• Timeline
  •  

    Menstrual Cycle: Introduction

    The average length of the menstrual cycle is 28 days. More

    menstrual
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    Menstrual Cycle: Days 1-5

    Day 1 of menstruation is the first day of your cycle. More

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    Menstrual Cycle: Days 1-13

    Days 1-13 of your menstrual cycle are the "follicular phase" More

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    Menstrual Cycle: Days 10-18

    Days 10-18 of your menstrual cycle are considered the "ovulatory phase". More

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    Menstrual Cycle: Days 15-28

    Days 15-28 of your menstrual cycle are considered the "luteal phase". More

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    IUI: Introduction

    With intrauterine insemination (IUI), a doctor uses a soft catheter to place sperm directly into the uterus. More

    iui
  •  

    IUI: Day 1

    Fertility drug injections begin at the start of the your menstrual cycle. More

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    IUI: Day 2

    Follicles begin to respond to the fertility drugs and grow. More

  •  

    IUI: Day 3

    Daily fertility drug injections cause your follicles to continue to grow. More

  •  

    IUI: Day 4

    Your follicles continue to grow. More

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    IUI: Day 5

    As the follicles respond to the fertility drugs, your doctor will monitor your progress with vaginal ultrasound. More

  •  

    IUI: Day 6

    Your body is producing more estrogen and your uterine lining begins to thicken. More

  •  

    IUI: Day 7

    Fertility drug injections continued and you are monitored for ovulation. More

  •  

    IUI: Day 8

    Daily fertility drug injections continue and follicles continue to grow. More

  •  

    IUI: Day 9

    Your follicles are still developing and you continue fertility drug injections. More

  •  

    IUI: Day 10

    You discontinue using injectable fertility drugs. More

  •  

    IUI: Day 11

    The hCG trigger shot is injected to help follicles mature and release the eggs. More

  •  

    IUI: Day 12

    Your follicles and eggs are almost mature. More

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    IUI: Day 13

    Ovulation occurs. More

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    IUI: Day 14

    Sperm is washed and you are inseminated when you are ovulating. More

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    IUI: Day 15

    The embryo, now in the fallopian tube, will continue to divide. More

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    IUI: Day 16

    The embryo continues to grow. More

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    IUI: Day 17

    The embryo travels from the fallopian tube to the uterus. More

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    IUI: Day 18

    Hormone levels continue to increase. More

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    IUI: Day 19

    The uterine lining is now 8-12 mm thick. More

  •  

    IUI: Day 20

    Your embryo is working to ultimately attach to the lining of your uterus. More

  •  

    IUI: Day 21

    Your embryo will attach to your uterine lining. More

  •  

    IUI: Day 22

    The embryo is starting to implant. More

  •  

    IUI: Day 23

    The embryo continues to implant. More

  •  

    IUI: Day 25

    Your body begins to produce hCG and progesterone production continues. More

  •  

    IUI: Day 26

    The embryo continues to grow, and progesterone support continues. More

  •  

    IUI: Day 27

    The embryo continues to grow. More

  •  

    IUI: Day 28

    A blood pregnancy test will determine if you are pregnant. More

  •  

    IVF: Introduction

    More

    ivf
  •  

    IVF: Day 1

    On Day 1 of your IVF cycle, you'll begin fertility drug injections. More

  •  

    IVF: Day 2

    On Day 2 of your IVF cycle, you'll continue fertility drug injections. More

  •  

    IVF: Day 3

    Your follicles continue to grow as they respond to the fertility drug injections. More

  •  

    IVF: Day 4

    Your follicles continue to grow as you continue daily fertility drug injections. More

  •  

    IVF: Day 5

    As you continue to use fertility drugs you will be monitored by your fertility doctor. More

  •  

    IVF: Day 6

    The lining of your uterus is beginning to thicken as you continue fertility drug injections. More

  •  

    IVF: Day 7

    Daily fertility drug injections continue, and your fertility doctor may start monitoring hormone levels. More

  •  

    IVF: Day 8

    You'll continue fertility drug injections and follicles will continue to grow. More

  •  

    IVF: Day 9

    You'll continue fertility drug injections and follicles will continue to grow. More

  •  

    IVF: Day 10

    You'll stop using fertility drugs at this point in your IVF cycle. More

  •  

    IVF: Day 11

    Once your body has responded to the fertility drugs, you'll receive an hCG injection (trigger shot) and egg retrieval will be scheduled. More

  •  

    IVF: Day 12

    Your eggs are almost mature, and are ready for egg retrieval. More

  •  

    IVF: Day 13

    At this stage of the IVF cycle, your eggs are retrieved and fertilized. More

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    IVF: Day 14

    Your eggs are fertilizing in the lab. More

  •  

    IVF: Day 15

    Embryos will continue to develop, and if PGD has been scheduled the procedure will take place. More

  •  

    IVF: Day 16

    Usually on Day 16 of your IVF cycle your embryo transfer will take place. More

  •  

    IVF: Day 17

    The embryo is in your uterus, and cells continue to divide and increase. More

  •  

    IVF: Day 18

    The embryo continues to grow and hormone levels increase. More

  •  

    IVF: Day 19

    The lining of your uterus is now 8-12 mm thick. More

  •  

    IVF: Day 20

    Your embryo is working to attach to the lining of your uterus. More

  •  

    IVF: Day 21

    The embryo attaches to the uterine lining. More

  •  

    IVF: Day 22

    The embryo begins to implant in the uterine lining. More

  •  

    IVF: Day 23

    The embryo continues implanting in the uterine lining. More

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    IVF: Day 24

    More

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    IVF: Day 25

    Your embryo continues to grow and progesterone continues to be produced. More

  •  

    IVF: Day 26

    Your implanted embryo continues to grow. More

  •  

    IVF: Day 27

    The implanted embryo continues cell division. More

  •  

    IVF Cycle: Day 28

    It's time to take a blood pregnancy test. More

The ABC/Cablevision Standoff: What It Says About Infertility

The ABC/Cablevision Standoff: What It Says About Infertility

a blog by David Kreiner, M.D., F.A.C.O.G., March 9, 2010

It was quite shocking on Sunday when Disney pulled WABC Channel 7 from Cablevision. Three million viewers in the New York Metropolitan area were affected. My wife was distraught. Her favorite television shows -- Brothers and Sisters, Desperate Housewives, Lost -- were no longer viewable on our TV set. Not to mention the Superbowl of celebrity watching, the Oscars. Many were frustrated and depressed at the prospect of being denied the pleasure of watching the shows we have grown accustomed to expecting.

My wife and I never truly experienced infertility. We had a workup for recurrent miscarriages and it took us more than a year to conceive a healthy pregnancy in between our two boys and two girls. We were not denied the joy of building a family that we had learned to expect while growing up, observing our own, as well as our friends’ and neighbors’ families.

When a couple experiences infertility, they are denied the expected right to the pursuit of happiness by creating their own family. No one deserves to be infertile; the affected are innocent bystanders of a tragedy not of their own making. Someone afflicted with infertility might have just as randomly suffered some other disease or condition. The difference – unfortunately -- is that if you have any other condition or disease requiring medical treatment, odds are excellent your insurance will cover it. Most insurance providers don’t cover infertility, not because of ethical or religious reasons or even lack of sympathy, but instead because it costs them money.

The Cablevision/Disney battle was over a $40 million increase in payment to Disney. Senator John Kerry, the former presidential candidate, interceded to try to negotiate a settlement so that my wife and others would not be denied our TV shows.

Why can’t we get a similar hero to negotiate a settlement for coverage so that infertile couple can get the treatment they need so they can have families like the ones they see on TV and in Disney movies?

Why do politicians ignore the millions of infertile individuals and couples in this country (six million, according to the Centers for Disease Control) and deny them the right to have the family they grew up expecting as naturally as tuning into ABC and watching a favorite TV show?

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