Dr. Werlin's Fertility World

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Original article written & designed by Advent Media Group, Cincinnati, Ohio

The following article will appear in GOOD HOUSEKEEPING,
REDBOOK & WOMAN'S DAY magazines in October, 2010.

"You want the path to motherhood paved with anticipation, excitement, and joy. But road blocks to conceiving can be overwhelming, confusing, and challenging for loving relationships."

Our important goals are to relieve the stress that accompanies the inability to conceive and provide the compassionate, individualized care that will give us the answers and outcomes we seek," says Lawrence B. Werlin, MD, Founder and Medical Director of Coastal Fertility Medical Center.

Dr. Werlin and his dedicated staff walk hand-in- hand with each couple as they explore the possibilities of parenthood.

Carrie and Michael, former patients and proud parents, add "Infertility is such a sensitive issue. Not only will Dr. Werlin feel your pain and hand you a tissue when you hit rock bottom, he will have you smiling again in no time. We were a team and we did not give up until my dream came true!"

The Challenges

For women, many factors can affect fertility, including endometriosis, premature menopause, ovarian dysfunction, and hormonal disorders. The male partner can contribute significant factors that prevent conception, and many cases are a combination of circumstances, some unexplainable.

Dr. Werlin begins with a thorough assessment of all possible contributing circumstances before mapping a course of treatment and recommending options to a patient, starting with the most conservative measures.

The Best in Technology

When general infertility treatments and repeated assisted reproductive technologies, such as In Vitro Fertilization (IVF), fail or when patients suffer recurring pregnancy loss, Dr. Werlin implements Preimplantation Genetic Diagnosis (PGD), an advanced process to determine whether a woman's embryos have chromosomal irregularities.

"PGD is one of the most incredible new developments in the field of reproductive medicine," says Dr. Werlin, a pioneer in this breakthrough. "We are thrilled to educate our patients about the procedure and offer it as a treatment."

During PGD, a single blastomere from a three-day post-fertilized embryo is removed and DNA tested. A reproductive endocrinologist analyzes the genetic make-up of the embryo, allowing the ability to identify fatal diseases like cystic fibrosis, sickle cell anemia, and hemophilia. Because the procedure allows for selection of the more viable embryos, the chances of a successful pregnancy increase.

Dr. Werlin concludes, "I work in the most exciting and rewarding field of medicine."

Dr. Werlin is a nationally renowned expert and researcher in Reproductive Endocrinology and Infertility. He calls the music of the Rolling Stones his "soundtrack for life," and patients applaud the undeniable passion he has for his work.

©2010 Advent Media Group


If you have any questions or if you would like to schedule a consultation with one of our fertility specialists, please call (949) 726-0600 or
click here to contact Coastal Fertility Medical Center.

Fertility 101-1001

New Patient Orientation Program
(Seminar is free and open to the general public)

RSVP is necessary to ensure space

Information to be covered:

- Infertility 101 - the basics of the High-Tech
- Real Facts - Real Answers - Real Choices
- Insurance & Billing Procedures
- Clinical Procedures
- Laboratory Procedures
- Our Patient Advocate Program
- Meet the fertility team who will Care for you
- What to expect of us, What we expect of you

»Seminar RSVP Form
»View the Seminar Flyer

Seminar time: 6:30pm - 8:00pm
Location: Recovery room of Irvine Multi-Specialty Surgical Center

If you have any questions, please contact Lupe Castaneda at (949) 726-0620.

Fertility 101-1001

New Patient Orientation Program
(Seminar is free and open to the general public)

RSVP is necessary to ensure space

Information to be covered:

- Infertility 101 - the basics of the High-Tech
- Real Facts - Real Answers - Real Choices
- Insurance & Billing Procedures
- Clinical Procedures
- Laboratory Procedures
- Our Patient Advocate Program
- Meet the fertility team who will Care for you
- What to expect of us, What we expect of you

»Seminar RSVP Form
»View the Seminar Flyer

Seminar time: 6:30pm - 8:00pm
Location: Recovery room of Irvine Multi-Specialty Surgical Center

If you have any questions, please contact Lupe Castaneda at (949) 726-0620.

Fertility 101-1001

New Patient Orientation Program
(Seminar is free and open to the general public)

RSVP is necessary to ensure space

Information to be covered:

- Infertility 101 - the basics of the High-Tech
- Real Facts - Real Answers - Real Choices
- Insurance & Billing Procedures
- Clinical Procedures
- Laboratory Procedures
- Our Patient Advocate Program
- Meet the fertility team who will Care for you
- What to expect of us, What we expect of you

»Seminar RSVP Form
»View the Seminar Flyer

Seminar time: 6:30pm - 8:00pm
Location: Recovery room of Irvine Multi-Specialty Surgical Center

If you have any questions, please contact Lupe Castaneda at (949) 726-0620.

We would like to share the following letter regarding our own Dr. Werlin. We could not be more proud of receiving recognition from the most important group of all... Our patients!

--

Dear Dr. Werlin:

Congratulations on being honored as a Patients' Choice doctor for the second year in a row, by your patients!

This recognition means that your patients think highly of you and consistently select you as a top choice physician.

This honor reflects the difference you've made in these people's lives through the high praise granted to you by your patients.

Every month, more than 40,000 patients across the U.S. prove online feedback about their experiences with their doctors. They rate various components such as bedside manner, doctor-patient face time, degree of follow-up, courtesy of office staff and overall opinions.

Over the course of 2009, these reviews have totaled hundreds of thousands of patient opinions. While physicians generally receive positive reviews from their patients, only a select few receive uniformly rave reviews across the board. Of those that receive rave reviews, only physicians like yourself -- with near perfect scores -- have been voted b y their patients for this honor.

In fact, of the nation's 720,000 active physicians, less than 6% were accorded with this honor by their patients in 2009.

You are, indeed, the Patients' Choice; one of the physicians most highly regarded by their patients.

This notation of your distinction as a 2009 Patients' Choice physician will be prominently displayed in your Profile on a broad collection of web sites, including Vitals.com, Right Health, Google, and a variety of Managed Care sites. These web sites are viewed by more than 150,000 people on a daily basis.

To ensure that all aspects of your Profile are correct, please go to www.vitals.com and log-in to the Physician Login link, on the upper right hand corner, using your name and license number. There you can revise your medical background to make certain your patients see the most updated information about you.

Congratulations once again on this outstanding distinction.

Fertility 101-1001

New Patient Orientation Program
(Seminar is free and open to the general public)

RSVP is necessary to ensure space

Information to be covered:

- Infertility 101 - the basics of the High-Tech
- Real Facts - Real Answers - Real Choices
- Insurance & Billing Procedures
- Clinical Procedures
- Laboratory Procedures
- Our Patient Advocate Program
- Meet the fertility team who will Care for you
- What to expect of us, What we expect of you

»Seminar RSVP Form
»View the Seminar Flyer

Seminar time: 6:30pm - 8:00pm
Location: Recovery room of Irvine Multi-Specialty Surgical Center

If you have any questions, please contact
Peggy Unger at (949) 726-0620.

Click here to view the whole newsletter.

Infertility 101: What Does It Take to Get Pregnant?

Infertility is a very common problem, causing one in seven couples to experience difficulty conceiving. The condition is defined as the inability to conceive after one year of unprotected intercourse in women under the age of 35, and the inability to conceive after six months in women over the age of 35. In the United States, approximately one-third of infertility cases can be attributed to male factors and the same percentage attributed to factors that affect women. For the remaining one-third of infertile couples, the condition is caused by a combination of problems in both partners or cannot be explained.

Proper testing can identify roadblocks to successful pregnancy

For a normal pregnancy to occur, there are several steps which need to take place. First, ovulation must occur to release a viable egg. Then, the end of the fallopian tube must be open in order to pick up the egg. Next, the man must be able to ejaculate and the sperm, in turn, must be able to swim into the uterus and the fallopian tubes. To produce an embryo (a fertilized egg), a single sperm must successfully find and fertilize the egg. The embryo then travels back down the fallopian tube to the uterus for that final step of implantation, where it will attach to the uterine lining.

Although there are numerous tests that can be ordered on an individual basis, the three main assessments performed initially include testing the egg (ovulation and ovarian reserve), testing the integrity of the fallopian tubes and the uterus (hysterosalpingogram), and testing sperm quality (semen analysis).

Egg Testing

In most cases, if a woman is having regular cycles then it can be presumed that she is ovulating and additional assessments may not be necessary. If on the other hand, she is having irregular menstrual cycles or skipping periods, additional testing may be warranted.

Ovarian reserve testing is a test to evaluate how well the ovaries are working and is an indication of how quickly one's "biological clock" is ticking. This becomes especially important in women over the age of 35. A simple blood test is taken on day three of the menstrual cycle and this measures the follicle-stimulating hormone (FSH) and the esteroidal levels. Ordinarily, if the ovaries are working well, the FSH level would be less than 10 IU/L. Higher levels are usually associated with lower pregnancy rates.

Hysterosalpingogram (HSG)

Commonly referred to as the "dye test," this exam is performed in a radiology department after the menstrual cycle concludes but prior to ovulation. The test provides an X-ray of the inside of the uterus and fallopian tubes. It checks for abnormalities within the uterus such as polyps, fibroids, scar tissue or congenital abnormalities, as well as the integrity of the fallopian tubes.

Semen Analysis (SA)

A sperm sample is tested for a number of parameters including volume, count, motility (sperm that are alive and swimming) and morphology (the shape of the sperm.)

Patients with polycystic ovarian syndrome, endometriosis, fibroids, pelvic inflammatory disease, and history of pelvic surgeries or a ruptured appendix or endocrine problems can encounter additional problems. One of the most important factors, is that of the biological clock and the "race against time". There are various forms of treatment options for both male and female infertility ranging from low-tech to high-tech medical treatment as well as surgical treatments. These will be addressed in future issues of The Coastal Fertility Gazette.

Fertility 101-1001

New Patient Orientation Program
(Seminar is free and open to the general public)

RSVP is necessary to ensure space

Information to be covered:

- Infertility 101 - the basics of the High-Tech
- Real Facts - Real Answers - Real Choices
- Insurance & Billing Procedures
- Clinical Procedures
- Laboratory Procedures
- Our Patient Advocate Program
- Meet the fertility team who will Care for you
- What to expect of us, What we expect of you

»Seminar RSVP Form
»View the Seminar Flyer

Seminar time: 6:30pm - 8:00pm
Location: Recovery room of Irvine Multi-Specialty Surgical Center

If you have any questions, please contact
Peggy Unger at (949) 726-0620.

Fertility 101-1001

New Patient Orientation Program
(Seminar is free and open to the general public)

RSVP is necessary to ensure space

Information to be covered:

- Infertility 101 - the basics of the High-Tech
- Real Facts - Real Answers - Real Choices
- Insurance & Billing Procedures
- Clinical Procedures
- Laboratory Procedures
- Our Patient Advocate Program
- Meet the fertility team who will Care for you
- What to expect of us, What we expect of you

»Seminar RSVP Form
»View the Seminar Flyer

Seminar time: 6:30pm - 8:00pm
Location: Recovery room of Irvine Multi-Specialty Surgical Center

If you have any questions, please contact
Peggy Unger at (949) 726-0620.

View the full article from Orange Coast Magazine here.

It is the mission of Coastal Fertility Medical Center (CFC) to provide the highest quality reproductive services available, with maximum attention paid to compassionate patient care. Coastal Fertility Medical Center has been Orange County's leading provider of Reproductive care to Infertility patients in Orange County since 1982. CFC and its dedicated staff are widely recognized for their compassion, as well as their special attention to the individual needs of their patients.

CFMC is one of the first to host in-house seminars for the general public. Every month, the physicians and staff at CFC gather to welcome prospective patients seeking information on the fertility options available to them.

Dr. Minoos Hosseinzadeh is a nationally recognized specialist in Reproductive Endocrinology & Infertility (REI). She has been practicing in this field for over fifteen years. Dr. Hosseinzadeh is double board-certified in both Obstetrics and Gynecology and Reproductive Endocrinology & Infertility. She is fluent in English, French and Farsi. Dr. Hosseinzadeh founded the Riverside FEMME Institute in Newport News Virginia where she served as director of reproductive endocrinology and infertility and established the IVF and Andrology laboratories. She has been on staff at Hoag Hospital and is an Assistant Clinical Professor in the Division of REI at UCI. Dr. Hosseinzadeh was honored by being chosen as one of America's Top Obstetricians & Gynecologists in 2009.

Dr. Lawrence B. Werlin is a nationally noted specialist in Reproductive Endocrinology & Infertility (REI) and has been in practice for 27years. Dr. Werlin pioneered the use of Preimplantation Genetic Diagnosis (PGD) in Southern California, and is considered a nationally noted expert in its application. He is the founder and Medical Director of Coastal Fertility Medical Center and was also Founder & Director of the Hoag Memorial Hospital Fertility Services. He serves as an Associate Professor in the Division of REI at UCI. Dr. Werlin has been listed in the Best Doctor's in America (1996-2009), Orange Coast magazine's Orange County's Top Doctors (1996-2009), Los Angeles Magazine Southern California Super Doctor for his specialty (REI), and chosen as one of America's Top Obstetricians & Gynecologists in 2009.