Requesting medical records
If you would like a copy of your medical records, please fill out the Authorization For Release of Health Information and fax your office location (see below list of locations). Medical record requests will be fulfilled by HealthPort Technologies, the industry leader in the release of health information. If you do not need your entire medical record, please indicate that on the form. Your request can take up to 10 days to fulfill. If you need them sooner, please let us know. If you need your records forwarded to your obstetrician, please have them fax us a request to your office location. Records will be sent directly to the physician’s office.
There is a charge of 75 cents per page, plus postage. Images and studies are a separate cost. If you would like your records sent in an electronic format (eDelivery), it costs 49 cents per page for 30 days of access. You will be invoiced directly from HealthPort Technologies. If you choose eDelivery as your delivery method, please make sure you fill out the appropriate Northwell Health HIPAA authorization form specifically produced for eDelivery.
|Manhasset fax||(516) 562-1710|
|Lenox Hill fax||(212) 327-BABY|
|Mineola fax||(516) 249-9369|
|Smithtown fax||(631) 670-2137|
|Bay Shore fax||(631) 396-7084|
Frequently asked questions
The rate of birth defects in humans in the general population is about 3% of all births for major malformations and 6% if minor defects are included. There is ample data that children conceived through IVF have no increase in these rates of birth defects. Further follow-up on older children indicates that IVF children have done as well or better than their peers in academic achievement (probably a social bias) and have no higher rates of behavioral or psychological difficulties.
About 15% of couples trying to conceive do not achieve a pregnancy within a year.
With improvements in technology and the availability of IVF, a large number of couples will conceive. In fact, at Northwell Health Fertility, more than 15,000 babies have been born as a result of fertility treatment. Your physician will review with you the statistics that apply to your particular situation.
The probability of success with IVF treatments depends upon a number of factors, including the woman's age and quality of her eggs. Women with the best chances of IVF success have rates of 40% or more per cycle, while the majority of women have per-cycle success rates of 20% to 35%, according to RESOLVE, the National Infertility Association.
Preimplantation genetic diagnosis (PGD) is a very early form of prenatal diagnosis where embryos are genetically screened prior to transferring them into a woman’s uterus to minimize the risk of a pregnancy with a particular disease. PGD is an adjunct to assisted reproductive technology and requires IVF to obtain embryos for evaluation. Potential candidates for this technology include couples/individuals with a high risk of transmitting an inherited condition and those who undergo IVF treatment and whose embryos are screened for chromosome aneuploidies (PGS) to increase the chances of an ongoing pregnancy. The main indications for PGS are an advanced maternal age, a history of recurrent miscarriages or repeated unsuccessful implantation.
We offer a donor egg program designed for women who cannot conceive from their own eggs. Most commonly, such women include women with premature ovarian failure, women with repetitive IVF failures, and women with ovarian failure prior to their 51st birthday. Because the donor egg is harvested from a young donor, pregnancy success rates are high.
Typically, when a woman ovulates, she releases one egg in a menstrual cycle. Clomiphene citrate (brand name Clomid) is a pill that is most often used to stimulate ovulation. More aggressive fertility treatments involve the use of natural hormones (gonadotropins FSH and LH) which are given by injection. The FSH and LH stimulate the ovaries to produce multiple eggs in one cycle. These medications can be combined with intrauterine insemination (IUI).
IVF is the process whereby fertilization of the egg by a sperm occurs in the laboratory. The woman takes medications to stimulate the ovaries to produce multiple eggs, which are then removed from her body while she is under intravenous sedation. The egg and sperm are combined in a Petri dish in the laboratory, where fertilization is allowed to take place. The highest quality embryos are then placed into the woman’s uterus. Pregnancy success rates are strongly influenced by the woman’s age.
As part of the IVF process, micromanipulation of the sperm and egg is sometimes required to achieve fertilization. In a laboratory, a single normal-shaped sperm is injected into a mature egg. This procedure is called intracytoplasmic sperm injection (ICSI).
IUI is insemination of a man's sperm into a woman's uterus in order to enhance fertility. The sperm specimen is collected in a sterile container and washed under sterile conditions in the laboratory. The concentrated motile sperm are then deposited directly within the uterine cavity.
Polycystic ovary syndrome (PCOS) is a health problem that can affect a woman’s hormone levels, periods and ovulation. This can affect fertility and pregnancy. It can also cause male-type body changes. Typical symptoms include irregular periods, acne and abnormal hair growth. If you have PCOS with irregular periods, it is likely that you are not ovulating, and your physician can provide options for you to induce ovulation.
Male infertility is identified as the primary cause of infertility in 30% of cases. In 20% of cases, both partners are sub-fertile. Therefore, in 50% of infertile couples, the male is involved. Men should be evaluated for infertility because many male fertility problems are treatable and, in a small minority of males with an abnormal sperm test, an underlying, serious disease is found.
If you are under 35 years of age and have been trying to conceive on your own for a year but have been unsuccessful, we recommend that you see a fertility specialist. Women over the age of 35 should seek help from an infertility specialist after six months of trying to conceive. Some fertility services, such as egg freezing, are also helpful for those who are not yet ready to be parents or are unsure whether or not they want children. Should you have any questions or concerns, you are welcome to see our physicians to discuss your options.
The only suggested long-term health risk of IVF is a possible association between fertility drugs and the risk of cancer, specifically ovarian cancer. Keep in mind, women who suffer from infertility and never conceive appear to have a slightly increased risk of ovarian cancer as compared to the general population (about 1.6 times the rate). As these are the women who use fertility medications, the medications themselves have been implicated in the cancer risk but have never been proven to be the cause of cancer . At this time, there is no direct evidence that fertility drugs play a causal role in increasing a woman’s risk of invasive ovarian, breast or uterine cancer.