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Path To Fertility Blogger Lisa Rosenthal  

Lisa Rosenthal has over twenty-five years of experience in the fertility field, including her current roles as Coordinator of Professional and Patient Communications for RMACT and teacher and founder of Fertile Yoga, a class designed to support, comfort and enhance men and women's sense of self. Her experience also includes working with RESOLVE: The National Infertility Association and The American Fertility Association, where she was Educational Coordinator, Conference Director and Assistant Executive Director

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Fertility Doctor, Dr. Joshua Hurwitz, Explains PCOS and Treatment

  
  
  

Polycystic Ovarian Syndrome (PCOS)

Fertility Doctor Dr. Joshua Hurwitz About PCOSBy Joshua M. Hurwitz, MD

Reproductive Medicine Associates of Connecticut

 

Polycystic Ovarian Syndrome (PCOS) is a medical condition that causes infertility by preventing women from ovulating. It is a common condition, affecting 5- 10% of women of reproductive age.  In terms of conceiving a baby, the hormonal imbalances created by PCOS prevent the ovary from ovulating and releasing an egg to meet with the sperm.

 

The goal of fertility therapy for patients with PCOS is to restore hormonal balance and induce ovulation.  This is achieved by treatment with stimulatory medicines that can either be oral pills (such as clomiphene citrate or letrozole), or injectable medicines, termed gonadotropins.  Some patients with PCOS need more advanced fertility treatments, such as IVF, if their ovaries are either resistant to initial treatment or respond too well to treatment.

 

Many women with PCOS have ovaries that are producing excess hormones, specifically the male hormone testosterone.  In addition, they can have a decreased sensitivity to insulin for which their bodies compensate by over-producing insulin. The overactive ovaries and high levels of insulin may contribute to the development of hirsuitism (excessive body hair) and worsen the already present ovulation disorder.  There is evidence that excess insulin plays a role in the development of PCOS, it is therefore hypothesized that reducing the circulating levels of insulin may help restore normal reproductive function. This may be accomplished by weight loss, improved nutrition, and exercise. These lifestyle changes should be the first line of therapy for any woman with PCOS.

 

Additionally, there is some evidence that insulin sensitizing agents can aid in both the medical and fertility therapy of PCOS.  The best studied insulin sensitizing agent available in the United States for women with PCOS is metformin (Glucophage®). Metformin reduces circulating insulin and androgen levels and may restore normal ovulation in select women with PCOS.  The most current scientific evidence shows that metformin alone does not usually restore ovulation, but in some women it may possibly improve the ovarian response to fertility medications. Most patients with PCOS do not need metformin, and the decision to prescribe metformin is made by your physician on a case-by-case basis to ensure personalized treatment plans. 

 

In addition to these infertility and reproductive problems, there are also health issues for patients with PCOS that include: irregular menstrual periods, obesity, high cholesterol, high blood pressure and a pre-disposition towards Type 2 diabetes.  Some of these symptoms, if left untreated, can lead to heart disease later in life.

Diagnosing PCOS: Symptoms and Tests

Diagnosing Polycystic Ovarian Syndrome  (PCOS)We can diagnosis women with PCOS by reviewing your symptoms: infertility, irregular menstrual periods (or skipping them entirely), severe and chronic acne and excessive body hair growth.  The symptom that brings most women to see a specialist is irregular menstrual periods.   If you are having fewer than 4-6 menstrual periods per year, you should have the lining of your uterus evaluated for overgrowth, a condition known as endometrial hyperplasia. You should also have a fasting sugar test to make sure you do not have a pre-diabetic condition called Insulin-Resistance that is common in patients with PCOS.  Additionally, cholesterol levels and blood pressure should be checked regularly.  It is also important to maintain a routine of diet and exercise.  Many studies have shown an improvement in every aspect of PCOS with a sustained loss of 5-10% of your body weight, regardless of your starting weight.

 

Treatment of PCOS: Four Main Goals

 

In terms of treatment, there are four main goals. 

 

  1. If you are trying to have a baby, you should see a fertility specialist, called a Reproductive Endocrinologist & Infertility specialist, as soon as possible. 
  2. Maintain the health of your body to prevent heart disease and diabetes. 
  3. The severe acne and excessive hair growth of PCOS can be treated both medically and cosmetically. 
  4. If you are not interested in becoming pregnant, your OBGYN can help regulate your menstrual periods in order to protect the lining of your uterus from overgrowth.  This is usually accomplished through the use of birth control pills for cycle regulation.

 

Helping patients with PCOS achieve their family-building goals is our primary goal here at RMACT, but we never lose sight of the medical issues associated with this common condition.

 

Please visit the following websites for more information:

 

http://www.pcosupport.org/

http://www.asrm.org/Patients/topics/pcos.html

http://www.asrm.org/membersonly/practice/Insulin_sensitizing_agents.pdf

http://www.asrm.org/membersonly/practice/Androgen_Excess.pdf

http://www.atime.org/scripts/main.cgi?action=show_facts

www.healthfinder.gov

 

 

CT Fertility Clinic Celebrates 5 Top Doctors

  
  
  

Five Top Doctors At Our CT Fertility Clinic

CT Fertility Clinic Top DoctorsWhen I say I work for the best fertility doctors in Connecticut, people hearing my words probably think I'm biased. In fact though, their peers agree, they are top doctors according to Castle Connolly Medical Ltd. (See below.) That's not me saying it, that's other doctors in Connecticut saying it. 


Clinically, they are excellent, hence their awards. Drs. Mark Leondires, Spencer Richlin, Joshua Hurwitz, Cynthia Murdock and Shaun Williams are a dedicated group of physicians intent on providing the very best fertility treatment possible. Our pregnancy rates are outstanding and are continuing to rise due to innovative and scientific advancements and a fertility program willing to move past accepted ways to treat infertility and sub-fertility. We have doctors who respect what we have learned in the last several decades and are also open to new, research-driven techniques. They are neither bound mindlessly to the past nor are they jumping unquestioningly into new, unproven protocols. 


All that and more. Dedicated to creating a program that treats men and women like human beings and not walking fertility diagnoses; we have created teams. Each patient has an award winning, board certified reproductive endocrinologist, plus a nurse coordinator, plus a patient navigator, plus a financial representative. These teams are put together to ensure that each patient at RMACT knows who to ask questions of and who is responsible for their fertility treatment. While patients may get treated as a number in other fertility programs, they most certainly are not treated that way at RMACT.


RMACT takes other steps as well to ensure that patients are taken care of; the Integrated and Fertility Wellness Program offers many free and co-pay dependant services for both patients and non-patients. Mental health professionals offer counseling and coaching so that men and women can thrive during fertility treatment, not simply survive. Our acupuncturists have almost a decade of experience working in both traditional and laser treatments. Our nutritionist, who one can see for a co-pay, creates individualized and specific plans for each and every patient that she sees and has made a big difference in patients reducing fertility-affecting lifestyle choices. Fertile Yoga is offered three days a week, in three separate locations, free of charge, reducing stress and increasing quality of life while in fertility treatment.


Please read below about our award winning doctors. How lovely and affirming that other physicians confirm what we all ready know; that the doctors at RMACT are dedicated to their patients and helping them become pregnant, with fertility treatment and compassion and hope. 

All Fertility Doctors at RMACT Named Top Doctors

Castle Connolly Medical Ltd., which conducts a rigorous, peer-reviewed assessment of local doctors, compiles the list of Top Doctors to help patients find the best healthcare providers. All five fertility doctors at Reproductive Medicine Associates of Connecticut (RMACT) are Top Doctors, as decided by their peers in the medical field.

 

Excellence in Reproductive Endocrinology and Infertility

 

Fertiity Doctor Mark LeondiresDr. Mark Leondires, medical director and fertility specialist at RMACT, was selected in 2013 as a Castle Connolly Regional Top Doctor for his work the field of reproductive endocrinology and infertility. Among Dr. Leondires’ accolades, he was selected in 2012 and 2013 for Best Doctors in America, a database of the country’s top five percent of physicians, as chosen through a peer-review process. 

 

Prior to joining RMACT, Dr. Leondires served as the Director of Assisted Reproductive Technologies (ART) at the Combined Federal Program for Reproductive Endocrinology. While under his direction, the ART Program was one of the most successful in the Washington DC area and in the top tenth percentile nationally. During this time he was an Assistant Professor at the Uniformed Services University of Health Sciences and clinical faculty for the Combined Fellowship in Reproductive Endocrinology. His professional society memberships include the Society of Reproductive Endocrinologists, the American College of Obstetrics and Gynecology, and the American Society for Reproductive Medicine.

 

Fertility Specialist Cynthia MurdockDr. Cynthia Murdock, a fertility specialist at RMACT, was also selected in 2013 as a Castle Connolly Top Doctor in the field of Reproductive Endocrinology and Infertility. Dr. Murdock was chosen by her peers as one of Connecticut’s top fertility specialists based on her outstanding work with patients who need help getting pregnant and building their families.

 

An experienced researcher, Dr. Murdock has contributed to numerous peer-reviewed studies and presented at several of the most prestigious conferences in the field of reproductive medicine. The focus of much of her research has been on estrogen receptors, hypothalamic neuron function, and precocious puberty. Dr. Murdock is a member of the American Society for Reproductive Medicine and the Society for Reproductive Endocrinology and Infertility, as well as a Fellow of the American College of Obstetrics and Gynecology. Dr. Murdock was previously an assistant clinical professor at Creighton University School of Medicine and a staff physician with Reproductive Health Specialists at Nebraska Methodist Hospital. She has also served as an Assistant Professor of OB-GYN at the National Naval Medical Center and Walter Reed Army Medical Center.

 

CT Fertility Specialist Dr. Joshua Hurtwitz   Top DoctorDr. Joshua M. Hurwitz, a partner at RMACT, was also selected in 2013 as a Castle Connolly Top Doctor in the field of Reproductive Endocrinology and Infertility. Since joining RMACT seven years ago, he has helped thousands of patients realize their dreams of having a baby.

 

In addition to his responsibilities with RMACT, Dr. Hurwitz is Division Director of Reproductive Endocrinology and Infertility (REI) services in the Department of Obstetrics, Gynecology and Reproductive Sciences of Danbury Hospital, where he has been teaching residents during his entire tenure. He is also an Assistant Professor of Obstetrics, Gynecology and Women’s Health at the Albert Einstein College of Medicine. During residency training, Dr. Hurwitz was named Best Laparoscopic Surgeon, and has received many teaching awards. He is a member of the Society of Reproductive Endocrinologists, Fellow of the American College of Obstetrics and Gynecology, and the American Society for Reproductive Medicine.

 

Top Docs of Fairfield County

 

Two of the Board Certified reproductive endocrinologists of RMACT – Dr. Spencer Richlin, Surgical Director and Fertility Specialist, and Dr. Shaun Williams, fertility specialist – have been honored by their peers by being rated “Top Docs” of Fairfield County in 2014.

 

Infertility Specialist Dr. Spencer RichlinDr. Spencer Richlin, who made the Castle Connolly list for the third consecutive year, is a partner with RMACT. “My patients, whether they are couples, oncology patients or single women, all have the same dream – to have a family,” says Dr. Richlin, who is the Division Chief of Reproductive Endocrinology and Fertility at Norwalk Hospital along with his responsibilities at RMACT. “This intuitive human need is powerful, and I’m proud to help them have the families they dream of.”

 

Dr. Richlin is a member of the American College of Obstetrics and Gynecology (ACOG) and of the American Society for Reproductive Medicine (ASRM). He has published several articles and is on the writing committee for the upcoming 2015 Reproductive Endocrinology & Infertility PROLOG sponsored by the ACOG.

 

Dr. Shaun WilliamsDr. Shaun Williams’ peers also rated him as a “Top Doctor” for Castle Connolly’s 2013 list of Fairfield County’s Top Doctors. “This award speaks to the hard work and care of our entire team,” says Dr. Williams, who joined the RMACT team in 2012. “I’m proud of our team’s success rates and that we are helping patients to improve their overall health through nutrition, stress management, and of course advanced medical treatment.”

 

Dr. Williams has been published numerous times, and has presented five of his abstracts at American Society of Reproductive Medicine’s annual conference for professionals in the infertility field. He is a member of ASRM, Fairfield County Medical Association, Fellow of American College of Obstetrics and Gynecology, and associate member of Society for Reproductive Endocrinology and Infertility. 

 

 

Anyone out there agree about our wonderful doctors? Care to share a few words? We would love to hear from you! ~Lisa Rosenthal

 

Follow Lisa on Google+

 

 

Dr. Joshua Hurwitz Selected Top Doctor in Infertility

  
  
  

CT Fertility Specialist Dr. Joshua Hurtwitz Named Top Doctor

We are so proud of our own Top Doctor, CT fertility specialist Dr. Joshua Hurwitz! Those of us lucky enough to work with him know how dedicated and devoted he is to his patients and practice. How wonderful that his peers realize it as well. Please read on to hear more about Dr. Hurwitz: 

Peers Recognize RMACT Fertility Specialist for His Excellence in Reproductive Endocrinology

CT Fertility Specialist Dr. Joshua Hurtwitz   Top DoctorFertility Specialist Dr. Joshua M. Hurwitz, a partner at Reproductive Medicine Associates of Connecticut (RMACT), has been selected as a Castle Connolly Top Doctor in the field of Reproductive Endocrinology and Infertility. Castle Connolly Medical Ltd., which conducts a rigorous, peer-reviewed assessment of local doctors, compiles the list of Top Doctors to help patients find the best healthcare providers.

 

“I’m honored that my peers have selected me for this prominent award,” says Dr. Hurwitz, who is board certified in both Reproductive Endocrinology and Obstetrics and Gynecology.  “To me, being a ‘Top Doctor’ means that the entire RMACT team is successful in helping our patients build their families while also navigating the difficult medical and emotional issues that can accompany fertility treatments.”

 

Dr. Hurwitz is passionate about comprehensive patient care and teaching.  Since joining RMACT seven years ago, he has helped thousands of patients realize their dreams of having a baby.  In addition to his responsibilities with RMACT, Dr. Hurwitz is Division Director of Reproductive Endocrinology and Infertility (REI) services in the Department of Obstetrics, Gynecology and Reproductive Sciences of Danbury Hospital, where he has been teaching residents during his entire tenure.  He is also an Assistant Professor of Obstetrics, Gynecology and Women’s Health at the Albert Einstein College of Medicine. 

 

Dr. Hurwitz received his undergraduate degree in Biology and Society from Cornell University, and his medical degree from the Jefferson Medical College in Philadelphia.  Dr. Hurwitz completed his residency in Obstetrics & Gynecology at Thomas Jefferson University Hospital, also in Philadelphia. He then completed his fellowship in Reproductive Endocrinology & Infertility at the Albert Einstein College of Medicine in New York City. During residency training, Dr. Hurwitz was named Best Laparoscopic Surgeon, and has received many teaching awards. He is a member of the Society of Reproductive Endocrinologists, Fellow of the American College of Obstetrics and Gynecology, and the American Society for Reproductive Medicine. 

 

Video: Dr. Hurwitz and Gestational Carrier Help Couple Conceive

  
  
  

Dr. Joshua Hurwitz Interviewed in Gestational Carrier Story

A remarkable gestational carrier story was lovingly shared with all of us.

 

It's a story that involved many different parties putting the creation of a family first, letting go of any judgements or potential problems that could get in the way. 

 

Follow this beautiful story, from beginning to end, with Dr. Joshua Hurwitz, board-certified reproductive endocrinologist and partner from Reproductive Medicine Associates, leading the way.

 

 

We always welcome your comments and feedback. 

 

Infertility Basics- Meet Dr. Joshua Hurwitz of RMACT

  
  
  

Infertility Basics- Meet Dr. Joshua Hurwitz, board certified reproductive endocrinologist from RMACT

Dr. Joshua Hurwitz is a staff physician and infertility specialist in Reproductive Endocrinology at Reproductive Medicine Associates of Connecticut (RMACT) who joined the practice in 2006 with a passion for patient care and teaching.  In addition, he is Division Director of Reproductive Endocrinology and Infertility (REI) services in the Department of Obstetrics, Gynecology and Reproductive Sciences of Danbury Hospital.   He is board certified in both Obstetrics & Gynecology and Reproductive Endocrinology and Infertility.Dr Joshua Hurwitz- board certified endocrinologist from RMACT

 

As Division Director of REI, Dr. Hurwitz is responsible for developing and implementing the division’s academic program, teaching residents, and giving lectures, as well as caring for infertility patients.  Dr. Hurwitz has been teaching residents at Danbury Hospital in the operating rooms, clinic and RMACT’s private office for over three years, making his transition to director a natural progression.  He will continue teaching and implementing the most advanced infertility therapies available, including endocrinological, surgical, genetic and in-vitro fertilization (IVF) techniques.

 

He received his undergraduate degree in Biology & Society from Cornell University, and his medical degree from the Jefferson Medical College in Philadelphia.  Dr. Hurwitz completed his residency in Obstetrics & Gynecology at Thomas Jefferson University Hospital, also in Philadelphia. During residency training, Dr. Hurwitz was named Best Laparoscopic Surgeon, and has received many teaching awards.

 

After residency, he completed a three year fellowhip in reproductive endocrinology at the Albert Einstein College of Medicine in New York.  During his fellowship, Dr. Hurwitz successfully launched several research programs related to reproductive aging and diminished ovarian reserve and has presented his research findings at many leading national and international fertility conferences. His research interests also include premature ovarian failure, oocyte cryopreservation, reproductive surgeries, embryo donation, and bioethics. He has published numerous abstracts, articles and book chapters on reproductive aging, reproductive hormones, IVF, ultrasound, and bioethics.

 

Dr. Hurwitz is a member of the Society of Reproductive Endocrinologists, Fellow of the American College of Obstetrics and Gynecology, and the American Society for Reproductive Medicine. He is also currently Assistant Professor of Obstetrics, Gynecology & Women’s Health at the Albert Einstein College of Medicine.

Award Winning Infertility Doctor Writes About Fertility and Cancer

  
  
  

Wednesday text

Fertility Preservation for the Oncology Patient

Written by Joshua M. Hurwitz, MD (Award winning, Board Certified Reproductive Endocrinologist at Reproductive Medicine Associates of CT)Dr. Joshua M. Hurwitz, Award winning, Board Certified Reproductive Endocrinologist at Reproductive Medicine Associates of CT

 

One area of reproductive medicine that is not well-known or publicized is fertility preservation for patients diagnosed with cancer, termed "onco-fertility". This is a very important issue due to the demographics of cancer: there are about 1.5 million new cases of cancer diagnosed annually in the US, and approximately 10-20% of them are in men and women under the age of 45 years old. That adds up to 150-200,000 new cancer patients every year that are squarely in their reproductive years.

 

Once a patient is diagnosed with cancer- no matter what type- they must undergo life-saving medical treatments. Treating cancer with chemotherapy, radiation and surgery, however, often leads to permanent sterility in both women and men as they damage a woman’s oocytes (eggs) and a man’s sperm. Many cancer patients successfully survive their malignancies only to find out that their eggs or sperm are permanently sterilized.

 

This is a very difficult topic to deal with because- by definition- it is coming at the very stressful time of a cancer diagnosis. It represents a psychological "double-blow" and is a very sensitive topic to talk about. Patients don’t know their fertility risks or reproductive options, and there are many fears and misconceptions about fertility treatments and the safety of pregnancy after surviving cancer.

 

For patients wishing to preserve their fertility options and protect their eggs or sperm from their cancer therapies, it is imperative that they see a fertility specialist as soon as possible. The earlier in the process they see a reproductive endocrinologist & infertility specialist (REI), the more options that we have to offer them for future family-building.

 

There are four main ways in which an REI can help reproductive-aged patients protect their ability to build their family prior to treatments for cancer. They include:

 

  1. Men: It is relatively simple to cryopreserve, or freeze, sperm PRIOR to chemotherapy, radiation or surgery. This entails freezing sperm samples as many times as possible prior to the initiation of cancer treatments. Cryopreservation of sperm is simple, inexpensive and has a long and successful track record. Once a patient has been diagnosed with cancer, he should start freezing sperm as early and as often as possible prior to the initiation of his cancer treatments.

  2. Women: There are some instances where an REI can prescribe medications (such as oral contraceptive pills or GnRH-agonist) to protect the oocytes (eggs) from chemotherapy. This is not perfect and is not proven to be successful, but in carefully selected patients this is an easy and inexpensive way to partially protect the ovaries and their eggs from the harmful side-effects of chemotherapy. This is not the best option, however, as it leaves too much uncertainty and may not be able to protect the ovaries adequately.
  3.  

  4. Women: The most successful means to preserve future fertility in women is to cryopreserve oocytes (eggs) or embryos:
    1. For women, the tried-and-true method is undergoing IVF (in vitro fertilization) to fertilize her oocytes (eggs) with her partner’s/spouse’s sperm to create embryos and then freeze them for the future. This has a long and successful track record and is the gold standard for all fertility preservation. It is only appropriate, however, for women who have a spouse/partner with whom they know they want to have children in the future. This option must also be initiated PRIOR to initiating chemotherapy.
    2.  

    3. For women who do not currently have a partner/spouse with whom they know they want to have a child, we can freeze her oocytes (eggs) without combining them with sperm to make embryos. This allows any woman to save her oocytes for the future, where they can be used to create embryos with a future partner’s/spouse’s sperm to have children. This is a relatively new technology that has only reached clinical maturity in the last two-three years. There is now excellent evidence that frozen eggs are just as successful in fertilizing with future sperm as fresh eggs, as long as these procedures are performed in high-quality IVF laboratories.
    4.  

  5.  

If we see a patient AFTER she or he has undergone their cancer treatments, it is important to gauge the viability of the oocytes (eggs) and sperm.

  1. Men: A semen analysis will tell us immediately if there are any sperm left in the testicles, or if the cancer treatments have injured them completely.
    1. If so, then donor sperm will be required.
    2.  

    3. If there are some, or a minimal number of sperm, there are many treatments that we can employ to fertilize an egg with this sperm, such as IVF with ICSI (intracytoplasmic sperm injection).
    4.  

  2.  

  3. Women: If the strength of the ovaries, termed ovarian reserve, has been compromised, then IVF can sometimes help patients become pregnant, depending on how strongly adverse the chemotherapy effect was.


          a.  If all of the eggs in the ovaries have been depleted by the cancer treatments, however, then donor eggs are required to have a baby because the chemotherapy has induced premature menopause.

 

     

 

     

It is important to remember that each patient, diagnosis and clinical case is unique. Early consultation with an REI will help each patient figure out on an individual basis what their risks and options are.

 

Here at RMACT, we are passionate about helping patients diagnosed with cancer preserve all of their fertility options. We have partnered with the major oncology groups at all of our surrounding hospitals to streamline the process and make this very difficult time period as easy as possible. There are also national patient-advocacy groups that can help with the insurance and financial aspects of all of these great family-building options and treatments. The foremost of them is the Livestrong/FertileHope program that can provide both counseling and financial support.

 

If you have any question about these issues, or know someone who does, please contact us so we can begin the time-dependant process of fertility preservation. With all of today’s advanced treatment options, having a diagnosis of cancer does not have to put an end to your dreams of having a family. Preserving that dream, and keeping that hope alive for the future, is paramount in becoming a cancer survivor.

Infertility Musings Gathered from My Wanderings of the Week

  
  
  

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My brain is racing around when it comes to topics for infertility today.

Thinking back to a conversation earlier this week with Dr. Mark LeondiresDr. Mark Leondires, Medical Director of Reproductive Medicine Associates of CT about the success in first IVF cycles, 60% for patients under 35, an astonishing number, given how many of us feel that it never works the first time. How discouraged some patients start the first cycle, thinking it won’t work.  I’m going to let Dr. Leondires write about that one, though.

Then thinking back to Ladies Night In, our peer support group in Danbury, led by Carrie Van Steen this past Wednesday. Could write a book on that. A group of ladies that are regularly meeting for dinner, emailing each other daily and finding other ways to support each other. How compassionately Carrie led the group and how it is truly meeting a need that our patients have to communicate with other people dealing with the challenges of infertility.

Could write about how the infertility population are single handedly supporting the industry of urinary pregnancy tests. You know, the ones that we take the day before our blood tests that we know we shouldn’t take, but we do anyway.

I could write about all the different ways we answer the questions about when we are going to have children. That annoying, insensitive, pierce us to our heart question that we get over and over again. The question that we wish we would never hear again and never seem to quite have the right answer on the tip of our tongue.

Then there was Carolyn Gundell, MS, dropping into the support group and spending a few minutes with us, giving some helpful hints and answering questions about nutrition and food. Thinking about setting up another Grocery Tour in the Danbury area and trying to figure out when will work best.

I listened to Dr. Joshua HurwitzDr. Joshua Hurwitz, Board Certified Reproductive Endocrinologist from Reproductive Medicine Associates of CT at lunch yesterday speaking with one of the Obstetrician/Gynecologists in our area, talking about fertility preservation. How passionately he spoke about patients who are about to undergo cancer treatment being able to come speak with our practice beforehand to hear about how they might preserve the possibility of becoming pregnant after surgery, chemotherapy and radiation. Dr. Hurwitz, making it clear, that he would come in early, stay late, meet with a patient on a Sunday, that’s how strongly he feels that patients should know about their choices and not find out afterwards that there was one and is no longer. 

And since its Friday, I’m thinking about my Fertile Yoga students that I am so looking forward to seeing tomorrow. Working six days a week can be challenging. I have to say, though, that teaching Fertile Yoga on Saturday’s is an utter joy for me. I look forward to it all week. Looking forward to seeing you all tomorrow!

I guess that’s the blog today. Pretty much stealing a page from my best friend of 44 years, (yes, I am that old!) Pamela Madsen and doing a round up of what this week in infertility was about for me. Did I even mention our new, easy to manage website? What a pleasure, especially the search button! Go Greg!

And on the last note, enjoy the extra hour of sleep, I personally am voting for one extra each weekend.

Reproductive Medicine Fertility Doctors- Reaching Out To Community!

  
  
  

Reproductive Medicine Associates of CT (RMACT) is full of announcements this morning.Dr. Joshua Hurwitz, Dr. Spencer Richlin, Dr. Mark Leondires, Dr. Cynthia Murdock, Reproductive Endocrinologists from Reproductive Medicine Associates of CT

Coming up tomorrow on this blog we have an interview with Dr. Cynthia Murdock of RMACT, sharing the more personal side of herself. What she enjoys doing, why she decided on reproductive medicine, how she likes to spend her time off and more. Read tomorrow to get to know this board certified reproductive endocrinologist as a real person.

This coming Saturday, Carolyn Gundell MS, and Dr. Spencer Richlin, RMACT’s Surgical Director, will be presenting an interactive seminar as part of our fall series. Open to the public, the seminar will be held in our learning center in Norwalk.

Fertile Nutrition: Tools for Success

A discussion on how to increase your chances of pregnancy and optimizing your health prior to pregnancy with nutrition and lifestyle choices. Led by Carolyn Gundell and Spencer Richlin, MD.

Seminars are $10 per person or $15 per couple
RSVP to Cori at 203-750-7492

Dr. Spencer Richlin is a busy man these days! He will be speaking next Tuesday at TLC (Total Learning Center in Norwalk CT). Very exciting panel discussing the patient being treated in an integrative manner. The details are as follows:

On Fertile Ground:

Holistic & Traditional Approaches to Infertility

Figures vary, but as many as 40% of infertility cases have been described as 'unexplained' which means that following thorough investigations, doctors can find no specific or identifiable medical problem at the root cause. Clearly even today, it's still a bit of a mystery why pregnancy may or may not occur.

On Fertile Ground is a panel discussion which looks deeper at some possible causes - lifestyle factors, nutritional imbalances, even emotional elements and offers ways in which couples may be able to overcome their fertility challenges by taking responsibility for themselves, rather than handing it all over to the doctors.

Our panel represents Western, Eastern and Integrated approaches to fertility - offering a strong potential for success in promoting fertility.

Hear from:

Joel Evans, MD: founder and director of The Center For Women's Health, nationally recognized wellness expert, educator, author and physician  specializing in nutrition, mind/body medicine and spirituality.

Spencer Richlin, MD: Surgical Director and a specialist in reproductive endocrinology at Reproductive Medicine Associates of Connecticut.

Vicki Kobliner, MS RD: a RegisteredDietitian with extensive experience in using dietary modification, appropriate supplementation and functional lab testing to achieve optimal wellness.

Elaine M. Malin, MTCM, L.Ac.: a licensed acupuncturist and a Diplomat of Oriental Medicine, treating physical and emotional issues in adults, children and infants.

Tuesday, Oct. 26th
7:30am-10am
Continental Manor
112 Main Street
Norwalk, CT

Next up, is Dr. Joshua Hurwitz. We are delighted to announce that American Registry, a leader in recognizing excellence, has awarded our very own Dr. Joshua Hurtwitz with its prestigious One of 2009's "Most Compassionate Doctors" Award.

Dr. Hurwitz's patients have expressed their esteemed opinion of his bedside manner and have identified him as one of America's Most Compassionate Doctors. Only a handful of physicians receive such complimentary reviews nationally. In fact, of the nation's 720,000 active physicians, less than 3% were awarded this honor in 2009.

Dr. Hurwitz will be presenting at the following of RMACT’s fall seminar series:

Saturday October 30th 11:00 AM – 12:30 PM

The Science of Dieting, Weight and the Fertility Connection

This seminar will discuss which meal plans work best, dieting fads and myths, and how body composition can affect fertility, pregnancy, and long term health for both mother and baby. Led by Carolyn Gundell and Joshua Hurwitz, MD.

Look to reading more about Dr. Mark Leondires (Medical Director of RMACT) in just a few weeks. Or better yet, watch and listen to him speak about how to optimize an IVF cycle. A subject that could help you enhance your chances of pregnancy and just a click away. Dr. Leondires has been a leader in supporting men and women on their path to their fertility and quest to create their families

What To Expect When You're Not Expecting- From RMACT

  
  
  

Friday text

 

Reproductive Medicine Associates of Connecticut have an amazing fall seminar series planned. Weight, exercise, food, grocery tours and much more. Seminars on Saturday, Grocery Tours in the evening.


And don't forget about Fertile Yoga on Saturdays. Norwalk 9:30-11:00 and 4:15-5:30 in Danbury/Brookfield

 

Exercise, Nutrition and Fertility  "The Balancing Act"

Saturday October 2nd 11:00 AM until 12:30 PM

Is it actually possible to be too physically fit to conceive? Medical education and nutrition tools to support exercise, balance body composition, and optimize health for conception will be shared. Led by Carolyn Gundell, MS and Mark Leondires, MD.


Grocery Tours

Can "fertility foods" be found in your grocery store? Do you sometimes feel misled by food labels? Food shopping does not have to be stressful or confusing. Join Carolyn Gundell, MS for a shopping tour!

 

Grocery Tour at ShopRite in Brookfield

Monday October 4th 7:00 PM until 8:30 PM

143 Federal Road, Brookfield, CT - Grocery Tours will meet in Produce section of supermarket

 

Grocery Tour at Super Stop & Shop in Norwalk

Wednesday October 13th 7:00 PM until 8:30 PM

380 Main Avenue, Norwalk, CT - Grocery Tours will meet in Produce section of supermarket

 

Fertile Nutrition: Tools for Success

Saturday October 23rd 11:00 AM until 12:30 PM

A discussion on how to increase your chances of pregnancy and optimizing your health prior to pregnancy with nutrition and lifestyle choices. Led by Carolyn Gundell and Spencer Richlin, MD.

 

The Science of Dieting, Weight and the Fertility Connection

Saturday October 30th 11:00 AM until 12:30 PM

This seminar will discuss which meal plans work best, dieting fads and myths, and how body composition can affect fertility, pregnancy, and long term health for both mother and baby. Led by Carolyn Gundell and Joshua Hurwitz, MD.

 

Taking the Guilt and "Weight" Out of Holiday Eating

Saturday November 13th 11:00 AM -12:30 PM

The Holidays can be filled with warm memories, family and friends, but are often stressful due to endless delicious food tasting opportunities. This seminar will provide you with a non-dieting, guilt free approach to holiday eating - share in recipe ideas and tips on how to get through the holidays without the typical 10 lb weight gain. Led by Registered Dietician Carolyn Gundell

 

Coping with the Holidays

Monday November 15th 6:30 PM until 8:00 PM

An evening event for individuals and couples to talk about the difficulties that the holidays can bring. Learn coping and planning strategies to help deal with the stress of family and friend gatherings throughout the holiday season. Led by RMACT psychologist, Lisa Tuttle, PhD.

* * * * * * *

Seminars are $10 per person or $15 per couple

RSVP to Cori at 203-750-7492

Reproductive Medicine Associates of Connecticut

Cynthia Murdock, MD

www.rmact.com  www.PathToFertility.com

 

Click here for link to Fertility Seminar Flyer

Top Infertility Specialist in Connecticut named Division Director

  
  
  
 Hot Hot off the press... Our own Dr. Joshua Hurwitz is now Division Director of Reproductive Endocrinoloby and Infertility at Danbury Hospital. Read on....

Reproductive Medicine Associates of Connecticut (RMACT) - Fairfield County's largest fertility clinic and egg donation center - announced today that Dr. Joshua M. Hurwitz has been appointed Division Director of Reproductive Endocrinology and Infertility (REI) services in the Department of Obstetrics, Gynecology and Reproductive Sciences of Danbury Hospital. Dr. Hurwitz, who joined the RMACT team in 2006, is an infertility specialist in reproductive endocrinology with a passion for patient care and teaching.

As Division Director of REI, Dr. Hurwitz will be responsible for developing and implementing the division's academic program, teaching residents, and giving lectures, as well as caring for infertility patients. Dr. Hurwitz has been teaching residents at Danbury Hospital in the operating rooms, clinic and RMACT's private office for over three years, making his transition to director a natural progression. He will continue teaching and implementing the most advanced infertility therapies available, including endocrinological, surgical, genetic and in-vitro fertilization (IVF) techniques.

"Like RMACT, Danbury Hospital brings together advanced medicine, research and a sense of community," says Dr. Hurwitz. "Because we share these core values, our department and our practice have worked well together for years. I am thrilled to take on this responsibility and to be working with residents."

Dr. Joshua Hurwitz is board certified in both Obstetrics and Gynecology and Reproductive Endocrinology and Infertility. Along with his work at RMACT and Danbury Hospital, he is an associate professor at the Albert Einstein College of Medicine in New York. He received his undergraduate degree in Biology and Society from Cornell University, and his medical degree from Jefferson Medical College. Dr. Hurwitz completed his residency in Obstetrics and Gynecology at Thomas Jefferson University Hospital, both in Philadelphia and completed a three-year fellowship in reproductive endocrinology at the Albert Einstein College of Medicine in New York. His research interests include reproductive aging, IVF, premature ovarian failure, oocyte cryopreservation, reproductive surgeries, embryo donation, and bioethics.

Dr. Hurwitz is a member of the Society of Reproductive Endocrinologists, Fellow of the American College of Obstetrics and Gynecology, and the American Society for Reproductive Medicine. He has been recognized with the "People's Choice" and "Leading On-Time Doctor" awards from Vitals.com.

 

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