Dr. Licciardi on TV
I was invited to the MSNBC show "Dr. Nancy". Here's what I had to say.
http://www.msnbc.msn.com/id/31388323/#33006217
http://www.msnbc.msn.com/id/31388323/#33006217
posted by Dr. Licciardi at 8:43 AM
Sunday, September 27, 2009
About Me
- Name: Dr. Licciardi
I have been practicing infertility at NYU for 17 years. Basic infertility, reproductive surgery, ovulation induction, IVF, and egg donation are all areas of my expertise. Most of my patients are from New York , but people come to see me from other states and other countries. You can read all about me at my website, DrLicciardi.com.
13 Comments:
Thank you for sharing that. It is sad what's happened to that couple. It is also disturbing that cases like "Octomom" give IVF and assisted reproduction a bad name like we are all a bunch of crazy women who will do anything to have a baby.
I do have a beef with the media. Why do they call it implanting the embryo when it's actually a transfer?
Thank u for your clarifying, I wish more docs would speak up for us on the emotional effects and why we don't "just adopt." Sad story, what a tough situation to be in.I gurantee you the monetery gain will be little consolation as the family can no longer carry more children. Being able to be pregnant and carry your own child is priceless.
Thanks for sharing! Does it bother you that the media always refers to the tranfer as "implanted" instead of transferred because it drives me nuts?! I think the American public is at least smart enough to understand what the word transferred means. I feel that using the term implanted gives the public the wrong idea about ivf. Just a vent!
I appreciate all that you do to educate the public Dr. Licciardi! I think that your segment was spot on! I appreciate your honesty and support in your blog also. Keep up the good work, and bless you.
Dr Licciardi,
I just watched this video and I have to say that while I respect institutions such as NYU and Cornell, Dr. David was the only one who found out what was wrong with us. He does far more extensive investigation than I ever received at both Cornell and NYU. It was, after all the testing, an infection that was not picked up prior to our 3 IVF's at Cornell and 2 IVF's at NYU. He treated this infection and we got pregnant naturally (at age 39). He also flagged several tests that were abnormal and not reported at both of the above hospitals. Yes, age is a factor but I believe that far more extensive testing needs to be done prior to an IVF cycle. I am sure Dr. David will be happy to provide your RE's with a list of tests he runs on each patient he treats. Do us all a favor and have a look at what he tests for. I have sent 10 patients to him after doing IVF's at other facilities. Each one of them has a baby now.
We wasted thousands of dollars on IVF just to find out there was no possible way they could have worked, given the infection we had.
Many women don't need IVF..but that would put you guys out of business!
Dear Anonymous (#2),
Can you post what the infection was that they found with you? I want to ask my RE about it.
Thanks!
Hi Dr. Licciardi,
Thanks for this information. My husband and I are at a crossroads. I just turned 30. 12 months ago we conceived twins with our first clomid cycle (no IUI) but lost them at 17 weeks. We have tried clomid and femara since the miscarriage, I produce follicles but no pregnancy. My husband has great sperm, my tubes are open, a saline sono showed a normal uterine cavity. For the last few years I have been labeled PCOS with limited testing - I don't have the classic PCOS ovaries (8-12 antrals per side only), high LH:FSH ratio and I'm on metformin though no one ever tested for IR. I do have elevated free testosterone and a family history of diabetes, easy weight gain and some other physical PCOS symptoms.
I've lost over 30 pounds and last month on an unmedicated cycle, I ovulated very early (cd7) and my AMH came back at 0.6. This month I had 18-20 antral follicles and on 75U follistim for 9 days, I produced two 16.5mm follicles and ovulated before they triggered me (cd14). After reading your blog, I am worried they may have been immature and ovulated abnormally early (E2 on cd13 was 512 though).
I've consulted with 3 REs and gotten different answers. One suggested I try a few more medicated cycles with clomid, femara or follistim and do more testing. Others suggested more aggressive treatment. I'm starting to question my PCOS diagnosis and scared about potential low reserve (though I was told by 2 of three REs that this was not an issue for me). I also don't know whether I should continue with retesting the AMH and medicated cycles or move straight into IVF.
Do you have any thoughts on my case? After an easily conceived twin pregnancy, we thought it would be easy the second time and are worried about not being able to conceive again (and the weird things my body is doing).
I just read your post on clinics and varying success rates. Of the two clinics I am considering, Clinic 1 has a live birth rate for my age group of almost 70%, Clinic 2's success rate is 42%. Doctor at Clinic 1 is fine starting IVF on me next month (even though I conceived twins 12 months ago on clomid alone (we lost them later)). At Clinic 2, the doctor suggested I try a few more medicated cycles before IVF because he didn't think I needed it. Could this be a reason why Clinic 1's success rates appear higher (i.e. promoting IVF faster in young women rather than exhausting medicated cycles first)? It occurs to me that if I went to Clinic 1 and was successful on my first IVF, I would count towards their success rate but if I went to Clinic 2 and was successful on a medicated/timed intercourse cycle that I would not count towards their IVF success rates.
I have, well, a happy question regarding how many embryos should we store/freeze for the future?
I am 37 and have never had children. Several months ago and only after 6 months of trying I got pregnant yet my husband and I had a miscarriage due to chromosomal issues (popular trisomy 16), and after tests found out I have low (but not the lowest) ovarian reserve. As I ovulate regularly and both me and my husband seem extremely healthy (he is 35), we decided to do an IVF cycle and freeze ALL embryos now to anticipate any problems in the future as we definitely will want more than one child (preferably 3, but not close in age, and no multiples) and I am of advanced maternal age with issues of thin uterine lining due to low estrogen.
The cycle went better than anticipated as I had 12 healthy mature eggs collected and they all fertilized beautifully. 12 frozen embryos in the bank gave us a great sense of relief for the future!
We are going to continue to try and get pregnant naturally for one more year. My question is do you think 12 embryos in the bank are enough to relax and get the final count of 3 kids in the future, or do you think we should go through IVF one more time and store some more? Money is not an issue for us.
How many embryos are enough?
Thank you Dr. Licciardi for explaining biochemical pregnancy. I was confused, disappointed, and hurt with the news. I have not had my follow-up cortesy appointment yet, but at least I know what to ask now. Thank you for the clarification.
Thanks for offering your time and attention. I'm 39. At 37, my husband and I tried IVF and now have 9 healthy embryos on ice (we transferred one fresh embryo, but it didn't implant). I'm scheduled for a frozen embryo transfer in January and am considering a blastocyst transfer (2). My question is this: How can a consumer/patient KNOW if a clinic has the 'right' medium for blastocyst culture. What is the 'right' medium? How does one shop around for this kind of thing? I would really hate to instruct my doctor to take our embryos to blastocyst stage if our clinic is ill-equipped to do so. Thanks in advance for your advice...
Dr. Licciardi,
Could you comment on the predictive value and accuracy of the AMH test? Of every test I've taken, this is the only one that has come back poor (CD FSH and E2 were fine as were AFC and I responded to low doses of Follistim). I have never taken the CCCT but conceived twins on 50 mg clomid (so I know I make follicles on it).
Some doctors I talk to completely disregard the AMH test, some say it's likely not correct for me and others put a lot of stock in this test.
Thanks,
Sharon
Dr. Licciardi,
Can you respond to the recent articles in the NY Times about IUI? I have PCOS and have not responded to Clomid. My RE would like to progress to injections but after reading all of the horror stories of multiples, I am terrified. My RE says we will go very slow and wait out cycles that look like they might yield multiples but it sounds like a very big risk. I would appreciate your thoughts.
Thanks,
Kate
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