriateness of myomectomy depend on fibroid characteristics and your overall health, which your clinician will review with you. META_flexible_content_0_faq_repeater_7_faq_title: How soon after surgery can I try to conceive? META_flexible_content_0_faq_repeater_7_faq_answer: Timing depends on the type of surgery and the extent of treatment. Your clinician will provide specific guidance based on your case. Rushing into conception too early after certain surgeries is not advisable, as adequate healing time may improve outcomes. META_flexible_content_0_faq_repeater_8_faq_title: I have had surgery elsewhere and my symptoms returned. Can you help? META_flexible_content_0_faq_repeater_8_faq_answer: Yes. If you have had prior surgical treatment and are experiencing recurrence or ongoing fertility concerns, a surgical consultation at Kofinas can include a review of your prior records, imaging, and surgical history. This allows for a more informed discussion of your current situation and whether additional evaluation or intervention may be helpful. META_flexible_content_0_faq_repeater_9_faq_title: Do you offer second opinions on surgical recommendations? META_flexible_content_0_faq_repeater_9_faq_answer: Yes. If you have received a recommendation for surgery and want an independent review, a second-opinion consultation is available. Bringing prior records, pathology reports, imaging, and operative notes will help ensure the most informed discussion. META_flexible_content_0_faq_repeater: 10 TAX_condition: Endometriosis TAX_condition: Fibroids TAX_condition: PCOS TAX_department: Surgery TAX_location: Lower Manhattan TAX_procedure: Ovarian Tissue Cryopreservation (OTC) TAX_procedure: In Vitro Fertilization TAX_procedure: Sperm Freezing TAX_procedure: Preserving Future Fertility TAX_procedure: LGBTQ Fertility Therapy TAX_procedure: Embryo Freezing TAX_procedure: Egg Freezing TAX_procedure: Cancer Fertility Preservation TAX_staff: George D. Kofinas, MD, FACOG TAX_staff: Jason Kofinas, MD, MSc, FACOG TAX_staff: Peter Brzechffa, MD, FACOG TAX_staff: Melissa Montes, MD, MSc, FACOG TAX_staff: Levica Narine, MD, FACOG TAX_staff: Heather Toskos, MD TAX_staff: Charalampos (Harry) Chatzicharalampous, MD, PhD, FACOG, FACMG BODY_CONTENT: | Surgery is a clinical decision, not a default. Before any procedure is recommended, we conduct a thorough evaluation to understand exactly what is contributing to your fertility challenge. If surgery is indicated, you will know why, what it involves, and what comes next. If it is not indicated, we will tell you that too. If you have been through multiple cycles, or lived with pain that has been dismissed, or suspected that something structural was never properly looked for, you are not imagining it. Reproductive surgical conditions are real, they are diagnosable, and when they are present, they can often be treated. Our approach starts with finding out what is actually there. ### END_RECORD ### START_RECORD TYPE: departments ID: 1047 TITLE: IVF & Lab URL: https://www.kofinasfertility.com/departments/ivf-lab/ EXCERPT: IVF is a precise, multi-step process, and the laboratory is where a significant part of it happens. How eggs are handled after retrieval, how fertilization is carried out, how embryos are cultured and evaluated, and how the transfer environment is prepared all contribute to the outcome. At Kofinas, IVF is not separated from the diagnostic […] DATE_PUBLISHED: 2026-02-11T10:58:59Z DATE_UPDATED: 2026-07-02T02:28:53Z SCHEMA_TYPE: Article META_seo_description: Explore IVF and laboratory services, including embryo development, fertility preservation, and advanced reproductive care. META_flexible_content: a:1:{i:0;s:10:"schema_faq";} META_flexible_content_0_faq_repeater_0_faq_title: How is IVF different from IUI? META_flexible_content_0_faq_repeater_0_faq_answer: In IUI, sperm are placed inside the uterus, and fertilization takes place naturally inside the body. In IVF, eggs are retrieved from the ovaries and fertilized with sperm in a laboratory outside the body. The resulting embryo is then transferred to the uterus. IVF is a more involved process but may be more appropriate depending on the underlying fertility diagnosis. META_flexible_content_0_faq_repeater_1_faq_title: How many eggs do I need to have a realistic chance of success? META_flexible_content_0_faq_repeater_1_faq_answer: There is no single number that applies to all patients. The number of eggs retrieved, how many fertilize, how many embryos develop to the blastocyst stage, and how many are chromosomally normal (if PGT is used) all affect the outlook for a cycle. Your clinician will discuss what is realistic based on your age and ovarian reserve before stimulation begins. META_flexible_content_0_faq_repeater_2_faq_title: What is ICSI, and do I need it? META_flexible_content_0_faq_repeater_2_faq_answer: ICSI stands for intracytoplasmic sperm injection. It involves injecting a single sperm directly into each retrieved egg rather than placing many sperm around an egg in a dish. ICSI is recommended for male-factor infertility, prior failed fertilization, or when sperm has been surgically retrieved. Whether ICSI is appropriate for your cycle depends on your specific clinical situation. META_flexible_content_0_faq_repeater_3_faq_title: What is preimplantation genetic testing (PGT)? META_flexible_content_0_faq_repeater_3_faq_answer: PGT is a laboratory technique that involves removing a small number of cells from a developing embryo and analyzing the chromosomes or genes before transfer. PGT-A screens for chromosomal number abnormalities, which are associated with failed implantation and miscarriage. PGT-M tests for a specific inherited condition. PGT is not recommended for all patients, and your clinician will explain whether it may be beneficial in your case. META_flexible_content_0_faq_repeater_4_faq_title: What happens to embryos that are not transferred? META_flexible_content_0_faq_repeater_4_faq_answer: Embryos that develop to an appropriate stage and are not transferred in the current cycle can be cryopreserved (frozen) for future use. Frozen embryo transfers are a routine part of IVF care. Embryos can be stored for extended periods according to clinic policies and patient preferences. Decisions about unused embryos are discussed with patients as part of the consent process. META_flexible_content_0_faq_repeater_5_faq_title: Does frozen embryo transfer work as well as fresh transfer? META_flexible_content_0_faq_repeater_5_faq_answer: Frozen embryo transfer has become the standard approach in many IVF programs. Evidence suggests that frozen transfers can have comparable or in some situations favorable outcomes relative to fresh transfer, in part because the uterine environment may be more receptive when the body is not recovering from ovarian stimulation. Your clinician will discuss what is appropriate for your situation. META_flexible_content_0_faq_repeater_6_faq_title: How long does an IVF cycle take from start to pregnancy test? META_flexible_content_0_faq_repeater_6_faq_answer: A full IVF stimulation cycle from the start of medication to the pregnancy test takes approximately 4 to 6 weeks, depending on the protocol and transfer timing. If a frozen embryo transfer is planned for a separate cycle, additional time is involved. Your care team will provide a calendar specific to your protocol. META_flexible_content_0_faq_repeater_7_faq_title: What if my cycle is cancelled or does not produce embryos? META_flexible_content_0_faq_repeater_7_faq_answer: Cycle cancellations can occur if the ovaries do not respond as expected or if other clinical concerns arise. Not all retrieved eggs will fertilize, and not all embryos will develop sufficiently for transfer or freezing. When a cycle does not produce the hoped-for outcome, your clinician will review what happened and discuss options, which may include a modified protocol, additional evaluation, or a conversation about alternative pathways. META_flexible_content_0_faq_repeater_8_faq_title: How are IVF success rates measured, and how should I interpret them? META_flexible_content_0_faq_repeater_8_faq_answer: Success rates are most meaningfully understood when broken down by age and diagnosis. National data from the CDC and SART provide context for how IVF outcomes vary across age groups and clinical situations. Rates reported as "success" may refer to clinical pregnancy, live birth, or other endpoints, and it is worth asking which measure is being cited. Your clinician can help you interpret what published data mean for your individual situation. META_flexible_content_0_faq_repeater: 9 TAX_condition: Endometriosis TAX_condition: Fibroids TAX_condition: PCOS TAX_department: IVF & Lab TAX_location: Brooklyn TAX_location: Long Island TAX_location: Upper West Side TAX_location: Lower Manhattan TAX_location: Staten Island TAX_procedure: Ovarian Tissue Cryopreservation (OTC) TAX_procedure: In Vitro Fertilization TAX_procedure: Sperm Freezing TAX_procedure: Preserving Future Fertility TAX_procedure: LGBTQ Fertility Therapy TAX_procedure: Embryo Freezing TAX_procedure: IUI & Ovarian Stimulation Therapy TAX_procedure: Donation & Surrogacy TAX_procedure: Egg Freezing TAX_procedure: Cancer Fertility Preservation TAX_staff: George D. Kofinas, MD, FACOG TAX_staff: Jason Kofinas, MD, MSc, FACOG TAX_staff: Peter Brzechffa, MD, FACOG TAX_staff: Melissa Montes, MD, MSc, FACOG TAX_staff: Levica Narine, MD, FACOG TAX_staff: Heather Toskos, MD TAX_staff: Charalampos (Harry) Chatzicharalampous, MD, PhD, FACOG, FACMG BODY_CONTENT: | IVF is a precise, multi-step process, and the laboratory is where a significant part of it happens. How eggs are handled after retrieval, how fertilization is carried out, how embryos are cultured and evaluated, and how the transfer environment is prepared all contribute to the outcome. At Kofinas, IVF is not separated from the diagnostic work that precedes it or the clinical follow-up that follows it. It is one part of a continuum. IVF can feel like a leap into the unknown, especially after prior attempts that did not go as hoped. Understanding the process, what is happening in the lab, and what each stage means for your specific situation makes it possible to move forward with more clarity and less dread. We explain what we are doing and why, at every step. ### END_RECORD ### START_RECORD TYPE: conditions ID: 987 TITLE: PCOS URL: https://www.kofinasfertility.com/conditions/pcos/ EXCERPT: Do you ever wonder if you have PCOS? Polycystic Ovary Syndrome or PCOS is a commonly occurring syndrome that affects women during their reproductive years. Many discover they have PCOS when they get irregular periods and struggle to conceive. PCOS often affects fertility because hormone imbalances can prevent normal reproductive processes like ovulation. Other health […] DATE_PUBLISHED: 2026-02-10T12:23:04Z DATE_UPDATED: 2026-07-02T02:31:20Z SCHEMA_TYPE: MedicalCondition META_seo_description: Learn about PCOS, its symptoms, fertility impact, and personalized treatment options to help you achieve your family-building goals. TAX_condition: PCOS TAX_location: Brooklyn TAX_location: Long Island TAX_location: Upper West Side TAX_location: Lower Manhattan TAX_location: Staten Island BODY_CONTENT: | Do you ever wonder if you have PCOS? Polycystic Ovary Syndrome or PCOS is a commonly occurring syndrome that affects women during their reproductive years. Many discover they have PCOS when they get irregular periods and struggle to conceive.PCOS often affects fertility because hormone imbalances can prevent normal reproductive processes like ovulation. Other health concerns, such as weight gain, diabetes, and cysts growing on the ovaries, are also associated with PCOS.The good news is that with proper treatment, many women are able to manage their PCOS symptoms and become pregnant.However, for the best results, you need an expert doctor who can run the correct tests, understand your unique symptoms, and create a treatment plan to address your health concerns. If you suspect you have PCOS, here’s what you need to know: What is PCOS? As many as 12% of women in the United States are affected by PCOS during their reproductive years. PCOS is an endocrine disorder that mainly affects women’s hormone levels. Many women discover that they have PCOS when they struggle with fertility, as hormone imbalances can prevent the ovaries from releasing eggs. Women who don’t ovulate regularly may miss their period or skip it altogether. Specifically, women with PCOS often produce higher levels of androgen or male hormones, which affects ovulation. PCOS is also associated with insulin resistance, meaning women with the condition often produce higher amounts of insulin than the average. These hormone imbalances mean that PCOS often results in symptoms such as the growth of unwanted facial hair and weight gain. Additionally, PCOS is linked to other health concerns such as obesity, diabetes, and high blood pressure. Because of its many symptoms and long-term effects, PCOS is a disorder that often requires lifelong treatment. Fortunately, your lifestyle can have a big influence on your PCOS symptoms and outcomes. Proper management of the syndrome through medications can also help you achieve your best possible health. What Causes PCOS? Determining the exact causes of PCOS has challenged researchers, as many body systems may be involved. However, one main cause of PCOS may be the abnormal production of androgen hormones such as testosterone. While it’s normal for all women to produce some androgen hormones, excess production can stop eggs from being released from the ovaries during ovulation. As a result, cysts are often present in the ovaries of women with PCOS.  Another factor that may cause PCOS is insulin resistance. As many as 75% of women with PCOS may also have insulin resistance, often resulting in weight gain. This condition also puts women at risk for diabetes. Plus, excess insulin in the blood can increase the production of androgen hormones. Yet, the link between insulin resistance and androgen hormone production isn’t clearly understood. Many factors may influence insulin resistance, including genetic and lifestyle factors. Inflammation has also been linked to PCOS and may be considered a subtype of PCOS. Inflammation markers can be found in blood tests, helping doctors determine the leading causes of the syndrome in each patient. Because of these factors, the causes of PCOS can vary from person to person. While the causes of PCOS for some women may be more related to lifestyle, for other women, hormonal imbalances or genetics may play a more prominent role. In order to understand the causes behind your PCOS diagnosis, your doctor will need to run blood tests, check your patient history, and take other factors, such as your weight, into account. What are Common Symptoms Associated with PCOS? PCOS causes many symptoms, which can make it challenging to diagnose as it can mimic other conditions. Some of the most common symptoms associated with PCOS include: Irregular Menstruation. Many women with PCOS have irregular periods that either come more or less frequently than usual. Other women with PCOS may stop menstruating altogether. For some women, painful periods or abdominal pain may be associated with cysts that grow on the ovaries due to PCOS. Infertility. Struggling to get pregnant is often the first sign of PCOS for women. If you are under the age of 35 and haven’t been able to get pregnant after six months of trying, it may be a sign you have PCOS. Fortunately, infertility due to PCOS is highly treatable.    Hirsutism. Excess hair growth on the face, neck, chest, stomach, and thighs, known as hirsutism, is typical in women with PCOS. This is caused by the production of excess androgen hormones. These same hormones may also cause your hair to thin on your scalp. Acanthosis Nigricans. This symptom presents as darkened skin where you have folds of skin, such as your armpits, along creases in the neck, or near the groin.  Cysts on Ovaries. Many women with PCOS have small growths known as cysts in their ovaries. Cysts are fluid-filled sacs that were originally follicles. The follicles protect eggs that are released each month from the ovary. If an egg isn’t released or the follicle doesn’t disappear after the egg’s release, the follicle can remain in the ovary and form a cyst. This is often the case for women with PCOS, as androgen hormones prevent ovulation, leaving follicles stuck within the ovary. In many women, the cysts disappear on their own over time.  Acne. When they occur after puberty and adolescence, oily skin and acne may be a symptom of PCOS.  Weight Gain. Many women with PCOS either struggle to maintain a healthy weight or are obese. This symptom may be related to hormone imbalances, including insulin resistance.  Do you recognize some of these symptoms? Use our helpful PCOS Symptoms Quiz to learn more about your reproductive health and whether or not PCOS may be a factor for you. How is PCOS Diagnosed? Because there are so many PCOS symptoms, diagnosing this disorder can be a challenge. In order to receive a PCOS diagnosis, you must meet two of three main criteria: Irregular periods Excess hair on the face or neck (hirsutism), thinning hair on the head, excess oil on the face, or acne Cysts on the ovaries To make an accurate diagnosis, your doctor may order blood tests to check your hormone levels and perform an ultrasound to check for ovarian cysts.  PCOS can mimic other health issues such as thyroid and pituitary conditions. Causes of irregular periods such as Primary Ovarian Insufficiency may also need to be ruled out before a PCOS diagnosis. Seeking out an experienced specialist can help ensure that nothing slips through the cracks during the diagnosis process. Risk Factors of PCOS It’s natural to wonder if PCOS is associated with any risk factors. If you have any of the following risk factors of PCOS, you are more likely to develop the condition: Infertility  Type 2 Diabetes Gestational Diabetes Heart Disease Endometrial Cancer Metabolic Syndrome Sleep Apnea Additionally, having PCOS can put you at risk for developing other health problems including many of the above, as well as Nonalcoholic Fatty Liver Disease (NAFLD). For this reason, treating PCOS is essential not only for your reproductive health but also for your overall wellness. This is because hormonal imbalances associated with PCOS can affect your weight and how your body processes sugar. It’s important to remember that these risks are not a given. Catching PCOS early and treating it can help improve your long-term health outcomes, improve your fertility, and reduce your risks. PCOS and Fertility PCOS is one of the most common conditions associated with fertility struggles. Because PCOS creates hormone imbalances, it can prevent basic reproductive functions from working normally. For many women, PCOS means irregular or missed ovulation. If you’re not ovulating normally, no egg is released into the uterus so that it can be fertilized. This can make it difficult to conceive and achieve a healthy pregnancy. Additionally, PCOS affects fertility in other ways, including during pregnancy. For example, the condition has been linked to higher rates of miscarriage, gestational diabetes, preeclampsia, and birth via C-Section. Also, because many women with PCOS are also obese or have other health conditions, it’s difficult to know for certain that fertility risks are linked to PCOS. For example, obesity is associated with many similar pregnancy complications, such as gestational diabetes and preeclampsia. That said, careful monitoring and prenatal care can help improve outcomes. Just because PCOS affects fertility doesn’t mean you should lose hope. This condition is highly responsive to treatment. Once your doctor knows more about your health, you can make a plan to achieve your fertility goals. Treatment before and during pregnancy can help you build the family you’ve always dreamed of. Can I Get Pregnant with PCOS? The short answer is yes, you can get pregnant with PCOS. In many cases, failure to ovulate is what prevents women from getting pregnant with PCOS. Changes to your lifestyle and medication can often help your body begin to ovulate, meaning that you may be able to get pregnant naturally without further fertility treatments. In other cases, low complexity therapies such as intrauterine insemination (IUI) can help people with PCOS get pregnant. More complex therapies, including In Vitro Fertilization (IVF), can also be used to help achieve a pregnancy. Many factors play into getting pregnant, including your age, weight, and whether or not you have PCOS. That said, with treatment, many women with PCOS can achieve pregnancy. Some strategies, such as weight loss, may be up to 100% effective in restoring your ability to ovulate. For many women, making lifestyle changes may be all that is necessary to get pregnant. Keep in mind that each person is unique. Your doctor will need to assess your unique situation to determine the best course of action for you to achieve pregnancy with PCOS. PCOS Treatment Options There are many favorable treatment options for PCOS, ranging from simple treatments to more invasive fertility procedures. The right PCOS treatment options for you will depend a lot on your goals, unique symptoms, and the type of PCOS you have. Lifestyle Changes For many women, lifestyle changes, including weight loss, can help improve PCOS symptoms. In fact, losing as little as 5% of your body weight can sometimes restore reproductive functions like ovulation.  Your doctor may ask you to make some lifestyle changes before trying other treatments. Here are some lifestyle changes you can make to lessen the effects of PCOS: Eat a healthy diet. Focus on a diet with plenty of fiber, protein, and healthy fats. Make sure you eat mostly whole grains, lean meats and legumes, and plenty of vegetables. Replace sugary drinks and alcohol with water or unsweetened coffee or tea. Exercise. Getting regular exercise can help you lose weight and also reduce insulin resistance. Even short walks, especially after meals, can help manage blood sugar levels. Light weight lifting, swimming, or biking are also great exercise options. Exercising several days a week can make a big difference in your overall health and your blood sugar levels. By reducing insulin resistance, you can reduce your body’s production of androgen hormones. The great news about lifestyle changes is that the changes will help you become healthier overall. Being healthy can also improve your pregnancy and birth experience if fertility is one of your goals. Medications Sometimes, PCOS requires the use of medications as a part of the treatment plan. There are many different PCOS medications your doctor may choose from depending on your symptoms and blood test results. Here are some medications your doctor may discuss with you: Insulin sensitizing agents. Drugs commonly used to treat diabetes, such as Metformin, can help some women with PCOS. This PCOS treatment can help your body be more sensitive to insulin, which regulates your blood sugar levels. This, in turn, can stop your body from producing excess androgen hormones that prevent ovulation and cause other symptoms, such as the growth of facial hair. Ovarian stimulation medications. Modern medications can help your ovaries produce and release eggs. One common medication is clomiphene citrate (known by the brand names Clomid and Serophene). Other options include gonadotropins, human menopausal gonadotropin, and human chorionic gonadotropin. Birth Control. Another popular PCOS treatment is birth control pills. These medications can help your body produce regular periods by regulating your hormones. Birth control pills can reduce many unwanted symptoms of PCOS, such as hair growth and acne, and the risk of endometrial cancer. For women who wish to become pregnant, using birth control pills for several months can help regulate hormones before beginning other fertility treatments. Intrauterine Insemination (IUI) Another PCOS treatment is Intrauterine Insemination. This treatment involves a combination of medications to induce ovulation and artificially planting a high concentration of active sperm into your uterus. By timing the procedure correctly and checking the quality of the sperm ahead of time, this procedure increases your chances of getting pregnant with PCOS. In Vitro Fertilization (IVF) For some women with PCOS, the best way to achieve a pregnancy is with IVF. This advanced fertility treatment means that eggs will be harvested from your ovaries. Then, they are fertilized in the lab with a sperm sample from your partner or a donor. Finally, when the embryo is ready, it is implanted into your uterus. IVF can significantly increase your chances of achieving a healthy pregnancy. PCOS Treatments: Easing Symptoms For women who struggle with symptoms such as unwanted hair growth and acne, additional PCOS treatment options are available. Oral medications and creams may be used to treat these symptoms.  Ultimately, PCOS treatments must address symptoms and also take long-term health effects into account. Many PCOS treatments focus on lessening the effects of symptoms and achieving pregnancy. However, due to the long-term health concerns associated with PCOS, it’s important to continue to monitor related health conditions, including diabetes, high blood pressure, metabolic syndrome, and others. Kofinas Fertility for PCOS Treatment If you suspect that you have PCOS, you may feel overwhelmed and worried about your fertility and health overall. Know that you’re not alone. This condition affects many women across the country, and there are many effective PCOS treatments available. At Kofinas Fertility, we have successfully treated many PCOS patients and helped them achieve their dreams of starting a family. As experts in PCOS treatment, we start by understanding your unique situation, symptoms, and goals. We offer a wide range of treatment options starting with low-complexity therapies. We also have the capabilities and expertise to offer cutting-edge PCOS treatments for fertility and symptom management including IVF and laparoscopic surgeries. Thanks to our state-of-the-art facilities, we are able to offer many of our services and testing in-house.  Rest assured that if you suspect that you have PCOS, you will receive empathetic, expert care at Kofinas Fertility. From managing symptoms to planning your future family or achieving a pregnancy right away, we are prepared to help you with effective PCOS treatments and caring doctors. Request an appointment today to learn more about PCOS and the symptoms you’re experiencing. ### END_RECORD ### START_RECORD TYPE: conditions ID: 986 TITLE: Endometriosis URL: https://www.kofinasfertility.com/conditions/endometriosis/ EXCERPT: Endometriosis affects as many as 1 in 10 women in the United States, causing uncomfortable symptoms and sometimes infertility. Unfortunately, many women suffer from the condition in silence and aren’t taken seriously by their primary care providers or gynecologists.  If you are diagnosed with endometriosis or suspect that you have this condition, you must understand […] DATE_PUBLISHED: 2026-02-10T12:22:59Z DATE_UPDATED: 2026-07-02T02:37:55Z SCHEMA_TYPE: MedicalCondition META_seo_description: Learn about endometriosis, its symptoms, fertility impact, and personalized treatment options to help you achieve pregnancy. META_flexible_content: a:1:{i:0;s:10:"schema_faq";} META_flexible_content_0_faq_repeater_0_faq_title: What are the first symptoms of endometriosis? META_flexible_content_0_faq_repeater_0_faq_answer: There is no way to know what the first symptoms of endometriosis will be for any woman. That said, the most common symptom among women with endometriosis is very painful cramps during menstruation. In fact, as many as 87% of women with chronic pelvic pain have endometriosis. The cramps may get worse as you get older and may even interfere with your ability to live your daily life. META_flexible_content_0_faq_repeater_1_faq_title: What is the leading cause of endometriosis? META_flexible_content_0_faq_repeater_1_faq_answer: The main cause of endometriosis is currently unknown. A number of factors may cause this disorder, including genetics, age, and your immune system, among other things. Researchers suspect that endometriosis may be caused by retrograde menstruation. META_flexible_content_0_faq_repeater_2_faq_title: What happens if endometriosis is left untreated? META_flexible_content_0_faq_repeater_2_faq_answer: As long as you aren’t experiencing symptoms or infertility, you may continue your life without a negative impact on your health. However, over time, the endometriosis may grow, change, and cause uncomfortable symptoms or interfere with your fertility. Fortunately, experienced fertility doctors such as Kofinas Fertility Group can manage and treat endometriosis to keep it from advancing into further stages. We can also advise you on your fertility journey so that you can make the best decisions for your family planning. META_flexible_content_0_faq_repeater_3_faq_title: Does IVF medication get rid of endometriosis? META_flexible_content_0_faq_repeater_3_faq_answer: IVF medications and treatments may be a part of your treatment plan if you are facing infertility as a result of your endometriosis. While many women with endometriosis are able to get pregnant naturally, some need a bit of extra support. However, IVF medications don’t get rid of endometriosis. Instead, they help resolve some of the issues that endometriosis can sometimes pose when it comes to fertility. For example, if your fallopian tubes are blocked with scar tissue, IVF can make it possible for you to carry a pregnancy. Or, if cysts on your ovaries complicate ovulation, IVF may also help make an embryo that you can carry to term. META_flexible_content_0_faq_repeater_4_faq_title: Why wasn’t a laparoscopy recommended to me by my doctor? META_flexible_content_0_faq_repeater_4_faq_answer: Now that you’re aware of the benefits of laparoscopy, you may wonder why your doctor didn’t recommend it. Unfortunately, most doctors prefer to only recommend procedures they can perform in their own clinics. If they can’t perform surgery, they may prefer to manage your condition through medicinal routes, rather than explaining and exploring all of your options with you. Also, women’s health issues are often brushed aside. For instance, women wait longer than men for pain medication in the ER and 26% of women say their symptoms of chronic pain or a chronic condition were dismissed when compared to 18% of men. This all points to the fact that many doctors unfortunately don’t take women’s health issues such as endometriosis seriously enough to talk through the treatment options and work toward a long-term solution to chronic pain. Rest assured that at Kofinas Fertility Group, we’ll take your symptoms and fertility goals seriously. META_flexible_content_0_faq_repeater_5_faq_title: Do I need a hysterectomy if I have endometriosis? META_flexible_content_0_faq_repeater_5_faq_answer: While extreme, hysterectomies are very effective at eliminating the symptoms of endometriosis. However, they should only be used as a very last resort. Once your uterus is removed, you will be infertile and may even need to take hormone replacement medications for the rest of your life. The decision to undergo a hysterectomy should not be taken lightly. Rather, it is a decision you should take only after having discussed all of your treatment options with a doctor you trust. META_flexible_content_0_faq_repeater_6_faq_title: How do you diagnose endometriosis? META_flexible_content_0_faq_repeater_6_faq_answer: We diagnose endometriosis through a laparoscopy exam. META_flexible_content_0_faq_repeater: 7 TAX_condition: Endometriosis TAX_location: Brooklyn TAX_location: Long Island TAX_location: Upper West Side TAX_location: Lower Manhattan TAX_location: Staten Island BODY_CONTENT: | Endometriosis affects as many as 1 in 10 women in the United States, causing uncomfortable symptoms and sometimes infertility. Unfortunately, many women suffer from the condition in silence and aren’t taken seriously by their primary care providers or gynecologists.  If you are diagnosed with endometriosis or suspect that you have this condition, you must understand your treatment options. Endometriosis is very treatable with the proper care and a team of dedicated doctors on your side. Armed with the correct information and knowledge, you can advocate for your needs, improve your quality of life, and achieve your goals. Read on to learn about endometriosis, its symptoms, how it impacts fertility, and the treatment options available. What is Endometriosis? Endometriosis is a reproductive disorder that causes tissue that normally grows within the uterus known as the endometrium to be found outside the uterus. Typically, the tissue grows along the outside of the uterus, in or on the ovaries, in the fallopian tubes, and elsewhere in the pelvis. Acting just like your endometrium, it goes through changes as you move through your menstrual cycle. So, when you get your period, it breaks down and bleeds. However, the tissue is unable to leave the body and causes scarring, adhesions, or other complications.  Endometriosis may be diagnosed based on symptoms, but surgery is the only true way to diagnose it. Surgery can be done with laparoscopy, meaning the procedure is minimally invasive. During the surgery, doctors can determine the stage of the endometriosis and often provide some treatment that relieves symptoms. The Stages of Endometriosis The stages of endometriosis are based on the amount of endometrial tissue. Here is a short explanation of each stage: Stage 1 (Minimal): There is some damage but little or no scar tissue. Stage 2 (Mild): The endometrium damage is more significant, and it has implanted deeper in the tissue in the abdomen. Some scar tissue may be present. Stage 3 (Moderate): Deep implants are present and scar tissue may have formed bands of adhesions. Cysts may have formed on the ovaries. Stage 4 (Severe): This is the most serious and widespread form of endometriosis. Abundant, widespread endometrial tissue, adhesions, and scar tissue are present. Large cysts may have formed on the ovaries. Unfortunately, many women aren’t able to get a diagnosis of endometriosis until an average of 7.5 years have passed. This means they’ve lost valuable treatment time, especially when it comes to fertility concerns. For many women, getting appropriate treatment for endometriosis is dependent upon advocating for themselves, as the symptoms and condition are often underlooked or dismissed. What Causes Endometriosis? Is it Preventable? It’s natural to wonder why endometriosis happens and if there is any way to prevent it. Researchers are still trying to understand how and why endometriosis appears in the body. So far, there are only theories and possible relationships that may explain this reproductive disorder. Endometriosis may be genetic, as it does tend to run in families. If you have a close family member such as a mother, aunt, or sister with endometriosis, you are more likely to have it as well. Endometriosis can appear at any point after a girl begins menstruating but more commonly appears in women in their 30s and 40s. One likely cause of endometriosis is a condition called retrograde menstruation. During retrograde menstrual flow, the endometrial tissue doesn’t flow directly down to the cervix and out of the vagina. Instead, some of it enters the fallopian tubes, or leaves the uterus, and gets into other areas of the pelvis. There, the endometrial tissue continues to grow and follow the menstrual cycle. Hormones may also play a role in endometriosis. Researchers have noticed that estrogen promotes endometriosis. This is why during pregnancy, when progesterone is prevalent, endometriosis temporarily pauses. Also, endometriosis symptoms may lessen or disappear after menopause when the body stops making estrogen.  Yet another factor may be the immune system. Women with endometriosis are more likely to experience immune disorders. Researchers suspect that the immune system may fail to remove the endometrial tissue from the areas where it shouldn’t be. What are the Common Symptoms of Endometriosis? Endometriosis can cause a range of different symptoms. However, endometriosis can also be asymptomatic, meaning that you may not know that you have it. Some women only discover that they have endometriosis when they struggle to get pregnant or have unrelated abdominal surgery. It’s also important to note that the severity of endometriosis isn’t always linked to how severe your symptoms are. Sometimes, symptoms such as pain can be worse when the endometrial tissue grows close to a nerve or when bleeding causes irritation.  Some of the most common symptoms of endometriosis are: Painful menstrual cramps Lower back and abdominal pain, especially during menstruation Pain while using the bathroom Long or heavy menstrual periods Pain during or after sexual intercourse Spotting between periods Infertility Digestive issues including constipation, diarrhea, bloating, nausea, etc. Because symptoms of endometriosis mimic other conditions such as PCOS and even digestive conditions like IBS, it can be extremely difficult to diagnose. It is also complicated by the fact that endometriosis is not always detectable on ultrasounds or other imaging tests. Some doctors go as far as to dismiss symptoms as related to anxiety, stress, or just a painful menstrual period. The Effect of Endometriosis on Fertility As many as 50% of women who experience infertility have endometriosis. There are several ways that endometriosis can affect fertility. Mainly, endometriosis causes problems in the reproductive organs, resulting in infertility. Endometrial tissue can grow in the ovaries or the fallopian tubes. There, the tissue can block the egg and prevent ovulation or fertilization. In other words, the tissue can prevent the egg from leaving the ovary or keep the sperm from reaching the egg. Another theory is that the normal endometrium may not allow the egg to implant, or scar tissue may prevent this. A  further complication is that endometriosis is often very painful. This can make intercourse so uncomfortable that it is impossible to conceive.  Despite these hardships, it is possible for many women with endometriosis to get pregnant. With appropriate treatment, including laparoscopy, medication, and, if necessary, fertility treatments. If you want to learn more about endometriosis treatment options including laparoscopy, get in touch with our team of experts. How do you Treat Endometriosis? Unfortunately, there is no definitive cure for endometriosis. Yet, there are viable treatment options that help alleviate symptoms and can help you grow your family in case of infertility. Some treatment options only manage symptoms, while other treatments focus on eliminating the endometriosis altogether. Laparoscopy The only way to definitively diagnose and treat endometriosis is through surgery. Fortunately, advancing technology allows minimally invasive surgery via laparoscopy. With laparoscopy, small incisions, typically smaller than one centimeter in length are made, and laparoscopes are inserted. A fiber optic scope and instruments are inserted through the openings, allowing surgeons to remove the endometrial tissue. Laparoscopy can be very effective in helping resolve fertility issues related to endometriosis. Through laparoscopy, your doctor can remove scar tissue and adhesions that block fallopian tubes or ovarian cysts caused by endometriosis. During the procedure, the tissue is often sent to the lab to confirm that it is endometrial tissue. Finally, the doctor works to resolve any structural fertility issues caused by the endometrial tissue. If you have severe symptoms, any other tissue will also be removed. Fortunately, because laparoscopy is not as invasive as traditional surgery methods, the recovery time is shorter. You will be able to return to normal life within about 2 to 4 weeks after surgery. Plus, the outlook is also very good for your fertility. As many as 75% of women who undergo laparoscopy for endometriosis are able to get pregnant after they’ve healed. In many cases, removing endometriosis can eliminate the disorder, and the symptoms, altogether. However, in 20 to 30% of women, endometriosis returns within five years of the surgery. One common surgical treatment for endometriosis is a hysterectomy. In this procedure, the entire uterus, and possibly the ovaries, are removed surgically. As a result, women who have a hysterectomy are infertile. The treatment is very invasive and may mean you’ll have to take hormone medications for the rest of your life. For this reason, the treatment should be used only as a last resort. Should it be necessary, the treatment can be very effective at eliminating symptoms related to endometriosis. Treating Symptoms The symptoms of endometriosis can be debilitating for some women. In these cases, treating symptoms can improve your quality of life until surgery can be programmed. Unfortunately, treating symptoms doesn’t get rid of endometriosis or resolve related fertility issues. Some of the commonly used endometriosis medication treatments include: Hormone Therapy: Estrogen is thought to make endometriosis grow and cause more pain. For this reason, birth control pills and other hormone therapies can help stop the production of estrogen. This, in turn, can slow the growth of the endometrium and alleviate symptoms. The first pill approved by the FDA to treat pain caused by endometriosis is a GnRH medication. This medicine puts the body in a state similar to menopause, preventing both menstruation and ovulation. Unfortunately, one side effect is bone thinning, meaning that the medication can’t be used for longer than six to twelve months, depending on the dose.  Other medications include birth control pills, intrauterine devices, and progesterone injections, among others. Pain Medication: As pain is one of the main symptoms of endometriosis, many women take over-the-counter pain medications such as Tylenol or ibuprofen. However, your doctor may also offer prescription medications.  Although many of the above treatments can be effective at reducing symptoms, they also prevent pregnancy. If you are hoping to get pregnant, laparoscopy is preferred as it can both relieve symptoms and help you achieve your fertility goals. Another disadvantage of treating symptoms is that they largely mask the pain rather than addressing the root problem. ### END_RECORD ### START_RECORD TYPE: conditions ID: 985 TITLE: Fibroids URL: https://www.kofinasfertility.com/conditions/fibroids/ EXCERPT: A diagnosis of fibroids often comes as a surprise. Perhaps you went in for a routine pelvic exam and came out with a concerning diagnosis of fibroids. Or maybe you have been struggling with fertility, only to discover that a large fibroid is preventing conception. It’s natural to wonder if and how the fibroids will […] DATE_PUBLISHED: 2026-02-10T12:22:54Z DATE_UPDATED: 2026-07-02T02:30:35Z SCHEMA_TYPE: MedicalCondition META_seo_description: Learn about uterine fibroids, their symptoms, fertility impact, and advanced treatment options from the experts at Kofinas Fertility. META_flexible_content: a:1:{i:0;s:10:"schema_faq";} META_flexible_content_0_faq_repeater_0_faq_title: What happens if fibroids go untreated? META_flexible_content_0_faq_repeater_0_faq_answer: For many women, fibroids cause no symptoms, which often means there is no reason to treat them. Asymptomatic fibroids can simply be monitored at your regular gynecological check-ups. Sometimes, fibroids disappear on their own following menopause or pregnancy. This is because the growth of fibroids may be influenced by hormone fluctuations in pregnancy and menopause. For women who do experience symptoms, getting treatment for fibroids is important. Treatment of fibroids can help lessen or eliminate symptoms and improve your quality of life. If fibroids are affecting your fertility, treatment can also help increase your chances of getting pregnant. META_flexible_content_0_faq_repeater_1_faq_title: Do fibroids affect fertility? META_flexible_content_0_faq_repeater_1_faq_answer: Researchers aren’t sure exactly why fibroids grow. One possible reason is fluctuations in hormones. High levels of testosterone and estrogen are >a href="https://www.webmd.com/women/uterine-fibroids/news/20151218/hormones-tied-to-uterine-fibroid-risk-in-study">associated with fibroid growth. Estrogen and progesterone that the body releases to thicken the uterine lining may also stimulate fibroid growth. Because of this, fibroids may disappear after pregnancy or during menopause, when these hormone levels drop. META_flexible_content_0_faq_repeater_2_faq_title: What’s the best treatment for fibroids? META_flexible_content_0_faq_repeater_2_faq_answer: The best treatment for fibroids depends on the symptoms you’re experiencing and your long-term goals. While medications can often effectively treat the symptoms of fibroids, it is a short-term solution. The best permanent treatment for fibroids is to eliminate the fibroids while preserving your fertility. At Kofinas Fertility Group, minimally invasive laparoscopic surgery is the preferred procedure for treating fibroids. With this surgery, you can eliminate symptoms and protect or even improve your fertility. META_flexible_content_0_faq_repeater_3_faq_title: Does Kofinas Fertility offer laparoscopy surgery to remove fibroids? META_flexible_content_0_faq_repeater_3_faq_answer: Yes. Kofinas Fertility Group provides the best laparoscopic surgery for removing fibroids. Our doctors are fertility experts, and our facilities feature cutting-edge technology and equipment to achieve the best outcomes. In many cases, we can treat your fibroids right here in our private surgical facility without a hospital stay. META_flexible_content_0_faq_repeater_4_faq_title: What is a fibroid uterus? META_flexible_content_0_faq_repeater_4_faq_answer: A fibroid uterus is when a woman has uterine fibroids, which are noncancerous growths of the uterus that often appear during childbearing years. These growths are also called fibromyomas, leiomyomas or myomas. Fibroids are not associated with an increased risk of uterine cancer and almost never develop into cancer. Women with uterine fibroids may experience symptoms such as heavy menstrual bleeding, pelvic pressure or pain, and frequent urination. Fibroids can range in size from undetectable by the human eye to large, bulky masses. Bigger fibroids can distort and enlarge the uterus and fallopian tubes, interfere with the passage of sperm from your cervix to your fallopian tubes, or prevent the implantation and growth of an embryo. META_flexible_content_0_faq_repeater_5_faq_title: How do you treat a fibroid uterus? META_flexible_content_0_faq_repeater_5_faq_answer: If you wish to eliminate your fibroids but not become infertile, your fertility doctors will recommend having a surgical treatment called a myomectomy. A myomectomy is most commonly performed through an abdominal incision, allowing your fertility doctor to remove large or multiple fibroids and reconstruct a strong uterine muscle. However, depending on the size and location of the fibroids, myomectomies may also be done with minimally invasive techniques, including using a hysteroscope inserted through the vagina and cervix, or by using a laparoscope threaded through small abdominal incisions. These minimally invasive procedures produce excellent outcomes with less pain, shorter recovery times, fewer risks and no large visible scars. META_flexible_content_0_faq_repeater: 6 TAX_condition: Fibroids TAX_location: Brooklyn TAX_location: Long Island TAX_location: Upper West Side TAX_location: Lower Manhattan TAX_location: Staten Island BODY_CONTENT: | A diagnosis of fibroids often comes as a surprise. Perhaps you went in for a routine pelvic exam and came out with a concerning diagnosis of fibroids. Or maybe you have been struggling with fertility, only to discover that a large fibroid is preventing conception. It’s natural to wonder if and how the fibroids will affect your fertility, how you can minimize symptoms, and what your treatment options are. When faced with a diagnosis of uterine fibroids, understanding your treatment options is the first step toward recovery. Although there are various approaches, only a few offer a lasting solution that protects your fertility. With the guidance of an experienced fertility doctor, you can make an informed decision regarding the treatment of your fibroids. As you follow along, you’ll learn about: What are Fibroids Fibroids are tumors that grow along with the muscles of the uterine wall. They are almost always benign and can bulge into or out of the uterus, or remain within the uterine wall. Also known as leiomyoma or myoma, fibroids vary in appearance and presentation. Some are small, while others grow large, and sometimes only one fibroid grows, while other times several appear.  Fibroids are classified based on where they are located or how they are attached to the uterine wall: Intramural fibroids:These fibroids grow in the uterine wall muscle. They are the most common type of fibroid. Submucosal fibroids: These fibroids grow just under the uterine lining and bulge into the uterus. Subserosal fibroids: These fibroids grow on the outer layer of the uterus, bulging into your pelvic cavity. Pedunculated fibroids:These fibroids can grow into or out of the uterus and are connected to the uterus with a small stalk. Fibroids are very common and may appear in up to 80% of women by the time they reach age 50. In many cases, fibroids cause no symptoms at all and go undetected. These muscular growths can affect women at any age but are more common in women in their 30s and 40s. The cause of fibroids is unknown but may be related to hormones and genetics. Although researchers aren’t sure why fibroids appear, some risk factors are associated with them, such as: Weight: There is an increased risk of developing fibroids for those who are overweight. Diet: Foods such as red meat and ham are associated with higher risk, while a diet including lots of green vegetables lowers risk. Menopause: The risk of developing fibroids increases with age until you go through menopause. After menopause, fibroids typically shrink or even disappear. Ethnicity: African American women typically experience higher rates of fibroids than Caucasian women. Hispanic women also experience higher rates of fibroids. To date, there are no treatments that prevent fibroids from growing. However, there are many treatment options for existing fibroids when they cause symptoms or complications. What are the Common Symptoms of Fibroids? Fibroids often go undetected due to a lack of symptoms. Sometimes, women discover that they have fibroids during a prenatal ultrasound or a routine pelvic exam. However, fibroids can also cause a range of symptoms, including: Pain and Pressure: You may notice pain or pressure in the abdomen or lower back, as well as pain during intercourse. Pressure may produce related symptoms such as difficult or frequent urination, cramps, or constipation. Infertility and miscarriage: Depending on their location and size, fibroids can block the fallopian tubes, prevent conception, or disrupt the implantation process. Similarly, fibroids may cause the placenta to detach from the uterus, resulting in the loss of pregnancy. Menstrual changes: Fibroids can sometimes cause longer and/or heavier menstrual flow, spotting, and cramps. Some women may develop anemia due to a large amount of blood loss. Other complications: When fibroids grow very large, your uterus may become enlarged, causing your whole abdomen to swell. This may also put pressure on your intestines, causing constipation or discomfort. Symptoms of fibroids are similar to many other conditions, making the diagnosis difficult at times. If you have symptoms of fibroids, be sure to discuss your concerns with your doctor. With simple imaging exams such as an ultrasound, your doctor will be able to determine whether or not you have fibroids, how many you have, and their position. With an accurate diagnosis, you can then get the best treatment for your needs. What are my Treatment Options? Fortunately, fibroids are very treatable. Among the most common treatments are medications and surgery. Although both medications and surgery may be viable options in many cases, each approach has its advantages and disadvantages. The main disadvantage of medications is that while they may treat any symptoms, they don’t eliminate the problem. To permanently treat the condition, surgery is needed. Although surgery requires a medical procedure and some recovery time, it is preferable to medications for many women. This is because medications may cause side effects and even impact your fertility negatively. Surgery, on the other hand, removes the fibroids safely and solves the problem permanently. Here at Kofinas, we offer our patients complete fibroid treatment through minimally invasive fibroid removal surgery. Your doctor here at Kofinas will take the time to walk you through the various treatment options so that you can make an informed decision. However, we often recommend treating with surgery as it is the best way to preserve your fertility.If you have fibroids, discuss your treatment options with your doctor before making any decisions. Our doctors here at Kofinas will happily walk you through your options and help you make the best decision for your goals. Fibroid Treatments that Cause Infertility Some fibroid treatment options come with the risk of infertility. In certain cases, these treatment options may be ideal. However, it’s essential for women who hope to preserve their fertility to be aware of the risks associated with these treatments. UAE Standing for Uterine Artery Embolization, in this procedure, the doctor cuts off the blood supply to fibroids so that they shrink. It is a minimally invasive procedure completed using a catheter that is threaded through arteries in the leg. In fact, most patients can go through the procedure with sedation and local anesthesia.  Unfortunately, a UAE doesn’t eliminate the problem of fibroids completely. Even after the procedure, many women need to have it repeated or choose another approach for their fibroids. Also, the procedure puts women at risk for complications in future pregnancies, including a higher risk of miscarriage. For this reason, UAE is usually only recommended for women who don’t want to get pregnant in the future.Pros: Short, minimally invasive, and generally safe Can decrease pain, pressure, and bleeding caused by fibroids Cons: It is recommended that women who undergo this procedure don’t have a future pregnancy The procedure may cause infertility Fibroids may grow back Ultimately, UAE is only appropriate for women who don’t want to get pregnant again. Even in these cases, there is a risk that the woman may need surgery, a hysterectomy, or further treatment for fibroids after this procedure. Hysterectomy During a hysterectomy, the entire uterus is removed surgically. Sometimes, only the uterus is removed while in other cases the ovaries are also extracted. This procedure is very routine, representing the second most common surgery for women in the United States. Despite this, a hysterectomy is often considered a last resort for treating uterine fibroids and other reproductive health conditions. A hysterectomy does eliminate fibroids. However, it is a major surgery that comes with serious consequences. Namely, after a hysterectomy, it is impossible for a woman to become pregnant. While eggs may be retrieved and frozen to protect fertility, any future pregnancy would need to be done via surrogacy. Pros: Eliminates fibroids Eliminates the pain, pressure, and bleeding caused by fibroids Cons: Causes infertility Is an invasive surgery that removes your uterus You may need to take medications to regulate your hormones for the rest of your life A hysterectomy is an extreme surgical approach for fibroids, usually reserved for very large fibroids that cause severe bleeding. Fibroid Medications Various medications are used to treat fibroids, including birth control and pain killers. These medications can help reduce pain and regulate bleeding. Only certain birth control methods containing progesterone are effective in treating fibroids. However, some studies show that birth control pills may reduce the likelihood of growing fibroids. Another common medication used in fibroid treatment is iron supplements, which are used if you become anemic due to blood loss. A medication called gonadotropin-releasing hormone agonists (GnRHa) can shrink fibroids. Unfortunately, this medication causes bones to thin, so it can’t be used long-term. As soon as you stop taking GnRHa, the fibroids will grow back. Typically, GnRHa is used to shrink fibroids with the goal of making them easier to remove during surgery.  Fibroid medication treatments only address symptoms and do not eliminate fibroids. Pros: Minimally invasive Can help improve symptoms such as pain or excessive bleeding Cons: Doesn’t eliminate the fibroids Birth control medications make it impossible to get pregnant GnRHa medications cause bone thinning and are a short-term solution that stops working when you stop taking the pills Fibroid medications can serve as an initial treatment until surgery can be performed. It doesn’t offer a long-term solution. Fibroid Removal Procedures that Don’t Cause Infertility Sometimes, fibroids affect fertility. If you want to regain your fertility by treating your fibroids, there are treatments available to you that can help improve your chances of getting pregnant. The treatments below are also ideal for women who want to eliminate the symptoms of fibroids while protecting their future fertility. Minimally Invasive Laparoscopy Myomectomy is a type of surgery that makes use of a tiny fiber-optic scope. The scope is inserted into a small incision near your belly button, allowing the doctor to pinpoint and remove fibroids. This procedure eliminates fibroids and the symptoms they cause. Only the fibroid tissues are removed, leaving the rest of the uterus intact. Laparoscopy is a less invasive type of surgery than traditional surgery, which means you’ll recover faster and experience less pain. Pros: Eliminates fibroids and the symptoms they cause Minimally invasive surgery that reduces inflammation, scar tissue, and recovery times Can improve fertility Cons: Surgery comes with risks Some recovery time is necessary Laparoscopic surgery is generally a permanent solution, especially for women with fewer fibroids. Although there is a small risk that fibroids will grow again, for most women, the procedure eliminates present and future fibroids. This procedure also can help restore the fertility of women who present fibroids that make implantation or fertilization difficult. Kofinas Fertility’s Fibroid Surgery At Kofinas Fertility Group, we specialize in fibroid-related surgeries to help you improve your health and achieve your fertility goals. Before scheduling surgery, our doctors will carefully analyze and identify your fibroids to determine the best approach. Fewer, smaller fibroids can be treated right here in our facilities. However, more serious cases that include multiple or large fibroids are best treated in the hospital. Although complications are rare, it’s best to be cautious.  No matter your situation, you can count on us to offer excellent fibroid removal surgery. During the procedure, the doctor will eliminate only the fibroid tissue, leaving the rest of your uterus intact. Because fibroids affect fertility, removal through surgery may help you achieve a healthy pregnancy. ### END_RECORD ### START_RECORD TYPE: procedures ID: 917 TITLE: Donation & Surrogacy URL: https://www.kofinasfertility.com/services/donation-surrogacy/ EXCERPT: Experience motherhood, turn to egg (oocyte) donation DATE_PUBLISHED: 2026-02-09T15:54:53Z DATE_UPDATED: 2026-07-02T02:36:43Z SCHEMA_TYPE: MedicalProcedure SCHEMA_PROCEDURE_TYPE: medical procedure general META_seo_description: Explore egg donation, sperm donation, and surrogacy options with personalized fertility care to help you build your family. TAX_location: Long Island TAX_location: Upper West Side TAX_location: Lower Manhattan TAX_location: Staten Island TAX_location: Brooklyn TAX_procedure: Donation & Surrogacy TAX_staff: George D. Kofinas, MD, FACOG TAX_staff: Jason Kofinas, MD, MSc, FACOG TAX_staff: Peter Brzechffa, MD, FACOG TAX_staff: Melissa Montes, MD, MSc, FACOG TAX_staff: Levica Narine, MD, FACOG TAX_staff: Charalampos (Harry) Chatzicharalampous, MD, PhD, FACOG, FACMG BODY_CONTENT: | Screening Through our egg donation program here at Kofinas Fertility Group in New York, we screen donors to ensure they are physically and psychologically healthy. Screening includes health tests and a thorough interview regarding their full medical history. Other tests for the donor include: Drug screenings Blood testing for various genetic illnesses Ultrasound and physical exam Psychological evaluation Infectious disease screening Your Alternatives Sperm donation as an effective alternative. If male fertility is a factor contributing to conception difficulty, donor sperm is often an effective alternative. Donor sperm can be used in treatments like artificial insemination (IUI), intracytoplasmic sperm injection (ICSI), gamete intrafallopian transfer (GIFT), zygote intrafallopian transfer (ZIFT), surrogacy, and in vitro fertilization (IVF). You can select your donor sperm based on desired attributes, such as: Eye color Hair color Ethnicity Weight Height Profession Education About Surrogacy: How surrogacy can help you How surrogacy can help you. If a woman is unable to sustain a pregnancy, surrogacy is an option to conceive. It’s important to choose a surrogate that has had a complete medical history evaluation to assess the likelihood of a healthy, full-term pregnancy. Surrogate candidates should be tested for immunity to measles, rubella, and chickenpox. The surrogate should also be screened for infectious diseases such as syphilis, gonorrhea, chlamydia, HIV, cytomegalovirus, and hepatitis B and C. In addition, there are a few standard criteria your surrogate should possess: She has already given birth to at least one healthy baby. This means she understands the medical risks of pregnancy and childbirth as well as the emotional issues of a bonding with a newborn She passes a psychological screening performed by a mental health professional to ensure emotional stability She willingly signs a contract agreeing to her role and responsibilities in the pregnancy to ensure prenatal care, and to relinquish the baby after birth She is at least 21 years of age She isn’t motivated solely by compensation Surrogates: What are your options? Traditional surrogate – A traditional surrogate is a woman who is artificially inseminated with the father’s sperm (donor sperm can also be used) and her own egg. She carries the baby to term and delivers it for the parents to raise. Because her own eggs were used, traditional surrogates are the baby’s biological mother. Gestational surrogate – With in vitro fertilization, gestational surrogates use other eggs (like those from the mother who cannot sustain pregnancy) and sperm to make an embryo that is placed into the uterus of the gestational surrogate. A gestational surrogate has no genetic ties to the child, because her egg was not used. At Kofinas Fertility Group, we offer a variety of surrogacy resources to make your dreams of having a baby a reality. We’ll work with you to help you decide which option is right for you, and develop a fertility plan designed for your needs. If you are interested in donation and surrogacy, or to request an appointment,call 212-348-4000. You can also request an appointment using our easy online form. ### END_RECORD ### START_RECORD TYPE: procedures ID: 915 TITLE: Ovarian Tissue Cryopreservation (OTC) URL: https://www.kofinasfertility.com/services/ovarian-tissue-cryopreservation-otc/ EXCERPT: What is Ovarian Tissue Cryopreservation? Ovarian tissue freezing or Ovarian Tissue Cryopreservation (OTC) was first developed over two decades ago. This new technology allows your doctor to freeze ovarian tissue containing thousands of immature eggs before you begin cancer treatment. This way, when treatment is complete and you’re ready, your ovarian tissue can be transplanted […] DATE_PUBLISHED: 2026-02-09T15:54:42Z DATE_UPDATED: 2026-07-02T02:27:25Z SCHEMA_TYPE: MedicalProcedure SCHEMA_PROCEDURE_TYPE: medical procedure general META_seo_description: Learn about ovarian tissue cryopreservation, a fertility preservation option that helps protect future reproductive potential. TAX_location: Long Island TAX_location: Upper West Side TAX_location: Lower Manhattan TAX_location: Staten Island TAX_location: Brooklyn TAX_procedure: Ovarian Tissue Cryopreservation (OTC) TAX_staff: George D. Kofinas, MD, FACOG TAX_staff: Jason Kofinas, MD, MSc, FACOG TAX_staff: Peter Brzechffa, MD, FACOG TAX_staff: Melissa Montes, MD, MSc, FACOG TAX_staff: Levica Narine, MD, FACOG TAX_staff: Charalampos (Harry) Chatzicharalampous, MD, PhD, FACOG, FACMG BODY_CONTENT: | What is Ovarian Tissue Cryopreservation? Ovarian tissue freezing or Ovarian Tissue Cryopreservation (OTC) was first developed over two decades ago. This new technology allows your doctor to freeze ovarian tissue containing thousands of immature eggs before you begin cancer treatment. This way, when treatment is complete and you’re ready, your ovarian tissue can be transplanted back into your body allowing you to regain full ovarian function, including fertility.   It is a way to not only preserve fertility for women or prepubescent girls facing gonadotoxic (fertility damaging) treatment, but any female wanting to preserve more than just a few eggs. It can also help females to regain their reproductive health and endocrine function. Compared to egg freezing, which typically takes at least two weeks and yields an average of 8-14 eggs, we can now freeze thousands of eggs in a single sample of ovarian tissue. This medical breakthrough greatly increases your chances of achieving pregnancy when you are ready and even gives women the opportunity to conceive spontaneously without IVF. How It Works  Females are born with all the eggs they will ever have stored in the cortex (outer layer) of their ovaries. For many women and girls facing medical diagnoses such as cancer or undergoing necessary treatments like chemotherapy and radiation can harm long term fertility and reproductive health. These treatments can lead to an early menopause referred to as POI (premature ovarian insufficiency). Certain genetic disorders like Turner syndrome, sickle cell anemia, thalassemia, and galactosemia as well as autoimmune diseases requiring bone marrow transplantation can also cause POI.  This new technology allows your doctor to freeze this tissue containing thousands of immature eggs before you begin any treatment that could affect reproductive function. This way, when treatment is complete and you’re ready, your ovarian tissue can be transplanted back into your body allowing you to regain ovarian function, including fertility. It can be stored for many years until the patient is ready to use the tissue. Successful Transplantations  Today, thousands of women have already undergone this procedure to preserve their ovarian tissue.    This medical breakthrough greatly increases a patient’s chance of achieving pregnancy when they’re ready and even gives women the opportunity to conceive spontaneously without IVF. How is Ovarian Tissue Cryopreservation different from other forms? When it comes to reproductive cryopreservation, it has traditionally been all about eggs and sperm. You can freeze your eggs and sperm through a rapid freezing technique called vitrification. Vitrification is an effective technology that rapidly cools eggs or sperm without the damaging effects of any ice crystals forming. Your cells are fully immersed in liquid nitrogen, maintaining their cellular integrity for the duration of the time frozen. This method of freezing is highly effective for embryo and egg freezing but is not the preferred method for ovarian tissue freezing. The preferred method for ovarian tissue freezing is a computer-controlled slow freezing method which has proven to be the most successful method for ovarian tissue freezing. Attempts to freeze ovarian tissue by the rapid vitrification technique so far have failed to deliver results comparable to the slow computer-controlled tissue freezing technique. What to expect before and during the process Ovarian tissue cryopreservation is performed in order to preserve the fertility of the patient by the removal of ovarian tissue of one or both ovaries for freezing. Once the patient completes cancer treatment and is ready to build a family, we can transplant the frozen tissue back into the body. The frozen tissue for transplantation will function just like a normal ovary once back in the body, producing all the hormones and eggs, restoring normal ovulatory function, fertility, and menstrual periods. Since the timeline is of the utmost importance for this procedure, here’s a breakdown of what it looks like. 6 Steps to an Ovarian Tissue Cryopreservation Procedure Step 1 Patient schedules quick appointment with Kofinas Fertility. Step 2 An expedited consultation will include all necessary preparation for surgery. Step 3 Arrive for surgery at the best reproductive surgery center, Manhattan Reproductive Surgery Center. Step 4 A minimally invasive incision is made to remove ovarian tissue. Step 5 After the hour-long procedure, ovarian tissue is processed and quickly frozen. Step 6 Patient recovery is monitored before being released to go home the same day. Patient schedules quick appointment with Kofinas Fertility. Once the Oncologist informs the patient or the patient’s family about the procedure and is interested, the patient or Oncology office can then get in touch with Kofinas Fertility Group’s dedicated Ovarian Tissue Cryopreservation Program via call or email. Once the request is received, an appointment can be scheduled for the same day or within 24 hours. An expedited consultation will include all necessary preparation for surgery.Kofinas Fertility Group has a dedicated program for this procedure and gives these patients top priority. The initial consultation for this procedure has an expedited time frame in which it will occur. It will consist of a complete health history including the records from the Oncologist, taking blood specimens for pre-operative purposes, and scheduling the surgery as early as the next day. Due to the emergent timeline, this procedure does not require any special preparation on the patient’s part prior to surgery. Arrive for surgery at the best reproductive surgery center, Manhattan Reproductive Surgery Center. The surgical procedure will take place at Kofinas Fertility Group’s dedicated surgery center, Manhattan Reproductive Surgery Center. Manhattan Reproductive Surgery Center (MRSC) is the first fully licensed surgical facility solely focused on reproductive care in the state of New York. The facility itself is conveniently located in lower Manhattan on 65 Broadway’s 21st floor, the same building as Kofinas Fertility Group’s headquarters. Because MRSC is closely affiliated with the Kofinas Fertility Group, your care will be seamless and the standard of surgical care received is the best that New York has to offer. A minimally invasive incision is made to remove ovarian tissue. The procedure itself will consist of the ovarian tissue, ovary, or ovaries being removed by a minimally invasive laparoscopy through a tiny incision on the abdominal wall. The amount of tissue removed depends on how much tissue is needed according to the age of the patient and what form of cancer treatment is required. The amount of tissue is also taken according to how much will be needed to re-implant back into the patient to restore normal reproductive function and fertility. This will be discussed by your surgeon so that you are fully informed prior to the procedure. After the hour-long procedure, ovarian tissue is processed and quickly frozen. The duration of the procedure will also depend on how much tissue is required to cryopreserve (freeze), but is typically a one hour procedure. The tissue is then processed for freezing within 30 seconds after removal. The processing and preparation of freezing the tissue happens immediately because the MRSC operating rooms have a direct pass-through window to Kofinas Fertility Group’s dedicated Ovarian Tissue Cryopreservation laboratory where the tissue will be preserved and stored. Immediate freezing preserves the viability of the ovarian tissue and the greater the number of oocytes (eggs) that survive the freezing and eventual thawing for re-implantation. Patient recovery is monitored before being released to go home the same day. Once the procedure is complete, the patient will be monitored in our post-operative recovery bay for 1-2 hours. This is an outpatient procedure so the patient is able to go home the same day. Recovery looks different for everyone, but patients are typically ambulatory (able to move around) as soon as the next day after the procedure. Who can benefit from Ovarian Cryopreservation? Currently, OTC is the only method of fertility preservation available for prepubescent girls (girls who have not yet started their menstrual period). With the likelihood of surviving pediatric cancer on the rise, now around 80%, it is important to think about quality of life after treatment and if having biological children could be important later on. With chemotherapy and radiation causing girls to be at a high risk of POI (premature ovarian insufficiency), OTC will be their only opportunity to have a biological child later in life. Egg freezing won’t be an option for prepubescent girls since their ovaries are not yet developed or capable of releasing mature eggs. Parents should take this into consideration and talk to their child to help them make this important decision. Women wanting to preserve their future fertility due to any medical condition or treatment that could impact their fertility and reproductive function should consider OTC. Especially those who need to start cancer treatment urgently and don’t have the time it takes to go through an egg freezing cycle. Undergoing the OTC procedure guarantees far greater chances of conceiving later on while allowing you to receive necessary treatments without delay. Egg freezing is still a very good option for those faced with a cancer diagnosis, but the timeline for egg freezing is longer by 2-3 weeks for one cycle. Due to the pending cancer treatment timeline, those who choose to freeze their eggs rather than ovarian tissue will only be able to go through one cycle of egg freezing, yielding an average of eggs far less than that of ovarian tissue. Women considering egg freezing without a cancer diagnosis may need to freeze their eggs in multiple cycles due to the unpredictable amount of eggs that will mature with stimulating hormones. Freezing your ovarian tissue minimizes this time from 2-3 weeks down to less than one week. Many women are now choosing OTC rather than egg freezing simply because egg freezing can’t give a guarantee of the number or quality of eggs you will end up with. Even if fertility is not on your mind now, it is important to discuss with your doctor before starting cancer treatment. Why New York’s Kofinas Fertility Group is the best at Ovarian Tissue Cryopreservation Kofinas Fertility Group prides itself on being at the leading edge of reproductive advancements with over three decades of experience yielding very high success rates and including the establishment of the first ambulatory surgery center dedicated to reproductive care in New York. Adding Ovarian Tissue Cryopreservation to the existing list of already comprehensive services offered was a natural and necessary step to providing the best possible reproductive care in New York. Our state-of-the-art facilities made it all possible to bring this program in-house. We are proud to be one of the few facilities in the United States that offers this procedure all under one roof. At Kofinas Fertility, we have a dedicated team just for the patients who need this procedure the most. Our Ovarian Tissue Cryopreservation Program works with your Oncology team every step of the way to ensure that your immediate health is taken care of with no delays and that your future fertility is preserved for when the time is right for you or your child to start a family. A successful ovarian tissue freezing program demands expert surgeons, experienced tissue freezing laboratory technicians, modern, state of the art, properly equipped with special equipment and instrumentation facilities, such as operating rooms and tissue freezing laboratories with expertise and experience in fertility preservation procedures. The experienced surgeons of Kofinas Fertility Group have developed their own special surgical techniques for ovarian tissue harvesting and ovarian tissue transplantation. The senior technicians at the Kofinas Fertility Group IVF laboratory, with decades of experience in fertility cryopreservation (egg, embryo, and sperm freezing), were trained in ovarian tissue cryopreservation by the world pioneers of these techniques in Copenhagen, Denmark in 2014. Since their training in Denmark, our team is in close contact and cooperation with the Danish team which was also actively involved and advised us during the planning and development of our ultramodern ovarian tissue cryopreservation program. The program is located at the headquarters of the Kofinas Fertility Group at 65 Broadway, Financial District in New York City. Design and construction of the surgical suits and the laboratories was geared towards the development of the ovarian cryopreservation program. ### END_RECORD ### START_RECORD TYPE: procedures ID: 916 TITLE: LGBTQ Fertility Therapy URL: https://www.kofinasfertility.com/services/lgbtq-fertility-therapy/ EXCERPT: Proud allies of New York’s LGBTQ community. Here at Kofinas Fertility Group, we believe that everyone has the right to start a loving family. As one of the best fertility clinics in NYC, our fertility experts have extensive experience designing fertility treatment protocols that suit the needs of your sex, gender identity, and personal preferences. […] DATE_PUBLISHED: 2026-02-09T15:54:37Z DATE_UPDATED: 2026-07-02T02:34:05Z SCHEMA_TYPE: MedicalProcedure SCHEMA_PROCEDURE_TYPE: medical procedure general META_seo_description: Explore LGBTQ+ fertility services, including donor options, IVF, reciprocal IVF, and personalized family-building support for every journey. TAX_location: Long Island TAX_location: Upper West Side TAX_location: Lower Manhattan TAX_location: Staten Island TAX_location: Brooklyn TAX_procedure: LGBTQ Fertility Therapy TAX_staff: George D. Kofinas, MD, FACOG TAX_staff: Jason Kofinas, MD, MSc, FACOG TAX_staff: Peter Brzechffa, MD, FACOG TAX_staff: Melissa Montes, MD, MSc, FACOG TAX_staff: Levica Narine, MD, FACOG TAX_staff: Charalampos (Harry) Chatzicharalampous, MD, PhD, FACOG, FACMG BODY_CONTENT: | Proud allies of New York’s LGBTQ community. Here at Kofinas Fertility Group, we believe that everyone has the right to start a loving family. As one of the best fertility clinics in NYC, our fertility experts have extensive experience designing fertility treatment protocols that suit the needs of your sex, gender identity, and personal preferences. Thorough fertility evaluation and testing provides you with the best possible chance of success. In order to maximize your chance of a successful birth, you’ll meet with one of our fertility doctors to discuss you and your partner’s desires. Depending on age and sex, one partner may be more suitable for fertility therapy. For example, women under age 33 have the best chance of successfully conceiving. Some other factors we’ll discuss at your initial evaluation include: Fertilization methods Whether you’re a single parent or a couple Anonymous or known egg/sperm donation Surrogacy or gestational carrier services No matter what your gender or sexual orientation is, we’re committed to providing everything you need Lesbian In order to maximize your chance of fertility success, we’ll first check for and solve any barriers to pregnancy, such as endometriosis or hormonal irregularities. After developing a plan and optimizing your fertility through therapies, we’ll generally recommend either in vitro fertilization (IVF) or intrauterine insemination. However, you do have choices! There are many approaches that lesbian couples take to fertility therapy, including: One partner will donate the egg, and the other will carry the pregnancy The partner carrying the pregnancy will also provide the egg Sperm donation can come from a friend, family member, or an anonymous donor If neither partner has an ideal uterine environment for pregnancy, we can arrange for a gestational carrier Gay We offer gay men (and any patient) a first-rate gestational carrier program that ensures your child develops in a healthy uterine environment. All of our gestational carriers are thoroughly screened — physically and psychologically — to minimize any risk to your new baby. After we conduct fertility testing, we’ll present you with a fertility success plan and the options available to you, which can include: Fertility treatment (if necessary) to maximize your chance of taking home a healthy baby Whether you want the egg donor and/or gestational carrier to be someone you know (friend or family member), of whether if you’d prefer to use our anonymous egg donor service Selecting whether you or your partner will provide the sperm (we’ll offer a recommendation based on fertility testing) Transgender Because transgender individuals typically take hormones that render them sterile, you’ll need to discontinue your hormone use to restore your fertility. We’ll help you transition off your hormone treatment safely and provide you with an honest assessment of how fertility therapy will affect your body, as well as your chance for success. Your individual plan will vary depending on your birth sex and gender identification, and many transgender individuals and couples have left Kofinas Fertility Group as happy, new parents. With the help of our caring fertility specialists, you can also experience the unique relationship between parent and child. For more information on LGBTQ fertility therapy, or to schedule an appointment, call 212-348-4000. You can also schedule an appointment using our easy online form. ### END_RECORD ### START_RECORD TYPE: procedures ID: 910 TITLE: Egg Freezing URL: https://www.kofinasfertility.com/services/egg-freezing/ EXCERPT: Freeze your eggs, not your options DATE_PUBLISHED: 2026-02-09T15:54:27Z DATE_UPDATED: 2026-07-02T02:32:17Z SCHEMA_TYPE: MedicalProcedure SCHEMA_PROCEDURE_TYPE: medical procedure general META_seo_description: Learn about egg freezing to preserve your fertility, protect future family-building options, and plan parenthood on your timeline. META_flexible_content: a:1:{i:0;s:10:"schema_faq";} TAX_location: Lower Manhattan TAX_location: Staten Island TAX_location: Brooklyn TAX_location: Long Island TAX_location: Upper West Side TAX_procedure: Egg Freezing TAX_staff: George D. Kofinas, MD, FACOG TAX_staff: Jason Kofinas, MD, MSc, FACOG TAX_staff: Peter Brzechffa, MD, FACOG TAX_staff: Melissa Montes, MD, MSc, FACOG TAX_staff: Levica Narine, MD, FACOG TAX_staff: Charalampos (Harry) Chatzicharalampous, MD, PhD, FACOG, FACMG BODY_CONTENT: | Advanced Egg Freezing Only you can choose the right time to have a baby. Trust our egg freezing specialists to preserve your fertility. It isn’t always convenient or possible to start a family during your peak fertility years (before age 32). And that’s okay! Whether you’re prioritizing your career, need to have cancer treatment, or want to wait just because… Kofinas Fertility Group is here for you. Freezing your eggs during your peak fertility years preserves their quality for over 10 years. Egg freezing (officially known as “oocyte cryopreservation”) works by bathing your harvested eggs in a solution that prevents ice crystals from damaging them. We then place your eggs in plastic vials and freeze them in liquid nitrogen in a process called “vitrification.” Frozen eggs can be stored for weeks, months or even years, and then transferred to your uterus or that of a surrogate mother. 5 Steps To Egg Freezing Egg freezing relieves the stress of age-related fertility decline, lowers your chance of pregnancy complications, and allows you to balance your family and career. It’s important to note that egg freezing does not guarantee you a pregnancy. The chance of successfully conceiving with in vitro fertilization (IVF) using frozen eggs is similar to cycles using fresh eggs. Also, there are no increases in genetic abnormalities or birth defects in children born from frozen eggs. STEP 1: Hormone Therapy Two weeks of hormone therapy to stimulate your ovaries and produce multiple eggs. STEP 2: Egg Monitoring Regular egg monitoring to ensure your eggs are healthy. STEP 3: Retrieve Your Eggs A minor outpatient procedure to retrieve your eggs. STEP 4: Freeze Your Eggs Preparation and freezing of eggs. STEP 5: Store Your Eggs Storage — frozen eggs can remain viable for over 10 years. Join Thousands of Other Women In 2012, the American Society for Reproductive Medicine (ASRM) lifted the experimental status of egg freezing procedures, citing high egg-viability rates (90%+) and live-birth rates similar to IVF cycles using fresh eggs. This means egg freezing clinics have been providing first-line fertility treatment for many years. Women are rapidly recognizing the lifestyle flexibility offered by egg freezing in New York. Be part of a growing movement of women who’re taking control of their fertility! Maybe you're in the middle of building your career, maybe you haven't met the right partner, or you just aren't ready to be a parent. The number one factor contributing to your fertility health is age. Freezing your eggs gives you the ability to press pause on your timeline. You should consider freezing your eggs if you want to significantly increase your chance of a successful pregnancy when you're ready. Getting started is easy! JavaScript chart by amCharts 3.21.15200920102011201220132014201501,0002,0003,0004,0005,0006,0007,0008,00047581512722488393861237518JS chart by amCharts Freezing Your Embryos We have the ability to cryopreserve your embryos in our advanced in-house laboratory. Regardless if your transfer is soon or you want to wait until you’re ready for number two or three, your embryos are kept safe with our technology (that has backups for our backups) until you decide to use them. There are many reasons why we suggest cryopreserving or banking your embryos rather than separating eggs and sperm: It is ideal for patients with partners or sperm donors available. It is also ideal for patients that want more children in the future, but want to preserve the quality now. Embryo freezing will give you more information upfront versus freezing eggs – we already know which eggs were mature (healthy enough to fertilize) and develop into blastocysts (develop embryologically). You also have the option of genetically testing the embryos through preimplantation genetic testing (PGT). We do this by taking a biopsy or small tissue sample of what will become the placenta (called the trophectoderm). This sample will tell us the chromosomal health of your embryos. This can also help you decide if you need to do more IVF cycles in the future. ### END_RECORD ### START_RECORD TYPE: procedures ID: 911 TITLE: In Vitro Fertilization URL: https://www.kofinasfertility.com/services/in-vitro-fertilization/ EXCERPT: The most advanced assisted reproductive technology tailored to your goals DATE_PUBLISHED: 2026-02-09T15:54:16Z DATE_UPDATED: 2026-07-02T02:36:21Z SCHEMA_TYPE: MedicalProcedure SCHEMA_PROCEDURE_TYPE: medical procedure general META_seo_description: Learn about IVF, how the process works, success rates, and personalized fertility treatment to help you achieve your family-building goals. TAX_location: Lower Manhattan TAX_location: Staten Island TAX_location: Brooklyn TAX_location: Long Island TAX_location: Upper West Side TAX_procedure: In Vitro Fertilization TAX_staff: George D. Kofinas, MD, FACOG TAX_staff: Jason Kofinas, MD, MSc, FACOG TAX_staff: Peter Brzechffa, MD, FACOG TAX_staff: Melissa Montes, MD, MSc, FACOG TAX_staff: Levica Narine, MD, FACOG TAX_staff: Charalampos (Harry) Chatzicharalampous, MD, PhD, FACOG, FACMG BODY_CONTENT: | Helping You Conceive Kofinas Fertility Group’s advanced in vitro fertilization therapy can help you conceive. At Kofinas Fertility Group in New York, Dr. George Kofinas built his practice around exceptional and compassionate fertility treatment for every patient. He and his team are dedicated to your dreams of conceiving a child, and they’re highly skilled in the most leading-edge fertility treatments, including in vitro fertilization (IVF). Helping couples conceive with expert IVF. In vitro fertilization is an advanced fertility treatment that successfully helps couples to conceive healthy babies. With over 70 years of experience, the Kofinas Fertility Group specialists can treat a variety of fertility issues with treatments like in vitro fertilization. The IVF procedure significantly increases the chances of the embryo(s) attaching to the woman’s uterine lining and developing naturally into a fetus. For IVF, trust the Kofinas Fertility Group fertility specialists IVF is the most advanced and effective of the assistive reproductive technology (ART) fertility procedures. It is performed by retrieving mature eggs from the ovaries and fertilizing those eggs in the lab with sperm to create an embryo. Once the embryo is sufficiently developed, it is implanted into the uterus, where it naturally develops into a fetus. One IVF cycle takes about two weeks. Is IVF for Me? It’s important to remember that IVF is an option that’s only considered once other fertility inhibitors are resolved –– and pregnancy has yet to be achieved. Dr. Kofinas and his team are dedicated to treating your unique issues first to optimize your chance of conceiving with IVF. Here are some of most common fertility issues that we evaluate and treat: Fallopian tube damage or blockage Ovulation disorders Endometriosis Uterine fibroids Previous tubal sterilization or removal Impaired sperm production or function What can I expect? There are a few steps to a successful IVF process. The main steps include: Ovulation induction Using fertility medication to stimulate multiple egg follicles to develop within the ovaries Fertilization Fertilizing the eggs with sperm in a laboratory setting Egg retrieval Extracting mature eggs after one to two weeks of ovarian stimulation Embryo monitoring Monitoring the daily growth of the resulting embryos and determining when they are at the optimum stage of development for transfer to the uterus Sperm retrieval A semen sample is obtained and prepared to combine with the eggs Embryo transfer Transferring one or more quality embryos to the uterus through a small, thin insemination catheter A leader in providing the most advanced fertility care and offering the full range of treatments, Kofinas Fertility Group offers monitoring and support throughout your entire IVF process to ensure a seamless experience and the best chance for successful conception. If you are struggling to conceive and would like more information about IVF and other fertility treatments, or to request an appointment, call 212-348-4000. You can also request an appointment using our easy online form. ### END_RECORD ### START_RECORD TYPE: team ID: 906 TITLE: Charalampos (Harry) Chatzicharalampous, MD, PhD, FACOG, FACMG URL: https://www.kofinasfertility.com/team/charalampos-harry-chatzicharalampous-md-phd-facog-facmg/ EXCERPT: DATE_PUBLISHED: 2026-02-09T15:31:54Z DATE_UPDATED: 2026-03-20T12:40:02Z SCHEMA_TYPE: Person META_TERM_staff_position: Reproductive Endocrinologist & Clinical Geneticist META_TERM_staff_image: /wp-content/uploads/2026/03/CC1-1.webp META_TERM_training_&_recognition: Triple Board Certified in Obstetrics and Gynecology (ABOG), in Clinical Genetics (ABMGG), and in Reproductive Endocrinology and Infertility Fellow of the American College of Obstetrics and Gynecology Fellow of the American College of Medical Genetics Fellowship in Reproductive Endocrinology and Infertility at Wayne State University School of Medicine in Detroit, MI Fellowship in Medical Genetics at the Icahn School of Medicine at Mount Sinai in New York, NY Residency in Obstetrics and Gynecology at The Brooklyn Hospital Center in Brooklyn, NY Doctorate Degree (PhD) in Reproductive Medicine from the University of Athens, Greece, graduating with first-class honors Master of Science (MSc) in Female Reproduction from the University of Athens, Greece, graduating with first-class honors Doctor of Medicine (MD) from the Medical School of Aristotle University in Thessaloniki, Greece Member of the American Society for Reproductive Medicine (ASRM) and the European Society of Human Reproduction and Embryology (ESHRE) META_TERM_awards_&_recognitions: Multiple award winner for patient service excellence and excellence in basic science and clinical research META_TERM_q&a_0_title: Why did you go into this profession? META_TERM_q&a_0_answer: "I come from a big family and I always cherished how lucky I am to have grown up with siblings and many cousins, but it was not without challenges. Many close family members had struggled with infertility, endometriosis and early menopause and my grandmother suffered from severe osteoporosis and fractures at an early age. My decision to seek a career in reproductive medicine and try to further understand and treat these complex conditions came quite naturally and my early experiences sparked my interest on how I could make a difference in people’s lives." META_TERM_q&a_1_title: What did you find compelling about it? What do you most enjoy about it now? META_TERM_q&a_1_answer: I was always fascinated by the complexity of the human body – I used to have so many human anatomy models in my bedroom growing up and that definitely fueled that curiosity. When I was younger, we always had lunch as a family and my parents used to use that opportunity to have all kinds of conversations about science and medicine – I vividly remember wondering how a baby could fit in a “test tube”! I enjoy many aspects of my work. I still enjoy being fascinated by the human body and being able to be a part of my patients’ journey makes it even better. I find my work very rewarding working with my patients and knowing that I contributed to their success of starting a family. When I receive pictures of their babies, it absolutely melts my heart. META_TERM_q&a_2_title: How would you characterize your style of patient interaction? META_TERM_q&a_2_answer: With compassion and attention to detail is how I approach my patient care. I tend to talk a lot and try to address all the worries and uncertainties that patients are often concerned about. I want to tell them what we are doing, why we are doing it, how it will be done, and what the expected outcomes could be. I want them to make an informed decision, without rushing through testing or treatments. META_TERM_q&a_3_title: What do you hope to be able to give or do for patients? META_TERM_q&a_3_answer: I never want my patients to be in a grey zone of “I don’t know why I cannot conceive, I am not sure why I did this test…” That’s why I spend a great deal of time with them explaining every step of the process in their journey and justifying it with evidence-based medicine and quality research. I find myself being their advocate throughout the process and being invested in the best possible outcome. META_TERM_q&a_4_title: What is your best quality as a member of this practice’s team? How does that help you in your role? META_TERM_q&a_4_answer: I am extroverted, optimistic and vibrant, that fits well in our great team and can also be very invigorating for my patients, especially when going through this difficult journey. Professionally, I bring a lot of varied experience to the table. My additional expertise and board certification in Clinical Genetics, gives me the opportunity to help with very complicated cases. These cases may require complex genetic testing or extensive counseling that would normally have to be referred to other centers, but now these can be done at our facility. META_TERM_q&a: 5 META_TERM_publications: 1. Chatzicharalampous C. A genetic association study of kisspeptin 1/ neurokinin B systems in patients with infertility: is it that simple? Fertil Steril. 2020;S0015-0282(20)30539-2. doi:10.1016/j.fertnstert.2020.06.009 2. Thakur M, Rambhatla A, Qadri F, Chatzicharalampous C, Awonuga M, Saed G, Diamond MP, Awonuga AO. Is There a Genetic Predisposition to Postoperative Adhesion Development? Reprod Sci. 2020 Oct 22:1–11. doi: 10.1007/s43032-020-00356-7. Epub ahead of print. PMID: 33090376; PMCID: PMC7579853. 3. Yahfoufi ZA, Bai D, Khan SN, Chatzicharalampous C, Kohan-Ghadr HR, Morris RT, Abu-Soud HM. Glyphosate Induces Metaphase II Oocyte Deterioration and Embryo Damage by Zinc Depletion and Overproduction of Reactive Oxygen Species. Toxicology. 2020;439:152466. doi:10.1016/j.tox.2020.152466 4. Van De Velde NA, Chatzicharalampous C, Awonuga AO. Successful Oocyte Retrieval, Fertilization, and Clinical Pregnancy with Low Serum β-hCG on the Day of Oocyte Collection: A Reappraisal of the Definition of the Empty Follicle Syndrome. Case Rep Obstet Gynecol. 2020;2020:9210651. Published 2020 Feb 8. doi:10.1155/2020/9210651 5. Jeelani R, Chatzicharalampous C, Kohan-Ghadr HR, et al. Hypochlorous acid reversibly inhibits caspase-3: a potential regulator of apoptosis. Free Radic Res. 2020;54(1):43–56. doi:10.1080/10715762.2019.1694675 6. Garvin SE, Chatzicharalampous C, Puscheck E. Reflections on preimplantation genetic testing for aneuploidy and mosaicism: how did we get here, and what does it mean clinically? Fertil Steril. 2019;111(1):45-47. 7. Ali I, Khan SN, Chatzicharalampous C, Bai D, Abu-Soud HM. Catalase prevents myeloperoxidase self-destruction in response to oxidative stress. Journal of inorganic biochemistry. 2019:110706. 8. Jeelani R, Maitra D, Chatzicharalampous C, Najeemuddin S, Morris RT, Abu‐Soud HM. Melatonin prevents hypochlorous acid‐mediated cyanocobalamin destruction and cyanogen chloride generation. Journal of pineal research. 2018;64(3):e12463. 9. Jeelani R, Chatzicharalampous C, Kohan-Ghadr H-R, et al. Acrolein, a commonly found environmental toxin, causes oocyte mitochondrial dysfunction and negatively affects embryo development. Free radical research. 2018;52(9):929-938. 10. Chatzicharalampous C, Garvin SE, Korzeniewski SJ, Puscheck E. Are infertile patients at greater risk of cesarean delivery? Fertil Steril. 2018;110(3):403-404. 11. Morse CB, Barnhart KT, Senapati S, Sammel MD, Prochaska EC, Dokras A, Chatzicharalampous C, Coutifaris C. Association of the very early rise of human chorionic gonadotropin with adverse outcomes in singleton pregnancies after in vitro fertilization. Fertil Steril. 2016;105(5):1208-1214. e1203. 12. Chatzicharalampous C, Bray MA. Isolated Recurrent Hematotrachelos After Abdominal Myomectomy A Case Report. The Journal of reproductive medicine. 2016;61(7-8):393-397. 13. Chatzicharalampous C, Rizos D, Pliatsika P, et al. Reproductive hormones and pastpartum mood disturbances in Greek women. Gynecological Endocrinology. 2011;27(8):543-550. META_seo_description: Meet Charalampos (Harry) Chatzicharalampous, one of our experienced and compassionate Fertility Physicians. TAX_condition: Endometriosis TAX_condition: Fibroids TAX_condition: PCOS TAX_department: Surgery TAX_department: Fertility Therapies TAX_department: IVF & Lab TAX_location: Brooklyn TAX_location: Lower Manhattan TAX_procedure: In Vitro Fertilization TAX_procedure: Sperm Freezing TAX_procedure: LGBTQ Fertility Therapy TAX_procedure: Preserving Future Fertility TAX_procedure: Embryo Freezing TAX_procedure: IUI & Ovarian Stimulation Therapy TAX_procedure: Donation & Surrogacy TAX_procedure: Egg Freezing TAX_procedure: Cancer Fertility Preservation TAX_procedure: Ovarian Tissue Cryopreservation (OTC) TAX_procedure: Male Fertility Treatment TAX_staff: Charalampos (Harry) Chatzicharalampous, MD, PhD, FACOG, FACMG BODY_CONTENT: | ### END_RECORD ### START_RECORD TYPE: team ID: 904 TITLE: Levica Narine, MD, FACOG URL: https://www.kofinasfertility.com/team/levica-narine-md-facog/ EXCERPT: DATE_PUBLISHED: 2026-02-09T15:31:38Z DATE_UPDATED: 2026-03-20T12:39:59Z SCHEMA_TYPE: Person META_TERM_staff_position: OB/GYN Specialist & Minimally Invasive Gynecologic Surgeon META_TERM_staff_image: /wp-content/uploads/2026/03/LNARINE1-1.webp META_TERM_training_&_recognition: Board-Certified in Obstetrics and Gynecology Fellow of the American College of Obstetrics and Gynecology located in Washington, D.C. Residency in Obstetrics and Gynecology at New York Methodist Hospital in Brooklyn, NY Doctor of Medicine from the State University of New York (SUNY), Downstate Medical Center, in Brooklyn, NY Bachelor of Arts in Biology & Spanish Literature Barnard College at Columbia University in New York, NY Member of the American Society of Reproductive Medicine, American Medical Associates, Medical Society of New York, Society of Laparoendoscopic Surgery, New York Metropolitan Embryology Society, and the European Society of Human Reproduction and Embryology META_TERM_q&a_0_title: Why Kofinas Fertility? META_TERM_q&a_0_answer: "Our team here at Kofinas Fertility Group will do absolutely everything we can to help, and building your trust is the first and most important step toward your success." META_TERM_q&a_1_title: Looking Ahead META_TERM_q&a_1_answer: “There really is no greater satisfaction than helping someone start a family who thought it was impossible. And that satisfaction is the greatest motivator you could ask for. Fertility care is all about building relationships, and while I did a lot of research in college, I chose to become a doctor because I enjoy interacting with my patients. “In particular, I am able to relate to and communicate with women very well. I come from a family of strong women, and I understand that listening and discussing the feelings that you’re experiencing — whether you’re angry or sad or hopeless — is the key to overcoming your struggle and understanding that everything will be okay."  META_TERM_q&a: 2 META_seo_description: Meet Levica Narine, one of the compassionate doctors here at Kofinas Fertility Group. TAX_condition: Fibroids TAX_condition: PCOS TAX_condition: Endometriosis TAX_department: Surgery TAX_department: Fertility Therapies TAX_department: IVF & Lab TAX_location: Long Island TAX_location: Lower Manhattan TAX_procedure: Sperm Freezing TAX_procedure: LGBTQ Fertility Therapy TAX_procedure: Preserving Future Fertility TAX_procedure: Embryo Freezing TAX_procedure: IUI & Ovarian Stimulation Therapy TAX_procedure: Donation & Surrogacy TAX_procedure: Egg Freezing TAX_procedure: Cancer Fertility Preservation TAX_procedure: Ovarian Tissue Cryopreservation (OTC) TAX_procedure: Male Fertility Treatment TAX_procedure: In Vitro Fertilization TAX_staff: Levica Narine, MD, FACOG BODY_CONTENT: | ### END_RECORD ### START_RECORD TYPE: team ID: 902 TITLE: Peter Brzechffa, MD, FACOG URL: https://www.kofinasfertility.com/team/peter-brzechffa-md-facog/ EXCERPT: DATE_PUBLISHED: 2026-02-09T15:31:22Z DATE_UPDATED: 2026-03-20T12:39:53Z SCHEMA_TYPE: Person META_TERM_staff_position: Reproductive Endocrinologist META_TERM_staff_image: /wp-content/uploads/2026/03/PBRZECHFFA1-1.webp META_TERM_previously_held_positions: Associate Director of Kofinas Fertility Group, Current META_TERM_training_&_recognition: Board-Certified in Obstetrics & Gynecology Fellow of the American College of Obstetrics and Gynecology located in Washington, D.C. Fellowship in Reproductive Endocrinology and Infertility at UCLA School of Medicine in Los Angeles, CA Residency in Obstetrics and Gynecology at the University of Arizona in Tucson, AZ Internship in Obstetrics and Gynecology at the University of Arizona in Tucson, AZ Doctor of Medicine from the UCLA School of Medicine in Los Angeles, CA Bachelor of Arts in Biology, with honors, at Rutgers University in New Brunswick, NJ Member of the American Society for Reproductive Medicine META_TERM_why_kofinas: “Interacting with my patients and giving them success after years of failure is a constant source of joy and gratification for me. The nature of fertility care is that nothing is certain, and we’re all on this crazy, emotional journey together. While the path to a healthy child may take some unexpected turns, perseverance driven by a strong motivation to succeed can lead to some truly wonderful outcomes. And seeing the smile on each person’s face when our effort pays off is a special moment that I thoroughly enjoy.   In general, I’m very mellow. You can talk to me without feeling intimidated, and I always have time for your questions and concerns. Your comfort throughout your fertility experience is of the utmost importance to me personally and to your overall treatment success, and I’ve crafted my entire practice style around that feeling.” META_TERM_looking_ahead: “One of my original attractions to fertility care was the unique combination of both medical and surgical practice. There’s often a great deal of face-to-face clinical work to be done along with the complex surgical challenges to overcome. Being able to meet your needs, no matter what they are, and stay with you through your entire treatment experience is immensely satisfying to me. Additionally, fertility medicine is a very new and exciting specialty, and the possibility of making big contributions to the field was as appealing to me when I started as it is today." META_TERM_q&a_0_title: Why Kofinas Fertility? META_TERM_q&a_0_answer: “Interacting with my patients and giving them success after years of failure is a constant source of joy and gratification for me. The nature of fertility care is that nothing is certain, and we’re all on this crazy, emotional journey together. While the path to a healthy child may take some unexpected turns, perseverance driven by a strong motivation to succeed can lead to some truly wonderful outcomes. And seeing the smile on each person’s face when our effort pays off is a special moment that I thoroughly enjoy.   In general, I’m very mellow. You can talk to me without feeling intimidated, and I always have time for your questions and concerns. Your comfort throughout your fertility experience is of the utmost importance to me personally and to your overall treatment success, and I’ve crafted my entire practice style around that feeling.” META_TERM_q&a_1_title: Looking Ahead META_TERM_q&a_1_answer: “One of my original attractions to fertility care was the unique combination of both medical and surgical practice. There’s often a great deal of face-to-face clinical work to be done along with the complex surgical challenges to overcome. Being able to meet your needs, no matter what they are, and stay with you through your entire treatment experience is immensely satisfying to me. Additionally, fertility medicine is a very new and exciting specialty, and the possibility of making big contributions to the field was as appealing to me when I started as it is today." META_TERM_q&a: 2 META_seo_description: Meet Peter Brzechffa, our approachable Associate Director. TAX_condition: Fibroids TAX_condition: PCOS TAX_condition: Endometriosis TAX_department: Surgery TAX_department: Fertility Therapies TAX_department: IVF & Lab TAX_location: Staten Island TAX_location: Brooklyn TAX_procedure: LGBTQ Fertility Therapy TAX_procedure: Preserving Future Fertility TAX_procedure: Embryo Freezing TAX_procedure: IUI & Ovarian Stimulation Therapy TAX_procedure: Donation & Surrogacy TAX_procedure: Egg Freezing TAX_procedure: Cancer Fertility Preservation TAX_procedure: Ovarian Tissue Cryopreservation (OTC) TAX_procedure: Male Fertility Treatment TAX_procedure: In Vitro Fertilization TAX_procedure: Sperm Freezing TAX_staff: Peter Brzechffa, MD, FACOG BODY_CONTENT: | ### END_RECORD ### START_RECORD TYPE: team ID: 900 TITLE: Jason Kofinas, MD, MSc, FACOG URL: https://www.kofinasfertility.com/team/jason-kofinas-md-msc-facog/ EXCERPT: DATE_PUBLISHED: 2026-02-09T15:31:05Z DATE_UPDATED: 2026-03-20T12:39:49Z SCHEMA_TYPE: Person META_TERM_staff_position: Reproductive Endocrinologist META_TERM_staff_image: /wp-content/uploads/2026/03/JKOFINAS2-1.webp META_TERM_previously_held_positions: Director of IVF & Research at Kofinas Fertility Group, 2016 – Current Clinical Assistant Professor of Obstetrics and Gynecology at Weill Cornell Medical College, 2018 – Current Associate Medical Director at Manhattan Reproductive Surgery Center, 2019 – Current META_TERM_training_&_recognition: Board certified in Obstetrics and Gynecology & Reproductive Endocrinology and Infertility Fellow of the American College of Obstetrics and Gynecology located in Washington, D.C. Fellowship in Reproductive Endocrinology and Infertility at New York University Medical Center in New York, NY Residency in Obstetrics and Gynecology at Weill Cornell Medical Center in New York, NY Doctor of Medicine, with honors, from George Washington University in Washington, D.C. Master of Science in Biomedical Sciences - Clinical Embryology and Andrology from Eastern Virginia Medical School in Norfolk, VA Bachelor of Science in Economics, Magna Cum Laude and Phi Beta Kappa from George Washington University in Washington, D.C Member of the American Society of Reproductive Medicine, Society of Reproductive Surgeons, American Association of Gynecologic Laparoscopists, American Medical Association, and Society of Reproductive Surgeons META_TERM_why_kofinas: “The opportunity to give the gift of a child is the primary reason — among many — that I chose to become a fertility doctor. The field of fertility medicine is complex and filled with emotion. It’s my job to give you the very best care that I can while ensuring that you understand the reasoning behind every step of your care. I put a great deal of effort into making you feel considered and valued as an individual throughout the entire process." META_TERM_looking_ahead: “It’s an exciting time to be a fertility doctor. New technology has allowed us to give babies to people with astonishing rates of success, and I find the clinical care itself to be very fulfilling. This field is also challenging, and I must push myself to constantly learn and improve in order to give my best to every person I treat. But the challenge of fertility medicine is why I love my work, and being able to give someone a child after years of trying is an indescribable feeling. Ultimately, my goals and those of my patients completely overlap. I want to give them the child of their dreams, and I will always take the time to listen to their exact needs in order to accomplish that.” META_TERM_q&a_0_title: Why Kofinas Fertility? META_TERM_q&a_0_answer: “The opportunity to give the gift of a child is the primary reason — among many — that I chose to become a fertility doctor. The field of fertility medicine is complex and filled with emotion. It’s my job to give you the very best care that I can while ensuring that you understand the reasoning behind every step of your care. I put a great deal of effort into making you feel considered and valued as an individual throughout the entire process." META_TERM_q&a_1_title: Looking Ahead META_TERM_q&a_1_answer: “It’s an exciting time to be a fertility doctor. New technology has allowed us to give babies to people with astonishing rates of success, and I find the clinical care itself to be very fulfilling. This field is also challenging, and I must push myself to constantly learn and improve in order to give my best to every person I treat. But the challenge of fertility medicine is why I love my work, and being able to give someone a child after years of trying is an indescribable feeling. Ultimately, my goals and those of my patients completely overlap. I want to give them the child of their dreams, and I will always take the time to listen to their exact needs in order to accomplish that.” META_TERM_q&a: 2 META_seo_description: Discover the expertise of Dr. Jason Kofinas, a leading fertility specialist dedicated to providing personalized care and innovative treatments. TAX_condition: Fibroids TAX_condition: PCOS TAX_condition: Endometriosis TAX_department: Surgery TAX_department: Fertility Therapies TAX_department: IVF & Lab TAX_location: Upper West Side TAX_location: Lower Manhattan TAX_procedure: Embryo Freezing TAX_procedure: IUI & Ovarian Stimulation Therapy TAX_procedure: Donation & Surrogacy TAX_procedure: Egg Freezing TAX_procedure: Cancer Fertility Preservation TAX_procedure: Ovarian Tissue Cryopreservation (OTC) TAX_procedure: Male Fertility Treatment TAX_procedure: In Vitro Fertilization TAX_procedure: Sperm Freezing TAX_procedure: LGBTQ Fertility Therapy TAX_procedure: Preserving Future Fertility TAX_staff: Jason Kofinas, MD, MSc, FACOG BODY_CONTENT: | ### END_RECORD ### START_RECORD TYPE: page ID: 814 TITLE: Resources URL: https://www.kofinasfertility.com/resources/ EXCERPT: Resources:
Real Information Fertility care can feel overwhelming—full of medical jargon, conflicting advice, and emotional weight. We’ve gathered reliable guides, honest patient stories, and clear answers to help you make decisions with confidence. You’re not alone in this. These resources are here for you. Topic tiles Guides explain in plain language. Stories show what care can […] DATE_PUBLISHED: 2026-02-06T06:56:57Z DATE_UPDATED: 2026-07-02T02:25:17Z SCHEMA_TYPE: Article META_seo_description: Access fertility guides, FAQs, patient stories, and expert insights to help you navigate treatment and family-building decisions. META_flexible_content: a:1:{i:0;s:10:"schema_faq";} META_flexible_content_0_faq_repeater_0_faq_title: When should I see a fertility specialist, and is it too early to come in? META_flexible_content_0_faq_repeater_0_faq_answer: It is rarely too early. General guidance suggests seeking evaluation after 12 months of trying for those under 35, or 6 months for those 35 and older. But these are starting points, not rigid rules. If you have irregular cycles, a history of pelvic surgery or infection, a known diagnosis of endometriosis, PCOS, or fibroids, or if your partner has known sperm concerns, an earlier evaluation makes clinical sense. Coming in before a problem has fully revealed itself is not impatience; it is good planning. A first consultation is informational by nature. You leave with a clearer picture of where things stand, not a treatment plan you did not ask for. META_flexible_content_0_faq_repeater_1_faq_title: What does fertility testing involve, and is it invasive? META_flexible_content_0_faq_repeater_1_faq_answer: Fertility testing for patients with a uterus typically begins with blood tests (hormone levels including AMH, FSH, and estradiol) and a transvaginal ultrasound to assess the ovaries and uterus. A transvaginal ultrasound uses a small probe inserted into the vagina; most patients find it manageable, though it may be mildly uncomfortable. It provides more detailed imaging of the pelvic structures than an abdominal ultrasound. Depending on your history and initial results, additional testing may be recommended. A uterine assessment, such as a saline infusion sonogram (SIS) or hysteroscopy, evaluates the uterine cavity in more detail. Male-partner testing begins with a semen analysis, which is non-invasive. Your care team will explain each test before it is ordered, including what it measures and why it is part of your evaluation. META_flexible_content_0_faq_repeater_2_faq_title: Does surgery help with endometriosis-related infertility? META_flexible_content_0_faq_repeater_2_faq_answer: The evidence on endometriosis and fertility is nuanced, and surgery is not the right answer for every patient with the condition. When endometriosis is causing structural problems, such as ovarian cysts (endometriomas), significant scarring, blocked fallopian tubes, or distortion of the uterine cavity, surgical treatment may improve the conditions needed for natural conception or for IVF. Excision, which removes endometriosis tissue entirely rather than burning the surface, is generally preferred over ablation in fertility-focused care. Whether surgery is appropriate before IVF depends on the extent and location of disease, your ovarian reserve, your age, and other factors that a full evaluation identifies. It is a clinical decision, not a general recommendation. If you have endometriosis and have not had a thorough evaluation by a reproductive surgeon, that is where the conversation should start. META_flexible_content_0_faq_repeater: 7 META_flexible_content_0_faq_repeater_3_faq_title: How do I read and interpret my fertility test results? META_flexible_content_0_faq_repeater_3_faq_answer: Fertility test results carry more meaning when you understand what each one measures. Some reference points: AMH (anti-Mullerian hormone): Reflects ovarian reserve, the quantity of eggs remaining. Lower values indicate reduced reserve; higher values may suggest conditions like PCOS. The clinical significance of any given AMH level depends on your age and the context of other findings. FSH (follicle-stimulating hormone, day 2–3): Elevated FSH on day 2 or 3 of your cycle may indicate that the pituitary gland is working harder to stimulate the ovaries, which can signal declining reserve. Like AMH, it is most meaningful alongside other markers. Antral follicle count (AFC): The number of small follicles visible on ultrasound at the start of a cycle. A higher count is generally associated with a better response to stimulation; a low count may affect how a stimulation protocol is designed. Semen analysis: Results are reported across several parameters: sperm count (concentration), motility (percentage moving), and morphology (percentage with normal shape). No single parameter tells the whole story; your clinician will interpret them together. These numbers provide useful context, but they are not the whole picture. Your care team will interpret your results in relation to your history, symptoms, age, and goals. META_flexible_content_0_faq_repeater_4_faq_title: How do I know which information online about fertility is accurate? META_flexible_content_0_faq_repeater_4_faq_answer: Fertility information online ranges from rigorously accurate to misleading, and distinguishing between them is not always obvious. A few practical filters: Check whether the source cites peer-reviewed evidence or links to authoritative patient education organizations such as MedlinePlus, the CDC, or professional medical societies. Be cautious of sites that present outcome statistics without age or diagnostic context, make absolute claims about what treatments "always" or "never" do, or combine education with product promotion. On social media, patient communities can provide valuable emotional support and shared experience, but clinical decisions based on anecdote rather than a clinician's assessment of your specific situation carry real risk. What worked or did not work for someone else may not translate to your case. The guides and resources on this page are designed to be evidence-grounded and written with the involvement of the Kofinas clinical team. They are a starting point, not a substitute for a consultation. META_flexible_content_0_faq_repeater_5_faq_title: What is the IVF Process Timeline guide, and who is it for? META_flexible_content_0_faq_repeater_5_faq_answer: The IVF Process Timeline guide provides a step-by-step overview of what happens during an IVF cycle, from the start of stimulation medication through the pregnancy test. It is designed for patients who are considering IVF and want to understand the process before committing, and for those who are actively in the planning stage and want to know what each phase involves and how long it takes. The guide covers stimulation and monitoring, egg retrieval, fertilization and embryo development in the laboratory, transfer preparation, and what to expect in the two-week wait. It is written to set realistic expectations, not to minimize the complexity of the process. META_flexible_content_0_faq_repeater_6_faq_title: How do patient stories on this site reflect real outcomes? META_flexible_content_0_faq_repeater_6_faq_answer: Patient stories are shared with the permission of the individuals involved and reflect their personal experience of care at Kofinas. They are selected to represent a range of paths and outcomes, including those that involved difficulty, not just those that ended in pregnancy. Stories are intended to help you feel less alone in your experience and to illustrate what the process of care looks like from a patient's perspective. They are not clinical evidence of typical outcomes, and they should not be used to set expectations about your own situation. Success rates vary significantly by age, diagnosis, and individual factors that a clinical consultation will address specifically. BODY_CONTENT: | Resources:
Real Information Fertility care can feel overwhelming—full of medical jargon, conflicting advice, and emotional weight. We've gathered reliable guides, honest patient stories, and clear answers to help you make decisions with confidence. You're not alone in this. These resources are here for you. Topic tiles Guides explain in plain language. Stories show what care can look like — without promises. Understanding Fertility Comprehensive guides covering fertility basics, testing, and treatment options Learn More Success Stories Real patient experiences across different treatment paths and outcomes Learn More FAQs Common questions answered by our medical team with evidence-based information Learn More Blog Latest insights, research updates, and expert perspectives on fertility care Learn More Featured Stories:
Real Patients, Real Journeys Every path to parenthood looks different.These patients have shared their stories—the challenges, the decisions, the outcomes—to help you feel less alone and more informed. Lucas Learn More Emilio Learn More Eleni Learn More Frequently Asked Questions:
You're not alone in wondering These are the questions we hear most—about fertility, emotions, costs, and what to expect.If you don't see yours here, ask us directly. Latest blog posts Expert insights and research updates The Secrets of Our Fertility Clinic’s Success Rates While there are some additional considerations when it comes to pregnancy after 35, it’s absolutely possible to have a healthy and fulfilling experience. This guide will equip you with knowledge and resources to navigate this chapter of life. Read More Understanding IUI Success Rates with PCOS Finding out you have PCOS can be overwhelming, especially when you’re trying to figure out the best way to start or grow your family. PCOS, or polycystic ovary syndrome, affects a significant number of women—about 8-13%—and is one of the most common causes of fertility challenges.  Read More IUI vs IVF Success Rates Infertility impacts millions of individuals and extends its effects to their families and communities. It is estimated that about one in six people of reproductive age globally will experience infertility at some point in their lives. But choosing the right fertility treatment can be overwhelming! With many options available, understanding the success rates of different […] Read More View All Downloadable Guides:Take Them With You Complex information, clearly organized—so you can review at your own pace,share with your partner, or reference during appointments. Fertility Testing Guide What each test measures, why it matters, and how to interpret your results—so you can be an informed partner in your care Learn More IVF Process Timeline Step-by-step guide to what happens during an IVF cycle, from start to finish—realistic expectations, no surprises Download PDF Surgical Guide When surgery helps, what techniques we use, and what recovery looks like—clear information to help you decide Learn More Third-Party Roadmap:Donors & Carriers The medical, legal, and emotional steps for building your family through egg/sperm donation or gestational surrogacy—demystified Learn More Share Your Story:Help Others Feel Less Alone Your journey matters—not just to you, but to others walking a similar path. Sharing your experience (as much or as little as you're comfortable with) helps others feel less isolated, more informed, and more hopeful. It reminds them—and you—that they're part of a community, not facing this alone. What We’re Looking For: Honest experiences (the hard parts and the hope)What you wish you'd known earlierWhat helped you make decisionsYour outcome (whether "success" or not—all stories matter) Inspire Others Your experience can provide hope and guidance to others facing similar challenges Anonymous Option Share as much or as little as you're comfortable with, with full privacy protection Support Community Contribute to a supportive community of shared experiences and mutual support Share Your Story ### END_RECORD ### START_RECORD TYPE: page ID: 722 TITLE: Build Your Family URL: https://www.kofinasfertility.com/build-your-family/ EXCERPT: Build Your family.
Every path is Personal There’s no single “right” way to build a family. Whether you’re preserving options for later, navigating cancer treatment, using donor eggs or sperm, working with a gestational carrier, or building your LGBTQ+ family—we’re here with inclusive, expert care for your unique journey. The fertility industry often jumps straight to […] DATE_PUBLISHED: 2026-02-05T08:33:12Z DATE_UPDATED: 2026-07-02T02:23:15Z SCHEMA_TYPE: Article META_seo_description: Build your family with personalized fertility care, IVF, egg freezing, fertility testing, and reproductive treatments in NYC. META_flexible_content: a:1:{i:0;s:10:"schema_faq";} META_flexible_content_0_faq_repeater_0_faq_title: What does egg freezing actually guarantee, and what are its limits? META_flexible_content_0_faq_repeater_0_faq_answer: Egg freezing preserves eggs at their current developmental state for potential future use. It does not guarantee a future pregnancy, and understanding its limits before deciding is important. What it can do: preserve eggs that would otherwise age along with you, giving you more options later than you would have if you waited to pursue fertility treatment. What it cannot do: guarantee that those eggs will lead to a live birth when you are ready to use them. Outcomes depend on the number of eggs retrieved (which is influenced by ovarian reserve and stimulation response), their quality at the time of retrieval, how many survive the thaw, how many fertilize, and how many resulting embryos develop and implant. Age at the time of freezing is one of the most significant factors in eventual outcomes. Your clinician can provide age-specific, ovarian reserve-specific context for what is realistic so you can make a decision grounded in accurate information. META_flexible_content_0_faq_repeater_1_faq_title: What is the difference between using donor eggs and using a gestational carrier? META_flexible_content_0_faq_repeater_1_faq_answer: These are two distinct arrangements, and they are sometimes confused. Using a donor egg means that eggs from another individual are used to create an embryo, which is then transferred to your uterus (or the uterus of your partner or gestational carrier). The donor egg recipient carries the pregnancy. This is used when a person's own eggs are not available or are unlikely to lead to a successful pregnancy. A gestational carrier (sometimes called a gestational surrogate) is a person who carries a pregnancy created using the intended parent's or donor's eggs and intended parent's or donor's sperm. The gestational carrier has no genetic connection to the resulting child. This arrangement is used when the intended parent cannot carry a pregnancy themselves. These options can also be combined: a donor egg can be used to create an embryo that a gestational carrier then carries. Both pathways involve medical screening, psychological consultation, and legal steps. Your care team can explain which pathway fits your situation and what each process involves. META_flexible_content_0_faq_repeater: 9 META_flexible_content_0_faq_repeater_2_faq_title: What is reciprocal IVF and how does it work? META_flexible_content_0_faq_repeater_2_faq_answer: Reciprocal IVF is a family-building option for same-sex female couples in which one partner's eggs are retrieved and fertilized with donor sperm, and the resulting embryo is transferred to the other partner's uterus. This allows both partners to have a biological role in the pregnancy: one as the genetic contributor and one as the person who carries and delivers the child. The process involves the same steps as standard IVF for the partner contributing the eggs (stimulation, monitoring, retrieval) and a standard frozen embryo transfer protocol for the partner carrying the pregnancy. Donor sperm is selected and used to fertilize the retrieved eggs in the laboratory. Legal documentation is an important part of this process and is typically handled through a reproductive attorney. Kofinas has experience with reciprocal IVF as part of a range of LGBTQ+ family-building pathways. META_flexible_content_0_faq_repeater_3_faq_title: How does fertility preservation work before cancer treatment? META_flexible_content_0_faq_repeater_3_faq_answer: Chemotherapy, radiation to the pelvis or whole body, and certain surgical procedures used to treat cancer can affect fertility. The type of treatment and the dose are factors that determine the extent of the risk, but for patients of reproductive age who have not yet completed their family, fertility preservation before cancer treatment is worth discussing urgently. Options vary by time available and individual circumstances, and may include egg freezing (oocyte cryopreservation), embryo freezing (if a partner or sperm donor is available), or in some cases ovarian tissue cryopreservation. The goal is to preserve options before treatment begins. Kofinas coordinates with oncology teams to move quickly when time is limited. A consultation can often be scheduled within days for patients who are facing an imminent treatment start. META_flexible_content_0_faq_repeater_4_faq_title: How long does the egg freezing process take from start to finish? META_flexible_content_0_faq_repeater_4_faq_answer: An egg freezing cycle involves a stimulation phase of approximately 10 to 14 days, during which you take injectable hormone medications and attend monitoring appointments every 1 to 3 days (bloodwork and ultrasound). At the end of stimulation, when follicles reach the appropriate size, a trigger injection is given and retrieval is scheduled approximately 36 hours later. The retrieval itself is an outpatient procedure performed under sedation and typically takes 15 to 30 minutes. From the first day of medication to retrieval, most cycles take 2 to 3 weeks. A consultation and baseline evaluation before the cycle adds some time at the front end. If you have a target start date in mind, scheduling a consultation at least 4 to 6 weeks before that date is a reasonable approach, though the team can discuss what is realistic for your specific situation. META_flexible_content_0_faq_repeater_5_faq_title: Can I use a gestational carrier if I am physically able to carry a pregnancy myself? META_flexible_content_0_faq_repeater_5_faq_answer: Using a gestational carrier is not limited to situations where the intended parent is medically unable to carry a pregnancy. There are a range of circumstances in which a gestational carrier may be part of a family-building plan, including recurrent pregnancy loss, conditions that make pregnancy medically inadvisable, same-sex male couples, and single individuals who cannot carry a pregnancy. The decision to involve a gestational carrier is personal as well as clinical, and the medical, psychological, and legal requirements apply regardless of the reason. A consultation is the appropriate place to discuss whether this pathway fits your situation and what the process involves. META_flexible_content_0_faq_repeater_6_faq_title: Is Kofinas LGBTQ+ affirming, and does the team have experience with diverse family structures? META_flexible_content_0_faq_repeater_6_faq_answer: Yes. Kofinas has worked with same-sex couples, single individuals, and transgender patients as part of its family-building care for many years. The team has experience with the full range of LGBTQ+ pathways, including reciprocal IVF, donor sperm IVF, donor egg IVF, and gestational carrier arrangements. Inclusive, bias-free care is the standard, not an exception. Language, intake forms, and clinical discussions are designed to reflect the diversity of family structures and personal situations that patients bring. If there is anything specific about your situation that you want to discuss before booking an appointment, a conversation with a care coordinator is a no-pressure starting point. META_flexible_content_0_faq_repeater_7_faq_title: What is sperm banking, and when should I consider it? META_flexible_content_0_faq_repeater_7_faq_answer: Sperm banking is the process of collecting, freezing, and storing sperm for future use. It is worth considering in several situations: before a medical treatment (such as chemotherapy or radiation) that may affect sperm production; as a backup when sperm parameters are borderline or declining; for individuals planning surgery that may affect reproductive function; or simply as a form of fertility preservation when future family planning is uncertain. The process is straightforward: a semen sample is collected and sent to the laboratory for analysis, processing, and cryopreservation. Multiple samples are often stored to give more options later. META_flexible_content_0_faq_repeater_8_faq_title: What support is available throughout the donor or carrier process? META_flexible_content_0_faq_repeater_8_faq_answer: Third-party reproduction involves layers of coordination that can feel overwhelming, and having support throughout is important. Beyond the medical team, care coordinators at Kofinas are available to help navigate the process, answer questions between appointments, and connect you with the appropriate resources at each stage. BODY_CONTENT: | Build Your family.
Every path is Personal There's no single "right" way to build a family. Whether you're preserving options for later, navigating cancer treatment, using donor eggs or sperm, working with a gestational carrier, or building your LGBTQ+ family—we're here with inclusive, expert care for your unique journey. The fertility industry often jumps straight to IVF. We don't. Explore family-building options:
Find Your Path Below are the primary ways patients build families through our practice.Click any option to learn more about the process, timeline, and what to expect. Egg Freezing: Preserve Possibility Buy yourself time—whether for career, health, or simply not being ready yet. Your timeline. Your choice. Learn More Oncofertility: Protecting Fertility Before Cancer Treatment Urgent fertility preservation before chemotherapy, radiation, or surgery— we move quickly to protect your future options. Learn More LGBTQ+ Family Building: Inclusive Care, Expert Guidance Reciprocal IVF, donor paths, surrogacy—affirming, experienced care for every family structure. Learn More Donor Sperm/Egg: Building Families Through Third-Party Reproduction Using donor gametes—with clarity about the process, screening standards, and what to expect legally and emotionally. Learn More Gestational Carrier: When You Need a Surrogate Coordinated care for intended parents working with a gestational carrier—medical, legal, and logistical support throughout. Learn More Legal & Counseling Checklist: The Non-Medical Steps Third-party reproduction involves legal contracts and psychological consultations—required steps that protect everyone involved. We'll walk you through what to expect, who you'll work with, and how to prepare before treatment begins. Learn More Personalized Fertility Treatment Plans (IUI/IVF) Trying to conceive with your own eggs and sperm? We start with a thorough diagnostic workup—then build a plan around your biology, not a default protocol. IUI for mild factors. IVF when indicated. Surgical correction first, if needed. Every decision is explained. Learn More Embryo Freezing Freezing embryos—rather than eggs—offers higher survival rates and more certainty for future transfers. Whether you're completing IVF, pausing treatment, or building in flexibility, vitrification gives your embryos the best chance when you're ready. Learn More Traditional Family Building If you've been trying without success, or simply want to understand your fertility before trying, this is where to start. We evaluate both partners, identify any underlying factors, and map out the most appropriate path—whether that's monitoring, IUI, or IVF. Learn More Timelines:
What To Expect, Step By Step One of the most common questions: 'How long does this take?'Here are realistic timelines for major family-building paths—so you can plan accordingly. IUI (Intrauterine Insemination) 2–4 Weeks Total Week 1 Baseline bloodwork & ultrasound Week 1-2 Monitoring visits (with or without oral stimulation meds) Day 12-16 Trigger shot + IUI procedure (15-min office visit) procedure ~2 Weeks Later Pregnancy test IUI is a low-intervention first step for many couples. Timing is guided by your natural cycle or mild stimulation—we monitor closely to maximize your window. IVF (In Vitro Fertilization) 4–6 Weeks Active + Transfer Cycle Week 1-2 Baseline testing, suppression if needed Week 2-3 Ovarian stimulation + monitoring (8–12 days of injections) Week 3-4 Egg retrieval (outpatient, sedation) Week 4-5 Embryo culture + optional PGT-A genetic testing Frozen Transfer Separate cycle, ~4–6 weeks after retrieval IVF timelines vary based on your response to stimulation and whether genetic testing is included. Most patients have their retrieval within 3–4 weeks of starting. We'll map your personal timeline at your first visit. Screening & Legal:
Understanding The Requirements Third-party reproduction involves important medical, legal, and ethical steps.Here's what's required and why—so you can navigate the process with confidence. Counseling Professional guidance through emotional and practical considerations Individual Sessions Personal exploration of motivations and concerns 3rd Party Guidance Personal exploration of motivations and concerns Medical Screening Comprehensive health assessments for all parties Health History Medical, genetic, and psychological evaluation Testing Requirements Infectious disease and health screening Legal Steps Clear agreements protecting all parties Contract Development Comprehensive treatment agreements Parental Rights Legal parentage establishment Frequently Asked Questions:
Common Concerns About Building Your Family Exploring non-traditional paths to parenthood often brings unique questions.Here are the ones we hear most—with honest answers. What does egg freezing actually guarantee, and what are its limits? Egg freezing preserves eggs at their current developmental state for potential future use. It does not guarantee a future pregnancy, and understanding its limits before deciding is important. What it can do: preserve eggs that would otherwise age along with you, giving you more options later than you would have if you waited to pursue fertility treatment. What it cannot do: guarantee that those eggs will lead to a live birth when you are ready to use them. Outcomes depend on the number of eggs retrieved (which is influenced by ovarian reserve and stimulation response), their quality at the time of retrieval, how many survive the thaw, how many fertilize, and how many resulting embryos develop and implant. Age at the time of freezing is one of the most significant factors in eventual outcomes. Your clinician can provide age-specific, ovarian reserve-specific context for what is realistic so you can make a decision grounded in accurate information. What is the difference between using donor eggs and using a gestational carrier? These are two distinct arrangements, and they are sometimes confused. Using a donor egg means that eggs from another individual are used to create an embryo, which is then transferred to your uterus (or the uterus of your partner or gestational carrier). The donor egg recipient carries the pregnancy. This is used when a person's own eggs are not available or are unlikely to lead to a successful pregnancy. A gestational carrier (sometimes called a gestational surrogate) is a person who carries a pregnancy created using the intended parent's or donor's eggs and intended parent's or donor's sperm. The gestational carrier has no genetic connection to the resulting child. This arrangement is used when the intended parent cannot carry a pregnancy themselves. These options can also be combined: a donor egg can be used to create an embryo that a gestational carrier then carries. Both pathways involve medical screening, psychological consultation, and legal steps. Your care team can explain which pathway fits your situation and what each process involves. What is reciprocal IVF and how does it work? Reciprocal IVF is a family-building option for same-sex female couples in which one partner's eggs are retrieved and fertilized with donor sperm, and the resulting embryo is transferred to the other partner's uterus. This allows both partners to have a biological role in the pregnancy: one as the genetic contributor and one as the person who carries and delivers the child. The process involves the same steps as standard IVF for the partner contributing the eggs (stimulation, monitoring, retrieval) and a standard frozen embryo transfer protocol for the partner carrying the pregnancy. Donor sperm is selected and used to fertilize the retrieved eggs in the laboratory. Legal documentation is an important part of this process and is typically handled through a reproductive attorney. Kofinas has experience with reciprocal IVF as part of a range of LGBTQ+ family-building pathways. How does fertility preservation work before cancer treatment? Chemotherapy, radiation to the pelvis or whole body, and certain surgical procedures used to treat cancer can affect fertility. The type of treatment and the dose are factors that determine the extent of the risk, but for patients of reproductive age who have not yet completed their family, fertility preservation before cancer treatment is worth discussing urgently. Options vary by time available and individual circumstances, and may include egg freezing (oocyte cryopreservation), embryo freezing (if a partner or sperm donor is available), or in some cases ovarian tissue cryopreservation. The goal is to preserve options before treatment begins. Kofinas coordinates with oncology teams to move quickly when time is limited. A consultation can often be scheduled within days for patients who are facing an imminent treatment start. How long does the egg freezing process take from start to finish? An egg freezing cycle involves a stimulation phase of approximately 10 to 14 days, during which you take injectable hormone medications and attend monitoring appointments every 1 to 3 days (bloodwork and ultrasound). At the end of stimulation, when follicles reach the appropriate size, a trigger injection is given and retrieval is scheduled approximately 36 hours later. The retrieval itself is an outpatient procedure performed under sedation and typically takes 15 to 30 minutes. From the first day of medication to retrieval, most cycles take 2 to 3 weeks. A consultation and baseline evaluation before the cycle adds some time at the front end. If you have a target start date in mind, scheduling a consultation at least 4 to 6 weeks before that date is a reasonable approach, though the team can discuss what is realistic for your specific situation. Can I use a gestational carrier if I am physically able to carry a pregnancy myself? Using a gestational carrier is not limited to situations where the intended parent is medically unable to carry a pregnancy. There are a range of circumstances in which a gestational carrier may be part of a family-building plan, including recurrent pregnancy loss, conditions that make pregnancy medically inadvisable, same-sex male couples, and single individuals who cannot carry a pregnancy. The decision to involve a gestational carrier is personal as well as clinical, and the medical, psychological, and legal requirements apply regardless of the reason. A consultation is the appropriate place to discuss whether this pathway fits your situation and what the process involves. Is Kofinas LGBTQ+ affirming, and does the team have experience with diverse family structures? Yes. Kofinas has worked with same-sex couples, single individuals, and transgender patients as part of its family-building care for many years. The team has experience with the full range of LGBTQ+ pathways, including reciprocal IVF, donor sperm IVF, donor egg IVF, and gestational carrier arrangements. Inclusive, bias-free care is the standard, not an exception. Language, intake forms, and clinical discussions are designed to reflect the diversity of family structures and personal situations that patients bring. If there is anything specific about your situation that you want to discuss before booking an appointment, a conversation with a care coordinator is a no-pressure starting point. What is sperm banking, and when should I consider it? Sperm banking is the process of collecting, freezing, and storing sperm for future use. It is worth considering in several situations: before a medical treatment (such as chemotherapy or radiation) that may affect sperm production; as a backup when sperm parameters are borderline or declining; for individuals planning surgery that may affect reproductive function; or simply as a form of fertility preservation when future family planning is uncertain. The process is straightforward: a semen sample is collected and sent to the laboratory for analysis, processing, and cryopreservation. Multiple samples are often stored to give more options later. What support is available throughout the donor or carrier process? Third-party reproduction involves layers of coordination that can feel overwhelming, and having support throughout is important. Beyond the medical team, care coordinators at Kofinas are available to help navigate the process, answer questions between appointments, and connect you with the appropriate resources at each stage. ### END_RECORD ### START_RECORD TYPE: page ID: 648 TITLE: Your Care Path URL: https://www.kofinasfertility.com/your-care-path/ EXCERPT: Your Care Path: Why Before What The fertility industry often jumps straight to IVF. We don’t. We believe you deserve to understand what’s actually preventing pregnancy before spending time, money, and emotional energy on treatment that might not address the real problem. Answers before actions. If surgery will help, we do it well. If not, […] DATE_PUBLISHED: 2026-02-04T14:26:46Z DATE_UPDATED: 2026-07-02T02:29:32Z SCHEMA_TYPE: Article META_seo_description: Follow your personalized fertility care path with expert evaluation, testing, treatment, and support every step toward parenthood. META_flexible_content: a:1:{i:0;s:10:"schema_faq";} META_flexible_content_0_faq_repeater_0_faq_title: Why does Kofinas start with diagnosis instead of going straight to IVF? META_flexible_content_0_faq_repeater_0_faq_answer: IVF addresses the mechanics of fertilization and embryo transfer, but it does not resolve underlying structural or anatomical factors that may be affecting implantation or egg quality. Conditions such as endometriosis, uterine fibroids, polyps, intrauterine adhesions, or blocked tubes can reduce the likelihood of IVF success when left untreated. Beginning with a thorough evaluation identifies what is actually contributing to your fertility challenge. If a treatable condition is found, addressing it before or alongside IVF can change the clinical picture. If nothing structural is identified, IVF proceeds with the confidence that the environment has been properly assessed. Either way, the recommendation that follows is based on your actual findings, not a default protocol. META_flexible_content_0_faq_repeater_1_faq_title: What does the initial evaluation at Kofinas actually cover? META_flexible_content_0_faq_repeater_1_faq_answer: The initial evaluation is designed to give a complete picture of the factors contributing to your fertility situation. For patients with a uterus, this typically includes hormone blood tests such as AMH (anti-Mullerian hormone), FSH, and estradiol assessed on cycle day 2 or 3; a transvaginal ultrasound to assess ovarian reserve (antral follicle count) and the uterus; thyroid and prolactin testing; and a uterine evaluation, which may involve a saline infusion sonogram or hysteroscopy to examine the uterine cavity in detail. For male partners or individuals with sperm, a semen analysis is standard. Depending on the results, additional hormonal or urological testing may be recommended. The evaluation is guided by your history, not a fixed checklist, and your clinician will explain each component before it is ordered. META_flexible_content_0_faq_repeater_2_faq_title: How long does the evaluation process take before treatment begins? META_flexible_content_0_faq_repeater_2_faq_answer: The evaluation timeline varies based on where you are in your cycle, which tests are ordered, and whether any follow-up imaging or procedures are needed. In most cases, a baseline evaluation, including bloodwork and ultrasound, can be completed within the first one to two weeks. A follow-up appointment to review results and discuss the plan typically happens shortly after. For patients who require additional evaluation, such as hysteroscopy to assess the uterine cavity, that step is scheduled based on your cycle timing. Your care team will outline the expected timeline at your first visit so you know what to plan for. For out-of-area patients, a remote review of prior records can begin before the first in-person visit, which can compress the overall timeline. META_flexible_content_0_faq_repeater_3_faq_title: How does Kofinas decide whether I need surgery before IVF? META_flexible_content_0_faq_repeater_3_faq_answer: This decision is based on your evaluation findings, not a default recommendation in either direction. Surgery may be the appropriate first step when imaging or symptoms indicate a condition that is likely to affect IVF outcomes. For example, endometriosis with ovarian cysts, fibroids that distort the uterine cavity, polyps, intrauterine adhesions, or significant tubal disease. In these situations, addressing the structural issue before proceeding to IVF may improve implantation conditions. Surgery is not recommended if nothing structural is identified, if the risks of surgery outweigh the likely benefit (as can be the case with certain ovarian surgeries and diminished reserve), or if age and ovarian reserve make time a more significant factor than surgical preparation. When the clinical picture is genuinely borderline, your clinician will walk through the reasoning on both sides with you, including what the evidence shows for your specific diagnosis. META_flexible_content_0_faq_repeater_4_faq_title: What is a second opinion consultation, and what should I bring? META_flexible_content_0_faq_repeater_4_faq_answer: A second-opinion consultation at Kofinas begins with a review of everything you already have: prior testing, cycle records, surgical reports, imaging, and pathology. The goal is not to repeat everything from scratch but to look at your history with fresh clinical eyes and identify whether anything was missed, whether a different approach might be worth considering, or whether the recommendation you received elsewhere aligns with your diagnostic picture. You should bring or upload as much of the following as you have: prior cycle summaries including fertilization rates and embryo development notes, hormone test results, operative reports from prior surgeries, imaging results (ultrasound or MRI), and any pathology reports. The more complete the record, the more useful the consultation. META_flexible_content_0_faq_repeater: 10 META_flexible_content_0_faq_repeater_5_faq_title: If I have already been through IVF, does the evaluation still apply to me? META_flexible_content_0_faq_repeater_5_faq_answer: Yes. A prior IVF history actually makes the evaluation more useful, not less. The details of what happened during a prior cycle (how many eggs were retrieved, how many fertilized, how embryos developed, whether there were implantation failures) all provide clinical information that shapes what is worth investigating further. Patterns across multiple cycles can point toward specific areas that warrant closer evaluation. Patients who come to Kofinas after one or more prior IVF cycles are not asked to restart from the beginning. The evaluation focuses on what the prior history reveals and what questions it raises, rather than repeating tests that have already been done. META_flexible_content_0_faq_repeater_6_faq_title: What happens between surgery and IVF? Will I need to start over with a new team? META_flexible_content_0_faq_repeater_6_faq_answer: At Kofinas, surgery and IVF are managed by the same clinical team, so the transition between them does not require a handoff to new providers or a fresh intake process. After surgery, your care team follows your recovery and determines, based on your specific procedure and healing, when it is appropriate to begin IVF preparation. The timing between surgery and IVF varies depending on what was performed. After many minimally invasive procedures, IVF preparation can begin within one to three months. Your clinician will provide a recovery timeline specific to your case and build the IVF phase of your plan around it. META_flexible_content_0_faq_repeater_7_faq_title: I was told I have unexplained infertility. What does that mean and what comes next? META_flexible_content_0_faq_repeater_7_faq_answer: A diagnosis of unexplained infertility means that standard evaluation has not identified a clear cause. This is not the same as no cause existing, it means a cause was not found with the tests that were performed. Standard evaluations vary in their thoroughness, and some conditions, including early-stage endometriosis and subtle uterine abnormalities, are not visible on routine imaging and require more direct assessment to identify. At Kofinas, an evaluation for unexplained infertility includes assessment of whether more direct diagnostic approaches, such as laparoscopy or detailed hysteroscopy, are warranted. Whether those steps are recommended depends on your specific history, symptoms, and prior testing. An unexplained infertility diagnosis is the starting point for a more thorough investigation, not the end of the diagnostic conversation. META_flexible_content_0_faq_repeater_8_faq_title: What support is available if I have experienced pregnancy loss? META_flexible_content_0_faq_repeater_8_faq_answer: Pregnancy loss is part of many fertility journeys, and it belongs in the clinical conversation, not outside of it. If you have experienced one or more losses, that history is part of what shapes the evaluation: the timing of losses, whether testing was done, and whether any patterns point toward specific factors such as chromosomal abnormalities in embryos, immunological conditions, or uterine issues. Beyond the clinical picture, support resources are available. You do not have to arrive at a consultation with the emotional weight of loss resolved. Bringing it with you is expected and appropriate. META_flexible_content_0_faq_repeater_9_faq_title: My partner has been told they have a varicocele. Does that affect our fertility plan? META_flexible_content_0_faq_repeater_9_faq_answer: A varicocele is an enlargement of the veins within the scrotum, and it is one of the most common correctable causes of male infertility. Its presence and severity are assessed through physical examination and, where indicated, ultrasound. Whether treatment of a varicocele is likely to improve sperm parameters and fertility outcomes depends on the clinical picture, and this is a question that involves urological evaluation. At Kofinas, male-factor evaluation is part of the couple's assessment. Where urological collaboration is indicated, your care team will coordinate that step and factor the findings into the overall fertility plan, including whether IVF with ICSI may be recommended in parallel. BODY_CONTENT: | Your Care Path: Why Before What The fertility industry often jumps straight to IVF. We don't. We believe you deserve to understand what's actually preventing pregnancy before spending time, money, and emotional energy on treatment that might not address the real problem. Answers before actions. If surgery will help, we do it well. If not, we move forward without it. Either way, you're not starting over — you're moving forward. Fertility Therapies Tests and imaging to understand why. Fertility Testing & Diagnosis Evaluation Timeline When to Seek Care (<35/≥35) Learn More Surgery Fix what's fixable, preserve what matters. Endometriosis (excision) Fibroids (myomectomy) Hysteroscopy/Adhesions Learn More IVF & Lab If IVF is right, we proceed with a strong lab. IVF Overview Embryology Lab & Techniques ICSI & Andrology Learn More All Services At A Glance Comprehensive fertility care organized by your care path stage Understanding Your Fertility: The Foundation Before recommending any treatment, we need to understand your complete picture—both partners, comprehensive testing, and expert interpretation. This isn't a checklist. It's a conversation. Fertility Testing & Diagnosis Evaluation Timeline When to Seek Care (<35/≥35) Male Factor Evaluation Hormone Testing Imaging Studies Records Upload View All Fertility Therapies Services When Surgery Helps:
 Precision That Opens Possibility Surgery isn't always needed—but when it is, it can be life-changing. Removing endometriosis, fibroids, or scar tissue that silently blocks pregnancy gives your body the best chance to conceive naturally or through IVF. We only recommend surgery when we believe it will make a real difference. Endometriosis Excision Fibroid Removal (Myomectomy) Hysteroscopy Adhesion Removal Tubal Surgery Recovery & Return to Treatment View All Surgery Services IVF & Lab:
 When You’re Ready, We’re Ready Whether IVF is your first step or your next step after surgery, you'll work with the same team you've come to know—in a lab designed for precision, transparency, and the best possible outcomes. We don't hide behind inflated success rates. We give you honest, age-specific expectations so you can make informed decisions. IVF Overview & Process Embryology Lab & Techniques ICSI & Andrology Genetic Testing (PGT) Frozen Embryo Transfer Success Context (CDC/SART) View All IVF & Lab Services Additional Family Building Services Preservation Egg Freezing Sperm Banking Oncofertility Third-Party Donor Eggs Donor Sperm Gestational Carrier LGBTQ+ Reciprocal IVF Family Planning Legal Support Support Counseling Support Groups Financial Planning Already Have Results? Save time by securely uploading your previous test results and medical records Schedule a Consultation How your path unfolds Every journey is different, but here's how we typically guide patients through their care path. 1 Initial Consultation & Testing Comprehensive evaluation including hormone testing, imaging, and partner assessment. We review your history and create a personalized diagnostic plan. Medical History Review Previous treatments, surgeries, and test results Diagnostic Testing Hormone panels, imaging, and specialized assessments Partner Evaluation Comprehensive male factor assessment when indicated 2 Results Review & Treatment Planning Detailed discussion of findings and treatment options. We explain what we found, what it means, and what your realistic options are. Data Collection Incorporates all objective data into the evaluation Diagnosis & Prognosis Combine results to explain infertility and constraints Treatment Strategy Create stepwise plan aligned with patient priorities 3 Treatment Implementation Whether surgery, IVF, or other treatments, we coordinate your care with regular monitoring and adjustments as needed. Surgical Care Pre-operative preparation and counseling Minimally invasive surgical techniques Recovery monitoring and support Transition planning for next steps IVF Treatment Personalized stimulation protocols Regular monitoring and adjustments Advanced laboratory procedures Transfer timing optimization 4 Ongoing Support & Next Steps Continuous care coordination, outcome monitoring, and adjustment of treatment plans based on results and changing circumstances. Success Monitoring Regular assessment of treatment effectiveness and pregnancy outcomes Plan Adjustments Modifying approaches based on response and new information Long-Term Planning Family building goals and future fertility preservation considerations Providers At This Location These board-certified specialists practice at Upper West Side and coordinate your care across all our locations when needed. George D. Kofinas, MD, FACOG Reproductive Endocrinologist As the compassionate leader of Kofinas Fertility Group and a distinguished authority on fertility medicine, Dr. Kofinas has used his depth of knowledge and sharp intuition to help thousands of couples start families of their own. Dr. Kofinas has written and spoken about the full spectrum of assisted reproductive technologies, such as reproductive surgery and in vitro fertilization (IVF), and he has personally trained every doctor on his staff. Learn More Jason Kofinas, MD, MSc, FACOG Reproductive Endocrinologist Learn More Maria Bertero, MD, HCLD Embryology & Lab Director Maria Bertero, MD, HCLD inspires us all at Kofinas Fertility Group in New York with her dedication to the field of fertility. Dr. Bertero has numerous published works on embryology and andrology, and she has completed extensive training all around the world in egg and embryo freezing, embryo biopsy, and more. Learn More Peter Brzechffa, MD, FACOG Reproductive Endocrinologist Peter Brzechffa (BRESH – fuh), MD, FACOG is an active family man and the associate director of Kofinas Fertility Group in New York. Interpersonal connection is a big deal for Dr. Brzechffa, and even after over 20 years in fertility care, he still cherishes every minute that he spends with the people he treats. Learn More Melissa Montes, MD, MSc, FACOG OB/GYN Specialist & Minimally Invasive Gynecologic Surgeon Melissa Montes, MD, MSc, FACOG has over 10 years of experience helping New Yorkers and beyond start families. With numerous peer-reviewed publications and thousands of success stories under her belt, she continues to help Kofinas Fertility Group advance the boundaries of fertility medicine. Learn More Levica Narine, MD, FACOG OB/GYN Specialist & Minimally Invasive Gynecologic Surgeon Levica Narine, MD, FACOG places high value on face-to-face time with those she treats at Kofinas Fertility Group in New York. As an experienced OBGYN, Dr. Narine has solved a wide range of fertility and reproductive problems with many different types of people. Each challenge motivates her to do better, and every experience she has inspires greater passion for her work. Learn More Heather Toskos, MD Attending Physician Why did you go into this profession? Societies have long recognized the importance of family building. As reproductive medicine progressed, so did our understanding of its generational impact on women, their relationships, and their legacies. Today, we can reshape the fertility narrative and help patients take back control of their own biology. Our therapies and technologies are rapidly changing, and I am proud to contribute to this ongoing evolution. As our understanding of physiology and genetics grows, innovations continue to flourish and take us farther than we were yesterday. From endometriosis treatment to preimplantation genetic testing, the scope of our practice is far reaching with great implications for the future of modern family building. What did you find compelling about it? What do you most enjoy about it now? I am proud to advocate for women’s health, and support patients in improving their quality of life and reaching their family goals. At our practice, we are pushing the boundaries of what is possible, and I am excited to see what new therapies we will offer our patients in the coming years. How would you characterize your style of patient interaction? Every patient has a story of their journey, and that story can be rewritten. Many journeys are paved with ambiguity, loss and the unknown. My role is to help patients retell their story in a space that is safe, respectful and rooted in trust. I strive for every woman to feel informed about her options and confident that she is receiving a comprehensive plan delivered with skill and compassion. What do you hope to be able to give or do for patients? The path to pregnancy can be overwhelming, but I am dedicated to navigating patients every step of the way. My goal is for patients to feel heard, understood, supported, and encouraged. Every woman deserves clear insight into her reproductive health and the opportunity to shape her family vision. What is your best quality as a member of this practice’s team? How does that help you in your role? My greatest quality as a member of this team is my commitment to evidence-based care and attention to detail. I stay current with the latest research and continually seek the next based strategies for my patients. Every clinical situation requires meticulous, individualized care, and I make sure to take all aspects into consideration when creating a treatment plan. My background in minimally invasive surgery allows me to explain how internal disease processes can go unnoticed unless carefully evaluated. Conditions such as endometriosis and fibroids are two of the most common examples that can be surgically treated with significant effects on fertility and chance of live birth. My previous training in obstetrics also helps me to anticipate high risk pregnancy states and work to prevent complications through careful evaluation and optimization of the first trimester. Learn More Charalampos (Harry) Chatzicharalampous, MD, PhD, FACOG, FACMG Reproductive Endocrinologist & Clinical Geneticist Now try saying it 3 times as fast as you can. Just kidding, we call him Dr. C for short. Dr. C is the newest member of the Kofinas Fertility team and we are thrilled to have his incomparable experience in both Reproductive Endocrinology & Infertility and Medical Genetics (AND delightful personality) at our center. His 14 years of training and expertise were enough to add so much value to our patients, but it is his vibrant and detailed approach to his patient care that sets him apart. Learn More Convenient Access Across NYC All five of our NYC locations offer the same expert team, coordinated care, and access to our on-site surgical and IVF facilities. Choose what's convenient for you—we'll make sure your care is seamless. Manhattan - Lower ManhattanFull-service location with surgical suites and lab Manhattan - Upper West SideConsultation and monitoring services BrooklynComplete fertility center with parking available Staten IslandFull diagnostic and treatment capabilities Long Island - Roslyn HeightsComprehensive care close to home View All Locations Frequently Asked Questions ### END_RECORD ### START_RECORD TYPE: team ID: 610 TITLE: George D. Kofinas, MD, FACOG URL: https://www.kofinasfertility.com/team/george-d-kofinas-md-facog/ EXCERPT: DATE_PUBLISHED: 2026-02-03T11:41:56Z DATE_UPDATED: 2026-03-27T12:23:45Z SCHEMA_TYPE: Person META_TERM_staff_position: Reproductive Endocrinologist META_TERM_staff_image: /wp-content/uploads/2026/03/20240330_Dr.-George-Kofinas_0072.jpeg META_TERM_previously_held_positions: Founder and Medical Director of Kofinas Fertility Group, 1987 - Current Methodist Hospital in Brooklyn, NY, 2000-2016 Chairman of the Brooklyn Hospital Center’s Department of Obstetrics and Gynecology in Brooklyn, NY, 1996-2000 Director of the Brooklyn Hospital Center’s Residency Program in Brooklyn, NY, 1996-2000 Chief of Reproductive Endocrinology and Infertility at Brooklyn Hospital Center in Brooklyn, NY, 1996 - 2000 Assistant Professor at State University of New York (SUNY) in Brooklyn, NY META_TERM_training_&_recognition: Board-certified in Obstetrics and Gynecology & Reproductive Endocrinology and Infertility Fellow of the American College of Obstetrics and Gynecology located in Washington, D.C. Fellowship in Reproductive Endocrinology and Infertility at State University of New York (SUNY), Downstate Medical Center, in Brooklyn, NY Residency in Obstetrics and Gynecology at The Brooklyn Hospital Center in Brooklyn, NY Internship at New York Methodist Hospital in Brooklyn, NY Doctor of Medicine from the University of Athens, College of Medicine, School of Health Science National & Kapodistrian in Athens, Greece Member of the American Society of Reproductive Medicine, Society for Assisted Reproductive Technologies, and Society of Reproductive Endocrinology and Infertility On New York Magazine's Top Doctors list for 18 years in a row META_TERM_why_kofinas: “Patience and compassion are the two main virtues that define an excellent fertility doctor. You need to be patient with every single situation or complex problem that arises. You need to take the proper treatment steps in the correct order in order to maximize your chance of success. And through every fertility situation, with every person who comes to our practice, understanding the individual emotional and logistical challenges is the only way to offer the best possible care… which is what we give our patients at Kofinas Fertility Group. Every single doctor you meet at our practice embodies these virtues. I am incredibly proud of each of them for not only their commitment to the advancement and administration of fertility medicine, but for their deep appreciation of each personal situation. They all truly understand the concerns of their patients, and they put their heart and soul into each and every fertility case." META_TERM_looking_ahead: “The bottom line is that fertility care is highly personal. You can’t run people through an ‘assembly line’ system and expect good outcomes, because different people require different approaches. Since founding Kofinas Fertility Group over 30 years ago, I have dedicated myself to the idea that expertise and personalized care produce fantastic results. And our sustained success upholds that idea.” META_TERM_q&a_0_title: Why Kofinas? META_TERM_q&a_0_answer: “Patience and compassion are the two main virtues that define an excellent fertility doctor. You need to be patient with every single situation or complex problem that arises. You need to take the proper treatment steps in the correct order in order to maximize your chance of success. And through every fertility situation, with every person who comes to our practice, understanding the individual emotional and logistical challenges is the only way to offer the best possible care… which is what we give our patients at Kofinas Fertility Group. Every single doctor you meet at our practice embodies these virtues. I am incredibly proud of each of them for not only their commitment to the advancement and administration of fertility medicine, but for their deep appreciation of each personal situation. They all truly understand the concerns of their patients, and they put their heart and soul into each and every fertility case." META_TERM_q&a_1_title: Looking Ahead META_TERM_q&a_1_answer: “The bottom line is that fertility care is highly personal. You can’t run people through an ‘assembly line’ system and expect good outcomes, because different people require different approaches. Since founding Kofinas Fertility Group over 30 years ago, I have dedicated myself to the idea that expertise and personalized care produce fantastic results. And our sustained success upholds that idea.” META_TERM_q&a: 2 META_seo_description: Meet Dr. George D. Kofinas, see his credentials, and learn about his mission in working with you. TAX_condition: Fibroids TAX_condition: PCOS TAX_condition: Endometriosis TAX_department: Surgery TAX_department: Fertility Therapies TAX_department: IVF & Lab TAX_location: Long Island TAX_location: Lower Manhattan TAX_procedure: IUI & Ovarian Stimulation Therapy TAX_procedure: Donation & Surrogacy TAX_procedure: Egg Freezing TAX_procedure: Cancer Fertility Preservation TAX_procedure: Ovarian Tissue Cryopreservation (OTC) TAX_procedure: Male Fertility Treatment TAX_procedure: In Vitro Fertilization TAX_procedure: Sperm Freezing TAX_procedure: LGBTQ Fertility Therapy TAX_procedure: Preserving Future Fertility TAX_procedure: Embryo Freezing TAX_staff: George D. Kofinas, MD, FACOG BODY_CONTENT: | ### END_RECORD ### START_RECORD TYPE: team ID: 609 TITLE: Maria Bertero, MD, HCLD URL: https://www.kofinasfertility.com/team/maria-bertero-md-hcld/ EXCERPT: DATE_PUBLISHED: 2026-02-03T11:41:50Z DATE_UPDATED: 2026-03-20T12:39:38Z SCHEMA_TYPE: Person META_TERM_staff_position: Embryology & Lab Director META_TERM_staff_image: /wp-content/uploads/2026/03/MBERTERO1-1.webp META_TERM_previously_held_positions:  Scientific Director of the Embryology Laboratory at Kofinas Fertility Group, 2002-present Director of the Reproductive Endocrinology Laboratory at Central Baptist Hospital in Lexington, KY, 1998-2002 META_TERM_training_&_recognition: Training & Recognition Board-certified High-Complexity Clinical Laboratory Director from the American Board of Bioanalysis, Clinical Laboratory Technologist – State of New York Department of Education Fellowship in Reproductive Physiology at the University of Kentucky in Lexington, KY Residency in Obstetrics and Gynecology at Urban Zonal Hospital of Pergamino in Pergamino, Buenos Aires, AR Doctor of Medicine from the National University of Rosario in Santa Fe, AR Master of Science in Clinical Embryology and Andrology from The Jones Institute for Reproductive Medicine, Eastern Virginia Medical School, in Norfolk, VA META_TERM_why_kofinas: "I chose to become a fertility doctor because I enjoy caring helping patients bring home a baby. There are many unique challenges that patients face when planning a family and I want to help patients navigate the process and achieve their reproductive goals. I am also interested in translational research that enables us to systematically ask questions raised in the clinic and to bring the answers we find back to the clinic to advance the care we can provide our patients. I am excited to be a part of this fast-growing field that puts patient care first and that has continued to advance dramatically in the past 30+ years because of ongoing research. Reproductive Endocrinology and Infertility was particularly compelling because I have the opportunity to care for patients with a range of endocrine disorders, disorders of development of the reproductive tract, and offer procedures to help patients with infertility to have a baby. Helping patients bring home a baby is a most exciting experience. I have a patient-centered style. Every patient and their set of circumstances is unique and everyone deserves individualized care. I make every effort to listen keenly to my patients, to answer all questions, and to take the time to explain the reasons for the recommended treatment plan." META_TERM_looking_ahead: "I hope to give my patients the gift of a baby through a partnership that makes them feel valued and cared for along the way. I am lucky to be joining such a talented team of physicians and staff. I believe that my background in translational research will help advance the research mission of the practice and that my ability to work well with patients and team members of diverse backgrounds can contribute to fostering a warm and welcoming environment for all." META_TERM_q&a_0_title: Why Kofinas Fertility? META_TERM_q&a_0_answer: "I chose to become a fertility doctor because I enjoy caring helping patients bring home a baby. There are many unique challenges that patients face when planning a family and I want to help patients navigate the process and achieve their reproductive goals. I am also interested in translational research that enables us to systematically ask questions raised in the clinic and to bring the answers we find back to the clinic to advance the care we can provide our patients. I am excited to be a part of this fast-growing field that puts patient care first and that has continued to advance dramatically in the past 30+ years because of ongoing research. Reproductive Endocrinology and Infertility was particularly compelling because I have the opportunity to care for patients with a range of endocrine disorders, disorders of development of the reproductive tract, and offer procedures to help patients with infertility to have a baby. Helping patients bring home a baby is a most exciting experience. I have a patient-centered style. Every patient and their set of circumstances is unique and everyone deserves individualized care. I make every effort to listen keenly to my patients, to answer all questions, and to take the time to explain the reasons for the recommended treatment plan." META_TERM_q&a_1_title: Looking Ahead META_TERM_q&a_1_answer: "I hope to give my patients the gift of a baby through a partnership that makes them feel valued and cared for along the way. I am lucky to be joining such a talented team of physicians and staff. I believe that my background in translational research will help advance the research mission of the practice and that my ability to work well with patients and team members of diverse backgrounds can contribute to fostering a warm and welcoming environment for all." META_TERM_q&a: 2 META_seo_description: Discover Dr. Maria Bertero, Kofinas Fertility Group's dedicated Laboratory Director, committed to guiding patients through their fertility journeys. TAX_condition: Fibroids TAX_condition: PCOS TAX_condition: Endometriosis TAX_staff: Maria Bertero, MD, HCLD BODY_CONTENT: | ### END_RECORD ### START_RECORD TYPE: team ID: 608 TITLE: Melissa Montes, MD, MSc, FACOG URL: https://www.kofinasfertility.com/team/melissa-montes-md-msc-facog/ EXCERPT: DATE_PUBLISHED: 2026-02-03T11:41:45Z DATE_UPDATED: 2026-03-20T12:39:44Z SCHEMA_TYPE: Person META_TERM_staff_position: OB/GYN Specialist & Minimally Invasive Gynecologic Surgeon META_TERM_staff_image: /wp-content/uploads/2026/03/MMONTES1-1.webp META_TERM_training_&_recognition: Board certified in Obstetrics and Gynecology Fellow of the American College of Obstetrics and Gynecology located in Washington, D.C. Residency in Obstetrics and Gynecology at New York Methodist Hospital in Brooklyn, NY Doctor of Medicine from Howard University in Washington, D.C. Master of Science in Anatomy from Howard University in Washington, D.C. Bachelor of Science in Biology from George Washington University in Washington, D.C. Member of the American Society of Reproductive Medicine, Society for Reproductive Surgeons, Medical Society of the State of New York, and the Medical Society of the County of Kings META_TERM_q&a_0_title: Why did you choose to go into this profession? META_TERM_q&a_0_answer: “I feel a deep connection to the women and men who come to our practice. Their struggle is my struggle, and the bond we share drives my passion for my work. Being approachable and friendly helps creates strong relationships with my patients, and because fertility care is such an emotionally charged field, a warm and caring demeanor makes a significant impact on each person’s experience. It builds trust, and solid trust is the most important aspect of my relationships with my patients.” META_TERM_q&a_1_title: What did you find compelling about it? What do you most enjoy about it now? META_TERM_q&a_1_answer: “In addition to relishing the human connections involved with fertility care, I’m also fascinated by the endocrinology and physiology of reproductive medicine. The science of fertility care is rapidly progressing, and I’m always learning about new treatments and techniques that can help my patients. Even more, I feel it’s my job as a physician to explain every step of your fertility therapy in an accessible, straightforward manner. Managing expectations is a big part of my responsibility, and educating you plays an important role in meeting that standard.” META_TERM_q&a_2_title: How would you characterize your style of patient interaction? META_TERM_q&a_2_answer: “Being a mother gives me empathy for your struggle. Raising my children has been more amazing than I’d ever imagined, and I work extremely hard to give that experience to everyone I treat.” META_TERM_q&a_3_title: Anything additional you would like to tell us or that you feel would be pertinent to information about you? META_TERM_q&a_3_answer: "I'm a member of American Society of Reproductive Medicine, Society of Reproductive Surgeons, Medical Society of the State of New York, Medical Society of the County of Kings." META_TERM_q&a: 4 META_seo_description: Melissa Montes, MD, FACOG, is a dedicated fertility specialist with over 10 years of experience in New York. TAX_condition: Endometriosis TAX_condition: Fibroids TAX_condition: PCOS TAX_department: Surgery TAX_department: Fertility Therapies TAX_department: IVF & Lab TAX_location: Lower Manhattan TAX_procedure: IUI & Ovarian Stimulation Therapy TAX_procedure: Donation & Surrogacy TAX_procedure: Egg Freezing TAX_procedure: Cancer Fertility Preservation TAX_procedure: Ovarian Tissue Cryopreservation (OTC) TAX_procedure: Male Fertility Treatment TAX_procedure: In Vitro Fertilization TAX_procedure: Sperm Freezing TAX_procedure: LGBTQ Fertility Therapy TAX_procedure: Preserving Future Fertility TAX_procedure: Embryo Freezing TAX_staff: Melissa Montes, MD, MSc, FACOG BODY_CONTENT: | ### END_RECORD ### START_RECORD TYPE: locations ID: 545 TITLE: Upper West Side URL: https://www.kofinasfertility.com/locations/upper-west-side/ EXCERPT: Transit Subway: A/B/C lines to 86th Street (2 min walk) Subway: 1 line to 86th Street (3 min walk) Bus: M86, M104 Driving & Parking Subway: A/B/C lines to 86th Street (2 min walk) Subway: 1 line to 86th Street (3 min walk) Bus: M86, M104 Accessibility Accessible entrance on West 86th Street Elevator access […] DATE_PUBLISHED: 2026-02-03T04:31:14Z DATE_UPDATED: 2026-07-02T02:24:32Z SCHEMA_TYPE: MedicalClinic META_TERM_accepts_new_patients: Yes META_TERM_office_hours_monday: Closed META_TERM_office_hours_tuesday: Closed META_TERM_office_hours_wednesday: Closed META_TERM_office_hours_thursday: Closed META_TERM_office_hours_friday: Closed META_TERM_office_hours_saturday: Closed META_TERM_office_hours_sunday: Closed META_TERM_location_street: 55 Central Park West META_TERM_location_city: New York META_TERM_location_state: NY META_TERM_location_zip: 10023 META_TERM_location_phone: 212-807-7000 META_TERM_location_gps_latitude: 40.772268 META_TERM_location_gps_longitude: -73.979062 META_seo_description: Visit Kofinas Fertility Upper West Side for expert fertility care, IVF, egg freezing, and personalized treatment in NYC. META_flexible_content: a:1:{i:0;s:10:"schema_faq";} META_google_listing_place_id: ChIJV9y38fRYwokRRYSU36vdEiE META_flexible_content_0_faq_repeater_0_faq_title: What does a fertility specialist do? META_flexible_content_0_faq_repeater_0_faq_answer: A fertility specialist diagnoses and treats conditions that affect your ability to conceive, using advanced reproductive medicine. META_flexible_content_0_faq_repeater_1_faq_title: When should I see a fertility doctor? META_flexible_content_0_faq_repeater_1_faq_answer: If you’ve been trying to conceive for 6-12 months without success, it may be time to consult a fertility specialist. META_flexible_content_0_faq_repeater_2_faq_title: Do you offer fertility treatment near me? META_flexible_content_0_faq_repeater_2_faq_answer: Yes - our [Location] clinic provides comprehensive fertility care for patients searching for a fertility clinic near them. META_flexible_content_0_faq_repeater_3_faq_title: What treatments are available? META_flexible_content_0_faq_repeater_3_faq_answer: We offer IVF, IUI, egg freezing, fertility surgery, and more. META_flexible_content_0_faq_repeater: 4 TAX_condition: Endometriosis TAX_condition: Fibroids TAX_condition: PCOS TAX_department: Fertility Therapies TAX_department: IVF & Lab TAX_location: Upper West Side TAX_procedure: Donation & Surrogacy TAX_procedure: Egg Freezing TAX_procedure: Cancer Fertility Preservation TAX_procedure: Ovarian Tissue Cryopreservation (OTC) TAX_procedure: Male Fertility Treatment TAX_procedure: In Vitro Fertilization TAX_procedure: Sperm Freezing TAX_procedure: LGBTQ Fertility Therapy TAX_procedure: Preserving Future Fertility TAX_procedure: Embryo Freezing TAX_procedure: IUI & Ovarian Stimulation Therapy TAX_staff: Jason Kofinas, MD, MSc, FACOG BODY_CONTENT: | Transit Subway: A/B/C lines to 86th Street (2 min walk) Subway: 1 line to 86th Street (3 min walk) Bus: M86, M104 Driving & Parking Subway: A/B/C lines to 86th Street (2 min walk) Subway: 1 line to 86th Street (3 min walk) Bus: M86, M104 Accessibility Accessible entrance on West 86th Street Elevator access to all floors Wheelchair accessible restrooms ### END_RECORD ### START_RECORD TYPE: locations ID: 543 TITLE: Staten Island URL: https://www.kofinasfertility.com/locations/staten-island/ EXCERPT: Transit Staten Island Railway (SIR) Eltingville Station Connects to St. George Ferry Terminal → Manhattan Bus S79-SBS (select bus service connecting Staten Island ↔ Brooklyn)Stops directly along Hylan Blvd—1–2 minute walk S59 – Runs north–south along Hylan Blvd S78 – Parallel service along Hylan Blvd S54 – Nearby cross-neighborhood service (walk required depending on stop) […] DATE_PUBLISHED: 2026-02-03T04:30:50Z DATE_UPDATED: 2026-07-02T02:30:10Z SCHEMA_TYPE: MedicalClinic META_TERM_accepts_new_patients: Yes META_TERM_office_hours_monday: Closed META_TERM_office_hours_tuesday: Closed META_TERM_office_hours_wednesday: Closed META_TERM_office_hours_thursday: Closed META_TERM_office_hours_friday: Closed META_TERM_office_hours_saturday: Closed META_TERM_office_hours_sunday: Closed META_TERM_location_street: 4855 Hylan Blvd. META_TERM_location_city: Staten Island META_TERM_location_state: NY META_TERM_location_zip: 10312 META_TERM_location_phone: 718-356-4000 META_TERM_location_gps_latitude: 40.526946 META_TERM_location_gps_longitude: -74.167994 META_seo_description: Visit Kofinas Fertility Staten Island for expert fertility care, IVF, egg freezing, and personalized treatment close to home. META_flexible_content: a:1:{i:0;s:10:"schema_faq";} META_google_listing_place_id: ChIJa7NhmJtLwokR-xDwIVDXuHk META_flexible_content_0_faq_repeater_0_faq_title: What does a fertility specialist do? META_flexible_content_0_faq_repeater_0_faq_answer: A fertility specialist diagnoses and treats conditions that affect your ability to conceive, using advanced reproductive medicine. META_flexible_content_0_faq_repeater_1_faq_title: When should I see a fertility doctor? META_flexible_content_0_faq_repeater_1_faq_answer: If you’ve been trying to conceive for 6-12 months without success, it may be time to consult a fertility specialist. META_flexible_content_0_faq_repeater_2_faq_title: Do you offer fertility treatment near me? META_flexible_content_0_faq_repeater_2_faq_answer: Yes - our [Location] clinic provides comprehensive fertility care for patients searching for a fertility clinic near them. META_flexible_content_0_faq_repeater_3_faq_title: What treatments are available? META_flexible_content_0_faq_repeater_3_faq_answer: We offer IVF, IUI, egg freezing, fertility surgery, and more. META_flexible_content_0_faq_repeater: 4 TAX_condition: Endometriosis TAX_condition: Fibroids TAX_condition: PCOS TAX_department: Fertility Therapies TAX_department: IVF & Lab TAX_location: Staten Island TAX_procedure: Cancer Fertility Preservation TAX_procedure: Ovarian Tissue Cryopreservation (OTC) TAX_procedure: Male Fertility Treatment TAX_procedure: In Vitro Fertilization TAX_procedure: Sperm Freezing TAX_procedure: LGBTQ Fertility Therapy TAX_procedure: Preserving Future Fertility TAX_procedure: Embryo Freezing TAX_procedure: IUI & Ovarian Stimulation Therapy TAX_procedure: Donation & Surrogacy TAX_procedure: Egg Freezing TAX_staff: Peter Brzechffa, MD, FACOG BODY_CONTENT: | Transit Staten Island Railway (SIR) Eltingville Station Connects to St. George Ferry Terminal → Manhattan Bus S79-SBS (select bus service connecting Staten Island ↔ Brooklyn)Stops directly along Hylan Blvd—1–2 minute walk S59 – Runs north–south along Hylan Blvd S78 – Parallel service along Hylan Blvd S54 – Nearby cross-neighborhood service (walk required depending on stop) Driving & Parking Street parking along Hylan Blvd and adjacent residential streets (varies by time of day) Accessibility Ground-level entry on Hylan Blvd ### END_RECORD ### START_RECORD TYPE: locations ID: 541 TITLE: Lower Manhattan URL: https://www.kofinasfertility.com/locations/lower-manhattan/ EXCERPT: Transit Subway Bowling Green subway station (4/5 trains) – 1 minute walk Rector Street station (R/W trains) – 3 minute walk Broad Street station (J/Z trains) – 6 minute walk Wall Street station (2/3 trains) – 5 minute walk South Ferry station (1 train) – 7 minute walk Bus M55 – Runs north/south along Broadway […] DATE_PUBLISHED: 2026-02-03T04:30:35Z DATE_UPDATED: 2026-07-02T02:38:20Z SCHEMA_TYPE: MedicalClinic META_TERM_accepts_new_patients: Yes META_TERM_office_hours_monday: Closed META_TERM_office_hours_tuesday: Closed META_TERM_office_hours_wednesday: Closed META_TERM_office_hours_thursday: Closed META_TERM_office_hours_friday: Closed META_TERM_office_hours_saturday: Closed META_TERM_office_hours_sunday: Closed META_TERM_location_street: 65 Broadway META_TERM_location_suite: 14th floor META_TERM_location_city: New York META_TERM_location_state: NY META_TERM_location_zip: 10006 META_TERM_location_phone: 212-348-4000 META_TERM_location_gps_latitude: 40.707256 META_TERM_location_gps_longitude: -74.012499 META_seo_description: Visit Kofinas Fertility Lower Manhattan for expert fertility care, IVF, egg freezing, and personalized treatment in the Financial District. META_flexible_content: a:1:{i:0;s:10:"schema_faq";} META_google_listing_place_id: ChIJh3z-Y7VbwokRkFPTPXA5ZfA META_flexible_content_0_faq_repeater_0_faq_title: What does a fertility specialist do? META_flexible_content_0_faq_repeater_0_faq_answer: A fertility specialist diagnoses and treats conditions that affect your ability to conceive, using advanced reproductive medicine. META_flexible_content_0_faq_repeater_1_faq_title: When should I see a fertility doctor? META_flexible_content_0_faq_repeater_1_faq_answer: If you’ve been trying to conceive for 6-12 months without success, it may be time to consult a fertility specialist. META_flexible_content_0_faq_repeater_2_faq_title: Do you offer fertility treatment near me? META_flexible_content_0_faq_repeater_2_faq_answer: Yes - our [Location] clinic provides comprehensive fertility care for patients searching for a fertility clinic near them. META_flexible_content_0_faq_repeater_3_faq_title: What treatments are available? META_flexible_content_0_faq_repeater_3_faq_answer: We offer IVF, IUI, egg freezing, fertility surgery, and more. META_flexible_content_0_faq_repeater: 4 TAX_condition: Endometriosis TAX_condition: Fibroids TAX_condition: PCOS TAX_department: Fertility Therapies TAX_department: Surgery TAX_department: IVF & Lab TAX_location: Lower Manhattan TAX_procedure: Ovarian Tissue Cryopreservation (OTC) TAX_procedure: Male Fertility Treatment TAX_procedure: In Vitro Fertilization TAX_procedure: Sperm Freezing TAX_procedure: LGBTQ Fertility Therapy TAX_procedure: Preserving Future Fertility TAX_procedure: Embryo Freezing TAX_procedure: IUI & Ovarian Stimulation Therapy TAX_procedure: Donation & Surrogacy TAX_procedure: Egg Freezing TAX_procedure: Cancer Fertility Preservation TAX_staff: George D. Kofinas, MD, FACOG TAX_staff: Jason Kofinas, MD, MSc, FACOG TAX_staff: Melissa Montes, MD, MSc, FACOG TAX_staff: Levica Narine, MD, FACOG TAX_staff: Charalampos (Harry) Chatzicharalampous, MD, PhD, FACOG, FACMG BODY_CONTENT: | Transit Subway Bowling Green subway station (4/5 trains) – 1 minute walk Rector Street station (R/W trains) – 3 minute walk Broad Street station (J/Z trains) – 6 minute walk Wall Street station (2/3 trains) – 5 minute walk South Ferry station (1 train) – 7 minute walk Bus M55 – Runs north/south along Broadway (stops within 1–2 minutes) M15 / M15-SBS – 5–7 minute walk east (runs along Water St / Pearl St) M20 – 5 minute walk (runs via Battery Park City) Driving & Parking Icon Parking - 70 Greenwich St Battery Parking Garage GGMC Parking - 21 Beaver St Accessibility Street-level entrance at 65 Broadway Elevators: Full elevator access to the 14th floor Restrooms: Most offices in the building offer wheelchair-accessible restrooms (confirm with suite holder). ### END_RECORD ### START_RECORD TYPE: locations ID: 539 TITLE: Brooklyn URL: https://www.kofinasfertility.com/locations/brooklyn/ EXCERPT: Transit Subway Atlantic Ave–Barclays Center (2, 3, 4, 5, B, D, N, Q, R) Nevins Street (2/3/4/5) has limited elevator accessibility—verify based on line used. Bus B63 – Runs along 5th Ave (1–2 minute walk) B65 – 2–3 minute walk B45 – 3–4 minute walk Driving & Parking Atlantic Center Parking Garage ProPark – 556 […] DATE_PUBLISHED: 2026-02-03T04:30:14Z DATE_UPDATED: 2026-07-02T02:32:46Z SCHEMA_TYPE: MedicalClinic META_TERM_accepts_new_patients: Yes META_TERM_office_hours_monday: Closed META_TERM_office_hours_tuesday: Closed META_TERM_office_hours_wednesday: Closed META_TERM_office_hours_thursday: Closed META_TERM_office_hours_friday: Closed META_TERM_office_hours_saturday: Closed META_TERM_office_hours_sunday: Closed META_TERM_location_street: 118 3rd Avenue META_TERM_location_city: Brooklyn META_TERM_location_state: NY META_TERM_location_zip: 11217 META_TERM_location_phone: 718-243-1600 META_TERM_location_gps_latitude: 40.683001 META_TERM_location_gps_longitude: -73.982575 META_seo_description: Visit Kofinas Fertility Brooklyn for expert fertility care, IVF, egg freezing, and personalized treatment close to home. META_flexible_content: a:1:{i:0;s:10:"schema_faq";} META_google_listing_place_id: ChIJfznbUSFbwokRR765cVuAIkU META_flexible_content_0_faq_repeater_0_faq_title: What does a fertility specialist do? META_flexible_content_0_faq_repeater_0_faq_answer: A fertility specialist diagnoses and treats conditions that affect your ability to conceive, using advanced reproductive medicine. META_flexible_content_0_faq_repeater_1_faq_title: When should I see a fertility doctor? META_flexible_content_0_faq_repeater_1_faq_answer: If you’ve been trying to conceive for 6-12 months without success, it may be time to consult a fertility specialist. META_flexible_content_0_faq_repeater_2_faq_title: Do you offer fertility treatment near me? META_flexible_content_0_faq_repeater_2_faq_answer: Yes - our [Location] clinic provides comprehensive fertility care for patients searching for a fertility clinic near them. META_flexible_content_0_faq_repeater_3_faq_title: What treatments are available? META_flexible_content_0_faq_repeater_3_faq_answer: We offer IVF, IUI, egg freezing, fertility surgery, and more. META_flexible_content_0_faq_repeater: 4 TAX_condition: Endometriosis TAX_condition: Fibroids TAX_condition: PCOS TAX_department: Fertility Therapies TAX_department: IVF & Lab TAX_location: Brooklyn TAX_procedure: Ovarian Tissue Cryopreservation (OTC) TAX_procedure: Male Fertility Treatment TAX_procedure: In Vitro Fertilization TAX_procedure: Sperm Freezing TAX_procedure: LGBTQ Fertility Therapy TAX_procedure: Preserving Future Fertility TAX_procedure: Embryo Freezing TAX_procedure: IUI & Ovarian Stimulation Therapy TAX_procedure: Donation & Surrogacy TAX_procedure: Egg Freezing TAX_procedure: Cancer Fertility Preservation TAX_staff: Peter Brzechffa, MD, FACOG TAX_staff: Charalampos (Harry) Chatzicharalampous, MD, PhD, FACOG, FACMG BODY_CONTENT: | Transit Subway Atlantic Ave–Barclays Center (2, 3, 4, 5, B, D, N, Q, R) Nevins Street (2/3/4/5) has limited elevator accessibility—verify based on line used. Bus B63 – Runs along 5th Ave (1–2 minute walk) B65 – 2–3 minute walk B45 – 3–4 minute walk Driving & Parking Atlantic Center Parking Garage ProPark - 556 State St SP+ Parking - 470 Dean St Accessibility Standard street-level entry on 3rd Avenue (confirm with suite holder if ramp/elevator access is needed) ### END_RECORD ### START_RECORD TYPE: locations ID: 536 TITLE: Long Island URL: https://www.kofinasfertility.com/locations/long-island/ EXCERPT: Transit Staten Island Railway (SIR) Eltingville Station Bus S79-SBS (select bus service connecting Staten Island ↔ Brooklyn)Stops directly along Hylan Blvd—1–2 minute walk S59 – Runs north–south along Hylan Blvd S78 – Parallel service along Hylan Blvd S54 – Nearby cross-neighborhood service (walk required depending on stop) Driving & Parking Street parking along Hylan Blvd […] DATE_PUBLISHED: 2026-02-03T04:29:57Z DATE_UPDATED: 2026-07-02T02:24:19Z SCHEMA_TYPE: MedicalClinic META_TERM_accepts_new_patients: Yes META_TERM_office_hours_monday: Closed META_TERM_office_hours_tuesday: Closed META_TERM_office_hours_wednesday: Closed META_TERM_office_hours_thursday: Closed META_TERM_office_hours_friday: Closed META_TERM_office_hours_saturday: Closed META_TERM_office_hours_sunday: Closed META_TERM_location_street: 66 Powerhouse Rd META_TERM_location_city: Roslyn Heights META_TERM_location_state: NY META_TERM_location_zip: 11577 META_TERM_location_phone: 516-717-0006 META_TERM_location_gps_latitude: 40.785449 META_TERM_location_gps_longitude: -73.644484 META_seo_description: Visit Kofinas Fertility Long Island for expert fertility care, IVF, egg freezing, and personalized treatment close to home. META_flexible_content: a:1:{i:0;s:10:"schema_faq";} META_google_listing_place_id: ChIJ_Q9--4-HwokRsIDSCp-kYlM META_flexible_content_0_faq_repeater_0_faq_title: What does a fertility specialist do? META_flexible_content_0_faq_repeater_0_faq_answer: A fertility specialist diagnoses and treats conditions that affect your ability to conceive, using advanced reproductive medicine. META_flexible_content_0_faq_repeater_1_faq_title: When should I see a fertility doctor? META_flexible_content_0_faq_repeater_1_faq_answer: If you’ve been trying to conceive for 6-12 months without success, it may be time to consult a fertility specialist. META_flexible_content_0_faq_repeater_2_faq_title: Do you offer fertility treatment near me? META_flexible_content_0_faq_repeater_2_faq_answer: Yes - our [Location] clinic provides comprehensive fertility care for patients searching for a fertility clinic near them. META_flexible_content_0_faq_repeater_3_faq_title: What treatments are available? META_flexible_content_0_faq_repeater_3_faq_answer: We offer IVF, IUI, egg freezing, fertility surgery, and more. META_flexible_content_0_faq_repeater: 4 TAX_condition: Fibroids TAX_condition: PCOS TAX_condition: Endometriosis TAX_department: IVF & Lab TAX_department: Fertility Therapies TAX_location: Long Island TAX_procedure: Male Fertility Treatment TAX_procedure: In Vitro Fertilization TAX_procedure: Sperm Freezing TAX_procedure: LGBTQ Fertility Therapy TAX_procedure: Preserving Future Fertility TAX_procedure: Embryo Freezing TAX_procedure: IUI & Ovarian Stimulation Therapy TAX_procedure: Donation & Surrogacy TAX_procedure: Egg Freezing TAX_procedure: Cancer Fertility Preservation TAX_procedure: Ovarian Tissue Cryopreservation (OTC) TAX_staff: George D. Kofinas, MD, FACOG TAX_staff: Levica Narine, MD, FACOG BODY_CONTENT: | Transit Staten Island Railway (SIR) Eltingville Station Bus S79-SBS (select bus service connecting Staten Island ↔ Brooklyn)Stops directly along Hylan Blvd—1–2 minute walk S59 – Runs north–south along Hylan Blvd S78 – Parallel service along Hylan Blvd S54 – Nearby cross-neighborhood service (walk required depending on stop) Driving & Parking Street parking along Hylan Blvd and adjacent residential streets Accessibility Ground-level or accessible entry ### END_RECORD ### START_RECORD TYPE: post ID: 1380 TITLE: Understanding IUI Success Rates with PCOS URL: https://www.kofinasfertility.com/understanding-iui-success-rates-with-pcos/ EXCERPT: Finding out you have PCOS can be overwhelming, especially when you’re trying to figure out the best way to start or grow your family. PCOS, or polycystic ovary syndrome, affects a significant number of women—about 8-13%—and is one of the most common causes of fertility challenges.  DATE_PUBLISHED: 2025-12-09T00:00:00Z DATE_UPDATED: 2026-03-04T01:13:42Z SCHEMA_TYPE: Article META_seo_title: Understanding IUI Success Rates with PCOS | Kofinas Fertility Group META_seo_description: Discover how IUI can impact fertility for those with PCOS. Learn about success rates, factors affecting outcomes, and personalized care options. TAX_category: Artificial Insemination TAX_category: IUI TAX_category: PCOS BODY_CONTENT: | Finding out you have PCOS can be overwhelming, especially when you’re trying to figure out the best way to start or grow your family. PCOS, or polycystic ovary syndrome, affects a significant number of women—about 8-13%—and is one of the most common causes of fertility challenges.  Luckily, there are effective and less invasive treatment options available, such as intrauterine insemination (IUI). IUI is often a first step for many couples dealing with fertility issues, and it can be a more affordable and less complex approach compared to other treatments. In this blog, we’ll break down how IUI works and how effective it can be for those with PCOS.   Understanding PCOS and Its Impact on Fertility Polycystic ovary syndrome (PCOS) is a common hormonal disorder that affects many women. It often disrupts ovulation, which can make it challenging to conceive. It comes with a range of long-term health issues that affect both physical and emotional well-being. Women with PCOS may have irregular menstrual cycles, elevated levels of male hormones, and polycystic ovaries. However, contrary to what the name implies, you can have PCOS and not have any polycystic ovaries. Other common side effects of PCOS include acne, facial hair (also known as hirsutism), hair loss, insulin resistance, fatigue, and anxiety. Understandably, these symptoms can make daily life challenging and exhausting! While PCOS can complicate conception due to irregular ovulation, it is entirely possible to get pregnant with this condition. Your fertility doctor can work with you to create a personalized plan tailored to your goals. With the right combination of lifestyle changes and medications, it's possible to manage PCOS symptoms effectively and improve your chances of a successful pregnancy.   What Is IUI? Intrauterine insemination (IUI) is a fertility treatment aimed at increasing the chances of conception. It is often recommended for couples with unexplained infertility, male factor infertility (such as low sperm count or poor sperm motility), or individuals using donor sperm. The IUI process is straightforward and involves three main steps. First, ovulation is tracked to identify the optimal fertile period. Next, semen is collected, washed, and prepared in a laboratory to concentrate the healthiest sperm. Finally, using a thin, flexible tube called an insemination catheter, the sperm is directly injected into the uterus. A low-complexity procedure helps overcome barriers to conception by delivering a concentrated dose of sperm at the peak of ovulation. Typically, IUI involves two treatments: one at 12 hours and another at 36 hours after administering hormone medications, ensuring that sperm is in the best position to fertilize the egg. This approach improves the chances of pregnancy by providing a more direct path for sperm to reach the egg.   Success Rates of IUI with PCOS In a study assessing the pregnancy outcomes of infertile women with polycystic ovary syndrome (PCOS) undergoing IUI after various attempts at ovulation induction (OI), researchers found that the number of previous OI cycles did not significantly affect IUI success rates. The clinical pregnancy rates and live birth rates remained comparable across different groups of patients, regardless of whether they had undergone none, one to two, or three or more previous OI cycles.  Approximately 98% of pregnancies occurred within the first three cycles of IUI. This suggests that IUI can be an effective, less invasive alternative for PCOS patients before progressing to more invasive treatments like in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI). Given these findings, women with PCOS can consider three IUI attempts before transitioning to a more invasive procedure.   Factors Influencing IUI Success Rates with PCOS Several factors can impact the success rates of IUI for women with PCOS: Ovulation Regularity: Women with PCOS may have irregular ovulation, which can affect the timing and success of IUI. Successful ovulation induction through medications like Clomiphene Citrate or Letrozole can significantly enhance the chances of a successful IUI. Age: Age plays a crucial role in fertility. Women under 35 generally have higher success rates with IUI compared to those over 35.  Weight Management: Maintaining a healthy weight through diet and exercise can significantly improve ovulation and enhance the effectiveness of IUI. For overweight women with PCOS, weight loss has been linked to better fertility and more successful IUI outcomes. However, losing weight can be particularly challenging for those with PCOS, so remember not to get discouraged. Your fertility doctor can help you develop a plan to address these challenges. It’s important to note that individuals with PCOS are 3 to 6 times more likely to experience eating disorders compared to those without the condition, which can further complicate weight management efforts. Underlying Health Conditions: Addressing other health conditions related to PCOS, such as insulin resistance, can positively impact IUI success rates. Medications like Metformin may be prescribed to manage insulin levels and enhance fertility. There are also more natural ways to help improve insulin resistance, such as myoinositol, and lifestyle changes like diet and exercise.  Semen Quality: The quality of the sperm used in IUI can affect success rates. Ensuring that sperm is well-prepared and healthy is crucial for maximizing the chances of conception. Why Choose IUI for PCOS? IUI is cost-effective compared to more complex treatments like IVF, making it a more accessible option for many couples. IUI is also less invasive, as we mentioned before, meaning it is a non-surgical procedure that involves fewer risks and side effects than more invasive fertility treatments. IUI serves as a practical first step for many women with PCOS, providing an opportunity to achieve pregnancy with a higher chance of success before considering more advanced and costly treatments.   Working with a Fertility Specialist We know that being diagnosed with PCOS can feel overwhelming, especially with all the information and decisions involved. At Kofinas Fertility Group, we're here to support you every step of the way with genuine compassion and care. Our main goal is to help you start the family you've always dreamed of while making the process as smooth and affordable as possible. By working with one of our experienced fertility specialists, you can receive personalized guidance and support tailored to your needs. We’re committed to helping you navigate this journey! ### END_RECORD ### START_RECORD TYPE: post ID: 1398 TITLE: IUI vs IVF Success Rates URL: https://www.kofinasfertility.com/iui-vs-ivf-success-rates/ EXCERPT: Infertility impacts millions of individuals and extends its effects to their families and communities. It is estimated that about one in six people of reproductive age globally will experience infertility at some point in their lives. But choosing the right fertility treatment can be overwhelming! With many options available, understanding the success rates of different […] DATE_PUBLISHED: 2025-05-05T00:00:00Z DATE_UPDATED: 2026-03-23T04:52:35Z SCHEMA_TYPE: Article META_seo_title: IUI vs IVF Success Rates | Kofinas Fertility META_seo_description: Explore the success rates and differences between IUI and IVF, helping you make informed decisions about your fertility treatment options. TAX_category: Artificial Insemination TAX_category: Egg Retrieval TAX_category: Pregnancy TAX_category: IVF TAX_category: IUI TAX_category: Fertility BODY_CONTENT: | Infertility impacts millions of individuals and extends its effects to their families and communities. It is estimated that about one in six people of reproductive age globally will experience infertility at some point in their lives. But choosing the right fertility treatment can be overwhelming! With many options available, understanding the success rates of different methods is crucial.  Below we will explore the differences between Intrauterine Insemination (IUI) and In Vitro Fertilization (IVF), compare their success rates, and discuss factors influencing these rates so that you have all the knowledge you need to make the best choice for you.  What’s the Difference Between IUI and IVF? Intrauterine Insemination (IUI) IUI is a minimally invasive fertility treatment where sperm is directly placed into the uterus around the time of ovulation. The procedure is designed to increase the number of sperm that reach the egg, enhancing the chances of fertilization. A catheter is used to insert sperm, which is typically prepared and concentrated in a laboratory before the procedure. This process bypasses the cervix, making it easier for sperm to reach the uterus. IUI is often recommended for couples with unexplained infertility, mild male factor infertility, or cervical mucus problems. Because the eggs don’t need to be removed from the body, the whole process is far less invasive for the woman carrying the pregnancy. IUI also costs less than IVF since no egg extraction or laboratory monitoring is needed. Typically, IUI costs range from a few hundred dollars up to about $2,000 per cycle. The price variation depends on several factors, including the fertility clinic, the type of medication used, necessary blood tests, and follow-up care.  In Vitro Fertilization (IVF) IVF is considered the most advanced and effective among assisted reproductive technology (ART) procedures. IVF is substantially more expensive than IUI, with average costs in the U.S. falling between $11,000 and $12,000 per cycle.  The IVF process includes several steps: Ovarian Stimulation: Hormones are used to stimulate the ovaries to produce multiple eggs. Egg Retrieval: Eggs are collected from the ovaries using a minor surgical procedure. Fertilization: Eggs are combined with sperm in a lab dish. This can be done using conventional methods or with ICSI if needed. Embryo Transfer: Fertilized embryos are monitored and then transferred into the uterus with the goal of implantation. Comparing IUI and IVF Success Rates IUI generally has lower success rates compared to IVF. Couples undergoing IUI might require multiple cycles to achieve pregnancy, which can lead to cumulative costs approaching about half of what IVF would cost. Despite the higher upfront expense, IVF is often favored for its significantly higher success rates. IUI Success Rates The success of IUI is influenced by multiple factors. When the procedure is done monthly, the success rates can be as high as 20% per cycle, depending on factors such as the woman's age, the cause of infertility, and whether fertility medications were used, among other considerations. IVF Success Rates Success rates for IVF vary depending on several factors, with age being the most significant. Below are national averages for IVF success rates by age group: National information based on 144,773 ART cycles of patients who used their own eggs and resulted in live birth pregnancies. Click the link above to filter by diagnosis and patient type to see the most accurate success rates for your situation. Please note this data changes with time, so click the link above for the most up-to-date information.  Age of PatientSuccess Rate <35 50.7% 35-37 36.3% 38-40 23.3% >40 7.9% Factors Influencing Success Rates Several factors play a crucial role in determining the success rates of both IUI and IVF treatments. One of the most significant factors is the age of the woman undergoing treatment. Younger women generally experience higher success rates due to the better quality of their eggs. High-quality eggs and sperm are essential for successful fertilization and implantation. Health conditions also play a significant role in fertility treatment success. Conditions such as endometriosis, polycystic ovary syndrome (PCOS), and various uterine abnormalities can hinder the effectiveness of IUI and IVF. However, don’t be discouraged because it is absolutely possible to get pregnant, even with certain conditions! Accurate diagnosis and appropriate treatment of these conditions can enhance the likelihood of a successful outcome.  Lastly, lifestyle factors can affect the success of fertility treatments. Elements such as a person's weight, smoking habits, and overall health are crucial considerations. Maintaining a healthy lifestyle can positively impact the success rates of IUI and IVF, making it important for individuals to address these factors as part of their fertility journey. Why Choose Kofinas Fertility? At Kofinas Fertility Group, we set the gold standard for fertility care, blending decades of expertise with cutting-edge technology. Founded by Dr. George Kofinas in 1987, we are the first private fertility practice in NYC with five convenient locations and six in-house labs.  Our mission is simple: to help you start the family you’ve always dreamed of. We offer a fully integrated approach, handling every aspect of your fertility care under one roof. From initial consultations to advanced treatments, our team ensures that you receive the highest level of personalized care and the best chance for a successful pregnancy. We understand the emotional and physical challenges of infertility. Our dedicated professionals work closely with you to create a tailored treatment plan that addresses your unique needs and goals, offering both compassionate support and the most advanced reproductive technology available. We are especially proud of the thorough testing we perform to ensure we find and address the root cause of your infertility. We do everything we can to help you achieve a healthy birth.  Making the Best Choice for Your Family Choosing between IUI and IVF is a pivotal decision in your fertility journey, and understanding the nuances of each can make all the difference. IUI offers a less invasive approach and lower costs, but it often requires multiple cycles for a successful pregnancy. On the other hand, IVF, with its higher upfront costs, delivers significantly better success rates and utilizes cutting-edge technology to give you the best chance at conception. By weighing these options and the factors that impact their success, you can make a more informed choice about your path to parenthood. At Kofinas Fertility, we're here to partner with you, providing expert care and personalized treatment to guide you every step of the way. Discover more about how Kofinas Fertility can help you achieve your dreams. Explore our IVF success rates guide below for insights and success stories that support your journey.   ### END_RECORD ### START_RECORD TYPE: post ID: 1410 TITLE: ICSI vs IVF Success Rates URL: https://www.kofinasfertility.com/icsi-vs-ivf-success-rates/ EXCERPT: Navigating the path to parenthood can be challenging, and understanding the success rates of different fertility treatments is crucial in making informed decisions. Intracytoplasmic Sperm Injection (ICSI) and In Vitro Fertilization (IVF) are two prominent assisted reproductive technologies, each with its unique benefits and considerations. Below we’ll delve into the differences between ICSI and IVF, […] DATE_PUBLISHED: 2024-12-09T00:00:00Z DATE_UPDATED: 2026-03-23T04:51:19Z SCHEMA_TYPE: Article META_seo_title: ICSI vs IVF Success Rates | Kofinas Fertility META_seo_description: Explore the success rates of ICSI and IVF, comparing their benefits and factors influencing outcomes in your fertility journey. TAX_category: ICSI TAX_category: Fertility TAX_category: Egg Retrieval TAX_category: IVF BODY_CONTENT: | Navigating the path to parenthood can be challenging, and understanding the success rates of different fertility treatments is crucial in making informed decisions. Intracytoplasmic Sperm Injection (ICSI) and In Vitro Fertilization (IVF) are two prominent assisted reproductive technologies, each with its unique benefits and considerations. Below we’ll delve into the differences between ICSI and IVF, compare their success rates, and explore factors influencing these rates.   What’s the Difference Between ICSI and IVF? Intracytoplasmic Sperm Injection (ICSI) ICSI is a specialized technique used in conjunction with conventional IVF. The use of ICSI has significantly increased, with nearly universal adoption in the Middle East and a rise from 36% to 76% in the U.S. between 1996 and 2012. ICSI is a refined technique within the broader IVF process. ICSI involves the direct injection of a single sperm into an egg, bypassing many of the natural barriers to fertilization. This method is particularly beneficial for couples experiencing male infertility issues, such as: Low Sperm Count: Men with oligospermia (low sperm count) can benefit significantly from ICSI, as it ensures that even a small number of sperm can still result in fertilization. Poor Sperm Motility: ICSI can overcome challenges related to sperm that have difficulty moving, making it possible to achieve fertilization despite motility issues. Sperm Morphology Problems: If sperm have an abnormal shape, ICSI can still be successful, as the sperm is selected and injected directly. If the male partner has undergone a vasectomy reversal, ICSI is recommended regardless of sperm quality due to potential sperm antibodies that could impact fertilization.  Conventional In Vitro Fertilization (c-IVF)  C-IVF involves the fertilization of eggs with sperm outside the body in a controlled laboratory environment. The process includes: Ovarian Stimulation: Hormonal medications stimulate the ovaries to produce multiple eggs. Egg Retrieval: Eggs are collected from the ovaries through a minor surgical procedure. Fertilization: Eggs are combined with sperm in a culture dish to facilitate fertilization. Fertilization is typically done using conventional methods, but ICSI can be used if needed. Embryo Transfer: Fertilized embryos are monitored for development and then transferred into the uterus with the hope of implantation. Comparing ICSI and c-IVF Success Rates ICSI Success Rates ICSI has shown promising success rates, especially when addressing male infertility. According to the Society for Assisted Reproductive Technology (SART), the average live birth rate per IVF cycle with ICSI is approximately 30-35% for women under 35. This is comparable to or slightly higher than conventional IVF in cases where male infertility is a factor. For couples without male factor infertility, using ICSI often doesn’t increase the chances of pregnancy or live birth compared to standard IVF methods.    C-IVF Success Rates Success rates for c-IVF vary depending on several factors, with age being the most significant. Below are national averages for c-IVF success rates by age group: National information based on 144,773 ART cycles of patients who used their own eggs and resulted in live birth pregnancies. Click the link above to filter by diagnosis and patient type to see the most accurate success rates for your situation. Please note this data changes with time, so click the link above for the most up-to-date information.  Age of PatientSuccess Rate <35 50.7% 35-37 36.3% 38-40 23.3% >40 7.9% A high percentage of these live births are singleton, which is often a desired outcome due to lower health risks for mother and baby. A singleton refers to a single baby born in a pregnancy, as opposed to multiple births (e.g., twins or triplets). In fertility treatments like IVF, a singleton birth is often considered a positive outcome because it carries fewer health risks for both the mother and the baby compared to multiple births, which can be associated with complications such as preterm delivery and low birth weight.   Factors Influencing Success Rates Several key factors can influence the success rates of ICSI and IVF: Age of the Woman: Age significantly affects egg quality and quantity. According to The Society for Assisted Reproductive Technology (SART), women under 35 have a 52.2% implantation rate, while women over 42 have a 9.4% rate. Younger patients generally achieve a live birth more quickly and with fewer cycles than older patients, impacting both cost and time. Sperm Quality: In ICSI, sperm quality is crucial. Better sperm quality generally leads to higher success rates, although ICSI can overcome certain sperm issues. Embryo Quality: The quality of embryos, determined by their development and morphology, is a significant predictor of successful implantation and pregnancy. Poor-quality or immature eggs that make fertilization difficult might mean that ICSI is unlikely to be effective. Underlying Health Conditions: Commonly treated conditions such as endometriosis, polycystic ovary syndrome (PCOS), and uterine abnormalities can impact success rates. Addressing these issues with a fertility expert can improve the likelihood of success. Technical Aspects: According to the Journal of Clinical Medicine, for c-IVF, factors such as the timing of insemination, sperm-cumulus co-incubation duration, and oxygen conditions during embryo culture can influence success rates. Research is ongoing to determine the optimal conditions for these technical aspects. Comparing ICSI and c-IVF ICSI is particularly beneficial for addressing male infertility issues, such as low sperm count, poor sperm motility, or abnormal sperm morphology. ICSI is more resource-intensive and time-consuming compared to c-IVF. The procedure requires meticulous laboratory techniques and specialized equipment, leading to higher costs and extended treatment times. C-IVF is less complex, generally less expensive, and quicker in terms of treatment time. While c-IVF may offer comparable success rates to ICSI for many couples, especially those without male factor infertility, it does not provide the same targeted intervention as ICSI.   The choice between ICSI and c-IVF depends largely on specific fertility issues and individual patient needs. Couples with diagnosed male infertility issues may benefit from the enhanced fertilization capabilities of ICSI, while those without such issues might find c-IVF to be a suitable and more cost-effective option. Additionally, personal preferences and financial considerations play a significant role in the decision-making process. Consulting with a fertility specialist can help determine the most appropriate approach based on individual circumstances, ensuring that the chosen method aligns with both medical needs and personal goals.   Why Choose Kofinas Fertility? Kofinas Fertility Group in New York offers unmatched fertility care with over 30 years of experience and a commitment to excellence. Founded in 1987 by Dr. George Kofinas, we were the first private fertility practice in NYC and the third in New York State. With five locations across the city and six in-house labs, we handle every aspect of your fertility journey in-house, ensuring personalized care and advanced treatments.    Our expert team addresses the root causes of fertility challenges with cutting-edge technology and surgical skill, providing the best chance for a successful pregnancy. Learn more about IVF success rates below!     ### END_RECORD ### START_RECORD TYPE: post ID: 1387 TITLE: IVF Success Rates By Age: How Successful is IVF? URL: https://www.kofinasfertility.com/ivf-success-rates-by-age-how-successful-is-ivf/ EXCERPT: Starting IVF is both an exciting adventure and a big, daunting decision. You’re likely filled with hope for the future, but it’s also normal to have questions and worries. One of the most common things we hear at Kofinas Fertility Group is, “What are my chances of success with IVF?” Understanding success rates can be […] DATE_PUBLISHED: 2024-07-30T00:00:00Z DATE_UPDATED: 2026-03-23T04:54:19Z SCHEMA_TYPE: Article META_seo_title: IVF Success Rates By Age: How Successful is IVF? | Kofinas Fertility META_seo_description: Discover the national average IVF success rates by age and how Kofinas Fertility Group exceeds expectations. Learn about personalized treatment plans. TAX_category: IVF BODY_CONTENT: | Starting IVF is both an exciting adventure and a big, daunting decision. You're likely filled with hope for the future, but it's also normal to have questions and worries. One of the most common things we hear at Kofinas Fertility Group is, "What are my chances of success with IVF?" Understanding success rates can be empowering, but it's important to remember that every path to parenthood is unique. There are many factors that can influence your individual journey, and age is a big one. Below, we will give you a clear picture of the national average success rate by age according to Centers for Disease Control and Prevention (CDC).  But please remember: even if your age falls outside the "peak" range, achieving a healthy pregnancy with IVF is still very possible, and choosing the right fertility clinic can make a big difference. IVF Success Rates: A National Overview In vitro fertilization (IVF) is a highly effective treatment for a variety of fertility challenges. The step-by-step IVF process  involves fertilizing an egg with sperm outside the body and then transferring the resulting embryo(s) to the uterus for implantation and pregnancy.  Birth Rate vs. Live Birth Rate When discussing IVF success rates, you'll often hear the term "live birth rate." This is a crucial metric that reflects the percentage of IVF cycles that result in the delivery of a healthy baby. It takes into account not just pregnancies that successfully implant, but also those that might start but end in miscarriage. So, the live birth rate gives you a more complete picture of the chances of taking home a healthy baby after undergoing IVF. National Average Success rates for IVF vary depending on several factors, including a woman's age, overall health, and the cause of infertility. Here's a breakdown of national average success rates by age according to the Centers for Disease Control and Prevention (CDC): National information based on 144,773 ART cycles of patients who used their own eggs and resulted in live birth pregnancies. Click the link above to filter by diagnosis and patient type to see the most accurate success rates for your situation. Please note this data changes with time, so click the link above for the most up-to-date information. Age of PatientSuccess Rate <35 50.7% 35-37 36.3% 38-40 23.3% >40 7.9% As you can see, success rates do decline significantly with age, but achieving a healthy pregnancy is still possible, especially with help from a fertility specialist. Kofinas Fertility: Exceeding National Averages While national averages provide a general picture, it’s important to consider the experience and expertise of the fertility clinic you choose. At Kofinas Fertility Group, we're proud to consistently exceed national success rates. Kofinas Fertility Success Rates based on 368 ART cycles of patients who used their own eggs and resulted in live birth pregnancies. Click the link above to filter by diagnosis and patient type to see the most accurate success rates for your situation. Please note this data changes with time, so click the link above for the most up-to-date information.  Age of PatientSuccess Rate <35 54.1% 35-37 41.5% 38-40 30.7% >40 7.2% What Makes Kofinas Fertility Different? We believe success goes beyond just achieving pregnancy. Our ultimate goal is to help you achieve a healthy live birth and build the family you dream of. Here's what sets Kofinas Fertility apart: Individualized Treatment Plan: We understand there's no single solution for infertility. Our experienced fertility specialists take a personalized approach, tailoring treatment plans to your unique needs and circumstances. We listen to your concerns, address your questions openly, and create a supportive environment throughout your journey. Focus on Root Causes: We believe in treating the root cause of infertility, not just the symptoms. Our comprehensive evaluation includes a wide range of tests, including blood work, imaging, and hormonal assessments. This allows us to identify any underlying issues that may be impacting your ability to conceive. Experienced Team: Our team is comprised of distinguished fertility specialists with extensive experience and a deep understanding of the emotional challenges associated with infertility. Our specialists are highly skilled in the latest IVF techniques and provide compassionate, individualized support. Advanced Technology: We are committed to staying at the forefront of reproductive medicine. To maximize your chances of success, we utilize the latest advancements in IVF technology, such as preimplantation genetic screening and testing (PGT-A). Comprehensive Testing: We screen for disorders or abnormalities that may not seem typical but increase the chances of a healthy pregnancy and baby. For example, we screen for blood clotting disorders, like thrombophilia. Dedicated Surgical Center: Patients at Kofinas Fertility have seamless access to the Manhattan Reproductive Surgery Center, a state-of-the-art facility equipped for all surgical aspects of IVF, including egg retrieval and embryo transfer. Your Journey to Parenthood Starts Here At Kofinas Fertility, we understand the emotional rollercoaster that comes with fertility challenges, and we're here to support you every step of the way. When you choose Kofinas, you'll have access to a dedicated care team, including nurses and financial advisors, who can answer your questions, address your concerns, and provide emotional support throughout your treatment journey. Ready to take the next step? Click here to schedule a consultation, and let's discuss your path to parenthood together. We have a ton of resources available to help you through the entire process. You can start by checking out our IVF guide below to learn more. ### END_RECORD ### START_RECORD TYPE: post ID: 1408 TITLE: What Is Reciprocal IVF? URL: https://www.kofinasfertility.com/what-is-reciprocal-ivf/ EXCERPT: Building a family is a beautiful journey, and for LGBTQ+ couples, there are exciting options to make that dream a reality. One such option is reciprocal IVF, also known as co-maternity or partner-assisted reproduction. This advanced fertility treatment allows both partners to actively participate in creating a family, fostering a shared experience and a deep […] DATE_PUBLISHED: 2024-07-30T00:00:00Z DATE_UPDATED: 2026-03-23T04:49:43Z SCHEMA_TYPE: Article META_seo_title: What Is Reciprocal IVF? | Kofinas Fertility META_seo_description: Explore the beauty of reciprocal IVF for LGBTQ+ couples, where partners share the journey of creating a family through egg donation and pregnancy. TAX_category: LGBTQ TAX_category: IVF BODY_CONTENT: | Building a family is a beautiful journey, and for LGBTQ+ couples, there are exciting options to make that dream a reality. One such option is reciprocal IVF, also known as co-maternity or partner-assisted reproduction. This advanced fertility treatment allows both partners to actively participate in creating a family, fostering a shared experience and a deep emotional connection throughout the process. What Is Reciprocal IVF? Reciprocal IVF is a form of in vitro fertilization (IVF) designed specifically for couples where one partner provides the eggs, another partner carries the pregnancy, and sperm donation is used. It's a wonderful way for both partners to share the experience of creating a family.    Here's a breakdown of the reciprocal IVF process:   Stimulation and Egg Retrieval Ovarian stimulation: The partner providing the eggs undergoes a process to stimulate their ovaries using fertility medications. Ovarian stimulation encourages the ovaries to produce multiple mature eggs. Close monitoring through ultrasounds and blood tests ensures optimal egg development. Egg retrieval: Once the eggs mature, a minimally invasive outpatient procedure retrieves them. The process typically involves light sedation for comfort. A thin needle guided by ultrasound gently aspirates the eggs from ovarian follicles. Fertilization The retrieved eggs are carefully transported to a state-of-the-art embryology lab, but at Kofinas Fertility, the retrieved eggs are collected and directly passed through a window from our operating rooms to our in-house embryology lab. Here, experienced embryologists combine the eggs with sperm from a carefully chosen donor. Two methods are possible: Conventional insemination: Sperm and eggs are placed together in a dish, allowing fertilization to occur naturally. Intracytoplasmic sperm injection (ICSI): A single sperm is injected directly into the egg, a more specialized technique used in certain cases. Embryo Development The fertilized eggs, now called embryos, are closely monitored for healthy cell division and development within a special incubator. The incubator mimics the natural environment within the fallopian tubes. Daily assessments track embryo progress, selecting the strongest and most viable ones for potential transfer.   Embryo Transfer The chosen embryo(s) are transferred into the uterus of the partner who will carry the pregnancy. The procedure is painless and uses a thin catheter inserted into the cervix. Ultrasound guidance ensures accurate placement of the embryo(s) within the uterine lining, maximizing the chances of implantation.   Pregnancy and Delivery After successful embryo implantation, the pregnancy progresses much like a natural conception. The carrying partner receives ongoing prenatal care from their OB-GYN to monitor the baby's growth and development.   Benefits of Reciprocal IVF Reciprocal IVF offers several advantages for LGBTQ+ couples considering parenthood: Shared experience: Both partners actively participate in the process, sharing the emotional journey of creating a family. One partner contributes genetically, while the other experiences the miracle of carrying and birthing the child. A shared experience can foster a strong and lasting bond. Flexibility: You can choose which partner will provide the eggs and which will carry the pregnancy based on your preferences and health considerations. This level of control allows you to tailor the process to your unique family-building goals. Genetic connection: By using your own eggs, one partner can share a genetic connection with the child, which can be a significant factor for some couples, and reciprocal IVF allows for this biological link to be established. Building a strong bond: Reciprocal IVF can be a powerful bonding experience for couples as they embark on parenthood together. The shared journey and decision-making process can strengthen your relationship as you prepare to welcome a child into your lives.   Answering All Your Reciprocal IVF Questions What is the difference between reciprocal IVF and IVF? The key difference lies in who contributes the eggs and who carries the pregnancy:   Traditional IVF: IVF is typically used by couples where the woman desires to conceive but may have fertility challenges. In this process, the woman's own eggs are retrieved and fertilized with her partner's sperm (or donor sperm if needed). The resulting embryo is then transferred back into the same woman's uterus for pregnancy. Reciprocal IVF (also known as co-maternity or partner-assisted reproduction): Reciprocal IVF is specifically designed for lesbian couples or transmasculine individuals seeking parenthood. Here, one partner provides the eggs (which may or may not be fertilized with her own sperm). Sperm donation is then used for fertilization, and the resulting embryo is transferred into the uterus of the other partner, who will carry the pregnancy. Both methods involve in vitro fertilization (meaning fertilization occurs outside the body in a lab), but reciprocal IVF allows for a shared experience of parenthood for couples where traditional IVF wouldn't be suitable.   How much does reciprocal IVF cost? The cost of reciprocal IVF can vary depending on several factors, including medications, number of cycles needed, lab fees, and donor sperm costs. In general, it can range from $20,000 to $40,000 or more per cycle.    Does insurance cover reciprocal IVF? Unfortunately, insurance coverage for fertility treatments like reciprocal IVF varies widely. Some plans may offer partial or full coverage, while others may not cover any aspect of it. It's important to check with your specific insurance provider to understand your coverage details.   Can two female eggs make a baby? No, creating a baby with two female eggs is not possible. Eggs require sperm for fertilization to occur and develop into an embryo.   What states pay for IVF? Currently, there are no states in the US that directly mandate insurance companies to cover IVF. However, some states have laws that prevent insurers from excluding fertility treatments from their coverage altogether.   What are the risks of reciprocal IVF? As with any medical procedure, reciprocal IVF carries some potential risks. Side effects from fertility medications for the egg provider Risks associated with egg retrieval procedure Risks of the embryo transfer procedure Potential complications during pregnancy for the carrying partner It's important to discuss these risks in detail with your fertility specialist to make informed decisions.   Embark on Your Reciprocal IVF Journey with Kofinas Fertility Group Ready to build your beautiful family? Reciprocal IVF offers a path for LGBTQ+ couples to share the incredible experience of creating a life together. At Kofinas Fertility Group, we're here to support you every step of the way. We'll listen to your hopes and concerns, and create a personalized plan that makes your dream a reality. Reach out to us to get started or learn more below.  ### END_RECORD ### START_RECORD TYPE: post ID: 1397 TITLE: Breaking Age Barriers: Kofinas Fertility Clinic’s Success Rate Formula URL: https://www.kofinasfertility.com/breaking-age-barriers-kofinas-fertility-clinics-success-rate-formula/ EXCERPT: Success rates are a key evaluation criterion for prospective parents when selecting a top fertility clinic. High success rates will instill confidence in a clinic’s capabilities and reassure you as you navigate the complex world of fertility treatments, helping you make an informed decision on which clinic is best for your needs. DATE_PUBLISHED: 2024-07-24T00:00:00Z DATE_UPDATED: 2026-03-04T01:09:50Z SCHEMA_TYPE: Article META_seo_title: Kofinas Fertility Clinic's Success Rate Formula | Kofinas Fertility META_seo_description: Discover Kofinas' high success rates, especially for patients over 35, offering comprehensive care, personalized support, and advanced research. TAX_category: Pregnancy BODY_CONTENT: | Success rates are a key evaluation criterion for prospective parents when selecting a top fertility clinic. High success rates will instill confidence in a clinic's capabilities and reassure you as you navigate the complex world of fertility treatments, helping you make an informed decision on which clinic is best for your needs. Here at Kofinas Fertility Group, we are incredibly proud of our success rates, particularly in assisting patients over 35 in realizing their aspirations of a healthy pregnancy and birth. Let's explore the reasons behind our success rates and why Kofinas is among the best fertility clinics in New York. Fertility Success Rate Data from the CDC We encourage prospective patients to review our success rates directly from the CDC's website. Our clinic's success rates are consistently high across all age categories, particularly for patients over the age of 35. Here’s a snapshot of our percentage of retrievals resulting in live-birth deliveries: >35 years: 60.0% 35-37 years: 46.8% 38-40 years: 35.1% >40 years: 8.9% Through the CDC's Assisted Reproductive Technology (ART) Success Rates website, you can review the success rates of fertility clinics they are considering, including ours. U.S. fertility clinics annually report and verify data on ART cycles and outcomes. ART encompasses treatments involving eggs or embryos, primarily through in vitro fertilization (IVF), where eggs are extracted, fertilized in a lab, and transferred to a uterus. The website shows data at the national, state, and clinic levels, allowing you to help you understand averages and how the clinic you're evaluating compares to them. You can filter by conditions, including endometriosis, age range, previous pregnancy loss, and more.  In our case, we're happy to report that our methods lead to statistically above-average outcomes.  Achieving A High Fertility Clinic Success Rate Through Comprehensive Care Several key factors contribute to our outstanding fertility success rates. Comprehensive Testing and Diagnosis: Our thorough approach to diagnosing and addressing the root causes of infertility sets us apart. Through extensive testing, we can customize treatments to meet each patient's unique needs, leading to significant improvements in outcomes. Advanced Treatment Options: We offer a wide range of advanced fertility treatments, including IVF, IUI, and egg freezing. Our cutting-edge technology and innovative techniques ensure our patients receive the best possible care. Dedicated Facilities: Our Manhattan Reproductive Surgery Center is devoted exclusively to our patients, providing a specialized environment for advanced procedures and surgeries. This dedicated facility enhances our ability to deliver high-quality care and achieve successful outcomes. Expert Team: Our fertility specialists are highly experienced and dedicated to helping patients achieve their dreams of parenthood. Their expertise, combined with our comprehensive care model, ensures that each patient receives personalized and effective treatment. Personalized Care and Support At Kofinas Fertility Group, we understand that the journey to parenthood can be emotionally and physically challenging. That’s why we prioritize personalized care and support for each patient. From the initial consultation to post-treatment follow-ups, our team is dedicated to providing compassionate and individualized care. Our fertility specialists take the time to understand each patient’s unique situation and tailor treatment plans accordingly. We believe personalized care is vital to achieving successful outcomes, and we strive to create a supportive and nurturing environment for our patients. In addition to medical treatments, we offer various support services to help our patients navigate their fertility journey. These services include counseling, nutritional guidance, and stress management techniques. We recognize that fertility treatment can be overwhelming, and our goal is to provide holistic support to enhance our patients’ overall well-being. Latest Advanced Research and Innovation Kofinas Fertility Group is committed to staying at the forefront of fertility research and innovation. Our team is actively involved in clinical research and collaborates with leading institutions to develop and implement the very latest advanced treatments. This commitment to research ensures that our patients have access to the latest advancements in fertility care. Our research initiatives focus on improving treatment outcomes, reducing risks, and enhancing patient experiences. By continuously exploring new technologies and methodologies, we strive to provide the highest quality of care and achieve the best possible results for our patients. The Path to Successful Pregnancy We understand that the journey to parenthood can be challenging, especially for those facing age-related fertility issues. That's why we take our success rate seriously as one of the ultimate measures of helping our patients achieve their pregnancy goals. Frequently Asked Questions 1. Is it really possible to get pregnant at 40?  Yes, it is possible to get pregnant at 40. While fertility naturally declines with age, advancements in fertility treatments have made it possible for many women to conceive later in life. At Kofinas Fertility Group, we have helped numerous patients in their 40s achieve successful pregnancies and healthy births. Our comprehensive testing and personalized treatment plans are designed to address age-related fertility challenges and maximize the chances of a healthy pregnancy and birth. 2. What makes Kofinas Fertility Group different from other clinics?  Kofinas Fertility Group stands out due to our comprehensive approach to fertility care. We go beyond standard treatments by conducting thorough testing to identify and address the root causes of infertility. Our dedicated Manhattan Reproductive Surgery Center allows us to perform specialized procedures, and our commitment to personalized care ensures that each patient receives tailored treatment plans. Our high success rates, particularly for patients over 35, demonstrate our expertise and dedication. 3. What can I expect during my first consultation at Kofinas?  During your first consultation at Kofinas, you will meet with one of our fertility specialists, who will review your medical history and discuss your fertility goals. We will conduct a comprehensive evaluation to identify underlying issues and develop a personalized treatment plan. Our team will provide detailed information about the recommended treatments and answer any questions you may have. We aim to ensure that you feel informed, supported, and confident as you begin your fertility journey. Fertility Clinic Success Rates & Your Goals By addressing the root causes of infertility and providing comprehensive, personalized care, we help patients achieve healthy pregnancies and births, achieving above-average fertility clinic success rates. Ready to take the next step in your fertility journey? Request a consultation with Kofinas Fertility Group today and discover how we can help you achieve your dream of parenthood. ### END_RECORD ### START_RECORD TYPE: post ID: 1381 TITLE: What Is Assisted Reproductive Technology? URL: https://www.kofinasfertility.com/what-is-assisted-reproductive-technology/ EXCERPT: Starting a family is a deeply personal journey, but for many, it comes with unexpected challenges. Assisted Reproductive Technology (ART) offers hope to these individuals and couples facing obstacles on their path to parenthood. So, what is ART? While you may have heard of in vitro fertilization (IVF), it’s just one piece of the puzzle […] DATE_PUBLISHED: 2024-06-06T00:00:00Z DATE_UPDATED: 2026-03-23T04:49:27Z SCHEMA_TYPE: Article META_seo_title: What Is Assisted Reproductive Technology (ART)? | IVF, IUI, & More META_seo_description: ART encompasses a variety of techniques aimed at helping people conceive. Let’s break it down! TAX_category: IVF TAX_category: Egg Freezing TAX_category: Fertility BODY_CONTENT: | Starting a family is a deeply personal journey, but for many, it comes with unexpected challenges. Assisted Reproductive Technology (ART) offers hope to these individuals and couples facing obstacles on their path to parenthood. So, what is ART? While you may have heard of in vitro fertilization (IVF), it's just one piece of the puzzle (although it is a very important piece). ART encompasses a variety of techniques aimed at helping people conceive. Let’s break it down: What Is Assisted Reproductive Technology (ART)? Assisted Reproductive Technology, or ART, encompasses a range of procedures designed to aid individuals or couples in conceiving a child when natural conception proves challenging. The CDC defines ART as all fertility treatments involving the manipulation of eggs or embryos. This can include factors such as infertility, genetic disorders, or personal circumstances.  ART procedures do not include treatments solely focused on manipulating sperm (like intrauterine insemination) or medication use solely aimed at stimulating egg production without the intent of egg retrieval. We'll explore the specific types of ART procedures in the sections below.   ART Techniques and Procedures In Vitro Fertilization (IVF) Over 8 million babies in the US, accounting for about 2% of births, have been born using in vitro fertilization (IVF). IVF involves the delicate process of surgically retrieving eggs from a woman's ovaries and then fertilizing them with sperm in a controlled laboratory environment. Once embryos form, they undergo careful monitoring before being either transferred back into the woman's uterus or generously donated to another hopeful individual or couple.  There’s also two variations of IVF: Intracytoplasmic Sperm Injection (ICSI) Intracytoplasmic sperm injection (ICSI) is a specialized form of IVF that can be particularly beneficial for couples facing male infertility. During ICSI, a single sperm is directly injected into an egg to facilitate fertilization. Frozen Embryo Transfer (FET) Frozen embryo transfer (FET) involves transferring embryos that have been previously frozen during an IVF cycle into the uterus at a later stage. This approach offers flexibility in timing and can enhance the chances of a successful pregnancy by allowing for optimal preparation of the uterine lining.   Intrauterine Insemination (IUI) Intrauterine insemination (IUI) is another common ART technique. Unlike IVF, IUI involves placing sperm directly into a woman's uterus during ovulation to enhance the chances of fertilization.  IUI is often recommended for couples facing unexplained infertility, male factor infertility (typically due to low sperm count or poor sperm motility), or individuals and couples using donor sperm. The procedure is relatively simple and involves three main steps: Tracking ovulation to determine the most fertile period. Collecting and washing semen to ensure only the healthiest and most mobile sperm are used. This step is important for both optimizing the chances of successful fertilization and reducing discomfort during the procedure. Gently inserting the washed sperm directly into the uterus using a thin catheter. This process is similar to a routine pap smear and is performed after gently expanding the vaginal walls with a speculum. At Kofinas Fertility, we typically combine our primary low-complexity fertility therapies, such as IUI and ovarian stimulation, to enhance your chances of achieving pregnancy.   Cryopreservation of Gametes and Embryos: Freezing Your Eggs Cryopreservation or Ovarian Tissue Cryopreservation (OTC) is the process of freezing and storage of gametes (sperm and eggs) or embryos for future use. In other words, freezing your eggs! This technique offers individuals and couples the flexibility to preserve their reproductive potential, whether for medical reasons, such as undergoing cancer treatment that may impact fertility or for personal reasons, such as delaying parenthood.   Third-Party Reproduction: Sperm/Egg Donation and Surrogacy Third-party reproduction is when someone either donates their sperm or eggs or they carry a baby for someone who can't have a baby on their own. For individuals or couples unable to conceive using their own gametes or unable to carry a pregnancy to term, sperm or egg donation and surrogacy offer hope.    Who Can Benefit from Assisted Reproductive Technology (ART) Procedures like IVF? LGBTQ+ Couples: ART provides LGBTQ+ couples with a path to parenthood, breaking down barriers and offering inclusive options for conceiving and building their families. Couples Facing Infertility Challenges: For couples grappling with the heartache of infertility, ART offers hope. Whether the challenge lies in unexplained infertility, male factor infertility, or other reproductive issues, ART procedures like IVF help overcome these obstacles. Single Individuals: In a world where traditional family structures continue to evolve, single individuals find empowerment and fulfillment through ART. With the support of fertility specialists, they can embark on the journey of parenthood solo, fulfilling their lifelong dream of having a child. Those with Genetic Disorders or Fertility Issues: There are countless individuals facing challenging fertility issues such as Polycystic Ovary Syndrome (PCOS), endometriosis, and fibroids. With advancements in genetic screening and diagnostic techniques, ART procedures offer a chance to conceive and carry out a healthy pregnancy, even in the face of genetic challenges.    Help Getting Pregnant ​​If you’re trying to conceive, Kofinas Fertility Group can help you achieve your goal. Our award-winning doctors have decades of experience and use modern, effective treatments to achieve healthy pregnancies. Our minimally invasive procedures not only remove physical barriers to a healthy pregnancy, but we make sure that we optimize your reproductive health for the future. We do it all because that’s what it takes to give you the best opportunity of having a healthy, happy child.  ### END_RECORD ### START_RECORD TYPE: post ID: 1431 TITLE: How Do You Treat Fertility Problems with Medication? URL: https://www.kofinasfertility.com/how-do-you-treat-fertility-problems-with-medication/ EXCERPT: Trying to get pregnant can be an exciting time, but it can also be frustrating if it takes longer than expected. If you’ve been wondering about fertility medications, this blog is for you! We’ll explore how medication can be a helpful tool in your family planning journey, discuss some medications used to treat common fertility […] DATE_PUBLISHED: 2024-05-30T00:00:00Z DATE_UPDATED: 2026-03-04T00:31:52Z SCHEMA_TYPE: Article META_seo_title: Treat Fertility Problems with Medication | Kofinas Fertility Group META_seo_description: Fertility medications can help manage symptoms for common conditions like endometriosis, fibroids, and PCOS while improving chances of conception. TAX_category: PCOS TAX_category: Fertility TAX_category: Endometriosis TAX_category: Fibroids BODY_CONTENT: | Trying to get pregnant can be an exciting time, but it can also be frustrating if it takes longer than expected. If you've been wondering about fertility medications, this blog is for you! We'll explore how medication can be a helpful tool in your family planning journey, discuss some medications used to treat common fertility conditions, and answer FAQs!   Treating a Condition vs. Managing Symptoms Let's start by addressing a common misconception. Medications can’t necessarily "cure" your infertility. Instead, they work by managing the symptoms and imbalances often caused by underlying conditions that can make it difficult to get pregnant.  Think of it like this: if you have a headache because of allergies, medication like an antihistamine can ease the headache (the symptom), but it won't necessarily cure the allergies (the root cause). This is why consulting a fertility expert is crucial. They'll help you understand the reasons behind your struggles and create a personalized treatment plan. This plan could involve medication, but it might also include lifestyle changes or even assisted reproductive technologies (ART) depending on the specific cause of your infertility and your overall goals and needs.   How Do You Treat Fertility Problems with Medication? Medication works best when it targets the underlying cause of your infertility. So, let's talk about some typical medications for commonly treated fertility conditions.    Endometriosis Endometriosis is characterized by the growth of uterine lining tissue outside the uterus. Medication can't remove existing endometriosis, but it can help manage the symptoms, particularly pain and inflammation. Here are some options: Nonsteroidal anti-inflammatory drugs (NSAIDs): Over-the-counter pain relievers like ibuprofen can help ease discomfort associated with endometriosis. Hormonal contraceptives: Birth control pills, patches, or rings can regulate your menstrual cycle and suppress the growth of endometrial tissue. Gonadotropin-releasing hormone (GnRH) agonists and antagonists: These medications work by essentially putting your ovaries on hold, which can help shrink endometriosis implants. Progestin therapy: Progesterone, a hormone, can also help regulate your cycle and reduce endometrial growth. Aromatase inhibitors: These medications can be used in some cases to lower estrogen levels, which can fuel endometriosis growth. Fibroids Fibroids are non-cancerous growths in the uterus. Similar to endometriosis, medication can't remove fibroids, but it can manage their impact on fertility.  Nonsteroidal anti-inflammatory drugs (NSAIDs): Just like with endometriosis, NSAIDs can help alleviate pain associated with fibroids. Hormonal contraceptives: Birth control pills can regulate your cycle and potentially shrink fibroids. Gonadotropin-releasing hormone (GnRH) agonists and antagonists: These work similarly to endometriosis treatment by putting your ovaries on hold, which can shrink fibroids. Tranexamic acid: This medication can help reduce heavy bleeding caused by fibroids. Selective progesterone receptor modulators (SPRMs): These medications can help manage symptoms like fibroid-related bleeding and pain. Polycystic Ovary Syndrome (PCOS) PCOS is a complex syndrome that can cause irregular ovulation, making it difficult to conceive. Here are some medications often prescribed to help manage PCOS: Birth control pills: Regulate your cycle and potentially improve ovulation. Anti-androgens: These can be used to reduce excess testosterone often present in PCOS, which can disrupt ovulation. Metformin: This medication helps regulate blood sugar and improve insulin sensitivity, which can be beneficial for women with PCOS. Inositol: Particularly myo-inositol, is a natural supplement that may improve insulin sensitivity and regulate hormone balance, potentially improving ovulation in women with PCOS. Clomiphene citrate (Clomid) or letrozole: These medications stimulate ovulation in women with PCOS who don't ovulate regularly. GnRH agonists: In some cases, these medications might be used to reset your hormonal system and help with ovulation induction. Risks of Fertility Drugs Remember, medications may bring along potential side effects. Here are some common side effects associated with hormone-containing medications: Physical effects like nausea, vomiting, headaches, cramps, bloating, breast tenderness Mental health effects like mood swings, anxiety, depression Hot flashes Irregular bleeding Increased risk of multiple births Potential for miscarriage Ovarian hyperstimulation syndrome (OHSS) is a rare complication that can occur with fertility drugs These side effects can vary depending on the specific medication and your individual body, and what other medications you are on. It's crucial to discuss any concerns you have with your doctor, and they'll help you weigh the benefits and risks of each option.   Fertility Medications FAQ Are fertility drugs safe? Fertility drugs are generally safe when used under the supervision of a doctor. However, like any medication, they can have side effects and risks. Discussing these with your fertility doctor is essential for making informed decisions about your treatment plan.   Will fertility drugs guarantee pregnancy? No, fertility drugs can’t guarantee pregnancy. However, they can increase your chances of conception. The success rate depends on various factors like your age, underlying condition, and treatment approach.   What are the alternatives to fertility drugs? Depending on the cause of your infertility, alternative options might include surgery, lifestyle changes, or assisted reproductive technologies (ART) like in vitro fertilization (IVF). Your doctor will be able to discuss the most suitable course of action for you.   Supporting Your Journey to Parenthood with Fertility Medications For those facing fertility challenges, fertility medications can be a game-changer, helping you manage your symptoms, balance hormones, and get pregnant. But the first step is to find the root cause of your infertility. So, are you ready to take the next step towards parenthood?   ### END_RECORD ### START_RECORD TYPE: post ID: 1427 TITLE: What is Artificial Insemination? URL: https://www.kofinasfertility.com/what-is-artificial-insemination/ EXCERPT: When I say “fertility challenges” your mind likely goes straight to IVF, right? While IVF is an amazing tool to help people start families, there are actually many different options out there. Many actually find that artificial insemination is a better solution for their fertility situation. DATE_PUBLISHED: 2024-05-28T00:00:00Z DATE_UPDATED: 2026-03-04T00:32:50Z SCHEMA_TYPE: Article META_seo_title: What is Artificial Insemination? | Kofinas Fertility Group META_seo_description: Artificial insemination is a fertility treatment offering hope to couples facing infertility challenges. Learn about pros and cons, FAQs, and success rates TAX_category: Fertility TAX_category: Artificial Insemination BODY_CONTENT: | When I say “fertility challenges” your mind likely goes straight to IVF, right? While IVF is an amazing tool to help people start families, there are actually many different options out there. Many actually find that artificial insemination is a better solution for their fertility situation. Let’s break down the four different types of artificial insemination and answer some FAQs. Knowledge is power! And we want you to have all the information you need to start a family!   What is Artificial Insemination? Artificial Insemination is a fertility treatment in which sperm are inserted into a woman's uterus using the IUI (Intrauterine Insemination) procedure. An IUI is a low-complexity procedure that directly injects sperm into the uterus to increase the odds of impregnation. Couples who choose to pursue an IUI typically consist of a female partner with a healthy reproductive system and a male partner dealing with low sperm count or poor sperm volume. A fertility doctor uses an insemination catheter, a thin, flexible tube, to inject the sperm sample, and the female partner will undergo two treatments at 12 and 36 hours after hormone medications are given. The procedure essentially bypasses any failed attempts by transferring a strong concentration of sperm at peak ovulation times, which are monitored through bloodwork and hormone medications.   Pros and Cons of IUI IUI is a straightforward experience with moderately high success rates for first attempts. Because the eggs don’t need to be removed from the body, the whole process is far less invasive for the woman carrying the pregnancy. IUI also costs less than IVF since no egg extraction or laboratory monitoring is needed. Though IUI can be a great option for some people, it does not address several factors that might be causing your infertility. For IUI to be effective, the woman carrying the pregnancy needs to be ovulating and have healthy and undamaged fallopian tubes, and the sperm used has to be healthy and mobile enough to reach the egg. Depending on the cause (or causes) of your infertility, IUI alone might not be enough to help you successfully get pregnant. This is why fertility testing is important to determine the root cause of your fertility challenges.   Artificial Insemination FAQs What’s the difference between IUI and IVF? Intrauterine Insemination (IUI) involves the direct injection of sperm into the uterus, while In Vitro Fertilization (IVF) is a more complex procedure where fertilization occurs outside the body, typically in a laboratory dish. IVF involves retrieving eggs from the ovaries, fertilizing them with sperm in a lab, and then transferring the resulting embryos into the uterus. IVF is usually recommended for couples with more severe fertility issues or those who have not had success with other methods like IUI.   How long does implantation take? Implantation typically occurs around 6-10 days after ovulation. Once the fertilized egg (embryo) reaches the uterus, it attaches to the uterine lining, which marks the beginning of pregnancy. However, the exact timing can vary from person to person.   What’s the best timing for artificial insemination? The timing of artificial insemination depends on various factors, including ovulation. Typically, the procedure is scheduled around peak ovulation times, which can be determined through ovulation monitoring and hormone medications. In general, insemination is performed within a window of 12-36 hours before ovulation to optimize the chances of fertilization.   What are the success rates of artificial insemination? Success rates of artificial insemination vary depending on factors such as the age of the woman, the cause of infertility, and the type of insemination procedure used. Generally, success rates for IUI range from 10% to 20% per cycle, with higher success rates observed in couples with less severe fertility issues.   Is artificial insemination right for me? Whether artificial insemination is the right choice for you depends on your individual circumstances, including the cause of infertility, your age, and your preferences. It's essential to consult with a fertility specialist who can evaluate your situation and recommend the most appropriate treatment option. Artificial insemination may be a good option for couples with issues like low sperm count, ovulation problems, or unexplained infertility.   Can you use IUI and Ovarian Stimulation Therapy together? Yes, to maximize your chances of an optimal outcome, you can use low complexity fertility therapies — intrauterine insemination (IUI) and ovarian stimulation — together.   Achieve a Healthy Pregnancy and Start Your Family If you're on the journey to conceive, Kofinas Fertility Group is here to help you achieve your goal. With our award-winning doctors boasting decades of experience and employing modern, effective treatments, we're committed to helping you realize a healthy pregnancy and start your family. ### END_RECORD ### START_RECORD TYPE: post ID: 1453 TITLE: 5 Tips for Managing Fertility Stress and Intrusive Questions During the Holidays URL: https://www.kofinasfertility.com/5-tips-for-managing-fertility-stress-and-intrusive-questions-during-the-holidays/ EXCERPT: As the holidays roll in, so do the inevitable wave of obnoxious comments from often well-meaning yet invasive family members. While you’re minding your own business, Aunt Suzie might casually blurt out, “Why aren’t you pregnant yet?!” and those words can feel like a punch in the gut.    At Kofinas Fertility, we understand the […] DATE_PUBLISHED: 2023-12-11T00:00:00Z DATE_UPDATED: 2026-02-24T09:43:05Z SCHEMA_TYPE: Article META_seo_title: 5 Tips for Managing Fertility Stress & Questions During the Holidays META_seo_description: At Kofinas Fertility, we understand the unique stress the holidays can bring for those navigating fertility struggles. Here's some tips to help you out. TAX_category: Fertility BODY_CONTENT: | As the holidays roll in, so do the inevitable wave of obnoxious comments from often well-meaning yet invasive family members. While you’re minding your own business, Aunt Suzie might casually blurt out, "Why aren’t you pregnant yet?!" and those words can feel like a punch in the gut.    At Kofinas Fertility, we understand the unique stress the holidays can bring for those navigating fertility struggles. Helping individuals start families for all these years has given us some helpful insights on how to manage these hurtful comments. A lot of us have been in a very similar boat- and we know it’s not always smooth sailing. So, here are our top five tips to help you out!   #1 Expect Triggers It’s common to encounter insensitive questions or comments during gatherings. Being mentally prepared for these triggers can help soften their impact. Anticipating and acknowledging that these moments might occur can help you to choose how you respond rather than reacting impulsively. Remember, it's okay to protect your emotions and set boundaries.    In addition to family members, there are also tons of other triggers around. I mean, everyone just seems so damn happy all the time! According to the National Alliance on Mental Illness (NAMI), 64% of individuals struggling with a mental illness noted that their conditions worsened during the holidays. Oftentimes, when we’re  “supposed” to feel happy and joyous, how we really feel is stressed and overwhelmed. This is even heightened for those going through fertility struggles. We just want you to know that you’re not alone!    #2 Craft Your Responses Ahead of Time Crafting a response to the infamous question, "Why aren’t you pregnant yet?" can help you to respond rather than react. And it can help you manage your stress levels in the meantime. Consider rehearsing your answers to various questions you may be asked. Here’s some examples to get you started:   “When are you going to have kids?” "We're still figuring out our plans, and when the time is right, we'll let you know. How's [change the subject]?” “Well, we really don’t want our baby to be a Virgo, so we’ve got to wait a bit.” "You should try XYZ method to get pregnant; it worked for someone I know." "I appreciate your suggestion. We're exploring options with medical professionals, but it’s a bit of a sensitive topic for me right now so do you mind if we talk about something else?" "You're not getting any younger; you should hurry up and start a family." "I understand, but these things can take time. We're focusing on what's best for us right now. How have things been with you?" "Maybe you're doing something wrong; have you tried changing your lifestyle?" "We've explored different avenues, including lifestyle changes, but fertility can be complicated. We're following medical advice and doing what's best for us." “How’s that fifth glass of wine treating you, Aunt Suzie?” For more intrusive questions, a simple “That’s something personal we're not discussing right now” could do the trick. If a line is really crossed, you could use the phrase, “What a strange thing to say out loud.” After all, sometimes Aunt Suzie needs to just be asked to stop. However, everyone’s family is different. The last thing you need is to draw more attention to the situation, making you feel even worse. So craft your responses based on what will make your life easier, not anybody else's.    #3 Create a Safety Signal Navigating fertility struggles can weigh on both partners. Develop a discreet signal or code word with your partner to indicate when you need support during uncomfortable conversations. A quick rescue can provide relief, allowing you to gracefully exit the situation. For emergencies, you could always spill your drink or say something absolutely unhinged to change the subject. Redirection can be a very useful tactic.   #4 Prioritize Self-Care With all of this going on, it's easy to overlook self-care. Research from Mayo Clinic shows a direct link between stress, depression, and infertility. Remember, taking care of yourself isn’t selfish—it’s essential. Find moments to step away, indulge in activities that bring you joy, and set aside time for relaxation. Prioritize your mental and emotional well-being.    #5 Hold onto Hope Infertility can feel isolating, but you are not alone. Don’t lose hope! Remember that there are so many families out there that went through fertility struggles and now have the daily of their dreams. Confide in trusted friends and family, or seek professional support. Sometimes, simply being listened to is all we need to feel better.    You’ve Got This! Managing fertility stress during the holidays requires strength and resilience, and you possess both. Don’t let anyone’s thoughtless comments get you down. This holiday season we hope you find moments of peace and joy amidst the chaos. You deserve compassion, understanding, and support.  ### END_RECORD ### START_RECORD TYPE: post ID: 1452 TITLE: Managing Endometriosis through Diet: Foods to Embrace and Eliminate URL: https://www.kofinasfertility.com/managing-endometriosis-through-diet-foods-to-embrace-and-eliminate/ EXCERPT: Hey there lovely ladies! Are you tired of that cramping, debilitating pain during your periods? Don’t let endometriosis bring you down! Endometriosis is a common condition that affects millions of women worldwide. But fear not! There are various treatment options and ways to manage endometriosis symptoms.  Today, we will be giving you some tips on […] DATE_PUBLISHED: 2023-06-22T00:00:00Z DATE_UPDATED: 2026-03-04T00:28:41Z SCHEMA_TYPE: Article META_seo_title: How to Manage Endometriosis through your Diet | Kofinas Fertility META_seo_description: Here are some expert tips on managing endometriosis symptoms through your diet. TAX_category: Endometriosis BODY_CONTENT: | Hey there lovely ladies! Are you tired of that cramping, debilitating pain during your periods? Don't let endometriosis bring you down! Endometriosis is a common condition that affects millions of women worldwide. But fear not! There are various treatment options and ways to manage endometriosis symptoms.  Today, we will be giving you some tips on how you can manage its symptoms through your diet. Yes, you heard that right! Food can affect hormones and inflammation, which can impact endometriosis. So, let's dive into the world of delicious and nutritious foods that can help you feel your best!   How Diet Affects Endometriosis Hormones are an essential piece of the puzzle when it comes to endometriosis. Estrogen, in particular, can stimulate the growth of endometrial tissue. But don't worry, we can use this knowledge to our advantage! Hormonal treatments like birth control pills can help manage symptoms, and we can also tweak our diets to affect our hormone levels. Some foods can increase estrogen production, while others can decrease it, so let's find out which ones to include in our diet! Inflammation can also play a role in endometriosis. While it's a natural response of our immune system to injury or infection, chronic inflammation can lead to tissue damage and pain. But the good news is that we can fight inflammation with food! Some foods can cause inflammation, while others can help reduce it. So let's load up on those anti-inflammatory goodies! Lastly, a well-balanced diet is crucial for overall health and well-being. By eating a variety of nutrient-dense foods, we can support our immune system and lower the risk of other health issues that can make endometriosis symptoms worse, such as obesity and insulin resistance. Let's embrace delicious and healthy foods to feel our best!   Foods to Help Manage Symptoms of Endometriosis Let's get excited about the delicious and nutritious foods that can help us manage endometriosis symptoms! We can make a real difference in how we feel by incorporating these foods into our diet: Anti-inflammatory foods are our friends! Think about delicious fatty fish like salmon and tuna, nutrient-packed leafy greens like kale and spinach, sweet berries, and crunchy nuts and seeds. These foods are loaded with antioxidants and omega-3 fatty acids, which can help reduce inflammation in our bodies. Fiber-rich foods not only promote digestive health, but they can also help regulate our estrogen levels. Let's get creative with fruits, veggies, whole grains, and legumes to get our fiber fix! Iron-rich foods are especially important for those of us who experience heavy periods. We can fuel our bodies with delicious red meat, poultry, fish, and iron-packed leafy greens and beans. Vitamin D is a superstar nutrient that helps keep our bones strong and may also reduce inflammation. Let's embrace vitamin D-rich foods like fatty fish, egg yolks, and fortified milk and cereal. Now, for some mouth-watering meal inspo: Flavorful salmon and kale salad with juicy berries and crunchy walnuts. View recipe. A hearty oatmeal bowl with sliced bananas and creamy almond butter. View recipe. A comforting lentil soup with leafy spinach and warm whole-grain bread. View recipe. Grilled chicken with crispy sweet potatoes and broccoli. View recipe.   Foods to Avoid for Managing Endometriosis Let's talk about some foods that we might want to avoid or limit to help manage endometriosis symptoms.  Processed foods might taste delicious, but they're often loaded with unhealthy fats, salt, and sugar, all of which can contribute to inflammation and other health problems. Examples include fast food, frozen dinners, and packaged snacks. Instead, let's choose fresh, whole foods whenever possible to nourish our bodies. Sugar might be tempting, but it can cause inflammation and disrupt hormone levels. Examples include soda, candy, and baked goods. Instead, let's satisfy our sweet tooth with natural sugars found in fruit or nutrient-packed nuts. Caffeine might give us a boost, but it can also increase estrogen levels and cause inflammation. Examples include coffee, tea, and energy drinks. If we can't bear to give up our morning coffee or tea, let's try switching to decaf or limiting our caffeine intake. It can be tough to avoid these tempting foods, but we've got some tips to help us stay on track. Let's try cooking at home instead of relying on fast food or packaged meals, and let's get creative with our meals using fresh, whole ingredients. By making small changes and focusing on nutrient-dense foods, we can manage our endometriosis symptoms and feel our best!   Supplements for Endometriosis In addition to diet, supplements can also play a role in managing endometriosis symptoms. Here are some supplements that you may find helpful: Omega-3 fatty acids: Omega-3s can help reduce inflammation and may also help regulate estrogen levels. Good sources of omega-3s include fatty fish, fish oil supplements, and flaxseed oil. Magnesium: Magnesium can help reduce pain and cramping. Good sources of magnesium include dark leafy greens, nuts, and whole grains. Probiotics: Probiotics can help promote gut health and reduce inflammation. Good sources of probiotics include yogurt, kefir, and fermented vegetables. Talk to Your Doctor Everyone's body is a unique snowflake, which means there's no one-size-fits-all approach to diet and nutrition. It's always a good idea to check with your doctor before making any major changes to your diet or taking supplements. Your doctor can create a personalized plan that takes into account your specific needs and goals, and they can also keep an eye on your progress to ensure you're on the right track. With the help of your doctor, you'll be well on your way to achieving your health and wellness goals!   For a Happier, More Comfortable Life with Endometriosis  Managing endometriosis may seem like a challenge, but it's absolutely possible! Believe it or not, your diet can play a pivotal role in helping you manage endometriosis symptoms by influencing hormones and inflammation. By incorporating nutrient-dense foods rich in fiber, antioxidants, and other vital nutrients into your diet while avoiding processed foods, sugar, and caffeine, you can experience relief from your symptoms and feel your absolute best. Remember to work with your doctor and try different dietary approaches to discover what works best for you. With some dedication and smart dietary choices, you can take charge of your endometriosis and lead a fulfilling and healthy life. Check out the resources below to learn more about managing endometriosis and how you can take control of your health!   ### END_RECORD ### START_RECORD TYPE: post ID: 1399 TITLE: How Old Is Too Old To Conceive? URL: https://www.kofinasfertility.com/how-old-is-too-old-to-conceive/ EXCERPT: Isn’t it dangerous? Will you get your AARP card before your kid graduates from high school? Won’t you feel weird around all the young parents? DATE_PUBLISHED: 2023-05-01T00:00:00Z DATE_UPDATED: 2026-03-04T01:09:31Z SCHEMA_TYPE: Article META_seo_title: How Old Is Too Old To Have A Baby? | Pregnancy Age Limit META_seo_description: Discover how advances in reproductive technology have extended the age window for safe pregnancies and learn about proactive planning. TAX_category: Uncategorized BODY_CONTENT: | Isn’t it dangerous? Will you get your AARP card before your kid graduates from high school? Won’t you feel weird around all the young parents? These are some of the questions that are asked of women who get pregnant later in life. Even worse, pregnancies that occur after age 35 are sometimes still referred to as elderly primigravida or multigravida, or geriatric pregnancies. Most commonly, you'll hear pregnant women over 35 referred to as being of "advanced maternal age." Fortunately for everyone who has decided to delay their family building until later in life, advances in reproductive technology and medicine (as well as more proactive family planning services!) has increased the window that a woman can safely carry a pregnancy. Whatever you are planning - and whatever age you are now - it is important to understand the relationship between fertility and age. Decline in Quantity and Quality Since the first successful IVF birth the in the 1970s, there are more elements of biology and fertility that can be influenced or controlled than ever before. That doesn’t change the fact that both eggs and sperm are affected by age. Egg quality and quantity begin to decline in a woman’s mid to late 30s. Studies show that in general a woman's ability to become pregnant starts to slowly decline near the age of 27, and then significantly after a woman turns 37. Even though much more attention is placed on women in their 30s, 40s, and 50s getting pregnant, age affects men and their sperm as well. Some studies have shown that when paternal age is over 40, there might be a small increase in the risks of adverse pregnancy outcomes or risks to children's health,” with some connection to autism, schizophrenia, and other rare birth defects. The combination of these factors can make conceiving and carrying a pregnancy to full term more challenging the older you get, but not to worry. Some simple proactive planning can expand your timeline for becoming a parent! Keep Your Options Open While conceiving naturally gets more challenging with age, there is a lot more that you can do in 2018 than you could in the past to make it possible to get pregnant. There have been important advances in egg retrieval and freezing technology, which means that women can preserve their younger eggs (or embryos) to be used later in life. Recently Janet Jackson, Brigitte Nielsen, and Senator Tammy Duckworth all gave birth over 50. The oldest verified pregnancy was carried by a 66-year-old woman! If you're not sure when you'll want to or be able to grow your family, you should consider preserving your eggs or embryos so you always have the option of having a child of your own. How Old Is Too Old To Have A Baby? The answer is: it depends. Every family is different, but with medical support and monitoring, it may be possible to have a healthy pregnancy and baby much later in life than ever before. If you’re planning for the future - or are just interested in learning more about your options - schedule a fertility assessment appointment with one of our specialists today!   ### END_RECORD ### START_RECORD TYPE: post ID: 1424 TITLE: Fibroids and Bleeding: What You Need to Know URL: https://www.kofinasfertility.com/fibroids-and-bleeding-what-you-need-to-know/ EXCERPT: If you’re a woman, chances are you’ve heard of fibroids – those pesky benign tumors that love to set up shop in your uterus. While they aren’t cancerous, they can still wreak havoc on your body, especially when it comes to your menstrual cycle. If you’ve noticed that your periods have become longer, heavier, or […] DATE_PUBLISHED: 2023-04-18T00:00:00Z DATE_UPDATED: 2026-03-04T00:33:20Z SCHEMA_TYPE: Article META_seo_title: Fibroids & Bleeding: What You Need to Know | Kofinas Fertility Group META_seo_description: Let's understand the link between fibroids and bleeding, how fibroids affect bleeding, and when to be concerned. TAX_category: Fertility TAX_category: Fibroids BODY_CONTENT: | If you're a woman, chances are you've heard of fibroids - those pesky benign tumors that love to set up shop in your uterus. While they aren’t cancerous, they can still wreak havoc on your body, especially when it comes to your menstrual cycle. If you've noticed that your periods have become longer, heavier, or you're experiencing spotting between periods, it could be a sign that you have fibroids. In this article, we're going to dive into the link between fibroids and bleeding, how fibroids affect bleeding, and when to be concerned about bleeding when you have fibroids.   What are Fibroids? Fibroids are benign tumors that develop in the uterus. They can vary in size and number, ranging from small pea-sized growths to large tumors that can weigh several pounds. Fibroids are relatively common, with up to 80% of women developing them by the age of 50. The cause of fibroids is not fully understood, but they are linked to hormonal changes in the body.   An Important Distinction: Menstrual Changes Caused By Fibroids vs. Bleeding Due to a Ruptured Fibroid  It's important for women to be aware of the distinction between menstrual bleeding caused by fibroids and bleeding due to a ruptured fibroid. Heavy bleeding during a period because of a fibroid is a common symptom. However, an actual fibroid that has ruptured and started bleeding is a different medical issue requiring emergency surgery. Women should be aware of this distinction to avoid unnecessary anxiety or delay in seeking emergency care. In this blog, we will discuss the common symptom of menstrual changes due to fibroids.    The Link between Fibroids and Bleeding Fibroids can bring about changes in menstruation, such as heavier and/or longer flow, spotting, and cramps, which can lead to anemia due to significant blood loss. Heavier or irregular periods and spotting between periods may occur because fibroids stimulate the growth of blood vessels and cause elevated levels of prostaglandins.    The size, number, and location of the fibroids can all play a role in determining the extent of the bleeding. When fibroids grow near the lining of the uterus or become large in size, they can cause heavy bleeding during menstruation. This is because these fibroids can interfere with the normal shedding of the uterine lining, which leads to more blood loss than usual.   On the other hand, fibroids that are located on the outer wall of the uterus may not cause any symptoms or may cause only minor bleeding. This is because they do not typically interfere with the normal shedding of the uterine lining during menstruation. In some cases, fibroids may even help to reduce bleeding by compressing the blood vessels that supply the uterus.   It is important to note that not all women with fibroids will experience heavy bleeding during their periods. Some women may have small fibroids that do not cause any noticeable symptoms, while others may have larger fibroids that do not affect their menstrual cycle. The severity of bleeding is just one of many potential symptoms that can occur when a woman has fibroids, and it is important for women to discuss any changes in their menstrual cycle with their healthcare provider.   How Can Fibroids Change My Menstrual Cycle? Changes in menstrual cycles associated with fibroids can be quite diverse and may vary from woman to woman.    Fibroids can cause periods that last 3-7 days or longer during each cycle. This can require planning around and can be pretty disruptive to daily life. In some cases, women with fibroids may need to equip themselves with a large supply of pads and tampons to manage their bleeding.   Experiencing a heavy menstrual flow is another common symptom associated with fibroids. This can lead to the need for frequent pad or tampon changes during heavy bleeding days, which can be both inconvenient and disruptive to daily life. In some cases, pads or tampons may need to be changed every 45 to 60 minutes, further adding to the inconvenience of managing the condition.   Fibroids can also cause women to pass larger blood clots during their periods, which can vary in size and be quite alarming for those who are not accustomed to seeing them.   In rare cases, women with fibroids may experience nearly continuous bleeding for 30-60 days before seeking medical attention. This can be a sign of a more severe condition and requires immediate medical attention. Overall, the symptoms associated with fibroids can be very challenging for women to deal with, and it's important to seek medical advice if you are experiencing any of these symptoms.   How Long Does Bleeding Typically Last with Fibroids? If you have uterine fibroids, it’s not uncommon to experience bleeding that lasts longer than 8 or 9 days. In many cases, your doctor will consider it abnormal if you are experiencing longer periods and bleeding between periods for at least 6 months.   When Should I Be Concerned About Bleeding When I Have Fibroids? You should seek emergency care if you have sharp, sudden pain in the abdomen that is unrelieved with pain medication, or severe vaginal bleeding with signs of anemia such as lightheadedness, extreme fatigue, and weakness. Other concerning symptoms include fever, chills, or foul-smelling vaginal discharge, which could indicate an infection.   Managing Fibroids While Preserving Fertility  if you are experiencing any changes in your menstrual cycle, it's important to seek medical advice to determine if fibroids are the underlying cause. While fibroids can be a challenging condition to manage, there are treatment options available, including medications and surgical procedures.   At Kofinas Fertility, we understand that fertility preservation is an important consideration for many women with fibroids who want to start or expand their families. That's why we offer advanced treatments for fibroids that are safe and effective while also preserving your fertility options.   If you have been diagnosed with fibroids or suspect that you may have them, don't hesitate to contact Kofinas Fertility for expert evaluation and treatment. Our experienced team of fertility specialists and gynecologic surgeons will work with you to develop a personalized treatment plan that addresses your unique needs and goals. With the right care and treatment, you can successfully manage fibroids and get back to living your life to the fullest! ### END_RECORD ### START_RECORD TYPE: post ID: 1425 TITLE: What Causes Fibroids in Women: Understanding the Science URL: https://www.kofinasfertility.com/what-causes-fibroids-in-women-understanding-the-science/ EXCERPT:   Hey there, ladies! Did you know that fibroids are a common condition that can affect you at some point in your life? These benign tumors that grow within the muscular wall of your uterus may sound harmless, but they can cause some serious discomfort and complications. Think heavy menstrual bleeding, pelvic pain, and even […] DATE_PUBLISHED: 2023-04-18T00:00:00Z DATE_UPDATED: 2026-03-04T00:33:08Z SCHEMA_TYPE: Article META_seo_title: What Are Fibroid? | What Causes Fibroids in Women | Kofinas Fertility META_seo_description: By understanding the causes and risk factors for fibroids, you can take control of your health. TAX_category: Fertility TAX_category: Fibroids BODY_CONTENT: |   Hey there, ladies! Did you know that fibroids are a common condition that can affect you at some point in your life? These benign tumors that grow within the muscular wall of your uterus may sound harmless, but they can cause some serious discomfort and complications. Think heavy menstrual bleeding, pelvic pain, and even pressure on your bladder or bowel. Yikes! This discomfort can easily impact your quality of life, leading to missed work, social isolation, and depression. But don't worry; early detection and treatment are crucial to prevent these complications and manage the symptoms effectively.   By understanding the causes and risk factors for fibroids, you can take control of your health, prevent their development, and seek appropriate medical care. So, let's dive in and learn more about these pesky little growths! What are Fibroids? Fibroids are non-cancerous tumors that grow in the muscular tissue of the uterus. They can vary in size and number, and some women may have multiple fibroids. Fibroids can be located within the uterine wall, inside the uterine cavity, or on the outer surface of the uterus.   There are four main types of fibroids:   Intramural fibroids: These are the most common type of fibroid and grow within the uterine wall. Submucosal fibroids: These grow within the inner lining of the uterus and can cause heavy menstrual bleeding and other complications. Subserosal fibroids: These grow on the outer surface of the uterus and can cause pelvic pain and pressure. Pedunculated fibroids: These are attached to the uterus by a stalk and can cause severe pain if the stalk twists.   What Causes Fibroids? The exact cause of fibroids is not known, but research suggests that they are caused by a combination of genetic and hormonal factors. Fibroids contain more estrogen and progesterone receptors than normal uterine muscle cells, which suggests that hormones play a role in their growth. Here are the main factors that studies suggest play a role in the development of fibroids:   Genetic Changes Research has found that certain genetic changes can increase a woman's risk of developing fibroids. Mutations in the MED12 gene have been found in up to 70% of fibroids. Other genetic changes that have been linked to fibroids include mutations in the HMGA2 gene and deletions in the FH gene.   Hormones Estrogen and progesterone are hormones that regulate the menstrual cycle and play a role in the growth of the uterine lining. Fibroids contain more receptors for these hormones than normal uterine muscle cells, which suggests that hormonal imbalances may play a role in their development. This is supported by the fact that fibroids tend to grow during pregnancy when hormone levels are high and shrink after menopause when hormone levels decline.   Other Factors Other factors that may increase a woman's risk of developing fibroids include obesity, high blood pressure, ethnicity, and a family history of fibroids.    Risk Factors for Fibroids Age: Fibroids are most common in women aged 30-40, although they can develop at any age. Family History: Women with a family history of fibroids are more likely to develop the condition themselves. This suggests that there may be a genetic component to the development of fibroids. Obesity: Studies have shown that obese women are at an increased risk of developing fibroids compared to women who have a normal body weight. This could be due to the fact that fat cells have the ability to produce hormones that stimulate the growth of fibroids. Race: African American women are more likely to develop fibroids than women of other ethnicities. They are also more likely to develop fibroids at a younger age and have larger and more numerous fibroids.   Remember: You’ve Got Options Now that you understand how fibroids work, they hopefully feel a bit less intimidating than before! While fibroids often come with highly unpleasant and sometimes painful symptoms, remember they are treatable, and you’ve got options!    At Kofinas, we specialize in treating fibroids and can help you find the most suitable treatment for your specific case while preserving your fertility. We understand the importance of individualized care and work with you to develop a personalized treatment plan. By taking control of your health and learning more about fibroids, you can make informed decisions and receive the best possible care. Learn more about fibroids with our resource below!  ### END_RECORD ### START_RECORD TYPE: post ID: 1461 TITLE: What To Expect Before, During, and After Egg Retrieval URL: https://www.kofinasfertility.com/what-to-expect-before-during-and-after-egg-retrieval/ EXCERPT: Are you wondering what egg retrieval involves and what you can expect during and after the procedure? Whether you’re considering or already started the process of egg donation, egg freezing, embryo cryopreservation, or in vitro fertilization (IVF), you might be left feeling unsure and overwhelmed by the idea of egg retrieval. While it’s an important […] DATE_PUBLISHED: 2023-01-23T00:00:00Z DATE_UPDATED: 2026-03-04T00:27:07Z SCHEMA_TYPE: Article META_seo_title: What To Expect Before, During & After Egg Retrieval META_seo_description: Get all the most frequently asked questions about egg retrieval so you can better prepare and understand what to expect before, during, and after. TAX_category: Egg Freezing TAX_category: IVF TAX_category: Egg Retrieval BODY_CONTENT: | Are you wondering what egg retrieval involves and what you can expect during and after the procedure? Whether you’re considering or already started the process of egg donation, egg freezing, embryo cryopreservation, or in vitro fertilization (IVF), you might be left feeling unsure and overwhelmed by the idea of egg retrieval. While it's an important aspect of your fertility journey, the actual process of egg retrieval is routine and very safe. This article will answer many of your questions about the preparation, procedure, and recovery from egg retrieval. Calming Common Fears Around Egg Retrieval When talking with patients who are considering procedures that require egg retrieval, the most common concerns associated with egg retrieval are around the procedure itself and then the storage of eggs afterward. We believe that transparency is key when explaining any of our processes, so let's dive into some of the most common topics we talk through with our patients:   What Does the Egg Retrieval Procedure Involve? The egg retrieval procedure takes 10-20 minutes under twilight general anesthesia. In other words, you’ll be able to breathe on your own without the need for help from a machine. But, don’t worry! You won’t be able to feel or remember anything that happens during the procedure.  During the procedure, your doctors will perform a transvaginal ultrasound. A needle is then guided into the vagina, seeking the ovary. The doctor will use the needle to suction out some of your eggs. After the procedure is over, the eggs will be immediately stored as appropriate for your needs.    Cryostorage, Security, and Safety Cryostorage is the standard way of freezing eggs. In its basic form, it’s a simple process. As long as an intact tank is available, the skilled staff at Kofinas Fertility Group monitors the liquid nitrogen level and replenishes it when needed. Of course, an alarm backup is the key to preventing a storage disaster. Here at Kofinas, the safety of your eggs and embryos are our utmost priority. For this reason, we keep all our tanks on site where we can maintain quality control. Should you be using the eggs from the egg retrieval for IVF, we’ll incubate the eggs to determine which are the healthiest and most viable. Then, we’ll combine those with the sperm in order to create embryos. After careful monitoring, we’ll be able to see if the eggs have been successfully fertilized.  If you are looking to donate your eggs, freeze your eggs, undergo embryo cryopreservation, or start IVF, the experts at Kofinas Fertility Group are some of the best in the business because of our commitment to quality service, security, and safety. Reach out to schedule a consultation today! {{cta('767e49eb-a83d-45e7-a89a-cc81edc5369d','justifycenter')}}   The 3 Crucial Stages of Egg Retrieval - Before, During, and After The egg retrieval procedure is fairly short, but the process leading up to the procedure is longer. Here are the main steps in the process of egg retrieval:   1. Preparing for Egg Retrieval with Injections You’ve probably heard that female infants are already carrying the egg cells that will later be released upon reaching sexual maturity. Yet, not all of the eggs are used. Through oogenesis, a woman’s eggs turn into mature eggs that can be fertilized.  Normally, one egg matures at a time and is then released during ovulation. For the process of egg retrieval, your body will need to produce more eggs so that they can all be extracted at once. For this reason, your doctor will give you medications, either orally or through injections. These medications will help your body produce multiple eggs and help them mature. You may also have to take medication to prevent premature ovulation.  During the time of the retrieval, your fertility specialist is actually looking at a snapshot of your egg health from the past few weeks.  This means that if you're considering freezing your eggs before you begin your injections, it’s beneficial to: Increase protein intake, especially with healthy fish Eat whole foods with plenty of fruits and vegetables Decrease any foods that may lead to inflammation or poor nutrition. Avoid drinking alcohol and smoking Ask your doctor about taking a prenatal vitamin  There are also external factors that can affect the quality of your eggs, such as air quality. So, do your best to live as healthy a life as possible so that your eggs will also be healthy. Do note that in some rare cases, these injections can cause women to develop ovarian hyperstimulation syndrome. This condition causes abdominal pain as the ovaries swell. Stay in touch with your doctor about any symptoms you experience so that you can stay safe throughout the process.    2. The Egg Retrieval Procedure The actual egg retrieval procedure is a short, outpatient surgical procedure, as described above. For most women, the procedure is not painful and results in mild cramping or discomfort afterward. After the procedure, you’ll recover for a few hours before being allowed to go home to rest. Make sure that someone else can drive you home, as driving within 24 hours of surgery isn’t recommended.   3. Processing Eggs After Egg Retrieval If you are an egg donor, your eggs may be frozen or prepared to become embryos. If you are preparing for IVF, your eggs will be combined with sperm to create embryos. When the embryos are ready, they will be implanted into your uterus. For those who are simply freezing their own eggs for future use, they will be safely stored until you need them.    What Else to Expect After Egg Retrieval After your retrieval, you might experience some common and completely normal pain and cramping. Because this is an outpatient procedure, the recovery period is much shorter compared to a procedure that requires a specialized surgical unit and operating room. Most women are able to return to work the day after the procedure without any complications.    Is weight gain common after egg retrieval? Weight gain can also occur with egg retrieval. However, this is usually a sign of water retention and ovarian hyperstimulation. If you experience a weight gain of more than 5 pounds during your injection cycle or after your egg retrieval and/or you have significant bloating and pain, let your fertility doctor know immediately. As you get further from egg retrieval, these side effects decrease rather quickly. When it comes to IVF, one of the strategies very commonly employed to prevent complications is to delay the embryo transfer by 1 month and to freeze the embryos. As a result, you will get your period 10-12 days after retrieval, and your ovaries will have returned to normal size and normal hormonal function.   What complications can occur after egg retrieval? Although a few people may experience long-term effects, there is no real evidence that the retrieval process or IVF in particular causes long-term bloating, pain, weight gain, or any changes in menstrual patterns.   Egg Retrieval FAQ’s Do you still have questions? Here are some frequently asked questions about egg retrieval to help you navigate this process.    How soon after egg retrieval do you get a period? Most women get their period about 10 days to 2 weeks after egg retrieval.    Will I get bloating and gain weight after my egg retrieval? Some discomfort such as bloating or cramps is common after egg retrieval. Your doctor will let you know what pain medications are best to use after the egg retrieval procedure. Weight gain is also normal for some women and is usually caused by water retention or extra fluid in the ovaries. However, the symptoms of bloating and weight gain are usually temporary and should disappear within about a week.    What should I eat after egg retrieval? Eat healthy foods such as chicken noodle soup, lean proteins, and fruit and vegetables after egg retrieval. Some women may experience mild nausea due to the anesthesia used during the procedure. If this happens to you, eat mild, bland foods until you feel better again.    What happens to my hormones after egg retrieval? After egg retrieval, your hormones will go back to regulating on their own. As a result, you’ll get your period within about 2 weeks of the procedure. If you’re going on to continue IVF treatment, you may need to continue taking hormones to prepare your uterus for implantation.    Is retrieval of eggs painful? For most women, the egg retrieval procedure brings only mild pain after it is over. During the procedure itself, you’ll be sedated and won’t feel anything. Afterward, cramps similar to menstrual cramps and vaginal soreness are normal. You may also feel a bit woozy or nauseous as the anesthesia wears off.    How many eggs should be retrieved for IVF? Ideally, your doctor will obtain about 15 eggs during the egg retrieval procedure. This is the ideal number of eggs for producing a live birth with IVF.  {{cta('4b596cea-6e88-47d4-86ee-d169533f4cee','justifycenter')}} Are you fertile after egg retrieval? Yes. Egg retrieval doesn’t affect your future fertility. So, many women donate eggs before having children of their own, later on. Or, you might freeze eggs to protect your future fertility and still have a natural pregnancy first.    Next Steps In Your Fertility Journey Are you ready to learn more about egg retrieval and how it fits into your fertility plans? We are here to help!  When you're ready to get a more customized understanding of your unique situation and family planning goals, request an appointment with our team of experts. We’re here to guide you every step of the way! ### END_RECORD ### START_RECORD TYPE: post ID: 1395 TITLE: Most Popular LGBTQ Fertility Options URL: https://www.kofinasfertility.com/most-popular-lgbtq-fertility-options/ EXCERPT: If you began your year with a goal of starting–or growing–your family, you deserve to see that dream realized. No matter your gender identity, if you have a vision of becoming a parent, we’re here to offer our support. The past few decades have come with incredible strides in the techniques and availability of fertility […] DATE_PUBLISHED: 2022-01-10T00:00:00Z DATE_UPDATED: 2026-06-09T03:50:03Z SCHEMA_TYPE: Article META_seo_title: LGBTQ Family | Building Services | Kofinas Fertility Group META_seo_description: Which of these LGBTQ+ fertility options feels right for you and your family? Use this information as a starting point for growing your family. TAX_category: LGBTQ TAX_category: Fertility BODY_CONTENT: | If you began your year with a goal of starting--or growing--your family, you deserve to see that dream realized. No matter your gender identity, if you have a vision of becoming a parent, we're here to offer our support. The past few decades have come with incredible strides in the techniques and availability of fertility treatment options that you can choose from as you pursue parenthood. In a previous post, we talked about 4 of the most empowering and inclusive LGBTQ+ family paths. But today, we'll focus on the most popular of these, why they're often a top choice for our families, and what you'll need to know about the next steps:   If You (Or Your Partner) Are Looking to Carry Your Child Many of our patients have an intuitive sense, even before our first consultation, about whether or not they'd like to carry their child in pregnancy. This can make a big difference on the fertility treatment route we suggest--as there are many ways to have a healthy child without physically experiencing pregnancy. This is where it's important to reflect on your desires in this process and what you have envisioned for this process. If this describes you, the most popular options you could pursue are IUI (intrauterine insemination) or IVF (in vitro vertilization). Both of these procedures are common choices for same-sex female couples who have the desire to use their own embryos or a single female who would like to use her own embryo. If you do not technically have proven infertility, IUI is an excellent option that is less expensive and time-intensive as IVF. It's also important to note that if you or your partner do not have a plan in mind for viable sperm, you'll want to work with your fertility specialist to select donor sperm. Next Steps: Talk to a fertility specialist about getting a full fertility workup to determine if you have any fertility issues that would influence whether you choose IUI or IVF. After that, you might work with them to decide if you will need to use a donor egg or sperm in your IUI or IVF cycle. If You Are Interested in Using a Surrogate or Egg/Sperm Donor The other most popular path for parenthood in LGBTQ+ families is procedures that involve using a surrogate and possible donor egg or sperm. This route may be a good choice for you if you have uncovered fertility conditions that prevent you or your partner from carrying your child or if neither you or your partner can produce eggs or sperm. For male-male couples, you will need to use a surrogate to physically carry the child--but you may be able to ask a close family member or friend to be an egg donor. We also recognize that for many couples, you simply might just decide neither one of you will carry your child. This is where we will work together to find the right combination of egg/sperm donors and surrogacy to create the right pregnancy option for you. Next Steps: Work with a fertility specialist to decide your timeline for finding a personal egg or sperm donor. If you decide not to ask a family member or friend, they can counsel you on the right resources for finding a donor through a sperm or egg bank. Determine if you would have a family member or friend who would act as a surrogate for you--or talk to your fertility specialist about the financials of using a surrogate. If You're Interested in Fertility Preservation If you identify as transgender and are interested in becoming a parent, you may want to research fertility preservation methods that can open up your future options. Not every person who is living as a gender different from that assigned as birth goes through hormone therapy. However, if you are considering hormone therapy, you might consider freezing your sperm or eggs/embryos if your transition may affect your ability to produce them or carry a future child. If, in the future, you decide you want to use your own embryos using a partner IVF, surrogacy, etc.--you have this option. The most important part of this process is making sure that you consider the future you may want and the steps you might want to take to keep your options open. Next Steps: Consider egg, embryo, or sperm freezing with a fertility specialist. Choosing the Right Option for Your Family It's also worth noting that we are seeing many of our families opt for these great ways to include both partners in the pregnancy process: Using one partner's sperm for a first pregnancy, and the other partner's sperm for a second future pregnancy. Splitting the first cycle's donor eggs in half and developing embryos with each partner's sperm for future implantation. Using donor sperm to have each partner carry a child. We're proud to serve people of all backgrounds, gender identities, and family styles. When you're researching procedures and specialists in your area, we hope this information is helpful and provides you with a feeling of empowerment. We encourage you to find a team of fertility experts who respect you and acknowledge your desires as you become a parent. You deserve the best in your fertility journey, and if you have questions along the way, please reach out to us. ### END_RECORD ### START_RECORD TYPE: post ID: 1478 TITLE: Doctor-Recommended Best Fertility Books URL: https://www.kofinasfertility.com/doctor-recommended-best-fertility-books/ EXCERPT: No matter where you are in your fertility journey, you probably have come across so much information that you don’t even know where to start. When Doctor Google leaves you with more questions than answers, books are great places to start so you can digest focused content and absorb what you learn. At Kofinas Fertility […] DATE_PUBLISHED: 2022-01-05T00:00:00Z DATE_UPDATED: 2026-06-09T03:18:42Z SCHEMA_TYPE: Article META_seo_title: Doctor | Recommended Best Fertility Books | Kofinas META_seo_description: Here are some recommended reads that our team thinks will resonate with you and help guide you through every step of your journey. TAX_category: Fertility BODY_CONTENT: | No matter where you are in your fertility journey, you probably have come across so much information that you don’t even know where to start. When Doctor Google leaves you with more questions than answers, books are great places to start so you can digest focused content and absorb what you learn. At Kofinas Fertility Group, we want to give you the best information we can from our three decades of experience. We encourage you to prioritize your physical and mental health throughout the journey so that you can better understand how your unique body and our unique science can work best together.  Here are some recommended reads that our team thinks will resonate with you and help guide you through every step of planning your own fertility journey.   1. The Woman Code Author: Alisa Vitti, HHC Right on the cover of Woman Code is the bright and bold pledge to perfect your cycle, amplify your fertility, supercharge your sex drive, and become a power source. This book dives into the entire journey of your hormones and allows you to build a healthier and happier relationship with your body. It focuses on real ways to incorporate changes that work WITH your hormones instead of against them. This book is highly recommended to any woman of any age to begin a positive relationship with her hormones. Purchase From Amazon   2. It Starts with the Egg: How the Science of Egg Quality Can Help You Get Pregnant Naturally, Prevent Miscarriage, and Improve Your Odds in IVF Author: Rebecca Fett  By offering practical solutions to improve your fertility health, this book gives a new approach to the science of egg quality and how to optimize your body for fertility treatments. Egg quality is a critical factor in developing a healthy embryo, and this book does a great job at focusing on the largest cell in a woman’s body. Purchase From Amazon   3. Empowered Fertility: A Practical Twelve-Step Guide Author: Claire Hall with Dr. Devora Lieberman This step-by-step guide was written by a mental health counselor and a fertility expert, so it tackles both the scientific and psychological approach to your fertility journey. Your fertility journey is filled with difficult emotions and the emotions of a partner, family members, and friends. This book can help you navigate through those conversations and feelings along the way. Purchase From Amazon   4. The Impatient Woman's Guide for Trying to Get Pregnant Author: Jean M. Twenge, PhD Truly a book that speaks to the pressures of timing in the fertility process and reassures you that there are things you can do to better support your journey to parenthood. The author uses her research background to dive deeply into the emotional journey of trying to conceive and goes into many misconceptions surrounding trying to get pregnant. Purchase From Amazon   5. How to Make Love to a Plastic Cup: A Guy's Guide to the World of Infertility Author: Greg Wolfe We can’t forget about the guys in this process! Often overlooked or not concentrated on, the male experience in infertility is unique and has its own unique challenges. This book is a light-hearted and comedic spin on the fertility journey, which is quite refreshing! The journey itself is rarely humorous, so any interjection of laughter through the process is much appreciated. This book is an excellent read for both men and women to connect with their emotional and humorous side while learning a lot about the actual processes. Purchase From Amazon   Take Charge of Your Journey There are so many books out there for people to seek a helpful perspective. It’s all about how you resonate with the resources you find, so listen to your intuition and take charge of your informational journey. Happy reading, and if you need any more help along the way, Kofinas is here for you! ### END_RECORD ### START_RECORD TYPE: post ID: 1417 TITLE: How Can I Get Pregnant With Blocked Fallopian Tubes? URL: https://www.kofinasfertility.com/how-can-i-get-pregnant-with-blocked-fallopian-tubes/ EXCERPT: Hearing that you have blocked Fallopian tubes can feel scary. What does it mean? Will you still be able to get pregnant? Getting pregnant can be tough no matter what, but it can be even more challenging for those dealing with blocked Fallopian tubes to get that positive test. DATE_PUBLISHED: 2021-12-13T00:00:00Z DATE_UPDATED: 2026-03-04T00:35:12Z SCHEMA_TYPE: Article META_seo_title: Steps to getting pregnant with blocked fallopian tubes | Kofinas META_seo_description: Blocked Fallopian tubes are a common reproductive problem. Discover the best steps for achieving pregnancy with blocked Fallopian tubes in this article. TAX_category: Tubal Ligation BODY_CONTENT: | Hearing that you have blocked Fallopian tubes can feel scary. What does it mean? Will you still be able to get pregnant? Getting pregnant can be tough no matter what, but it can be even more challenging for those dealing with blocked Fallopian tubes to get that positive test. Essentially, Fallopian tubes must be open, have no swelling, and be free of scar tissue to function correctly. With at least one fallopian tube in a healthy condition, having a natural or IUI-assisted pregnancy is possible. On the other hand, if both tubes are experiencing problems, getting pregnant is more difficult.  Yet, several procedures can mitigate the issue and help you achieve your dream family. Here's what you need to know about blocked Fallopian tubes, what causes blocked Fallopian tubes, and how to increase your chances of starting a family even when experiencing this condition:   The Role of Fallopian Tubes in Pregnancy Fallopian tubes are narrow ducts that lead from the ovaries to the uterus in the female reproductive system. Measuring at half an inch in diameter at most, these tubes play an essential role in the process of conception. During ovulation, an egg exits an ovary and travels down the Fallopian tube. Along the way, it may encounter sperm. Fertilization sometimes takes place within one of the Fallopian tubes. Then, the egg continues down its path to the uterus, where the fertilized egg can implant and grow.  If one or more Fallopian tubes are blocked, it can prevent the egg from coming down into the uterus and stop the sperm from reaching the egg.    What Causes Blocked Fallopian Tubes? Blockages can occur in the Fallopian tubes for several reasons and are a common occurrence. Between 19% and 29% of women with infertility have tubal obstructions. The most common cause is of blocked Fallopian tubes is a pelvic inflammatory disease (PID).  Typically the result of a sexually transmitted disease, PID is a bacterial infection of the reproductive organs that affects the uterus and Fallopian tubes. The infection may lead to pelvic pain, abscess growth, scarring from adhesions, and may even cause an ectopic pregnancy if left untreated.  Additional causes of blocked Fallopian tubes include an ongoing or past experience, such as: Uterine infections STD infections Miscarriages Abdominal or pelvic surgeries Endometriosis Fibroids While fibroids don’t always affect fertility, they can grow in such a way that they block one or both of the Fallopian tubes. Endometriosis, which is the growth of the endometrium in locations outside the uterus, can cause tissue to grow within the Fallopian tubes, essentially blocking them off.  Scar tissue from past surgeries and miscarriages or inflammation caused by infections are other reasons for blocked Fallopian tubes.    Symptoms of Blocked Fallopian Tubes Many women don’t experience any symptoms that would indicate their blocked Fallopian tubes. However, some conditions that cause blocked fallopian tubes may give you symptoms such as abdominal pain similar to menstrual cramps, pain during sexual intercourse, or a fever. Another symptom that may indicate that you have blocked Fallopian tubes is infertility. If you’ve been trying to conceive for a year without any luck, then see a fertility doctor for an assessment.     How Do You Test for Fallopian Tube Blockages? There are several ways to test for Fallopian tube blockages that are relatively routine without too much recovery time afterward.  Three minimally invasive procedures that check for tubal swelling or obstructions are hysterosonograms (HSN), hysterosalpingograms (HSG), and laparoscopy with chromotubation of the tubes.    Hysterosonograms (HSN) An HSN is a type of high-resolution ultrasound used with a saline solution rather than dyes and x-rays.  The process is less demanding on the body and offers a clear visual representation of the uterus, allowing a specialist to see any abnormalities within it. However, gaining a thorough look into the Fallopian tubes is somewhat limited.    Hysterosalpingogram (HSG) An HSG provides a more in-depth look into the Fallopian tubes by using an iodine liquid filled into the uterus, which is contrasted by an x-ray that shows you how the liquid moves throughout your reproductive system.  This process is fairly quick altogether, typically taking less than 10 minutes, and patients can return home shortly after. With that in mind, it has been known to cause cramping and could be a secondary course of action for those who need further review of their Fallopian tubes.   Laparoscopy with Chromotubation  Being the most demanding procedure of the three, a laparoscopy with chromotubation is an inpatient procedure carried out with general anesthesia.  Two incisions are made, one for a fine telescope (laparoscope) to be inserted into the abdomen and another in the pubic region for a small probe to provide an obstructed view of the reproductive organs. Once everything is in place, the chromotubation process (dye test) begins, filling the womb with a light-blue liquid. If the Fallopian tubes are open, then the dye will spill from the ends into the pelvis area, but if nothing comes out, then a blockage is usually the issue.  After this procedure, it takes approximately one week to recover.    Can Fallopian Tube Blockages Be Removed? Similar to laparoscopy with chromotubation, blockages within the Fallopian tubes can be temporarily fixed with a process called tubal cannulation.    What is Tubal Cannulation? Tubal cannulation uses two types of surgical procedures called hysteroscopy and laparoscopy.  A narrow tube outfitted with a camera and light source is inserted into the womb through a small incision of the abdomen. Next, a thin wire (cannula) is guided through the Fallopian tube, creating an opening and clearing blockages. Once complete, a dye is sent through the womb to see if it can pass through the Fallopian tubes without being deterred. If it flows freely, the surgery is a success. According to research from Saint Mary's Hospital in the UK, 75% of women who undergo tubal cannulation are successful in getting pregnant between 22% and 33% of the time. However, a downside to the procedure is that Fallopian tubes cannot be reopened permanently and may reclose at a later date. Thus, while there isn't a guarantee, it does help improve the chances of getting pregnant after unblocking fallopian tubs.   Blocked Fallopian Tube Surgery Depending on what causes blocked Fallopian tubes, there are helpful surgical procedures that can correct the problem or help achieve pregnancy. One of these procedures is salpingostomy. This procedure is used when the tube is blocked by a fluid build-up known as hydrosalpinx. During the procedure, the surgeon makes a small hole in the tube in the area close to the ovary. Then, the fluid drains, potentially allowing the tube to become functional again. One risk is that scar tissue may form after the surgery, reblocking the Fallopian tube.  A similar procedure called a salpingectomy may be used to simply remove the blocked Fallopian tube. This can increase the rate of success of IVF.  Fimbrioplasty is another standard surgical procedure that may be done alongside a salpingostomy. In this blocked Fallopian tube surgery, the surgeon will not only eliminate a blockage but also rebuild the fimbriae. The fimbriae are tiny finger-like projections that help pick up the egg from the ovary and push it into the Fallopian tube.    Can I Still Get Pregnant with Blocked Fallopian Tubes? Yes, you can get pregnant naturally or with the assistance of an IUI with one Fallopian tube open. However, if both tubes are blocked, in vitro fertilization (IVF) may be required.   How Does an IVF Bypass Blocked Fallopian Tubes? In vitro fertilization (IVF) works around blocked Fallopian tubes by developing the embryo outside of the body in a controlled laboratory setting and transferring it to the uterus through a small insemination catheter. Over time, the embryo grows naturally in the same fashion as a traditional pregnancy without relying on the Fallopian tubes to function.  With that in mind, a condition known as hydrosalpinx (swollen tubes) can affect the outcome of an IVF, leading to a 50% reduction of its success. That said, salpingostomy, as mentioned earlier, can help increase the chances of success.   Blocked Fallopian Tubes IVF Success Stories  With a knowledgeable team on your side, you can achieve a pregnancy, even if both Fallopian tubes are blocked, and you require IVF. Here’s a blocked Fallopian tubes IVF success story from one of our patients: “Kofinas Fertility is an amazing Fertility Group that is made up of an amazing team. Dr Jason Kofinas was amazing. He is a knowledgeable doctor who provided us with the best course of treatment for our issues, he is professional, compassionate, a good communicator and a great doctor. He listened to our concerns and provided us with his treatment plans each and every step of the way. Made us feel involved in our treatment and made sure we understood what we were undergoing." "During such a stressful time, they provided me with support and information and gave me hope that I will achieve the baby I always dreamed of. They never made me feel rushed or pressured and always gave me the opportunity to ask questions and communicate my each and every concern." "Dr. Jason Kofinas had a plan to slowly stimulate the ovaries and slowly grow the follicles so that to achieve as many mature follicles as possible without overstimulation. He also suggested that we don’t transfer more than one embryo at a time to aim at a single healthy pregnancy. He was definitely right about that since we ended up with a very healthy baby boy.” Curious to hear more success stories from women with blocked Fallopian tubes? Check out our reviews.    Can I Get Pregnant With Only One Fallopian Tube?  The short answer is yes, absolutely!  Some common reasons you have only one Fallopian tube are: Your other tube is blocked The other tube has been removed due to a blockage or ectopic pregnancy The other tube has been damaged due to endometriosis You were simply born without a second Fallopian tube If your other tube is healthy and functional and you get a regular menstrual cycle, it’s likely you’ll be able to get pregnant with only one Fallopian tube. For women who have had one Fallopian tube removed, an interesting and surprising phenomenon can also occur. The remaining Fallopian tube can migrate between the ovaries to pick up the egg that’s ovulating.    Tips For Getting Pregnant With Only One Fallopian Tube If you have only one Fallopian tube, you can follow general best practices to try to conceive. In some cases, getting pregnant naturally can be a challenge.  If you’re struggling to conceive, you may benefit from seeing a fertility doctor who can evaluate your situation. There are many treatments that can help you achieve a healthy pregnancy.    Best Fertility Treatments For Those With One Fallopian Tube  Fertility treatments range from low complexity therapies to more involved treatments like IVF. The best fertility treatment for you will depend on any other fertility difficulties that you’re experiencing.  For example, women who ovulate irregularly may benefit from medications that stimulate ovulation. Or, if one of your Fallopian tubes is blocked due to endometriosis, surgery may be required to remove the endometrial tissue. After an evaluation, your doctor will be able to recommend the best fertility treatments for you.    Kofinas Fertility Group is Here to Treat Blocked Fallopian Tubes At Kofinas Fertility Group, your health and fertility are our top priorities. Any challenges you may have with blocked Fallopian tubes will be fully assessed to ensure the right course of action that leads to you having the family of your dreams.  To learn more about Kofinas Fertility Group or ask any questions you may have, contact us or request an appointment today. ### END_RECORD ### START_RECORD TYPE: post ID: 1409 TITLE: What to Expect for Your Fertility After Endometriosis Surgery (Laparoscopy) URL: https://www.kofinasfertility.com/what-to-expect-for-your-fertility-after-endometriosis-surgery-laparoscopy/ EXCERPT: On average, nearly 50% of all women who experience infertility have endometriosis, and unfortunately, the disease often leads to severe complications involving not just the uterus, but other parts of the reproductive system. DATE_PUBLISHED: 2021-12-01T00:00:00Z DATE_UPDATED: 2026-06-09T03:15:12Z SCHEMA_TYPE: Article META_seo_title: Fertility After Endometriosis Surgery | Kofinas Fertility NYC META_seo_description: Discover how fertility is impacted by endometriosis and the positive outcomes you can expect after laparoscopic surgery. TAX_category: Endometriosis BODY_CONTENT: | On average, nearly 50% of all women who experience infertility have endometriosis, and unfortunately, the disease often leads to severe complications involving not just the uterus, but other parts of the reproductive system. Along with infertility, some of the most common symptoms that women face are heavy or irregular periods, pain during sex, and intense menstrual cramps. To make matters even more challenging, relieving the symptoms of endometriosis typically requires surgery.  Although it may seem like an uphill battle, the good news is that endometriosis is highly treatable with the right guidance. Proper fertility procedures and surgery that address endometriosis can also make a big difference in your family planning. If you're curious about the changes that can affect your fertility after endometriosis surgery, then here are a few things you should know: How Does Endometriosis Disrupt Fertility? Endometriosis impacts fertility in several ways depending on where the endometriosis tissue spreads. For example, most cases of endometriosis occur in the ovaries and fallopian tubes, but severe instances may include the bowels, liver, lungs, and even the brain. In any situation, the growth is subject to the same hormonal changes that take place each month. This means that the endometriosis tissue will break down and bleed during the menstrual cycle, causing pain and discomfort in various areas of the body. Over time, adhesions and scar tissue can form, impairing normal function and causing infertility. For example, scar tissue may block the path of the egg through the fallopian tubes or prevent an egg from implanting on the uterine lining.    Treating Endometriosis One common treatment for endometriosis is a laparoscopy endometriosis procedure, which removes the endometriosis and scar tissue. Surgery is the only way to confirm a diagnosis of endometriosis and is also the only way to remove the endometrial tissue.   What is Laparoscopic Surgery?  Laparascopic surgery is a minimally invasive surgery technique. Rather than making large incisions, doctors make small cuts that are typically 1 cm in size or smaller. In a laparoscopy procedure, the surgeon places a narrow, fiber optic scope (laparoscope) through a small incision close to the navel. Long, narrow instruments are inserted through tubes, allowing the surgeon to perform the surgery. In the case of endometriosis, the diagnosis is confirmed and endometrial tissue is removed during this procedure. Your doctor may take special care to remove blockages in your fallopian tubes, remove scar tissue, or address adhesions.    What is Recovery from Laparoscopic Surgery for Endometriosis Laparoscopic surgery has a quicker healing process than traditional, open surgical procedures. The recovery process takes approximately 2-4 weeks. During that time, it's a good idea to have regular appointments with your doctor to ensure that the incision is healing properly and that you aren't experiencing any pain. In addition, there are many precautions you should take after surgery before resuming your normal, day-to-day activities. Before getting back into the swing of things, here are a few rules and tips to follow: Use a heating pad to keep swelling down after surgery Short walks or light movements 24-hours after surgery are fine, but don't over-exert yourself Check your incisions regularly and follow up with a doctor Your first period after surgery may be painful Prescription medications or pain relievers can help reduce gas buildup and body aches Drink plenty of fluids after surgery and eat a light diet, avoiding spicy foods Refrain from driving for 1 week Avoid using tampons, douches, or sexual intercourse for 2 weeks Contact your doctor if 72 hours have passed without a bowel movement Vaginal bleeding may last up to 2 weeks after surgery What is the Success Rate of Endometriosis Surgery  Endometriosis surgery can be highly successful for both alleviating painful symptoms and achieving pregnancy.  Studies show that up to 93% of patients experienced relief in symptoms and complaints. In addition, over 65% of patients who wished to become pregnant were able to after the surgery. Other studies confirm that pregnancy is likely to be achieved after laparoscopy for endometriosis. Your Fertility after Laparoscopy for Endometriosis: What to Expect  The outlook for fertility after endometriosis surgery is very positive. Between 45 and 75% of women who undergo the surgery are able to conceive after healing. Many of these pregnancies are even achieved naturally. In one study, up to 59% of the pregnancies after surgery were naturally occurring without assisted reproductive technologies. Although improving fertility after endometriosis surgery isn't a guarantee, the action of removing damaging, access tissue from vital parts of the reproductive organs is an essential step to repairing reproductive health. As a rule of thumb, if pregnancy does not occur after 6 months post-surgery, additional endometriosis fertility treatments can be introduced to increase the odds of pregnancy. For example, one may consider IVF to help achieve pregnancy.  With that in mind, it's important to remember that the chances of endometriosis resurfacing after surgery are between 20% and 40% within 5 years. The likelihood of regrowth means that only a small window of opportunity is available in many cases, so choosing the best team to carry out your surgery will make all the difference when it comes to starting the family of your dreams.  How soon can you get pregnant after endometriosis surgery? You may feel eager to grow your family as soon as possible after your laparoscopic surgery. However, for your own health, it's important that you've fully recovered before you have intercourse or begin a pregnancy. While average recovery times for laparoscopic surgery range from about 2 to 4 weeks, it also depends on your unique situation. Communicate with your doctor about when it will be safe to get pregnant after laparoscopy. Factors such as the extent of your surgery, areas where the tissue was removed, and more, will affect your recovery and whether or not your body is prepared for pregnancy. That said, many couples are able to start trying to conceive within about a month of the surgery date.    Plan Your Future with Kofinas Fertility Group The family you've always wanted is certainly a possibility, and Kofinas Fertility Group is here to help level the playing field.  During your initial appointment, a fertility specialist walks you through a pelvic exam to better understand your condition. Next, a transvaginal ultrasound is done to inspect what areas are affected by endometriosis and to see if surgery is a necessary step. If laparoscopy is required, you can discuss the procedure with a specialist to see if it's right for you or they can present you with other alternatives to relieve symptoms.  No matter what route you choose, trust that you have a supportive team standing by at all times. Whether you have questions to ask or concerns to discuss, your needs are handled with the utmost care to ensure that you have total peace of mind before and after your surgery. To learn more about endometriosis and treatment procedures, dive into one of our success stories and request an appointment today.     ### END_RECORD ### START_RECORD TYPE: post ID: 1434 TITLE: When Am I Most Fertile? Knowledge is Power in Your Fertility Journey URL: https://www.kofinasfertility.com/when-am-i-most-fertile-knowledge-is-power-in-your-fertility-journey/ EXCERPT: If you’re trying to have a baby, it’s natural to wonder “When am I most fertile?” Understanding your own reproductive functions can help you gain control of your fertility journey.  From ovulation to your age and reproductive health, there are many factors that can influence your fertility. We’re here to guide you through it all […] DATE_PUBLISHED: 2021-11-23T00:00:00Z DATE_UPDATED: 2026-06-09T03:19:24Z SCHEMA_TYPE: Article META_seo_title: When Am I Most Fertile? Tracking Ovulation | Kofinas Fertility META_seo_description: From ovulation to your age and reproductive health, there are many factors that can influence your fertility. We’re here to guide you through it all. TAX_category: Pregnancy TAX_category: Fertility BODY_CONTENT: | If you’re trying to have a baby, it’s natural to wonder “When am I most fertile?” Understanding your own reproductive functions can help you gain control of your fertility journey.  From ovulation to your age and reproductive health, there are many factors that can influence your fertility. We’re here to guide you through it all so that you can make informed decisions about family planning. What is Ovulation? Ovulation plays a major role in fertility for women. In this process, a mature egg is released from one of your ovaries. The egg then travels through your fallopian tube and into the uterus. During this journey, the egg may or may not be fertilized by sperm. Should the egg not be fertilized, the lining of your uterus will shed during menstruation. However, if the egg is fertilized, it can implant on the uterine lining and grow into a pregnancy.  Women are already born with the eggs that will be released during ovulation. However, they only mature one at a time each month. Usually, during ovulation, only one egg is released from one of your ovaries. In the case of fraternal twins, two eggs ovulate at once.    How to Track Ovulation and Fertility  The few days before and after ovulation are when you are most fertile. So, if you’re hoping to get pregnant, it can be helpful to track your ovulation.    What Part of the Month Am I Most Fertile?  So, how soon are you fertile after your period? There’s a fairly simple answer for that. Generally, ovulation takes place about 11-14 days after you began your last period.  If you have sex within 3 or 4 days before ovulation and within 24 hours after ovulation, you give yourself the best chance to get pregnant. This is because eggs typically live 12-24 hours after ovulation. Sperm, on the other hand, can live up to five days in a woman’s reproductive tract. So, if you have sex in the days leading up to ovulation, the sperm can be waiting for the egg when it is released.     How to Track Ovulation One way to track your ovulation is by keeping a calendar of your menstrual cycle. Try to keep track of how long your average cycle is over several months. The first day of your cycle is the day your period starts. When you have a sense of how long your cycle is, you can guess that about 12-16 days before you’re due to get your period is when you’ll most likely ovulate.  There are plenty of other tools you can use to track ovulation. For example, you can: Use an ovulation calculator. Measure your basal body temperature and track it over time. During ovulation, your temperature will rise.  Purchase an ovulation kit or fertility monitor. These kits can help you test your hormone levels. When these hormone levels rise, you’re ovulating.  Observe your vaginal discharge. During your fertile window, the discharge will be either milky white or slippery and clear, similar in consistency to egg whites.    Factors That Affect Ovulation Ovulation varies depending on how many days your cycle usually lasts. So, if you have a 30-day cycle, you may ovulate later into your cycle than if you have a 28-day cycle.  Other factors that can affect ovulation are stress, weight gain or loss, physical activity, and medications.    At What Age Am I Most Fertile? Fertility does decline with age in both men and women. While men’s fertility begins to decline in their forties, women experience a decline sooner.  Generally, women are most fertile in their twenties and early thirties. However, after age 35, fertility drops off for most women, primarily due to declining egg quality. So, how long should you try to conceive before seeing a doctor? If you’re under the age of 35, see a doctor after trying to get pregnant for a year. However, if you’re over 35, see a doctor if you’ve been trying to conceive for six months with no success. If you’re over 40, we recommend you see a doctor right away for the best shot at pregnancy.  That said, fertility varies for each person depending on their reproductive health and not just age alone. From congenital conditions to ovulation abnormalities, many factors can influence your fertility. With the help of a knowledgeable doctor, you can assess your own fertility so that you can make informed decisions about growing your family.    What to Do If You’re Having Trouble Getting Pregnant  It can be very disheartening to realize month after month that you’re not pregnant. Up to 12% of women in the United States struggle with fertility. However, thanks to modern medicine, there are many cutting-edge treatments available that can help you reach your family goals.  For most people, the best place to get started is with an experienced OB/GYN or an established fertility practice.  Here at Kofinas Fertility Group, we’re thrilled to have played a role in helping many beautiful families grow.  We offer a wide range of fertility treatments, ranging from evaluations to medications and surgeries, IVF, and more.     Your Fertility Journey Now that you know when you're most fertile, you can time sex around ovulation for the best chance at getting pregnant. However, you also know that fertility is complex and many factors may influence your ability to conceive.  If you’re still having trouble getting pregnant, learn more about your fertility with the experts at Kofinas Fertility Group! We’re here to guide you wherever you are on your fertility journey. Contact us to schedule your consultation today.   ### END_RECORD ### START_RECORD TYPE: post ID: 1418 TITLE: Is There Really a Link Between Soy and Infertility? URL: https://www.kofinasfertility.com/is-there-really-a-link-between-soy-and-infertility/ EXCERPT: For vegans and vegetarians, soy is a staple part of a healthy diet because it provides much-needed protein. Without sufficient amounts of protein, you’re likely to experience muscle loss, fatigue, low sex drive, anxiety, and depression. If you’re trying to have a baby, you’ve probably heard about a potential connection between soy and infertility. Are […] DATE_PUBLISHED: 2021-10-28T00:00:00Z DATE_UPDATED: 2026-03-04T00:34:59Z SCHEMA_TYPE: Article META_seo_title: Is There a Link Between Soy & Infertility? | Kofinas Fertility META_seo_description: The science is in, and the answers are clear. Is there really a link between soy and infertility? Read the answers. TAX_category: Fertility BODY_CONTENT: | For vegans and vegetarians, soy is a staple part of a healthy diet because it provides much-needed protein. Without sufficient amounts of protein, you’re likely to experience muscle loss, fatigue, low sex drive, anxiety, and depression. If you’re trying to have a baby, you’ve probably heard about a potential connection between soy and infertility. Are these rumors true? In this article, we’ll give you the facts on how soy impacts fertility. What Does the Science Say? Soy and infertility can be connected. Soy and tofu topics make great headlines on the internet. It’s beneficial for women struggling with menopausal symptoms or trying to prevent cancer. It’s also an excellent protein source while pregnant. This is especially true for vegetarian women. Yes, soy can cause ovulation problems. But you need to eat a lot of it. If you’re trying to conceive, you should eat soy-based foods in moderation. Stay below 60 grams per day. They contain a plant-derived estrogen called isoflavones. If you eat too much soy, isoflavones can have a negative impact on the female body and your ability to conceive. Will It Make Me Infertile? High levels of soy protein sometimes increase the length of your menstrual cycle and decrease FSH hormone levels. Don’t worry. The simple act of eating tofu won’t make you infertile. Unless you’re eating over 60 grams of soy protein every single day for over a month, you have nothing to worry about. As with any other food, if you eat tofu in moderation and implement it into a healthy diet (packed with the right nutrients), you won’t experience any infertility issues from soy.   How to Know If Soy and Ovulation Are Connected If you’re having fertility issues, try severely limiting how much soy you take into your diet. After limiting your intake, see what impact it has on your fertility issues. If nothing changes, you can rule out soy as a potential source of the problem. Take one month and avoid soy-containing foods such as: Tofu Soymilk TVP Tempeh Soy nuts Don’t worry about soy sauce. Unlike the above examples, it doesn’t contain high enough levels of isoflavones to pose a potential problem.   Avoid Genetically Modified Soy At All Cost Genetically modified soy, known as soy protein isolate, is found in a lot of soy products. Some examples include: Soy protein bars Shakes Mayonnaise Soy-based cereals Veggie burgers While natural soy hasn’t been proven to cause reproductive problems, genetically modified soy can cause issues like: Erectile dysfunction for men Miscarriages Endometriosis Infertility Hormonal changes Avoiding GMOs (genetically modified organisms) is important for every diet. If you eat a lot of soy be extra careful to avoid genetically modified versions of it. Your fertility could suffer. Now You Know the Facts If you’re struggling with fertility and thought that soy and fertility might be related, now you know the truth. There could be any number of issues impacting your ability to conceive. Request an appointment with us today so we can dive into these issues and get them solved. We look forward to working with you at Kofinas Fertility Clinic, a top Fertility Doctor in New York!    ### END_RECORD ### START_RECORD TYPE: post ID: 1404 TITLE: What Happens if Uterine Fibroids Go Untreated? URL: https://www.kofinasfertility.com/what-happens-if-uterine-fibroids-go-untreated/ EXCERPT: So, you just found out that you have uterine fibroids. They sound scary, but your doctor didn’t seem too worried. You can’t help but wonder, is treatment necessary? What happens if uterine fibroids go untreated? Will it create problems for you down the line or impact your ability to have a baby? Before delving into […] DATE_PUBLISHED: 2021-05-25T00:00:00Z DATE_UPDATED: 2026-03-04T01:08:29Z SCHEMA_TYPE: Article META_seo_title: What Happens if Uterine Fibroids Go Untreated? | Kofinas Fertility META_seo_description: Learn what happens if uterine fibroids go untreated and whether or not they will create problems for you down the line! TAX_category: Fertility TAX_category: Fibroids BODY_CONTENT: | So, you just found out that you have uterine fibroids. They sound scary, but your doctor didn’t seem too worried. You can’t help but wonder, is treatment necessary? What happens if uterine fibroids go untreated? Will it create problems for you down the line or impact your ability to have a baby? Before delving into the details of whether or not uterine fibroids can go untreated, it’s best to know exactly what uterine fibroids are. What Are Uterine Fibroids?  Uterine fibroids are very common. In fact, a majority of women get them by the time they turn 50. Fortunately, these noncancerous growths in the uterus are usually harmless. Growing either inside or outside of the uterus, there are specific names for uterine fibroids depending on where they present: Intramural fibroids grow in the uterine wall muscles.  Submucosal fibroids bulge into the uterine cavity. Subserosal fibroids bulge out from the uterine wall into your pelvic cavity. Pedunculated fibroids are attached to the uterine wall by a thin stalk and can grow inside or outside the uterus. Doctors aren’t exactly sure why women get uterine fibroids, but the hormones estrogen and progesterone are suspected to play a role. These growths may also be hereditary in nature.   Are Fibroids Dangerous? It’s natural to wonder, “Are fibroids serious?” After all, they are abnormal growths in your body. But, don’t worry. Fibroids are rarely dangerous. Uterine fibroids almost never result in a medical emergency. If it does happen, it might be due to a rupture. This event is usually very painful. The pain may also be accompanied by dizziness caused by blood loss. If you feel a sudden pain in your pelvis, seek medical attention immediately. However, although it’s rare for fibroids to be dangerous, they can cause other symptoms like pain or pressure in the pelvis, heavy menstruation, constipation, and more. In some cases, uterine fibroids may also cause infertility.   Can Fibroids Turn into Cancer? It is very rare for uterine fibroids to be cancerous. Fewer than 1 in 1000 fibroids are cancerous. In addition, having uterine fibroids doesn’t increase your risk for uterine cancers.   Can You Die from Fibroids? It would be extremely rare that someone dies due to uterine fibroids. Typically, these noncancerous growths are discovered and monitored long before they become serious. There are several options for treating fibroids, including simply monitoring. In nearly all cases, it is possible to intervene before a uterine fibroid causes serious damage. Remember, in most cases, you won’t even notice that you ever had a fibroid!      What Happens When Fibroids Are Left Untreated? Many fibroids don’t require any treatment at all. In fact, for many women, uterine fibroids cause no symptoms. If your doctor even discovers your fibroids, they may simply decide to monitor the fibroids at your regularly scheduled check-ups. Untreated fibroids may eventually go away on their own. If your fibroid developed during pregnancy, the fibroid may disappear after giving birth. Another common occurrence is that fibroids shrink and disappear after menopause. Researchers believe that these changes happen due to fluctuations in hormones around pregnancy and menopause.   Can You Get Rid of Fibroids Without Surgery? One of the most common treatments for fibroids that cause moderate to severe symptoms is surgery. However, surgery isn’t always necessary. If you have mild symptoms, your doctor may suggest certain medications. Over-the-counter pain relievers are one popular medication for fibroids. Hormonal medications such as birth control pills and devices can also help control symptoms like heavy bleeding. In certain cases, your doctor may recommend gonadotropin-releasing hormone agonists known as GnRHa. These drugs can shrink fibroids as long as you’re taking the medication. However, it is not a long-term solution as the medication also causes bone-thinning. So, GnRHa therapy is typically recommended for 6 months or less. Another downside is that fibroids often grow back after using this medication. For this reason, doctors usually use GnRHas to make the removal of fibroids through surgery easier.   When to Talk to Your Doctor About Uterine Fibroids Although uterine fibroids are seldom life-threatening, they can be uncomfortable and diminish your quality of life. If you are experiencing discomfort or are having trouble getting pregnant, don’t hesitate to speak up. There are many ways that we can help! With a knowledgeable, experienced team of experts on your side, you can address the troublesome symptoms your uterine fibroids are causing and get back to your life. Book your appointment today! We can’t wait to meet you. ### END_RECORD ### START_RECORD TYPE: post ID: 1420 TITLE: Uterine Fibroid Symptoms to Look Out For URL: https://www.kofinasfertility.com/uterine-fibroid-symptoms-to-look-out-for/ EXCERPT: You have a general feeling of discomfort in your pelvis. It’s not quite like cramps, but you feel kind of heavy and uncomfortable. Plus, you’ve been bleeding more than usual when you menstruate. What could be going on? One possible reason you could be experiencing these symptoms is uterine fibroids. The good news is that […] DATE_PUBLISHED: 2021-05-11T00:00:00Z DATE_UPDATED: 2026-03-04T00:34:44Z SCHEMA_TYPE: Article META_seo_title: Uterine Fibroid Symptoms | Kofinas Fertility META_seo_description: Learn about any symptoms you may be experiencing from uterine fibroids - also, get information about how they affect you and what you can do! TAX_category: Fertility TAX_category: Fibroids BODY_CONTENT: | You have a general feeling of discomfort in your pelvis. It’s not quite like cramps, but you feel kind of heavy and uncomfortable. Plus, you’ve been bleeding more than usual when you menstruate. What could be going on? One possible reason you could be experiencing these symptoms is uterine fibroids. The good news is that uterine fibroids usually aren’t dangerous. Yet, they can cause discomfort and create unpleasant symptoms or infertility, meaning you may require medical attention. So, what are uterine fibroids, and how will you know if you have them? What Are Pelvic Fibroids? Pelvic fibroids, better known as uterine fibroids, are growths that typically grow in the uterine wall. These growths are almost never cancerous and are often silent. In other words, it’s possible to have uterine fibroids without ever knowing it! Fibroids can range significantly in size from as tiny as a pinhead to as big as a grapefruit. In medicine, uterine fibroids are called leiomyomas or myomas. Your doctor may refer to them by different names depending on how they present in your body. There are four main types: Intramural fibroids: They grow in the muscle of the uterine wall. Submucosal fibroids: These fibroids stick out into the uterus. Subserosal fibroids: These fibroids stick out of the uterine wall into your pelvic cavity. Pedunculated fibroids: These fibroids are connected to the uterus by a small stalk and appear inside or outside the uterus. Fibroids are very common, and up to 80 percent of women may experience them by the time they turn 50. Typically, they appear in women of child-bearing age. In fact, you might find out about your fibroids during a prenatal ultrasound. Unfortunately, the cause of uterine fibroids is unknown.   Symptoms of Uterine Fibroids While some people never notice their fibroids, other women do experience some symptoms. Some frequent symptoms of uterine fibroids are: Pain: Pain or pressure in the pelvic area can be a sign of uterine fibroids. Heavy Bleeding: Your menstrual period may be heavier and last longer if you have fibroids. Constipation: Fibroids can push up against the rectum, causing feelings of pressure or constipation. Bladder Issues: Fibroids can disturb the bladder’s normal function, often causing frequent urination or the inability to empty the bladder. Pain During Intercourse: You may experience discomfort during sexual intercourse if you have fibroids. Back Pain: Fibroids can sometimes push up against your back muscles and cause pain in the lower back. If your doctor suspects you have fibroids, they may recommend an ultrasound or other imaging techniques to confirm the diagnosis.   Symptoms of Large Uterine Fibroids Large uterine fibroids often present the same symptoms listed above. Sometimes, uterine fibroids can become so large that they distend your stomach and make you appear pregnant.   Symptoms of a Ruptured Uterine Fibroid In very rare cases, a uterine fibroid may create a medical emergency when it ruptures. This situation is usually accompanied by severe pain and internal bleeding. You may feel lightheaded or dizzy due to blood loss if a fibroid ruptures. If you experience these symptoms, go to a hospital as soon as possible.     Uterine Fibroids and Pregnancy Uterine fibroids are often discovered during a prenatal ultrasound. In most cases, they don’t cause any complications for the pregnancy. However, sometimes, the position of the fibroids can block the vaginal opening. In these cases, a C-section is necessary for giving birth. Fibroids may also cause pain during pregnancy.   Side Effects of Uterine Fibroids Uterine fibroids don’t usually cause complications. However, they can interfere with fertility in some cases.  Depending on the size, number, or location of the uterine fibroids, they can create problems if you’re trying to get pregnant. For example, a fibroid that bulges into the uterine cavity may block a fallopian tube, making it harder to get pregnant. In other cases, a large fibroid may stop a fertilized egg from attaching itself to the uterine lining. With a knowledgeable medical care team on your side, uterine fibroids seldom cause complete infertility. If you suspect that you have uterine fibroids, we’re here to help! Book an appointment with Kofinas Fertility Group today and get relief from your symptoms and answers about your fertility. ### END_RECORD ### START_RECORD TYPE: post ID: 1438 TITLE: Endometriosis Treatments: The Most Effective Therapies URL: https://www.kofinasfertility.com/endometriosis-treatments-the-most-effective-therapies/ EXCERPT: So, you think you might have endometriosis. All of the symptoms sound just like what you’ve been experiencing and your doctor may have even mentioned the possibility. You can’t help but wonder…what’s next? What endometriosis treatments are available? Is there a cure for endometriosis? Will endometriosis affect your fertility? Before discussing treatments, it’s important to […] DATE_PUBLISHED: 2021-04-23T00:00:00Z DATE_UPDATED: 2026-03-04T00:30:23Z SCHEMA_TYPE: Article META_seo_title: The Most Effective Treatments for Endometriosis | Kofinas META_seo_description: Learn everything you need to know about treating endometriosis whether you just want to treat the pain or treat the cause of the condition. TAX_category: Fertility TAX_category: PCOS TAX_category: Endometriosis BODY_CONTENT: | So, you think you might have endometriosis. All of the symptoms sound just like what you’ve been experiencing and your doctor may have even mentioned the possibility. You can’t help but wonder…what’s next? What endometriosis treatments are available? Is there a cure for endometriosis? Will endometriosis affect your fertility? Before discussing treatments, it’s important to understand exactly what endometriosis is and how it is diagnosed. What Is Endometriosis? Endometriosis is a condition in which the endometrium (the lining in your uterus) grows outside your uterus. There are three main types of endometriosis: 1. Superficial peritoneal lesion This is the most common form of endometriosis. In this type of endometriosis, the endometrium grows on your peritoneum, a thin lining surrounding the pelvic cavity. 2. Endometrioma In this condition, the endometrium grows within your ovaries, creating cysts. 3. Deeply infiltrating endometriosis This type of endometriosis is rare. In this type, the endometrium grows under the peritoneum and may even grow on or near other organs such as the bladder. Endometriosis can cause painful periods, heavy flow during menstruation, fatigue, and even make it hard to get pregnant. In fact, up to 50% of women with infertility have endometriosis. To diagnose endometriosis, doctors usually start by considering your symptoms. Sometimes imaging tests such as ultrasounds and MRIs can help doctors determine if you have endometriosis. However, the only way to confirm an endometriosis diagnosis is with surgery. Usually, surgery is laparoscopic, which means a very small incision is made, and then a tiny camera is inserted into your body. This helps doctors see the endometrium tissue. Endometriosis Treatment Options If your doctor suspects you have endometriosis, you are probably wondering what endometriosis treatment options are available. You may also wonder if endometriosis can go away without treatment? Or if there are there natural treatment options? Read on to learn more about the treatment options available. Medical Treatments for Endometriosis The most common medical treatments for endometriosis are hormone therapy and surgery. Hormones such as birth control pills can help stop you from having your period. This means that the endometrial tissue won’t bleed as much, which can alleviate some symptoms. Plus, it can reduce the amount of scarring and inflammation of the endometrial tissue. Surgery is the only treatment that can remove the endometrial tissue. Typically, surgery is laparoscopic, which means it’s minimally invasive. In addition to improving symptoms, surgery can also improve your chances of getting pregnant. In this blog post, discover what you can expect for your fertility after endometriosis surgery.   Unfortunately, sometimes endometrial tissue continues to grow outside the uterus after surgery. This typically happens a few years after the procedure. Your doctor will help determine the most effective and helpful treatment options for your unique situation. Natural Treatments for Endometriosis There are some natural treatments for endometriosis that you can try at home. Here are a few to consider: Diet - Some evidence shows that a diet high in red meat and low in fruit and vegetables can put you at higher risk for developing endometriosis. This may be because eating a lot of red meat can cause your body to produce more estrogen, which may, in turn, cause excessive growth of endometrial tissue. So, try to reduce your consumption of red meat and eat more fruits and vegetables instead. Also, avoid trans fats, which also put you at higher risk for developing this condition. Exercise - Research also suggests that exercise can lower your body’s production of estrogen. In addition, exercising can make your period lighter, which can reduce symptoms of pain and discomfort. However, it’s important to note that these natural treatments may not make a difference in your condition. Also, talk to your doctor about any alternative therapies that you would like to pursue to make sure they’re safe for you. Treatments for Endometriosis Pain We know that endometriosis pain can be debilitating. Luckily, there are many ways to manage endometriosis pain. Here are a few things you can try: Pain killers (NSAIDs) Hot water bottle Exercise Plus, medical treatments for endometriosis such as hormone therapy and surgery can also alleviate pain. Is there a Cure for Endometriosis? Unfortunately, there’s no true cure for endometriosis. Yet, it is important to note that pregnancy may temporarily relieve endometriosis. Also, for some women, endometriosis disappears during or after menopause. Don’t lose hope! Even though there’s no cure, the right endometriosis treatment options and a good team of doctors can help you effectively manage this condition. Whether you’re ready to get relief from your endometriosis symptoms or want to overcome endometriosis-caused infertility, we’re here to help. Set up your appointment with Kofinas Fertility Group today!   ### END_RECORD ### START_RECORD TYPE: post ID: 1403 TITLE: Really Painful Periods and What You Can Do URL: https://www.kofinasfertility.com/really-painful-periods-and-what-you-can-do/ EXCERPT: You notice a tell-tale feeling of cramping in your lower belly. It’s your period. However, you know that this is just the beginning. Soon, the pain will be excruciating, and no amount of Midol, heating pads or tea will help you.  So, what’s going on? Most women experience mild cramps around the time of the […] DATE_PUBLISHED: 2021-04-12T00:00:00Z DATE_UPDATED: 2026-06-09T03:13:40Z SCHEMA_TYPE: Article META_seo_title: What Can You Do About Really Painful Periods | Kofinas Fertility META_seo_description: Learn about all the reasons your period may be more painful than the average woman's and what you can do about it! TAX_category: Fertility TAX_category: PCOS TAX_category: Endometriosis BODY_CONTENT: | You notice a tell-tale feeling of cramping in your lower belly. It's your period. However, you know that this is just the beginning. Soon, the pain will be excruciating, and no amount of Midol, heating pads or tea will help you.  So, what's going on? Most women experience mild cramps around the time of the period. However, up to 20% of American women get really painful periods, periods so painful that they can't participate in their usual activities.  So, why does this happen to so many women? Causes of Painful Periods (Dysmenorrhea) The pain you experience during your period is called dysmenorrhea.  There are two types of dysmenorrhea: primary and secondary. Primary dysmenorrhea is period pain that starts when you first get your period and typically diminishes as you age. Secondary dysmenorrhea is when your period pain worsens as you age or interferes with your ability to live your life normally.  Here are some of the main causes of secondary dysmenorrhea:   Painful Periods After Miscarriage The first period after a miscarriage may be heavier and more painful than usual. This is because there was no ovulation during the previous cycle, so the endometrial lining (uterine lining) may be thicker than usual. In fact, you may even see a little clotting in this first period.    Painful Menstrual Cycles Related to PCOS PCOS, or Polycystic Ovary Syndrome, is a hormonal condition that typically affects women of childbearing age. PCOS may not necessarily cause painful periods, but it may cause pelvic pain, which can be hard to distinguish from cramps. If you think you might be suffering from PCOS, you can take our quiz to learn more.   Endometriosis and Painful Periods Endometriosis is a common cause of painful periods. In this condition, the endometrial lining becomes attached to areas other than the uterus, such as the pelvis, the fallopian tubes, or the ovaries. The endometrial tissue acts just like it would in your uterus, getting thicker and then breaking down and bleeding every time you get your period. However, because it has nowhere to go, it can irritate the surrounding tissue and cause pain. Endometriosis is not easy to diagnose, but with an out-patient laparoscopic surgery, a qualified doctor can not only confirm the diagnosis, but remove the cause of the pain!   Painful Periods Since Trying to Conceive If you've noticed that your period is painful since trying to conceive, you should speak with your doctor. Any number of conditions, including an ectopic pregnancy, could be causing your painful periods. Other medical conditions may also be causing your painful periods while also affecting your ability to conceive.   Other Medical Conditions that Cause Painful Periods Many other medical conditions may be the cause of your painful periods. Here are a few examples: Fibroids Adenomyosis Crohn's disease Pelvic inflammatory disease Cervical stenosis If you are suffering from any of these conditions, don't fret, there are many ways to help alleviate your pain and even fix the underlying cause!   How to Get Rid of Painful Periods How can you get relief? There are many possible solutions for painful periods.   Painful Period Treatment Options The first step on your journey to relieving extreme period pain is to visit your gynecologist. Your doctor will help discover the underlying cause of your pain and determine the most effective treatment options for you.  Some common treatment methods for painful periods include hormonal birth control pills and over the counter pain relievers. However, in some cases, your doctor may recommend surgery to improve your pain. For example, minimally invasive surgery can often improve pain related to endometriosis by removing the endometrial tissue outside of the uterus. While you're waiting to see your doctor, there are also a few things you can do at home.    Home Remedies for Painful Menstrual Cycles Try a few of these home remedies to relieve your menstrual pain: Apply heat by using a hot water bottle or heating pad.  Move your body. Exercising produces chemicals that block pain. Do yoga or meditate. This can help you relax and cope with the pain.  Questions to Ask Your Doctor About Painful Periods It's important for everyone to understand their own health and the conditions affecting them. If you're concerned about your period pain, here are some questions you might ask your gynecologist: What do you suspect is the cause of my painful periods? What tools or tests will you use to diagnose me? Will an ultrasound or laparoscopic surgery be necessary? Will my period pain affect my fertility? What are my treatment options? No one should experience periods that are so painful they can't complete their everyday routines. With an experienced doctor's help, you can get relief from your pain and treat any underlying conditions effectively. If you are also considering having a baby soon or protecting your future fertility, painful periods can be a sign of fertility issues. To talk to a fertility expert at Kofinas Fertility Group in New York, request an appointment below to speak with a patient liaison! ### END_RECORD ### START_RECORD TYPE: post ID: 1455 TITLE: Should You Have Essure Removed and Will Insurance Cover It? URL: https://www.kofinasfertility.com/should-you-have-essure-removed-and-will-insurance-cover-it/ EXCERPT: Essure is a type of permanent birth control device. It consists of a set of metal coils that are inserted through the uterus into the fallopian tubes in order to create a chronic inflammatory response. This induces scar tissue to form around the coils, blocking the tubes and preventing pregnancy. The device itself is hormone-free […] DATE_PUBLISHED: 2020-12-10T00:00:00Z DATE_UPDATED: 2026-03-04T00:28:22Z SCHEMA_TYPE: Article META_seo_title: Should You Have Essure Removed | Kofinas Fertility Clinic META_seo_description: Read everything you need to know about Essure and whether or not you should get it removed by the expert team at Kofinas Fertility Clinic. TAX_category: Pregnancy TAX_category: Fertility TAX_category: essure BODY_CONTENT: | Essure is a type of permanent birth control device. It consists of a set of metal coils that are inserted through the uterus into the fallopian tubes in order to create a chronic inflammatory response. This induces scar tissue to form around the coils, blocking the tubes and preventing pregnancy. The device itself is hormone-free and consists of an inner plastic fiber, a flexible stainless steel inner coil and an outer nickel titanium alloy coil.  Should I Have Essure Removed? Essure has come under recent FDA investigation and has been discontinued in the United States as of December 2018. The device has been known to cause inflammation in the body. Some of the common side effects include (but are not limited to) chronic pelvic pain, bleeding, painful intercourse, irregular periods, headaches, pregnancy, pregnancy loss, and or general discomfort.  In some instances, doctors who offered Essure missed the fallopian tubes during insertion and those excess metal coils were left in the uterus. The device can also migrate to other organs. Your doctor will be able to help you decide if removal surgery is right for you.  If you are not experiencing any side effects with the Essure device but want to become pregnant, the device will need to be removed. Essure Removal and Essure Reversal: What's the Difference?   Essure removal, put simply, refers to the surgical removal of the device. The method of removal will be determined by the doctor in order to best alleviate your symptoms in the safest way possible. Due to the high number of significant health complications and risks, most insurance plans will offer coverage for the removal surgery as long as it is deemed necessary and not elective. This procedure is typically the only way to alleviate symptoms.  We understand that you want to get back to normal as soon as possible, and it is our goal to help you do that.  Essure reversal is for women who may or may not have adverse side effects but have simply changed their mind and want to become pregnant. This involves the surgical removal of the device and reconnection of the remaining fallopian tubes. This highly complex procedure is performed for patients who wish to have the device removed and fallopian tubes restored in order to become pregnant naturally.  Reversal surgery is not covered by insurance because any form of permanent birth control reversal would be considered an elective surgery, a surgery that is not necessary.  Furthermore, there is no guarantee that reconnecting the fallopian tubes will be successful in allowing you to become pregnant naturally afterward. Due to the out-of-pocket cost of Essure reversal surgery and little guarantee of natural pregnancy, this is not a preferred method. The good news is, pregnancy after Essure removal is still an option. Most women who change their mind and wish to become pregnant opt for the removal surgery and then undergo IVF treatment, which has higher success rates of pregnancy post-Essure removal.  Together with your doctor, you will come up with an individualized treatment plan. Why is Kofinas Fertility Group the Best for Essure Removal?  Essure removal surgery is uniquely challenging because the device is known for fragmenting and can cause further complications if it is not removed by an experienced surgeon. For this reason, many doctors don’t offer this surgery. Fortunately, at Kofinas Fertility Group, our surgeons have the ability and expertise to offer this procedure with confidence. Every case is unique and your surgeon will help you determine which method is best. Our doctors have a great deal of experience performing highly complicated surgeries and often take on difficult cases that other doctors aren’t able to.   How to Check if Your Insurance Will Cover It Call and set up an initial consultation with a doctor to get started. During your first visit, a comprehensive examination will be completed—including an in-depth medical history discussion, and a trans-vaginal ultrasound. During this examination, you and your doctor will decide the best course of action for your individual needs. Your first visit also includes a discussion with our Financial Coordinator to explain the out-of-pocket costs (if any) associated with your particular plan of care, the coverage available to you through your insurance provider, and additional financing options.   ### END_RECORD ### START_RECORD TYPE: post ID: 1405 TITLE: PCOS and Endometriosis: What’s the Difference and Can You Have Both? URL: https://www.kofinasfertility.com/pcos-and-endometriosis-whats-the-difference-and-can-you-have-both/ EXCERPT: Polycystic ovarian syndrome (PCOS) and endometriosis are very different conditions that can affect women in their childbearing years. Although both PCOS and endometriosis are two different diagnoses, they are both difficult to diagnose, and about 5-10% of women experience either one or both in their reproductive years.  DATE_PUBLISHED: 2020-12-01T00:00:00Z DATE_UPDATED: 2026-06-09T03:13:01Z SCHEMA_TYPE: Article META_seo_title: PCOS & Endometriosis: What’s the Difference & Can You Have Both? META_seo_description: Learn the difference between PCOS and Endometriosis including symptoms, causes, and treatment for both from the expert team at Kofinas Fertility Clinic. TAX_category: PCOS TAX_category: Fertility TAX_category: Endometriosis TAX_category: Pregnancy BODY_CONTENT: | Polycystic ovarian syndrome (PCOS) and endometriosis are very different conditions that can affect women in their childbearing years. Although both PCOS and endometriosis are two different diagnoses, they are both difficult to diagnose, and about 5-10% of women experience either one or both in their reproductive years.  PCOS is a condition affecting women that causes irregular menstrual periods due to anovulation (not ovulating every month) and elevated levels of male hormones (androgens). This condition may lead to a higher risk of developing diabetes, obstructive sleep apnea, and even infertility. Endometriosis is a disorder where the endometrium (the lining of the uterus) grows outside the uterus. The endometrial tissue that grows outside the uterus often gets trapped and cannot leave the body by way of a period. Endometriosis is often associated with very painful periods for women and often goes undetected, even when trying to conceive. Endometriosis can make it difficult to get and sometimes stay pregnant if left untreated.    Symptoms, Causes, and Long Term Effects  Though both PCOS and endometriosis affect your reproductive system, they do so with different symptoms during menstruation. Your period with PCOS is often irregular or missing altogether, whereas endometriosis symptoms may be heightened before and during your period. With endometriosis, you may experience very painful periods accompanied by severe menstrual cramps, pain in the lower back, or even cause issues in your digestive system.  Common PCOS symptoms include irregular or missing periods, anovulation (not ovulating on time or at all), excessive hair growth (hirsutism), weight gain, thinning hair on the head (androgenic hair loss), oily or acne-prone skin.  Endometriosis symptoms are often found through a woman’s pain during menstruation. Symptoms include painful cramps before and during your period, pain in the lower back and abdomen, pain during sex, pain with urination or bowel movements during your period, and other gastrointestinal issues.  The exact causes of PCOS and endometriosis are unknown, but there are some things that can indicate a higher risk of developing one or both conditions.  Possible causes of PCOS include: Excess of insulin in your body - insulin is produced by your pancreas to help with the regulation of sugar in your blood, but if sugar levels rise too high your body will produce more insulin to combat the increase. If sugar levels remain too high in your blood and the extra insulin also stays, your body can develop insulin resistance and also develop a higher level of androgens.  Excess of androgens in your body - the excess of insulin that your body creates can also increase the level of androgens (male hormones) that your ovaries produce. Abnormal levels of androgens can lead to excess hair growth on your face and neck (hirsutism) and acne-prone skin.  Inflammation due to polycystic ovaries - having many cysts on your ovaries can lead to an overall low-grade inflammation in your body, which means that your white blood cells are increased and deployed to your ovaries to fight infection. This inflammation can signal to your ovaries to produce more androgens and that can lead to heart and blood vessel issues. It can be hereditary - some studies show that PCOS can be linked to certain genes, but overall physical activity and a healthy diet can often aid in dealing with PCOS.  If you are experiencing any similar symptoms, you can also take our PCOS Symptoms Quiz to learn whether or not you could have it and gather more information!   Possible causes of endometriosis include: Retrograde menstruation - during a normal menstrual cycle, built up endometrial tissue flows out of the body with your period. Retrograde menstruation means that some of that tissue ends up flowing back into the fallopian tube or other areas in your abdominal cavity, builds up, but cannot leave the body.  Induction theory - some experts believe that your peritoneal cells (cells inside the lining of your abdomen) are transformed due to your hormones or any immune system issues and turn into endometrial cells. Transformation of embryonic cells - your embryonic cells are the cells that develop in the earliest stages of your life and may transform into endometrial cells during puberty due to an excess of estrogen in your system.  Endometrial cell transport - endometrial cells that can transport outside the uterus through your blood vessels or lymphatic system. A disorder with your immune system - if you have any issues with your immune system, it may make it difficult for your body to identify and destroy endometrial tissue outside of the uterus.   Similarities and Long-Term Effects Symptoms differ between both conditions but also can overlap when it comes to affecting your fertility and how you may experience menstruation. Because a common symptom of PCOS includes irregular or missing periods when you actually have a period, very heavy bleeding may occur since your body hasn’t been able to shed the extra lining monthly. This excessive bleeding is also a common symptom of endometriosis, so an overlap of conditions is very possible. Because pelvic pain is associated with many conditions, this makes PCOS and endometriosis difficult to diagnose. The other conditions may include pelvic inflammatory disease (PID) or even irritable bowel syndrome (IBS).  Long term, both PCOS and endometriosis separately and together can cause infertility. Unfortunately, it is common for women of reproductive age to ignore their hormonal issues or physical pain until they are actively trying to conceive. The impact of fertility from PCOS is mainly hormonal even though you may have physical polycystic ovaries. With endometriosis, this obstruction is mainly physical and may allow you to become pregnant through fertility treatment, but if you do not address the removal of the endometrial tissue outside the uterus, miscarriage may be an unfortunate result.    Can You Have PCOS and Endometriosis at the Same Time? The short answer is yes, you can have both PCOS and endometriosis at the same time. One condition does not affect the other, but there may be multiple symptoms that you are experiencing that overlap and can be the root cause of your infertility or pain. The commonality in having both conditions at the same time comes down to the diagnosis. If your goal is to find the root cause of your reproductive issues, a true diagnosis from a reproductive specialist is necessary to get your body back on track.  PCOS is easier to diagnose since it involves less invasive physical exams including a sonogram to look at physical cysts on the ovaries and blood tests to determine if your hormone levels are out of whack. Endometriosis is harder to diagnose due to needing a laparoscopy for a true diagnosis. Although laparoscopy is a minimally-invasive surgery, it is still a surgery so it deters some people from looking into it and leaves them wanting to just cover up the symptoms with medication for pain management. This covering up of symptoms and pain can lead to worsening the condition, which will definitely affect your body when trying to conceive and sometimes lead to ovarian cancer.    PCOS and Endometriosis Treatment Options If you are diagnosed with PCOS, your doctor will likely put you on certain medications to regulate your hormones and to ensure that you are having your period monthly so that you don’t have a build-up of endometrial tissue in your uterus. If left untreated and the lining builds up too much, you are at a much higher risk of endometrial cancer. Treating PCOS is very specific to your family goals now and in the future. If you are not trying to have a baby right now, the course of action may include medications that regulate your hormones and insulin levels so that you can get your whole body working better. It is common to see women with PCOS having a high follicle count in their ovaries, so if kids are in your future, you may be a great candidate for egg freezing, so when the time is right you have family building options readily available. If you are actively trying to conceive with PCOS, your fertility doctor will try to control your hormones with medication and time out your ovulation so that it increases your chances of conceiving naturally. Depending on how severe your PCOS is and what your family building goals are, in vitro fertilization (IVF) is a common and very effective method to get pregnant. If you have a laparoscopy and are diagnosed with endometriosis, your reproductive surgeon’s goal is to clear out the endometrial tissue depending on where it is located and how severe it is. If you are not trying to conceive, a laparoscopic removal of endometriosis may ease your painful symptoms and lead to overall better health of your reproductive system. If your plan includes conceiving, you may be able to get pregnant on your own after your endometriosis is cleared out. However, it is common to need fertility treatment after endometriosis removal in order to conceive and have a healthy baby at the end of your pregnancy.   How Kofinas Can Help  We see many patients every day suffering from both PCOS and endometriosis and are very proud of our success when it comes to diagnosing and treating your unique reproductive concerns. Whether you are working with us to regulate your hormones, manage the pain you have been dealing with for far too long, or need our surgical experts to diagnose and treat your condition, we are here to help.  No matter what your family building goals are, getting to the root cause of your reproductive issues is what Kofinas Fertility Group is here to help with. We believe that fertility treatments are extremely effective, but the root cause needs to be addressed in order to have a healthy mother and baby at the end of your fertility journey. You do not need to live with the pain that you are going through, and we are here to help you get closer to your family building goals now and ensure that your long-term family goals are also met when the time is right for you.  ### END_RECORD ### START_RECORD TYPE: post ID: 1456 TITLE: Does Insurance Cover Fertility Testing or Treatments? URL: https://www.kofinasfertility.com/does-insurance-cover-fertility-testing-or-treatments/ EXCERPT: The Different Types of Fertility Insurance and What Is Covered Most health insurance plans consider maternity and newborn care to be essential benefits. However, fertility care may or may not be covered. Fertility coverage depends on what your employer chooses to offer. So, how do you know if insurance covers fertility testing or treatments? Coverage […] DATE_PUBLISHED: 2020-11-20T00:00:00Z DATE_UPDATED: 2026-03-04T00:28:05Z SCHEMA_TYPE: Article META_seo_title: Does Insurance Cover Fertility Testing or Treatments? | Kofinas META_seo_description: Understanding fertility treatment options using insurance is complicated. Learn how to see if your fertility treatments are covered through insurance. TAX_category: Pregnancy TAX_category: IVF TAX_category: PCOS TAX_category: Fertility BODY_CONTENT: | The Different Types of Fertility Insurance and What Is Covered Most health insurance plans consider maternity and newborn care to be essential benefits. However, fertility care may or may not be covered. Fertility coverage depends on what your employer chooses to offer. So, how do you know if insurance covers fertility testing or treatments? Coverage can vary depending on your employer, the size of the company and if any state fertility mandates apply. Some plans may cover In Vitro Fertilization (IVF) but not the injection medications that women also require during IVF treatment cycles. Some plans cover treatment and medication, while other plans cover a specific number of attempts or a lifetime maximum dollar amount for certain treatments. However, there are plans that do not cover IVF at all. To find out what fertility benefits your employer offers, your employer or insurance company should provide you with a copy of your insurance plan, including the details of benefits and coverage. You can also seek help from the financial counselor at your fertility doctor’s office, they work with your insurance company throughout the process to review your benefits in detail and keep you informed to avoid any unexpected costs. In some cases, employers offer supplemental fertility coverage through companies like Progyny and Carrot. You can check with your employer to see if they offer any supplemental fertility coverage. These supplemental plans are fertility-specific and accompany your traditional health insurance to give you greater coverage that breaks the financial barrier for those wanting to grow their family. These plans typically give patients access to the care they need without the restrictions of traditional healthcare plans and enable patients to obtain better outcomes. With 1 in 8 couples now needing fertility assistance, employers offering fertility benefits and or supplemental fertility coverage usually have higher employee retention and overall morale among employees. How the New York State Mandate Impacts Fertility Insurance Fortunately, thanks to the New York State Mandate, more employers headquartered in New York are now required to offer fertility coverage. Effective January 1, 2020, New York requires all “Large Group” employers (fully insured with over 100 employees) to cover up to three cycles of IVF. The mandate also requires insurance plans to cover egg and sperm freezing when medically necessary, including, but not limited to sickle cell anemia, cancer diagnosis, and surgery for endometriosis. Unfortunately, it does not cover same-sex male couples at this time. While this has been a great step forward in giving many New Yorkers access to the treatment they may not have otherwise been able to afford, the mandate still doesn’t apply to some employers. Some employers that won’t fall under the new mandate include those with self-insured plans, fully-insured “Small Group” plans (with under 100 employees), and Medicaid/Marketplace plans. The good news with Medicaid/Marketplace plans is that under the mandate, although they don’t cover the cost of treatment itself, they may still cover the medication necessary for treatment which can save you thousands of dollars. Which Tests or Treatments Could Be Covered? Many plans cover diagnostic testing even if they don’t cover treatment. If you are under 35 and have been trying to conceive for over 12 months or if you are over 35 and have been trying for over 6 months, it could be time to see a fertility specialist. Your fertility specialist can order diagnostic tests to assess your reproductive health, check hormone levels and analyze semen for male partners. These steps will help to determine if there are any medical problems that could be hindering you from getting pregnant.Diagnostic tests for infertility include a physical exam, imaging tests, specialized diagnostic tests, and bloodwork. Imaging tests and specialized tests look at the reproductive organs, blockages, and identifying underlying causes. Laboratory tests usually involve cultures to rule out bacteria or infection and testing of blood for hormone levels. The combination of these diagnostic tests, known as a fertility workup, will help your doctor identify any causes for infertility. How to Check Your Insurance Plan for Fertility Coverage To find out more about your particular insurance plan, you can go online to your insurance company’s website to check your benefits, call the customer assistance phone number located on your insurance card, speak to your company’s HR or benefits staff, or call your fertility specialist to have them check your coverage and assist you with the details. Another option is to look at your partner's insurance. Some patients switch over to their partner’s plan or “double-up” and use both plans.If you need assistance finding out the best option, check with your fertility specialist’s financial counselor - they will be happy to check both your and your partner’s plans so that you can get the most coverage and minimize your out-of-pocket costs. How to Use the Coverage When You Know That You Have It Call and set up an initial consultation with a Reproductive Endocrinologist (REI) (a fertility specialist) to get started. During your first visit to Kofinas Fertility Group, a comprehensive examination will be completed—including an in-depth medical discussion and a trans-vaginal ultrasound. During this examination, you and your doctor will decide the best course of action for your individual needs.Your first visit also includes a discussion with our Financial Coordinator to explain the out-of-pocket costs (if any) associated with your particular plan of care, the coverage available to you through your insurance provider, and additional financing options. We will be happy to assist you and answer any questions you may have. If you are interested in talking to a New York doctor about PCOS, request an appointment with Kofinas Fertility today! Even though you may enter as a patient, we believe in building a relationship with you that goes beyond a case file. With Kofinas Fertility Group, your care is our primary concern, so get started today and step into the future with confidence.  ### END_RECORD ### START_RECORD TYPE: post ID: 1393 TITLE: Types of PCOS and What to Look For URL: https://www.kofinasfertility.com/types-of-pcos-and-what-to-look-for/ EXCERPT: What is PCOS, and why is it relevant? Polycystic Ovarian Syndrome, or PCOS, is an endocrine-based condition that affects about 5-10 percent of women in their reproductive years. Because of its effect on the endocrine system, hormonal imbalances are often found in those who are diagnosed with PCOS. There are different types of PCOS and […] DATE_PUBLISHED: 2020-11-04T00:00:00Z DATE_UPDATED: 2026-03-04T01:10:33Z SCHEMA_TYPE: Article META_seo_title: What are the Types of PCOS | Kofinas Fertility Clinic META_seo_description: Learn about the different types of PCOS and what to look for with symptoms of PCOS in females to help determine if it's actually Polycystic ovary syndrome. TAX_category: Pregnancy TAX_category: Fertility TAX_category: PCOS BODY_CONTENT: | What is PCOS, and why is it relevant? Polycystic Ovarian Syndrome, or PCOS, is an endocrine-based condition that affects about 5-10 percent of women in their reproductive years. Because of its effect on the endocrine system, hormonal imbalances are often found in those who are diagnosed with PCOS. There are different types of PCOS and symptoms may not show up the same in every woman, but there are some common overlaps regardless of what type of PCOS is diagnosed. Due to the many complications that are often associated with PCOS, it is very important to tell your physician about any family history or current symptoms being experienced. If left untreated, PCOS can lead to complications such as: Type 2 diabetes Heart disease Endometrial cancer Infertility Nonalcoholic Fatty Liver Disease (NAFLD)   Why is it so hard to get a PCOS diagnosis? The various combinations of symptoms (that may be similar to other conditions) are why PCOS often goes undiagnosed, untreated, and often ignored. The difference between age in females is also a factor in misdiagnosis. For example, there is a big difference in PCOS symptoms between adolescents and adult females. Some adolescent women get misdiagnosed with PCOS when they are between 16-18 years of age due to the body’s hormonal axis (specifically the hypothalamic-pituitary-ovarian axis) being immature and the ovaries needing time to develop so that a true diagnosis can be made. Sometimes, it is also hard to get a diagnosis for PCOS if you are not actively trying to become pregnant. Exploring your fertility often comes with lots of blood tests, physical exams, and working with a women’s healthcare specialist or fertility specialist; therefore, often finding underlying reasons (sometimes PCOS) of why getting or staying pregnant is challenging. It is common that women often overlook what their hormones are telling them for years prior to thinking about their fertility.   Tests and symptoms - How to tell if it's actually PCOS PCOS often has similar symptoms to many other conditions, but it is with the combination of tests and a doctor's analysis of your primary and secondary symptoms that can lead to a diagnosis of either PCOS or another condition that has similar symptoms. For example, someone may be experiencing symptoms such as weight gain, acne, and abnormal hair growth around the face or neck, but not have any indicators of anovulation (not ovulating) or excessive androgens in their system. A PCOS diagnosis can be made if someone is experiencing a combination of lesser indicators PLUS two of the following: anovulation (no ovulation) hyperandrogenism (increased amount of androgen hormones) sonogram indicating cysts on or near the ovaries PCOS testing can be in the form of blood tests to check your hormone levels and a transvaginal sonogram is also necessary for a proper diagnosis. If you are experiencing any similar symptoms, you can also take our PCOS Symptoms Quiz to learn whether or not you could have it and gather more information!   What are the different types of PCOS? Insulin-resistant PCOS Insulin-resistant PCOS is the most common type affecting about 70% of women diagnosed with PCOS. Insulin resistance means having high insulin which prevents ovulation and triggers the ovaries to create testosterone. High insulin is not only a symptom, it is also a driver of the condition itself. This type of PCOS usually results in high androgen levels and menstrual irregularities. Although PCOS does affect the ovaries and ovulation, it’s actually a full-body endocrine and metabolic disorder. Insulin resistance symptoms include: cravings for sweet or salty foods fatigue darkened skin on the back of the neck, groin, or armpits increased hunger or thirst tingling of the hands and feet frequent or increased urination If you are experiencing these symptoms, your doctor will likely order blood tests. These include the fasting glucose level and glucose tolerance tests. If left untreated there is an increased risk of developing diabetes. The most common treatments are insulin-sensitizing drugs, such as metformin. Dietary changes like lowering sugar intake and exercise are usually recommended, as well.   Pill-induced PCOS Pill-induced PCOS is the second most common type of PCOS. This can develop after taking birth control pills which suppress ovulation. Most women will resume ovulation and regular periods after discontinuing use. However, some women do not resume ovulating for months or even years afterward. Diagnosis typically occurs if your period becomes absent for 3 or more months after discontinuing birth control pills along with a normal insulin level and signs of PCOS like acne, a high LH to FSH ratio or possible polycystic ovaries seen on pelvic ultrasound. The good news is that this condition is usually temporary and can be treated. Once you begin to ovulate regularly again the other symptoms of PCOS will usually resolve for good.   Inflammatory PCOS Inflammatory PCOS is due to inflammation as the primary factor. When inflammation prevents ovulation, hormones become imbalanced and androgens are produced. Inflammation can be caused by stress, environmental toxins, or food sensitivities. Chronic inflammation can cause the ovaries to create excess testosterone and is a contributing factor for every type of PCOS. The best way to treat inflammatory PCOS is to correct the underlying source of the inflammation. Diagnosis usually occurs if you meet the criteria for PCOS but have no insulin resistance along with signs of inflammation such as unexplained fatigue, bowel problems like IBS or SIBO, joint pain, headaches, or chronic skin conditions such as psoriasis or eczema. Inflammatory foods such as dairy, sugar, and gluten should be avoided or minimized. Supplements like magnesium can also help due to its anti-inflammatory properties.   If you are interested in talking to a New York doctor about PCOS, request an appointment with Kofinas Fertility today! Even though you may enter as a patient, we believe in building a relationship with you that goes beyond a case file. With Kofinas Fertility Group, your care is our primary concern, so get started today and step into the future with confidence.  ### END_RECORD ### START_RECORD TYPE: page ID: 21 TITLE: Home URL: https://www.kofinasfertility.com/ EXCERPT: Clarity First.Confidence Always. Start with answers. Then choose the right step for you.
You’re carrying a lot of hope—and probably a lot of questions. We’re here to help you find clarity, together. Second Opinion Sometimes you need a fresh perspective—and that’s completely okay. Not sure your previous testing uncovered everything? We specialize in finding what others […] DATE_PUBLISHED: 2020-09-29T03:25:51Z DATE_UPDATED: 2026-03-30T04:43:02Z SCHEMA_TYPE: Article META_seo_title: Kofinas Fertility Group | Fertility Clinic in New York City META_seo_description: Kofinas Fertility Group is a fertility clinic based in New York City, known for its comprehensive approach to reproductive medicine and fertility care. META_flexible_content: a:1:{i:0;s:10:"schema_faq";} META_repeater_0_icon: 464 META_repeater_0_title: Consult META_repeater_0_para: Understanding your storyFirst conversations, health history META_repeater_1_icon: 465 META_repeater_1_title: Testing & Imaging META_repeater_1_para: Getting the full pictureComprehensive diagnostics META_repeater_2_icon: 402 META_repeater_2_title: Plan Review META_repeater_2_para: Your clear path forwardExpert interpretation, personalized next steps META_repeater_3_icon: 466 META_repeater_3_title: Next Steps META_repeater_3_para: Moving ahead togetherWhether surgical, medical, or watchful META_repeater: 4 META_flexible_content_0_faq_repeater_0_faq_title: When should I see a fertility specialist? META_flexible_content_0_faq_repeater_0_faq_answer: General medical guidance suggests that individuals under 35 who have been trying to conceive for 12 months without success should consider an evaluation. For those 35 and older, the recommended threshold is 6 months. These timelines shorten if you have a known condition that may affect fertility — such as irregular or absent periods, a prior diagnosis of endometriosis, PCOS, or fibroids, a history of pelvic surgery or infection, or if your partner has a known issue with sperm. If you have already had fertility testing or treatment elsewhere and it did not produce a clear answer, you do not need to wait any longer. A second-opinion consultation is a reasonable next step at any point. META_flexible_content_0_faq_repeater_1_faq_title: What makes Kofinas different from other fertility clinics in New York? META_flexible_content_0_faq_repeater_1_faq_answer: Most fertility practices are organized around treatment: the default is often to move toward IVF as quickly as possible. Kofinas takes a different approach. Before recommending any procedure, the clinical team conducts a thorough diagnostic evaluation to understand what is actually contributing to your fertility challenge. If a structural factor such as endometriosis, fibroids, or a uterine issue is present and may be affecting your chances, surgery is available and integrated with IVF care under the same clinical team. This means patients who need both surgery and IVF are not referred out or asked to coordinate between separate providers. The same team that evaluates you manages your care throughout. For patients who have been through treatment elsewhere without a clear explanation for what happened, this evaluation-first model often produces answers that prior care did not. META_flexible_content_0_faq_repeater_2_faq_title: What does a first appointment at Kofinas involve? META_flexible_content_0_faq_repeater_2_faq_answer: A first appointment begins with a detailed review of your medical and reproductive history, a discussion of your goals, and a plan for initial testing. Testing typically includes hormone blood work and an ultrasound to assess the ovaries and uterus. If you have a male partner, a semen analysis is part of the initial evaluation. If you have records from prior treatment, bringing them, or sending them in advance, helps the team orient quickly to your situation. The first visit is not a commitment to any particular treatment. It is an evaluation. At the end of it, you will have a clearer picture of where things stand and what the options are. META_flexible_content_0_faq_repeater: 11 META_flexible_content_0_faq_repeater_3_faq_title: Does endometriosis surgery actually improve fertility? META_flexible_content_0_faq_repeater_3_faq_answer: The relationship between endometriosis and fertility is complex, and surgery is not the right answer for every patient with the condition. When endometriosis is affecting the fallopian tubes, creating ovarian cysts (endometriomas), or causing significant uterine distortion, surgical treatment may improve the conditions needed for natural conception or for IVF. Surgical excision, which removes endometriosis tissue rather than simply burning the surface, is the technique generally preferred for fertility-related cases or those wishing to preserve their fertility for the future. Whether surgery is indicated before or alongside IVF depends on the extent and location of disease, your ovarian reserve, your age, and your overall fertility picture. This is a clinical decision that requires a full evaluation, not a general recommendation. At Kofinas, that evaluation comes before any recommendation is made. META_flexible_content_0_faq_repeater_4_faq_title: What does egg freezing actually guarantee? META_flexible_content_0_faq_repeater_4_faq_answer: Egg freezing preserves eggs at their current state for potential future use. It does not guarantee a future pregnancy. Whether a pregnancy results, depends on how many eggs were retrieved, the quality of those eggs (which is influenced by age at the time of freezing), how many survive the thaw, how many fertilize successfully, and how many resulting embryos develop and implant. Age at the time of freezing is one of the most significant factors. Eggs retrieved at younger ages are generally associated with better outcomes when used later. Your clinician can provide age-specific context for what to expect in your situation before you make a decision. META_flexible_content_0_faq_repeater_5_faq_title: How do I know if my prior IVF cycle failed because of something that was missed? META_flexible_content_0_faq_repeater_5_faq_answer: A failed IVF cycle is not always explained by the cycle itself. Contributing factors that are sometimes overlooked include structural issues such as endometriosis, uterine polyps, fibroids within the uterine cavity, or intrauterine adhesions that may interfere with implantation. Immunological factors and sperm quality issues are also areas that warrant evaluation when prior cycles have not succeeded. A records review and consultation at Kofinas can examine what happened at each stage of your prior cycle, identify patterns, and determine whether something structural or diagnostic was not fully evaluated. Bringing your prior cycle summaries, laboratory reports, and any imaging is the best starting point. META_flexible_content_0_faq_repeater_6_faq_title: Does Kofinas treat both partners? META_flexible_content_0_faq_repeater_6_faq_answer: Yes. Infertility involves male-factor contributions in a substantial proportion of cases, and evaluation of both partners is standard practice at Kofinas when a couple is seeking care. A semen analysis is part of the initial work-up. Depending on findings, additional evaluation may include hormonal testing, urological consultation, or assessment for surgical sperm retrieval options. IVF with ICSI (intracytoplasmic sperm injection) is available when male-factor infertility is present. If you are coming in as an individual rather than a couple, the evaluation is tailored to your situation. META_flexible_content_0_faq_repeater_7_faq_title: How are IVF success rates calculated, and how should I compare them between clinics? META_flexible_content_0_faq_repeater_7_faq_answer: IVF success rates are reported by clinics and through national databases maintained by the CDC and the Society for Assisted Reproductive Technology (SART). These rates are only meaningful when you understand what they are measuring. A rate described as "success" may refer to a positive pregnancy test, a clinical pregnancy (heartbeat confirmed), or a live birth. These are not the same endpoint, and live birth rates are the most clinically meaningful. Rates also differ significantly by age group, diagnosis, and whether a transfer used the patient's own eggs or donor eggs. A clinic that treats a higher proportion of complex or older patients may show lower aggregate rates than one that selects for favorable cases. Before comparing rates between clinics, ask which outcome is being reported, for which age group, and whether donor egg cycles are included or excluded. Your clinician can help you understand what the data mean for your specific situation. META_flexible_content_0_faq_repeater_8_faq_title: What locations does Kofinas serve? META_flexible_content_0_faq_repeater_8_faq_answer: Kofinas Fertility Group operates five locations across New York City: Upper West Side, Lower Manhattan, Brooklyn, Staten Island, and Long Island. Monitoring appointments and consultations can take place at the location most convenient for you. Surgical and IVF procedures may be coordinated at specific locations depending on the services available there. For patients traveling from outside the New York area, virtual consultations and remote records review are available. META_flexible_content_0_faq_repeater_9_faq_title: How much does fertility treatment cost, and is it covered by insurance? META_flexible_content_0_faq_repeater_9_faq_answer: Costs vary significantly by treatment type, the number of cycles involved, and individual circumstances. Insurance coverage for fertility treatment differs by plan, employer, and state. Some plans cover diagnostic evaluation but not treatment; others cover IVF up to a certain dollar amount or number of cycles. The Kofinas team can help you review your coverage and discuss options for managing costs. META_flexible_content_0_faq_repeater_10_faq_title: Can I come to Kofinas if I have already been treated at another clinic? META_flexible_content_0_faq_repeater_10_faq_answer: Yes, and patients who have prior treatment history are welcome to bring all of their records. Prior cycle summaries, laboratory findings, operative reports, imaging, and pathology results all help the team understand what has already been evaluated and what may not have been. A second-opinion consultation begins with what you already know, not from scratch. BODY_CONTENT: | Clarity First.Confidence Always. Start with answers. Then choose the right step for you.
You're carrying a lot of hope—and probably a lot of questions. We're here to help you find clarity, together. Request An Appointment Learn More Second Opinion Sometimes you need a fresh perspective—and that’s completely okay. Not sure your previous testing uncovered everything? We specialize in finding what others miss. Request An Appointment Plan. Evaluate. Persevere Every path to parenthood is valid—and personal. Whether you’re preserving future options, need surgical clarity first, or are ready for IVF, we’ll help you choose what’s right for you. Your Care Path Inclusive Family-Building Options Your family, your way. Donor paths, reciprocal IVF, gestational carriers—we provide inclusive, experienced care for every journey to parenthood. Call Us Your Care Path: Answers Before Actions We examine what others miss—endometriosis, fibroids, anatomical factors that silently block pregnancy.Because you shouldn’t spend thousands on treatment before
 you understand what’s standing in the way.If surgery will help, we do it with precision. If not, we move forward without it.
 Either way, you’re not starting over—you’re moving forward with clarity. Fertility Therapies Start with comprehensive assessment Learn More Surgery (If Indicated) Learn More IVF & Lab Advanced reproductive treatments Learn More New York Fertility Specialist Excellence in Every Aspect Of Fertility Care Experience a rare combination—the rigor of surgical mastery with the warmth of family-centered care. Experienced Surgical Team Expert Surgeons Who Listen.Board-certified reproductive surgeons with deep expertise in endometriosis excision, fibroid removal, and complex anatomical repair. More than technical skill—we take time to understand your unique situation. Learn More Integrated Embryology Lab Science You Can Trust All In One Place.State-of-the-art, on-site embryology lab with 24/7 monitoring, advanced techniques, and meticulous care for every embryo. Your journey happens under one roof, with one team you know. Learn More 5 NYC Locations Care That Comes To You.Five locations across NYC, with consistent expertise and coordinated care wherever you are. Travel for a procedure if needed, but consult and monitor close to home. Learn More A Diagnostic Roadmap:
Know Before You Go. Fertility care shouldn’t feel like guesswork. Our step-by-step evaluation uncovers the why before recommending any treatment. Schedule A Consult Learn More ConsultUnderstanding your storyFirst conversations, health historyTesting & ImagingGetting the full pictureComprehensive diagnosticsPlan ReviewYour clear path forwardExpert interpretation, personalized next stepsNext StepsMoving ahead togetherWhether surgical, medical, or watchful Our Mission We provide every conceivable option to grow the family of your dreams At Kofinas Fertility Group, we're here for you at every step of your fertility journey. Our team is passionate about combining the latest reproductive technology with care that actually feels personal — because we know this process is deeply meaningful, and you deserve more than a one-size-fits-all approach. We take the time to really understand what's going on, explain things clearly, and build a treatment plan that's right for you. Our goal is simple: to give you the knowledge, support, and expert care you need to grow the family you've been dreaming of. Watch Our Mission Video Testimonials Real Paths. Real Pace.
No Sugarcoating. Honest stories from real patients about their journey—the hard parts, the hope, and the outcomes. Every path looks different. Lucas Learn More Emilio Learn More Eleni Learn More Understanding Cost:No surprises, no judgement. Fertility treatment is a significant investment—emotionally and financially.
 We believe you deserve transparency from the start. Request An Appointment Learn More Frequently Asked Questions We’re Here to Help
Get quick answers to frequently asked questions ### END_RECORD ### START_RECORD TYPE: post ID: 1419 TITLE: Can You Freeze Your Eggs If You Have an IUD? URL: https://www.kofinasfertility.com/can-you-freeze-your-eggs-if-you-have-an-iud/ EXCERPT: Egg freezing is a viable option for many individuals and couples who plan to have a family of their own someday.   DATE_PUBLISHED: 2020-06-02T00:00:00Z DATE_UPDATED: 2026-03-23T04:47:41Z SCHEMA_TYPE: Article META_seo_title: Can You Freeze Your Eggs If You Have an IUD? | Kofinas META_seo_description: The egg freezing process can be confusing but doesn't have to be. Learn the facts about the egg freezing process if you have an IUD or are on birth control TAX_category: Fertility TAX_category: Egg Freezing TAX_category: IVF TAX_category: Pregnancy BODY_CONTENT: | Egg freezing is a viable option for many individuals and couples who plan to have a family of their own someday.   Specifically for females who undergo in-vitro fertilization (IVF) to achieve pregnancy—egg freezing allows for multiple pregnancy attempts in case the first try isn't successful. And if starting a family isn't an immediate option, egg freezing is the perfect solution to preserve one's chances of a healthy pregnancy at a later date.  With that in mind, for women who use birth control or intrauterine devices (IUD) to prevent pregnancy, do those methods have any impact on egg freezing? Here's what you need to know:   Do IUDs and Other Birth Control Methods Impact Egg Freezing? It's important to understand that you can't consider IUDs and birth control to have the same effects.  For example, with an IUD, whether it's hormonal or copper, they don't have an impact on ovulation, which means they won't disrupt egg production. So when it comes to IUDs and egg freezing, the answer is "yes," you can leave those in without worry.  However, when it comes to birth control and egg freezing, there's a direct clash that can occur.  Women take birth control to prevent the ovulation process, but during the egg freezing process, medications are used to instruct the ovaries to produce several eggs within a single menstrual cycle. Now, that doesn't mean that women have to stop taking birth control altogether, but it does mean that they should refrain from taking birth control once they start the egg freezing process. Then once egg retrieval takes place, they can safely resume taking it.    What Effects Does Birth Control Have On Fertility? Now, you may be wondering that since birth control works against your natural fertility cycles, does that mean that taking it can have any long-term effects on fertility? Overall, you shouldn't have anything to worry about until after the age of 35. At that point, staying on birth control may lead to increased health risks, such as blood clots or other hormonal related issues. Although when you consult with a fertility expert, you can discuss any potential problems and come up with a plan that leads you to a successful pregnancy.  Egg Freezing with Kofinas Fertility Group Egg freezing can seem like an intimidating process, but with fertility experts to help you along the way, you can easily prepare for the future while maintaining your usual lifestyle.  Kofinas Fertility Group understands that everyone's journey to pregnancy is different. For individuals and couples from all walks of life, egg freezing presents an opportunity to have a family at the right time. Not to mention, it allows for multiple attempts to provide a sense of security in case of any unforeseen challenges.  More than anything, egg freezing with Kofinas Fertility Group is made simple, so to learn more about the egg freezing process request an appointment today! ### END_RECORD ### START_RECORD TYPE: post ID: 1382 TITLE: What Is Egg Freezing Exactly and Other FAQs URL: https://www.kofinasfertility.com/what-is-egg-freezing-exactly-and-other-faqs/ EXCERPT: Egg freezing may sound like a strange process, but overall, it’s a safe and smart decision for those wanting to start a family at a later time.  DATE_PUBLISHED: 2020-05-21T00:00:00Z DATE_UPDATED: 2026-03-04T01:13:21Z SCHEMA_TYPE: Article META_seo_title: What Is Egg Freezing | Kofinas Fertility Group META_seo_description: Click to learn about what is really involved in the egg freezing process and other frequently asked questions such as the safety and cost of the procedure. TAX_category: Fertility TAX_category: Pregnancy TAX_category: IVF TAX_category: Egg Freezing BODY_CONTENT: | Egg freezing may sound like a strange process, but overall, it's a safe and smart decision for those wanting to start a family at a later time.  For instance, consider a single woman with a high-powered career who wants to have a family of her own. If pursuing that choice now isn't an option, she can easily have her eggs frozen so that when she's ready to have children, or the right partner has come into her life to support that decision, the opportunity is readily available. In addition, anyone who undergoes an IVF procedure can save multiple eggs for future trials if the first or second attempt isn't successful.  Everyone's situation is different, but in any case, egg freezing creates peace of mind from the option of possibility. If egg freezing is something you're considering, then here's what you can expect from the process, as well as other FAQs to consider: What to Expect with Egg Freezing Don't worry—egg freezing is a lot simpler than it sounds.  Whether you're extracting eggs from a donor or yourself—and saving them for future IVF attempts—the process is more or less the same.  First, an individual will undergo two weeks of hormone therapy to stimulate their ovaries and produce multiple eggs. Next, they'll follow up with regular egg monitoring sessions to ensure they're healthy. Once they're ready to harvest, the individual will go in for a minor outpatient procedure to retrieve the eggs—recovery time after the procedure is typically 24 hours, which can be done at home. After harvesting, the eggs are then prepared in a solution that prevents ice crystals from damaging them. The eggs are then placed in plastic vials and frozen with liquid nitrogen.  These eggs can be stored for weeks, months, and even years, and once an individual or couple decides to use them, they can be easily inseminated with the male partner's sperm and transferred to the uterus of the intended mother or surrogate mother.    FAQs About Egg Freezing How old should you be to consider egg freezing? Everyone's circumstances are different, however, if you don't plan to have kids during your peak fertility years (before the age of 32), then pursuing egg freezing before that time is a good idea to preserve your chances of starting a family later on.  What kind of medications do I have to take for egg freezing? For the first 1-2 weeks, birth control medication is prescribed to “turn off” natural hormone production on a temporary basis. Then once the birth control takes effect, there's a 9-10 day period of hormone injections to stimulate ovaries and encourage egg development.  Is egg freezing a safe procedure? In 2012, the American Society of Reproductive Medicine (ASRM) removed the experimental status of egg freezing due to increased egg viability rates over 90%. In addition, live birth rates are similar to the success of IVF cycles using fresh eggs.  How much does egg freezing cost? On average, an egg freezing cycle costs $10,000. However, the overall cost should be discussed with a fertility expert who can explain the process and structure.  Consult with Kofinas Fertility Group to Learn More Life happens fast, and rather than passing up opportunities or feeling rushed to start a family, Kofinas Fertility Group can help you plan for the future.  To learn more about egg freezing from fertility experts with years of experience, request an appointment today. ### END_RECORD ### START_RECORD TYPE: post ID: 1421 TITLE: Can You Increase Your Sperm Count? URL: https://www.kofinasfertility.com/can-you-increase-your-sperm-count/ EXCERPT: It is currently estimated that 8-12% of couples trying to conceive have had fertility issues, so you are not alone if you are encountering delays. Although much of the clinical literature (and popular culture) points to this being a predominantly female challenge, 40-50% of fertility struggles are actually attributed to sperm function. DATE_PUBLISHED: 2020-05-11T00:00:00Z DATE_UPDATED: 2026-03-04T00:34:33Z SCHEMA_TYPE: Article META_seo_title: Can You Increase Your Sperm Count? | Kofinas Fertility META_seo_description: Nearly half of fertility challenges are attributed to difficulties with sperm production. Find out what you can do to increase your sperm count TAX_category: Men's Fertility BODY_CONTENT: | It is currently estimated that 8-12% of couples trying to conceive have had fertility issues, so you are not alone if you are encountering delays. Although much of the clinical literature (and popular culture) points to this being a predominantly female challenge, 40-50% of fertility struggles are actually attributed to sperm function. While men are significantly underrepresented in discussions about fertility, medical professionals are catching up to the statistics and providing more resources and counseling to men who experience fertility challenges. The majority of these troubles arise from the quality, quantity, and motility of sperm. In this article, we discuss sperm quantity and how to increase it to improve your chances of conception. What Affects Sperm Count? Many factors can play a role in how much viable, healthy sperm is produced with each ejaculation. Heat is often to blame, so it’s important to “stay cool”. Try to avoid excessive use of hot tubs, saunas, and jacuzzis. The scrotum exists to avoid this exact situation as it keeps the testes two degrees cooler than the rest of the body. There is some research that suggests carrying your cell phone in your front pocket (in close proximity to where sperm is produced and stored) may have an effect. It is not yet known whether that is because of the heat from the phone, or from radio frequency waves. To be on the safe side, consider carrying your phone in your back pocket. There’s also the age-old debate: boxers or briefs. There is no data to indicate that either of these choices affect sperm count. However, super constricting underwear (like compression underwear) or skin-tight bike shorts can have an effect because they constrict the scrotum too tightly, thus not allowing it to move up and down. There are many lifestyle choices that can also be keeping your sperm count low, but there are things you can do to keep sperm production rolling. How to Improve Sperm Count As with many things in life, a healthy diet can help improve sperm count. Be sure you’re getting enough antioxidants and vitamin C. In one research study, sperm count improved significantly after 2 months of vitamin C supplements. Vitamin D is also important to consume since it has been shown to increase testosterone levels, thereby improving all characteristics of sperm. Make sure to limit fried foods or those high in saturated fats as they can alter the volume of sperm in one emission. Regular exercise is also a factor in increasing the quantity and health of your sperm. Not only does it reduce stress (which can cause a hormonal imbalance that affects sperm count), but it boosts your testosterone levels as well. Exercise also increases confidence and stamina; both come in handy when attempting to have sex (which also tends to improve sperm count). Avoiding things like cigarettes, alcohol, and drugs can also help. There are several prescription drugs to avoid as well. It is important to speak with a healthcare professional if you believe any medications you are taking could be affecting your fertility. When to Seek Help If you and your partner have been trying to conceive unsuccessfully for more than a year, then it may be time to consult a fertility specialist. If you feel that you have made many of the lifestyle changes we discussed, to no avail, there are a host of treatments available to you when working with a fertility clinic. Experts in the field will help determine a diagnosis and get you onto a treatment plan to reach your goal of starting a family. Our team of experts are ready to help.   ### END_RECORD ### START_RECORD TYPE: post ID: 1426 TITLE: What is the Process of Undergoing IVF with an Egg Donor? URL: https://www.kofinasfertility.com/what-is-the-process-of-undergoing-ivf-with-an-egg-donor/ EXCERPT: Although you may not be able to produce a family in the traditional sense, using an egg donor to start one is certainly a viable option.  DATE_PUBLISHED: 2020-04-28T00:00:00Z DATE_UPDATED: 2026-03-04T00:32:58Z SCHEMA_TYPE: Article META_seo_title: What is the Process of Undergoing IVF with an Egg Donor? | Kofinas META_seo_description: Undergoing IVF with an egg donor is a lot simpler process than many think. Dive into the ins and outs with this article from the experts at Kofinas. TAX_category: Egg Donation BODY_CONTENT: | Although you may not be able to produce a family in the traditional sense, using an egg donor to start one is certainly a viable option.  In fact, research shows that the amount of women using egg donors to achieve pregnancy has almost doubled from 2006 to 2016—starting at just over 1,900 and increasing to nearly 4,000. And the trend is slated to increase even more considering changes in lifestyle for many couples, as well as same-sex couples wanting to start a family of their own.  The egg donation process and the use of in-vitro fertilization (IVF) to achieve pregnancy also provides everyone involved with peace of mind. With complete confidentiality and thorough screenings, couples and individuals can rest assured that the health of their egg donor is immaculate. In addition, the IVF process is carried out by fertility experts who all share a common goal: to give you the family of your dreams.    The Egg Donation Process  As mentioned above, the egg donation process is carried out with complete confidentiality between the donor and the couple or individual.  Along with going through an extensive screening process to ensure the health of the egg donor, couples or individuals who want to pursue egg donation must be cleared for the procedure beforehand. After meeting with a fertility expert and approving that IVF is the best course of action to start a family, finding an egg donor is the next step.  Locating an egg donor is a careful process, so bear in mind that it can take up to several months to find one that's suitable. However, once a candidate is found, here's a timeline of what couples and individuals can expect to happen:  What You Can Expect Legal and financial matters are taken care of to ensure the protection of both parties involved The egg donor IVF cycle begins for both the egg donor and intended mother—initiating their menstrual cycles to prepare for embryo transfer  Once menstruation begins, both the intended mother and egg donor will take injectable fertility drugs to prepare their bodies accordingly—the donor prepping for egg production, and the intended mother prepping the uterus with a healthy lining Once egg maturation occurs in the donor, she will come in for the egg retrieval process, which is a safe procedure with minimal recovery time (typically 1 day) On the same day as egg retrieval, the intended male partner provides a sperm sample to initiate egg fertilization Within the next 3-5 days, the intended mother then comes in for the IVF procedure with 1-2 healthy embryos transferred into her uterus—any remaining embryos will be frozen for another cycle attempt if the first is unsuccessful 10 days after the embryo transfer, the intended mother will check the success of the procedure with a pregnancy test Keep the Process Simple with Kofinas Fertility Group Altogether, the success and ease of the egg donation and IVF process comes down to the knowledge and care of those involved.  To help keep the process simple, Kofinas Fertility Group has years of experience to ensure a healthy and happy pregnancy. Whether you're interested in becoming an egg donor or want to pursue a family of your own with the help of undergoing an IVF with an egg donor, let Kofinas Fertility Group guide you to success.  ### END_RECORD ### START_RECORD TYPE: post ID: 1383 TITLE: Is Fertility Genetic? URL: https://www.kofinasfertility.com/is-fertility-genetic/ EXCERPT: Trying to conceive a child can be a long and stressful journey for many Americans. Questions about family history and the role of genetics in fertility often lead to discovery and testing that can help couples navigate this confusing and emotional time. So when should you seek professional help? The American College of Obstetricians and […] DATE_PUBLISHED: 2020-04-24T00:00:00Z DATE_UPDATED: 2026-03-04T01:13:09Z SCHEMA_TYPE: Article META_seo_title: Genetics & Fertility: When to Seek Help for Endometriosis & PCOS META_seo_description: There are many reasons why many individuals experience fertility challenges many wonder if fertility is genetic. Find out more about the role genetics play TAX_category: Fertility TAX_category: Men's Fertility BODY_CONTENT: | Trying to conceive a child can be a long and stressful journey for many Americans. Questions about family history and the role of genetics in fertility often lead to discovery and testing that can help couples navigate this confusing and emotional time. So when should you seek professional help? The American College of Obstetricians and Gynecologists (ACOG) defines infertility as the inability to conceive after one year of unprotected sexual intercourse. That timeline is sometimes cut down to six months for women over 35. What Role do Genetics Play in Fertility? Although it has been estimated that nearly 50% of infertility cases are due to genetics, experts still don’t know what causes infertility in about 20% of women. However, conditions like endometriosis and PCOS can be genetic and can impact fertility. Endometriosis occurs when tissue similar to that of the uterine lining grows outside of the uterus. It sheds and bleeds each month, but with nowhere to escape from the body, it can create a host of painful issues that include scarring and adhesions. There does appear to be a hereditary component with endometriosis: if you have a first degree relative (such as a sister or mother) with the condition, you are 5 to 7 times more likely to have it yourself. In contrast, Polycystic ovary syndrome (PCOS) affects the release of eggs during a woman’s menstrual cycle when the ovaries become enlarged and contain follicles that surround the eggs. All of this causes irregular functioning, and can sometimes manifest in infertility. And while there is an indication that this condition is likely hereditary, there is no specific PCOS gene. One study found that “24% of women with [PCOS] had a mother with PCOS and 32% of the women had a sister with the condition.” PCOS is relatively common among reproductive-aged women, with a prevalence of about 12%. While these two conditions are common causes of infertility in women, abnormal genes or mutations in both males and females affect only about 5% of couples. Another factor to consider is early menopause, which can also be hereditary. While most of the discussion above focuses on female reproductive health, male fertility challenges occur in nearly one third of infertility cases. According to the Mayo Clinic, “Male infertility is due to low sperm production, abnormal sperm function, or blockages that prevent the delivery of sperm.” Many other factors can play a role - illness, injuries, chronic disease and lifestyle choices can all contribute to fertility challenges.   Other Factors that Affect Fertility & Reproductive Health There are also many factors that are under your control when trying to conceive a child. Maintaining a healthy weight, refraining from tobacco, alcohol, and drug use, and having a healthy diet can help increase fertility in both men and women. It is very common to conceive, even with potential fertility-affecting issues in one’s family. No matter what’s in your family’s history, the best way to reach toward your goals of parenthood is to work with a fertility specialist. Next Steps Whether you are just starting the journey of conceiving a child or you have been trying without success, there are many resources available to you to help build the family of your dreams. Wherever you find yourself on the path to starting or growing your family, know that you are not alone. Our specialists are ready to discuss your unique situation. ### END_RECORD ### START_RECORD TYPE: post ID: 1447 TITLE: How to Choose a Top Fertility Clinic [Infographic] URL: https://www.kofinasfertility.com/how-to-choose-a-top-fertility-clinic-infographic/ EXCERPT: There are a great deal of fertility clinics out there. How do you know which to go with as you begin your fertility treatment journey? Below we provide some tips and questions so you’re prepared as you choose a top fertility clinic to work with. DATE_PUBLISHED: 2020-04-14T00:00:00Z DATE_UPDATED: 2026-06-09T03:19:16Z SCHEMA_TYPE: Article META_seo_title: How to Choose a Top Fertility Clinic [Infographic] | Kofinas META_seo_description: Choosing a top fertility clinic shouldn't be difficult. Consider these tips and questions to ask as you narrow down your search for a top fertility doctor. TAX_category: Fertility BODY_CONTENT: | There are a great deal of fertility clinics out there. How do you know which to go with as you begin your fertility treatment journey? Below we provide some tips and questions so you're prepared as you choose a top fertility clinic to work with. If you're still looking for top fertility experts to trust with your family planning needs, reach out today. Our doctors have over 30 years of experience and are ready to discuss your unique situation. ### END_RECORD ### START_RECORD TYPE: post ID: 1439 TITLE: How Much Do Egg Donors Make and Other Egg Donation FAQs URL: https://www.kofinasfertility.com/how-much-do-egg-donors-make-and-other-egg-donation-faqs/ EXCERPT: Unfortunately, many couples and individuals struggle with trying to conceive children on their own.  For whatever reasons occur—be it medical or personal—infertility and life circumstances make having children for some difficult. However, with the help of an egg donor, the dream of starting a family becomes entirely possible. A loving couple or individual gets the […] DATE_PUBLISHED: 2020-04-09T00:00:00Z DATE_UPDATED: 2026-02-24T09:43:04Z SCHEMA_TYPE: Article META_seo_title: How Much Do Egg Donors Make & Other Egg Donation FAQs META_seo_description: Becoming an egg donor is a wonderful thing for many couples that struggle with fertility. Find out how much donors make and get answers to common FAQs. TAX_category: Egg Retrieval TAX_category: Egg Donation BODY_CONTENT: | Unfortunately, many couples and individuals struggle with trying to conceive children on their own.  For whatever reasons occur—be it medical or personal—infertility and life circumstances make having children for some difficult. However, with the help of an egg donor, the dream of starting a family becomes entirely possible. A loving couple or individual gets the opportunity to care for a child of their own, while the donor themselves is able to support their wishes and even gain a sense of financial security in the process. Especially during these tough, economic times due to COVID-19, egg donors can earn extra income, while providing a unique service to those in need.  How Much do Egg Donors Make? Regardless of the monetary benefits of becoming an egg donor, the main takeaway is that one is providing an altruistic service to others. From this, a great deal of joy and good fortune extends to all parties involved, giving life a stronger purpose and foundation for the future.  Specifically for egg donors, the amount of revenue they can earn for their participation is substantial.  For example, at Kofinas Fertility Group, egg donors are compensated for their time commitment and involvement of the egg donor program. As a donor, they are not charged any out-of-pocket expenses, and they are compensated a total of $10,000 for their first cycle.    What Else Should I Know Before Donating? Since egg donation is an intricate process, those who decide to participate may have a lot of questions along the way. To help answer some common questions about egg donation, here are a few answers to consider: What is the egg donation process like? Primarily, there are 3 steps to egg donation that a donor undergoes: Donor evaluation and acceptance into the program. Stimulation of their ovarian cycles. Egg retrieval procedure (egg harvest). How long does the egg donation process take? In most cases, the egg donation process takes anywhere from 1 to 3 months from the beginning of the application process to the actual egg donation itself. There are also fertility medication periods and doctors visits that happen on a frequent basis to ensure everything is on schedule and in good health.  Can I donate more than once? An individual can donate up to 6 times in their life if approved by a physician for each individual case. On average, 60% of cycling donors in any given month are repeat donors. Also, two months after egg retrieval, a donor team physician reviews the donor's cycle and recipient outcome to decide on their eligibility in the future.  Does egg donation hurt? The hormone medications and injections that egg donors experience are similar to a normal flu shot with very minimal pain or discomfort. The actual egg retrieval process only takes about 15 minutes in the operating room, and the donor is placed under light anesthesia throughout the appointment. After the procedure, donors should take a day of rest before returning to normal routines and activities. Ready to Donate? With the right support and guidance, egg donors can rest assured that the service they're providing is helping people obtain the family of their dreams.  Kofinas Fertility Group makes the egg donation process simple, so if you're ready to become an egg donor today, click here to get started!    ### END_RECORD ### START_RECORD TYPE: post ID: 1451 TITLE: 4 Ways Alcohol and Marijuana Affect Fertility URL: https://www.kofinasfertility.com/4-ways-alcohol-and-marijuana-affect-fertility/ EXCERPT: When facing a fertility issue or planning a non-traditional pregnancy, it’s natural to start paying close attention to everything you put into your body, which sometimes can lead to worrying about the effects of your recreational activities. Undergoing IVF, fertility treatments, or even egg freezing is a big endeavor, and some of our patients worry […] DATE_PUBLISHED: 2020-02-10T00:00:00Z DATE_UPDATED: 2026-03-04T00:28:47Z SCHEMA_TYPE: Article META_seo_title: How Alcohol & Marijuana Affect Fertility | Kofinas Fertility META_seo_description: Many consume alcohol and partake in recreational marijuana, but how do these two affect fertility and future attempts at conceiving? TAX_category: Men's Fertility TAX_category: Fertility BODY_CONTENT: | When facing a fertility issue or planning a non-traditional pregnancy, it’s natural to start paying close attention to everything you put into your body, which sometimes can lead to worrying about the effects of your recreational activities. Undergoing IVF, fertility treatments, or even egg freezing is a big endeavor, and some of our patients worry about current or past substance use that can affect fertility. We often get the question, “Do alcohol and marijuana affect fertility?” Especially in our modern culture, partaking in substances like marijuana and alcohol are normal parts of social life. In fact, over half of Americans report having had a drink in the past week. Sales of legal marijuana products topped $12 Billion in 2019, and are slated to continue rising to over $20 billion in the next 3 years. When individuals and couples are diving into family planning, they usually start to take a hard look at their use of these substances. The good news is, most of us have nothing serious to worry about, as long as drinking and drug use is not excessive or sustained. Effects of Drinking Alcohol on Fertility It’s no secret that alcohol can have negative effects on many aspects of our health, including liver function, inflammation, and even mental health. When it comes to fertility, consuming heavy amounts of alcohol can have important impacts. For women: Excessive drinking can make conceiving a baby take a lot longer, because it can make periods heavier and ovulation more irregular Some studies suggest that current heavy drinking can lead to low ovarian reserves (less eggs) for women However “studies investigating the impact of alcohol on female fertility have been contradictory.” For men: Drinking heavily can cause hormone shifts that lead to lower sperm counts and lower testosterone for men Lower testosterone is associated with lower sex drive (and lower sex drive usually means less sex, and of course, less chances for pregnancy) How Marijuana Impacts Fertility Research so far on the effects of marijuana use on fertility is not exactly conclusive, because most studies use self-reporting and have trouble separating out effects of marijuana versus other substances, such as alcohol or other illicit drugs often consumed simultaneously with marijuana. For example, one study proposed a 55% drop in sperm count among men who regularly smoke marijuana, but also included illicit drug use of other types. Many individuals choose to take a “better safe than sorry” approach and limit their use completely while trying to conceive, while some are more comfortable consuming in moderation. If you're concerned about your consumption and any possible effects, it's best to speak with a fertility expert to address any concerns.   How Fertility Specialists Can Help While studies on the effects of marijuana and alcohol consumption on fertility are far from conclusive, it’s best to consult an expert if there are any concerns. The good news is, most reported effects come from very heavy, sustained use of drugs and alcohol. Most healthy couples and individuals who are ready to know more about their fertility are relieved to know a few drinks are probably not the end of the world. Again, it’s best to get the facts from a trained fertility specialist in NYC clinics if you’re at all concerned about the impact of marijuana or alcohol on fertility. ### END_RECORD ### START_RECORD TYPE: post ID: 1448 TITLE: Does Birth Control Really Affect My Fertility Later in Life? URL: https://www.kofinasfertility.com/does-birth-control-really-affect-my-fertility-later-in-life/ EXCERPT: In the United States, nearly two-thirds of women between 15-49 years old were on birth control last year, according to the CDC. Many of them end up curious about the possible effects of birth control on fertility as they start planning their families. DATE_PUBLISHED: 2020-01-27T00:00:00Z DATE_UPDATED: 2026-03-04T00:29:09Z SCHEMA_TYPE: Article META_seo_title: Does Birth Control Affect Fertility Later in Life | Kofinas Fertility META_seo_description: Many women use birth control, and several worry whether or not they will struggle with their fertility when they're ready to try to conceive. TAX_category: Fertility TAX_category: Pregnancy BODY_CONTENT: | In the United States, nearly two-thirds of women between 15-49 years old were on birth control last year, according to the CDC. Many of them end up curious about the possible effects of birth control on fertility as they start planning their families. Does taking the birth control pill from an early age affect fertility later? What about other forms of birth control, like the patch or an IUD? How the Birth Control Pill Affects Female Fertility There are hormones in birth control pills that either stop ovulation all together (the combo pill), or make it harder for the egg to be fertilized and implant (the mini pill). In either option, ovarian production is slowed down, and some researchers believe a woman’s eggs can appear “older” while on birth control. This effect seems to disappear once a woman stops taking the pill. When a woman stops taking birth control pills, it takes a few months for ovulation to return to normal, but most women can become pregnant within 6 months of trying. The birth control pill is still considered a safe and effective family planning method, but many women are still concerned about possible long-term effects on their fertility.   Long-Term Effects of Taking Birth Control Pills? Most sources say there are no long-term effects of birth control on women’s fertility. However, there are known to be dangers in taking the pill for an extended period, especially after the age of 35. At 35, there may be increased health risks such as blood clots. Some have also found a correlation between heart attacks and smoking cigarettes while on birth control. The good news is, when you consult with medical and reproductive health experts, you can regain control of any potential health risks and continue your journey to a healthy pregnancy. What About Other Birth Control Methods? Beyond the birth control pill, many women choose longer-term methods of hormonal birth control, like the shot, Depo-Provera. Getting pregnant after having had “the birth control shot” can take much longer than the pill -- sometimes up to two years, as the body gets rid of the hormone stores that prevent ovulation. Interestingly, the more “invasive” IUD method seems to have even less of a long-term effect. A 2015 pilot study investigated a small sample of women who did and did not use an IUD which found similar rates of pregnancy 12 months after removal of the device. Similar results were shown in a small study of contraceptive ring users as well, most of the women having conceived within 12 months after discontinuing use.  The Bottom Line Overall, most research shows no significant long-term impacts on fertility after using birth control. For those facing fertility issues or getting ready to plan a family, it’s best to consult a fertility professional. Our experts at our fertility clinics (NYC and the metro area) work hard to design individual treatment plans that take into account many details of your life and health, which helps you get you one step closer to building your beautiful family!   ### END_RECORD ### START_RECORD TYPE: post ID: 1423 TITLE: How Do Depression & Anxiety Affect Fertility & Pregnancy? URL: https://www.kofinasfertility.com/how-do-depression-anxiety-affect-fertility-pregnancy/ EXCERPT: Mood disorders are fairly common around the world.  In fact, the U.S. population alone holds 19 million people who deal with anxiety and 18 million people suffering from depression. Not to mention, more than half of the individuals from either category deal with a mixture of both feelings, which can lead to some serious challenges […] DATE_PUBLISHED: 2020-01-13T00:00:00Z DATE_UPDATED: 2026-03-04T00:33:28Z SCHEMA_TYPE: Article META_seo_title: Do Depression & Anxiety Affect Fertility & Pregnancy? META_seo_description: Mood disorders such as depression and anxiety are extremely common. Manage your mood with 3 easy tips so your fertility and pregnancy go smoothly! TAX_category: Men's Fertility TAX_category: Fertility TAX_category: Pregnancy BODY_CONTENT: | Mood disorders are fairly common around the world.  In fact, the U.S. population alone holds 19 million people who deal with anxiety and 18 million people suffering from depression. Not to mention, more than half of the individuals from either category deal with a mixture of both feelings, which can lead to some serious challenges when it comes to starting a family. How Does Depression, Anxiety, and Stress Affect Fertility and Pregnancy? Just like when you feel yourself taking on a cold or your allergies are flaring up, your body takes note of stress levels.  For example, Alice Domar, an infertility researcher and director of mind/body services at Boston IVF, shares that "your body is smart, it knows that (periods of stress) aren't good times to have a baby."  Her insight is backed by several studies that showcase how women under stress may take up to 29% longer to achieve pregnancy than women who are less stressed. Plus, women under a great deal of stress or anxiety may have less sex, are more prone to smoking and alcohol consumption, and may even drink more caffeinated beverages—all activities that lessen one's chances of conceiving.  In addition to unhealthy behavior, depression and anxiety during pregnancy present more or less the same challenges. Along with poor diet and alcohol consumption, expectant mothers may be more likely to smoke, be less active and unmotivated, as well as develop suicidal thoughts. All of which leads to extreme challenges for individuals and their partners, or the infant's development. Babies born from stressful, anxious, or depressed circumstances have the potential to be... Born premature Have a low birth rate Have developmental issues Have potential birth defects Overall, finding a balance and leading a healthy life before and during pregnancy is essential. With the right insight and care, women dealing with stress or depression can manage their feelings and promote mindfulness to ensure a successful pregnancy in the future.    Tips to Manage Your Mood Regardless of whether or not you're attempting to get pregnant or you're looking for ways to reduce stress or depression during your pregnancy, below are a few tips that can help alleviate and elevate your mood:    Exercise Regularly Although it may sound challenging, studies show that regular exercise (between 1-5 hours per week) can enhance fertility and lower stress levels. That being said, moderate activities are best, such as walking, stretching, Yoga, or swimming.    Weight Management Research shows that women who are obese have trouble getting pregnant 3 times more than women who are of a healthy weight. In addition, being obese increases a woman's odds of staying pregnant, so to avoid chances of miscarriage or prolonged attempts, weight management through proper nutrition and physical activity is highly important for a successful pregnancy.   Diet Essentially, women who are trying to conceive or who are already pregnant should try to avoid processed foods or foods with high sugar content. Instead, opting for a diet replete with natural grains, fatty acids from Omega-3s, and organic fish produces higher chances of achieving pregnancy. These three tips are the primary steps one can take to live a healthier, stress-free life throughout their pregnancy journey. However, there are plenty of other opportunities available with the right guidance.    Next Steps to Improve the Success of Your Pregnancy Finding a solution to your feelings before and during pregnancy can be a difficult process, but our team at Kofinas Fertility Group is here to help.  Working with a fertility expert can inspire you to see what changes can be made in your personal routine and ways of thinking. Plus, having someone who understands your feelings and struggles through pregnancy attempts and conceiving, and with fertility treatment options, can alleviate a lot of fears and anxieties that you may be experiencing.  That being said, Kofinas Fertility Group is here to support you every step of the way. ### END_RECORD ### START_RECORD TYPE: post ID: 1449 TITLE: What are the Effects of Steroids on Fertility and Pregnancy? URL: https://www.kofinasfertility.com/what-are-the-effects-of-steroids-on-fertility-and-pregnancy/ EXCERPT: With so many Millennials focusing on self-care in today’s society, personal habits can lead to harmful effects in terms of disrupting one’s fertility.  In fact, according to a 2015 survey done by the Pew Research Center, the Millennial generation is more focused on making personal improvement commitments than any other generation in history. For example, […] DATE_PUBLISHED: 2019-12-30T00:00:00Z DATE_UPDATED: 2026-03-04T00:29:03Z SCHEMA_TYPE: Article META_seo_title: How do Steroids Effect Fertility & Pregnancy? | Kofinas Fertility META_seo_description: While exercise is great for one's overall well-being, many are turning to steroids to get the gains they want which can impact fertility and pregnancy. TAX_category: Men's Fertility TAX_category: Fertility TAX_category: Pregnancy BODY_CONTENT: | With so many Millennials focusing on self-care in today's society, personal habits can lead to harmful effects in terms of disrupting one's fertility.  In fact, according to a 2015 survey done by the Pew Research Center, the Millennial generation is more focused on making personal improvement commitments than any other generation in history. For example, Millennials spend double the amount of money on products and services like fitness care (exercise and supplements) and life coaching. However, many young people may also turn to steroid use to revamp their personal image, which can have negative effects on pregnancy.  To help shed some light on this issue, here are some important things to know about male and female fertility challenges when it comes to steroid use and pregnancy: The Effects of Steroids on Male and Female Fertility Although many men and women take steroids for health reasons and personal appearances, those who abuse steroid use can hugely impact their ability to conceive.  Issues that Men Can Face:  Primarily, the main issues that men can face from steroid use are erectile dysfunction (ED) and impotence. This is mainly due to the fact that steroid use interrupts the normal flow of hormones needed to produce healthy sexual behavior. Not to mention, steroid use has a major effect on sperm production and can deplete one's sperm count significantly.  That being said, male issues can quickly be rectified once steroids are no longer taken, although sperm levels may take up to one year to return back to a healthy state.  Issues Women Can Face:  For women, steroid use may cause birth defects to occur as a fetus develops and the child is eventually born. In addition, prolonged steroid use can lead to pregnancy complications, as well as interruptions to a woman's menstrual cycle and overall chances of conceiving. Even cases of cervical cancer may arise, which has a serious impact on one's overall ability to achieve pregnancy and plan for the future.  To eliminate the risk of these issues, it's best to avoid steroid use altogether or allow a substantial period of time to pass for steroids to get out of one's system entirely. Women can always consult with their doctor to discuss their options and what course of action is best for a healthy pregnancy moving forward.  Next Steps for Building a Family Working with a top fertility clinic like Kofinas Fertility Group can help you plan for your next steps that lead to building the family of your dreams.   If you've dealt with steroid use in the past, our team of experts can help you build a custom, personalized fertility treatment plan that allows for ample time to cleanse your body and initiate a healthy pregnancy without fear or anxiety. More importantly, you can trust that you have tremendous resources at your disposal to make your pregnancy journey a pleasant one from start to finish.  ### END_RECORD ### START_RECORD TYPE: post ID: 1388 TITLE: What You Need to Know about Pregnancy after a Miscarriage URL: https://www.kofinasfertility.com/what-you-need-to-know-about-pregnancy-after-a-miscarriage/ EXCERPT: Experiencing a miscarriage is difficult and can cause many concerns when it comes to future attempts. However, it is possible to have a healthy pregnancy after a miscarriage.  DATE_PUBLISHED: 2019-12-16T00:00:00Z DATE_UPDATED: 2026-03-04T01:12:01Z SCHEMA_TYPE: Article META_seo_title: Navigating Post | Miscarriage Recovery: Guidance for Growing Families META_seo_description: Experiencing a miscarriage can be heartbreaking, but you can have a healthy pregnancy in the future. Learn how to prepare when you're ready to try again. TAX_category: Pregnancy BODY_CONTENT: | Experiencing a miscarriage is difficult and can cause many concerns when it comes to future attempts. However, it is possible to have a healthy pregnancy after a miscarriage.  Research shows that 1 out of 4 women will have a miscarriage in their lifetime, so it's important to realize that you're not alone in the struggle. Whether it's dealing with emotional stress, knowing when to make another attempt, or just finding a support system to guide you through the obstacles, trust that the right resources are available to you.  At Kofinas Fertility Group, we make it our mission to assist you throughout every step of your pregnancy journey. Miscarriage can certainly be a challenge, but there are several things to consider that make overcoming it possible: How Long After a Miscarriage Should I wait to Try Again? Before deciding to make another attempt at getting pregnant, take some time to understand that your physical and emotional well-being is important.  Studies show that 40% of individuals (male or female) feel personally responsible for a miscarriage taking place. Not to mention, 75% of individuals consider the miscarriage to be a result of them feeling stressed out or being a part of stressful circumstances that induced complications. With that in mind, miscarriages can occur for a variety of reasons that are well beyond your control.  In most cases, an abnormal chromosome within the embryo causes a miscarriage to occur. However, a miscarriage can occur in other situations due to... Drug and alcohol use Previous medical conditions Age Premature pregnancy testing Fall or injuries Various health issues Although several factors can contribute to a miscarriage taking place, nothing is as serious as your overall feelings and emotions. In fact, there really is no set amount of time to wait before making another pregnancy attempt. Instead, you should work with your partner or with family and friends to prepare yourself mentally and physically for another try in the future. Also, it's best to schedule an appointment with a doctor two weeks after a miscarriage to ensure that you're recovering and that everything is in line for another try in the future.  What Are the Risks to Trying to Conceive After a Miscarriage As long as your doctor or fertility specialist approves your health and gives you the green light to attempt another pregnancy, you shouldn't have to worry too much about any potential risks. That being said, just make sure to monitor your personal feelings and emotions throughout the process. Maintaining a healthy attitude and mindset is not only important for the health of your future child, but it's crucial for your personal well-being and relationships with others. In addition, you can prioritize making healthier choices in terms of diet, casual exercise, and keeping clear from dangerous toxins and environmental hazards.  Once you feel that you've got a firm grasp on your strategy moving forward, you can start keeping track of your ovulation cycles and continue with sexual activity at the best times.  How a Fertility Specialist Can Help More than anything, you should never feel like you have to overcome a miscarriage alone. By working with our team of fertility experts at Kofinas Fertility Group, you can guarantee that all of your questions and concerns about making another pregnancy attempt after a miscarriage will be alleviated. Your fertility team should be trying to get to the root cause of your miscarriage so that they can design your next treatment steps that can reduce the risk of another occurrence. With a knowledgeable team, an industry-leading health care practice, and a growing network of support, you can find the help you need to make your dream of starting a family come true.  ### END_RECORD ### START_RECORD TYPE: post ID: 1400 TITLE: Will My Insurance Cover Fertility Treatment? URL: https://www.kofinasfertility.com/will-my-insurance-cover-fertility-treatment/ EXCERPT: Typically, insurance coverage for fertility needs has been widely unavailable.  DATE_PUBLISHED: 2019-12-02T00:00:00Z DATE_UPDATED: 2026-06-09T03:15:30Z SCHEMA_TYPE: Article META_seo_title: Will My Insurance Cover Fertility Treatment? | Kofinas Fertility META_seo_description: Insurance coverage allows many to pursue fertility treatment when financial constraints are at play. Learn more about insurance and how FAFTA helps! TAX_category: Fertility TAX_category: Fertility Mandate BODY_CONTENT: | Typically, insurance coverage for fertility needs has been widely unavailable.  In fact, research shows that only 56% of women have fertility coverage with their insurance plans, whereas 44% of them pay for in-vitro fertilization (IVF) and other fertility treatments out-of-pocket. Despite there being 16 states with current laws to provide coverage for fertility treatments, it doesn't necessarily mean that insurance providers have to follow suit.  With that in mind, if you have questions about whether or not your insurance provider will cover fertility treatments, here's what you need to know:  Considerations When Seeking Fertility Coverage A worthwhile insurance plan that offers fertility coverage should include various procedures that pertain to fertility treatment.  For instance, you don't want a plan that only covers a consultation with a fertility expert, and then excludes things like physical exams, blood tests, and actual procedures. Overall, your fertility coverage should include the following parameters to ensure that you're protected from the moment you realize you have fertility issues: Physical exams, blood tests, ultrasounds Hormones/medications Actual procedures (like IVF and IUI treatments) Any necessary surgical procedures Of course, relying on an employer to make sure that all of these things are covered may result in incomplete information, so it's important to check with individual insurance companies before selecting a plan. Once again, there are limitations as to what’s actually covered in different states/with different insurance companies, which means it's easy to sign off on a plan that doesn't provide good coverage.    If you need some additional help with research, click here to explore the full list of states and what's included regarding fertility coverage from providers.  What Else You Should Know Finally, before finalizing your insurance coverage, correspond with your employer to find out if their insurance plan is written in the governed state. Quite often, a state may impose fertility coverage guidelines, but an employer chooses to partner with an insurance plan that is governed by a different state. The result is that your state's guidelines are bypassed, which may mean only partial or no fertility coverage whatsoever for you as an employee. Along with that challenge, some insurance providers may abide by a state's regulations, but only provide partial coverage for a procedure or treatment, leaving you to make up the additional cost.  Ideally, you want to choose a provider with a fertility plan that works in your favor. This means an arrangement that pays out between 50%-100% of a fertility treatment or procedure. However, keep in mind that fertility treatments can be expensive, and having an arrangement where you need to invest some of your own funds is certainly not unheard of—in most cases, it can be expected.  Find the Fertility Coverage You Need with Kofinas Any time insurance gets involved, understanding the process can be a real challenge.  On the other hand, Kofinas Fertility Group makes finding the insurance coverage you need simple with fertility experts to help navigate the waters. Not to mention, with New York's new "FAFTA" fertility mandate that went into effect January 1st, 2020, you can rest assured that any issues you face regarding fertility will be covered.   ### END_RECORD ### START_RECORD TYPE: post ID: 1386 TITLE: Individual & Medical Requirements for IVF: Quick Guide URL: https://www.kofinasfertility.com/individual-medical-requirements-for-ivf-quick-guide/ EXCERPT: In-vitro fertilization (IVF) provides hope for individuals and families that are struggling to get pregnant naturally. However, it’s important to understand the IVF process and what requirements are necessary to produce the best results. To help you determine if IVF is right for you, here are the main factors to consider before pursuing IVF as […] DATE_PUBLISHED: 2019-11-18T00:00:00Z DATE_UPDATED: 2026-03-04T01:12:45Z SCHEMA_TYPE: Article META_seo_title: Requirements for IVF | Kofinas Fertility Group META_seo_description: Discover all you need to know with our quick guide on individual and medical requirements for IVF if you're considering it for fertility treatment! TAX_category: Fertility TAX_category: IVF TAX_category: Fertility Mandate BODY_CONTENT: | In-vitro fertilization (IVF) provides hope for individuals and families that are struggling to get pregnant naturally. However, it's important to understand the IVF process and what requirements are necessary to produce the best results. To help you determine if IVF is right for you, here are the main factors to consider before pursuing IVF as a fertility treatment option:  Who is a Good Candidate for IVF? Overall, pursuing IVF treatment is traditionally a final option when a natural pregnancy simply can't occur. Natural pregnancies may not be an option for a number of reasons, such as male and female infertility, medical conditions, a history of past surgeries, age, or injuries. That being said, deciding to undergo IVF treatment typically requires meeting a few benchmarks to ensure the greatest amount of success.  Below are several indicators that determine eligible candidates for IVF treatments:  If you’ve been trying to conceive naturally for 6+ months without results If other fertility treatments in the past haven’t worked  If you’re dealing with health challenges (e.g., PCOS, Endometriosis, male infertility such as low sperm count, tubal ligation, etc.) If you’re single or an LGBTQ+ couple hoping to start a family Questions to Ask Before IVF: Every IVF experience is different, which means that you may have questions or concerns about a specific step throughout the process.  Being proactive and making sure that you feel supported every step of the way is crucial, so to help guide you through the timeline of your IVF procedure, here are some important questions to ask beforehand:  How often do I need to get checkups/How often will I need to be monitored? Individuals pursuing IVF typically have to come in several times to monitor how they are responding to medications and how their follicles are developing throughout the process.  Overall, an IVF patient can expect the process to last 30 days from the initial ultrasound medications to the final embryo transfer and development.  What’s the difference between fresh and frozen embryo transfers? The main difference between a fresh and frozen embryo transfer is the timeline of insemination and development.  For instance, with fresh embryos, the transfer occurs on day 3 or 5 of the female recipient's cycle, followed by a blood test pregnancy confirmation 2 weeks after the transfer occurs. With frozen embryos, more steps are taken to confirm ovulation and uterine health before insemination. Typically, frozen embryo transfers happen on the 6th day after a series of progesterone injections, followed by additional weeks of progesterone and estradiol doses until pregnancy test results can be seen.    Are any of the costs covered by my insurance? This will vary by state, but IVF procedures are covered by insurance providers in New York, effective January 2020. The new “Fertility Mandate” in New York creates many possibilities for families struggling to start a family. Plus, it inspires a new generation of acceptance and change that other states can recognize and hopefully adopt into their own insurance policies moving forward.   Schedule Your IVF Appointment Today With a clear idea of what your IVF procedure entails, you can rest assured that a personalized plan is waiting for you at Kofinas Fertility group.  Our top fertility experts are here to help you nurture the family you've always dreamed of, so schedule an appointment today to get started.    ### END_RECORD ### START_RECORD TYPE: post ID: 1442 TITLE: 3 Reasons to Take Advantage of New York State’s IVF (FAFTA) Coverage URL: https://www.kofinasfertility.com/3-reasons-to-take-advantage-of-new-york-states-ivf-fafta-coverage/ EXCERPT: What is the FAFTA Fertility Mandate? FAFTA, or the “Fertility Mandate”, is a mandate that was passed in New York that goes into effect January 1, 2020. It expands insurance coverage for individuals seeking IVF and medically necessary egg freezing.  DATE_PUBLISHED: 2019-10-29T00:00:00Z DATE_UPDATED: 2026-06-09T03:09:54Z SCHEMA_TYPE: Article META_seo_title: What is the FAFTA Fertility Mandate? & How to take advantage of it META_seo_description: Discover the main reasons why you should take advantage of New York State's new FAFTA/IVF coverage, via the new fertility mandate. TAX_category: Fertility Mandate TAX_category: IVF BODY_CONTENT: | What is the FAFTA Fertility Mandate? FAFTA, or the "Fertility Mandate", is a mandate that was passed in New York that goes into effect January 1, 2020. It expands insurance coverage for individuals seeking IVF and medically necessary egg freezing.  This is great news for lots of hopeful couples and individuals since IVF treatments often go overlooked by employers and insurance providers. Not to mention, IVF treatments are highly expensive with initial and subsequent attempts.  However, the new Fertility Mandate offers a range of possibilities and support, so if you're considering IVF treatments as an option to achieve a healthy pregnancy, here are 3 reasons to take advantage of the opportunity:  1. If You Need Medically Necessary Egg Freezing In the past, insurance companies didn't consider egg freezing as a mandatory step in ensuring a healthy pregnancy through IVF, but now, the new Fertility Mandate has made improvements.  Since it can take multiple attempts to achieve successful insemination with IVF, all private insurance companies will be required to cover medically necessary egg freezing for their employers pursuing fertility treatments. Over time, this offer saves money and gives peace of mind to patients since multiple eggs can be extracted at once and saved for future trials if one isn't successful.  Also, if a patient is sick or unable to give birth naturally, they can save their eggs and freeze them for a later date to achieve a successful pregnancy later down the road.  2. If You're Interested in IVF, 3 Cycles are Covered by Large-group Insurance Companies Benefits from egg freezing are important, but having the ability to perform multiple IVF cycles is also crucial to achieving a successful pregnancy.  Thankfully, the new Fertility Mandate also requires certain large-group insurance plans to cover 3 IVF cycles. Typically, a single IVF cycle can cost anywhere from $10,000 to $17,000, and by certain insurance carriers covering the expenses for 3 cycles, hopeful couples and individuals have a better chance to have the family of their dreams without insurmountable financial pressure.  Keep in mind, only specific large-group insurance providers are required to offer coverage, so be sure to check with your employer and insurance carrier before pursuing IVF treatments.  3. If You Have Received a Diagnosis or Treatment that Lead to Infertility Lastly, insurance providers generally view fertility treatments as an invalid reason for coverage. However, the new Fertility Mandate provides new benefits for those with medical conditions and treatments that can lead to infertility.  For instance, if a person is undergoing chemotherapy and the treatment causes fertility issues, any future procedure for infertility will be covered by insurance providers (within the other parameters of the mandate). There are a variety of medical conditions that cause infertility, so any patient who may have felt out of options to start a family in the past can find new inspiration from these benefits.  How Kofinas Fertility Group can Help Understanding and navigating new insurance processes can be tough, but Kofinas Fertility Group can help you every step of the way.  Not only do our fertility specialists understand the latest updates and news about fertility coverage, but they also specialize in a wide range of services, such as egg freezing, IVF, hysteroscopy, laparoscopy, and microsurgery. Whatever your fertility challenges are, our team can help you develop a treatment plan and find success.  ### END_RECORD ### START_RECORD TYPE: post ID: 1436 TITLE: What States Mandate IVF Coverage? URL: https://www.kofinasfertility.com/what-states-mandate-ivf-coverage/ EXCERPT: According to research done by the Washington University School of Medicine in St. Louis, women who undergo in vitro fertilization (IVF) to achieve pregnancy have a better success rate when they have health insurance to cover fertility expenses.  DATE_PUBLISHED: 2019-10-22T00:00:00Z DATE_UPDATED: 2026-06-09T03:14:31Z SCHEMA_TYPE: Article META_seo_title: What States Mandate IVF Coverage? | Kofinas Fertility Group META_seo_description: While not all states mandate IVF coverage, research indicates that women have higher success rates when their insurance covers fertility expenses. TAX_category: Fertility Mandate TAX_category: IVF BODY_CONTENT: | According to research done by the Washington University School of Medicine in St. Louis, women who undergo in vitro fertilization (IVF) to achieve pregnancy have a better success rate when they have health insurance to cover fertility expenses.  This is a major revelation for those hoping to start a family since the cost of a single IVF procedure is often too much to afford. Estimates from the American Pregnancy Association place the cost of IVF between $10,000 and $17,000, which undoubtedly prevents many people from using IVF as a viable means to get pregnant. However, given the opportunity to have a second or third attempt if the first is unsuccessful, the chance for a healthy pregnancy and less financial worry is all the more possible.  The best way to provide individuals with affordable IVF treatments is through insurance coverage, and as of now, only 16 states mandate that insurance companies cover fertility treatments:  Infertility Insurance Coverage in the U.S. by State Studies show that 56% of women have insurance coverage for IVF, whereas 44% pay for IVF and other fertility treatments on their own. For those that do have coverage, they most likely do so from an employer's insurance program or the state they reside in mandates infertility coverage. Currently, 16 states have laws in place to provide infertility coverage for citizens. Below is a rundown of a few states that have infertility coverage laws and which ones mandate IVF coverage:  New York Recently, a new fertility mandate in New York, known as FAFTA passed in April 2019 that went into effect on January 1st, 2020.  The new law requires that all private insurance companies must cover medically necessary egg freezing. It also mandates that certain large-group insurance plans covers three IVF cycles, along with assisting individuals with medical conditions and treatments that can lead to infertility. In the meantime, other patient requirements and infertility coverages include... Coverage cannot be denied for the diagnosis and treatment of medical conditions that cause infertility as a result Infertility is considered a medical condition identified by the inability to impregnate someone or conceive General fertility procedures for preservation are covered, but not enforced by law New York covers a wide range of diagnostic tests and procedures. However, some exceptions for coverage involve IVF for individuals undergoing sex change procedures, along with those cloning or trying experimental surgeries. Lastly, employers who self-insure workers are not required to follow laws regarding infertility coverage.    New Jersey In this state, infertility means a medical condition that causes abnormal use of the reproductive system.  For any women less than 46 years old, or for those who meet other classification standards arranged by the state, any insurance program that offers pregnancy-related coverage must also provide infertility treatments with certain stipulations: Infertility caused by voluntary sterilization isn't covered The individual is unable to achieve pregnancy through more affordable infertility treatments covered by insurers Employers with less than 50 employees do not have to offer coverage Cryopreservation isn't covered by insurers Experimental infertility treatments are not covered Religious employers do not have to cover infertility treatments Nonmedical expenses of sperm donors are not covered Employers who self-insure workers are exempt from following laws regarding infertility coverage Rhode Island In this state, infertility means that an otherwise healthy individual cannot conceive or impregnate someone within a one-year period of consistent attempts.  For any women between the ages of 25 and 42, insurance coverage is provided for infertility diagnoses and treatment with certain stipulations: Coverage does not include fertility preservation HMOs and insurances providers that cover pregnancy benefits must also include coverage for infertility treatments that are medically necessary for diagnosis and treatment There is a $100,000 limit on treatments Providers may charge a 20% co-payment Employers who self-insure workers are exempt from following laws regarding infertility coverage To learn more about what infertility coverage is offered in other states, click here to explore the full list and what's included.  Understand IVF Coverage with Kofinas Fertility Group Navigating insurance is never as easy as you expect it to be.  If you’re wondering how to take advantage of New York's new fertility mandate to get IVF covered by your insurance plan, set up an appointment today with one of our fertility experts to learn more. Even if you don't reside in New York, our team is dedicated to finding the best solutions for you and the family of your dreams.  Don't let insurance coverage get in the way—Kofinas Fertility Group is here to help.  ### END_RECORD ### START_RECORD TYPE: post ID: 1428 TITLE: How Can I Get Pregnant with PCOS? URL: https://www.kofinasfertility.com/how-can-i-get-pregnant-with-pcos/ EXCERPT: With September being Polycystic Ovary Syndrome (PCOS) Awareness Month, it’s important for women everywhere to understand its challenges when trying to conceive.  DATE_PUBLISHED: 2019-09-17T00:00:00Z DATE_UPDATED: 2026-06-09T03:19:04Z SCHEMA_TYPE: Article META_seo_title: Getting Pregnant with PCOS | Kofinas Fertility Group META_seo_description: Whether you're currently trying to start a family or planning for the future, PCOS is a possible hindrance that you can overcome. TAX_category: PCOS BODY_CONTENT: | With September being Polycystic Ovary Syndrome (PCOS) Awareness Month, it's important for women everywhere to understand its challenges when trying to conceive.  Whether you're currently trying to start a family or you're planning for the future, PCOS is a possible hindrance that you can overcome with the right insight beforehand. To give you an idea of how you can still become pregnant despite having PCOS, here's what you need to know:  What is PCOS? Unfortunately, polycystic ovary syndrome (PCOS) is one of the most common endocrine/metabolic disorder in women.  PCOS is a disorder that alters a woman's hormone levels, causing them to produce higher levels of male hormones, which creates an imbalance that may cause them to skip their menstrual cycle and prevent pregnancy. Within the body, PCOS affects the ovaries, disrupting the production of estrogen and progesterone. As a result, many patients with PCOS do not ovulate regularly, making it difficult to become pregnant without help.   Among reproductive issues, PCOS can also cause other challenges for your body and long-term health. Some of these may include... Infrequent periods/anovulation The lining of your uterus can build and put one at risk for endometrial hyperplasia Increased risk of endometrial cancer if left untreated Androgen excess; can manifest as hirsutism (unwanted male-pattern hair growth in women),  Acne Insulin resistance Infertility Sleep apnea Depression How is PCOS Diagnosed? To start, it's important to understand that the criteria used to diagnose PCOS is different according to one's menstrual irregularities, hyperandrogenism, and presence of polycystic ovaries (on ultrasound).  No one knows the etiology of the syndrome. Recently, researchers have postulated that PCOS may be a complex genetic trait, and the syndrome is more of a spectrum—sometimes making it challenging to make a diagnosis. However, most cases are identified by several distinct findings: Irregular menstrual cycles Skipped menstrual cycles Abnormally high levels of androgen hormones Cysts found in the ovaries A pelvic exam can be done to look for problems in the ovaries and uterus You can undergo a blood test to check insulin, cholesterol, and triglyceride levels Along with these findings, a doctor can examine your physical health and determine the possibility of PCOS by gauging your levels of facial and body hair, the amount of acne on your body, or any weight gain you've experienced over a short period of time. In fact,  anovulation can also be associated with increased weight. Losing as little as 5% of body weight may be enough to make big changes in women to resume ovulation and help with other aspects of PCOS like hirsutism and acne. FAQs to Consider You no doubt have some questions to ask if you think you may be dealing with PCOS. To offer you some guidance, here are a few questions you may be asking yourself right away... Can I still get pregnant if I have PCOS? Yes. Although PCOS is a problem, you still have options that can help you achieve a successful pregnancy. For example, birth control pills may bring balance to your menstrual cycle, or even weight loss has been known to rectify PCOS symptoms. Make sure you consult with your doctor to see what treatment plans you can undergo moving forward.  What are my chances of getting PCOS? PCOS mainly affects women between 15 and 45 years of age. Anywhere from 2.2% and 27% of women within this range are diagnosed with the disorder. However, research suggests that close to 70% of women dealing with PCOS go undiagnosed. Overall, your chances are moderately low of getting PCOS, but it's always a good idea to consult with a doctor beforehand, especially if you plan to have children.  Can PCOS be cured? It's not so much that PCOS requires a cure, but the idea is to get your hormones back into a healthy rhythm. This means that you can take several measures to restore your normal hormone output and increase your odds of getting pregnant. Here are some basic things you can do to kickstart this process: Change your diet Start exercising regularly Lose weight  Pursue medication treatments like Clomid or Letrozole Take Gonadotropins How is PCOS Treated & How to Increase the Likelihood of Pregnancy With respect to the information mentioned above, there are a variety of ways to treat PCOS, although treatment is patient-centered and dependent on which symptoms are present. Treatment is not one-size-fits-all.  Lifestyle and diet modifications are always to be tried first, especially in overweight populations. After that, diet is important to develop a sense of nutritional management. Quite often, treatment depends on what the patient’s ultimate goals are. For instance, weight loss can help regain normal menstrual cycles. Sometimes, if this is not enough, birth control can make a huge difference with hormone levels and provide better assistance alongside healthy lifestyle changes. Ideally, you want management that has a less androgenic progesterone component so it does not exacerbate acne or other physical outcomes that cause stress and other health concerns.  Like if hirsutism is an issue, you can pursue medical management with spironolactone to decrease circulating androgens or you can treat the growth with common depilatory methods like eflornithine cream, light therapy, waxing, electrolysis. If insulin levels spike, insulin resistance can be treated if warranted by metformin and other insulin-sensitizing supplements. Mainly, your best option is to counteract issues that come up and try your best to be proactive whenever possible. PCOS doesn't have to be a problem if you don't want it to be.  Overcoming PCOS with Kofinas Fertility Group The main concern of PCOS is always infertility, but with guidance from Kofinas Fertility Group, your concerns regarding PCOS don't have to prevent you from have the family of your dreams.  If patients experience infertility, it is most commonly due to irregular/absence of ovulation. Therefore, it is not the same category of infertility as other patients. Ensuring your odds of pregnancy can be approached with assisting ovulation and timing intercourse. You can also start with ovulation induction if you're a suitable candidate.  No matter what your challenges may be, you can trust that there's an answer available to you. To learn more about PCOS or discuss your fertility challenges or concerns with a fertility specialist, feel free to request an appointment today.  ### END_RECORD ### START_RECORD TYPE: post ID: 1454 TITLE: What Are My Fertility Options After Tubal Ligation? URL: https://www.kofinasfertility.com/what-are-my-fertility-options-after-tubal-ligation/ EXCERPT: Fertility after tubal ligation is certainly possible with the right guidance and resources.  DATE_PUBLISHED: 2019-08-20T00:00:00Z DATE_UPDATED: 2026-03-04T00:28:30Z SCHEMA_TYPE: Article META_seo_title: What Are My Options After Tubal Ligation | Kofinas Fertility META_seo_description: Your plans may have changed after opting to get a tubal ligation. The good news is that you have options if you're trying to start a family post-surgery! TAX_category: Tubal Ligation BODY_CONTENT: | Fertility after tubal ligation is certainly possible with the right guidance and resources.  Many women who undergo tubal ligation for whatever reason may feel that the odds of having a family are no longer in reach, but in fact, there are two types of fertility options that can lead to promising results: reversal surgery or in-vitro fertilization (IVF).  No matter what your life circumstances may be, these two pathways can lead to a newfound appreciation for the future and what's in store. If you're searching for alternatives to fertility after tubal ligation, here are some things about each procedure to consider:  Fertility Options After Tubal Ligation Tubal Ligation Reversal Surgery: What to Know Essentially, a tubal ligation reversal surgery is a reconnection of the cut or blocked areas of the fallopian tubes. With a successful outcome, a woman can achieve pregnancy naturally. Not to mention, success rates for tubal reversal are quite high.  With that in mind, there are several factors that go into deciding whether or not a person is a strong candidate for tubal reversal. For example, an ideal candidate for reversal surgery is... Under the age of 32  Has normal ovarian reserves Has a strong egg health Is a healthy weight for their age range Has a reversible type of tubal sterilization Is free of general health problems and other fertility issues Of course, there should also be a consideration for the skill level of the surgeon performing the procedure and the techniques they use, but overall, a positive result is well within reach. It's estimated that women under 35 years old who have a tubal reversal are 70%-80% likely to achieve a natural pregnancy, whereas women over 40 years old are 30%-40% likely.  On the other hand, there are always risks involved. In some cases, women can experience having an ectopic pregnancy, getting an infection, or they may develop scar tissue after a tubal reversal. In an effort to make things better, reversal procedures have the possibility to create more damage, which is why pursuing an IVF may be a better way to get results.  In-Vitro Fertilization (IVF): What to Know Perhaps the most promising option for fertility after tubal ligation is undergoing an IVF.  In this procedure, a healthy egg is extracted from the female partner and inseminated with the male partner's sperm outside of the body in a controlled facility. Once an embryo develops, it is then inserted into the female's uterus where it will carry out the rest of its development to full-term. IVF doesn't require a tubal ligation reversal, nor does it pose the same amount of potential health risks as one. That being said, success rates for an IVF are highly dependent on a candidate's... Age (can be older than those pursuing tubal reversal) Their physical health Past experiences with infertility (if any) Their partner's sperm health or quality of sperm being used In addition, total success relies heavily on the expertise of fertility specialists and doctors, as well as the type of IVF techniques being used. However, at Kofinas Fertility Group, we can easily determine what your best options are and give you peace of mind when making any big decisions.  Hope is on the Horizon Although it may be overwhelming at first, trust that you have support on your side to achieve your dreams of starting a family.  At Kofinas Fertility Group, you have access to top fertility doctors in NYC (and all of New York) who understand the challenges you face, and more importantly, they can help you overcome them with the utmost concern for your personal well-being.  Your tubal ligation doesn't have to prevent you from being a mother, so request an appointment with us today and see what fertility options are right for you.  ### END_RECORD ### START_RECORD TYPE: post ID: 1445 TITLE: How to Prepare for Uterine Polyp Removal URL: https://www.kofinasfertility.com/how-to-prepare-for-uterine-polyp-removal/ EXCERPT: Anytime you have an issue with your body it is stressful, to say the least.  DATE_PUBLISHED: 2019-08-08T00:00:00Z DATE_UPDATED: 2026-03-04T00:29:29Z SCHEMA_TYPE: Article META_seo_title: Preparing for Uterine Polyp Removal | Kofinas Fertility META_seo_description: Uterine polyps have the potential to be harmless, but ignoring symptoms or not taking action against issues can lead to serious fertility complications.  TAX_category: Hysterectomy BODY_CONTENT: | Anytime you have an issue with your body it is stressful, to say the least.  This is especially true when a physical problem disrupts your fertility odds, let alone your personal health. Uterine polyps can be a challenge when it comes to your reproductive system. From causing heavy bleeding to irregular spotting, even the smallest polyp could lead to larger issues down the line.  Needless to say, being proactive is the key to maintaining your pregnancy odds. With the right guidance, you can easily prepare for uterine polyp removal and get back to focusing on what matters most. Here's what you need to know:  What are Uterine Polyps? Any small growths that happen inside the body are called polyps.  They can take on a variety of shapes and sizes, but typically, uterine polyps form as tiny bumps or mushroom-like caps. Specifically for uterine polyps, these growths populate inside a female's uterine cavity, ranging anywhere from a couple of millimeters to a couple of centimeters in size.  The good news is that 95% of uterine polyps are benign (non-cancerous) in most cases. However, they can still lead to complications that negatively impact reproductive health. For instance, uterine polyps can cause: Abnormal bleeding or spotting Bleeding after menopause A prolapse, meaning a polyp grows through the cervix and outside the uterus In some cases: Polyps near the fallopian tubes can block its openings and decrease fertility odds Polyps can be cancerous cells (on rare occasions) Overall, symptoms of heavy bleeding, irregular bleeding, or spotting are good indications that uterine polyps may be to blame. That being said, if you suspect that you might be affected, there are steps you can take to remedy the situation.   Uterine Polyp Removal Experience, Checkup and Ovarian Polyps Removal Your first step is to schedule a checkup with your doctor to discuss your symptoms and find out if uterine polyp removal is the best course of action.  When consulting with your doctor, they may ask you about...  Any medications you’re taking What your lifestyle habits are like  If there are patterns in your menstruation cycles They may run blood tests, imaging tests, or ultrasounds to gauge your readiness and need for surgical removal  If your doctor does recommend a procedure, it's important that you have someone come with you to the future appointment, abide by all pre-surgery rules (like no food or water 12 hours beforehand, etc.), and take any pre-op medications that your doctor prescribes.  Of course, the type of protocols you'll follow depends on the type of removal uterus polyp removal recommended, but in any case, it's always a good idea to have someone with you who can support you before and after.  Types of Uterine Polyp Removal Procedures Once again, the type of uterine polyp removal procedure depends on the severity and location of polyps inside the uterus.  Based on the results of an ultrasound or by using a small device to look inside the uterus, a doctor can recommend one of two kinds of treatments to alleviate symptoms:  Hysteroscopy: Uterine polyps are removed using a numbing agent or general anaesthesia. This narrow fiber-optic scope is placed into the cervix to remove polyps, adhesions, and fibroids. Hysterectomy: If uterine polyps are cancerous, then removing the uterus entirely is sometimes necessary. This is done through an incision in the abdomen under full anesthesia.  Consult with a Fertility Specialist Although uterine polyps have the potential to be harmless, ignoring symptoms or not taking action against issues can lead to serious complications.  With that in mind, consulting with a specialist at fertility clinics in NYC is a great place to start. If you have aspirations of starting a family of your own, you'll want insight and advice from healthcare professionals who can present you with the best options to meet your goals.  Nobody should have to worry about their reproductive health, so contact Kofinas Fertility Group today and schedule an appointment.  ### END_RECORD ### START_RECORD TYPE: post ID: 1411 TITLE: [Infographic] An In Vitro Fertilization Timeline URL: https://www.kofinasfertility.com/infographic-an-in-vitro-fertilization-timeline/ EXCERPT: If you’re considering IVF as your fertility treatment procedure, you may have felt the ups and downs that often come with an infertility journey. But now, you’re ready for a positive, supportive outlook from a team that guides hopeful parents through IVF every day.  As you’re researching the tips, timelines, and stories of women who […] DATE_PUBLISHED: 2019-07-04T00:00:00Z DATE_UPDATED: 2026-03-23T04:48:23Z SCHEMA_TYPE: Article META_seo_title: IVF Timeline | Kofinas Fertility META_seo_description: See what to expect along your in vitro fertilization timeline, from your initial testing to implantation and afterward. TAX_category: IVF BODY_CONTENT: | If you're considering IVF as your fertility treatment procedure, you may have felt the ups and downs that often come with an infertility journey. But now, you're ready for a positive, supportive outlook from a team that guides hopeful parents through IVF every day.  As you're researching the tips, timelines, and stories of women who came before you, we hope this post is a reassuring and realistic resource for you!  First Things First: Consultation and Testing Expert fertility teams know that the first, most crucial step in any approach to helping you have a healthy pregnancy is to get an accurate picture of your current fertility struggles. As you begin working with a specialist, they should guide you in an initial consultation and a testing panel customized to a few things: your overall health history, and that of your partner your past fertility journey (previous pregnancies, miscarriages, and the length of time you've been trying to conceive naturally) if applicable, any fertility treatments you've tried  The purpose behind thorough testing is to uncover any root infertility causes and make sure your doctors have a full understanding of which treatment options to pursue.  Once this step is complete, each person's next steps are different. Your doctor might recommend other fertility treatment options before considering IVF. If those were unsuccessful, but you're still in an ideal time in your life to get pregnant as soon as possible, you are likely ready to take the first step in the timeline below: The IVF Timeline The start of a conception timeline is different for everyone because it depends on the "timeline" of your body--your cycle! Depending on where you are in your cycle after your consultation and testing are complete, your doctor will recommend a specific time frame for you to undergo a preparatory process for your eggs called ovulation induction. This involves using fertility medication to stimulate the growth of multiple egg follicles in the ovaries.  After a few weeks of stimulation, you'll meet with your fertility specialist for the egg retrieval process--extracting the mature eggs and preparing them for insemination. After the egg retrieval, the semen sample is then retrieved from the male partner or donor and is combined with the mature eggs to begin the fertilization process. The eggs are then fertilized in a laboratory, and the embryos are monitored daily to ensure optimal development before being transferred to the uterus.  The final step for in vitro fertilization is the embryo transfer to the uterus. Using an embryo transfer catheter, your specialist will transfer one embryo in this phase to provide the best chances for impregnation. (In the past, many fertility experts used multiple embryo transfers, using more than one embryo in this step--but Kofinas Fertility Group, and many other industry leaders, are now recommending single embryo transfers.) A few weeks after the transfer, we recommend a pregnancy test by taking a blood test in your specialist's office or an at-home pregnancy test.  You can see these steps outlined in more detail in our IVF timeline below: Your Next Steps Fertility specialists at Kofinas Fertility Group are here to guide you through the trials and tribulations that come along with starting the family of your dreams. Whenever you're ready to take the next step in your journey to a successful pregnancy, know that you have the right guidance that will allow you to get there with confidence. If you're interested in learning more about IVF treatments and what your potential timeline could look like now, let's talk. ### END_RECORD ### START_RECORD TYPE: post ID: 1450 TITLE: How Does Varicocele Affect Male Fertility? URL: https://www.kofinasfertility.com/how-does-varicocele-affect-male-fertility/ EXCERPT: Infertility affects both genders in several ways.  In fact, research shows that men and women share an equal responsibility of roughly one-third as being the main cause of infertility for couples, with a combination of male and female issues comprising the remaining portion. DATE_PUBLISHED: 2019-06-29T00:00:00Z DATE_UPDATED: 2026-03-04T00:28:57Z SCHEMA_TYPE: Article META_seo_title: How Does Varicocele Affect Male Fertility? | Kofinas META_seo_description: Learn the symptoms, treatment options, and more. See how varicocele affects male fertility, & learn what next steps you can take to diagnose and treat it. TAX_category: Uncategorized BODY_CONTENT: | Infertility affects both genders in several ways.  In fact, research shows that men and women share an equal responsibility of roughly one-third as being the main cause of infertility for couples, with a combination of male and female issues comprising the remaining portion. With that in mind, male infertility typically involves one having a low sperm count. Varicocele—swollen veins within the testicles—is the main contributor to poor sperm levels and can have a negative effect on those wishing to start a family. Understanding your challenges with getting pregnant is the first step to finding a solution, so if you think varicocele may be the culprit, here's how it affects male fertility and what you can do to mitigate it with fertility treatment options: What is Varicocele? Varicocele represents swollen veins of the scrotal/testicular region that affects the temperature regulation of the scrotum and quality of sperm. Similar to varicose veins that form in the legs, varicocele only occurs in the scrotum and mainly forms on the left side. Essentially, spermatic cords within the testicles house a network of veins, arteries, and nerves that direct blood flow and sensations to the rest of the body. These valves in the scrotum only flow in one direction before recirculating back to the heart, so if any areas along the way experience malfunctions, blood begins to pool which causes enlargement.  Studies show that 15% of the adult male population suffers from varicocele.  What are the Symptoms of Varicocele? Although the main cause of varicocele is unknown, its symptoms are relatively easy to diagnose. Here's a breakdown of some issues that a male partner may experience: Swelling in the testicles Faint, consistent pain in the scrotum Testicles may shrink in size or atrophy Protruding or lumpy veins in the scrotum Lumps in one or both testicles Dry spells after ejaculation or low sperm production (oligospermia) Often times, couples come in for a fertility assessment and the male partner may describe pain within the scrotum. At this time, a specialist may test for sperm abnormalities with a scrotal ultrasound to see if varicocele is the root cause. How Does Varicocele Affect Fertility? Since veins and arteries within the scrotum swell or tangle, sperm doesn't have a clear path to flow well during ejaculation.  The result is a low sperm count that decreases the odds of getting pregnant, or no semen production whatsoever in severe cases. On the other hand, a male partner may still produce semen upon ejaculation, but the quality of sperm is subject to deficiencies that compromise a successful pregnancy and deflate a couples' hopes.  Needless to say, there are treatments out there to repair varicocele and increase the odds of having a natural pregnancy.  Treatment Options for Varicocele If a male partner undergoes varicocele surgery, they can expect to see an increase of sperm count within approximately 3 months post-op. After the 3-month period, they will take another sperm analysis to gauge their levels and overall success of the procedure.  These two treatment options for varicocele can improve male fertility within a modest period of recovery: Catheter-directed Embolization A non-surgical procedure that uses a catheter inside the groin to penetrate the testicular vein and diagnose the origin of the blockage or entanglement.  Using a series of tools, a radiologist restricts blood flow to the affected area and redirects it to healthy connections that relieve pressure. The procedure takes 2-hours to complete, with 1 to 2 days of recovery time.  Surgical Ligation A more invasive form of rectifying varicocele, surgical ligation involves a patient undergoing anesthesia and having a small incision made above the scrotum. A surgeon then cuts into the testicular vein and tapers off the affected area with sutures. The good news is that patients can leave the hospital within 24 hours of having the surgery. However, it's normal for recovery times to last well into 2 or 3 weeks at home.  Varicocele is Manageable with the Right Guidance Dealing with varicocele can be a challenge, but with the right guidance, it's certainly manageable.  Fertility specialists at Kofinas Fertility Group can walk you through your treatment options and help you choose a path that leads to you having the family of your dreams. That being said, before jumping to any conclusions on your own, it's always best to discuss your concerns with a professional to receive expert counsel.  Don't waste another minute worrying about your pregnancy odds—take action today and request an appointment! ### END_RECORD ### START_RECORD TYPE: post ID: 1413 TITLE: 4 Ways to #SelfCareSunday When You’re Struggling to Get Pregnant URL: https://www.kofinasfertility.com/4-ways-to-selfcaresunday-when-youre-struggling-to-get-pregnant/ EXCERPT: Starting a family can be very rewarding and can also come with its challenges. This is especially true if infertility gets in the way. Although moments of frustration may kick in, it’s important to remember that everyone’s experience with pregnancy is unique.  DATE_PUBLISHED: 2019-05-12T00:00:00Z DATE_UPDATED: 2026-03-04T00:36:13Z SCHEMA_TYPE: Article META_seo_title: 4 Ways to #SelfCareSunday When You’re Struggling META_seo_description: Struggling to get pregnant, and need inspiration to re-center yourself and focus on the positives? Try these techniques on your next #selfcareSunday. TAX_category: Pregnancy BODY_CONTENT: | Starting a family can be very rewarding and can also come with its challenges. This is especially true if infertility gets in the way. Although moments of frustration may kick in, it's important to remember that everyone's experience with pregnancy is unique.  Your pregnancy is entirely your own, and you absolutely deserve to find the right support and care for yourself along the way. Getting pregnant at the perfect time depends on a variety of pieces falling into place, and that includes prioritizing your feelings every now and then. Even taking just one day for yourself can make a huge difference, so if you're having a hard time with your pregnancy struggles, here are 4 ways to #selfcareSunday that will keep you inspired: 1. Find an Expert to Confide In Working with a fertility expert may seem like a  “last resort" for some people, but in reality, it can be empowering, hopeful, and reassuring to get a consultation even a few months into your pregnancy struggles.  The relief and support that comes from working with an expert can have a positive impact on your overall mindset. Plus, you can ask any questions and know that the answers are based on your actual experiences, rather than instances found online or explained by others. With the passage of FAFTA, if you’ve struggled to get pregnant naturally, don’t wait until the months, or even years pass by and your frustration or pain grows beyond your control.  Seeking advice early is great, but more than anything, you must be your own advocate and search for helpful advice. 2. Create a Self-Care Routine If you already have a self-care routine in place, then great! Keep up your regular habits no matter what, and feel free to add new ones when you have the capacity to.  In order for you to reduce stress and increase your optimism in this phase of life, it's best not to take on a ton of new hobbies or activities simply to fill the void. Instead, it may be helpful to think of it as an opportunity to try one or two new things per month. For example, if you've been neglecting a friend since trying to conceive, plan a lunch date with them once a week. If you're feeling cooped up at home in the afternoons, find a nice path to take a walk and enjoy some fresh air. The trick is to not dive head-first into many new habits that only leave you feeling stretched too thin, so make sure to manage your stress, rather than adding to it.  3. Make Time to De-Stress Stress is a huge reason why things go wrong in your body, which means that replacing it with positivity and mindfulness is crucial to your fertility journey. Of course, managing stress is different for each person, but here are a few ideas to get you started: Keep a Journal: Journaling your ups and downs is a great way to give your mind an outlet when it's crammed with overwhelming thoughts. Whether you're waiting for pregnancy results to surface or you're in the midst of ovulation, take a few minutes to jot down a few lines and let the moment pass.  Join a Yoga Class: Doing yoga a few minutes a day is known to alleviate stress and even increase your chances of pregnancy in some cases. When your body and mind are weighed down by stress, doing some simple breathing exercises and poses can help expel negative energy, replacing it with clarity that lasts throughout the day. The best part is you can do your own routine at home if you can't make it to a class.  Have Sex with Your Partner: What better way to reduce stress than by making love with your partner? Studies show that sex is a superb stress reliever, offering multiple sensations that generate endorphins within the brain. Not to mention, it serves a dual purpose since you're trying to get pregnant anyway, right? Needless to say, there are plenty of ways to elevate your mood. For more stress-relievers, here's a great list to reference.  4. Dedicate Time to Your Partner and Close Friends Throughout your infertility struggles, you might feel the need to draw inward or project your frustration onto the people who you love most. Given your current challenges, it's totally understandable, but at some point, dedicating your time to your partner and close friends will get you out of your funk and back into the present moment. The best way to do this is to make recurring “dates” with your partner to give yourself time and space to maintain a strong relationship. Make and keep these appointments to keep your foundation strong while you’re going through a difficult (but common) journey of infertility. In addition to your partner, you can't forget about your friends either. Always remember that your friends have your best interest in mind. Even though they may not be going through your exact situation, give them a chance to be a part of it and support you along the way. A great laugh with a friend or a comforting kiss from a partner makes a big difference.   You're Never Alone with Kofinas Fertility Group It's easy to feel like you're going through the process alone, but Kofinas Fertility Group is here to offer sound guidance and support at all times.  Along with taking these #selfcareSunday tips into consideration, there are plenty of other resources to help get you out of the doldrums and refocused on what matters most. Knowing when to seek fertility treatment can be empowering so that you no longer have to be isolated in your journey. Both women and men experiencing challenges can find assistance from leading fertility specialists in us, and if you have any questions or concerns moving forward, feel free to request an appointment today! Having the family of your dreams starts with practicing self-love. After all, you can't take care of others until you take care of yourself. ### END_RECORD ### START_RECORD TYPE: post ID: 1444 TITLE: Fertility Group Opens Surgery Center in Lower Manhattan URL: https://www.kofinasfertility.com/fertility-group-opens-surgery-center-in-lower-manhattan/ EXCERPT: This article originally appeared on Crain’s New York Business on April 18th, 2019. Kofinas Fertility Group has opened an ambulatory surgery center at 65 Broadway in Lower Manhattan. The 10,000-square-foot Manhattan Reproductive Surgery Center will focus on the treatment of endometriosis and uterine fibroids as well as the cryopreservation of ovarian tissue for oncology patients needing […] DATE_PUBLISHED: 2019-04-18T00:00:00Z DATE_UPDATED: 2026-03-04T00:29:37Z SCHEMA_TYPE: Article META_seo_title: Fertility Group Opens Surgery Center in Lower Manhattan | Kofinas META_seo_description: Kofinas Fertility Group is excited to announce that it has opened an ambulatory surgery center at 65 Broadway in Lower Manhattan! TAX_category: News BODY_CONTENT: | This article originally appeared on Crain's New York Business on April 18th, 2019. Kofinas Fertility Group has opened an ambulatory surgery center at 65 Broadway in Lower Manhattan. The 10,000-square-foot Manhattan Reproductive Surgery Center will focus on the treatment of endometriosis and uterine fibroids as well as the cryopreservation of ovarian tissue for oncology patients needing chemotherapy or radiation therapy. Before the surgery center's opening this week, the fertility group's physicians operated at local hospitals, said founder and Medical Director Dr. George Kofinas. Time constraints from operating outside of its own facility hindered the amount of surgeries its physicians could perform and the amount of time they could spend with patients, he said. "It was time for us to really build something that would be designed from scratch to cater to those particular patients that need these services that we offer," Kofinas said The fertility group has a 16-year lease for its space. That is about the amount of time it takes for surgical facilities to become obsolete, Kofinas said. "The very first thing we had in mind was accessibility," he added. The Lower Manhattan facility is centrally located for patients from all five boroughs and within blocks of nearly all subway lines as well as the PATH train. The project's cost was in the millions of dollars, he said. All in-vitro fertilization and fertility-preservation surgeries performed at the center will be covered by commercial health insurance in companies with at least 100 employees, effective in January 2020, the fertility group noted. Expanded coverage is a result of the recently enacted state budget. Kofinas Fertility Group was founded in 1987 and has locations in Manhattan, Brooklyn and Staten Island. It currently consists of seven physicians. It hired two last year ahead of the center's opening, and an additional two will be added soon, Kofinas said. The fertility group sees about 10% growth in demand for its services annually, he said. To date, the group's physicians have helped bring more than 25,000 babies into the world. ### END_RECORD ### START_RECORD TYPE: post ID: 1415 TITLE: Does Fibroid Surgery Cause Infertility? 3 Reasons Not to Fear Your Procedure URL: https://www.kofinasfertility.com/does-fibroid-surgery-cause-infertility-3-reasons-not-to-fear-your-procedure/ EXCERPT: Although fibroids and surgical removal may seem like a scary topic, they are a common issue that many women live with. Research shows that between 20% and 80% of women will develop fibroids by the age of 50. That’s a wide statistical range–which shows us just how many women may live normal lives with asymptomatic or […] DATE_PUBLISHED: 2019-02-22T00:00:00Z DATE_UPDATED: 2026-03-23T04:48:03Z SCHEMA_TYPE: Article META_seo_title: Fibroids Surgery & Infertility | Kofinas Fertility Group META_seo_description: Here are the facts about minimally invasive procedures and how they can help you have a healthy pregnancy in the future. Speak to our doctors today! TAX_category: Fibroids TAX_category: Fertility BODY_CONTENT: | Although fibroids and surgical removal may seem like a scary topic, they are a common issue that many women live with. Research shows that between 20% and 80% of women will develop fibroids by the age of 50. That's a wide statistical range--which shows us just how many women may live normal lives with asymptomatic or undiagnosed fibroids. However, some women with fibroids may experience several challenges, especially when trying to conceive.  Despite the difficulties you may be facing, fibroids are entirely manageable with the right guidance, and that often includes removing them through surgery. If you're worried about the effects that fibroid surgery will have on your fertility--but you're considering the procedure to increase your chances of getting pregnant and reduce any symptoms you face--here are 3 reasons not to fear your fibroid procedure and keep a positive outlook:  1. Fibroid Surgery Does Not Cause Infertility A common misconception is that fibroids cause infertility, but the truth is that their presence only signifies potential roadblocks to your fertility.  Fibroids are categorized into three types: Subserosal: a fibroid that spreads more than 50% outside of the uterus Intramural: a fibroid mostly within the muscle of the uterus without breaching the uterine cavity Submucosal: a fibroid that extends into the uterine cavity  Submucosal fibroids are often associated with decreased pregnancy odds by nearly 50%. This is especially the case with intramural fibroids, which can alter the size of the uterine cavity, disrupting the success of pregnancy and fertility treatment options.  Some additional problems that fibroids cause before and during pregnancy include: Blocked Fallopian tubes Decreased blood flow to the uterine cavity Placental abruption, decreasing oxygen to the fetus Preterm delivery Cesarean section Miscarriage With these challenges in mind, removing fibroids can actually increase one's fertility, making surgery a viable option to achieve a healthy pregnancy.  2. Surgery to Remove Fibroid is Minimally Invasive Thankfully, removing or shrinking fibroids through surgery is most often minimally invasive and perfectly safe. For women considering fibroid surgery to alleviate their symptoms, these types of procedures are great options to consult with your doctor about: Myomectomy This procedure is minimally invasive with the use of laparoscopic hysterectomy. Essentially, fibroids are removed without affecting healthy tissue within the uterus. Women who choose this route can still become pregnant afterward, although being a candidate for this surgery depends on the category, placement, and size of the fibroid. Myolysis This procedure is minimally invasive with the use of a needle placed directly into the fibroid, navigated by laparoscopy. Once inserted into the fibroid, either an electric current or freezing method is used to destroy the growth. Keep in mind, this operation is also subject to the parameters of the fibroid.  Anti-hormonal Medications These medications are used to stunt the growth of fibroids, while alleviating symptoms, such as pain and heavy bleeding. It's always a good idea to consult with your doctor about the effects of the medication beforehand.  For serious cases, more advanced surgeries may be required to remove fibroids, but the above are the most common minimally invasive procedure--and they have high success rates when it comes to recovery and achieving pregnancy.  3. You Have Fertility Experts that Can Help No one should have to face a procedure with any doubts, and that's why working with a team of specialists (specifically in fibroid surgeries) will provide more relief during a time of worry.  Working with a fertility expert also means that you can discuss any worries about your fibroids or other concerns regarding fertility holistically to make sure you have the big picture on your fertility outlook. Furthermore, getting pregnant after fibroid removal can be a viable option with help from a fertility expert. Rather than thinking of your surgery as a stressful or fearful event, use the opportunity to learn about your body and how you can set your new family off in the right direction.  With the right mindset and a team of positive, patient-centered specialists, this can be a time to learn about your fertility and help your body have a healthier future pregnancy. Learn More About Your Procedure with Kofinas Fertility Group Kofinas Fertility Group offers you an expert team that specializes in fibroid care and fertility preservation. Our staff will ease your current pain associated with fibroids, but also give you an excellent chance to have a healthy future pregnancy by selecting the right procedure for your issues.  Whether you're ready to pursue fibroid surgery or are curious about what the procedures entail, Kofinas Fertility Group is her to guide you along the way. New legislation passed by the New York Assembly known as FAFTA may be able to help too. To learn more about fibroids and how they affect you, feel free to give us a call or schedule an appointment. ### END_RECORD ### START_RECORD TYPE: post ID: 1443 TITLE: What Does a Sperm Analysis Test For, and What Happens Next? URL: https://www.kofinasfertility.com/what-does-a-sperm-analysis-test-for-and-what-happens-next/ EXCERPT: Aside from difficulties that prevent semen production in the first place, what many men don’t realize is that certain factors dictate the integrity of semen and its odds for initiating a successful pregnancy. Factors like motility, volume, and overall sperm count play an important role in a man’s reproductive potential, so taking an active stance in understanding […] DATE_PUBLISHED: 2019-02-04T00:00:00Z DATE_UPDATED: 2026-03-04T00:29:45Z SCHEMA_TYPE: Article META_seo_title: What is a Sperm Analysis Test? | Kofinas Fertility META_seo_description: If you're considering a semen analysis, start here. From pre-testing advice to the unfamiliar next steps, we'll walk you through it all. TAX_category: Men's Fertility BODY_CONTENT: | Aside from difficulties that prevent semen production in the first place, what many men don't realize is that certain factors dictate the integrity of semen and its odds for initiating a successful pregnancy. Factors like motility, volume, and overall sperm count play an important role in a man's reproductive potential, so taking an active stance in understanding sperm health is often the least invasive first step toward building a family. If you're curious about sperm health and how to improve it, then here are a few things to consider about the purpose of a sperm analysis and what happens afterward if you need fertility treatment options: What Does a Sperm Analysis Do? Also referred to as a "sperm count" test, a semen analysis test takes into consideration three main factors that were briefly mentioned above: Total number of sperm The shape of sperm cells Their motility (ability to move) Your fertility journey may include several tests to get to the root cause of your fertility struggles, but fertility experts can give you a good idea of what treatment options to pursue or lifestyle changes to make in order to increase your odds of conceiving.  Here's what you can expect from the test, itself: The test itself is non-invasive and can be done at home or within a controlled facility. Keep in mind, at-home tests can only track information regarding sperm count, which doesn't necessarily confirm one's fertility status. At home screening tests can be a good start, but cannot substitute for a doctor or an Andrology lab evaluation. Tests completed at a professional lab will be able to analyze all three main factors. You might be required to provide a sperm sample onsite or at home if you are able to keep your sterile sample at body temperature and drop it off at the lab site within a few hours of producing. It is also important to note that a proper analysis requires abstaining from ejaculation for 2-3 days prior to your scheduled analysis drop off. What Problems Can a Sperm Analysis Find? The results from a semen analysis can expose a variety of problems based on the sperm's integrity. Although sperm count, motility, and shape are the main elements to look out for, other components, such as pH levels, volume, liquefaction, and appearance are also examined when identifying any underlying problems.   Sperm samples that receive low scores in these fields may uncover the following issues: Absence of sperm, resulting in infertility Low pH levels exposing infection or blockages Poor movement that prevents impregnation Misshaped or immature sperm cells that weaken fertility Increased fluid that dilutes sperm cells Slow liquefaction that weakens fertility Colored semen (red or yellowish tints) representing infections But those aren't the only things your sample can tell us! Some additional answers that a semen analysis can uncover are gene defects, hormonal imbalances, STDs and diseases, and overexposure to radiation or harmful chemicals. Even if male factor infertility isn't a top concern, hopeful couples can still benefit from getting a semen analysis done for the insight that it offers and who may be at risk of developing issues.    Am I a Good Candidate for a Sperm Analysis? Couples who have had unsuccessful pregnancy attempts for a period of 6 months may benefit from undergoing a semen analysis. Of course, there are a myriad of issues that could arise, but since men and woman share a mutual responsibility when it comes to fertility, those who take initiative on both fronts will gain the best results.   In addition to the above time frame, men who are experiencing any of the following health concerns while trying to conceive should consider speaking to their doctor about: Obesity Alcoholism Drug abuse Tobacco use Prior Surgeries Cancer Ejaculatory problems Hormone Imbalances Celiac disease Taking multiple medications Exposure to radiation, chemicals, or heavy metals Depression High stress levels Being proactive will lead to hopeful couples having the family of their dreams, but more importantly, it can establish a precedent for better personal health and help you find the right solutions to your fertility problems.  What Happens Next? After your semen analysis is over, you can trust that Kofinas Fertility Group will lead you in the right direction moving forward. Whether your sperm levels are excellent or could use some improvement, our team of experts can identify your unique challenges and suggest any changes or procedures that will alleviate your concerns.  For example, if you’re struggling with a lower-than-average sperm count, we can advise you on the right timing to conceive and how to optimize your chances of getting and staying pregnant with your partner. We might also suggest some lifestyle changes like more exercise, quitting smoking, or adding supplements into your daily routine. However, if your sperm analysis shows us poor movement, we might recommend an IUI (intrauterine insemination) with your partner to increase your chances of fertilization. No matter your results, your next steps after a sperm analysis will be specific to your situation and your family planning goals. Consulting with a fertility specialist and using their testing and guidance to achieve a successful pregnancy is a great first step in finding answers to your fertility struggles. When you’re ready to get started, call us to schedule an appointment and we can take those first steps together!” ### END_RECORD ### START_RECORD TYPE: post ID: 1412 TITLE: How to Tell When I’m Ovulating URL: https://www.kofinasfertility.com/how-to-tell-when-im-ovulating/ EXCERPT: Unfortunately, there are several issues that can arise when trying to conceive, and problems with ovulation are common interruptions that many couples deal with. Nonetheless, staying informed about the risks and how to prevent them will help you connect with your body and prepare for the future–even before you pursue more serious fertility procedures. If […] DATE_PUBLISHED: 2019-01-31T00:00:00Z DATE_UPDATED: 2026-03-04T00:36:22Z SCHEMA_TYPE: Article META_seo_title: How to Tell When I'm Ovulating | Kofinas Fertility Group META_seo_description: Do you notice any of these signs? Then you may not be ovulating, which can make it difficult to get pregnant. TAX_category: Pregnancy TAX_category: Fertility BODY_CONTENT: | Unfortunately, there are several issues that can arise when trying to conceive, and problems with ovulation are common interruptions that many couples deal with. Nonetheless, staying informed about the risks and how to prevent them will help you connect with your body and prepare for the future--even before you pursue more serious fertility procedures. If you're curious about your reproductive health and ovulatory status, then here are a few things to examine to see if you're ovulating correctly: What is Ovulation? Ovulation is the female reproductive process of releasing a mature egg from the ovaries and transferring it to the fallopian tubes for insemination. Generally, one egg is released every month, two weeks after menstruation begins.  The reason why ovulation is so critical to the success of a pregnancy is because timing sexual intercourse with the release of a mature egg will ensure the best chances of reproduction. The signs of ovulation are sometimes subtle and vary for all women. If you're ovulating, you may notice a difference in your vaginal discharge, an increased resting pulse rate, or breast/nipple tenderness. You might also have spotting or an increased sex drive.  But often times, you don't know the difference between when you're ovulating normally or struggling with "annovulation." Typically, couples who haven't been able to conceive within a period of 6 months may be experiencing some underlying fertility challenges, and ovulation issues are high on the list of potential culprits.  Ovulation Issues You Might Be Facing One of the most difficult ovulation challenges that women face is when the body no longer releases an egg during menstruation. This issue is referred to as anovulation, and it is often triggered by hormonal imbalances throughout the body.  Most commonly found in young women just beginning their menstrual cycles or older women in the early stages of menopause, anovulation can occur without any immediate reactions. In fact, women can resume normal bleeding patterns without releasing an oocyte, which results in a struggle of unsuccessful pregnancy attempts.  Although there are instances where women may not notice their limitation, some risk factors to be aware of that contribute to anovulation are closely associated with lifestyle choices. These lifestyle risk factors include: Intense stress levels Obesity Being underweight  Poor diet Extreme workout routines Each one plays an important role in regulating progesterone levels throughout the body, as well as ensuring that reproductive functions are working properly. In some cases, other physical symptoms can arise that may also represent anovulation. Some physical symptoms to look out for include: Absence of a period Irregular or erratic periods Heavy bleeding during menstruation As a rule of thumb, normal ovulation cycles take place within a range of 24 to 35 days, so if your periods fall between this timeframe, it's a good sign of healthy activity. On the other hand, if you notice any complications, testing your ovulation status at home is easy to do and can encourage you to seek assistance if need be.    How to Test Ovulation at Home  Before jumping to any conclusions, there are several ways you can test your ovulation at home with minimal effort and accurate results. Listed below are a few accessible options to explore, and after you're finished, you can use the information to decide your next steps to getting pregnant. Ovulation tests to try at home: Body Basal Thermometer: Are used to track your body temperature for several months. After ovulation, it should noticeably increase.  Ovulation Kit: These can be purchased over-the-counter and detect surges in hormones that spike during ovulation.  Fertility Monitors: An all-inclusive device that monitors monthly cycles, hormone levels, body temperature, and electrolyte levels. Can be purchased in-store or online.  Although it may require a bit of patience, conducting these tests will allow you to understand what you're up against when it comes to fertility. However, if you ever feel like you've come to a standstill, consulting with a fertility specialist about your issues can be a tremendous help.  Improve Your Ovulation with Kofinas Fertility Group Running into pregnancy challenges is never something easy to overcome, but thankfully, we can provide you with expert advice that will improve your chances of getting pregnant.   Whether you're just beginning to take notice of your cycles or you're searching for ways to enhance them, taking the time to share your experiences with industry professionals will bring you even closer to the family of your dreams.  If you believe you may not be ovulating correctly, we can help. Let's talk. ### END_RECORD ### START_RECORD TYPE: post ID: 1435 TITLE: Do Fibroids Affect Fertility? URL: https://www.kofinasfertility.com/do-fibroids-affect-fertility/ EXCERPT: Unfortunately, there are many complications that can disrupt a hopeful couple’s chances of starting a family. Both men and women must play an active role in protecting their personal and reproductive health, but women, especially, face a variety of challenges that pose many threats when left untreated. Along with other major fertility issues–such as PCOS or endometriosis—uterine fibroids can […] DATE_PUBLISHED: 2019-01-04T00:00:00Z DATE_UPDATED: 2026-03-04T00:30:45Z SCHEMA_TYPE: Article META_seo_title: How Uterine Fibroids Can Affect Fertility | Kofinas Fertility Group META_seo_description: Read more about how fibroids affect fertility--and what you can do to achieve a healthy pregnancy while battling fibroids. TAX_category: Fibroids TAX_category: Fertility BODY_CONTENT: | Unfortunately, there are many complications that can disrupt a hopeful couple's chances of starting a family. Both men and women must play an active role in protecting their personal and reproductive health, but women, especially, face a variety of challenges that pose many threats when left untreated. Along with other major fertility issues--such as PCOS or endometriosis--uterine fibroids can have a major effect on a woman's fertility. Studies show that roughly 80% of women will develop fibroids by the age of 50, but many may not show any signs of malady or even be aware of its presence.  Although women can lead perfectly normal lives with them existing, fibroids can still represent an underlying cause of infertility for couples trying to conceive. If you and your partner suspect that fibroids may be hindering your progress, here are few things to consider about the issue and how you can better arm yourself with solutions to fertility problems that you face:  What Are Fibroids? Fibroids represent noncancerous muscle growths that develop within or outside of a woman's uterus. These growths can vary in size from tiny polyps to large tumors, and depending on how they impact the reproductive organs, they can cause a range of hormonal and physical problems for the host. On the bright side, these abnormalities rarely ever develop into malignancy, but here are a few symptoms that can signify their influence:  Possible Symptoms of Fibroids As mentioned before, some women may not experience any symptoms from fibroids. In many cases, abnormal growths are insignificant to the functionality of the uterus, but in the event that many tumors persist or take on a notable size, the following symptoms can occur: Extended menstrual periods longer than a week Heavy blood flow during menstrual cycles Lower abdominal or pelvic pain Constipation  Difficulty urinating or constant urination Back pain or leg pain Severe menstrual cramping Pain during sex Another factor to consider when determining the symptoms that arise from fibroids is the placement where they develop. Fibroids can be categorized into four different types:  Intramural Generally the most common type to form, developing within the muscular wall of the uterus. Fibroids of this kind can grow large in size and stretch the uterus.  Subserosal Fibroids of this nature develop outside of the uterus (serosa). Their growth can also create a lop-sided effect on the appearance of the womb.  Pedunculated Subserosal fibroids that generate a stem or base for the tumor to grow are classified as pedunculated. Submucosal Lastly, fibroids of this kind develop within the myometrium of the uterus. They are less common than the other kinds.  Now that you have an understanding of what issues can surface and where fibroids can emerge, connecting their presence to challenges with fertility becomes much easier interpret.  How Do Fibroids Affect Fertility?  Oddly enough, the initial cause of fibroids is somewhat unknown. Research suggests that fibroids can develop from hereditary factors, high levels of estrogen and progesterone that help stimulate the uterine lining, or lifestyle habits surrounding diet, exercise, and prescribed medications, but pinpointing a definite reason has proven to be difficult task. Nonetheless, there is a significant correlation between the development of fibroids and fertility issues, so women who have been properly diagnosed with fibroids should be aware of what problems they may face when trying to conceive.  Essentially, the location of the fibroids, along with their size, are the biggest threats that women need to consider. For instance, a large tumor that develops within the uterine cavity (submucosal) can prevent an embryo from attaching, obstruct the process of conception, or result in a miscarriage once a pregnancy occurs. When evaluating fibroids that grow within the uterine muscle (intramural), abnormalities can also create a blockade against conception, while forming other obstructions that affect the pathways of the fallopian tubes, halting the transfer of an embryo to the uterine cavity. In addition, fibroids may cause a fetus to grow disproportionately, force a placental abruption that results in a loss of pregnancy, or incite a pre-term labor or birth that can lead to other major complications.  Fibroids can certainly be a serious danger to those trying to start a family, but thankfully, there are several ways to alleviate their onset or remove them entirely once they become too threatening.  {% video_player "embed_player" overrideable=False, type='scriptV4', hide_playlist=True, viral_sharing=False, embed_button=False, autoplay=False, hidden_controls=False, loop=False, muted=False, full_width=False, width='3840', height='2160', player_id='20785631123', style='' %} How Fibroids Can Be Treated After consulting with a fertility specialist, couples can take advantage of several treatment options to combat your fibroids and continue with better attempts at having a successful pregnancy.  Lifestyle changes It is also important to note that you can make some lifestyle changes that may help with your overall reproductive health. A change in diet presents the most rewarding results for those afflicted. Choosing to eat a vegetarian diet high in flavonoids, as well as consuming controlled amounts of fish, such as salmon or tuna, can help maintain a healthy weight and reduce stress and inflammation that contributes to hormonal inconsistencies. Living an active lifestyle is also important to maintain a healthy weight and regulate the hormones that affect your reproductive health. Medications and Surgeries Aside from lifestyle and diet changes, various medications can shrink the size of fibroids and regulate estrogen and progesterone levels throughout the body. Fertility medications can also be helpful in conjunction with surgical options. If tumors have grown too large or are too populous, women can also benefit from surgical procedures to remove their fibroids, choosing either a myomectomy or laparoscopy. Depending on the location (inside the uterine lining or not) and size of your fibroids, these surgical options can range from minimally-invasive to more invasive options such as a laparotomy myomectomy, which is considered to be more experimental. Due to advances in reproductive surgeries and technology, a minimally-invasive surgery could be the best option to treat your condition with the least amount of down-time (typically within a week) and scarring. It is important to note that there are additional surgeries out there such as a uterine artery embolization that may seem attractive for those seeking another “minimally-invasive” option, but if your ultimate goal is to optimize your reproductive health to increase your fertility chances, this may not be the option for you. A uterine artery embolization works by cutting off the blood supply to the fibroid(s) in hopes of it shrinking in size. The downside to this procedure is the possibility of blood supply being cut off to the ovaries as well. This is why it is important to speak to your fertility specialist about your long-term fertility goals. Once again, the type of treatment will depend on the condition and placement of the fibroids, but hopeful couples can find relief in knowing that they have options. More importantly, they can rest assured that a team of fertility experts will always be there to support them throughout the process.  Kofinas Fertility Group Will Be Your Guide You can take action today by preparing yourself against the problems that uterine fibroids can create, and by doing so, you'll be able to maximize your chances for a healthy pregnancy in the future. Kofinas Fertility Group is dedicated to providing you with cutting-edge treatment options, as well as being your resource for professional advice and medical care.  Fibroids shouldn't be the reason why you can't have the family of your dreams. We can assist you and your partner with any issues that you may be experiencing, so please feel free to contact us and schedule an appointment with our team. ### END_RECORD ### START_RECORD TYPE: post ID: 1416 TITLE: 3 Fertility Treatment Options to Consider Before You Try IVF URL: https://www.kofinasfertility.com/3-fertility-treatment-options-to-consider-before-you-try-ivf/ EXCERPT: Whenever issues with fertility start to surface, many people assume it’s time to jump to a more intense procedure, such as in-vitro fertilization (IVF). The eagerness to start a family can push hopeful couples and individuals to presume this is the next step, and the anxiety could lead to them spending thousands of dollars on […] DATE_PUBLISHED: 2019-01-02T00:00:00Z DATE_UPDATED: 2026-03-04T00:35:30Z SCHEMA_TYPE: Article META_seo_title: 3 IVF Alternatives: Assisted Fertility Options | Kofinas META_seo_description: Before you assume it's time for IVF, consider these 3 fertility treatment options with high success rates and lower overall costs. TAX_category: IVF TAX_category: Fertility BODY_CONTENT: | Whenever issues with fertility start to surface, many people assume it's time to jump to a more intense procedure, such as in-vitro fertilization (IVF). The eagerness to start a family can push hopeful couples and individuals to presume this is the next step, and the anxiety could lead to them spending thousands of dollars on a fertility procedure that may not be necessary.  This video addresses the myth that fertility clinics only provide IVF services. If you've been struggling with fertility, it's important to get to the root cause of your challenges. To ensure that you are preparing yourself for a healthy, successful pregnancy, it's best to explore your possibilities with a strategic approach in mind.  If you're curious about what fertility treatment options are available to you before pursuing IVF with a reproductive specialist, then here are 3 treatments to consider that have a proven track record of producing great results:  1. Ovarian Stimulation Medications It's estimated that female fertility issues account for a third of all infertility cases among men and women, and the main reason why women have a hard time conceiving is because of hormone imbalances throughout the reproductive system.  The female body consists of many hormonal changes during menstruation and ovulation, and when everything is working properly, tracking these stages with accuracy can be a simple endeavor. However, when hormonal processes are stifled due to PCOS, uterine fibroids, PID, or endometriosis, certain parts of the reproductive organs can malfunction or get thrown off course.  There is good news though: Correcting any low complexity mishaps like hormone imbalances can be done efficiently with ovarian stimulation medications. By using controlled ovarian hyperstimulation medications (COH), such as various gonadotropins, women can bring regularity and predictability to their cycles and increase their odds of impregnation without getting too involved with advanced procedures. Successful pregnancies are aided by well-developed ovarian follicles, as well as a release of multiple eggs during ovulation. Plus, there are other medications that help prepare the uterine lining for implantation to further protect the embryo. 2. Intrauterine Insemination Although it may sound similar to an IVF, intrauterine insemination (IUI), is much less invasive and can lead to promising results for couples as IUI treats infertility with a male factor.  An IUI is a low-complexity procedure that directly injects sperm into the uterus to increase the odds of impregnation. Couples who choose to pursue an IUI typically consist of a female partner with a healthy reproductive system and a male partner dealing with low sperm count or poor sperm volume. The procedure essentially bypasses any failed attempts by transferring a strong concentration of sperm at peak ovulation times, which are monitored through bloodwork and hormone medications. Overall, the procedure itself is quite minimal. A fertility doctor uses an insemination catheter, a thin flexible tube, to inject the sperm sample, and the female partner will undergo two treatments at 12 and 36 hours after hormone medications are given.  In addition to it being a straightforward experience, hopeful couples or individuals can enjoy moderately high success rates during their first attempts. A fertility specialist will certainly do everything in their power to help you achieve pregnancy right away, but research shows that age and number of tries plays a significant role in the success of an IUI, making it a good first option to pursue.    3. Laparoscopy After receiving an assessment from a fertility specialist, female partners may discover that certain growths or adhesions are preventing them from getting pregnant. In this case, undergoing laparoscopic surgery is a good way to increase the odds of pregnancy without facing too many complications.  Laparoscopic surgery or laparoscopy, is an outpatient procedure that places a narrow fiber optic scope through a small incision made into the navel of the female partner. Once inside, the device can thoroughly detect the presence of any cysts, fibroids, adhesions, or damages to the reproductive organs and allow doctors to advise an immediate plan to remedy the issues. Cases of PCOS, uterine fibroids, or endometriosis have a major effect on the female's ability to conceive, so removing their presence will surely lead to better results with future attempts. Another benefit of laparoscopic surgery is that the recovery time after the procedure is fairly quick. After it's complete, women can resume their normal routines in about one week, and any scarring is typically smaller than the size of a keyhole, which will fade over time.  Laparoscopy can offer some tremendous insights into any underlying issues that a female partner is facing, so rather than jumping to any conclusions or uncertain treatment options, consult with a fertility specialist first to see if it's right for you.  What are other common methods of Assisted Reproductive Technology? There are several different methods of ART: In vitro fertilization (IVF) means fertilization outside the body. Our doctors treat you with a drug that causes your ovaries to produce multiple eggs, and once they’re mature, your eggs are removed. We then put them in a dish in the lab along with the man’s sperm for fertilization. After three to five days, healthy embryos are implanted in your uterus. With zygote intrafallopian transfer (ZIFT), also known as tubal embryo transfer, we also fertilize your eggs in the laboratory, and then transfer the embryo into the fallopian tube instead of the uterus. Gamete intrafallopian transfer (GIFT) involves transferring eggs and sperm into a woman’s fallopian tube. Fertilization occurs in the woman’s body rather than in the laboratory. Intracytoplasmic sperm injection (ICSI) may be used for couples in whom there are serious problems with the sperm, for older couples, or for those with failed IVF attempts. In ICSI, we inject a single sperm into a mature egg and then transfer the embryo into your uterus or fallopian tube. ART can involve the use of donor eggs, donor sperm or previously frozen embryos. Explore Your Options with Kofinas Fertility Group Of course, if you've already tried these options or want to ask more questions about IVF, we are always here to help. However, we know it is important to keep in mind, although pursuing an IVF may be a favorable way to ensure pregnancy, there are several other low-cost, less-invasive procedures that are just as successful. At Kofinas Fertility Group, we believe in offering you many ways to achieve the family of your dreams, and giving you the ability to choose a treatment plan that fits your lifestyle is our utmost concern.  Whether you're just beginning to encounter any challenges with fertility or you've had little success with past experiences, Kofinas Fertility Group is here to support you and lead you in the right direction. Feel free to contact us if you have any questions. ### END_RECORD ### START_RECORD TYPE: post ID: 1430 TITLE: How Will I Know When To Seek Fertility Treatment? URL: https://www.kofinasfertility.com/how-will-i-know-when-to-seek-fertility-treatment/ EXCERPT: Deciding to start a family should be a time of great joy and excitement for couples or individuals, but when any fertility challenges arise, the experience can certainly become a struggle. For those who are having trouble getting pregnant after several attempts, seeking fertility help from a specialist may be a good idea. On the […] DATE_PUBLISHED: 2018-12-19T00:00:00Z DATE_UPDATED: 2026-03-04T00:32:14Z SCHEMA_TYPE: Article META_seo_title: When To Seek Fertility Treatment? | Kofinas Fertility Clinic META_seo_description: If you feel like it might be time to get help in your path to parenthood, these tips can help. Here's when to seek fertility treatment. TAX_category: Pregnancy TAX_category: Fertility BODY_CONTENT: | Deciding to start a family should be a time of great joy and excitement for couples or individuals, but when any fertility challenges arise, the experience can certainly become a struggle. For those who are having trouble getting pregnant after several attempts, seeking fertility help from a specialist may be a good idea. On the other hand, how are you supposed to know if professional help and fertility treatments are right for you? Find out in this video! To help alleviate any uncertainty you may have about what to do next regarding your pregnancy, here are a few things to consider that can help you determine when it's time to pursue fertility procedures:  Age Plays a Significant Role in Determining Success What many people may not realize is that someone's age plays a significant role in determining the success of achieving pregnancy.  Ideally, the best age to conceive for women is during their 20s. Throughout this time, the female body produces the greatest amount of healthy eggs, while keeping pregnancy risks at an all-time low. A woman in her early 20s will enjoy the best odds of success, having roughly a 25% chance of conceiving after 3 consecutive months of trying. However, success rates will gradually decline as a woman progresses into her 30s.  After the age of 30, the odds of achieving a natural pregnancy drops to 20%, and by age 40 and above, success rates fall to a mere 7% during each month of active attempts. Keep in mind, even though women face a great deal of adversity the older they become, men are also subject to issues regarding their age and overall lifestyle.   For example, men who become less active and conscientious of their personal health as they get older will surely develop issues that affect their fertility. Decreased levels of testosterone and weight gain can lead to having a low sperm count or poor sperm health, so maintaining the best pregnancy odds is certainly a joint effort on both fronts. Needless to say, those who decide to pursue a family later in life will certainly have some challenges to face, but meeting with a fertility specialist can shed some important light on where to begin if age is a concern. Time Frames to Reference When Trying to Conceive With consideration to age, another factor to examine is the overall time frame that you and your partner have been trying to conceive within.  A good rule of thumb established by the American Society for Reproductive Medicine is that couples under the age of 35 who have failed to conceive after 12 months of regular, unprotected sex during peak ovulation cycles should seek assistance from a fertility specialist. For couples over the age of 35, that time frame is decreased by half.  The reason why these windows are so important to operate within is because failure past these markers will most likely represent an underlying issue that must be remedied before pregnancy can be achieved. Couples who think they are perfectly healthy may be surprised to know that they have a hormone imbalance disrupting the schedule of their reproductive system, or perhaps an infection is creating a blockage preventing normal activities from being carried out.  Rather than thinking of these time frames as cutoff points to surmount, you should embrace the opportunities that failure after these periods creates, which is a chance to improve your overall health and ensure a successful pregnancy with the help of a fertility specialist.     Diagnosing Health Issues and Making Improvements The final thing that couples must assess is their overall physical condition and how they can make improvements to their general health.  Issues that prevent pregnancy from occurring can be overwhelming to say the least. Both men and women must pay close attention to their reproductive health, personal health, lifestyle factors, and environmental factors when trying to conceive because even the slightest problem can result in many failed attempts.  Some of the most common fertility problems that women face include PCOS, PID, uterine fibroids, and endometriosis, whereas men may struggle with having a low sperm count, poor sperm health, low testosterone, or issues with sexual performance. That being said, many of these problems for both genders can go unnoticed if they aren't being directly examined, and that's why meeting with a fertility specialist can provide some valuable insight.  A fertility specialist can recommend several ways for both men and women to amend their health issues or prescribe certain medications and procedures to help. Dealing with fertility issues can certainly be a challenge if you're unsure of what to look for, but being aware of your overall health and finding the right support will make a huge difference.  Find Answers with Kofinas Fertility Group Having the family of your dreams doesn't necessarily mean it has to occur in a certain way. All that matters is that you achieve a healthy, successful pregnancy at a time that's right for you, and Kofinas Fertility Group can make that a reality.  If you and your partner have been contemplating seeking the help of a fertility specialist, then hopefully these guidelines will nudge you in the right direction. Further, new legislation known as FAFTA may be able to help you as well. To learn more about these factors or to see what treatment options are available, feel free to request an appointment today.  ### END_RECORD ### START_RECORD TYPE: post ID: 1414 TITLE: Main Signs of Infertility for Men and Women URL: https://www.kofinasfertility.com/main-signs-of-infertility-for-men-and-women/ EXCERPT: Deciding to start a family can be an exciting chapter in your life, but when success doesn’t come easily, the excitement can quickly turn into frustration. Although you may be feeling a bit overwhelmed with each failed attempt, you can find relief in knowing that infertility is a common issue for many couples in the […] DATE_PUBLISHED: 2018-11-13T00:00:00Z DATE_UPDATED: 2026-03-04T00:36:04Z SCHEMA_TYPE: Article META_seo_title: Main Signs of Infertility for Men & Women | Kofinas Fertility Group META_seo_description: Are you suffering from any of signs of infertility? Make sure you understand their meanings and work with your doctor to personalize your treatment plan. TAX_category: Pregnancy TAX_category: PCOS TAX_category: Fibroids TAX_category: Fertility TAX_category: Endometriosis TAX_category: Men's Fertility BODY_CONTENT: | Deciding to start a family can be an exciting chapter in your life, but when success doesn't come easily, the excitement can quickly turn into frustration. Although you may be feeling a bit overwhelmed with each failed attempt, you can find relief in knowing that infertility is a common issue for many couples in the U.S.. In fact, over 10% of American couples struggle with infertility, and the underlying issues preventing pregnancy can come from either gender. Studies show that women are responsible for 30% of infertility challenges, whereas men make up an additional 30%. The remainder holds a combined struggle that men and women share, each contributing at least one factor to their overall infertility problem.  Regardless of where the issue comes from, taking the time to understand the difficulties that both genders face will help you create a fertility plan and achieve a healthy pregnancy. If you and your partner are searching for answers to your infertility problems, here are the main signs of female and male fertility challenges to look out for: Signs of Infertility for Women What many women may not realize is that hormone regulation plays an essential role in their ability to get pregnant. For instance, proper hormone levels lead to a strong reproductive health and more accurate ovulation cycles. On the other hand, a hormone imbalance can lead to various red flags that stifle any progress.  Women who are experiencing any of the issues below may be suffering from hormonal issues that are causing infertility: Irregular menstrual periods (compared to a 28-day cycle) Painful or heavy menstruation Skin irritations or facial hair growth Excessive weight gain Change in sex drive Pain during sex Keep in mind, the presence of these issues may not represent the source of the problem, but they can help diagnose any inconsistencies that your body is experiencing. When consulting with a fertility expert, they will be able to connect your symptoms to a particular disorder, which in that case would require a certain kind of treatment to alleviate it.    Aside from hormonal issues that can be regulated with various medications, there are specific underlying problems that pose a much greater threat to your odds of starting a family. Here are a few common fertility challenges that women face in addition to the signs listed above: Polcystic Ovarian Syndrome (PCOS) A condition where small cysts form on the outer edge of the ovaries, preventing the egg from transferring to the uterus. This issue also may be the cause of irregular or missed periods since ovulation is halted. Hormonal changes are also a result of PCOS, which can cause weight gain, fatigue, acne, mood changes and headaches.  Endometriosis An often painful condition where the protective lining inside the uterus (endometrium) grows outside of it and forms along other parts of the reproductive organs. Although it is outside of the uterus, it will still undergo the same reactions with each menstrual cycle, causing it to shed and bleed within the pelvic area. The severe pain results in a painful or heavy menstruation.    Uterine Fibroids Uterine fibroids are typically benign, small tumors that grow inside the uterine wall (womb) and potentially cause disruption to pregnancies. Their presence can also cause hormonal changes within the reproductive system.  On the bright side, these conditions are certainly manageable with the right kind of guidance. No matter what challenges you may be experiencing, a fertility specialist can pinpoint your issues and come up with a treatment plan to help you create the family of your dreams. However, if infertility persists after resolving complications on the female's behalf, the fault may rest on the male partner's shoulders. Signs of Infertility in Men Studies show that of the 10% of affected couples who struggle with infertility, 40% of the responsibility falls on the male partner. This means that a male partner may be dealing with a variety of issues that usually relate to a low sperm count or poor sperm condition.  Having a low sperm count could be the result of several lifestyle factors, like obesity, drug and alcohol use, or smoking cigarettes, so if any of these are present, the chances of infertility greatly increase. That being said, here are a few infertility warning signs for men to be aware of: Excessive weight gain Premature ejaculation or dry spells Infections from STDs Erectile dysfunction Cancer Swollen or painful testicles  The reason why these symptoms result in a low sperm count is because each one plays a major role in balancing out essential hormones for reproduction. Just like how the female partner relies on a healthy balance to increase the odds of achieving pregnancy, the male partner requires the same kind of stability to ensure insemination. Proper hormone levels also provide men with sperm that's potent in terms of volume, motility, and morphology.  These attributes represent the amount of sperm that's transferred through the semen, how well it travels, and how well it retains its shape during and after ejaculation. Sperm that meets this criteria will have the greatest chance of impregnating an egg, so they are crucial to repair if any issues persist.  Although certain lifestyle factors can be corrected and sperm health will regenerate over time, some physical problems will require a diagnosis from a fertility expert who can formulate a solid recovery plan. Here are a few common fertility challenges that men face which may require special attention:  Varicocele Varicocele is the most commonly diagnosed cause of male infertility. In this condition, veins within the testicles are enlarged, which creates too much heat that damages the quantity and shape of sperm cells.  Infections or Blockages Urinary tract infections, infections from STDs, or blockages throughout the reproductive organs caused by tumors, scar tissue or other obstructions can cause infertility in men and must be removed before sperm can travel successfully.  Retrograde Ejaculation A condition where sperm is ejaculate into the bladder, rather than exiting from the urethra. This can result in a dry orgasm and usually does not lead not other serious health issues.  Overall, correcting these problems relies on a commitment to lead a healthier lifestyle. Once certain changes can be made, you and your partner can enjoy a greater realm of possibilities and success. Nonetheless, if any symptoms are reoccurring or if you feel like an underlying problem may be impeding your odds, seeking help from a fertility specialist can give you valuable insight that you won't find searching on your own. Learn More with Kofinas Fertility Group Your goal of starting a family should be one to enjoy, rather than endure, and Kofinas Fertility Group is here to guide you with unconditional support. To this point, new legislation passed by the New York State Assembly known as FAFTA could be a valuable resource for your family planning needs.If you and your partner feel that any of these symptoms or conditions relate to your experiences, then please visit our guide, Infertility 101, to learn more about the challenges that men and women face.  Our mission is to help make your dream of having a family come true, so get started with Kofinas Fertility Group today and make that dream a reality. ### END_RECORD ### START_RECORD TYPE: post ID: 1402 TITLE: How to Move Forward After a Miscarriage URL: https://www.kofinasfertility.com/how-to-move-forward-after-a-miscarriage/ EXCERPT: With October being recognized as Pregnancy and Infant Loss Awareness Month, couples all around the world are experiencing the hardships that come along with having a miscarriage. In fact, it’s estimated that 1 in 4 women will experience a miscarriage in their lifetime, which amplifies the collective struggle that hopeful couples face when trying to start a family.  Regardless of […] DATE_PUBLISHED: 2018-10-26T00:00:00Z DATE_UPDATED: 2026-03-04T01:08:55Z SCHEMA_TYPE: Article META_seo_title: How to Move Forward After a Miscarriage | Kofinas Fertility META_seo_description: We walk through the many options and support resources you may turn to as you work to move forward after a miscarriage. TAX_category: Fertility TAX_category: Pregnancy BODY_CONTENT: | With October being recognized as Pregnancy and Infant Loss Awareness Month, couples all around the world are experiencing the hardships that come along with having a miscarriage. In fact, it's estimated that 1 in 4 women will experience a miscarriage in their lifetime, which amplifies the collective struggle that hopeful couples face when trying to start a family.  Regardless of whether or not a pregnancy lasts a few weeks or a few months, having a miscarriage at any stage can cause severe psychological and emotional damage to an expecting couple. Feelings of depression, anxiety, regret, and guilt can surface after a difficult loss, and quite often, finding the courage to try again can be ever more challenging if you're not sure where to start.  At Kofinas Fertility Group, we understand the pain that comes along with losing someone special. After months or even years of trying to conceive, the agony of having a miscarriage and starting over can certainly be defeating. However, we're here to let you know that having the family of your dreams is still a possibility with the right kind of guidance and support. If you and your partner have recently suffered from a miscarriage and you're having trouble coping with the loss, here are several steps to consider to help lead you in the right direction: Allow Yourself to Process Emotions Although you may be experiencing a whirlwind of emotions after having a miscarriage, the most important thing to remember is that you shouldn't blame yourself for what happened. In a 2013 survey, results showed that over 40% of participants (male and female) claimed to have felt personally responsible for their miscarriage. Furthermore, over 75% of them believed that their miscarriage was due to the onset of stress or being involved in a stressful situation.  The truth is that most miscarriages are caused by an abnormal chromosome in the embryo that cannot be controlled or prevented. Other factors, such as drug and alcohol use, previous medical conditions, age, and premature pregnancy testing can also increase the odds of a miscarriage. That being said, your daily feelings and emotions are never as harmful as you think.  It's important to take some time to process your emotions in a way that feels safe and comforting. For example, keeping a journal can alleviate stressful thoughts or depression, or confiding in your partner is a great way to practice communication and healing. When working through your grief, if you feel like being sad or angry, and that's okay. Express those emotions until they subside, but remember that they should never be directed toward yourself. There is no right amount of time or grief that will signal you're "over" your miscarriage. Every individual is unique and deserves the time, support, and healing you need to get to a place where you are comfortable trying to get pregnant again or pursue another way of growing your family.  But oftentimes, reaching out to those with professional training or who have dealt with similar experiences will help you put things into a new perspective.  Find the Right Support System Of course, your partner is the first person you lean on when something traumatic happens, but quite often, you may discover that you and your partner have different ways of reacting to situations. After having a miscarriage, you may experience bouts of depression, sadness, anger, and frustration to say the least, and during this time, you may notice that your partner has begun to show signs of retreat or reservation. At first, any other form of behavior can be unsettling since it doesn't identify with your reactions, but not everyone deals with painful experiences the same way. If you and your partner are having trouble communicating or supporting each other through this difficult transition, finding the right support system from other sources can be a big help.  Speaking to a therapist or a counselor can be a great way to share your feelings and concerns in a healthy, non-judgmental setting. Through mediation and professional insight, couples can create a dialogue that encourages each other to express their inner struggles, opinions, and needs without the pressure of it escalating into a full-blown argument. Plus, seeking professional help can also alleviate symptoms of depression or anxiety that can be tough to manage on one's own.  If the weight becomes too much to bear, having an outside influence can make a tremendous difference in your future outlook. Individuals and couples who experience a miscarriage can find great relief in counseling sessions, group therapies, non-profit organizations, online communities, self-help books, and magazines. Once a solid foundation of acceptance and understanding has been established, the idea of trying again becomes much more possible to imagine.  Knowing When to Try Again Unfortunately, there is no period of time that one has to wait before trying to get pregnant again after a miscarriage. Instead, you and your partner must first work through your feelings and arrive at a point that satisfies both of your mental and emotional needs. For some couples, trying again right away might be the best option to keep up the momentum, whereas other couples may feel like postponing their efforts until life becomes more stable. Whatever route you choose, trust that you're making the right decision because in any case, you are the ones who decide when the timing is right.  Along with feeling mentally and emotionally prepared, consulting with your doctor or fertility specialist is also a good idea to gauge how soon after a miscarriage you can begin trying to conceive. Certain physical parameters should be evaluated to ensure that your next pregnancy will have a higher chance of success. For instance, after a miscarriage, it's best to schedule a follow-up appointment two weeks later, making sure that your body is recovering properly. With your doctor's green light, you can begin tracking your ovulation cycles and resume sexual activity at the right times.  Something else to consider during a new attempt is your current lifestyle and attitude while trying to conceive and after you become pregnant. Remember, this isn't a reminder to put yourself down for any past mistakes, but think of it as a chance to make healthier choices with a positive mindset. A good example of this is to implement a healthy diet with fruits and veggies, follow a casual workout routine, and stay away from harmful toxins like second-hand smoke or environmental hazards. More than anything, regaining the strength and motivation to try again after a miscarriage presents you with an opportunity to improve your awareness and stability, which will no doubt lead to a promising future.  Plan Your Future with Kofinas Fertility Group Finding the determination to rebuild your life after having a miscarriage is no easy task, but knowing that you're not alone during the process can make it much easier to accomplish. Kofinas Fertility Group is here to be an advocate for your success, and our fertility specialists are committed to helping you achieve a healthy pregnancy by offering assistance and insight for your specific concerns.  Scheduling a fertility assessment with our team is a great way to learn more about your pregnancy and the many factors that can influence it. Even though a miscarriage can happen for reasons beyond your control, a treatment plan can still be created to lower the risks and set you up for a promising outcome. Being rushed to the next steps or advanced procedures can be intimidating, but Kofinas Fertility Group wants to honor the time you need to cope with your miscarriage and move forward when the feeling is right. We will help you pursue a plan that encourages your needs as a patient, and our mission is to fully assess your case and set you down a confident path, while serving as a guide along the way.  Experiencing a miscarriage doesn't have to be a devastating setback, and instead, it can be a new journey toward self-discovery. To learn more about what options are available to you, please visit our site to schedule an appointment.  ### END_RECORD ### START_RECORD TYPE: post ID: 1406 TITLE: Natural Fertility Treatments at Home URL: https://www.kofinasfertility.com/natural-fertility-treatments-at-home/ EXCERPT: After trying to get pregnant for more than 1 year with no success, it’s understandable that you may start to seek answers to your fertility issues (male or female!). When you do, the variables and procedures involved can be overwhelming to say the least. A fertility specialist may suggest that you start taking a mixture […] DATE_PUBLISHED: 2018-10-11T00:00:00Z DATE_UPDATED: 2026-03-04T00:37:38Z SCHEMA_TYPE: Article META_seo_title: Natural Fertility Treatments to Try at Home | Kofinas Fertility Group META_seo_description: As you gather information in your journey to conceive don't underestimate these natural fertility treatments at home that can be a wonderful place to start TAX_category: Fertility TAX_category: Pregnancy BODY_CONTENT: | After trying to get pregnant for more than 1 year with no success, it's understandable that you may start to seek answers to your fertility issues (male or female!). When you do, the variables and procedures involved can be overwhelming to say the least. A fertility specialist may suggest that you start taking a mixture of hormone treatments to boost your ovulation cycle, or that surgery is needed to clear any obstructions or infections; the scope of treatment options can be daunting when you're unsure of what your body truly needs to improve, but thankfully, there are potential solutions out there that are less invasive and more affordable to begin with.  Kofinas Fertility Group honors the fact that pregnancy is a sacred endeavor between mind and body. This means that before any suggestions are made involving advanced procedures, it's important to first understand your issues and find natural ways to alleviate them. Surprisingly, there are many lifestyle changes can drastically increase your odds of a successful pregnancy, and quite often, incorporating these changes will have a lasting effect on your overall health in the long run.  Pursuing holistic fertility treatments should always be the first step in your journey toward a new family. If you and your partner are curious about what you can do to increase your odds before rushing to any major treatment options, here are a few things to consider to get you started: Types of Conditions That Natural Fertility Can Improve With over 10% of couples in the U.S. facing infertility, it's crucial to be aware of what the leading causes of infertility are for both men and women, as well as how natural fertility treatments can improve them.  Main Fertility Issues for Women The leading cause of infertility for women is a hormone imbalance called polycystic ovarian syndrome (PCOS). Essentially, this issue creates an irregular hormone production within the body, interrupting normal ovulation cycles. In addition, primary ovarian insufficiency (POI) also contributes to a disruption of the ovaries, causing damage to their functionality before a woman is 40 years old.  Other issues can also arise, such as endometriosis, uterine fibroids, and pelvic inflammatory disease, but PCOS and POI hold the main percentage of infertility issues among women. In fact, it's estimated that female infertility factors make up nearly half of all infertility cases. However, infertility isn't just a female problem.    Main Fertility Issues for Men Men make up roughly 30% of infertility issues among couples trying to conceive. Of that demographic, the main cause of infertility stems from a problem with sperm health and production. Primarily, sperm must follow several conditions in order for it to have a promising attempt at impregnation. For example, it must be in good health and formation from proper hormone and testosterone levels, it must have an adequate combination with semen, it must be produced in the right volume, and it must have the ability to flow throughout the body. If anything of these things are compromised, infertility may occur.  From a medical standpoint, the leading cause of infertility in men is a condition known as varicocele. This issue causes the testicular veins to swell, interrupting a healthy flow of sperm throughout the reproductive organs. Its root cause is unknown, but its onset is related to exposing the testicles to high temperatures, as well as infections. Other male fertility issues include ejaculatory problems, auto-immune diseases, tumors, hormone imbalances, drug and alcohol abuse, depression, stress, and obesity. Why Natural Fertility Treatments Can Help When examining both genders and their prevailing issues, it becomes clear that a combination of hormone imbalances and reproductive health are the main culprits of why infertility surfaces. With this in mind, beginning a defense plan with natural fertility treatments is perhaps the best decision you can make since natural alternatives will first address many underlying health issues and shortcomings.  Your body can do some miraculous things once you begin to nurture it with the right approach and mindset. Adjustments to your diet, habits, physical activity, and mental health play a vital role in maintaining your fertility, and you'd be surprised at just how easy many of these natural treatments are to incorporate.  To give you an idea of what kinds of differences you can make, here is a list of natural fertility treatments to learn about and fuse into your daily life:  Natural Fertility Treatments for You to Try Eat Healthy Foods You may not think that your diet has an effect on your fertility, but studies show that what you eat plays a huge part in regulating your hormones, while promoting a strong reproductive health. For example, non-organic foods carry many pesticides that hinder hormone production, so choosing fresh foods with natural ingredients can highly improve your chances of pregnancy. Within this field, there are plenty of foods you can eat to make a positive change; here are some more to include into your eating habits: Fresh Fish: To reduce inflammation and increase fertilization, eating fish offers tons of omega-3s, a fatty acid that helps regulate ovulation cycles and strengthen egg quality. Vitamin Rich Foods: Vitamins E, C, and B offer huge benefits to both men and women in terms of hormone stimulation and regulation. Women can boost their endocrine system by adding them into their diet, and men can increase their sperm quality, too. Plus, vitamin C will help the body consume iron, an essential nutrient for a health pregnancy. Also, vitamin B (folate and folic acid) helps produce new cells and defend against birth defects. Cruciferous Vegetables: Broccoli, cabbage, and Brussels sprouts help the liver process estrogen with indole-3-carbinol.  Pumpkin Seeds: Eating pumpkin seeds are high in zinc, increasing productive health for both men and women.  Foods to Stay Away From: Caffeine, grains, processed meats, and refined sugars have been known to cause issues with fertility. In addition, imbalances hormones, poor estrogen levels, inflammation, and obesity are common results from diets containing these food groups.  Refrain from Drugs and Alcohol This may seem like a no-brainer, but drugs and alcohol can wreak havoc on your body, especially when you're trying to conceive. For instance, drinking alcohol or smoking tobacco and marijuana have been known to cause inflammation in the body, as well as disrupt the immune system. Women should refrain from these activities to lower their risk of endometriosis and preserve their ovulation health. Also, men should stay away from drugs and alcohol to prevent erectile dysfunction, increase their testosterone, and boost their sperm levels.  Get Plenty of Rest You may think staying up late at night is no big deal, but the truth is that not getting enough rest has a major effect on the body and your hormone cycles. According to the National Sleep Foundation, sleeping anywhere between 7 to 9 hours a night will recharge your body and give you the best odds of getting pregnant. Make Sure to Exercise Once again, hormone balance and personal health is vital to increasing your fertility, and exercise is a surefire way to get things working properly. For the best results, engage in moderate-level exercises on a routine basis. Doing this will help elevate your mood, allow you to sleep better, and increase your sexual appetite.  Take Fertility Supplements or Chinese Herbs Unlike fertility drugs that may be costly, there are several natural fertility supplements and Chinese herbs that you can take to strengthen your body and provide it with helpful nutrients. For Chinese herbs, it's best to speak with an herbalist or a Doctor of Chinese Medicine to first diagnose your concerns and be given the correct doses to ensure safety. And, of course, consult with your fertility specialist or doctor before taking any supplements or herbs.  Try Acupuncture or Yoga Ideally, herbal medicine and acupuncture should be used together to combat infertility, but research shows that acupuncture has a strong effect on improving ovarian functions and enhancing sperm quality. In addition, doing yoga can greatly decrease your stress levels and help your body regulate its hormone production.  It's amazing how many natural alternatives are out there for you and your partner to take advantage of. Hopefully after reading about these treatments, you'll be able to add them to your daily life and see some results. Although reinforcing your fertility is the ultimate goal, your overall health is what matters most. Once you're able to commit to a healthy lifestyle, your mind and body will be in a great position to achieve a healthy pregnancy.  Kofinas Fertility Group Is Here to Help No matter what questions you have about natural fertility treatments, you can rest assured that Kofinas Fertility Group is here to help you along your journey. Our fertility specialists are committed to taking every necessary approach to help you achieve a healthy pregnancy, and we offer many insights that you won’t find at other fertility clinics. After your fertility assessment, our team will take the time to understand your fertility struggles and the cause of your issues. Once we know the source, we will design a treatment plan that directly solves the problem and increases your chances for a complication-free pregnancy. This may be supported by new legislation, known as FAFTA, passed to support those looking for fertility services. Rather being bombarded with advanced procedures, Kofinas Fertility Group wants to help you pursue a plan that honors your needs as a patient. Our mission is to fully assess your case and get an accurate diagnosis for you, while giving you many options to choose from.  No matter what your issues may be, finding a solution only takes one appointment, so schedule yours today. ### END_RECORD ### START_RECORD TYPE: post ID: 1396 TITLE: Female Fertility Challenges URL: https://www.kofinasfertility.com/female-fertility-challenges/ EXCERPT: If you’re having trouble getting pregnant, you can find support in knowing that you’re not alone.  Female fertility challenges are actually more common than most people think. It’s estimated that roughly 10% of women in the U.S. between the ages of 15-44 have issues with achieving or maintaining pregnancy. The odds become even more difficult […] DATE_PUBLISHED: 2018-09-24T00:00:00Z DATE_UPDATED: 2026-03-04T01:10:03Z SCHEMA_TYPE: Article META_seo_title: Female Fertility Challenges | Kofinas Fertility Clinic META_seo_description: If you've struggled with some of these female fertility challenges. Let's walk through the repercussions and treatment plans for fertility issues. TAX_category: PCOS TAX_category: Fibroids TAX_category: Hysterectomy TAX_category: Endometriosis TAX_category: Fertility BODY_CONTENT: | If you're having trouble getting pregnant, you can find support in knowing that you're not alone.  Female fertility challenges are actually more common than most people think. It's estimated that roughly 10% of women in the U.S. between the ages of 15-44 have issues with achieving or maintaining pregnancy. The odds become even more difficult to beat if a woman is over the age of 35 when trying to conceive. To give you a refresher, infertility means that a women is not able to get pregnant after a year of consistent effort (a 6-month period for those over the age of 35), so if you find yourself in this category, it may be time to seek medical advice or fertility treatments.  It's important to remember that each person is different. Problems and solutions for some people may not be the same for others. However, there are many reasons why women have infertility issues, and being aware of the challenges will help you stay prepared for the road ahead.  Common Fertility Challenges that Women Face According to the American Pregnancy Association (APA), the female partner is responsible for 50% of all infertility cases. Although these instances can be caused by a number of different reasons, here are the most common fertility challenges that women face: Ovulation Issues Out of that 50% of infertility cases, ovulation issues account for nearly half. Being able to identify and maintain your ovulation schedule, within a few days, is crucial to achieving a healthy pregnancy, so if anything is disrupting that pattern, it can make having a child extremely difficult.  Problems with ovulation can include:  Polycystic Ovarian Syndrome: Small cysts form on the outer edge of the ovaries, preventing the egg from traveling through the fallopian tubes to the uterus.  Endometriosis: Protective tissue that lines the inside of the uterus (endometrium) grows outside of it. This condition causes severe pain in the pelvic area, affecting the ovaries and fallopian tubes. It can also cause painful or heavy menstruation.  Primary Ovarian Insufficiency: Early menopause occurring in women under the age of 40. The ovulation process shuts down completely, ending the menstrual cycle for unknown reasons. However, it is believed that certain genetic factors contribute to its onset (Turner Syndrome, Fragile X Syndrome).  Keep in mind, issues with ovulation may be the reason for unsuccessful pregnancies, but often, the root of a problem stems from other sources, such as infections, cancers, hormonal changes, and one's personal health.  {% video_player "embed_player" overrideable=False, type='scriptV4', hide_playlist=True, viral_sharing=False, embed_button=False, autoplay=False, hidden_controls=False, loop=False, muted=False, full_width=False, width='3840', height='2160', player_id='22225189687', style='' %}   Damaged Fallopian Tubes or Uterus A healthy egg must travel from the ovaries through the fallopian tube and attach itself to the uterus for a pregnancy to begin. It's a process that requires each part to function properly, but often, something along the way jeopardizes course. In relationship to ovulation issues, the other half of female infertility cases is made up of tubal and peritoneal factors. Here are a few roadblocks that an egg might face after leaving the ovaries: Salpingitis: An infection that causes swelling to the fallopian tubes. If left untreated, adhesions, blockages, or scarring can lead to infertility.   Pelvic Inflammatory Disease (PID): When parts of the female reproductive organ become infected. This can involve the ovaries, fallopian tubes, or uterus, and a woman may not know that she has an infection until infertility persists or pelvic pains starts to occur. PID often comes from bacteria spread through an STD (gonorrhea, chlamydia). Uterine Fibroids: Small tumors (typically benign) that grow inside the uterine wall (womb) and potentially cause disruption to pregnancies.  Understanding the vulnerability of the reproductive organs can help increase your diligence and awareness as you move through your journey to becoming pregnant. Physical issues present a game plan of diagnosis and treatment. On the other hand, when female fertility challenges are unseen, finding a solution can be tough.  Hormonal Changes and Illnesses Aside from what's generally the cause of infertility, its important to remember that hormonal changes or underlying medical illnesses are often related to the onset of other issues. Here are a few ways that hormones and other illnesses affect fertility:  Irregular, Heavy, or Painful Menstruation: Hormones firing and processing at the correct times will produce a steady 28-day menstrual cycle (on average). However, fluctuating hormones will produce irregular menstruation, which can lead to excessive bleeding and painful cramps. These factors contribute to infertility by couples missing the ovulation window or disrupting one's daily life (painful menstruation could also be a sign of endometriosis).  Hyperprolactinemia: Hormonal changes in the pituitary gland causes too much prolactin in a person's bloodstream. High levels of prolactin are linked to irregular periods, reduced estrogen, and difficulties with ovulation. Hyperthyroidism: The thyroid helps regulate energy use throughout the body, so one that is overactive will expel energy too quickly, leaving the host fatigued or exhausted. This lack of energy can cause irregular periods, which can lead to fertility issues.  Obesity, Lack of Exercise, Eating Disorders: Being overweight has a tremendous effect on one's reproductive health. Constant inactivity combined with hormone fluctuations, insulin resistance, and decreased fertility will make procreation increasingly difficult. In addition, eating disorders (bulimia and anorexia) can also negatively impact fertility due to poor nutrients and maintaining a healthy weight to conceive.  Cancer Treatments: Along with the difficulties of battling cancer, cancer treatments, such as chemotherapy and radiation therapy, can have harmful effects on reproductive organs, which can lead to increased infertility.  Celiac Disease, Diabetes, Lupus, Amenorrhea: Each one of these diseases can negatively impact fertility and should be taken into consideration when trying to get pregnant.  Everything listed here are certainly challenges to overcome, but unfortunately, dealing with just one issue won't be the case for most people. To give yourself the best odds of achieving a healthy pregnancy, you must put yourself into a position to succeed. This means making life changes that promote a healthier well-being. Aside from just pinpointing the cause of your infertility, make a commitment to avoid additional risk factors that can hurt your chances, speak with medical professionals to discuss your options, and make a plan with your team to have the family you've always wanted.  Thankfully, once you're ready to get started, we're here for you.  Fertility Treatments and What to Expect When it comes to infertility, trust that there are industry professionals out there who are eager to help! Kofinas Fertility Group specializes in addressing fertility issues, while giving you a detailed treatment plan specifically designed to meet your needs. Rather than jumping right into a diagnosis, you will undergo an in-depth fertility assessment to pinpoint the nature of your fertility problems. Understanding Your Fertility Assessment This video covers what to expect at your workup appointment. {% video_player "embed_player" overrideable=False, type='scriptV4', hide_playlist=True, viral_sharing=False, embed_button=False, autoplay=False, hidden_controls=False, loop=False, muted=False, full_width=False, width='1280', height='720', player_id='10353040961', style='' %} To get started, a fertility specialist will give you a general assessment to have a complete understanding of your issues. Once the source of your infertility is discovered, a treatment plan will be put into place to give you the best possible chance of having a successful, complication-free pregnancy. There are several fertility treatment options. During your assessment, you will experience the following procedures: Ovulatory Function Evaluation: Analyzing your ovulatory cycle and using that information to develop a strong treatment plan. Imaging: Ultrasound and X-ray imaging to examine reproductive tract, discover any major issues, and develop targeted therapies.  Sample Testing: Gathering reproductive samples to understand any issues or abnormalities that can prevent a healthy pregnancy.  For each individual, different treatment options will be administered, but to give you a basic idea of what routes are available, here are a list of fertility therapies that Kofinas Fertility Group specializes in: Low-complexity therapies Cryopreservation In vitro fertilization Genetic testing Donation & Surrogacy Surgical procedures Although there are different therapies to utilize, Kofinas Fertility Group generally reserves low-complexity therapies as the first wave of assistance for those experiencing relatively uncomplicated fertility issues. The reasons behind this approach are that low-complexity therapies are less expensive and less invasive, while still promoting a high rate of success.  In some cases, a combination of the two main low-complexity therapies (intrauterine insemination and ovarian stimulation) will be used together to provide you with an optimal outcome. In addition, certain ovarian stimulation medications will be prescribed to help prepare the body for a health pregnancy.  Natural Ways to Increase Fertility To go along with your treatment plan, Kofinas Fertility Group also advocates for natural methods of stimulation that can increase fertility. It's understandable that some patients aren't as comfortable with fertility treatment options that include medical procedures and medication, but these alternatives are worth exploring if you're looking for more of a holistic approach. Yoga: Calming techniques that are grounded in meditation can improve fertility and stimulate the reproductive organs. Fertility yoga utilizes a combination of breath, relaxation, and muscle development to engage with the body and create a vessel of harmony and tranquility for your pregnancy. Acupuncture: Ultra-thin needles are strategically inserted around the body to access natural meridians and create stimulation. In addition to herbal medicine, acupuncture has been used for hundreds of years to treat infertility. It can also treat other issues that affect fertility, such as hyperthyroidism.  Dieting: Eating a well-balanced diet that is rich in antioxidants will nourish your body and prepare it for a healthy pregnancy. For a list of foods and plans to consider, here is a helpful link. Kofinas Fertility Group is dedicated to presenting you with options that you feel comfortable with. Our ultimate goal is to help you obtain the family of your dreams, and we support individuals and couples of all backgrounds when striving for that goal.  Supporting the LGBTQ Community More than ever, the family dynamic is changing, and Kofinas Fertility Group is proud to lead the movement of a more diverse and unique future.  For individuals or couples who identify with the LGBTQ community, we have specialized fertility approaches to help you along the way. Specifically for lesbian couples, you will undergo the same fertility assessment to locate any issues or concerns. In most cases, an in vitro fertilization (IVF) or intrauterine insemination is recommended. However, there are several other choices to consider if the option is available: One partner will donate an egg while the other carries out the pregnancy. One partner can carry the egg and fulfill the pregnancy. A sperm donor can be provided by a friend, relative, or anonymous donor. A gestational carrier can be arranged if both partners are not able to carry or provide an egg.  What's important is that you have options, as well as a team of professionals encouraging you along the way. As long as you're committed to achieving a healthy pregnancy, Kofinas Fertility Group will be there every step of the way.  No matter what your challenges are with fertility, you can rest assured that assistance is out there. New legislation, known as FAFTA passed the state legislature and can help too. If you're ready to see what options are available to you, schedule your fertility assessment today.  ### END_RECORD ### START_RECORD TYPE: post ID: 1433 TITLE: Ovulation Problems: Signs to Look Out For URL: https://www.kofinasfertility.com/ovulation-problems-signs-to-look-out-for/ EXCERPT: Since most cases of infertility are caused by problems with ovulation, knowing what signs to be aware of is important for those wanting start a family. On average, roughly 10% of women in the United States experience problems with fertility, so if you are facing any challenges, trust that you’re never alone in finding a solution. […] DATE_PUBLISHED: 2018-09-20T00:00:00Z DATE_UPDATED: 2026-03-23T04:55:32Z SCHEMA_TYPE: Article META_seo_title: Common Ovulation Problems & Their Signs | Kofinas Fertility Group META_seo_description: Do you think that you are experiencing some ovulation problems? Check out these signs, and if you're experiencing symptoms, contact a specialist today. TAX_category: PCOS TAX_category: Pregnancy TAX_category: Fertility BODY_CONTENT: | Since most cases of infertility are caused by problems with ovulation, knowing what signs to be aware of is important for those wanting start a family. On average, roughly 10% of women in the United States experience problems with fertility, so if you are facing any challenges, trust that you're never alone in finding a solution. To give you a better idea of what female fertility issues (e.g., poor egg quality) couples may face along their journey, here are a few things to consider about ovulation and how it affects your chances. What is Ovulation? The ovulation process has several factors that are all crucial to the overall health of a pregnancy.  Once a female begins her menstrual cycle, the hormonal changes will trigger the release of a matured egg from the ovaries. The egg travels through the fallopian tube and attaches itself to the uterine lining, where it awaits fertilization from sperm cells. Typically, the ovulation period lasts between 24 and 36 hours after an egg is released, and if fertilization doesn't occur within that time frame, the lining of the womb is shed, leading to the the next menstrual cycle.  Essentially, the pathway of the egg and its condition are what's mainly at risk when dealing with ovulation problems. However, there are several other factors that can stifle development.  Common Signs of Ovulation Issues Quite often, the reason why ovulation becomes a problem for women is because of a hormonal imbalance throughout the body known as polycystic ovarian syndrome (PCOS). As mentioned earlier, the release of certain hormones triggers the female reproductive to react accordingly. If hormones are being released at odd times or not at all, the ovulation cycle falters. PCOS is the most common cause of female infertility, but its presence can be hard to detect without seeking help from a medical professional. If you or a loved one feels like PCOS may be present, here are some signs to look out for that could represent its onset: Having irregular periods or no periods whatsoever Constant hair growth on the chest, back, buttocks, or face Hair loss or thinning hair from the scalp Excessive weight gain Consistent acne or oily skin Trouble achieving pregnancy after continuous attempts for several months Unfortunately, PCOS isn't the only problem women can face when trying to conceive. To give you a better idea of what challenges one might encounter, here are some other causes and warning signs to consider: Primary Ovarian Insufficiency (POI) Also known as premature ovarian failure, POI causes a woman's ovaries to stop functioning before the age of 40. Typically, women over the age of 40 will begin to show signs of reduced fertility through irregular periods, but this change occurs at a much younger age, even affecting women in their early teens. Other symptoms of POI may include pain during sexual intercourse, a decreased sex drive, lack of concentration, night sweats, and irritability.  Endometriosis A disorder that causes the uterine lining (endometrium) to form on the outside of the uterus. The endometrium can grow on the ovaries, bowels, and upon tissues that line the pelvis, causing pain and discomfort. The most common sign of endometriosis is pelvic pain, but other symptoms can persist, such as painful periods, severe cramps, pain during sexual intercourse, painful bowel movements, and lower back pain.  It's important to remember that although these can all be reasons for infertility, some women may not experience any of the symptoms. In addition, symptoms that do surface can range in their level of severity, which is why paying close attention to one's ability to get pregnant is the greatest indicator of fertility issues. If pregnancy is still unsuccessful after multiple tries with respect to the menstrual cycle, then seeking medical attention may be the next step to pinpoint the issue. Kofinas Fertility Group Can Help Whether you're seeking treatment options or you're curious about your condition, you can rest assured that Kofinas Fertility Group is more than happy to help you along your journey. Our fertility specialists are distinguished by their extensive experience, emotional receptivity, and specialized surgical skill. We’re committed to taking every necessary approach to help you achieve a healthy pregnancy, and we offer many procedures that you won’t find at other fertility clinics. It all starts with your fertility assessment. Our team will take the time to understand your fertility struggles and the cause of your issues. Once we know the source, we will design a treatment plan that directly solves the problem and increases your chances for a complication-free pregnancy.  Patients all over the country have found great success with our support. Here is a quote from a patient that was shared on our Instagram account this year: "I would like to commend, thank and show my love for everyone at Kofinas Fertility for what they do each day. Their team or surgeons, doctors, nurses, techs and additional staff are extremely knowledgeable, compassionate, informative and professional. We are currently 17 weeks pregnant thanks to them. I will be forever grateful." Inspiring our patients with hope and happiness is our ultimate mission, and there are many others who have left our facilities with a newfound appreciation for the future.  No matter what your issues may be, finding a solution only takes one appointment. Visit our site to schedule yours today. ### END_RECORD ### START_RECORD TYPE: post ID: 1441 TITLE: 4 Empowering and Inclusive LGBT Pregnancy Options URL: https://www.kofinasfertility.com/4-empowering-and-inclusive-lgbt-pregnancy-options/ EXCERPT: 30, 20, and even 10 years ago, there were far too many stereotypes surrounding individuals’ use of IVF to grow their families.  Thankfully, IVF and other fertility treatments are now such an integral part of our practice and the field of family planning services/fertility help in general. What was once a fairly stigmatized way to […] DATE_PUBLISHED: 2018-09-17T00:00:00Z DATE_UPDATED: 2026-03-04T00:30:02Z SCHEMA_TYPE: Article META_seo_title: 4 Empowering & Inclusive LGBTQ+ Pregnancy Options META_seo_description: Which of these pregnancy options could be right for growing your family? Learn more about how technology has made fertility journeys possible. TAX_category: Uncategorized BODY_CONTENT: | 30, 20, and even 10 years ago, there were far too many stereotypes surrounding individuals' use of IVF to grow their families.  Thankfully, IVF and other fertility treatments are now such an integral part of our practice and the field of family planning services/fertility help in general. What was once a fairly stigmatized way to grow families has become an anticipated and amazing part of our work.  This being said, many same-sex and LGBTQ+ couples have been able to have children easier and with far more support and resources than ever before. Sexual orientation no longer hinders or prohibits couples from having children and becoming loving parents in many of the ways shown here today.  The definition of a nuclear family in 2018 is completely different than it was decades ago, which we think is a wonderful thing! 4 Main Pregnancy Options for LGBTQ+ Families For male-male couples, one of the main steps in a journey to a healthy pregnancy is finding a personal connection to act as an egg donor. For many people, an egg donor is a friend or family member who will donate enough eggs for a viable cycle. If you choose this option, you will still need a surrogate to carry the embryos when ready--but at least the donor egg procurement stage is already done. If the above situation is not an option for you, you will need to take both steps: finding donor eggs and a surrogate. This is the main roadblock for our male-male couples who would like to start a family, as neither of you are able to carry the child. Depending on your state, you will face different legislation around whether the surrogate must be altruistic or can be paid. In New York, for example, for-profit surrogacy is not legal--and a paid surrogate can cost upward of $100,000. No matter which of the LGBT pregnancy options you choose, we will encourage inclusiveness and thoughtfulness of your partner along the way. For example, if you are both male, but would like to use your own sperm with the egg donor, we will suggest using one of your sperm for a first pregnancy, and the other's for a second pregnancy. Depending on your goals and preferences, though, we could split the first cycle's donor eggs in half and develop embryos with each partner's sperm. However, we'll also advise on implanting the right number of embryos that develop depending on your situation.  IUI remains the option of choice for same-sex female couples who do not technically have proven infertility. A same-sex female couple needs a sperm source. Thankfully, there are so many sperm banks now with so many options that even if you don’t have someone close to you who has offered to provide sperm, you can still go to a sperm bank, look through the profiles, and select a donor who matches the characteristics you are looking for. (See the next section for how we advise you during this process.) And finally, if we've identified any fertility roadblocks that may keep you from conceiving naturally or with IUI, we will pursue possible medical treatments or IVF. Timed egg release with IUI and tracking natural fertility, at first, can be a cost-efficient way to a healthy pregnancy. However, we might decide IVF is the best option based on your specific diagnosis and treatment plan.  Fertility Services Specific to the LGBTQ+ Community At Kofinas Fertility Group, we customize our relationships with each patient. But our patient flow can start from a standard process until you go through your own unique treatments as our patients. There are standard and non-standard tests we might run depending on you and your partner. We clearly state what we do differently from other clinics and talk through every option with our patients. Donor Selection and Genetic Counseling For two female partners, we assist in guidance for selecting donor sperm, genetic testing of the embryos, and the very common reciprocal carrying (if one partner wants to carry the other's eggs). We might also suggest timely fertility preservation, or preserving embryos for future children. Full Fertility Assessment to Ensure Efficiency in Donor Sperm/Egg Use While a full fertility work-up is certainly part of our work with any patient pursuing fertility assistance with us, we certainly want to call out here an additional reason why it's so important as a part of our services for LGBTQ+ patients. If you are using donor sperm or eggs, we recognize the possible additional costs your might have incurred and are sensitive to finding our absolute best possible attempts in each cycle. Our goal is to always identify any potential problems that could interfere with a healthy pregnancy, and this is especially true if you are using donor sperm or eggs. We want to be certain we've identified any fertility roadblocks to make sure we have the highest success rate possible and operate with great efficiency in respect to your journey--even before any rounds of lower-costing treatments, such as IUI.  Insurance and Medical Billing Challenges for LGBTQ+ Families Many of our same-sex couples are perfectly fertile or capable of carrying children, but they, however, choose a different path to build a family.  Unfortunately for our couples who do not have the option of carrying their own children (even if they each have no fertility conditions), the vast majority of insurances will not assist in surrogacy costs.  We help uncover conditions our patients may have affecting their fertility; with our diagnosis, there's a higher likelihood that health insurance will cover treatments, depending on the diagnosis.  Working With a Fertility Clinic Specializing in Your Needs We hope the above information was useful in your research to find the best possible options for growing your family according to your family's desires. When you're ready to pursue any of the above services or if you'd simply like to talk, Kofinas Fertility Group would love to help you. Our welcoming environment and expert staff have helped countless modern families pursue parenthood with customized treatment plans.  ### END_RECORD ### START_RECORD TYPE: post ID: 1429 TITLE: What Is the Most Common Fertility Problem for Men? URL: https://www.kofinasfertility.com/what-is-the-most-common-fertility-problem-for-men/ EXCERPT: Although male fertility challenges (e.g., low sperm count) can be overwhelming, it’s important to remember that many people experience problems in this area of their lives. Overall, infertility issues affect roughly 10% of couples worldwide, and of that amount, 40% of all cases can be tracked back to a male fertility issue. DATE_PUBLISHED: 2018-09-14T00:00:00Z DATE_UPDATED: 2026-03-04T00:32:25Z SCHEMA_TYPE: Article META_seo_title: What Are Common Fertility Problems for Men? META_seo_description: From common myths to actual fertility concerns, we dive into the real issues men face when it comes to sperm motility, health risks, and more TAX_category: Uncategorized BODY_CONTENT: | Although male fertility challenges (e.g., low sperm count) can be overwhelming, it's important to remember that many people experience problems in this area of their lives. Overall, infertility issues affect roughly 10% of couples worldwide, and of that amount, 40% of all cases can be tracked back to a male fertility issue. Typically, infertility has been unfortunately widely recognized as a "female problem," but more studies show that an equal responsibility is needed to ensure a healthy pregnancy.  With a level approach in mind, the best thing you can do to stay prepared is to understand the different ways that males can experience infertility. This includes what reasons contribute the most to infertility, what procedures and treatments are available, and what common factors may put someone at risk. Above all else, don't forget that infertility is a collective problem to overcome. There's no reason to feel alone or ashamed during the process because many people are searching for answers, and we’ll walk through many possible causes and common treatment paths today:  The Greatest Fertility Challenge that Men Face There are plenty of reasons out there that claim to be the cause of male infertility. Stories of men riding their bikes too much or using their computers over their laps are old wives’ tales but the greatest fertility challenge that men face always comes down to the condition of their sperm. For a man to have a good chance at conceiving, he must have sperm that carries a strong volume of semen, that has good motility, and holds the a proper shape for insemination. If any of these factors are out of place, chances of infertility will increase.  Although there are several other factors that can affect these conditions, one of the most diagnosed causes of male infertility that can disrupt sperm health is an issue with the testicles called Varicocele. In this case, veins within the testicles are enlarged, which creates too much heat that damages the quantity and shape of sperm cells. Thankfully, this issue is actually reversible, eventually resulting in heightened sperm levels and functionality, but there are still many others problems that men can encounter. Here are a few other common fertility issues that men can run into: Infections The male reproductive organ is a sensitive area, which makes it susceptible to all kinds of infections if one isn't careful. Basically, an infection will compromise sperm health and production, potentially creating scar tissue that can prevent sperm flow. Infections can occur anywhere throughout the reproductive organ, but issues within the epididymis and testicles are particularly harmful. In addition, sexually transmitted diseases (STD) have been known to cause infertility. Alcohol and Drug Abuse A drink or two at the end of the day isn't a big deal, but consuming too much alcohol can wreak havoc on your ability to conceive. Primarily, excessive drinking can stifle testosterone levels, which leads to issues with sexual performance and lower sperm counts. Studies also show that liver disease (often caused by alcoholism) has an effect on fertility. Drug use works in the same respect. Recreational drugs, like marijuana and tobacco, are known to decrease the quantity and quality of sperm, whereas prescription drugs and steroids can lower sperm production and create physical abnormalities within the testicles.  Ejaculatory Problems Male fertility depends on the healthy transfer of sperm throughout the male reproductive organ, so if anything prevents that process, infertility can arise. This is why problems with ejaculation are a major cause for concern. Ejaculatory problems may include premature ejaculation (ejaculation occurs before having intercourse) and retrograde ejaculation (semen enters the bladder after climax, rather than ejecting through the urethra). To make matters worse, problems with ejaculation can mean that other health issues are at the root of the issue.  Obesity When trying to start a family, the overall health of both partners is highly important, which means that staying active and following a healthy diet can greatly improve fertility. When a partner is overweight (male or female), hormones within the body start to change, creating a negative effect on reproductive organs and their functions. Especially for men, obesity will greatly impact the production of sperm and sexual performance, making it even more difficult to achieve pregnancy if other problems are present.  Cancer No matter what stage it's in, cancer can have a negative effect on fertility for both men and women. Essentially, cancer cells and tumors can grow within reproductive organs, disrupting their processes or halting them altogether. In some cases, glands that release vital reproductive hormones can be affected (pituitary gland), ultimately causing infertility. For men, this directly relates to sperm production and sperm health. Even cancer treatments, such as radiation therapy and chemotherapy, can negatively impact fertility. Although there are many factors that can damage male fertility, all of them boil down to the integrity and efficiency of sperm. Understanding sperm health and the conditions it needs to thrive are key in prevailing against infertility and achieving a healthy pregnancy, so of course, doing whatever you can to protect your sperm and its functions is a no-brainer. However, you'd be surprised at how much confusion there is surrounding male fertility and safeguarding its resilience. Common Myths About Male Fertility Aside from major health complications that require other procedures to solve, maintaining one's sperm health can be accomplished on a fairly basic level. Primarily, staying away from drugs and alcohol, eating healthy foods, and getting plenty of exercise will make a huge difference, but somehow, a slew of other problems have surfaced that scare men into making odd lifestyle choices.  The good news is that you shouldn't believe everything you read or hear about. Consulting with a medical professional will help relinquish many doubts or worries you may have about what causes infertility, but to give you some instant relief, here are some common myths that often get confused as fact: 1. Wearing Briefs Decreases Fertility This statement is completely false. Yes, there is proof that overheating the testicles can lower sperm production and quality, but the amount of heat needed to generate a defect is nowhere close to being created by wearing briefs.  2. Cell Phones and Laptops Near the Groin Cause Issues Surprisingly, some studies claim that radio-frequency electromagnetic waves distributed by cell phones have the ability to damage sperm cells. Basically, overexposure to these radio waves will affect sperm quality and motility, but the amount of information on this topic is hardly mainstream, which makes it somewhat difficult to believe. In addition, the act of placing a laptop over or near the groin relates back to the idea of creating too much heat in the testicles. A running laptop will not be able to create that much discomfort, nor will it have the heating power to cause infertility, unlike sitting in a hot tub for long periods of time. However, since laptops and smartphones have the ability to emit and receive Wi-Fi signals, there is some research that suggests how damaging it can be to overall sperm health. To be safe, try not to keep these devices too close to your vital organs, and if you must, then shut off your Wi-Fi connection when not in use. 3. Age Doesn't Have an Impact Cases of older men bearing children well past their prime isn't uncommon, but generally speaking, age plays a crucial role in the health and status of one's fertility. A good rule of thumb for a man to start worrying about their fertility is after the age of 40. At that time, sperm quality begins to decrease, putting the female partner at a greater risk of having a miscarriage, increasing the odds of birth defects, and even passing along various mental and health disorders. The idea that a man can have healthy sperm throughout his life is a dangerous way to think, and great care should be taken to ensure that a man, no matter what age, is healthy enough to carry out a successful, complication-free pregnancy.  Start Fresh with Kofinas Fertility Group Regardless of what your experiences have been in the past, trust that with the right kind of guidance and support, having the family of your dreams is entirely possible. Our team of health care professionals are ready and eager to help you along your journey, answering questions and giving you expert advice about treatments and plans that work best for you or a loved one. Remember, male infertility doesn't have to be a frightening problem that one faces alone, and instead, it can be an opportunity to be closer in your relationship with your partner and to reconnect with your personal health.  Are you ready to find answers? Schedule an appointment with us today! ### END_RECORD ### START_RECORD TYPE: post ID: 1384 TITLE: What Do Family Planning Services Cover? URL: https://www.kofinasfertility.com/what-do-family-planning-services-cover/ EXCERPT: When you’re dreaming about your future family, it’s important to know that you have many resources to help you better understand your options. There’s no “right” way to start a family. Whether you’re hoping to conceive soon or you’d like to wait until a different season of life, you have the power to grow your […] DATE_PUBLISHED: 2018-09-04T00:00:00Z DATE_UPDATED: 2026-03-04T01:13:01Z SCHEMA_TYPE: Article META_seo_title: Family Planning & Future | Proofing Your Growing Family META_seo_description: Get a better understanding of what our family planning services cover during your process with Kofinas. From your initial consultation to pregnancy TAX_category: Uncategorized BODY_CONTENT: | When you're dreaming about your future family, it's important to know that you have many resources to help you better understand your options. There's no "right" way to start a family. Whether you're hoping to conceive soon or you'd like to wait until a different season of life, you have the power to grow your family when you're ready.  These meaningful thoughts and conversations are the essence of family planning. And when you enroll the help of a fertility group, you unlock a world of family planning services and experts who are here to help you on your journey!  Let's start by defining "family planning" in a more concrete way to help you understand the types of services your fertility partner could help you with: Family planning is the process of preparing yourself for getting pregnant in the short and the long-term. It depends on a few things: Where you are in your reproductive timeline If you have children already or not If you're not sure if you want children, but you might want the option in the future Creating Your Unique Timeline Each of our patients has a unique fertility story. The family planning services you might need will depend on the timeline you'd like to follow to start your family.  To begin your process, you'll start with a consultation with your fertility specialist and an extensive work-up to identify any roadblocks or fertility conditions that might prevent pregnancy. If you're not yet ready to have a child, your family planning process might include examining your options for freezing your eggs or embryos--essentially freezing your fertility in time so that age may not prevent you from having biological children later on.  Debunking Common Misconceptions Another important aspect of family planning services is that your doctors will be there to help you dismiss any previous misconceptions you have about conception. A common misunderstanding too many people have about family planning is that it's only necessary to think through this phase of your life when you're actually ready to start having a family. Too often, we see patients in their 40's, and no one ever told them that not getting pregnant in their 30's might have been detrimental to their family plans. Your doctor can also help you understand the other options you'll have if you choose to pursue a fertility service like egg freezing. Just because you freeze embryos does not mean you have to go through implantation in the future. This may not be the way you grow your family in the future, and your doctor can help you better understand all of your options when it comes to any treatment or procedures you choose. Potential Surgery Or Fertility Treatments Lastly, your family planning experience might include surgical or outpatient procedures to help you conceive. There are certain conditions that we believe are essential to catch early (sometimes even before you'd like to get pregnant) and correct with surgery in order to decrease their impact later on. We identify issues like fibroids and intervene early, where minimally invasive, same-day surgery is possible and allows us to avoid a major open surgery. In other instances, your family planning might need to address more serious fertility treatments: congenital defects of the uterus that can cause infertility or miscarriage, uterine septum, endometriosis (stage 1-4), or other surgical corrections of anatomical issues that can restore your natural fertility or can assist medicated treatment cycles. Find Your Family Planning Team If the above plans seem like something you might be interested in now, in the future, or if you're curious about your own reproductive health, make an appointment to talk with our team. With the passage of FAFTA legislation in New York, the opportunity to start fertility services has never been better. We'd love to help you begin a family when the time is right. ### END_RECORD ### START_RECORD TYPE: post ID: 1446 TITLE: How to Increase Your Chances of Pregnancy After Cancer Treatment URL: https://www.kofinasfertility.com/how-to-increase-your-chances-of-pregnancy-after-cancer-treatment/ EXCERPT: If you’re facing cancer, your life may feel as if it’s just been flipped upside-down. While your prognosis and treatment will be unique, there’s one common fertility challenge (male or female!) question that many people battling cancer will ask: “How will this affect my ability to have children?” DATE_PUBLISHED: 2018-08-28T00:00:00Z DATE_UPDATED: 2026-03-04T00:29:21Z SCHEMA_TYPE: Article META_seo_title: Increase Your Chances of Pregnancy After Cancer Treatment META_seo_description: Learn how to increase your chance of pregnancy after cancer treatment with these options. TAX_category: Uncategorized BODY_CONTENT: | If you're facing cancer, your life may feel as if it's just been flipped upside-down. While your prognosis and treatment will be unique, there's one common fertility challenge (male or female!) question that many people battling cancer will ask: "How will this affect my ability to have children?" Why is family planning important when you're facing cancer treatments? In the last few years, we've seen an incredible survival rate increase in some previously more serious prognosis-rated cancers, such as breast cancer, blood cancers, and even melanoma. Powerful new treatment methods mean there's a very real chance that the cancer will be survived, and the survivor will have a long and healthy life. At Kofinas, our goal is to make sure that long and healthy life can include your dream of starting (or growing) your family! Advancing Our Advocacy As fertility advocates, our first step is to listen to your goals and to understand your situation. But before we move forward with a specific treatment plan, step two of our process is counseling you on the best options for achieving your goals. This is an essential development in the family planning world, as we begin to strive for accessible, timely education before you might begin any cancer treatment plan. We will work together to gather and sort through your options for fertility treatments. For our patients who will soon face cancer treatments such as radiation and chemotherapy, we need to advance our conversations to dive deeper into the possible limitations and alternatives after your treatment is complete. Men and women who want to pursue pregnancy after cancer treatment have a very short window of time (usually 2-3 weeks after diagnosis) to make these life-altering decisions--but it's a common misconception that this window is too small for freezing eggs or sperm cryopreservation. On the contrary, you actually have multiple options! Understanding Your Family Planning Options Too many people perceive egg- and sperm-freezing as a 2-month process which, of course, you can't afford when you're in need of immediate cancer treatment. However, we're actually able to start egg freezing as soon as you've had a consultation with our team. If we're able to extract enough eggs that appear viable, we will often be able to complete the process in 2-3 weeks. This is often the same length of time it may take you to schedule initial cancer treatments. Another interesting option you might consider is freezing ovarian tissue, which can be done in just 24 to 48 hours. Ovarian tissue is removed in a simple procedure, and then frozen. If you decide to try for pregnancy in the future, we will re-implant the tissue to encourage your eggs to mature again. If your oncologist feels you do not have time for a cycle of egg or embryo freezing, this could be an answer. This is not a widely offered service, but especially here at Kofinas, we pursue any possible options. Ovarian tissue-freezing will become more popular in family planning over the next few years across the country. Your Next Steps Make an appointment today with our team to better understand the option that's right for you. When a future family is on the line, let us help you keep your options open as you focus on the fight at-hand.   ### END_RECORD ### START_RECORD TYPE: post ID: 1401 TITLE: What to Do If Your Sperm Count Is Low URL: https://www.kofinasfertility.com/what-to-do-if-your-sperm-count-is-low/ EXCERPT: If you’re just finding out that you have a low sperm count, you’re not alone. Since 1973, sperm counts within western countries have fallen over 50 percent, which means there is an increasing number of solutions coming from fertility specialists.   It’s important to remember that sperm count simply represents the volume of semen released during sexual […] DATE_PUBLISHED: 2018-08-23T00:00:00Z DATE_UPDATED: 2026-03-04T01:09:10Z SCHEMA_TYPE: Article META_seo_title: What to Do If Your Sperm Count Is Low | Kofinas Fertility META_seo_description: Learn more about why your sperm count might be low and the natural, medicinal, and surgical options you have for restoring your fertility and more TAX_category: Uncategorized BODY_CONTENT: | If you’re just finding out that you have a low sperm count, you're not alone. Since 1973, sperm counts within western countries have fallen over 50 percent, which means there is an increasing number of solutions coming from fertility specialists.   It’s important to remember that sperm count simply represents the volume of semen released during sexual activity. For example, if you have less than 15 million sperm per milliliter of semen, then your count is considered low. In terms of the wider population, a 50 percent decrease over the years actually means a decrease from a normal count of 99 million sperm per milliliter to a normal 47 million sperm per milliliter. Needless to say, there is still hope for maintaining your levels, but only if you know what proactive health initiatives to prioritize in your day-to-day life. Possible Causes of a Low Sperm Count There are a variety of reasons why your sperm count may decrease over time. Sperm production in the body requires healthy functioning of the brain, which regulates hormones to communicate with the testicles, thus allowing for successful movement through the reproductive organ. If anything jeopardizes this process, sperm levels will surely be affected. Here are a few medical, environmental, and health related reasons why your sperm count could be low:   Medical Infections to the testicles or epididymis Tumors that prevent the transfer of hormones or disrupt normal reproductive organ function Sexually transmitted diseases (STDs) like Gonorrhea or HIV that stifle the flow of semen Varicocele, which causes swelling to the veins that help relieve the testicles of fluid Prior surgeries, such as hernia repairs, vasectomies, testicular operations, abdominal surgeries, etc. Environmental Exposure to harmful chemicals or pesticides High levels of radiation or frequent x-rays Subjecting the testicles to frequent, intense heat, like hot tubs or saunas Health Obesity Drug and alcohol use Smoking cigarettes Stress from work or emotional fatigue These are all important reasons to explore if you’re experiencing any issues with your sperm levels. Not only can each one can give you some insight into what’s causing your decline, but it can also show you how to reverse your sperm count and lead a healthier lifestyle.   How to Increase Your Sperm Count The good news is that there are several ways—natural, medicinal, or surgical—to increase your sperm count and regain healthy functionality. Once you can pinpoint your issues with a fertility specialist and begin a treatment plan, you’ll be surprised at how quickly your levels can change.   Natural Remedies According to Medical News Today, there are several natural, non-pharmacologic remedies you can implement to increase your sperm count.   Get Plenty of Rest and Exercise Studies show that consistent exercise at an increased heart rate up to 3 times a week can improve the volume of sperm in men who battle with obesity and who are above the age of 45 years old. In addition, periods of intense workouts followed by full hours of rest (between 6-8 hours) can help eliminate stress both physically and mentally. Stress has a way of preoccupying the body with anxiety or depression, and too much of it can lower your sexual ability.   Avoid Smoking, Drinking & Drug Use, and Prescription Medications Smoking is known to reduce sperm levels—period. Aside from it being terrible for your overall health, several studies show individuals who smoke suffer from reduced sperm counts, among many other heath risks. Alcohol consumption and drug use work in the same respect. Substances that damage the integrity of brain functions and signals to the rest of the body have a direct correlation to your reproductive organs, so refraining from them can significantly improve your reproductive health. In addition, certain prescription drugs are known to lessen sperm levels, so you should limit or stop your intake if at all possible.   Eat a Healthy Diet Rather than eating trans fats with high levels of acidity, a good diet to increase your sperm count consists of healthy omega-3s, omega-6s, along with the consumption of antioxidant-rich foods. The omegas will aid in developing strong sperm membranes, while the antioxidants ward off any threats to the integrity of your reproductive cells. Here is a list of antioxidants that have shown improvements to sperm levels. Plus, there is also a list of healthy foods to choose from if you’re not sure where to start!   Medicinal Remedies If natural remedies aren’t showing any improvements, seeking medicinal options may provide you with some positive results. Essentially, fertility medications aim to stimulate hormone and semen production, stabilize blood sugar levels, regulate blood flow, and increase sexual drive. Here is a full list of the most common fertility drugs for men, but be advised: many of these drugs come with side-effects that can cause issues with other parts of the body. It’s always best to consult with your doctor before choosing this treatment option.   Surgical Procedures After having no success with natural remedies and medications, the last treatment option to consider is to undergo surgery to repair the damaged areas and revitalize sperm levels. Keep in mind, these procedures should only be done after trying other methods with little to no improvements. Surgery of any kind has a level of risk to consider, but operations can prove to be a major benefit in some cases. Here are common surgical procedures that can help increase your sperm count:   Sperm Duct Microsurgery A procedure to remove build-up or blockages from the ductile system of the reproductive organ.   Varicocele Repair A mass of knotted veins is blocked off and relieved through a small cut in the lower abdomen. Over 50 percent of cases treated with varicocele surgery show increased sperm levels in a 6-month period.   Microsurgical Sperm Retrieval For patients who experience issues with their reproductive organs, sperm is surgically extracted from the sperm ducts and used for an intracytoplasmic sperm injection (ICSI).   Reverse Vasectomy This is a procedure to reverse a prior vasectomy operation. Choosing to undergo surgery to increase your sperm count can be a tough decision to make. However, you should know that speaking with your partner and healthcare professional is a great way to alleviate any confusion about what options are available to you.   Kofinas Fertility Group Is Here to Help It can be frightening to know that your sperm count has decreased, but thankfully, Kofinas Fertility Group specializes in fertility medicine and is dedicated to alleviating any fertility situations you may face. We create a specialized treatment plan based on your exact needs with the best healthcare professionals in the industry. That same dedication is what positions us as a leading practice for over 30 years in New York City, having a team of doctors with over 70 years of fertility experience. Whether you need a consultation to examine your lifestyle habits or are curious about undergoing a surgical procedure, Kofinas Fertility Group can answer all of your questions. More importantly, you can rest assured knowing you’re not alone during your recovery. ### END_RECORD ### START_RECORD TYPE: post ID: 1391 TITLE: 4 Ways Laparoscopic Surgery Can Help With Infertility URL: https://www.kofinasfertility.com/4-ways-laparoscopic-surgery-can-help-with-infertility/ EXCERPT: What are the different treatment options available for infertility? There are several ways that doctors can help with your infertility issues. One technique is minimally invasive surgery (i.e. laparoscopy and/or hysteroscopy) that can be done at an in-house New York fertility surgery center. Laparoscopy is a surgical procedure that involves a fiber optic scope that […] DATE_PUBLISHED: 2018-08-13T00:00:00Z DATE_UPDATED: 2026-06-09T03:10:28Z SCHEMA_TYPE: Article META_seo_title: What are the different treatment options available for infertility? META_seo_description: Minimally invasive laparoscopic surgery can be beneficial for endometriosis, treating cysts or fibroids, and removing lodged IUDs. TAX_category: Fibroids TAX_category: Endometriosis TAX_category: Fertility BODY_CONTENT: | What are the different treatment options available for infertility? There are several ways that doctors can help with your infertility issues. One technique is minimally invasive surgery (i.e. laparoscopy and/or hysteroscopy) that can be done at an in-house New York fertility surgery center. Laparoscopy is a surgical procedure that involves a fiber optic scope that is inserted into small incisions near a patient’s navel. Laparoscopy and minimally invasive intervention in general is replacing other more invasive techniques wherever possible. This is due to the fact that laparoscopic techniques avoid large incisions, inflammation, and excess scar tissue. Laparoscopic surgery has become a preferred operation method for bariatric surgeries and gallbladder removals - but especially for gynecologists and the field of infertility. Minimally invasive laparoscopic surgery can be beneficial for endometriosis, treating cysts or fibroids, and removing lodged IUDs. Let’s take a look at the four different ways this type of surgery can be beneficial for both treating the causes of infertility, managing pain, and preserving fertility for later in life. Endometriosis Treatment Endometriosis is a condition in which the uterine tissue actually grows outside of the uterus instead of lining it, which causes severe pain, heavy periods and sometimes even infertility. Endometriosis affects approximately 5 million women across the United States alone. Common symptoms of endometriosis can include: Extreme pain or discomfort before or during menses Breakthrough bleeding between periods Abnormal urination or bowel movements Unusual fatigue Painful intercourse However, one of the most notable symptoms, and often most painful, is infertility. Inflammation of the fallopian tubes and fimbriae can cause swelling and scarring which can create a hostile environment for both sperm and eggs to survive. Additionally, the scar tissue can completely block the fallopian tubes, which in turn can block a fertilized eggs from reaching the uterus. This can be extremely frustrating for women wanting to start a family, but minimally invasive laparoscopy can resolve this thru cauterizing, lasering or removing the lesions caused by endometriosis.  Ovarian Cystectomy An ovarian cystectomy is a process of removing cysts from one or both of a woman’s ovaries. Ovarian cysts are fluid-filled sacs that form in the ovary that typically form during ovulation. Often times ovarian cysts are harmless, but for some women, they can cause extreme discomfort, including bloating and swelling in the abdomen. In rare cases, ovarian cysts can even become cancerous. If a cyst ruptures, it can cause sudden, severe pain which can interfere with a woman’s day-to-day activities. Because of this, doctors will often times suggest surgery to remove cysts that are growing too large, causing unusual pain or does not seem to be going away after menstrual cycles. Unlike open surgical procedures, treatment with minimally invasive laparoscopy is a great option since it requires only a small incision, removing the cysts while still keeping the ovaries and surrounding muscles intact. Myomectomy Another similar procedure to an ovarian cystectomy is a myomectomy, which is the removal of fibroids from the uterus. Uterine fibroids are generally non-cancerous growths that can occur in the uterus during a woman’s childbearing years. In addition to pelvic pain and irregular or heavy periods, these fibroids can also cause blockages in the uterus that can make it more difficult to conceive. With uterine fibroids, it may be harder for an embryo to successfully implant itself in the uterus. A myomectomy can be successfully completed with minimally invasive laparoscopy, which can reduce the risk of excessive blood loss, buildup of scar tissue, complications with childbirth and other risks that come along with open surgeries, which could even lead to having to have a full hysterectomy. Lysis of Adhesions As seen with all three of the conditions mentioned above, scar tissue (i.e. from endometriosis or cesarean birth) in the uterus can be a problem for women who are trying to conceive. Lysis of adhesions is a procedure in which the scar tissue in the uterus is removed or scar tissue outside the uterus in the abdominal cavity. Symptoms of uterine adhesions may include a light or non-existent menstrual period severe pelvic pain infertility and sometimes even recurrent miscarriages Lysis of adhesions is best done with minimally invasive techniques laparoscopy/hysteroscopy because it reduces the risk of additional adhesions from forming after the resection. This will increase the chances of fertility in the future and prevent any further complications from uterine adhesions. These four conditions can be treated and successfully overcome with the help of minimally invasive procedures, laparoscopy/hysteroscopy. Laparoscopic/hysteroscopy surgery is a great option for women who are having issues with infertility but want to minimize risks and avoid further complications from major surgeries.       So, What Should I Do Next? If you're struggling with (or suspect you might be battling) the above conditions, you need unconditional support and expertise to tackle the problem and achieve the family of your dreams. Kofinas Fertility Group offers comprehensive treatment for all fertility issues, including issues that require surgical care such as laparoscopic surgery. Our team of experts are highly experienced with reproductive surgeries to maximize your chances of conception. Depending on your specific condition, a custom surgical plan is developed to best fit your individual needs. To learn more about laparoscopic surgery and additional fertility treatments, schedule an appointment today to be informed of your options.   ### END_RECORD ### START_RECORD TYPE: post ID: 1407 TITLE: The Effect of Endometriosis on Fertility URL: https://www.kofinasfertility.com/the-effect-of-endometriosis-on-fertility/ EXCERPT: For a fairly common condition, endometriosis is often misunderstood and misdiagnosed. This can become especially frustrating when you’re struggling to get pregnant. It is estimated that up to 35% – 50% of women with endometriosis experience female fertility challenges as a result, and that’s on top of the pain that many women with endometriosis experience! […] DATE_PUBLISHED: 2018-07-18T00:00:00Z DATE_UPDATED: 2026-03-23T04:49:11Z SCHEMA_TYPE: Article META_seo_title: Does Endometriosis Effect Fertility? | Kofinas Fertility META_seo_description: With 35%-50% of women with endometriosis experiencing fertility challenges, it is important to understand what endometriosis is and how it can be treated. TAX_category: Uncategorized BODY_CONTENT: | For a fairly common condition, endometriosis is often misunderstood and misdiagnosed. This can become especially frustrating when you’re struggling to get pregnant. It is estimated that up to 35% - 50% of women with endometriosis experience female fertility challenges as a result, and that’s on top of the pain that many women with endometriosis experience! Because endometriosis presents differently in every person, it is often misdiagnosed, or not diagnosed at all until fertility challenges arise. Learning more about endometriosis can help unravel some of the mysteries of your fertility challenges. This video takes on the common myth that if you have endometriosis, you're infertile. What is Endometriosis? Endometriosis occurs when the layer of tissue that normally lines the uterus - the endometrium - is found in other parts of the body. It is most often found on the ovaries and fallopian tubes, but in very rare cases has been found throughout the body, including on the bowels, liver, lungs, diaphragm, or even the brain. Although no one is sure exactly what causes endometriosis, some theories include: Retrograde Menstruation - menstrual blood containing endometrial cells enters the abdominal cavity through the fallopian tubes. Surgical Scar Implantation - after a C-section, hysterectomy, or other surgery on the uterus, endometrial cells can attach to the incision. Embryonic or Peritoneal Cell Transformation - hormonal or immune system factors transform these cells into endometrial cells. Even though this endometrial tissue is outside of the uterus, it is still affected by monthly hormonal changes. This means that when you are having a normal menstrual cycle, this tissue will also swell, break down, and bleed. Since there is no place for this tissue to go, it can cause pain and, in severe cases, scarring and adhesions. How Can It Affect My Fertility? There are two main ways that endometriosis may contribute to infertility: Pain Blockage or Damage to Reproductive Organs Pain Endometriosis can range from mild to severe, totally painless to almost debilitating. And severity and pain are not always correlated. Some women who have mild cases of endometriosis experience terrible pain, while women with severe cases don’t experience much pain at all. It all depends on where the endometrial tissues has attached in the body. For many women, the pain associated with endometriosis is directly related to their periods, and some women experience pain during or after sex. This can have an obvious effect on your ability to conceive and you may need the help of a fertility specialist to resolve it. Blockage or Damage to Reproductive Organs The most common places to find endometriosis is on the fallopian tubes or ovaries. Endometrial issues in or on the fallopian tubes can: prevent sperm from reaching the egg prevent the egg from traveling to the uterus increase the risk of ectopic pregnancy (in the event that the egg is fertilized)   The ovaries can also be affected by endometriosis. When endometrial tissue is found on the ovaries it can become an endometrioma, a benign cyst that may make it more difficult for ovulation to occur normally. Depending on the severity, where it is located, and how long it goes untreated, endometriosis can cause the development of scar tissue and adhesions - fibrous bands of tissue that can cause different organs to get stuck together and is often very painful. I Think I Have Endometriosis - What Should I Do? If you have been experiencing severe pain associated with your period, experience pain during or after sex (or with bowel movements or urination), or you have been struggling to get pregnant for six months to a year, it may be time to visit a fertility specialist. The only way to definitively diagnose endometriosis is through minimally invasive laparoscopy. Despite the long and complicated name, this is a fairly simple, outpatient procedure. Small incisions are made near the navel, and an endoscope - a small flexible camera - is inserted to give your doctor a clearer view of your pelvic cavity, uterus, fallopian tubes, and ovaries. What Will Happen if I Have Endometriosis and I Get Pregnant? If you have endometriosis and you do get pregnant - either with the assistance of a fertility specialist or without - any symptoms caused by your endometriosis might actually improve. Since you won’t get your period while you’re pregnant, the monthly hormonal changes that affect the endometrial tissue will stop (a double bonus!). Your doctor will want to know if you have previously been diagnosed with endometriosis and may do some extra monitoring during your pregnancy. Because endometriosis can continue to increase in severity, some doctors may recommend not delaying pregnancy in case your symptoms and their effect on your fertility worsen. What’s Next? Diagnosing endometriosis is a complicated process. The first step will most likely be a pelvic exam, followed by a transvaginal ultrasound, and finally - if appropriate - endometriosis surgery, also known as laparoscopy. There are many options for managing your endometriosis, and when you decide you’re ready to grow your family, our fertility experts are here to help. You can read more about all of our fertility therapies, or if you’re ready to get started, you can request an appointment. We can’t wait to meet you! ### END_RECORD ### START_RECORD TYPE: post ID: 1422 TITLE: Intrauterine Insemination: the Advantages and Disadvantages URL: https://www.kofinasfertility.com/intrauterine-insemination-the-advantages-and-disadvantages/ EXCERPT: If IVF is the first thing you think of when you hear “fertility care” you’re not alone. Although IVF has revolutionized fertility medicine since the first successful IVF pregnancy in the 1970s, there are many other treatments that might be more appropriate. So, depending on the cause of your fertility challenges (male/female), a great place […] DATE_PUBLISHED: 2018-06-14T00:00:00Z DATE_UPDATED: 2026-03-04T00:33:35Z SCHEMA_TYPE: Article META_seo_title: Advantages & Disadvantages of Intrauterine Insemination META_seo_description: When you're starting fertility treatments, it usually makes sense to begin with the less invasive (and less expensive) procedure intrauterine insemination. TAX_category: Uncategorized BODY_CONTENT: | If IVF is the first thing you think of when you hear “fertility care” you’re not alone. Although IVF has revolutionized fertility medicine since the first successful IVF pregnancy in the 1970s, there are many other treatments that might be more appropriate. So, depending on the cause of your fertility challenges (male/female), a great place to start might be a low complexity therapy like intrauterine insemination (IUI).   History of IUI IUI is one of the first types of fertility intervention procedures recorded. The first documented use of IUI was in London in the 1770s by John Hunter, sometimes referred to as “the founder of scientific surgery.” In John Hunter’s time, semen was collected post-coitally with a “warmed syringe.” Thankfully, advancement in medicine and technology have made the processes simpler, more controlled, and more effective. IUI is most often recommended for: couples with unexplained infertility, male factor infertility - usually meaning low sperm count or poor sperm motility - or for couples or individuals using donor sperm. Overall, the procedure is simple and can be broken down into 3 main steps: Ovulation is tracked to identify a fertile period Semen is collected and washed Sperm is inserted directly into the uterus using an insemination catheter Sperm washing is important for two reasons: it removes everything but the healthiest and most mobile sperm which have the best chance to reach the egg, and because inserting semen directly into the uterus can cause cramping and pain. Once ovulation is triggered and the sperm is prepared, the actual IUI is very similar to a pap smear. A speculum is used to gently expand the vaginal walls, and then the insemination catheter is inserted through the cervix to inject the washed sperm. Advantages of IUI IUI has two main advantages over other types of fertility treatments. It is: Less invasive Less expensive Because the eggs don’t need to be removed from the body, the whole process is far less invasive for the woman carrying the pregnancy. IUI also costs less than IVF since no egg extraction or laboratory monitoring is needed. Sounds pretty good, right?   Disadvantages of IUI Though IUI can be a great option for some people, it does not address several factors that might be causing your infertility. For IUI to be effective, the woman carrying the pregnancy needs to be ovulating and have healthy and undamaged fallopian tubes, and the sperm used has to be healthy and mobile enough to reach the egg. Depending on the cause (or causes) of your infertility, IUI might not be enough to help you successfully get pregnant. What Comes Next? If you are over 35 and have been struggling to get pregnant for more than six months, or under 35 and have been trying for over a year, it may be time to consider fertility treatments. Whether you need IUI, semen analysis, IVF, or a combination of treatments, our fertility experts are here to answer your questions and advise you on the best treatments for you, your family, and your goals. Contact us today! ### END_RECORD ### START_RECORD TYPE: post ID: 1457 TITLE: Why Do Women Freeze Their Eggs? URL: https://www.kofinasfertility.com/why-do-women-freeze-their-eggs/ EXCERPT: Just chill baby! Hit the snooze button on your biological clock! Freeze and forget about it! DATE_PUBLISHED: 2018-05-30T00:00:00Z DATE_UPDATED: 2026-03-04T00:27:52Z SCHEMA_TYPE: Article META_seo_title: Why Do Women Freeze Their Eggs (Oocyte Cryopreservation)? META_seo_description: Freezing your eggs doesn't mean that they have to be used to conceive, but if you have fertility issues when ready to have a child, they will be available. TAX_category: Egg Freezing TAX_category: Fertility BODY_CONTENT: | Just chill baby! Hit the snooze button on your biological clock! Freeze and forget about it! We’ve been hearing a lot about egg freezing in the past few years but there’s a common misconception that women are freezing their eggs solely to focus on their careers. A job isn’t the only reason why women are putting their eggs on ice though. Sometimes, it may come down to one simple factor – they haven’t met “the one” yet. Imagine that? Actually holding out till you meet someone you want to spend the rest of your life with? Egg freezing is when eggs are frozen and stored. Freezing your eggs does not mean that you will have to use them to conceive, but if you find you have fertility issues when you are ready to have children, they are available as an option. The freezing process is called vitrification. Vitrification instantly freezes your eggs at the quality they were when you went through this family planning/fertility help process. Declining Reserves We’ve heard time and time again that age and fertility are a factor. This is because women are born with approximately two million eggs in their ovarian reserve and that reserve decreases as the years go by. By your mid-twenties, you may already be down to 300,000 eggs. Then, around 35, the quality and quantity begin to drop. As per the American Society of Reproductive Medicine, women under 30 have about a 25% chance of getting pregnant. Women over 30 have a 20% chance, and by 40, it’s drops to a noteworthy 5%. If women want to make sure they don’t settle (which is smart thinking!), and they know that their ovarian reserve is decreasing the older they get, getting their fertility tested, seeing where their health is at and considering freezing their eggs seems like a viable option. That way, they can play the field, continue dating the person they are seeing a little longer to be sure, or swipe left as many times as they want to without worry about their egg quality. When is a Good Time to Freeze Your Eggs? Whether you’re newly divorced, married but not yet ready to have children (you can freeze both eggs and embryos in that case), in a relationship but not certain if it’s serious just yet, or you know for sure you’re very much dating someone you’ll be telling your therapist about rather than your future kids, these are all reasons to consider pursuing freezing your eggs. To find if you’re a candidate for egg freezing, you can make an appointment with Kofinas Fertility where we will discuss your overall health history and perform a physical exam plus an ultrasound. This will enable us to view your uterus and ovaries to make sure everything looks normal. An ultrasound will also provide an idea of how many eggs you have. Then, some blood work will be taken to look at your hormone levels. Even in circumstances where egg freezing is elective and non-medical, an unknown fertility issue can occasionally be discovered. Of course, this can range from polycystic ovary syndrome to endometriosis to blocked fallopian tubes but the good news is if the interest in egg freezing helped discover this issue, we can treat it and help you manage it proactively! Whatever your reason for considering egg freezing; career, love, health or all of the above - why not get the egg rolling today and make an appointment for a fertility assessment? The future you (not to mention your future partner) might thank you for it! ### END_RECORD ### START_RECORD TYPE: post ID: 1432 TITLE: What Should You Expect With In Vitro Fertilization? URL: https://www.kofinasfertility.com/what-should-you-expect-with-in-vitro-fertilization/ EXCERPT: If you’re thinking about fertility treatments, you’ve probably heard of in vitro fertilization. The name comes from the Latin “in vitro” which means “in glass” (impress your friends on your next trivia night!) referring to the petri dish where the eggs and sperm are brought together. Successful IVF in humans began in the 1970s and […] DATE_PUBLISHED: 2018-05-15T00:00:00Z DATE_UPDATED: 2026-03-04T00:31:44Z SCHEMA_TYPE: Article META_seo_title: What Should You Expect With In Vitro Fertilization? | Kofinas META_seo_description: In vitro fertilization is one of the most popular types of fertility treatments, but what is the process like? TAX_category: Uncategorized BODY_CONTENT: | If you’re thinking about fertility treatments, you’ve probably heard of in vitro fertilization. The name comes from the Latin “in vitro” which means “in glass” (impress your friends on your next trivia night!) referring to the petri dish where the eggs and sperm are brought together. Successful IVF in humans began in the 1970s and the popularity and success rates have only increased since then. Even if you understand the basics of what IVF is, you might still be wondering what is IVF like? Well wonder no more - find out what you can expect with IVF below! History of IVF The first baby conceived as a result of in vitro fertilization was born in 1978. At the time IVF was considered experimental and potentially unethical by both the medical community and the public, but quickly became mainstream as more and more couples were able to have a baby when it would have been impossible before. Since that time, success rates with IVF have more than doubled, and freezing technology has expanded the timeline from fertilization to implantation almost infinitely. Today, the reasons for choosing IVF have expanded beyond the original uses. Some of the most common reasons for IVF include: inability of the egg to reach the uterus inability of the sperm to reach the egg an opportunity to test for genetic abnormalities before implantation When there is damage to or obstruction in the fallopian tubes it may be impossible for an egg to reach the uterus after ovulation. Not only can this prevent pregnancy, if the egg is fertilized the risk of an ectopic pregnancy can increase. While blockages in the fallopian tubes can sometimes be solved by minimally invasive laparoscopic surgery, IVF is another solution. When there is low sperm motility - the ability of the sperm to move normally - it can prevent sperm from reaching the egg. This is also true with low sperm count or abnormal sperm morphology. For couples at risk for passing on a genetic condition to their children, IVF provides an opportunity to test for those genetic disorders before implantation and pregnancy. If any genetic disorders are identified, IVF makes it possible to select only the healthiest embryos with the highest chance of success. The IVF Process In a normal monthly cycle, your body will mature and release one egg. When preparing to undergo IVF, you will begin a regimen of medications that cause the ovaries to mature multiple eggs at once. Once matured, the eggs are collected in an outpatient procedure under anesthesia. These collected eggs are then taken to the lab where the actual in vitro fertilization takes place. Sperm that has been processed to remove all seminal fluid - an important process called sperm washing which leaves only the healthiest and most mobile sperm - is introduced to the collected eggs. The combined eggs and sperm are then monitored for the next 18 to 24 hours to make sure that fertilization occurs and embryos are created. If you are interested in doing any genetic testing of your embryos, now is the time. There are two basic categories of genetic testing: Pre-implantation genetic diagnosis (PGD) Pre-implantation genetic screening (PGS) PGD is used for known potential genetic disorders or defects, while PGS lets us identify embryos with the right number of chromosomes. An abnormal number of chromosomes can cause a pregnancy to fail, so this type of testing can be an important step to give you the best chance for a successful implantation and pregnancy. Once your embryos have been successfully created, a few will be chosen to be transferred. Now comes a difficult part of the process - the dreaded Two Week Wait. This refers to the amount of time it takes to identify pregnancy hormones in the bloodstream and confirm that implantation and pregnancy have occurred. The waiting is horrible, but you can do it! And after two weeks, hopefully, you will find out that you are pregnant!   Is IVF Right for You? IVF is so closely associated with fertility treatments that some people don’t know what other options are available. Depending on your unique family situation there may be some less invasive treatments that will be recommended before turning to IVF. The first step on the road to growing your family with fertility treatments is to choose a fertility specialist that you trust and set up an appointment. Let’s start building your dream family!   ### END_RECORD ### START_RECORD TYPE: post ID: 1390 TITLE: PGS – How This Acronym Can Provide Insight Into Your Embryos URL: https://www.kofinasfertility.com/pgs-how-this-acronym-can-provide-insight-into-your-embryos/ EXCERPT: If you’ve never heard of PGS, it stands for Preimplantation Genetic Screening and it’s a procedure used to determine the chromosomal status of an embryo created through In Vitro Fertilization (IVF). If you have been going through IVF or even if you haven’t been going through treatment but have suffered several miscarriages, you may want […] DATE_PUBLISHED: 2018-05-08T00:00:00Z DATE_UPDATED: 2026-03-04T01:11:52Z SCHEMA_TYPE: Article META_seo_title: IVF Success with PGS: A Comprehensive Guide for Growing Families META_seo_description: Preimplantation Genetic Screening or PGS is a procedure used to determine the chromosomal status of an embryo created through in vitro fertilization TAX_category: Uncategorized BODY_CONTENT: | If you’ve never heard of PGS, it stands for Preimplantation Genetic Screening and it’s a procedure used to determine the chromosomal status of an embryo created through In Vitro Fertilization (IVF). If you have been going through IVF or even if you haven’t been going through treatment but have suffered several miscarriages, you may want to learn more about Preimplantation Genetic Screening (PGS). As a patient, you are your best advocate so the more you know, the more you can speak to your doctor and see if this is something worth exploring. A Quick DNA Lesson First, some math. 46 chromosomes (2 copies of each) is the total number of chromosomes in a human cell. This translates to 23 pairs per cell. If someone has an extra chromosome in one of those pairs (meaning they have 47 in total), this extra chromosome is called a trisomy. One example of a chromosomal abnormality that can be detected by PGS is an extra copy of chromosome 21, which causes a trisomy 21 or Downs Syndrome. Chromosomal abnormalities are primarily responsible for failure of implantation of IVF embryos and put the patient at higher risk for miscarriage. What is PGS and How is it Different from PGD? Preimplantation Genetic Screening (PGS) is a a test used to screen an embryo for a normal chromosome number. Preimplantation Genetic Diagnosis (PGD) is a test used when screening an embryo for a specific gene disorder, such as sickle cell anemia, cystic fibrosis or Tay-Sachs. In both cases, these tests can only be performed on embryos created through IVF. How Does PGS Work? Both PGS and PGD are performed prior to an embryo transfer to help identify specific genetic conditions. A few cells are removed from the embryo (specifically the portion of the embryo destined to be the placenta) and are tested for chromosomal abnormalities or certain genetic mutations. The embryo is frozen right after it is biopsied while you and your doctor wait for the results of the testing. Healthy embryos are then subsequently thawed and transferred to the woman (or gestational carrier) in the hopes that it will implant and result in a healthy pregnancy. Benefits of PGS GS screens for overall genetic normality, this means that the embryos transferred typically have a higher implantation rate and a lower chance of miscarriage. Some who may want to consider using PGS are those who are of advanced maternal age (as the older you get, the higher the risk is for having more genetic abnormalities), those who have a history of multiple failed IVF cycles or those who have recurrent unexplained miscarriages.  However, PGS can be effective in all age groups and allows for a quicker interval to pregnancy and decreased rates of miscarriages in general. Questions You May Want to Ask as Kofinas Fertility About PGS: Does PGS harm the embryo in any way?  Who do you recommend should consider using PGS? How much does PGS cost? If I’ve had recurrent miscarriages, do you think PGS will help? What are the success rates of single embryo transfer following PGS versus no PGS? Although no one relishes the idea of adding more steps to an already long family building journey, if screening up front can prevent considerable complications down the road and increase your odds of carrying a chromosomally healthy baby to term, it sincerely is worth it. Please make an appointment with us so we can discuss it further! ### END_RECORD ### START_RECORD TYPE: post ID: 1394 TITLE: Preconception Planning Checklist URL: https://www.kofinasfertility.com/preconception-planning-checklist/ EXCERPT: It is National Infertility Awareness Week (NIAW) and the theme is, “Flip the Script”. This is about changing the conversation around infertility. One of the things we want to accomplish around this theme is to get the public thinking more about fertility in general. For us, flipping the script is to get the public to […] DATE_PUBLISHED: 2018-04-20T00:00:00Z DATE_UPDATED: 2026-03-04T01:10:19Z SCHEMA_TYPE: Article META_seo_title: Preconception Planning Checklist | Preparing For Pregnancy Checklist META_seo_description: We have put together a preconception planning checklist to keep things organized while you're trying to get pregnant. TAX_category: Uncategorized BODY_CONTENT: | It is National Infertility Awareness Week (NIAW) and the theme is, “Flip the Script”. This is about changing the conversation around infertility. One of the things we want to accomplish around this theme is to get the public thinking more about fertility in general. For us, flipping the script is to get the public to be proactive instead of reactive about their fertility health. If you’re considering having a family, we’ve put together a preconception planning checklist for you to start going through and considering now. So get your pencils out and let’s go through each one, shall we? Preconception Tips: Check It Off ✔ See Your Primary Care Physician: Speak to your doctor about your pregnancy plans, have a complete physical and request they look for any conditions that might impact your chances of getting pregnant or carrying a healthy baby to term. In general, knowing you are in good health is always a good idea! ✔ Don’t Hesitate to Vaccinate: When was the last time you had a tetanus shot? Also, are you up to date on your chicken pox and rubella vaccinations? Make sure to review all of this with your primary care physician. Some illnesses can potentially cause miscarriages or severe birth defects so if there’s something to help avoid that, it’s best to do so sooner rather than later. If it turns out you do need to get certain vaccines, also ask your doctor how long you should wait (if at all) between the vaccinations and getting pregnant. ✔ Medical Condition Lock Down: Pregnancy significantly increases demands on your body - changes in hormones, metabolism, blood circulation, etc. If you have a chronic condition, speak to any of the necessary specialists to take the time now to find ways to manage it or address it ahead of your pregnancy to make it more manageable. ✔ Get a Fertility Work Up: If you’re a woman, you would see either your OB/GYN or a Reproductive Endocrinologist to run bloodwork to check your Follicle-Stimulating Hormone (FSH), estradiol and Anti-Mullerian Hormone (AMH). Your FSH will indicate how many follicles/eggs you have in your reserve and your AMH provides insight on the quality. Then, an ultrasound will be performed to examine the number of follicles on your ovaries. The number of follicles you have directly correlates with the number of eggs you have in your reserve. They will also look at your uterus and fallopian tubes to see if there are any polyps, fibroids, cysts or blockage. The blood work, ultrasound and a review of any health issues or family history, can give the doctor an overview of your fertility health. If you’re a man, you can go to a urologist to have a semen analysis done. A semen analysis looks at three main factors: Sperm Count, Morphology (the shape of the sperm) and Motility (how well it swims). ✔ Pop Those Prenatals: Taking prenatal vitamins ahead of time can help ensure your body is getting what it needs in advance of pregnancy. Especially the right amount of Folic acid as that is a key component in preventing neural tube defects that occur in the earliest weeks of pregnancy. You can ask your doctor if there is a brand he or she recommends. ✔ Stop Smoking: In addition to research showing that couples who smoke are twice as likely to be childless after five years of not using protection, smoking is bad for both your health and your baby’s. This is a good time to quit the habit. ✔ Eat Healthy: Fruits, vegetables, low-fat dairy, lean protein, leafy green vegetables and enriched bread! Yum! Since you’ll soon be eating for two, why not make sure you’re eating only the very best food that is packed with vitamins, fiber and nutrients you need! ✔ Explore Genetic Counseling: This may not be for everyone but it’s worth asking about. Genetic testing or carrier screening can help inform the health of your baby. If you or your partner have any heredity diseases or concerns, definitely mention it to your doctor and they will hook you up with a counselor to review your options. ✔ Be a Healthy Weight: It doesn’t matter if you’re underweight or overweight, being an unhealthy weight can impact your chances of getting pregnant. Speak to your physician about what weight (or BMI) is the healthiest for your height and body type. ✔ Start (or Continue) to Exercise: Exercising can positively impact both your weight and lower your stress levels. Low-impact activities (yoga, walking, swimming, etc.) are smart options as they can be continued (with your doctor’s approval) while pregnant. If you undergo any fertility treatment though, speak to your doctor about exercising while taking any hormone medications. ✔ Be Mindful of your Mental Health: If you’ve had a history of depression or anxiety, or you’re currently on medication related to your mental health, speak to your psychiatrist, OB/GYN or your reproductive endocrinologist to plan accordingly. They can help you find an antidepressant that's safe to take while you're trying to conceive and throughout your pregnancy. Pregnancy Preparation: All About Awareness The biggest goal of National Infertility Awareness Week is to do just that: Raise awareness. So, whether you know for certain you want to have children or are still undecided, to be aware and know your health as it relates to conceiving can be life changing! And if you have any fertility concerns or need any help, we are always available for consultation! ### END_RECORD ### START_RECORD TYPE: post ID: 1459 TITLE: Ask An Expert – What Do People Not Understand About Fertility Care? URL: https://www.kofinasfertility.com/ask-an-expert-what-do-people-not-understand-about-fertility-care/ EXCERPT: Afsana Islam is the Director of Marketing and Business Development at Kofinas Fertility Group. With a science background in physiology, kinesiology, and neurorehabilitation, as well as experience in business development, Afsana serves as a link between the fertility experts at Kofinas to referring physicians and patients alike.  In this interview, Afsana discusses what she wishes patients, […] DATE_PUBLISHED: 2018-04-04T00:00:00Z DATE_UPDATED: 2026-02-24T09:43:05Z SCHEMA_TYPE: Article META_seo_title: What Do People Not Understand About Fertility Care? META_seo_description: Fertility care goes far beyond IVF. Discovering the root cause of infertility and choosing the right treatment is at the heart of infertility treatments TAX_category: Uncategorized BODY_CONTENT: | Afsana Islam is the Director of Marketing and Business Development at Kofinas Fertility Group. With a science background in physiology, kinesiology, and neurorehabilitation, as well as experience in business development, Afsana serves as a link between the fertility experts at Kofinas to referring physicians and patients alike.  In this interview, Afsana discusses what she wishes patients, future patients, and the general public knew about fertility care. Afsana: "If I could waive a magic wand I would probably increase awareness of the comprehensive function of our practice and the surgical aspect, because we literally are the best. That’s not me being biased, it’s just from me discovering that most surgeons don’t operate like this. We get so many referrals from other doctors, over 300 doctors in the area, because they know we’re the people to go to. If they failed somewhere else, we’re the next call. Many people think that if you’re wanting a baby, that’s the only time that you go to a fertility clinic, and that’s probably because they’ve never come across a clinic like ours that is so comprehensive and can tackle problems from any area. For example, we had somebody come to us from one of our referring physicians who’s an OB/GYN. She said, 'Hey, I have a patient that has an IUD lodged deep in her uterus. I can get it out, but I don’t want to affect her fertility because she’s so young. We want to make sure she’s able to have kids later on.'  And that’s a case that people don’t know that fertility doctors are the ones that do those surgeries. We take all the tough cases. Now she’s fine, and she can have a baby whenever she wants." What does comprehensive care look like? Afsana: "We try to get to the root cause of the infertility. If you walk into a fertility clinic elsewhere they might just  tell you that IVF is the only thing that they can offer, or maybe they can offer an intrauterine insemination, an IUI, or other low-complexity options. We often see women who fail multiple IVF cycles in other clinics when the right questions haven't been asked to see if they may have endometriosis. To get a diagnosis, a minimally invasive laparoscopy has to be done and unfortunately, not every fertility doctor has that surgical capability. So no matter how many times IVF is attempted, unless you clear up the root cause of the infertility, you will get more of the same result. Then they came here, we cleared out the endometriosis, and a lot of them get pregnant on their own, naturally." Kofinas Fertility Group Offices What options do people have beyond IVF and surgery? Afsana: "In the media, even though it’s not widely talked about, IVF is more talked about than the other options. People don’t know that they have other options, so they’re very IVF driven. When the patients call in, they think it’s the only thing that’s going to work. So we say 'we can definitely take a look at that, but you may not need that.' 70% of our patients do end up needing IVF treatment, but it’s that 30% that has never been given another option before. We’re here to give a multitude of options, knowing that we’re not going to go to the most expensive thing first just because it’s expensive. Everyone is unique and their treatment plan should be as unique as they are. I also come across people who expect their OB/GYN to ask them about their fertility goals and possible treatment options. You would be surprised about how many doctors don't bring it up unless you do. It's very important to have an open and honest relationship with your doctor, especially about your family planning goals. With my conversations with various doctors, I ask them about the conversations typically had with their patients and when the best time to bring it up is. Even when you go to an oncologist for cancer treatment, it's important to be and have an advocate for your future after cancer by freezing your eggs or sperm." What comes next in fertility care? Afsana: "At Kofinas, we’re on the forefront of not only medical innovation, but innovation in ways of patient experience. It’s just so exciting. We’re opening up the first ever, stand-alone reproductive surgical center in New York, and that is unheard of. Dr. George Kofinas is very deserving of getting approval for this surgical center. It's very fitting that his belief in personalized care can now be extended to their surgical experience. It's going to be amazing and I've been told that it is going to be one of the most advanced surgical centers in New York, not to mention the most beautiful. Ambulatory surgical centers are going to be the next big thing in healthcare. Not feeling like a number in an overcrowded hospital and lower rates of infection? Sign me up!" With 30 years of experience, multiple locations, and dedicated experts, we are excited to bring you comprehensive and innovative fertility care. Contact us today to schedule an appointment! ### END_RECORD ### START_RECORD TYPE: post ID: 1460 TITLE: Daylight Saving Time! Can Losing an Hour Impact Fertility? URL: https://www.kofinasfertility.com/daylight-saving-time-can-losing-an-hour-impact-fertility/ EXCERPT: Even under the best of circumstances, nobody likes to lose an hour of sleep. Particularly if you’re undergoing IVF, you want all the stress-free sleep you can get! The question is, can losing an hour impact your chances of getting pregnant? In 2013, Fertility and Sterility found that the quantity and quality of sleep affects […] DATE_PUBLISHED: 2018-03-19T00:00:00Z DATE_UPDATED: 2026-03-04T00:27:26Z SCHEMA_TYPE: Article META_seo_title: Daylight Saving Time | Can Losing an Hour Impact Fertility? META_seo_description: Disruptions in your sleep schedule may have an affect on your fertility - follow these 8 tips to keep your sleep and your fertility schedule on track. TAX_category: Uncategorized BODY_CONTENT: | Even under the best of circumstances, nobody likes to lose an hour of sleep. Particularly if you’re undergoing IVF, you want all the stress-free sleep you can get! The question is, can losing an hour impact your chances of getting pregnant? In 2013, Fertility and Sterility found that the quantity and quality of sleep affects not only your health and mood, but also your hormones and fertility. Therefore, moderate sleep, about 7 to 8 hours, is recommended to the patients undergoing IVF cycles to help improve IVF outcomes. So, does this mean springing ahead will completely mess with your IVF cycle? Not necessarily. However, if you’re having trouble sleeping (and with the stress of infertility, no one could blame you if you were!), you might want to find ways to get some shut-eye no matter what time of the year it is. Here are 8 suggestions for sleeping your way to a more fertile you: 1. Avoid napping. While cats make it look heavenly, napping can cut into your sleep schedule at night. Skip the nap and save your sleeping for later. 2. Stick to a sleep schedule. Depending on your work/life schedule, this may be easier said than done but ideally, set a time to wind down, get in bed, shut off the iPhone (yes, put down the phone the electronics!) and sing yourself a lullaby. Waking up the same time every day will help too (even on weekends)! 3. Eliminate light! Whether it’s a light outside, a too bright digital clock (do people still have those???) or any electronic light distracting you - get rid of it. Your room should be as dark as possible to let your body know, “No really… it’s sleep time. Get some zzzz’s!” 4. Evaluate your bed, pillow, and sheets. You’re going through fertility treatment so things are uncomfortable enough. If you want to treat yourself to a new pillow, a higher thread count of sheets and a new mattress cover, no one will judge you! 5. Avoid caffeine or exercise near bedtime. While this may seem obvious, some may need a reminder! It’s also worth mentioning that when you’re undergoing any fertility treatment, caffeine should be in moderation and make sure to speak to your fertility doctor about exercising during any hormone stimulation. Any which way, doing either before you hit the hay won’t help. 6. Make your bed a “sleep and sex” only zone. If you’re doing any other activities in your bed (watching television, working, etc.), in a sense, you’ll be sending your body mixed signals. Your body should be trained to know that when it gets into bed, it’s about rest and relaxation and nothing else. 7. Keep the bedroom a cool temperature. A bedroom that’s too hot is not comfortable and can mess with your sleep. Keep things cool to keep you sleeping! A temperature around the mid-sixties is recommended. Don’t make it too cold though! We don’t want you freezing your eggs while you sleep! 8. RELAX! Yes, the dreaded “relax”. Whatever helps you unwind at night – reading, guided meditation, a shower, deep breathing, a cup of tea, etc. Whatever is doctor approved while cycling and unwinds you at the end of the day to get you “sleep ready” for 7 to 8 hours is a good thing! Daylight Savings isn't the only thing that can disrupt your sleep schedule. Work, travel, stress, family... managing all of these will be an important part of your fertility treatments. And don't forget, we are always here to support you on along the way. Contact us today!   ### END_RECORD ### START_RECORD TYPE: post ID: 1392 TITLE: Should You Get a Fertility Cleanse? URL: https://www.kofinasfertility.com/should-you-get-a-fertility-cleanse/ EXCERPT: More women than you could ever imagine have gone through fertility issues on the road to trying to conceive. DATE_PUBLISHED: 2017-11-30T00:00:00Z DATE_UPDATED: 2026-03-04T01:11:18Z SCHEMA_TYPE: Article META_seo_title: Should You Get a Fertility Cleanse? | Kofinas Fertility Group META_seo_description: Fertility cleanse works by getting rid of the toxins and physical ailments or setbacks that make a healthy pregnancy difficult. TAX_category: Fertility TAX_category: Men's Fertility BODY_CONTENT: | More women than you could ever imagine have gone through fertility issues on the road to trying to conceive. Because this is a common occurrence, you can take solace knowing that there are many comedy remedies. If you are trying to get pregnant, a fertility cleanse is one of the best steps you can take. But first, you need to know what these cleanses are and how they can be helpful. Let’s assess the tips below, as you get in touch with fertility doctors that can help you out. Why And How A Fertility Cleanse Works Taking advantage of a fertility cleanse is crucial not just for you — but also for your baby. Making yourself as healthy as you can help you get pregnant, while also carrying a healthy baby not predisposed to ailments like asthma and eczema. These cleanses work by getting rid of the toxins and physical ailments or setbacks that make a healthy pregnancy difficult. By taking in plenty of quality organic food and boosting your body’s detox system, you will be well on the road to getting pregnant. Medical professionals are starting to not only treat getting a fertility cleanse as beneficial but also essential. The Benefits Of A Fertility Cleanse The main benefit of getting a cleanse is that it is chemical free. You don’t have to worry about helping yourself get pregnant using methods that do more harm than good. Another benefit is that such a cleanse flat out makes you healthier. Pregnancy hopes aside, you’ll have more pep in your step and will do away with illnesses and conditions when you take part in a cleanse. The Types Of Cleanses The vast majority of cleanses that you will take to improve fertility will consist of plenty of organic fruits and vegetables. Some fertility foods that you will want to take in during a cleanse include yogurt, avocados, walnuts, eggs, and asparagus. Go organic with your meats as well, so that you are cutting out unnecessary antibiotics and hormones. When you take a cleanse, it will usually consist of herbs and roots, in addition to plenty of water and certain types of tea. Make sure that you research the cleanse you’re thinking about, to know which vitamins and minerals are present, in addition to any potential side effects. Exercise and therapy, such as yoga and sauna treatments, are also excellent for pre-conception detox. You can use these activities to get rid of the toxins in your body that prevent you from conceiving. Reach Out To A Fertility Specialist No matter what cleanse you find, be sure to do them under the guidance and supervision of a fertility doctor. When this is what you’re looking for, Kofinas Fertility Group has you covered. We are a clinic that handles it all, from checkups to in vitro fertilization. Our clinic also provides services such as egg freezing. As you can see, you’ve got options. Consider this information on cleanses and contact us for more information. The post Should You Get a Fertility Cleanse? appeared first on Kofinas Fertility Group. ### END_RECORD ### START_RECORD TYPE: post ID: 1379 TITLE: 4 Things You Need to Know About Using a Surrogate Mother URL: https://www.kofinasfertility.com/4-things-you-need-to-know-about-using-a-surrogate-mother/ EXCERPT: You might be considering starting a family and the many options available out there. Did you know the process of intravenous fertilization has an estimated 65% success rate? And the success rate for women under 35 is nearly 60%. This means opting for a surrogate parent is likely to deliver promising results. DATE_PUBLISHED: 2017-11-27T00:00:00Z DATE_UPDATED: 2026-02-24T09:43:02Z SCHEMA_TYPE: Article META_seo_title: Surrogacy Process for Growing Families | Kofinas Fertility META_seo_description: Did you know the process of intravenous fertilization has an estimated 65% success rate? Learn more about surrogacy and how Kofinas Fertility can help. TAX_category: Pregnancy TAX_category: Surrogacy TAX_category: Fertility BODY_CONTENT: | You might be considering starting a family and the many options available out there. Did you know the process of intravenous fertilization has an estimated 65% success rate? And the success rate for women under 35 is nearly 60%. This means opting for a surrogate parent is likely to deliver promising results. What Is A Surrogate Mother? There are two types of surrogates, traditional and gestational. Traditional Surrogate This surrogate is a female who receives artificial insemination with the father’s sperm. And she carries your child to full term and gives you the baby when they’re born. Then you and your spouse raise the child as your own. This type of surrogate is the child’s biological parent because her egg is used in the process with the father’s sperm. Donated sperm is also an option in this kind of surrogacy. Gestational Surrogate This surrogate is given in vitro fertilization, or IVF. This process allows the physician to combine your eggs with the sperm of the man who will raise the child. And this mixture is placed into the gestational surrogate’s uterus. The surrogate carries the child to term. And she has no genetic connection to the baby because it was your eggs growing inside her. The surrogate is commonly referred to as the “birth mother,” while you’re the biological mother. What Can I Expect From the Surrogacy Process? The surrogacy process has many ups and downs. And it’s important to arm yourself with information to help you better prepare. 1. It May Be an Emotional Roller Coaster For Both of You Although both you and the surrogate mother have agreed to the arrangement, unexpected emotions can still come up. Her Emotions If this is your surrogate’s first time, she may have some attachment hurdles to deal with. It’s important to be patient and supportive of her as she deals with these feelings. Your Emotions You might have unexpected feelings arise, as well. You may feel sadness, fear or a twinge of jealousy. These are all normal. And all fleeting if you allow them to come up and release them as they do. Show yourself the same patience you extend to the surrogate mother. Remember, there’s no right way to feel. Just embrace the total process. 2. Things Are Never Orderly, Neat, and Predictable The key to enjoying the surrogacy process is to challenge yourself to adapt to change. If this is your first baby, you’ll be required to meet a standard of flexibility you never thought possible. There will be hitches. And these hitches only become an issue if you cling to expectations for the process. Trust the process and know that it will all work out. 3. Reading and Classes Will Be Your New Best Friends Perhaps you’ve been through many fertility therapies and other avenues of trying to get pregnant. And now you’re ready for the surrogacy process. Don’t forget, you can never be too prepared. Go by your local library, talk to your physician and sign up for classes. Gather as much knowledge and skills from others who have already gone through this process. It will make everything go more smoothly. 4. No Matter How Strong You Are, You Need Support You’re a strong woman. We’re not questioning that. But there’s no substitute for good solid support. Don’t hesitate to request help when you need it. Ask your spouse, family, and friends to share in the process by shouldering some of the responsibilities. You can always repay the favors later on. Enjoying the Ride Whether this is your first time in the surrogacy process or you’re just considering it, you won’t be disappointed. It’s a ride you’ll never forget. If you’re looking for support in getting pregnant or interested in using a surrogate parent, check us out today. ### END_RECORD ### START_RECORD TYPE: post ID: 1385 TITLE: 5 Things You Need to Consider Before Donating Your Eggs URL: https://www.kofinasfertility.com/5-things-you-need-to-consider-before-donating-your-eggs/ EXCERPT: Fertility is something every woman thinks about. DATE_PUBLISHED: 2017-11-13T00:00:00Z DATE_UPDATED: 2026-03-04T01:12:53Z SCHEMA_TYPE: Article META_seo_title: What to Consider Before Donating Your Eggs | Kofinas Fertility Group META_seo_description: Donating eggs is a rewarding experience. Here are 5 main things you should consider before donating your eggs! TAX_category: Egg Retrieval BODY_CONTENT: | Fertility is something every woman thinks about. You’ve probably thought about and used some form of contraceptive in your life. You may have also daydreamed about motherhood. What about helping an infertile woman become a mother? Donating your eggs can help create a family for someone who wants to take that next step. It can also help you generate a significant amount of income. However, there are important factors to consider. Here are five things to know before becoming an egg donor. 1. Understand Your Donation Options There are three routes you can take to donate – an agency, a clinic, or a directed egg donation. An agency pays based on the area’s cost of living. This includes a donor’s wages and any expenses incurred related to the donation process. Women can sometimes get more for their donation when working directly with a clinic. There are fertility clinics in every state, and some areas have multiple facilities to choose from. A directed egg donation is when you’re donating your eggs to make childbearing possible for a close friend or family member. This situation does not require a matchmaking process, but still uses regular screenings. 2. Preparing for the Procedure Donating eggs is not like donating blood, there is an extensive amount of questioning and preparation. A donor can expect to undergo psychological testing and genetic counseling. There is also an extensive level of blood work, a urine exam, and a discussion on family medical history. Even your BMI and travel history get taken into account. These precautions ensure the health of the future baby, the mother, and you as the donor. During your screening, you should also meet with a counselor to talk about the possible side effects you can experience. These include, but are not limited to, pain, nausea, vomiting, and diarrhea. 3. Syncing Your Cycle If accepted as a donor, you can’t just donate right away. It takes a few weeks to sync your cycle with the mother. The most common form of accomplishing this is through the use of contraceptives. Once your bodies are synced, you start to self-inject hormones into your system. This boosts your egg production, which you then follow with a “trigger shot” sometime after. The trigger shot prepares eggs for extraction. This happens about 48 hours later, with a surgical procedure. Doctors insert an ultra-sound guided needle through your vaginal wall to suction the eggs away from the ovaries. 4. Refrain from Personal Activities The cycles before and after your donation cycle are not to be undervalued. Many clinics warn donors to refrain from sexual activities until at least one more cycle after donating. This is because a woman who just boosted her egg production is still highly fertile. You have a higher risk of getting pregnant during this time. 5. Donation Can’t Pay All Your Bills Over the years, the rise of fertility solutions like egg donations have steadily increased. In fact, about 10,000 babies born in 2013 were conceived with donated eggs. However, not every donation story leads to a big paycheck. When looking at the money offered for donating your eggs, remember this is a taxable income. You can negotiate for more money, or factor in all your costs before agreeing to a contract. There are also personal rights to consider, like being a known donor or anonymous. Known donors can contact the family as the child grows up, but there are many emotions involved. Some families change their mind and keep the truth of conception a secret. Others are very open and enjoy their extended families with the donor. Start the Process of Donating Your Eggs If you’re considering donating your eggs, you owe it to yourself to work with the right clinic. Kofinas Fertility Group is proud to offer exceptional treatment to donors and families. Contact us today to talk about the screening process and further details. ### END_RECORD ### START_RECORD TYPE: post ID: 1458 TITLE: 5 Things to Expect When You Go for a Fertility Evaluation URL: https://www.kofinasfertility.com/5-things-to-expect-when-you-go-for-a-fertility-evaluation/ EXCERPT: Have you ever wondered how much goes into ovulation? You might be surprised how much impact your lifestyle and environment have on your fertility. DATE_PUBLISHED: 2017-10-25T00:00:00Z DATE_UPDATED: 2026-03-04T00:27:42Z SCHEMA_TYPE: Article META_seo_title: 5 Things to Expect When You Go for a Fertility Evaluation | Kofinas META_seo_description: When you go for a fertility examination, you'll learn about your body and its ability to reproduce. You’ll also learn that infertility isn’t just genetics. TAX_category: Fertility BODY_CONTENT: | Have you ever wondered how much goes into ovulation? You might be surprised how much impact your lifestyle and environment have on your fertility. Infertility has a lot to do with genetics and hormones, but other physical factors contribute to a woman having trouble conceiving. The father could also be a factor in infertility. When you go for a fertility examination, you will learn a lot about your body and its ability to reproduce. You’ll also learn that infertility isn’t just genetics — there are other important factors that contribute to it as well. If you’re planning on going in for a fertility evaluation, expect these five things from the appointment. 1. The Issue Could Be Your Fallopian Tubes or Uterus Abnormalities of the uterus or fallopian tubes can contribute to infertility. Issues include scar tissue, the openness of the fallopian tubes, a double uterus, polyps, or fibroids. Symptoms of these issues can be as common as cramping. You’re tested for these physical complications with a radiologist during your fertility evaluation. This test is called a hysterosalpingogram. A catheter is placed through the cervix to expose the uterus and fallopian tubes. The catheter then injects an ink that outlines the uterus and fallopian tubes. 2. Your Partner May be Subject to a Semen Analysis Roughly 50% of infertilities are due to inadequate semen. This is why the male’s involvement is important for a fertility evaluation. When semen is analyzed, the professionals are checking for sperm count, morphology, volume, and clarity. During this analysis, you and your partner shouldn’t have intercourse 2-3 days prior to effectively measure the number of sperm cells in his semen. 3. Thyroid Testing Did you know your thyroid is a leading factor of infertility and miscarriages? If hyperthyroidism or hypothyroidism is genetic, a thyroid test may be requested. The doctor will look and see if your Thyroid Stimulating Hormone (TSH) is elevated or is beginning to fail. If your thyroid is irregular, you will be prescribed thyroid medication to regulate it. In low dosages, this medication is safe when planning a pregnancy. 4. Reviewing Your Production of Prolactin Prolactin is the hormone that’s secreted during pregnancy and is most famous for causing lactation. But when you’re not pregnant and the production of prolactin is elevated, it can cause miscarriages. Overproduction of prolactin can be as simple as an abnormal pituitary gland or even a benign tumor. Your doctor will test your levels to determine if this is an issue. 5. Checking for STIs, Hepatitis, and HIV Women who have STIs, HIV, or Hepatitis will have a difficult time becoming pregnant and can be more susceptible for miscarriages. If the mother tests positive for either disease, there’s a significant chance of passing the diseases to the baby. That’s why these types of screenings are essential in your evaluation. Time to Get Your Fertility Evaluation Conceiving a child doesn’t come easily for all women. Infertility is a common problem for men and women. No one should feel ashamed when they’re infertile; however, medical attention could be necessary. There are fertility issues that are out of your control, such as genetics and your biology. If you tried to conceive for over a year, it’s recommended you have a fertility evaluation. If you need answers to your infertility, schedule an appointment with us today in our fertility clinic New York!   ### END_RECORD ### START_RECORD TYPE: post ID: 1437 TITLE: Is Getting Pregnant at 40 Really Possible? (Hint: Yes!) URL: https://www.kofinasfertility.com/is-getting-pregnant-at-40-really-possible-hint-yes/ EXCERPT: The world is changing. Women used to be trapped, forced to choose between a career and children. DATE_PUBLISHED: 2017-10-18T00:00:00Z DATE_UPDATED: 2026-02-24T09:43:04Z SCHEMA_TYPE: Article META_seo_title: Is Getting Pregnant at 40 Possible? | Kofinas Fertility NYC META_seo_description: A lot of people think this is impossible. But there are a number of ways to have children at a later age. Here’s a guide to learn more. TAX_category: Fertility TAX_category: Pregnancy BODY_CONTENT: | The world is changing. Women used to be trapped, forced to choose between a career and children. That meant having babies in our 20s, or as soon as possible. But today, women are becoming moms a little later in life. This means more and more women getting pregnant at 40. A lot of people think this is impossible. But there are a number of ways to have children at a later age. Here’s a guide to learn more. Getting Pregnant at 40 Is Possible {% video_player "embed_player" overrideable=False, type='scriptV4', hide_playlist=True, viral_sharing=False, embed_button=False, width='1280', height='720', player_id='10353040873', style='' %} There are a number of reasons that people have doubted the ability of women to have babies at an older age. But most of them are based on bad science. This clip from the popular TV series Adam Ruins Everything explains the matter. Basically, there is an oft-quoted study that states that pregnant women are “high risk” once they turn 35. And while this is true on a small scale, the reality is that most women can safely give birth or start families at that age. This was already true when the study was done. But it’s even truer today: there are a number of methods to help women have easier pregnancies at older ages. Everything from better prenatal care to a large number of fertility supplements on the market can make this a reality. Assessing Your Fertility Getting pregnant at 40 can be done. But that doesn’t mean it will be easy. Some women can pull this off without a problem, but others will need to be tested for fertility. Women of all ages trying to get pregnant, particularly those having trouble, should take a look at a large number of tests on the market. Exams such as an ovulation evaluation can give you the information you need to plan the next steps in your pregnancy process. Not having your assessment go as well as you’d like won’t destroy your chances of starting a family. There are a number of therapies available for women looking to improve their fertility. Available Therapies If you’re trying to get pregnant in your 40s, you may need the help of fertility therapy. There are a number of options for this process, and they can go a long way towards helping you start a family. Women at a younger age who want to be able to start a family later should consider freezing an embryo. There are also a large number of low complexity therapies available to women in this position. The point is: don’t give up! Get Help If you need help getting pregnant at 40, we offer a number of tests and therapies. We have a dedicated team of professionals, doctors, and nurses with the goal of making your family planning process meaningful and successful. Top Fertility Doctors New York We pride ourselves on respect. We respect the fact that every woman who comes to us has a different story, and needs to be treated as an individual. And we would love to hear your story! Get in touch with us to get started today. ### END_RECORD