A friend of mine on another board is 45 and pregnant with healthy boy at 12 weeks now I think. She did the CVS testing last week. She did ZIFT with Santa Monica Fertility. I know it would be travel for your friend in NYC but sure there would be a good doctor her current RE could recommend for ZIFT. Not many RE's practice this old method, but it really helps the fertilized eggs to get back into mom as soon as possible. Basically, the ZIFT procedure requires going under two days in a row - once for retrieval and then the next day to put the fertilized eggs back into the fallopian tubes. I would recommend a place or doctor that performs this procedure a few times a year.