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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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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

 

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CT Fertility Practice Has Two Castle Connolly “Top Docs” of Fairfield County

  
  
  

CT Fertility Practice: Two Castle Connolly “Top Docs”

Two of the Board Certified reproductive endocrinologists of Reproductive Medicine Associates of Connecticut (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.” Castle Connolly’s 2014 list of Fairfield County’s Top Doctors is published in the January/February issues of Fairfield Living, Greenwich, New Canaan-Darien, Westport and Stamford magazines, all of which are published by Moffly Media and are on stands now.


“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.”

 

Moffly Media’s list is compiled by the renowned healthcare research firm Castle Connolly Medical Ltd., which conducts a rigorous, peer-reviewed assessment of local doctors by their peers.
“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. Spencer Richlin, Surgical Director and Fertility Specialist


 Dr. Spencer Richlin, CT Fertility SpecialistDr. Richlin, who made the Castle Connolly list for the third consecutive year, is a partner with RMACT. He 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. Richlin received his undergraduate degree in psychology from the University of California at Berkeley, and his medical degree from the University of Southern California Keck School of Medicine. He completed two internships, one in Emergency Medicine and one in Obstetrics and Gynecology. Dr. Richlin served his residency at Stamford Hospital in Stamford Connecticut from 1995-1999, where he was named Berlex Best Teaching Resident. He then completed his subspecialty fellowship in reproductive endocrinology and infertility at Emory University School of Medicine in Atlanta, Georgia.

 

Dr. Shaun Williams, Fertility Specialist


Dr. Shaun Williams, CT Infertility SpecialistDr. Williams earned his undergraduate degree from University of Texas at Austin and went on to study medicine at Baylor College of Medicine in Houston, Texas, where he was part of the Alpha Omega Alpha Honor Medical Society. He conducted his internship and residency at The University of Texas Southwestern Medical Center, where he received the Berlex Labs Resident Teaching Awards. Dr. Williams did a fellowship in reproductive endocrinology and infertility at The Jones Institute for Reproductive Medicine at Eastern Virginia Medical School. 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. Dr. Williams’ peers also rated him as a “Top Doctor” for Castle Connolly’s 2013 list of Fairfield County’s Top Doctors.


About Reproductive Medicine Associates of Connecticut (RMACT):



RMACT specializes in the treatment of infertility, including assisted reproductive technologies (ART) such as intrauterine insemination (IUI), in-vitro fertilization (IVF), and Comprehensive Chromosomal Screening (SelectCCS). RMACT, Fairfield County’s largest fertility clinic and egg donation center, is one of 11 leading In Vitro Fertilization (IVF) centers nationwide chosen by In Vitro Sciences to participate in its Centers of Excellence program. RMACT has offices in Norwalk, Danbury, Stamford and Trumbull, and an affiliate New York fertility clinics serving Putnam and Dutchess counties. RMACT also offers infertility treatment financing and support services, such as nutrition counseling, massage therapy, psychological counseling, acupuncture and yoga, through RMACT’s Integrated Fertility and Wellness Center.


The RMACT team includes lead physicians Drs. Mark P. Leondires, Spencer S. Richlin and Joshua M. Hurwitz, as well as fertility specialists Drs. Cynthia M. Murdock and Shaun C. Williams. All physicians are Board-Certified Reproductive Endocrinologists and are members of the American Society for Reproductive Medicine (ASRM), the Society for Assisted Reproductive Technology (SART) and the Fairfield County and Connecticut Medical Societies. Each has received numerous awards, and all five are Castle Connolly "Top Doctors" for various categories. RMACT’s IVF laboratory is accredited by the College of American Pathologists (CAP), and CLIA; other accreditations include the Accreditation Association for Ambulatory Health Care (AAAHC) and the American Institute for Ultrasound in Medicine (AIUM). For more information, visit www.RMACT.com or find us on Facebook.

Connecticut Fertility Practice Launches "Single Moms to Be" Program

  
  
  

Connecticut Fertility Practice Launches “Single Moms To Be”

single moms to be from RMACTI gave you a little teaser last week about Reproductive Medicine Associates of Connecticut (RMACT)'s Surgical Director, Dr. Spencer Richlin. And that we were launching a brand new program, designed for single women who are hoping and planning to become moms. Here it is, in black and white, and more importantly, hear is what Dr. Richlin has to say about this new and innovative program.

Thanks for reading! ~Lisa Rosenthal


RMACT Program Includes Dedicated Medical Team and SingleMomsToBe.com for Single Women Interested in Becoming Moms

Reproductive Medicine Associates of Connecticut (RMACT), Fairfield County’s leading fertility center, is launching Single Moms To Be, a program designed to meet the needs of women interested in becoming single moms by choice. The program includes dedicating a team with experience helping single female patients. In addition, the fertility practice has developed SingleMomsToBe.com, an online resource and community.

 

“During the past 15 years, my team and I have worked with many single women who have chosen to start their families on their terms, on their own,” says Spencer Richlin, MD, a Board certified reproductive endocrinologist who leads the RMACT team. “Each of these women has been an inspiration to me, and we hope that this new program and website will inspire other women to pursue their dreams of becoming a mom.”


SingleMomsToBe.com provides information for women at three stages of becoming a mom:


1. At the onset, when women need to know how to physically and mentally prepare themselves for motherhood and fertility treatment.


2. During treatment, when questions arise about treatment options for single women and how to attain donor sperm.


3. After the baby comes home, when new moms benefit from a community of single moms by choice.


The website will include a unique “Moms to Moms” page where readers can submit their questions for an experienced single mom to answer, which is launching in Summer 2014. These ambassador moms will provide a priceless perspective about the realities of single motherhood, including going through treatment for single women, finding a sperm donor, navigating the financials, finding childcare – and of course the joy of having a child.


About Reproductive Medicine Associates of Connecticut (RMACT):


RMACT specializes in the treatment of infertility, including assisted reproductive technologies (ART) such as intrauterine insemination (IUI), in-vitro fertilization (IVF), and Comprehensive Chromosomal Screening (SelectCCS). RMACT, Fairfield County’s largest fertility clinic and egg donation center, is one of 11 leading In Vitro Fertilization (IVF) centers nationwide chosen by In Vitro Sciences to participate in its Centers of Excellence program. RMACT has offices in Norwalk, Danbury, Stamford and Trumbull, and an affiliate New York fertility clinics serving Putnam and Dutchess counties. RMACT also offers infertility treatment financing and support services, such as nutrition counseling, massage therapy, psychological counseling, acupuncture and yoga, through RMACT’s Integrated Fertility and Wellness Center.


The RMACT team includes lead physicians Drs. Mark P. Leondires, Spencer S. Richlin and Joshua M. Hurwitz, as well as fertility specialists Drs. Cynthia M. Murdock and Shaun C. Williams. All physicians are Board-Certified Reproductive Endocrinologists and are members of the American Society for Reproductive Medicine (ASRM), the Society for Assisted Reproductive Technology (SART) and the Fairfield County and Connecticut Medical Societies. Each has received numerous awards, and all five are Castle Connolly "Top Doctors." RMACT’s IVF laboratory is accredited by the College of American Pathologists (CAP), and CLIA; other accreditations include the Accreditation Association for Ambulatory Health Care (AAAHC) and the American Institute for Ultrasound in Medicine (AIUM).

 

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Meet Dr. Spencer Richlin - CT Fertility Practice's Surgical Director

  
  
  

CT Fertility Practice's Surgical Director

CT Fertility Pratice's Surgical Director at RMACTLast week, you met Dr. Mark Leondires, Medical Director of RMACT. Today, it's time to meet Dr. Spencer Richlin, Surgical Director of RMACT. Dr. Richlin is a guiding force at RMACT and beloved by his patients. Read below about his awards, they are numerous. 


Dr. Richlin believes deeply in the team approach and making sure that his patients feel supported and know that he cares. Something that many people don't know about him: he will often make phone calls directly to his patients when he knows that they are disappointed or upset.


Read on to hear more about Dr. Richlin. He has a new program that he's been working on dilligently with Tally Jacobs, a RMACT team member. Single Mom's to Be will be launched soon. Dr. Richlin has put a lot of time, energy and thought into this program, after seeing the need for it in our practice. Enjoy! ~Lisa Rosenthal 

Dr. Spencer Richlin, Partner in Reproductive Endocrinology at RMACT

Dr. Spencer RichlinDr. Spencer Richlin is Surgical Director and a Partner in reproductive endocrinology at Reproductive Medicine Associates of Connecticut (RMACT). In addition, he is Division Chief of Reproductive Endocrinology at Norwalk Hospital. Dr. Richlin is Board Certified in both Reproductive Endocrinology and Obstetrics / Gynecology.  


Board-Certified Reproductive Endocrinologist: Infertility Specialist | Connecticut & New York

Dr. Richlin has been with RMACT since 2004. Before this, he served on the faculty of Loma Linda University School of Medicine, in California, as a Clinical Assistant Professor of Gynecology and Obstetrics. He is a member of both the American College of Obstetrics and Gynecology and of the American Society for Reproductive Medicine.


Dr. Richlin has published numerous abstracts, articles and book chapters, and is the lead author of the IVF section in Danforth’s Obstetrics and Gynecology, 9th Edition. He coauthored with Dr Leondires the “Infertility” chapter in the text “Avoiding Common Errors in Obstetrics and Gynecology. This text was released in 2011. Dr. Richlin received his undergraduate degree in psychology from The University of California at Berkeley, and his medical degree from the University of Southern California’s Keck School of Medicine. He completed two internships, in Emergency Medicine and Obstetrics.


Dr. Richlin served his residency at The Stamford Hospital in Stamford Connecticut from 1995-1999, where he was named Berlex Best Teaching Resident. He then completed his subspecialty fellowship in reproductive endocrinology and fertility at Emory University’s School of Medicine in Georgia.


Dr. Richlin is a 2011 US News Top Doctor and a Castle Connolly 2011 New York Metro Top Doctor. In addition, he was voted by his peer’s as one of the 2013 Castle Connolly Top Doctors in Reproductive Endocrinology and Infertility in Fairfield County. Dr. Richlin is a writing member of The American College of Obstetrics and Gynecology PROLOG Seventh Edition for Reproductive Endocrinology And Infertility. The group has been meeting in Washington D.C. over the last year. Release will be in 2014. PROLOG is a personal study resource for the practicing obstetrician-gynecologist. It is used as a study tool , reference guide and a way of obtaining up-to-date information in the specialty of reproductive medicine. Contact us to book an appointment with reproductive endocrinologist and infertility specialist Dr. Spencer Richlin in Connecticut, or New York.

 

A Welcome to 'Single Moms to Be' from Dr. Richlin


Last, but not least, Dr. Richlin, with the full support of the RMACT team, has headed the "Single Moms to Be" program, complete with a new website to be launched later this month. He's very excited about being able to support this very special group of patients, in the way that they need most. Here's what he has to say about it:


Welcome to Single Moms to Be!


Whether you are just starting to consider having a baby or are already mom, Single Moms to Be was created to provide support through our fertility practice, resources and community. Single Moms to Be is in partnership with Reproductive Medicine Associates of Connecticut (RMACT), which is the leading fertility practice in Fairfield County.

 

The inspiration for Single Moms to Be came from patients. During the past 15 years, I have worked with many single women who have chosen to start their families on their terms, on their own. Each of these women was an inspiration to me, and their experiences have impacted the kind of doctor that I want to be.

 

At RMACT, our goal is to help women become moms, not simply to help them have a baby. Because of this, we have dedicated a team to working with single women. Each layer of our professional care, including a patient navigator, nurses and counselors, are in place to help make this a positive, informed experience.

 

In addition to the RMACT team, we have developed a new website to be a resource and to help foster a community. We have real moms who have gone through this experience ready to answer your questions; submit your questions on the Moms To Moms page.

 

SingleMomsToBe.com will provide information for women at three stages of becoming a mom:

 

-       At the onset, when women need to know how to physically and mentally prepare themselves for motherhood and fertility treatment

 

-       During treatment, when questions arise about treatment options and how to attain donor sperm

 

-       After the baby comes home, when new moms benefit from a community of single moms by choice 

 

Good luck to you on your journey to becoming a mom!

 

~Spencer Richlin, MD


Next week, I will have the honor and privilege to write about Dr. Joshua Hurwitz, another partner in the RMACT family.

 

 

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Sneak Peek of Single Mom's to Be Website - Volunteer Focus Group

  
  
  

Single Mom's to Be: Website Feedback Welcomed

Read below a letter from Dr. Spencer Richlin about a new project at RMACT. We are excited to be creating a new website and would love input from the women who will be utilizing it: Single Mom's to Be. Please consider joining us for this look at the website. We'd love to know what you think. ~ Lisa Rosenthal


Dear Single Mom to Be,


At Reproductive Medicine Associates of Connecticut (RMACT), one of our goals
is to help patients be informed about fertility and their options for starting or
continuing to build their families. Depending on the patient, this can mean
providing information about nutrition, endocrine conditions such as polycystic
ovarian syndrome (PCOS), surrogacy, or treatments such as in vitro fertilization
(IVF)
and SelectCCS (also known as comprehensive chromosome screening).
Our approach to patient education includes personal care from the doctors and
nurses, as well as seminars, workshops, and educational materials. One of our
most important tools have been our websites (www.rmact.com and
www.gayparentstobe.com), which include information about fertility diagnosis,
treatments, and working with a third party for egg donation, sperm donation and
surrogacy.

For Single Women at Various Stages of Starting a Family

We are excited to share with you that our next initiative is to launch
www.singlemomstobe.com, which will provide information for single women at
various stages of their journey to starting a family. For women exploring the idea
of having a child, it will be an ideal resource; for women who have taken home
their babies, we hope it will offer a community.


Now it is your turn to help educate us! We would like your help in shaping this
new website and community. Please come to a focus group on Wednesday,
November 6, 2013 at 6 p.m. at our Norwalk location (20 Glover Avenue). We will
preview the new website, and will ask for input about what information single
women want and how we can make this the ultimate resource.
Please let us know if you are able to join us. RSVP to Tally Jacobs
(tjacobs@rmact.com). If you are interested but this date and time do not work,
please let us know.


Best,

Dr. Spencer Richlin from Single Moms to Be
Dr. Spencer Richlin
Lead Physician for SingleMothersToBe.com

 

 

Breast Cancer Does Not Mean the End Of Fertility-Dr. Spencer Richlin Comments

  
  
  

Fertility and Breast Cancer

THE GREAT AND EVEN GREATER NEWS ABOUT BREAST CANCER

 

Fertility and Breast Cancer by Dr. Spencer Richlin

As Breast Cancer Awareness Month is here, we have great news to share. Patients are surviving breast cancer with the five-year survival rate approaching 90-95%. While patients with breast cancer may or may not opt to have children, they now have more choices for family building. It is well known that female fertility may be impaired after radiotherapy, chemotherapy or surgery when treating and curing their cancer. However, there are procedures that can be done before treatment to help ensure future fertility.

Fertility Preservation through Egg Freezing

Often, treatment can be delayed to allow removal of eggs (oocytes) for future family building. In Vitro Fertilization (IVF) includes ovarian stimulation and retrieval of oocytes. Oocytes (an option for single patients who would prefer not to use donor sperm) are frozen or inseminated with sperm to make embryos. For fertility preservation, embryos and oocytes are frozen for future transfer into cancer patients after treatment or into a gestational carrier. When our cancer patients are healthy and are ready to conceive, the pregnancy rates are excellent after embryo transfer.

 

Pregnancy After Breast Cancer

 

The even greater news:

 

  • Pregnancy outcomes in cancer survivors to date have found no increase in congenital malformations or cancers in future offspring

 

  • Often cancer treatment can be delayed  to allow retrieval of oocytes for future family building

 

  • Pregnancy after cancer treatment does not increase recurrence of disease

 

  • Our patients who are preserving fertility deserve and receive the upmost respect and timely treatment during their time in our office. We have a dedicated team to make the journey seamless

 

 

  • As many cancers have excellent cure rates, the dream of having a family is still very possible. Let us help you make it happen.
 

 

 

Fertility Screening - Why Should an Obstetrician Care? - Dr. Spencer Richlin Explains

  
  
  

Dr. Spencer Richlin Explains Why an Obstetrician Cares About Fertility Screening

Part of my job at Reproductive Medicine Associates of Connecticut (RMACT) is outreach to local Obstetricians/Gynecologists (OB/Gyn). The most pleasant way that is done is that I accompany one of our board certified reproductive endocrinologists (Dr's Mark Leondires, Spencer Richlin, Joshua Hurwitz, Cynthia Murdock and Shaun Williams) to a lunch at the office of an OB/Gyn. 



Fertility Doctor, Dr. Spencer Richlin

Yesterday, it was Dr. Richlin and myself. I hadn't seen him in a while. I didn't forget how smart he is, really, I didn't. Listening to him explain the difference between PGD (pre-genetic diagnosis) and CCS (Comprehensive Chromosonal Screening) though, reminded me again how smart he is.

 

 

Be very clear, when you have two physicians talking about medical issues, as a lay person, I tend to get a bit lost. Less so these days then years ago. Also, they are kind and explain some of it as they go. Sometimes, like yesterday, they get so excited that the conversation just spirals away from me. It was fascinating listening to these men and women talk in such an animated way about their chosen fields of medicine and noticing where they intersect. 

 

Why does an Obstetrician Care About CCS? 

Why should an OB/Gyn care about CCS? Simple answer. One that I understood easily. Less pregnancy loss because there are almost no chromosomal abnormalities in the tested embryos (not zero, but less than 2% error rate). Given that almost 25% of all pregnancies result in miscarriage, that's important for an OB/Gyn to know. Pregnancy loss is hardest on the parents to be, without a doubt. I know. I had two of them. Pregnancy loss is also very challenging for a doctor's office to handle. There is the medical piece of it, which is often very straight forward, but not always. There is also the emotional piece of it, which is far less straight forward and needs to be handled on a patient by patient basis. There is often a lot of grief around a miscarriage even more potent when infertility was a struggle first. Our doctors and medical staff grieve with us when there's a loss.

 

 

Another reason that an OB/Gyn should care about CCS? Single pregnancies. When an embryo that has been found to be healthy is transferred back, the chances of pregnancy are much higher (and the risk of miscarriage much lower) and therefore allows for less embryos to be transferred back. Twin pregnancies frequently result in healthy babies and healthy moms. Often, though, there are more complications for both the babies and the mothers, even in a twin pregnancy. Certainly when we start to talk about higher order multiples (pregnancies of 3 or more), there will almost certainly be complications and probable compromises in the health and well being of the babies and the mother. An OB/Gyn would much prefer to see patients who are pregnant with one baby; they know that there is a much greater chance of a healthy baby and mom and much less chance of complications. 

 

 

I got all this yesterday, again, while having the honor of hearing these physicians speak to one another. Yet another reason that I love my job! Fascinating conversations about women's health and family building, with doctors that really care. What's not to love?

 

 

 

 

 

"Top Doc" Fertility Specialist, Dr. Spencer Richlin, Recognized

  
  
  

CT Fertility Specialist Dr. Spencer Richlin Wins "Top Doc" Award

Yes, we are proud! This time, it's fertility specialist Dr. Spencer Richlin who has won the award. It means a lot to him because it's awarded by his peers. We are lucky and privilaged to have 5 award-winning, board-certified reproductive endocrinologists at RMACT. Drs. Leondires, Richlin, Hurwitz, Murdock and Williams are all hard working, dedicated professionals who have up to the date medical expertise as well as compassion and understanding of what men and women struggling with infertility go through.

 

Yes, we are proud. Wouldn't you be?

 

Reproductive Endocrinologist Dr. Spencer Richlin Recognized by Peers

Ct Fertility Doctor | Fertily Specialist Fairfield County For the second consecutive year, Dr. Spencer Richlin, Surgical Director and Fertility Specialist with Reproductive Medicine Associates of Connecticut (RMACT), has been honored by his peers by being rated a “Top Doc.” Castle Connolly’s 2013 list of Fairfield County’s Top Doctors of will appear in the January/February issues of Fairfield Living, Greenwich, New Canaan-Darien, Westport and Stamford magazines, all of which are published by Moffley Media and are on stands now. 

 

“I feel privileged to be in the reproductive endocrinology field during a time when so many new advances are making it possible to help patients realize their dreams of a family,” says Dr. Richlin, who is the Division Chief of Reproductive Endocrinology and Fertility at Norwalk Hospital along with his responsibilities at RMACT.  “And to have this work recognized by my peers through this award is simply amazing.”

 

Moffley Media’s list is compiled by the renowned healthcare research firm Castle Connelly Medical Ltd., which conducts a rigorous, peer-reviewed assessment of local doctors by their peers.

 

Dr. Richlin is board certified in both Reproductive Endocrinology and Obstetrics and Gynecology. He is a member of the American College of Obstetrics and Gynecology and of the American Society for Reproductive Medicine.  He has published several articles and co-wrote with his RMACT partner, Dr. Mark Leondires, the fertility chapters in a new textbook titled Avoiding Common Obstetrics and Gynecology Errors, published by Lippincott, Williams & Wilkins.

 

Dr. Richlin received his undergraduate degree in psychology from the University of California at Berkeley, and his medical degree from the University of Southern California Keck School of Medicine. He completed two internships, one in Emergency Medicine and one in Obstetrics and Gynecology. Dr. Richlin served his residency at Stamford Hospital in Stamford Connecticut from 1995-1999, where he was named Berlex Best Teaching Resident.  He then completed his subspecialty fellowship in reproductive endocrinology and infertility at Emory University School of Medicine in Atlanta, Georgia.

 

Within the reproductive endocrinology field, Dr. Richlin’s main interests are reproductive surgery, in vitro fertilization (IVF), donor egg pregnancies and a cutting edge technology called Comprehensive Chromosome Screening (CCS), which safely evaluates biopsied embryos prior to transfer. Dr. Richlin takes a personal interest in his patients, and finds fertility preservation for cancer patients especially rewarding.

 

About Reproductive Medicine Associates of Connecticut (RMACT)

RMACT specializes in the treatment of infertility, including assisted reproductive technologies (ART) such as intrauterine insemination (IUI), in-vitro fertilization (IVF), and Comprehensive Chromosomal Screening (CCS). RMACT, Fairfield County’s largest fertility clinic and egg donation center, is one of 11 leading In Vitro Fertilization (IVF) centers nationwide chosen by In Vitro Sciences to participate in its Centers of Excellence program. RMACT has offices in Norwalk, Danbury and Stamford, and affiliate New York fertility clinics serving Putnam and Dutchess counties. RMACT also offers infertility treatment financing and support services through RMACT Integrated Fertility & Wellness Center, such as nutrition counseling, massage therapy, psychological counseling, acupuncture and yoga.

 

The RMACT team of Board-Certified Reproductive Endocrinologists includes Drs. Mark P. Leondires, Spencer S. Richlin, Joshua M. Hurwitz and Cynthia M. Murdock. All physicians are members of the American Society for Reproductive Medicine (ASRM), the Society for Assisted Reproductive Technology (SART) and the Fairfield County and Connecticut Medical Societies. RMACT’s IVF laboratory is accredited by the College of American Pathologists (CAP), and CLIA; other accreditations include the Accreditation Association for Ambulatory Health Care (AAAHC) and the American Institute for Ultrasound in Medicine (AIUM). For more information visit http://www.RMACT.com or find us on Facebook.

 

 

Infertility Basics- A Reminder About The Simple Things In Life

  
  
  

Infertility Basics- Frequently asked questions, answered by RMACT board certified reproductive endocrinolgists

Read below what the medical director of Reproductive Medicine Associates of RMACT- Board certified reproductive endocrinologists- Dr's Hurwitz, Richlin, Leondires and MurdockConnecticut (RMACT) and the team of board certified reproductive endocrinologists in the program have to say about frequently asked questions.

 

"Infertility can be confusing, and people frequently ask questions because they want to know if they should seek help from a fertility specialist," says Dr. Mark Leondires, Medical Director.  "The questions and answers below are intended to give some basic knowledge.  Many couples put off seeing a fertility specialist when they are having trouble getting pregnant, but they are typically reassured after being diagnosed and starting a treatment plan."


What is infertility?

Infertility is a disease or condition of the reproductive system often diagnosed after a couple has had one year of unprotected, well-timed intercourse, or if the woman has been unable to carry a pregnancy that results in a live birth.

 

Is infertility a "women's problem"?

Infertility is a medical problem. Approximately 35% of infertility is due to a female factor and 35% is due to a male factor. In the balance of cases, infertility results from problems in both partners or the cause of the infertility cannot be explained.

 

How long should we try before we see a doctor?

In general, if you are less than 35 years old and have been trying for more than one year you should schedule an appointment with a fertility specialist. If you are greater than 35 years old we would like to see you after at least six months of timed, unprotected intercourse. However, if you have a reason to suspect you may have a problem getting pregnant such as a history of pelvic inflammatory disease, painful periods, miscarriage, irregular menstrual cycles, or if your partner has a low sperm count, you should seek help sooner. Many couples have a hard time admitting that there may be an infertility problem, but be reassured there are often many things we can do to help.

 

What is a Fertility Specialist?

A fertility specialist, or Reproductive Endocrinologist, is a medical doctor who has been specially trained in the complex issues that can contribute to infertility. In addition to being trained as an Obstetrician/Gynecologist which requires a four-year residency a fertility specialist must complete an additional two to three year fellowship in reproductive endocrinology.  This fellowship training is highly specialized to focus on the diagnosis and treatment of infertility and  female endocrinology.. A physician can become Board Certified in Reproductive Endocrinology by successfully completing the fellowship as well as written and oral examinations.

 

Currently in the Unites States, there are only about 1,000 Board Certified Reproductive Endocrinologists. Specifically for infertility related to males, Urologists with a sub-specialty in Andrology are the most qualified experts as they have often completed two-year fellowships and passed exams to become Board Certified in Andrology.

 

At what time of the month is a woman fertile?

The most fertile time of a woman's cycle is just before or the of day ovulation. Ovulation usually occurs two weeks before a period starts, so it is necessary to count backwards from the anticipated start of the next period in order to find the most fertile time. Take the number of days in the usual cycle (from the beginning of one period to the beginning of the next) and subtract 14. For example, a woman with a 32-day period would likely ovulate around day 18 (32-14=18), while a woman with a 28-day cycle would ovulate around day 14 (28-14=14). We recommend every other day intercourse around the day of ovulation. That would mean days 12, 14 and 16 for women with 28 days cycles.

 

It is best to have intercourse before ovulation rather than afterwards, so a woman who ovulates on day 14 would have a good chance of conceiving if she has intercourse on either day 13 or 14. For women with irregular cycles you can extend the period of having sexual relations to every other day from day 11 to 18 ( 11-13-15-17).  In order to better understand what day you ovulate take your average menstrual cycle length (for example 32 days) and subtract 14 and that will give you that day you ovulate around (that would be about day 18).  Therefore you would have relations days 15-17&19 to cover all your bases.


Alternatively, women with irregular cycles may want to use an ovulation predictor kit, which can be purchased over the counter at most local pharmacies. This involves testing your urine around the time of ovulation using a detector stick, which give you a visual reading. Additionally, there are electronic monitors which detect ovulation by tracking two hormones (estrogen and luteinizing hormone) starting with urine testing on day one of your menstrual cycle. The methods that utilize urine predictor sticks or urine ovulation detector machines are usually highly sensitive, accurate, and reliable.

 

How can a woman tell if she ovulates?

The simple, inexpensive way of finding out the approximate time of your ovulation is to take your basal temperature (that is, your body temperature at rest) every morning and record it on a chart. You can buy a Basal Body Thermometer at your local drug store. Save all your charts so you can review them with your doctor. Three or four months of charting should be adequate. If your temperature goes up after the middle of your menstrual month you likely do ovulate. In general you ovulate about two days prior to the temperature rise.

 

How often should we have intercourse?

It is a good idea to have intercourse every other day around the time you ovulate. Remember, every woman is different, and may not ovulate exactly on "Day 14." And, just because you ovulated on "Day 14" this month, doesn't mean you will next month. It is preferable to have intercourse every other day rather than every day so that sufficient sperm will be available. To increase your chances of the egg becoming fertilized, do not douche or use lubricants immediately before having intercourse.

 

What fertility testing should our fertility doctor perform?

Your doctor will likely do the following:

  • Blood tests to check reproductive hormone levels in the woman; estradiol (E2), progesterone, follicle stimulating hormone (FSH), luteinizing hormone (LH), thyroid hormone, prolactin, and possibly male hormone levels.
  • Complete semen analysis on the male partner
  • Hysterosalpingogram (HSG), an x-ray exam to evaluate if the woman's fallopian tubes are open
  • Ultrasound to confirm the normal appearance of your uterus and ovaries in the woman

What about smoking and drinking alcohol and caffeine?

There is evidence linking reproductive impairment with exposure to alcohol, tobacco, and caffeine.

Alcohol and tobacco use have been demonstrated to affect the reproductive capacities of both men and women, and tobacco is an especially potent reproductive toxin that negatively effects female fertility by damaging eggs. In men there is a direct effect on sperm quantity, quality, and reproductive function. In general we ask that women consume less than 150 mg of caffeine per day which is equivalent to two small 8 oz cups per day. Remember sodas and tea also contain caffeine. In addition, it is wise to be in the best physical shape possible while you attempt to conceive and, of course, to ensure a healthy pregnancy and baby.

 

Are hot tubs really bad for a man?

Yes. High temperatures can damage sperm. That is why the scrotum is located outside the body - to act as a kind of "refrigerator" to keep the sperm cool. So, it is a good idea to avoid hot tubs, saunas, and steam rooms when men are trying to help in the pregnancy pathway.

 

What else can we do?

Learn as much as you can about infertility.

  • Get and read good, reliable information (not just from popular magazines) from your doctor, library, or trusted friends or family.
  • RESOLVE (http://www.resolve.org/) and the American Fertility Association (AFA - www.theafa.org) has over 60 fact sheets on different topics related to infertility, and support groups in many areas.
  • Also visit the ASRM (http://www.asrm.com/), SART (http://www.sart.org/), ACOG (www.acog.org) and CDC (http://www.cdc.gov/) web sites for more information.

 


Meet Dr. Spencer Richlin, Fertility Specialist at RMACT

  
  
  

Wednesday text
Dr. Spencer Richlin Dr. Spencer Richlin, Surgical Director of Reproductive Medicine Associates of CTis Surgical Director and a fertility specialist in reproductive endocrinology at Reproductive Medicine Associates of Connecticut (RMACT). In addition, he is Division Chief of Reproductive Endocrinology at Norwalk Hospital. Dr. Richlin is Board Certified in both Reproductive Endocrinology, Obstetrics and Gynecology.

 

1.  What drew you to the field of infertility?

The field is evolving so quickly. IVF is such an amazing tool to help people buil their families. As a medical discipline, it is so interesting and futuristic.

 

2.   What are the things that you would like to see evolve in treatment of infertility?

I want to see the pregnancy rates with IVF increase even more. We are at a cross roads now where embryo biopsy/CCS can increase pregnancy rates significantly for couples. One day, all embryos before transfer will be analyzed to help us choose the most fit embryos for transfer.

 

3.  What appeals to you most about being a doctor?

Besides helping our patients, I like the scientific content  of the reproductive health field.

 

4.   What is the one thing that you would like your patients to know about going through treatment?

I want to see them have a good journey with us and get pregnant. I just want our patients to succeed and start or continue family building.

 

5.   Tell us something you would like every patient to know about you.

What makes me most happy is to see our patients succeed

 

Personal questions

6.   What kind of things do you like to do in your spare time?

Spend time with  my wife

Play baseball with my son and watch his games

Hang out with my daughters and help them bake

Travel and be on vacation

 

7.  If you could travel anywhere in the world in the next month or so, where would you like to go?

I'd go to Hawaii and sit on the hot beach and do absolutely nothing

 

8.  Who is your favorite author?

Greg Mortenson, Author of Three Cups of Tea

 

9.  Favorite genre of movie?

Romantic comedies

 

10.  If your schedule allowed for an unexpected few hours free, what would you do with them?

Relax at home with family or go clothes shopping

 

11.  If you could sit down for lunch with two people, living or not, who would they be?

My Uncle Hugh, who was a great guy, passed away 15 years ago.  I would  have wanted him to meet my wife and family and have him see what I am doing now. Warren Buffet would be my other choice of an interesting person to spend time with.

 

12.  What is your favorite ethnic food?

Indian and Mexican are my two favorites

 

 

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