Fertility & IVF
We offer a wide array of Women’s Health services including the use of minimally invasive surgical techniques, treatments for infertility, menstrual disorders, urogynecology and pelvic floor disorders, menopause and more. The Ob/Gyn & Women’s Health Institute is designed to meet the unique and changing medical needs of women from adolescence to mature adulthood.
The Ob/Gyn & Women’s Health Institute is designed to meet the unique and changing medical needs of women from adolescence to mature adulthood. We offer a wide array of Women’s Health services including the use of minimally invasive surgical techniques, treatments for infertility, menstrual disorders, urogynecology and pelvic floor disorders, menopause and more. The Ob/Gyn & Women’s Health Institute is designed to meet the unique and changing medical needs of women from adolescence to mature adulthood.
- IVF-ICSI treatment cycle
- TESTICULAR BIOPSY
- Oocytes Retrival
- Egg collection
- Embryo Transfer
- Embryo Cryopreservation
- Semen freezing
- Oocyt freezing
- Sperm thawing
- Frozen Embryo Transfer
- Assisted hatching
- Embryo Thawing
At what time of the month is a woman fertile?
The most fertile time of a woman’s cycle is just before or on the day of ovulation. Ovulation usually occurs two weeks before a period starts, so it is necessary to count backwards from the anticipated start of the next period in order to find the most fertile time. Take the number of days in the usual cycle (from the beginning of one period to the beginning of the next) and subtract 14. For example, a woman with a 32-day cycle would likely ovulate around day 18 (32-14=18), while a woman with a 28-day cycle would ovulate around day 14 (28-14=14). We recommend every other day intercourse around the day of ovulation. That would mean days 12, 14 and 16 for women with 28 days cycles.
How can a woman tell if she ovulates?
A good indicator that you are ovulating (necessary for becoming pregnant) is getting your menstrual cycle regularly. Counting as day one from the first day that you have a full flow of blood until the next day of full flow will tell you how many days are in your menstrual cycle. Generally having a cycle that is between 24-36 days is considered regular. Having a longer or shorter cycle does not mean that you have are not ovulating or have a fertility problem, this is just an indicator. Keeping track of your menstrual cycle is valuable as a part of your medical history if you do need to see a fertility specialist.
Using an ovulation predictor kit can tell you more accurately whether you are ovulating or not. You can purchase them over the counter at a pharmacy and at major retail drug stores. See above for details regarding ovulation predictors and please remember that they are not 100% accurate. If your period is irregular, make an appointment to be seen by a fertility specialist.
What fertility testing should our fertility doctor perform?
- Blood tests to check reproductive hormone levels in the woman; estradiol (E2), progesterone, follicle stimulating hormone (FSH), anti mullerian hormone (AMH),luteinizing hormone (LH), thyroid hormone, prolactin, and possibly male hormone levels.
- Complete semen analysis on the male partner
- Hysterosalpingogram (HSG), an x-ray or a Saline Infusion Ultrasound (also called a Sonohysterogram or SHG) to evaluate if the woman’s fallopian tubes are open
- Ultrasound to confirm the normal appearance of the uterus and ovaries in the woman
Is infertility just a women problem?
No, infertility is not always a woman’s problem. Both men and women can contribute to infertility.
What causes infertility in men?
Infertility in men can be caused by different factors and is typically evaluated by a semen analysis. When a semen analysis is performed, the number of sperm (concentration), motility (movement), and morphology (shape) are assessed by a specialist. A slightly abnormal semen analysis does not mean that a man is necessarily infertile. Instead, a semen analysis helps determine if and how male factors are contributing to infertility.
- Disruption of testicular or ejaculatory function
Varicoceles, a condition in which the veins on a man’s testicles are large and cause them to overheat. The heat may affect the number or shape of the sperm.
- Trauma to the testes may affect sperm production and result in lower number of sperm.
- Unhealthy habits such as heavy alcohol use, smoking, anabolic steroid use, and illicit drug use.
- Use of certain medications and supplements.
- Cancer treatment involving the use of certain types of chemotherapy, radiation, or surgery to remove one or both testicles
- Medical conditions such as diabetes, cystic fibrosis, certain types of autoimmune disorders, and certain types of infections may cause testicular failure.
- Hormonal disorders
- Genetic disorders
- Disruption of testicular or ejaculatory function
What are some of the specific treatment for male infertility?
Male infertility may be treated with medical, surgical, or assisted reproductive therapies depending on the underlying cause. Medical and surgical therapies are usually managed by an urologist who may offer intrauterine inseminations (IUIs) or in vitro fertilization (IVF) to help overcome male factor infertility.
What does the basic testing for a man include?
Testing for a man often involves a semen analysis. This analysis is done to assess the amount of sperm, the shape of the sperm, and the way that the sperm move. Blood tests for men measure levels of male reproductive hormones. Too much or too little of these hormones can cause problems with making sperm or with having sex. In some cases, an ultrasound exam of the scrotum may be done to look for problems in the testes.
What causes infertility?
The most common cause of female infertility is lack of or irregular ovulation. The most common causes of male infertility are problems in the testes that affect how sperm are made or how they function.
Other factors in women include problems with the reproductive organs or hormones. Scarring or blockages of the
fallopian tubes may contribute to infertility. This may be the result of past sexually transmitted infections (STIs) or endometriosis. Problems with the thyroid gland or pituitary gland also may contribute to infertility. In men, blockage of the tubes that carry sperm from the testes may be a cause of infertility.
Did you know that staying well hydrated plays a very important role in achieving and maintaining fertility?
Insufficient water intake can lead to dehydration and this is bad news for your fertility. Recent studies have shown that the more hydrated your cervical is the easier sperm can travel throw it. So to give yourself the best chance of conceptions we recommend have at least 10 cups of water daily
How long should a women try to conceive before going to the doctor?
if the women is under 35 years old and has been trying to conceive for more than 12 months, or over 35 years old and has been trying to conceive for over 6 months.