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We give each couple or individual a personalized care plan that offers the optimal chance for a successful pregnancy, and we provide you with care and capability from the forefront of fertility medicine. Quite simply, we will do whatever’s necessary to allow you to experience the joy of having a child.

The expertise and determination of our specialists, coupled with our unlimited technological capabilities is why we’re New York’s choice for exceptional fertility treatment. We believe that the root cause of your fertility challenges should be addressed first to optimize your fertility success. Because surgery is often necessary to optimize your chances of success, excellent surgical skill is a key talent all of our doctors possess.

Over 30 years in practice has led to thousands of people just like you that have discovered the warmth of parenthood when they had thought – and had been told – that pregnancy wasn’t possible. You too can join our growing book of success stories.

Why choose us?

• We provide a custom treatment plan based exclusively on your needs – We don’t skip straight to in vitro fertilization (IVF).
• The “skip to in vitro fertilization (IVF)” strategy used by many other fertility clinics is not followed here at Kofinas Fertility Group. The purpose of our professional lives is to help start a wonderful new chapter in your life, and despite what you may have heard, you may not require IVF to accomplish that. Or, you may need to take certain steps before undergoing IVF in order to give yourself the best chance for success. We are very proud of our success rates in all categories and age ranges.
• We won’t turn you away due to your age or BMI (Body Mass Index).
• Our goal of discovering the root cause of infertility is so that each of our patients can GET and STAY pregnant so they have a healthy baby.
• We are extremely thorough with our testing and individualize everyone’s care.
• Our doctors are very involved throughout the patient journey and work as a team led by Dr. George Kofinas.
• Our doctors perform all the ultrasounds on our patients giving you the most qualified set of eyes looking at the whole of your reproductive health.
• We have the most advanced fertility center available in New York and have our own private surgical facility, Manhattan Reproductive Surgery Center.

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• AFRM is the only private fertility center in Austin that looks at a couple’s fertility as exactly that, a “couple’s” fertility.  In fact, AFRM is the ONLY private fertility center in the state of Texas, and one of a select few in the United States with in-house fellowship trained and board certified specialists in female and male fertility, in order to provide ALL options for couples.
• AFRM does not have a “big business” feel, as is often the case at other fertility centers.  We are a family-run, family-oriented fertility center, giving individualized care to each and every one of our patients. When a couple achieves a successful pregnancy, it represents the pinnacle of the care AFRM has provided for the couple.
• We understand that seeking fertility can be a sensitive and a stressful time — that is why we treat each patient on a personalized basis, making sure our patients don’t feel like a number.
• AFRM is the only fertility center in Austin with procedure rooms and IVF lab (called Westlake IVF) in the office setting for the comfort, convenience and familiarity of our patients.  Because Westlake IVF is within the office setting, not only will the patient be familiar with the doctor performing the IVF procedures, but will be familiar with all the clinical staff assisting with IVF as well.
• Although taking care of patients is the central focus of the doctors’ careers, the physicians at AFRM have published multiple peer-reviewed research papers in the areas of female and male infertility in prestigious scientific journals such as Fertility & Sterility.  They have also written multiple textbook chapters in the areas of female and male infertility. They continue to be involved in clinical and basic science research to help advance the field.
• The physicians at AFRM have received multiple awards including Patients’ Choice Award, Compassionate Doctor Award, and Texas Monthly Superdoctor.

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Our Process

If you’ve read our story, you’ll know Aspire Fertility was inspired by the experience of having a beautiful, healthy boy through IVF, after two long years of hard work by a dedicated medical team.

We wouldn’t change the result for anything. But the experience taught us that the IVF process can be at best stressful, and at worst, heartbreaking. We saw that many clinics were not set up to provide the highest standard of care to patients. We went to our clinic expecting that they would be the ONE place that understood the emotional impact this journey. We knew we needed to be the team that demonstrate we understand.

Determined to be Different

We are determined to be different. We conducted a nationwide search to assemble the top medical and scientific minds in the industry to provide the very best outcomes possible for our patients. The results speak for themselves: the success rates of our clinical team far exceed the national average.

Aspire fertility was developed to be a different kind of fertility clinic where we create a family feel every step of the journey. We genuinely care about how we make our patients feel. Aspire Fertility was developed to create a positive experience throughout the entire IVF journey. We pride ourselves on:

1. Patient Experience
2. Patient Outcomes
3. Standard Of Care
4. Constant Communication
5. We’re more than just a fertility clinic; we are support.

How Aspire Is Different

We believe fertility treatment can be done better. When we launched Aspire, we overhauled the fertility treatment process from beginning to end. We wanted to eliminate every unnecessary source of stress and deliver more compassionate care to our patients.

How the Fertility Treatment Process Can Fail Patients

Seeking fertility treatment in order to start a family is a big decision. Unavoidably, there are moments of confusion and anxiety along the journey.

Successful fertility treatment depends on good communication and exact timing. But too often, fertility care is fragmented and disjointed. Healthcare professionals communicate poorly with each other, and with patients. The result is often needless anxiety and worse patient outcomes, for many reasons:

• lack of communication between physicians leads to repeat procedures and wasted appointments
  patients face unnecessary IVF stresses—endless travel, the need to be constantly available for nurse calls, mixups and miscommunications with pharmacies
  a veil of secrecy over the embryology lab—IVF patients never see the place where their child is made
• lack of transparent pricing can mean surprise bills and hidden charges
• late access to advanced therapy that would have raised the odds of success at the beginning

We’ve spoken to many others who have gone through the IVF process, and we’ve heard the same stories again and again—missed calls, frantic communications, surprise bills, and unanswered questions.

A Straightforward Initial Consultation

When you make an initial consultation, you will see a reproductive endocrinologist, who will be the physician in charge of your fertility treatment. Your physician will consult with you and your partner about your medical history, current health issues, and attempts to get pregnant. Your physician will lay out some of your treatment options and recommend next steps.

During your initial consultation you will see our state-of-the-art Advanced Reproductive Technology (ART) lab. Although this is an ISO-certified clean room, it’s more than just a sterile laboratory: it’s a warm, inviting space that houses the most advanced fertility tools in the world. Through the glass wall you can see our board-certified embryologists, led by our nationally recognized lab director, at work creating families.

During the initial consultation, you will also get a tour of Aspire’s Houston Fertility Clinic and meet the team of fertility professionals dedicated to helping you achieve conception. Besides the physician, the team will generally include:

• a primary fertility nurse who will be key to coordinating your care. As you’re also likely to interact with other nurses from time to time, we will introduce you to the entire nursing team
• the embryologist—a scientist who will carry out procedures such as IVF
• our on-site counselor, who can help you navigate the stresses of the process and deal with emotional and mental health issues that may arise
• a financial adviser, who can help you to understand the costs of treatment, and may be able to assist you with insurance, grants, and other outside financial resources.

Better Communication in Testing and Treatment

Obviously, every patient and every case is different, and treatments vary greatly. It is likely your physician will recommend some further diagnostic testing before starting any treatment.

Your physician’s recommendations will depend on a number of factors. In most cases, the woman’s age, and how long she has been trying to get pregnant, will be key factors in deciding whether to recommend a treatment.

For treatments where your medications require daily monitoring, our electronic patient communication eco-system, Aspire Connect, uses modern communications technology to help you manage your journey towards creating a family:

• Aspire Connect Scheduling, which gives an up-to-the-minute view of our office schedule, letting you easily arrange a consultation online
• Aspire Connect Messaging, which lets you:
  • send texts to your nurse, allowing you to ask questions as you think of them and avoid frustrating “phone tag”
  • access test results from text notifications via mobile, and respond with questions directly to your clinical team
  • reach the automated attendant after-hours, or the on-call nurse without a complicated on-call system
  • receive medication reminders, view instructional videos, and confirm you’ve taken medication, so that your clinical team can make adjustments to your treatment plan in real time
• Aspire Connect Portal, our online platform which provides:
  • a secure portal for access to your complete medical record
  • a dynamic online treatment calendar letting you stay on top of what comes next in your journey
  • a complete record of your communications through Aspire Connect Messaging
  • access to all lab reports
  • a way to view and pay your bill online
  • access to educational resources
• Aspire Connect Video, which offers:
  • a way to connect with any member of your fertility team instantly from your iPhone, iPad, or Android device
  • live sharing of your ultrasounds, lab results, or parts of your medical record by your fertility team
  • convenient satellite offices for lab work and ultrasounds, saving you driving and travel time.

Best Practices Are Standard Care

Aspire believes that patients should not have to pay more for best practices. Therefore, when research proves that techniques improve conception rates, Aspire incorporates those techniques into their standard care wherever possible. During IVF, when the time comes to create and implant embryos, all our patients benefit from:

• Intracytoplasmic Sperm Injection (ICSI), where a single, high-quality sperm is injected directly into the center of each egg
• Assisted Hatching, where the barrier around the egg (zona pellucida) is thinned or weakened by an embryologist to improve the chances it will implant on the lining of the uterus
• Delayed Embryo Transfer, where eggs are retrieved and frozen, and then thawed and implanted once the body’s cycle has returned to normal—which more closely resembles natural conception

There will always be uncertainty in fertility treatment, and outcomes are never guaranteed. However, we can promise better service, clearer, more honest communication, and an excellent standard of care.

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Drs. Winslow, Duffy, Freeman, Sproul von Goeben, Erb and Henne operate under the philosophy of treating others the way they would like to be treated – a credo that offers highly personalized care at affordable rates, with your convenience in mind. By focusing on the “3 C’s” (care, cost, and convenience) the Florida Institute for Reproductive Medicine (FIRM) has become the largest provider of infertility care in North Florida/South Georgia. In 2005 we were named one of the top ten infertility programs in the nation by Child Magazine. Our program has been featured on NBC, CBS, BBC News and the Today Show as well as People, Self, Pink, Conceive, Child, and Woman magazines.

Care

All of our physicians are board-certified reproductive medicine subspecialists who endeavor to see their own patients. We have one very experienced nurse practitioner who works in our Tallahassee office. If your physician is not available on any particular visit you will see one of our other physicians. All of our physicians have received “Best Doctor” and “Compassionate Care” awards. Our infertility nurses average over eight years of infertility care experience. We have three doctoral and, one masters level embryologists. Our extensive staff allows us to offer several services not provided by most reproductive medicine programs, i.e., in-house epididymal/testicular sperm extractions, a cryo egg bank, donor embryo bank, gestational surrogate services as well as in-house pre-embryo genetic testing.  We have two highly experienced robotic laparoscopic surgeons who regularly perform difficult myomectomies, endometriosis as well as tubal reanastomosis surgeries on an outpatient basis.  We have a dedicated center for the care of polycystic ovarian syndrome patients not trying to conceive. All our services including IVF are offered year round. We maintain a comprehensive website and social media to update our patients on the latest advances in reproductive medicine. We are completely transparent about our program results and costs – these are posted on our website and updated regularly.

Cost

Infertility treatment is expensive and often is not covered by insurance. In the United States only fifteen states have a mandate to cover infertility care, Florida and Georgia do not. Only a handful of larger employers offer infertility insurance coverage. Clearly a major barrier for most patients seeking care is cost. Florida Institute for Reproductive Medicine has always tried to keep costs to a minimum for all services. Our cost average approximately 20% less than the national averages for all services. Our goal has always been to allow more people to access care. We offer patients in the military, teachers, policemen and fireman a 10% reduction in costs for IVF – our way of saying “thank you”. We have several cost sharing and guarantee IVF programs designed to help patients with poorer chances for success. We have an in-house “pharmacy” for patient convenience and cost savings. We accept all major insurances as well as TriCare. Financing for all types of infertility is available.

Convenience

Our primary facility is in downtown Jacksonville where our embryology lab/andrology lab is located. We have satellite offices/andrology labs at our South Jacksonville offices as well as in Daytona. We have seven locations in total to see patients, two in Jacksonville, one in Daytona, one in Tallahassee and three in South Georgia. Infertility often requires multiple visits these offices minimize travel time for our patients. Our downtown Jacksonville office is open seven days a week, 365 days a year. If services are not available seven days a week pregnancy rates will be compromised. Our IVF program is closed for two weeks during December to go over incubators and do quality assurance.

We take our mantra of care, cost and convenience seriously. At the Florida Institute for Reproductive Medicine it is not solely about making babies it is about providing the highest level of care – the babies will come, over 15,000 to date!

Nondiscrimination Policy

Florida Institute for Reproductive Medicine (FIRM) does not discriminate in the provision of services to persons with disabilities, including persons with HIV or AIDS, or persons who are associated with or have a relationship with a person with a disability.

FIRM will treat all patients and visitors receiving services in a welcoming manner that is free from discrimination based on age, race, color, creed, ethnicity, religion, national origin, marital status, sex, sexual orientation, gender identity or expression, disability including HIV or AIDS, veteran or military status, or any other basis prohibited by federal, state, or local law.

We will make reasonable modifications in policy and procedures when necessary to provide services to individuals with disabilities unless the modifications would fundamentally alter the nature of the services. FIRM will provide auxiliary aids and services when needed to ensure effective communications with individuals with disabilities.

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At San Diego Fertility Center® we have been creating miracles every day for over 20 years. Regardless of your situation, our nationally recognized infertility specialists can work closely with you to develop a personalized fertility treatment plan, including IVF, PGD, egg donation & surrogacy and other fertility options. As a leading destination for fertility tourism and travel, our fertility center offers hope to patients around the world. San Diego Fertility Center takes your dreams seriously and is dedicated to providing compassionate care, so why not get to know us better…

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Trust Your Care to a Leading Fertility Clinic

With some of the highest success rates, the Fertility Center of San Antonio has continued to help couples struggling with infertility issues for more than 30 years. Our team of doctors and long-standing staff combine their impressive experience with innovative science and technology, offering a comfortable, private atmosphere and personalized treatment to all of our patients.

Trust the future of your family to a leading fertility clinic offering the most advanced treatments. Contact our San Antonio practice today!

Private Care in a Compassionate Setting

Our high morale and positive energy can be felt as soon as you first walk into our office. We understand that for many couples, the issue of infertility is a sensitive one. Aside from offering highly-successful treatment, we also strive to make every patient physically and emotionally comfortable throughout the entire process.

Our large office is designed to provide a private setting separated from other areas around it. It offers convenient covered parking with plenty of spaces and access for disabled patients. The warm, clean, inviting atmosphere of our office will make you feel right at home, with Wi-Fi access and music available in the waiting room.

A Full Range of Fertility Services

To address the wide variety of infertility issues that our patients might face in their attempts to conceive a child, we employ a full range of fertility evaluation procedures, infertility treatments, and fertility preservation techniques.

• Preimplantation genetic testing and embryo biopsy (PGT-A, PGT-M)
• Semen analysis
• In-Office HSG Testing
• Hormone testing
• Evaluation of ovarian reserve
• Hysteroscopy
• Tubal Reversal
• Intrauterine insemination (IUI)
• In vitro fertilization (IVF)
• Gender Selection
• Genetic Screening
• UNIVFY Pre-IVF Report
• Precision IVF Refund Program
• Nature’s IVF (also known as INVOcell)
• Intracytoplasmic sperm injection (ICSI)
• Blastocyst transfer
• Laser assisted hatching
• Frozen embryo transfer (FET)
• Egg freezing for fertility preservation
• Office-based Testicular Sperm Extraction (TESE) and Percutaneous Epididymal Sperm Extraction (PESA)
• LGBT Family Planning Services

Located in a medical office building, we also have an on-site laboratory that makes expert analysis and treatment simpler and less time consuming.

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About Our Houston, TX, Location

Our office combines a comfortable, welcoming atmosphere with state-of-the-art equipment. We recently upgraded our waiting room, exam rooms, and surgical suite to better serve our patients. Unlike some other medical offices, which tend to feel sterile and clinical, our space has been designed to be welcoming and remind you of home.

Our laboratory features top-of-the-line incubators, high quality microscopes, and the latest laser technology. We offer all aspects of IVF on-site, including egg aspiration, embryo culture, and embryo transfer. Patients who are undergoing cancer treatment or simply want to delay starting a family can benefit from the cryopreservation of sperm, eggs, and embryos. We also test for chromosomal abnormalities at our office to select the healthiest embryos.

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