• When to Stop Progesterone Treatment

    Progesterone supplementation is one of the most commonly used fertility therapies.  It is used for support of natural pregnancies and for patients at risk for hormonally caused miscarriages.  Most IVF centers in the world treat all IVF patients who are pregnant with progesterone supplements but it is very controversial how long to use it.  There can be a month’s difference of opinions of when is safe to stop!… Read more

  • Growth Hormone for IVF Poor Responders?

    Is Growth Hormone the Answer for IVF Low Egg Number?

    Fertility and Sterility’s November, 2011 feature article author interview. Video and New media editor Steven Palter interviews Dominique deZiegler on the potential benefits and controversies about growth hormone use for IVF poor responders. Does it improve egg quality or quantity or have no benefit at all.… Read more

  • Endometriosis: Impact on Life

    Endometriosis Impacts Ability to Work

    Women’s reproductive disorder responsible for more than 10 hours lost productivity per week and quality of life impairment equal to that of some cancers. There was an average 7 years delay in treatment even after women presented with symptoms and the delay was worse in public funded health systems than in private.… Read more

  • Ectopic Pregnancy-Exceptions to the Rules

    Are the Rules for Diagnosing Ectopics Wrong?

    ASRM Fertility & Sterility January 2012 Feature Article Author Interview with Dr Kurt Barnhart by New Media Editor Dr Steven Palter. Discussion of hCG levels in Ectopic Pregnancies–Exceptions to the Rules. Author Provides New Recommendations on interpreting hCG levels to diagnose ectopic from viable normal pregnancies based on new research.… Read more

  • Dr. Palter Chosen First New Media Editor of Leading Fertility Journal

    The digital revolution in medicine is here… now…

    Medical research teaching has remained essentially unchanged for over 150 years….until now.  Dr. Steven Palter has been named the first ever Editor for video and New Media for the world’s leading fertility journal Fertility & Sterility.  F&S is the official publication of the American Society for reproductive Medicine (ASRM).  Dr.… Read more

Your Chances of Success Have Never Been Greater

Welcome to Gold Coast IVF and our online home.

Hi, I’m Dr. Steven Palter. I’m the Medical and Scientific Director of Gold Coast IVF in Long Island, NY and the former Clinical Chief of Fertility at Yale University School of Medicine. You may have seen me in the NY Times or on CBS News or 20/20 talking about how to have the family you dream of.

I created Gold Coast IVF to be the finest fertility center anywhere. We combine the world class treatments, advances, and success that I’m known for (and which I teach other specialists around the world) in a personal, boutique setting.

I have designed the Fertility Audit, the Personal Fertility Advantage, and other unique process that maximize my patients’ success. We have one of the highest success rates in the United States, and I have pioneered new procedures such as microlaparoscopy, autoflourescent endoscopy, and HD and 4K utra high resolution visualization.

time is running out as age lowers women's fertility

Age and Fertility: Am I Too Old to Get Pregnant?

Am I too old to get pregnant?
I waited too long, didn’t I?…I have a hopeless case…I’m just too old to have a baby!

These questions whisper inside my patients’ secret fears, the questions that haunt them when they can’t sleep in the middle of the night.

How old is too old? You might be surprised.

Sometimes that fear of age based infertility plays out in strange, unexpected ways.
“But…I feel like I’m still 25!”

When Nadia (names and details have been changed to protect my patients’ privacy) walked into my office, I couldn’t believe the information on her chart. According to the background information she had supplied, she was almost 45 years old. But the woman sitting across from me in the consultation room looked like a college student.

“I have good genes,” she replied, when I asked her to confirm if the birthdate on her chart was correct. “My grandmother never seemed to age, when she was eighty people still mistook her for a lady in her middle age.”

Nadia was here because she wanted a baby, and now that she was finally married to the love of her life she was ready to look into the possibility. It never occurred to her that, however youthful she looked and felt, Nadia’s ovaries were also 45 years old.

We discussed her history, completed the physical exam. And we arranged for a series of tests called OVARIAN RESERVE TESTING.

Even I was surprised when we got the results. Nadia’s ovaries were no longer producing viable eggs on their own. She was in pre-menopause. If we were lucky we would be able to stimulate the production of a healthy egg through hormone treatment; if not, Nadia was a good candidate for egg donation.

Nadia had a very hard time accepting the results of the Reserve Testing. “I feel like I’m still 25,” she said, her voice choked with tears. “How could I be infertile due to age?”

For many of my patients, this is their first and worst nightmare. Sometimes, people delay seeking treatment because they are afraid of a scenario just like this one.

But I want you to know…

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