Dr. Jay Nemiro

Fertility Medicine
Scottsdale, AZ
47 years experience male

Locations

Arizona Center for Fertility Studies

Scottsdale, AZ

Address

8997 E. Desert Cove Ave., 2nd Floor, Scottsdale, AZ
Directions

Practice website

Fax

4808606819

Office

Scottsdale, AZ

About

Bio

Arizona Center for Fertility Studies was founded in 1982 with a commitment to the successful evaluation and treatment of infertility, as well as to the emotional well being of couples and individuals. Some say that infertility cannot be overcome. At Arizona Center for Fertility Studies, we are committed to your vision of having children become a reality. The clinic embraces all patients, regardless of age, marital status and gender preference. What speaks far louder than the words of our commitment to you are the more than 8000 babies born to our patients. Today, the Center stands at the leading edge of fertility studies and scientific research. Arizona Center for Fertility Studies continues to strive for new breakthroughs in the field of reproductive medicine by staying in the forefront of state-of-the-art techniques. This also supports us in offering you accurate information and the emotional support you need. Couples seeking to have children are often confused by the barrage of complex language and statistics that surround treatment. Yet, with the rapidly expanding options available, there is much to be gained from persistence in asking the right questions and demanding the answers that you can understand. In fact, we believe that with up to date technology and a clear understanding of your goal, pregnancy is now possible for more couples than ever before. In summary, commitment is the stuff character is made of, the power to change the face of things. It is the daily triumph of integrity over skepticism. Each of us at the Arizona Center for Fertility Studies is totally committed to your rights as a patient, as individuals and as a person trying to create a fundamental right . . . life. All we are given is possibilities and my commitment is to the possibility.

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Fertility Medicine

Doctor Q&A

242 Answers
7 Agrees
The number of answers this doctor has agreed with.
A 29-year-old member asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
Found a good clinic: Your previous history should not be a factor in an ivf cycle. Success will depend on the experience of the clinic, the skill of the embryologist, qual... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
Probably your period: If you are having regular cycles every 28-30 days, then the bleeding is probably your period and not implantation bleeding. There is, however, some w... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old male asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
Bad idea: Popular 5-6 years ago, a large multi-center study published in 12/2008 showed there was no difference in success rates with ivf in couples that did ac... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old male asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
Best chance: Although there are many myths, none of them work. If you are serious about having a girl then your best chances are doing ivf with pgs- pre-genetic s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
Possible: In our experience, by doing pgs, or checking each embryo to make sure it is chromosomal normal not only improves pregnancy rates but decreases the ris... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
Possible: I respectfully disagree with the last answer. At 38, women can still have good success rates. They depend on three factors: 1. Skill of the surgeon... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
Absolutely: Does not matter how long ago your tubes were tied. Success of a tubal reversal depends on three things: age of the patient and at 35 you are still ok,... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
Prior to ejaculation: Many men will lose several drops of semen prior to ejaculation. There is enough sperm in these few drops to get a woman pregnant. This is why the wi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old female asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
Should not matter: Your previous surgeries should not be a factor in an ivf cycle. Success will depend on the experience of the clinic, the skill of the embryologist, q... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
Yes: The length of time your tubes are tied is a zero factor. Success depends on three factors: 1. Skill of the surgeon, 2. Length of tubal segments rema... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
No: If what you mean by uncomfortable is uterine cramping, then honestly, that is not always a good sign. Generally after an et there should be no bleedi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old male asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
Decrease sperm count: There is some suggestion that creatine monohydrate supplements may decrease sperm counts; although, there are some reports that suggest that it does n... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
HRT: If you have been diagnosed with premature ovarian failure than you should see a clinician who is experienced with pof; because it can be associated wi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 16-year-old female asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
About a week: Generally implantation bleeding occurs around 7 days post ovulation. Although blood pregnant tests can be positive a day or so later; to be sure, you... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
Uterine abnormality : If you truly have pcos- other than difficulty in getting pregnant; you are at risk of the long term effects of unopposed estrogen over the next 20-30 ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
Ok: Most ivf clinics only measure HCG levels approximately 9 days after a day 5 embryo transfer. However, some clinics feel that the combination of HCG l... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old female asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
Not ovulating: There is a possibility that you may not be ovulating on a regular basis. If this continues consider using an ovulation detection kit to tract your ov... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old female asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
No change in success: Although very popular in the last 5-6 years, a large multi-center study published in 12/2008 showed that there was no difference in success rates with... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 16-year-old female asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
Early pregnancy: After ovulation, if the egg is fertilized, implantation of the embryo occurs day 6 1/2 to 7 days later. This is when the embryo attaches to the uteri... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
Maybe: Chlamydia is the most common sexually transmitted disease other than hpv. Every exposure gives you a 25% risk of tubal damage and resulting infertili... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
Pregnancy: For some women, sore breasts are one of the earliest signs of pregnancy especially if that generally does occur with your normal periods. Congrats on... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old female asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
Yes: Unfortunately, it might mean that the baby is not longer viable. At 41, you are at increased risk of chromosome abnormalities, which are the most com... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old member asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
Probably not: Many men experience " a kick or two" to your testicles and generally it does not cause any significant damage that will effect your future reproductiv... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
Yes: I respectfully disagree with the last answer. At 28, you should still have good success rates with a reversal. Sucess depends on three factors: 1. S... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
Not sure: Many women do not know when they ovulated. Some will get an increase in cervical mucous, have slight cramping and/or bleeding or "just" know. If you... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
Ok: Although I am not a big fan of basal body temperature charts, you are using them, than typically, the temp drops prior to ovulation and than peaks app... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
It varies greatly: Most infertility doctors charge between $150-300+ for the initial consultation that generally lasts for an hour or so. We charge $300 for the initial... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old male asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
Probably not: Generally, if you needed assistance getting pregnant with the first pregnancy, you probably will need assistance again with the second. Although, coup... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
Several: As long as you are 150% sure you are done having children, a lot of ob/gyn will do the surgery right after delivery or the following day by making a h... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
Probably not good: Honestly, by day 12 after et, you should have already done a pregnancy test and know whether ivf was successful or not. If the test was positive, that... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
Possible: Although normal sperm morphology is important in conceiving, a low value may be compensated by higher sperm counts and increased motility. It does ta... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
No: He is probably just messing with you.
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
That is normal: Once an ovulation detection kit is positive, you will ovulate or release the egg in 26-40 hours. It is ok to have sex twice. It is normal to "lose" ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
No period: There is a blood test called fsh that can determine if you are in the menopause. Generally levels greater than 25-30 are suggestive of the menopause. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old female asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
No: Generally oral antibiotics are given a one before, the day of and the day after embryo transfer to decrease a possible, but unlikely risk, of bacteria... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
No: There is no data suggesting that Lidocaine injections will help with the treatment of endometriosis. Once endometriosis is confirmed, the "gold" stan... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old male asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
No but important: As far as i know vitamin b6 will not help you conceive but taking Folic Acid and iron is very important. Folic acid supplements reduces the risk of b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old female asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
Maybe: Generally Progesterone levels should be very high in early pregnancy and over 100 is not uncommon. With twins it should be higher. The fact that it is... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old female asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
Nothing.: After IUI you do not really have to anything; although, some clinicians like to put their patients on some form of Progesterone supplements. As far a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 16-year-old female asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
It can: Up to 50% of women can have either implantation bleeding around 7 days after ovulation with or without cramping. If you do not have it, it is not a ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
At 23, very good: The length of time your tubes are tied is a zero factor. Success depends on three factors: 1. Skill of the surgeon, 2. Length of tubal segments remain... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old female asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
Very good: Clamps, probably hulka or filshie clips are the easiest to reverse and should give you the highest success rates. Even at 38, you should have pretty ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old female asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
Generally good: Generally one interruption of pregnancy statistically does not decrease your chances of conceiving again. However, two or more terminations can effec... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old female asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
Not sure: The brown spotting may be secondary to implantation bleeding, a friable cervix that bleeds easily, post intercourse, loss of a twin pregnancy and/or a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
Several: The basic four tests that give you a fair amount of information are: x-ray of your fallopian tubes (hsg), sperm count on your husband, sperm-mucous in... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
No: The embryo can produce HCG as early as 5 days post fertilization but the amounts are so small and the maternal-fetal blood connections are so minimal ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
Probably not: There is always a certain failure rate with any form of tubal ligation; but if done well and having an additional part removed with your last surgery ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
Seconds: With ejaculation, sperm can be in the cervix very quickly and data shows up in the fallopian as quick as 3 minutes.
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old male asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
Difficult choice: 6 cycles of IUI on injectable medications costs around the same as one cycle of ivf. One takes 6+ months and ivf takes 6 weeks. Here is the "rub". 6 c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old female asked:
Dr. Jay Nemiro
Fertility Medicine 47 years experience
No: Generally Progesterone levels should be very high in early pregnancy and over 100 is not uncommon. With twins it should be higher. The fact that it ... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

4
Recommendations
352
Thank you notes
Apr 15, 2013
Dr. Nemiro's wealth of knowledge and dedication to patient care is highly commendable.
HealthTap member
Mar 26, 2013
Dr. Nemiro is our family hero! He always has time (and sometimes at very odd hours) to answer a question and he is an absolute professional at what he does. We have been working with Dr. Jay and team ...Read More
HealthTap member
Mar 30, 2015
Dr. Nemiro is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Im so frustrated i got pregnant for first time trying but too bad end up misscarrying.wants to seek help to see if there is somethibf wrong
HealthTap member
Thanks for your reply it made me feel better, it just really weirded me out since AF is always on time, and all I got on a FRER was a BFN.
HealthTap member
Thank you, your answer or tip was very helpful! does that mean my embryo had problem producing or supporting to produce enough estrogen?

Education & Training

Medical/Graduate school

George Washington University Medical School, DC
Graduated 1976MD

Residency

GEORGE WASHINGTON UNIV HOSPITAL

Awards

Top Doctor, Third Place, Phoenix, AZ - Winter
2013
Top Reproductive Endocrinologist, First Place, Arizona - Winter
2013
Top Reproductive Endocrinologist, First Place, Arizona - Summer
2013

Publications

Overcoming Infertility: A Women's Guide to Getting Pregnant
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