Unique Technology

A quality lab starts with a powerful air handling system so that procedures and research can be conducted in a controlled and uncontaminated environment. New Hope has perhaps the largest and most powerful air filtration system, which handles both air cooling and purification to provide optimal clean air pressure in our lab facilities. The schematic below outlines how our system works.

1) Air is taken into the system from the outside and guided along an insulated path toward our main air handling system.

2) Air is funneled into an initial triple-filter process to remove the bulk of impurities in the air.

3) Air is passed to a machine with custom-designed quad-filtration, harnessing the power of a 737 jet engine to completely purify the air and cool it to optimal temperatures.

4) Optimally temperate and pure air is let out of the system to circulate around the rest of the lab.

Construction on the insulated paths that brings air into our powerful system:

Triple filter and custom-designed quad-filtration systems:

Conduits that pump air to the rest of the lab:

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Opening Ceremony Recap

Last Friday was the Grand Opening of our West Side office. Around 130 colleagues, friends, guests and staff came out to celebrate, hailing from around the world, including China, Japan, Spain, Mexico and the UK. The evening consisted of facility tours, a cocktail hour, and several speeches that commemorated the journey that Dr. Zhang took to gain the knowledge, skills, and connections that played a large part in both starting and growing the New Hope Fertility Center into the world leader in IVF and fertility care that it is today.

Among some of our honored guests were esteemed professors and colleagues Dr. Twink Allen and Dr. Martin Boyle from Cambridge University, Dr. Sawyers, Dr. Julia Kydd, Dr. Oriol Coll, Dr. Alejandro Chavez-Bodiola from New Hope Mexico, Dr. Sherman Silber, Dr. Osamu Kato of the Kato Ladies Clinic, Dr. Masashige Kuwayama, Dr. Yuji Takehara and Luis Ruvalcaba.

Dr. Zhang gives a tour of the new facilities:
Dr. Zhang gives a tour of the new facilities

Cocktail Hour:
Cocktail Hour

Dr. Twink Allen speaks about Dr. Zhang’s time at Cambridge:
Dr. Twink Allen speaks about Dr. Zhang's time at Cambridge

Dr. Osamu Kato raises his glass high during a toast:
Dr. Osamu Kato raises his glass high during a toast

Dr. Silber and Dr. Zhang shake hands at the opening ceremony:
Dr. Silber and Dr. Zhang shake hands at the opening ceremony

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Oocyte (Egg) Freezing through Vitrification

New Hope Fertility Center is not only one of the largest Egg Freezing centers in the United States, it has also been an early US pioneer for Oocyte (Egg) Freezing through a special process called Vitrification. In October 2005, New Hope delivered the first live birth of a baby, born from an egg frozen through vitrification in New York. This was, in fact, the first successful procedure performed on the East Coast, and New Hope has gone on to become the trusted clinic for Oocyte Vitrification in the United States. Our unique process has been refined over the past 5 years to make our procedures more successful, less invasive, and more economic than traditional IVF.

A common misconception that people hold is that more eggs will mean a better chance of becoming pregnant. We believe that traditional IVF methods use excessive medications to induce a large number of eggs from a single cycle despite the fact that the amount of medication required often makes these procedures very difficult on the body. New Hope focuses on quality rather than quantity because we understand that, for women around 35 years of age, any one menstrual cycle is only going to yield 4-5 good quality eggs regardless of the total number harvested. We gather eggs from 3 cycles to get the same number of eggs as a traditional IVF collection, however, unlike with traditional IVF, every egg we gather is of the highest quality possible. Our gentle processes also make it easy for patients to undergo 3 consecutive cycles, and at $8000 for a 3-cycle-package, and medication costs at only about $400 a cycle, Oocyte Freezing through Vitrification is becoming more and more popular every year.

In addition, Oocyte Freezing can help people who have to undergo chemotherapy by preserving their ability to have children with their own eggs at a later point in life. New Hope compassionately has been offering to help people in this situation with free oocyte freezing procedures for the past 3 years.

So Why Is Oocyte Vitrification So Ground Breaking?

Oocytes are one of the largest cells in the human body and are comprised of two main parts: the zona pellucida, a glycoprotein envelope, and the ooplasm, the nucleus that contains most of the “living” organelles of the cell (mitochondria, endoplasmic reticulum, and the Golgi system). For the purposes of freezing, oocytes are usually taken during the fully mature MII phase of meiosis (the multi-step process through which an oocyte prepares for recombination with male sperm). Retrieving oocytes and subsequently freezing them at their mature, pre-ovulatory stage means that when they are unfrozen, they will be ready to fertilize – egg recipients won’t have to wait any longer than necessary hoping the egg continues to develop healthily.

For a long time many doctors thought that because oocytes are such large cells, and cells are made up mostly of water, freezing an oocyte would be too difficult because ice crystals that form during a gradual freeze would damage the cell. Some doctors still believe that freezing cells safely, especially large ones like oocytes, cannot be done — however they are wrong. A modern technique for freezing cells using vitrification, or flash-freezing, can drop the cell’s temperature by 20,000 degrees/second. This method is so fast that instead of forming damaging ice crystals the cell instead enters a glasslike state that tremendously increases the odds that the cell will survive for a healthy pregnancy. 98% of eggs and embryos survive thawing from vitrification whereas only 55% survive slower, traditional methods.

The healthiness of an egg is the primary factor that should be considered if one is planning to freeze their eggs. The prime reproductive age range for women is between 16 and 28, although one can usually count on good quality eggs until the age of 38. From 39-44, women may retain viable eggs but have a lower probability for a successful pregnancy. While oocytes should be saved when they are as healthy as possible these decisions should be made on an individual basis, depending on a patient’s life circumstances. While at New Hope Fertility we recommend that women freeze their eggs in their 30s and 40s, there is no age limit for the procedure and if you are 42 or 44, although your chances are lower, we will not turn you away simply to boost our success rates. On an individual, case-by-case basis we are happy to help patients talk about options and find solutions that match their personal circumstances.

We also recommend that anyone who is considering fertility preservation have an antral follicle count and hormonal blood tests with their annual pap smear. These tests will provide an important assessment of your fertility status and will allow you to make informed decisions about when to start a family or freeze your eggs. An antral follicle count is a sonogram that shows how many follicles (eggs) you have in reserve. This will tell us how much time you have left on your fertility clock.

The New Hope Fertility Center pioneered oocyte freezing in the United States by being the first to use it successfully for a live birth of twins on the East Coast in 2005. As research and testing has improved, so has the popularity and availability of the treatment. There have been over 1000 successful pregnancies using oocyte freezing to date, 600 of which were reported during the past four years. New Hope Fertility has continued to provide fertility care and oocyte freezing for women and has, to date, worked in this capacity with 131 patients, ranging from ages 20-52 with success rates comparable to traditional IVF. Indeed, the vast majority of procedures that are performed at New Hope these days use oocyte freezing.

Who Can Benefit From Oocyte Vitrification?

Lucinda Veeck’s An Atlas of Human Gametes and Conceptuses talked about oocyte freezing as it was in 1999: a promising concept under development, but not yet a reality for humans. However, she accurately predicted the significance of the technology with prophetic accuracy, writing:

“The ability to freeze unfertilized human oocytes would be invaluable in some cases. A young woman about to undergo radiation treatment or facing the loss of her ovaries could benefit greatly… an older woman wishing to store multiple oocytes before losing ovarian function could be aided by this technology… [and] donor oocyte banks could be created in much the same way as sperm banks have been to assist the ever-growing population of women requesting donor eggs.”

Today, a little over a decade later, oocyte freezing technology is being used for all of the aforementioned reasons. True to Veeck’s hypothesis, the three primary benefactors for oocyte freezing are:

1) Women who have been diagnosed with a medical condition that necessitates the removal of their ovaries or who are undergoing some kind of medical treatment, like chemotherapy, that may damage their reproductive system.

2) Women who are in the later half of their middle reproductive years (33-38) who want to defer childbearing either because it is not the right time in their life or they are still looking for a partner.

3) Women who wish to donate their eggs and don’t want to go through all the hormone therapy needed to sync their cycle with the recipients’ cycles before transfer – and conversely, egg donation recipients who will, with time, be exposed to a much larger pool of donors to choose from.

New Hope Fertility continues to encourage any women who fall under these three categories to visit our website or contact us to gather more information about our care or to schedule a consultation.

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New Hope Opens West-Side Location

New Hope Fertility Center is celebrating the opening of a West Side office (4 Columbus Circle, on the SW corner of W 58th St. and 8th Ave.). The new location has been a longtime dream of New Hope director Dr. John Zhang and two of his closest colleagues, Dr. Osamu Kato – the Director of Kato Ladies Clinic, and Dr. Sherman Silber – a leading expert on male infertility and the most advanced infertility microsurgeon in the world. The designs and technology incorporate the best of over 20 years of experience at many of the leading IVF centers across the globe, including Cambridge University, University of Amsterdam, MIT, Stanford, and NYU.

Silber said that he was impressed with how the new facility merges “the highest grade technology for infertility and reproduction, dwarfing other conventional IVF programs in both quality and cost-effectiveness.” The facility combines state-of-the-art IVF technology, ecologically sound design and construction, and a patient-centered layout.

Innovative ideas and superior engineering combined to create a uniquely robust and technologically advanced facility. When speaking about the air-filtration system, for example, Dr. Zhang explains, “I didn’t just buy a great machine for the job. I painstakingly designed the best system to get the purest air possible into the labs. The combination of 4 filtration systems has the same power as a Boeing 737 jet engine.” This is particularly important because the Columbus Circle location will not only function as New Hope’s primary Research and Development lab but will also house one of the largest oocyte banking centers to date.

In addition, while the new location is in Columbus Circle, it is not in one of the looming skyscrapers that are often associated with the area. As a result, although patients will still have easy access and convenient transportation options, they will find that the actual facility is a quieter, more intimate space offset from the noisy hustle and bustle of the big city. Inside, with ecologically designed green construction, the new location will boast three spacious waiting rooms and a relaxing recovery space. The expanded layout will mean less waiting time, quicker appointments, and ultimately a lower impact on patient schedules and daily lives.

The completion of the new location will dovetail with the launch of a unique information system allowing all New Hope patients to have better access to any information related to their care. The West Side office will also open at 6:30am to accommodate certain working professionals, such as teachers, who would prefer to make appointments before work.

The opening ceremony will be held on October 22, 2010. This West Side expansion represents one of the most impressive and rigorous clinics in the world, and we all share in the pride and excitement of continued hope.

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Temporarily Switching from Synarel

Hello all! If you had read our last post you are probably expecting to read about Mini-IVF generally, and what one could expect from a Mini-IVF procedure at New Hope Fertility. That post will still be coming up, but we wanted to quickly address a very current topic for concern that we have heard voices from some of our patients: our temporary discontinuation of one of the medications we use regularly, Synarel nasal spray.

New Hope Fertility was the first center in the US to have used it for ovulation induction prior to egg retrieval and it has been very effective. Unfortunately, Synarel is currently being recalled and we are not able to use it until the recall is lifted. Pfizer (the manufacturer) has issued a statement explaining the recall and it is only being done because of a technical malfunction in the distribution device. There is, in fact, nothing wrong with the medication itself.

Until Synarel re-continues its distribution in New York, however, we are temporarily using Ovidrel or HCG as a trigger for egg retrieval. We prefer not to use Ovidrel or HCG because they are, often times, too strong and less physiologically balanced. In some cases, these drugs are so strong that they cause cysts to form during upcoming cycles. We are staying on top of the distribution problems and are going to be switching back to Synarel as soon as possible. Please feel free to post any questions or concerns, and thank you for your patience and understanding in the mean time.

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