Where Motherhood Can Be Possible

Dr. Louis R. Manara

Accuracy of Early beta-HCG Levels in Predicting Fetal Viability

It is well established that during the early weeks of a normal pregnancy the quantitative beta-HCG level doubles every 48 hours.  A recent abstract reviewed outcomes in a large group of patients when even one beta-HCG levels failed to double, and supports the reliability of these early measurements in predicting successful pregnancy.

Egg Regeneration - Is It Possible?

May 27, 2013 — by manara99
Tags: Ivf Infertility Age And Infertility


It has long been accepted that the number of eggs available for reproduction is fixed prior to birth.  However, a recent well conducted study suggests that reproductive aged women have oocyte stem cells which can be isolated, cultured in the laboratory, and returned to ovarian tissue resulting in healthy egg development.  While this research preliminary, it opens up exciting possibilities for treating age related infertility.

Pregnancy After Vasectomy

May 18, 2013 — by manara99

A couple seeking to have a child after the male has had a vasectomy has two options available to them.  The traditional approach has been to perform a microsurgical vasectomy reversal.  However, improvements in management of male problems through assisted reproductive technologies have led to simplified treatments, specifically direct sperm injection into the egg cytoplasm (ICSI).

Which Treatment Is Best For Older Patients Undergoing Donor Insemination?

May 3, 2013 — by manara99
Tags: Ivf Icsi Donor Insemination


A recent study in press suggests that for patients 40 and above, successful live birth using donor sperm occurs most readily through the use of in-vitro fertilization (IVF) coupled with direct sperm injection into the egg (ICSI). When IVF/ICSI was compared to intra-uterine insemination, patients required only 3 months to achieve the same success rate as was achieved with six cycles of intra-uterine insemination. This study offers guidance to couples using donor insemination suggesting that the "time to conception" is reduced through the use of in-vitro fertilization and intra-cytoplasmic injection compared to intrauterine insemination when the intended biological mother is 40 years of age or older.

Voorhees, New Jersey

Dr. Louis R. Manara


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