Inside the GNF Lab
Q&A:
with Dr. Edward Nejat
Our focus at Generation Next Fertility is on the patient and not just protocols. Fertility care shouldn’t be a one size fits all experience, every patient trying to get pregnant or stay pregnant has a different set of needs and experiences that need to be considered.
We had the chance to catch up with Dr. Edward J. Nejat, MD, MBA, FACOG Practice Director at GNF to talk about the many different types of fertility care and they many different types of hopeful parents who need them.
How many different fertility treatments do you offer?
Dr. Nejat: Many effective treatments and more than other centers. Every week we see patients who come to us unhappy with the lack of individualization in their fertility treatments and lack of success with an approach that puts protocols and process before patients. While traditional IVF with PGT-A is more common and highly successful, we see success across IUI, egg donation, natural IVF, and egg freezing too.
Natural IVF has become an important tool for us and something that many other centers do not routinely offer to patients. With so many different patient types and clinical histories, we offer as many validated treatments as possible like Natural IVF. One size does not fit all when it comes to infertility care.
How is Natural IVF different from traditional IVF?
Dr. Nejat: Basically, it’s an issue of quantity versus quality. In a traditional IVF cycle injectable medications are used to stimulate the ovaries to make as many eggs as possible for retrieval and fertilization. With Natural IVF, we use low to no stimulation mediations and just a trigger shot to retrieve 1-2 high quality eggs. With natural IVF, patients have less injections and side effects from the medications. Also, the retrieval process is quicker too.
How many patients do IVF with PGT-A?
Dr. Nejat: Many of our patients are good candidates for IVF with PGT-A. PGT-A helps us better understand which embryos are of higher quality and more likely to implant and become a healthy pregnancy and delivery. Published data supports that PGT-A is especially useful in older patients who are at an increased risk for a genetic imbalance in their embryos. Again, the use of PGT-A is very patient and case dependent. We’re more likely to recommend it in patients with low ovarian reserve, history of miscarriage, and advanced material age. But not everyone is right for it.
Is “more” better when it comes to fertility treatment options?
Dr. Nejat: As long as the treatments are safe and effective, yes, a patient driven approach to care which offers choice is much better than a protocol driven process. We see patients who have completed 3 or 4 IVF cycles at others center using the same exact protocol each time without success. That’s just not how we see things here at GNF. We’re committed to the patient not the protocol.
