RESOLVE offers resource center for fertility care patients

The RESOLVE’s COVID-19 Support Resource Center is dedicated to creating opportunities to connect and support one another while RESOLVE events and gatherings have been postponed due to COVID-19 (coronavirus).

The resource center includes a webinar on how to find support while social distancing and one on how to cope when your cycle is postponed. It also has links to online support groups, stress reduction tips, mental health providers who specialize in family building and more.

You can find the resource center at RESOLVE’s web site.

RESOLVE also says that if you’re interested in volunteering for a virtual event, please email info@resolve.org.

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Thank your doctors on National Doctor’s Day

On Monday, March 30, please take a moment to give thanks to all the doctors in your life—including RSCNJ Physicians, Dr. William Ziegler and Dr. Alan Martinez. You won’t be alone—March 30 is National Doctor’s Day, which was created to recognize physicians, their work and their contributions to their community.

First observed on March 30, 1933, in Winder, Georgia, the day was conceived by the wife of Dr. Charles B. Almond, Eudora Brown Almond, who wanted to honor physicians. On that first day, she encouraged supporters to mail cards and put flowers on the graves of deceased doctors. The red carnation has become the symbolic flower for National Doctor’s Day.

You can recognize the hard work and dedication that physicians demonstrate each day by sending your doctor an appreciation card or email, donating to your local medical center or nominating your doctor for an award. Your doctor will surely appreciate knowing that their hard work has been valuable to your health.

Please join us as we wish Dr. Ziegler and Dr. Martinez a Happy National Doctor’s Day.

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RESOLVE statement on Advocacy Day and coronavirus

Advocacy Day in Washington, D.C. is proceeding as planned for May 19-20, 2020.

The health and safety of our volunteers, supporters, advocates, event attendees and staff is our top priority.

The team at RESOLVE continues to monitor COVID-19, “Coronavirus”, via the Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO). Health authorities have not issued any travel notices related to Washington, D.C. or the surrounding area.

We will continue to monitor the situation and provide updates as needed. Please contact us at info@resolve.org if you have any questions or concerns.

 

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An Update from Your RSCNJ Family

To all our patients, we would like to remind you that our number one priority is your health.

As you are aware, the Coronavirus (referred to as COVID-19) has now become a global health issue, and we at RSCNJ are taking critical steps to promote the continued health of our patients.  As we address your questions moving forward, we welcome your continued comments and we have taken your concerns to heart.  We want to personally thank you all for your cooperation and understanding during this time.  During the evolving climate of COVID-19, we at RSCNJ are doing all we can to maintain safety and your fertility treatment continues to be our number one priority.

First and foremost, early evidence is encouraging regarding pregnant patients who contract this virus.  There are no reports of adverse pregnancy outcomes and the pregnancy course appears favorable in these individuals.  The concern lies in those patients who might have COVID-19.  Currently, it is not recommended to move forward with fertility treatment in patients that exhibit flu-like symptoms, those exposed to individuals with COVID-19, and those patients that have tested positive for COVID-19.  As we strive to provide fertility care in an environment that promotes your safety, we are doing our very best to keep our fertility community safe.

Below, we provide facts about the status of COVID-19, including the following:

  • How RSCNJ is ensuring your health and safety during this time (this includes updates to your appointments and office procedures, patient intake and patient flow patterns).
  • How it affects your cycle (those currently cycling, preparing to cycle, and those undergoing early evaluation and moving toward treatment decisions).
  • Recommended precautions for promoting your health during this tenuous time.

Remember, that the information from both the CDC and the NJ Department of Health is constantly evolving. Please keep this in mind as treatment decisions and office protocols may be dynamic and evolve over the next critical days/weeks.

Once again, we appreciate your patience and understanding and thank you for your continued faith in promoting your health, while making strides to build your family.  As a community, we must all work together and do our very best to keep one another safe.

Sincerely,
Your Fertility Team
Reproductive Science Center of New Jersey

Our Safety Plan

Our primary goal is to create an environment that minimizes the spread of this virus while preserving the needs of our patients.

First, we have modified patient flow into our offices, ensuring your safety.

  • This consists of temperature screening, and inquiry about flu-like symptoms, which are current protocols utilized throughout New Jersey Hospitals and nationally.
  • The patient will be contacted via text/phone when our office is ready for intake and will efficiently move into exam rooms. This minimizes patient/patient contact.

Non-clinical staff will not engage in direct patient contact but will utilize phone consultations for patient discussions.

Increased cleaning measures before and after each patient interaction has been implemented to decrease potential contact and spread.  This is above current recommendations for office safety.

Only the patient will be allowed into the office during their appointment times.  No partner or family members/children will be allowed to accompany the scheduled patient.

  • The partners/family members will need to remain outside the office facility.
  • Partner may accompany patient during egg retrieval and embryo transfer procedure only.

Semen analysis appointments will consist of at-home collections only (no on-site collection).

Options exist for new patient appointments and options appointments to be conducted via telemedicine.

Our staff is required to report potential exposures and will not be allowed to have patient contact if this is the case. We ask that if you have been exposed to anyone with COVID-19, please inform our office immediately. In the case of potential exposure, your treatment may not start or may be cancelled to ensure the safety of all involved. While we know this is of concern, we must be safe and follow the NJ regulations set up our state and federal agencies.

We understand that some of these changes may be difficult, but they are necessary to keep everyone safe and maintain our ability to continue to provide fertility care.

Answers To Your Cycle Questions

Should I consider cancelling my planned fertility cycle?

If you are not exhibiting any flu-like symptoms, haven’t had direct contact with a COVID-19 infected individual or been diagnosed with COVID-19, your risk is minimized and there is no contraindication to continued care. There exists no evidence that COVID increases your pregnancy complications. However, if you feeling ill (having a fever and/or cough), it is not recommended that you start/continue fertility treatment. The American Society for Reproductive Medicine (ASRM) recommends suspension of most fertility treatments until the end of March.

What if I am currently in a cycle, should I cancel?

As stated above, if you are healthy, have no contact or have been diagnosed it is okay to continue treatment.  However, if you are ill or have been in direct contact with someone with COVID-19, we recommend cycle cancellation.  Remember, the most critical aspect is your health and those around you.  Therefore, any symptoms present or concern for infection may result in stoppage of treatment, and continuation at a later date.

What if I am exposed or am diagnosed with COVID-19 during my pregnancy?

At the present time, a fetus appears unaffected if a mother acquires COVID-19.  This is based on preliminary data that is reassuring in pregnant patients. However, both ASRM and the CDC recommend avoiding pregnancy if you or your partner has COVID-19, and the cautious approach is to attempt pregnancy when you are not longer infected.

Is it safe for me to come in for my appointment?  

Yes, unless you are feeling ill, have been in contact with someone who has COVID-19 in the last 14 days, or have been potentially exposed to an affected individual in the last 14 days. As mentioned above, we have enhanced our patient screening and patient flow through the office to promote a safe office environment and your continued safety.  Should you be concerned, you can discuss the option of a telemedicine consult with one of our team members.

What are the symptoms of Covid-19?

According to the CDC, concerning symptoms include:

    • Fever
    • Cough
    • Shortness of breath

If you’re experiencing any of these symptoms, please call your doctor immediately and we ask that you reschedule your appointment for a later date.

What does the future hold?

At this point in time, social distancing and minimizing close person-to-person contact are the mainstays of prevention.  If we all do our best, this will help our society stay healthy.  We must work together as individuals and as a community to overcome this pandemic.  At the present time, we recognize your worries.  We are doing our best to keep our employees, patients, and our RSCNJ family, safe and healthy. While we cannot allay all your worries, know that we are striving to continue your care while minimizing risks to the patients that trust us to take care of them.

We respect your fertility choices and are here for all of you.  This applies whether you are continuing treatment now, or should you decide to delay care. It is an individual decision and we respect your choice.  You are our family, and we support you.

Best Preventative Measures

Suggestions as we move forward:

  • Wash your hands for 20 seconds with soap and water
  • Avoid touching your face
  • Avoid sick individuals, large crowds, and physical contact with others
  • Cover your mouth and nose with a tissue or your inner elbow if you sneeze or cough
  • Clean and disinfect your work area and home
  • Avoid non-essential travel if possible
  • Know if you are in the at-risk population (older adults and people who are immuno-compromised) as those need to be even more vigilant

Resources

Remember, should you have any questions during this time, please call the office as we are here to help.

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Study finds antioxidant supplements do not improve male fertility

Antioxidant supplements do not improve semen quality among men with infertility, according to a new study supported by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), part of the National Institutes of Health.

The study also found that antioxidant supplements likely do not improve pregnancy and live birth rates. The study appears in Fertility and Sterility.

Antioxidant supplements are commercially available to help treat male infertility, but research on its effects on semen quality and rates of pregnancy and live birth are limited. The new study enrolled 171 couples where the male partner had at least one abnormal reading on an analysis evaluating sperm concentration, mobility, shape and DNA quality, and the female partners had normal fertility test results. Men received a placebo or an antioxidant supplement containing vitamins C, E and D, selenium, l-carnitine, zinc, folic acid and lycopene for at least three months and up to six months.

The study team found no statistically significant differences in sperm concentration, mobility, shape and DNA quality between the placebo and antioxidant groups after three months. Furthermore, live birth rates did not seem to differ at six months between the antioxidant (15%) and placebo (24%) groups.

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March is Endometriosis Awareness Month—are you aware of laser ablation?

Every March, the nation recognizes Endometriosis Awareness Month. Endometriosis is a condition where endometrial tissue, which normally lines the inside of the uterus, grows outside of the uterus. The tissue then attaches to other organs in the abdominal cavity, such as the ovaries, fallopian tubes and bowel.

Throughout the menstrual cycle, this endometrial tissue abnormally positioned outside of the uterus responds to hormones the same way as the endometrial tissue inside the uterus does: it thickens, breaks down and then sheds.

When tissue outside the uterus does this it causes inflammation and scarring. The resulting scar tissue can block the fallopian tubes preventing pregnancy from occurring. This condition can also invade one or both ovaries and cause the formation of cysts of endometrial tissue, known as endometriomas. Endometriosis and endometriomas can reduce ovarian reserve and may affect egg quality.

The good news is that treatments can help. A treatment called laser ablation is associated with pain relief and improved fertility. RSCNJ’s Dr. William Ziegler is an expert in laparoscopic laser surgery that minimizes adhesion due to a surgical procedure.

To learn more, call us for a free phone consultation.

 

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‘Amazing’ and ‘unmatched’ care and service

Two patients of ours had nice things to say about their treatment at RSCNJ.

“Dr. Ziegler and his staff are truly amazing.”

“So helpful and communication is unmatched!”

Read more reviews like these on our web site. And call us if you have any questions or comments.

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Endometriosis Awareness 2020—around the world!

Endometriosis Awareness takes place across the globe during the month of March (and beyond) with a mission to raise awareness of a disease which affects an estimated 200 million women worldwide.

See what’s happening around the world at endometrious.org. And learn more about the disease at our web site.

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What is minimal stimulation IVF?

Minimal stimulation IVF, sometimes referred to as mini IVF or gentle IVF, uses lower doses of fertility medication than traditional in vitro fertilization (IVF) during the egg stimulation process and sometimes at egg retrieval.

During a traditional IVF cycle, patients use gonadotropin hormone injections to produce a number of eggs within the ovaries. But unlike a typical IVF cycle’s injections, mini IVF primarily uses an oral medication (Clomid) to induce ovulation prior to an egg retrieval. This greatly reduces the number and dose of hormone injections.

There are many benefits to mini IVF, most notably the reduction in medication use and the resulting reduction in cost. Additional advantages of the mini IVF include:

  • Fewer side effects and less discomfort from fertility medication.
  • Decreased likelihood of complications.
  • Fewer injections, fewer blood draws and less monitoring
  • Reduced number of office visits
  • Lower costs.

To learn more about mini IVF, visit our web page.

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How did Endometriosis Awareness Month begin? Five fast facts

Each March, millions worldwide observe Endometriosis Awareness Month in recognition of the estimated 176 million women suffering from the disease. But how and where did it all begin?

For those answers, the Endometriosis Foundation of America did a little digging, and that led them to the founding mother of Endometriosis Awareness Month, Mary Lou Ballweg, president, executive director and founder of The Endometriosis Association. You can read what she has to say here.

And for more information about endometriosis, visit our web site.

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