InfertilityIn Vitro Fertilization (IVF)MiscarriagesEgg QualityFree ConsultationMeet Hanna Jesionowska, MD


Female infertility is caused by poor ovulation, damage to fallopian tubes or problem with the womb where the pregnancy grows.

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In Vitro Fertilization (IVF)

IVF improvements have dramatically increased pregnancy rates, helping millions of patients around the world to get pregnant and have children.

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Recurrent miscarriages and pregnancy loses at different stages of pregnancy, difficult medical puzzles to treat, are on the increase.

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Egg Quality

Female hormonal imbalance and poor oocyte (egg) quality are responsible for over 30% of infertility cases.


Free Consultation

To make an appointment, please call our office today at 212-794-0080.

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Meet Hanna Jesionowska, MD

"I am an MRM Medical Director and a mother of two boys – and I believe in the dream too." Meet Dr. Hanna...

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InfertilityIn Vitro Fertilization (IVF)MiscarriagesEgg QualityFree ConsultationMeet Hanna Jesionowska, MD
InfertilityIn Vitro Fertilization (IVF)MiscarriagesEgg QualityFree ConsultationMeet Hanna Jesionowska, MD

From Dr. Hanna

How to Conceive Desired Gender Baby? Boy? Girl? Twins?

Baby gender is decided by men’s sperm. Sperm cell with X chromosome will produce girls and when egg is fertilized by sperm cell with Y chromosome, a baby boy is born.

The only SURE WAY for desired-sex baby is IVF treatment with PGD (preimplantation genetic diagnosis).

Women's eggs fertilized by men sperm become embryos. Five days after fertilization embryos are ready for transfer into women uterus to continue growth and development (pregnancy time) and to become a baby. PGD identifies gender of the embryos and PGD selects best embryo of desired sex (boy or girl) for implantation.

Gender-selection insemination and natural gender selection are based science combined with people believes and NOT a SURE THING.

Please, enjoy examples of Natural Gender Selection:

  1. Older men conceive boys more often
  2. Women with lower blood pressure have more girls
  3. Intercourse timed at ovulation is to conceive a boy since Boy Sperm (Y) is faster to reach egg. Intercourse 3- 4 days before ovulation allows longer- surviving Girl Sperm (X) to wait for egg to drop (ovulation) and conceive baby girl
  4. Special diet started 3- 4 months before conception may help with gender selection. Food rich in sodium (salted food) bacon, meats, chili and with high potassium (potatoes, coffee) helps to have a boy. Avoid salt and high potassium food to conceive girl
  5. Food rich in calcium (milk and milk products) and magnesium (almonds, cashew nuts) will increase chance for a girl
  6. More often twins are born to women with African/American background, twin family history, older age (over 35), over 5’ 5’’ in height and obesity
  7. Twin conception is supported by folic acid rich (greens, broccoli, seafood, peanuts) started 3 months before trying
  8. Boys’ conception increases from September to November, while best conception months to have girl are May and June

Happy July 4 Holiday!
Dr Hanna

Covid-19 Update


At present time risk of COVID-19 infection (COVID) decreased significantly to restart infertility treatments with vigilance and steps for safe practices to minimize risks for patients and staff in compliance with New York regulations.

Even though we are resuming treatments, all patients will be given a choice to proceed or to postpone treatment. Patients will be educated on how to reduce risk of COVID infection while returning to (almost) normal daily life when New York leaders will begin reopening New York City on June 8, 2020.

Important Safety Applications for Patients and Staff:
Our waiting room is specious, but limitation of persons simultaneously present in the office is essential. To manage patient flow and to keep waiting to a minimum you may be asked to wait outside until exam room is available with restricted office access for partners and accompanying persons.

Six Feet Social Distancing policy will continue in the office, including waiting room and working spaces to guarantee appropriate distancing between each waiting patient and visitors to avoid unnecessary human physical contact or exposure.

Protective desk screens were installed for administrative personnel protection. Personal protective equipment (PPE) for medical staff and facemask wearing for all persons is mandated while in the office.

Exam rooms and procedure rooms are thoroughly sanitized and disinfected between patients with the United States Environmental Protection Agency (UOA) N- Listed Disinfectants Against SARS-CoV-2 and with UV lights.

Office Visits:
We reduce person-to-person contact and potentially COVID exposure with appointments including sonograms and blood tests scheduled according to revised, shorter timetables and with virtual visits using telemedicine and/or phone- calls treatment for patients who do not require physical presence in the office.

At each visit, patient will have temperature taken and she will complete triage questionnaire. Patients with ill or respiratory symptoms will self-isolate at home and see primary care physician (PCP)

COVID Testing Before Procedures Policy (based on CDC guidelines):
Patients with prior history of positive test for COVID need to wait a minimum of 21 days after testing positive and be symptom free to undergo pre- procedure testing. Patients, who have recovered from the previous COVID infection, need to present certified medical clearance before starting infertility treatment.

All patients must be tested no more then three days prior to procedure for COVID virus using a molecular assay for detection of the virus.

Patients who tested positive for SARS-CoV-2 RNA:
A. Acutely ill persons (patients or staff) will be directed to Lenox Hill Hospital Emergency Room
B. Symptomatic patients/staff (with Temp >100.4 F, sniffles, congestion, cough, cough, shortness of breath or difficulty breathing, fever, chills, muscle pain, diarrhea, sore throat or new loss of taste or smell) but who are not acutely ill or asymptomatic positive testing patients/staff return home to self-isolate, and to sdiscuss COVID treatment options with their primary care physician (PCP)

All preoperative patients who tested negative will maintain self-isolation/self-quarantine at home from the time of testing until the time of procedure. Procedures will not be performed for patients who refuse testing.

Embryo Transfer Policy:
Embryo transfers will be performed only in patients who tested negative, and who together with their partners are COVID- low risk and asymptomatic. Treatment can be discontinued if patient or partner encounters a high-risk situation.

Freeze-all embryos policy will apply for all patients and/or partners who became symptomatic after oocyte retrieval.

Day of Procedure:
Patients scheduled for procedures will arrive at intervals; one patient arriving at a time and therefore being on time is very important. Accompanying family members will be limited to a single individual, including patient‘s partner. Office procedures will undergo with the minimum staffing required to ensure excellent care for all patients and safe work environment.

After Procedure Considerations:
Patient’s family member or an adult responsible for taking discharged patient home must practice social distancing and wear facemask during pick- up. Patient and family will self- monitor daily for COVID symptoms:

(Temp >100.4 F, sniffles, congestion, cough, cough, shortness of breath or difficulty breathing, fever, chills, muscle pain, diarrhea, sore throat or new loss of taste or smell) listed in discharge instruction and call office if symptoms develop within 14 days of the procedure.

Our staff will make after procedure follow-up phone calls inclusive of review signs and symptom of COVID, inquire about any contact with a suspected or confirmed case of COVID, or a person with symptoms consistent with COVID, and or a person with positive test for COVID.

We will follow-up patients for three weeks after oocyte retrieval and/or embryo transfer in order to identify potential COVID positive patients and to implement necessary measures (i.e. contact tracing).

At Home, Please:
1. Wash hands often with soap and water for at least 20 seconds, or use an alcohol-based hand sanitizer that contains at least 60% alcohol
2. Clean and disinfect high-touch surfaces, such as doorknobs, light switches, electronics and counters, daily
3. Avoid sharing dishes, glasses, towels, bedding and other household items
4. Minimize trips away from the home as much as possible

Manhattan Reproductive Medicine


Manhattan Reproductive Medicine, P.C. (MRM) is a boutique-style private clinic located in Manhattan and helping patients become parents since 2001.

MRM is a New York State, FDA, The Joint Commission and SART certified facility designated exclusively as in-office state of the art In Vitro Fertilization (IVF) center. MRM offers a level of professional care rarely available at most large clinics and hospitals. Our hard work produces great results for our patients.

At MRM, for woman over 35 using her own eggs, IVF pregnancy rates per treatment are being ones of the highest in New York area:

  • 58% for women age 35-37 (national rate 37.8%) and
  • 50% for women age 38-40 (national rate 28.6%)

Our experienced medical staff gives each patient undivided attention. The same doctor, Hanna Jesionowska M.D., attends each patient during the full treatment process, including monitoring, retrieval and transfer. We are committed to make your treatment private, comfortable and simple. You are encouraged to call our office at any time during your treatment if you have question. Our nursing staff, AMANDA and BELKIS stays in touch with patients every day of the year, including holidays.

We care, and we understand there is no substitution for superior patient care and for success.

Together we can make a difference. Many patients who come to our office have already been diagnosed or unsuccessfully treated in the past. These couples are asking us to do ‘something more’ not just to ‘try again ’ therapy received prior to their visit at our clinic and we do.

Over the years we helped couples become parents from the United States and from around the world. Many patients became friends, who keep in touch especially for their children’s birthdays and other anniversaries. We become an extension of their families and we enjoy their gratitude and happiness.

I am an MRM Medical Director and a mother of two boys – and I believe in the dream too.

Other Services

Other Services

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Recurrent Miscarriages

Recurrent Miscarriages

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Egg Donation

Egg Donation

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Female Infertility

Female Infertility

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Male Infertility

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Poor Eggs

Egg Quality

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In Vitro Fertilization (IVF)

In Vitro Fertilization (IVF)

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IVF Cycle

IVF Cycle

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