Fertility Information
Infertility can be an overwhelming experience. Our aim is to give you the information you need to make informed decisions about your fertility. We have provided a wealth of information on this site in order to help you gain an understanding of the many facets of fertility and reproductive medicine. Whether you are just getting started and are interested in the basics, or you are a seasoned veteran looking for in-depth information on a particular condition, treatment, or technology, this site has the info you need to inform and empower you. Select an option below to get started.
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- Glossary of IVF Terms
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Featured Article
Financial Risk-Sharing: Reducing the Cost of Having a Baby
In the United States, the richest and most technically advanced nation on earth, millions of couples remain involuntarily childless. A conservative estimate places the number of U.S. couples that grapple with infertility annually at 4 million, yet less than 20 percent of those couples will undergo some form of definitive treatment. The high cost of infertility treatment - especially IVF - has resulted in reluctance on the part of most insurance companies to provide benefits for infertility and, therefore, has rendered such medical intervention financially inaccessible to the general infertile population. Although a few states have enacted legislation requiring health insurance providers to offer or provide infertility benefits, such coverage is often limited or absent altogether due to regulatory loopholes. The majority of employer groups as well as health insurance providers continue to avoid voluntarily including infertility benefits. They recognize that such benefits would ... Read more
Recent Fertility Post
RL, a 31-year-old woman, presented with a 7 year history of inability to conceive, in spite of 2 prior fresh and 1 frozen IVF attempts, where a total of six good quality blastocysts had been transferred to her uterus. Her husband PL, had normal sperm and had initiated 2 pregnancies in a prior relationship. RL … Read more
While many IVF pregnancies will progress normally and without any increased risk to mother or baby, there is little doubt that some women who conceive in this manner as well as their babies are indeed at increased risk. Why is it that women who conceive following IVF should be regarded as being “high risk” and … Read more
The following is a case study of a recent patient that came to me for treatment. CJ, a 34 year old, and her husband RJ (age 35) presented to me with a six-year history of infertility. Based on semen analysis, RJ, who had initiated two pregnancies in a prior relationship, was found to be perfectly … Read more
Please refer to last week’s blog post, where Karmann tells in her own words her struggles with recurrent miscarriage – nine miscarriages to be exact – and her long journey of heartbreak, disappointment, and finally – hope. In this post, I offer my perspective on her case from a medical standpoint. ———————- When … Read more
In observation of National Infertility Awareness Week (NIAW), I wanted to share the touching story of a couple that I first met last year – after they had already experienced 8 years of heartbreak and frustration. Their story is representative of what so many couples go through in their infertility journey. Rather than tell … Read more
This week, with the passing of Robert Edwards, has been a particularly sad one for the entire field of Reproductive Medicine. Bob Edwards and Patrick Steptoe (who passed a few years ago) pioneered human IVF and together were responsible for the birth of Louise Brown, the world’s first IVF baby, some 35 years ago. He … Read more
Background: About two years ago, I received a call from a gentleman that I will call “John”. John was a movie producer who stated that he and his partner “Brian” had been in a monogamous same-sex relationship for 7 years and each wanted to sire a child. At the initial consultation, John explained that he … Read more
Background: Maria (fictitious name), a childless 34-year-old Hispanic lady, presented with a history of having had five (5) successive spontaneous pregnancy losses at 7 weeks gestation, all due to hydatidiform moles. Four (4) of these losses were “partial molar pregnancies” and one was a “complete hydatidiform mole.” One of the four partial molar pregnancies had been … Read more
On Monday, March 25, I made a presentation at the National Interdisciplinary Breast Center Conference on the topic of fertility preservation in women facing cancer treatment. I have included hereafter an outline of my presentation. The fact that many oncologists now have fertility preservation and egg freezing on their radar is a testament to the work … Read more
Mary (fictitious name), a 54 year menopausal woman, presented at SIRM-Las Vegas for IVF using an egg donor. She had been menopausal for 7-plus years and had NOT been on any hormone replacement therapy. Mary gave a history of having undergone IVF with egg donation elsewhere approximately 1 year prior, but in spite of aggressive … Read more
As some of you reading this may be aware, I have assumed the leadership role at SIRM St. Louis along with our new Associate Medical Director Molina Dayal, MD. At the same time, I have continued to do IVF cycles in Las Vegas, straddling both St. Louis and Las Vegas. As testimony to the confidence I had in what … Read more
I consulted with a 36 year old lady (whom I will refer to as “Sandra”) and her partner, about 18 months ago. She and her husband of 5 years had been having regular unprotected intercourse throughout this time and had been unable to conceive. Sandra told me that she had been diagnosed as having “unexplained … Read more
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