Many women with endometriosis have little or no pelvic pain, yet the condition can still affect fertility, embryo implantation, and IVF success. In this video, I explain what silent endometriosis is, who should be evaluated, and when additional testing may be appropriate, especially if you’ve ex

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Regular periods don’t always mean fertility after 40. Here’s why. 👇 Link in bio for fertility consultations. #Fertility #IVF #Over40Fertility #TTC #FertilityMyths

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The few hours after egg retrieval are some of the most critical in an IVF cycle. While you’re resting and recovering, an entire team of embryologists is working with extraordinary precision behind the scenes. Every decision made in the lab is guided by science, strict quality standards, and your

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Long before you meet your baby, every embryo is cared for with extraordinary precision, expertise, and attention to detail. Every step in the embryology lab is designed to give each embryo the very best chance to grow and thrive. Behind every embryo is a dedicated team working toward one goal

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Can you really improve egg quality? Dr. Jennifer reveals what science says Egg quality is one of the biggest conversations in fertility, but what does research actually tell us? In this video, Dr. Jennifer Makarov breaks down the science behind egg quality and the factors that can make a differe

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To everyone approaching transfer day 🤍 This day carries so much more than a procedure. It may hold hope, excitement, fear, grief, gratitude—or all of them at once. Whether this is your first transfer or you’ve walked this road before, know that every feeling is valid. Today represents cour

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What happens to your eggs after an egg retrieval? 👀🥚 Once the follicles are aspirated, the embryology team begins a series of carefully timed steps: 🔹 The follicular fluid is examined under a microscope to find each egg 🔹 The eggs are identified and collected by the embryologist 🔹 The surro

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Replying to @user204621846642 She froze embryos at age 40 and had 7 embryos available. Only one was euploid. At age 41, she returned for a modified natural frozen embryo transfer cycle because she wanted to avoid a heavily medicated approach. That single day-5 euploid embryo (graded 4-3-2) wa

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IVF is more than a medical process—it is an emotional journey that can bring hope, stress, uncertainty, and difficult decisions. In this conversation, Dr. Jennifer Makarov of Fleura Fertility and reproductive psychologist Dr. Shara Brofman discuss: * The emotional challenges of IVF and fertil

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Low AMH doesn’t have to be the end of the conversation. Ovarian PRP is an emerging procedure that may help improve egg reserve — and while the research is still early, the results are worth talking about. As always, I’m giving you the science straight — no hype, no false promises. 🔬 Book a consult

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We spend so much time talking about egg quality that sperm often gets ignored. But sperm count, movement (motility), and male age can impact fertilization, embryo development, and IVF outcomes too. And yes… this sample made the embryologist stop and say WOW 👀 #M #MaleFertilityI #IVFS #SpermHeal

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Thinking about IVF after 40? Age matters—but strategy matters too. In this video, I break down 3 ways I optimize IVF for women over 40: ✨ How to prepare before an IVF cycle (including nutrition, supplements, and lifestyle factors) ✨ Why I use a Goldilocks IVF™️ approach—finding the “just rig

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The IVF lab is where embryos spend their first few days growing and most patients never get to see what actually happens behind the scenes. A few things that surprise patients: 🧫 Embryos are not checked constantly🥚 More eggs ≠ more embryos⏳ Day 5 isn’t the only normal blast day IVF success

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IVF over 40 should never be cookie-cutter. The biggest mistakes I see: * rushing into IVF without preparation * overly aggressive stimulation * not considering PGT-A Thoughtful strategy matters over 40. #ivfover40 #fertilitydoctor #ivfjourney #ttccommunity #eggquality fertilitytips ivfsuc

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Being told your chances are low isn’t the full story. I’m Dr. Jen, a reproductive endocrinologist and founder of Fleura Fertility — a boutique, doctor-owned practice focused on personalized IVF care. Low AMH. Age. Failed cycles. These are data points — not outcomes. What matters is how yo

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40 at retrieval. 41 at transfer. One euploid day-5 embryo graded 432. She wanted to avoid heavy medications, so we used a gentler stimulation approach. Would you feel hopeful about this transfer? 👀 #ivfover40 #euploidembryo #embryotransfer #fertilitydoctor #ivfjourney

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Don’t miss out on discovering strategies to enhance IVF success and reproductive health at our in-person event on June 3rd at 5:30 PM! Seats are limited—secure your spot now to take charge of your fertility journey. Link in bio for more details and to get tickets. #FertilityWellness #IVFSuccess

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Natural cycle or medicated transfer? Protocol choice may affect outcomes for some patients. #IVF #FrozenEmbryoTransfer #FertilityDoctor #miscarriage #embryo

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Don’t miss out on *Fertility & Wellness: An Integrative Approach to IVF & Reproductive Health* in NYC this Wednesday, June 3rd at 5:30 PM! Trying to optimize your fertility journey? Join us for an evening of real talk about fertility, IVF, hormones and integrative strategies to support reproductive

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She froze 20 eggs at 35 to preserve her future fertility options. Five years later, she returned ready to start a family. In this real case, Dr. Jennifer Kulp Makarov walks through: * how the eggs survived thawing * how fertilization went * the impact of sperm quality * embryo development an

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Dr. Jennifer Kulp-Makarov