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In The News

Dr. Jay Nemiro Receives 2013 Award on HealthTap.com

Dr. Jay Nemiro receives the following honors from www.HealthTap.com:
Top Reproductive Endocrinologist Arizona Summer 2013

Recent article to be published in the Arizona Republic - September 2013

Infertility specialists Jay Nemiro, M.D., and H. Randall Craig, M.D., take the pitfalls of human reproduction very seriously because they see what's at stake on a daily basis.

"The average person doesn't realize the heartbreak that goes on when a man and woman can't get pregnant," says Nemiro, medical director of the Arizona Center for Fertility Studies in Scottsdale. "The disappointment is so profound, and for women, it is so heartbreaking. It's who they are."

Thankfully, though, the past several years have seen technological advancements and even low-tech approaches yield positive results for those struggling with infertility. While the industry's high-tech methods, namely in-vitro fertilization - or IVF, in which sperm and eggs are combined in a lab - get most of the media attention, Craig, of the Fertility Treatment Center in Scottsdale, says it's actually the less complicated, "medium-tech" methods that are more commonly used to treat infertility. That realm also has seen many advances, including the use of:

Aromatase inhibitors, anticancer drugs like Letrozole (marketed as Femara), which are similar to Clomid, a drug that's been around since the 1960's. Although the drugs are not yet officially FDA-approved to treat infertility, aromatase inhibitors are frequently used by clinics and have been shown to triple pregnancy rates while reducing cysts and pre-menstrual syndrome-like symptoms.

Density gradient centrifugation, using G-forces inside a centrifuge to separate better sperm from the weaker ones. The pregnancy rates from using aromatase inhibitors and density gradient centrifugation alone run about 12 to 28 percent per cycle, "pretty good odds," Craig says, enough to rival some IVF methods. What's more, this route is considerably more affordable than IVF. "Infertility treatment is like computers in some ways," he says. "Every year, it gets better. Unlike computers, though, it doesn't get cheaper."

Granulocyte colony-stimulating factor, a protein derived from bone marrow used to treat leukemia patients. The hormone boosts white cell counts and also increases the quality of a woman's eggs when used in conjunction with other treatments.

Acupuncture, which increases the blood flow to the uterus and, when performed around the same time embryos are transferred to the uterus, can increase pregnancy rates up to 8 percent.

Bitter melon, a cucumber from India. When patients with polycystic ovary syndrome - which leads to weight gain, irregular periods and poor ovulation - eat five fresh or freeze-dried seeds a day, pregnancy rates are increased.

Glucophage, now sold as Metformin, a drug often prescribed for diabetics. When patients with polycystic ovary syndrome add Glucophage to their medication regime, Craig says there is a significant increase in pregnancy rates, reduction in miscarriages and many patients lose 10 to 40 pounds after pregnancy.

As for the industry's more high-tech advancements, the doctors say many breakthroughs have taken place in the ART (Assisted Reproductive Technology) lab. Nemiro says they include better air quality, temperature control and improved embryo-growing mediums, which are "closer to the natural environment" of the fallopian tubes.

Another milestone has been the ability of the better labs to grow embryos to the fifth day, or the blastocyst stage. In the past, clinics typically transferred lab-grown embryos to a woman's uterus on the third day. But the uterus is not as receptive to Day 3 embryos as it is to Day 5 embryos, says Nemiro; the latter are stronger and more viable, therefore, improving the odds of a successful pregnancy.

Yet another development is vitrification, or the rapid freezing of embryos. Just a half-dozen years ago, slow freezing was the norm, but ice crystals that developed during thawing often damaged embryos. Nemiro says the quick-freeze process, which has FDA approval, eliminates that issue and gives women the "ability to preserve their child bearing potential." Plus, the success rate with using frozen eggs "is the same as if they were fresh," he adds.

But perhaps the biggest innovation Nemiro has seen is PGD/PGS: 23-chromosome array, a process that screens all embryos for chromosomal abnormalities with the aim of improving pregnancy odds and reducing the possibility of miscarriage. Older technology was limited to testing 10 chromosomes with about 85 percent accuracy, but clinics can now screen all 23 chromosomes with 99+ percent accuracy. He views the test as such an important part of IVF that he charges patients the service at cost and doesn't pocket a dime.

"I'm so excited about this technology, and I want to provide all patients the opportunity to do it, so I give it away," he says.

SIDEBAR:

After years of trying to conceive a child, Matthew and Laura Lasconia were ready to give technology a try.

The Chandler couple, who say they met and married "a little later in life," immediately began trying to get pregnant when they wed seven years ago. When she had a miscarriage and the twosome realized pregnancy "just was not happening for us," Laura recalls, they consulted an infertility specialist. But a few unsuccessful treatments, followed by surgery for her endometriosis, prompted Laura, 42, to think a different approach was in order. While she healed from surgery, she searched the Internet and discovered Dr. Jay Nemiro's website. She and Matthew, 41, met with the medical director of the Arizona Center for Fertility Studies in January 2011 and underwent two cycles of IVF and chromosome testing, which Nemiro recommended.

"He believed that was what was going to be successful for us," she says.

Indeed, during the first round of IVF, chromosome testing determined the embryos had abnormalities, so they were not implanted.

"Had he implanted those, it would've been more heartbreak, and he saved that from happening to us," she says. "It was still heartbreaking, but it would've been more so, emotionally and financially."

The second IVF cycle, however, was successful. Their son, Gracen Kamahiwaokalamaku - his first name celebrates his arrival occurring "by the grace of God," and his middle name celebrates Matthew's Hawaiian heritage and is translated as "the child that is cherished by the sacred light of God" - recently turned one year old. The Lasconias are so grateful for their little bundle of joy, they want everyone else dealing with infertility to know there are new methods and technologies to consider.

"That testing was huge," says Matthew, "and we didn't think twice about not doing it."

Arizona Center for Fertility Studies Receives 2013 Best of Business Award for Scottsdale, Arizona in Reproductive Endocrinology and Infertility Category for Fifth Year in a Row

U.S. Commerce Association's Award Plaque Honors the Achievement

NEW YORK, NY, May 9, 2013 -- For the fifth consecutive year, Arizona Center For Fertility Studies has been selected for the 2013 Best of Scottsdale Award in the Fertility Specialists category by the U.S. Commerce Association (USCA).

The USCA "Best of Local Business" Award Program recognizes outstanding local businesses throughout the country. Each year, the USCA identifies companies that they believe have achieved exceptional marketing success in their local community and business category. These are local companies that enhance the positive image of small business through service to their customers and community.

Nationwide, only 1 in 1000 (less than one-tenth of 1%) 2013 Award recipients qualified as Five-Time Award Winners. Various sources of information were gathered and analyzed to choose the winners in each category. The 2013 USCA Award Program focuses on quality, not quantity. Winners are determined based on the information gathered both internally by the USCA and data provided by third parties.

About U.S. Commerce Association (USCA)

U.S. Commerce Association (USCA) is a New York City based organization funded by local businesses operating in towns, large and small, across America. The purpose of USCA is to promote local business through public relations, marketing and advertising.

The USCA was established to recognize the best of local businesses in their community. Our organization works exclusively with local business owners, trade groups, professional associations, chambers of commerce and other business advertising and marketing groups. Our mission is to be an advocate for small and medium size businesses and business entrepreneurs across America.

SOURCE: U.S. Commerce Association

CONTACT:
U.S. Commerce Association
Email: PublicRelations@uscaaward.com
URL: http://www.uscaaward.com

A Featured Article on HealthTap.com website

FEATURING DR. JAY NEMIRO, A FAMILY FRIENDLY EXPERT

Dr. Jay Nemiro believes that "an infertility practice is more than statistics, procedures, or the latest technological advancement; it is about helping women become pregnant when they want to become pregnant- plain and simple." Dr. Nemiro is the Medical Director at the Arizona Center for Fertility Studies in Scottsdale. He also serves as an Adjunct Professor in the Department of Zoology at Arizona State University and a Clinical Assistant Professor at Midwestern University.

In his practice, Dr. Nemiro takes a different approach, shying away from the "surefire" solution while assisting his patients in conceiving. He claims that this step is the easy part, while the most difficult aspect is keeping his patients "'in the game'...because the heart and soul of an infertility practice is the service, not the technology."

When it comes to his patients, Dr. Nemiro truly cares; he says that "it is only by listening and hearing that you are able to be effective and offer treatment options that are best suited for each individual couple."

To add to the list of his accomplishments, Dr. Nemiro is a Diplomate of the National Board of Medical Examiners and a Fellow of the American College of Obstetrics and Gynecology. He completed his fellowship in Reproductive Endocrinology and Infertility at Georgetown University. He was also voted "Best of Scottsdale" by the Fertility Specialists US Commerce Association in 2009, 2010, 2011, 2012. In addition, voted "Top Doc" by his peers in Phoenix Magazine for years, including 2009-2013. He has published multiple articles in peer review journals and continues to lecture on all aspects of reproductive medicine. In June 2011, along with Gerard Honore, M.D., Dr. Nemiro published an informative book: Overcoming Infertility, A Woman's Guide to Getting Pregnant.

Dr. Nemiro is recognized nationally for his knowledge of reversal of tubal ligation and IVF pregnancy and PGD/PGS (chromosome testing of all embryos prior to transfer) on HealthTap. Whether on or offline, he thinks that "treatment options are a couple's choice, not the clinic's choice" and he "looks forward to meeting and working with you and your partner to achieve a successful outcome." Visit his web site at www.acfs2000.com for more information.

Dr. Jay Nemiro Receives 2013 Phoenix Top Doc Award - April 2013

Jay S. Nemiro, M.D. picked again as "Top Doc" for the Scottsdale, Phoenix and Arizona metropolitan area in Reproductive Endocrinology and Infertility by Phoenix Magazine.

Dr. Jay Nemiro Receives 2 Awards on HealthTap.com

Dr. Jay Nemiro receives the following honors from www.healthtap.com:

Jay S. Nemiro, M.D. again picked as Top Doc for the Scottsdale, Phoenix and Arizona metropolitan area in Reproductive Endocrinology/Infertility by Phoenix Magazine - 2012

Who picks the doctors?

The physicians are selected through a peer-review survey. The theory is that medical professionals are best qualified to judge medical professionals. To select the physicians, PHOENIX magazine randomly surveys 5,000 Valley physicians, including M.D.s (medical doctors), D.O.s (osteopathic doctors) and N.D.s/N.M.Ds (naturopathic doctors). The surveys ask the doctors to nominate other doctors who, in their judgment, are the best in their field and related fields.

Does PHOENIX magazine check out all of the doctors on the list?

Yes. Once the list is compiled, PHOENIX magazine's fact-checkers verify the doctors' names, addresses, phone numbers and specialties. In addition, each name is checked against the state's medical boards to determine if the doctor has been convicted of or has settled in a malpractice lawsuit. Those who have are removed from the list.

Why not ask patients to rate the best doctors?

Every year we get several calls asking this question, and the simple answer is that patients generally lack the medical expertise to judge a doctor's qualifications. Should we ever do a ranking based solely on bedside manner, querying patients might be an option.

Was my doctor left off the list because he doesn't advertise in PHOENIX magazine?

Absolutely not. Like any credible publication, PHOENIX magazine's editorial content is not dictated by who advertises. There are cases, however, when a doctor on the list also has an ad in the magazine, but this is merely coincidence. Doctors - as well as our sales representatives - have no advance knowledge of whether they've made the list. Like you, they have to wait until the magazine is published to find out who has made the list. The only exceptions are the doctors who have been profiled for this feature.

If my doctor's not on the list, does that mean he/she is not a good doctor?

No. Although peer-review is considered the most reliable methodology, it's not perfect. To be recognized by a large number of peers, it stands to reason that a doctor would have to have practiced in the Valley for several years. There are many newcomers who are undoubtedly excellent physicians but haven't yet gained widespread recognition. In addition, there are many doctors in small practices or outlying areas that, likewise, haven't gained widespread recognition.

Do the same doctors make the list every year?

Many doctors do, but there are many new doctors on the list each year, too. Because the established, well-known doctors are exactly that - established and well known - the list might favor that kind of physician. Given the importance of choosing a doctor, however, PHOENIX views that as a healthy bias.

My doctor was on the list last year but isn't there this year. What does that mean?

It doesn't necessarily mean anything, and it certainly shouldn't be viewed as evidence of a drop-off in the doctor's effectiveness. Getting on the list once doesn't guarantee that a doctor will be on the list indefinitely - the selection process begins anew each year.

Each year, you do short feature profiles on a handful of doctors. How do you choose which ones to profile?

Essentially, we "throw a dart at the map." Because every doctor on the list is considered among the best in the Valley, every doctor is worthy of being profiled. Obviously, it would be impossible to profile all of them, so we randomly select a handful each year.

Arizona Center for Fertility Studies Receives 2012 Best of Business Award for Scottsdale, Arizona In Reproductive Endocrinology and Infertility Category for Third Year in a Row

PHOENIX, May 16th, 2012, Arizona Center for Fertility Studies has been selected for the 2012 Best of Business Award by the SBCA Community.

Being in business sets people apart from most ordinary people and the SBCA Community is dedicated to helping others understand that running a business is an obtainable goal and that everyone should try their best at living their dreams.

The SBCA Community recognizes and awards business owners because they often do not receive the recognition they deserve. Business owners are role models for everyone whether they know it or not. SBCA Commnuity 2011 Best of Business Award winners are a valuable asset to their community and exemplify what makes small businesses great.

About SBCA Community

The Small Business Community Association is dedicated to collecting and organizing information, training, and services that are vital to small business owners, entrepreneurs, and anyone else that needs help running a business, operating a business, or wants to start a business.

The mission of the SBCA Community is to promote a vibrant and growing small business community, support education that will preserve and extend the future of small business and use our gifts within the small business community to serve others for the betterment of our world.

The SBCA Community vision is to enthusiastically advance small businesses in three key areas:

  1. Growth - To assure a vibrant and growing small business community, our goal is to introduce, engage and mature the next generation of small business owners.
  2. Advocacy - We feel it is fundamental to support education and action outside the small business community that will preserve and extend the future of small businesses.
  3. Compassion - We believe it is essential that we use our gifts within the small business community to serve others for the betterment of our communities and world.

SOURCE: SBCA Community / FTM Marketing

Arizona Center for Fertility Studies Receives
2011 Best of Business Award

PHOENIX, March, 25th 2012, Arizona Center for Fertility Studies has been selected for the 2011 Best of Business Award by the SBCA Community.

Being in business sets people apart from most ordinary people and the SBCA Community is dedicated to helping others understand that running a business is an obtainable goal and that everyone should try their best at living their dreams.

The SBCA Community recognizes and awards business owners because they often do not receive the recognition they deserve. Business owners are role models for everyone whether they know it or not. SBCA Commnuity 2011 Best of Business Award winners are a valuable asset to their community and exemplify what makes small businesses great.

About SBCA Community

The Small Business Community Association is dedicated to collecting and organizing information, training, and services that are vital to small business owners, entrepreneurs, and anyone else that needs help running a business, operating a business, or wants to start a business.

The mission of the SBCA Community is to promote a vibrant and growing small business community, support education that will preserve and extend the future of small business and use our gifts within the small business community to serve others for the betterment of our world.

The SBCA Community vision is to enthusiastically advance small businesses in three key areas:

  1. Growth-- To assure a vibrant and growing small business community, our goal is to introduce, engage and mature the next generation of small business owners.
  2. Advocacy--We feel it is fundamental to support education and action outside the small business community that will preserve and extend the future of small businesses.
  3. Compassion--We believe it is essential that we use our gifts within the small business community to serve others for the betterment of our communities and world.

SOURCE: SBCA Community / FTM Marketing

ACFS Part of Embryo "Self-Correction" Study
Published in Nature Proceedings

Arizona Center for Fertility Studies was part of a multi-center study, published in Nature Proceedings; that, for one of the first times, documents that human embryos can "self-correct". The study showed that human embryos demonstrate a significant rate of genetic correction of aneuploidy (chromosome abnormality), or "genetic normalization" when cultured from the cleavage stage on day 3 to the blastocyst stage on day 5 using routine in vitro fertilization (IVF) laboratory conditions. The study showed that if day 3 embryos that were biopsied came back abnormal but went on to develop to the blastocyst stage (day 5) and subsequently re-biopsied, 64% demonstrated "genetic normalization". Recognizing that genetic normalization may occur in developing human embryos has important implications for stem cell biology, preimplantation and developmental genetics, embryology, and reproductive medicine. As a result of this data, Arizona Center for Fertility Studies decided to do all PGD/PGS biopsies on day 5.

Published in Nature Proceedings: hdl:10101/npre.2011.6045.1 : Posted 21 June 2011

ACFS Part of PGD: 23-Chromosome Microarray Study

October 2010

Arizona Center for Fertility Studies was part of a multiple center study, recently presented at ASRM October 2010 (American Society of Reproductive Medicine), looking at the efficacy of PGD: 23-chrosomome microarray, a technique to scan the genome for gains and losses of chromosomal material. This method has significantly high resolution and clinical yield. This new analytical technology, microarray analysis, allows for the evaluation of all 23 pairs of human chromosomes on a single cell.

While advances both in methods and drugs used for ovarian stimulation as well as improvements in embryo culture techniques have undoubtedly had a positive influence, IVF success rates have lagged and even stagnated over the last 10 years . This is largely due to an inability to reliably identify and selectively transfer only "competent" embryos (those that are capable of producing a healthy baby) to the uterus. Even in young women, an embryo that "looks good" under a microscope is not necessarily competent. At best, it has a 25% chance of implanting. Furthermore, this statistic shrinks with advancing age beyond 35 years. Even the use of preimplantation genetic diagnosis using fluorescence in-situ hybridization (FISH) (PGD/PGS- old technology) to identify chromosomes does not significantly improve this capability and is limited to testing 5-10 chromosomes. As a result, many IVF specialists still transfer multiple embryos at a time to increase the odds that at least one competent embryo will reach the uterus and produce a pregnancy. The problem is that while this improves the chance of a pregnancy occurring, it also markedly increases the risk of multiple gestations pregnancies.

23 Chromosome Microarray Study

It is, however, an undeniable fact that reproductive failure (i.e. failed implantation, miscarriages and major birth anomalies) are far more likely to be due to embryo incompetence (70-75%) than to a lack of uterine receptivity (25-30%). It is mostly (but not exclusively) the embryo's chromosomal configuration that will determine its "competence". The number of chromosomes in a cell is referred to as its ploidy. A cell with a normal number of chromosomes is referred to, as euploid, while one with an irregular chromosome number is aneuploid. It appears that it is the ploidy of the mature egg (rather than the sperm) that determines the post-fertilization chromosome configuration of the embryo. The embryo's ploidy, in turn, determines its competence.

Recently, a newer technology has emerged that has appears much more promising in its ability to deliver complete genetic (all the embryo's chromosomes) information about an embryo in question. This technique is referred to as PGD/PGS: 23-chromosome microarray.

In contrast to FISH, PGD/PGS: 23-chromosome microarray is able to provide information about all 24 chromosomes (22 pairs plus X and Y) from a single cell, which has been removed from a 3-day or day 5/6 (blastocyst) old embryo. Arizona Center for Fertility Studies believes it is likely that 23-chromosome microarray will replace FISH for this reason and hopefully will actually be able to improve the efficiency of In Vitro Fertilization by improving pregnancy rates while limiting the occurrence of miscarriages, by only transferring chromosomally competent morphologically normal embryos back into the uterus.

ARIZONA CENTER FOR FERTILITY STUDIES STRONGLY BELIEVES THAT PGD/PGS: 23-CHROMOSOME MICROARRAY COULD CHANGE THE FUTURE OF IVF.

WE FEEL SO STRONGLY ABOUT THIS TECHNOLOGY AND HOW IT COULD SIGNIFICANTLY IMPROVE OUR IVF SUCCESS RATES THAT ARIZONA CENTER FOR FERTILTIY STUDIES HAS DECIDED NOT TO CHARGE FOR THIS PROCEDURE (other than what the PGD lab charges us - $2,900) IN ORDER THAT ALL PATIENTS DOING IVF CAN BENEFIT FROM THIS VERY EXCITING NEW TECHNOLOGY

Jay S. Nemiro, M.D. Selected as a TOP REPRODUCTIVE ENDOCRINOLOGIST in Scottsdale, Arizona

November 16th, 2010

International Association of HealthCare Professionals

On November 16th, 2010, Jay S. Nemiro, M.D. was selected as a TOP REPRODUCTIVE ENDOCRINOLOGIST in Scottsdale, Arizona by the International Association of Healthcare Professionals (IAHCP) and has been approved to be spotlighted in the renowned publication, The Leading Physicians of The World.

The IAHCP recognizes and empowers Top Healthcare Professionals from around the world. Inclusion is an exclusive opportunity reserved for a select group of healthcare professionals.

Arizona Center For Fertility Studies
Receives 2010 Best of Scottsdale Award

October 26th, 2010

Press Release - FOR IMMEDIATE RELEASE

Arizona Center For Fertility Studies Receives 2010 Best of Scottsdale Award

U.S. Commerce Associations Award Plaque Honors the Achievement

NEW YORK, NY, August 23, 2010

For the second consecutive year, Arizona Center For Fertility Studies has been selected for the 2010 Best of Scottsdale Award in the Fertility Specialists category by the U.S. Commerce Association (USCA).

The USCA Best of Local Business Award Program recognizes outstanding local businesses throughout the country. Each year, the USCA identifies companies that they believe have achieved exceptional marketing success in their local community and business category. These are local companies that enhance the positive image of small business through service to their customers and community.

Nationwide, only 1 in 70 (1.4%) 2010 Award recipients qualified as Two-Time Award Winners. Various sources of information were gathered and analyzed to choose the winners in each category. The 2010 USCA Award Program focuses on quality, not quantity. Winners are determined based on the information gathered both internally by the USCA and data provided by third parties.

About U.S. Commerce Association (USCA)

U.S. Commerce Association (USCA) is a New York City based organization funded by local businesses operating in towns, large and small, across America. The purpose of USCA is to promote local business through public relations, marketing and advertising.

The USCA was established to recognize the best of local businesses in their community. Our organization works exclusively with local business owners, trade groups, professional associations, chambers of commerce and other business advertising and marketing groups. Our mission is to be an advocate for small and medium size businesses and business entrepreneurs across America
SOURCE: U.S. Commerce Association

CONTACT:

U.S. Commerce Association
Email: PublicRelations@uscaaward.com
URL: http://www.uscaaward.com

ACFS Passes CAP Inspection With No Deficiencies

CAP Accredited

August 2010

Arizona Center for Fertility Studies, a top infertility clinic in Scottsdale, Arizona, again passes CAP on-site inspection with no deficiencies.

Jay S. Nemiro, M.D. - Phoenix 2010 Top Doc

Jay S. Nemiro, M.D. again picked as Top Doc for the Scottsdale, Phoenix and Arizona metropolitan area in Reproductive Endocrinology/Infertility by Phoenix Magazine - 2010

Top Reproductive Doctor in Phoenix and Scottsdale Arizona

Who picks the doctors?
The physicians are selected through a peer-review survey. The theory is that medical professionals are best qualified to judge medical professionals. To select the physicians, PHOENIX magazine randomly surveys 5,000 Valley physicians, including M.D.s (medical doctors), D.O.s (osteopathic doctors) and N.D.s/N.M.Ds (naturopathic doctors). The surveys ask the doctors to nominate other doctors who, in their judgment, are the best in their field and related fields.

Does PHOENIX magazine check out all of the doctors on the list?
Yes. Once the list is compiled, PHOENIX magazine's fact-checkers verify the doctors' names, addresses, phone numbers and specialties. In addition, each name is checked against the state's medical boards to determine if the doctor has been convicted of or has settled in a malpractice lawsuit. Those who have are removed from the list.

Why not ask patients to rate the best doctors?
Every year we get several calls asking this question, and the simple answer is that patients generally lack the medical expertise to judge a doctor's qualifications. Should we ever do a ranking based solely on bedside manner, querying patients might be an option.

Was my doctor left off the list because he doesn't advertise in PHOENIX magazine?
Absolutely not. Like any credible publication, PHOENIX magazine's editorial content is not dictated by who advertises. There are cases, however, when a doctor on the list also has an ad in the magazine, but this is merely coincidence. Doctors - as well as our sales representatives - have no advance knowledge of whether they've made the list. Like you, they have to wait until the magazine is published to find out who has made the list. The only exceptions are the doctors who have been profiled for this feature.

If my doctor's not on the list, does that mean he/she is not a good doctor?
No. Although peer-review is considered the most reliable methodology, it's not perfect. To be recognized by a large number of peers, it stands to reason that a doctor would have to have practiced in the Valley for several years. There are many newcomers who are undoubtedly excellent physicians but haven't yet gained widespread recognition. In addition, there are many doctors in small practices or outlying areas that, likewise, haven't gained widespread recognition.

Do the same doctors make the list every year?
Many doctors do, but there are many new doctors on the list each year, too. Because the established, well-known doctors are exactly that - established and well known - the list might favor that kind of physician. Given the importance of choosing a doctor, however, PHOENIX views that as a healthy bias.

My doctor was on the list last year but isn't there this year. What does that mean?
It doesn't necessarily mean anything, and it certainly shouldn't be viewed as evidence of a drop-off in the doctor's effectiveness. Getting on the list once doesn't guarantee that a doctor will be on the list indefinitely - the selection process begins anew each year.

Each year, you do short feature profiles on a handful of doctors. How do you choose which ones to profile?
Essentially, we "throw a dart at the map." Because every doctor on the list is considered among the best in the Valley, every doctor is worthy of being profiled. Obviously, it would be impossible to profile all of them, so we randomly select a handful each year.

2010 Top OBGYN Phoenix and Scottsdale Arizona

Jay S. Nemiro, M.D. Awarded
AMERICA'S TOP OBSETRICIANS
AND GYNECOLOGISTS
Phoenix and Scottsdale, Arizona
In
REPRODUCTIVE ENDOCRINOLOGY AND INFERTILITY 2010

TOP IN VITRO FERTILIZATION (IVF) SUCCESS RATES IN ARIZONA

Top In Vitro Fertilization (IVF) success rates achieved by Arizona Center for Fertility Studies for 2008 ART data (most recent data available)

An independent web site reviewed the most recent published ART-IVF data nationally. It showed that Arizona Center for Fertility Studies had the highest success rates in the Phoenix and Scottsdale area and for the state of Arizona in the age group under 35; and the Center was rated 6th in the nation among over 400+ clinics. All other age groups also achieved very good success rates.

JAY NEMIRO, M.D. PICKED AS TOP DOC-PHOENIX MAGAZINE 2009

2009 Top Doctor Phoenix Arizona Who picks the doctors?

The doctors are selected through a peer-review survey. The theory is that medical professionals are best qualified to judge medical professionals. To select the doctors, PHOENIX magazine randomly surveys 5,000 Valley physicians, including both M.D.s (medical doctors) and D.O.s (osteopathic doctors). The surveys ask the doctors to nominate those doctors who, in their judgment, are the best in their field and related fields.

Does PHOENIX magazine check out all of the doctors on the list?

Yes. Once the list is compiled, PHOENIX fact-checkers verify the doctors' names, addresses, phone numbers and specialties. In addition, each name is checked against the state's medical boards to determine if the doctor has been convicted of or has settled in a malpractice lawsuit, or has faced other disciplinary actions. Those that have are removed from the list.

BEST OF SCOTTSDALE FERTILITY SPECIALIST AWARD

Best of Scottsdale Award

I am pleased to announce that Arizona Center For Fertility Studies has been selected for the 2009 Best of Scottsdale Award in the Fertility Specialist category by the US Commerce Association.

In recognition of your achievement, a 2009 Best of Scottsdale Award has been designed for display at your place of business. You may arrange to have your award sent directly to Arizona Center For Fertility Studies by following the simple steps on the 2009 Best of Scottsdale Award order form. Simply copy and paste this link into your browser to receive your award: https://www.us-ca.org/A4NQ3-HPXK

Each year, the US Commerce Association (USCA) identifies companies that we believe have achieved exceptional marketing success in their local community and business category. These are local companies that enhance the positive image of small business through service to their customers and community. Also, a copy of the press release publicizing the selection of Arizona Center For Fertility Studies has been posted on our website. The USCA hereby grants Arizona Center For Fertility Studies a non-exclusive, royalty-free license to use, reproduce, distribute, and display this press release in any media formats and through any media channels.

Press Release - FOR IMMEDIATE RELEASE

Arizona Center For Fertility Studies Receives 2009 Best of Scottsdale Award

U.S. Commerce Association's Award Plaque Honors the Achievement

WASHINGTON D.C., June 8, 2009 -- Arizona Center For Fertility Studies has been selected for the 2009 Best of Scottsdale Award in the Fertility Specialist category by the U.S. Commerce Association (USCA).

The USCA "Best of Local Business" Award Program recognizes outstanding local businesses throughout the country. Each year, the USCA identifies companies that they believe have achieved exceptional marketing success in their local community and business category. These are local companies that enhance the positive image of small business through service to their customers and community.

Various sources of information were gathered and analyzed to choose the winners in each category. The 2009 USCA Award Program focused on quality, not quantity. Winners are determined based on the information gathered both internally by the USCA and data provided by third parties.

About U.S. Commerce Association (USCA)

U.S. Commerce Association (USCA) is a Washington D.C. based organization funded by local businesses operating in towns, large and small, across America. The purpose of USCA is to promote local business through public relations, marketing and advertising.

The USCA was established to recognize the best of local businesses in their community. Our organization works exclusively with local business owners, trade groups, professional associations, chambers of commerce and other business advertising and marketing groups. Our mission is to be an advocate for small and medium size businesses and business entrepreneurs across America.

SOURCE: U.S. Commerce Association

CONTACT:
U.S. Commerce Association
Email: PublicRelations@us-ca.org
URL: http://www.us-ca.org

DR. NEMIRO IN AN INTERVIEW WITH FOX 10 NEWS
ABOUT A “SELFLESS” ACT BY ONE FRIEND FOR ANOTHER
IVF GESTATIONAL CARRIER PROGRAM

It's a staggering statistic. 1 in 7 couples have fertility issues. Some have no choice but to hire a surrogate mother to carry their child for them.

Surrogate moms can be very pricey. Some charge 10's of thousands of dollars and that's not counting medical bills.

One Valley couple says they found someone to carry their baby for free.

Fox 10's Miriam Garcia has their amazing story.

 

DR. NEMIRO HAS BEEN FEATURED IN A NUMBER OF NATIONAL MAGAZINES AND TV SHOWS

Dr Nemiro - Magazine and TV Shows

Dr. Nemiro appeared in Glamour Magazine in 1981, in an article titled- Psychological Infertility. Over the years he has been asked to contribute to other leading national magazines like Self, People, Woman's Day, Esquire, US News and World Report, Newsweek, Today's Healthcare and Conceive. He has been featured in numerous articles in the Arizona Republic, Scottsdale and Mesa Tribune (now known as the East Valley Tribune), as well as local talk show, KTAR, and all the local TV new stations in Phoenix, as an expect on infertility issues and technologies. He was featured on Good Morning America, and was asked to be on the Geraldo Rivera Show in the 1990ʻs but turned them down (too many times in Geraldo's interviews, the guests would be ambushed, and the story would be negative and about dramatization, not about content).

In Vitro Fertilization Arizona

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