Dr. Hanna – IVF Insurance & Infertility
Coverage in Manhattan, NY

MRM facility is designated exclusively as an in-office state-of-the-art In Vitro Fertilization (IVF) center. MRM is a New York State, FDA, and The Joint Commission certified facility. MRM is also a SART-reporting facility, ensuring transparency and accountability in our outcomes.

MRM offers a level of professional care rarely available at most large clinics and hospitals. Our boutique-style approach ensures that every patient receives personalized attention and dedicated support throughout their fertility journey.

IVF patients take injectable medications such as Gonal F, Follistim, and Menopur to stimulate the ovaries to produce multiple quality eggs. Stimulated egg quality is superior to unstimulated oocytes often used in 'natural' cycles.

Treatment progress is monitored with sonograms and blood tests during frequent office visits. Ovarian stimulation is completed with a final injection of HCG (Profasi, Ovidrel) given 32–36 hours before egg retrieval.

A rare complication is ovarian hyperstimulation syndrome (OHSS), which occurs when the patient overreacts to fertility medications. Our team closely monitors each patient to minimize this risk.

Egg retrieval is a minor surgical procedure performed under anesthesia (sedation) administered by a Board-Certified Anesthesiologist. Eggs are aspirated from the ovaries and transferred to the Embryology Lab.

Retrieved eggs are then inseminated with partner sperm, or a single sperm is injected directly into the egg using ICSI (Intracytoplasmic Sperm Injection).

Fertilization is the most critical part of any IVF cycle. It occurs in the laboratory in a special dish containing nutrient-rich media to support and nourish growing embryos. Embryos develop in laboratory incubators with optimal conditions for temperature, humidity, and CO2 gas levels.

Within five days after fertilization, embryos with the highest implantation potential reach the blastocyst stage and are transferred into the woman's uterus.

We use advanced laser technology attached to high-power microscopes to increase precision for ICSI, assisted hatching, and embryo biopsy — practically eliminating tissue damage.

Embryos can be transferred as early as two days after fertilization (cleavage stage) or as late as five to six days (blastocyst transfer). On Day 5, the best blastocysts are placed in the woman's uterus.

Embryo transfer is often combined with assisted hatching (AH), especially for older women. AH creates a small opening in the embryo's outer shell (Zona Pellucida) to facilitate implantation.

A quantitative blood pregnancy test completes each IVF cycle. A positive result indicates embryo implantation and successful IVF treatment. Blood tests are more accurate than urine tests and are used to monitor early pregnancy progress.