Diagnosis & Management: Treatment
At Fertility C.A.R.E. we believe Reproductive Medicine involves treating patients' physical condition as well as meeting their emotional needs during the process. The doctors at Fertility C.A.R.E strive to educate our patients extensively about their particular diagnosis and the treatment options available to them.
We also feel it is important to impart this knowledge to other medical professionals. As a result, we have created this educational area to share our knowledge about fertility treatments.
This is the first of many articles about fertility treatments. Please check back here often, as we will be updating this area with more information about the latest treatments.
If you have any questions about the services we offer at Fertility C.A.R.E. or would like to speak with one of our physicians, please feel free to email us or call our offices (407)672-1106 to set-up an appointment.
Recurrent Pregnancy Loss and Immunological Factors
Jessica Auffant, MS IV & MARK P. TROLICE, M.D., FACOG, FACS
The autoimmune causes most commonly known include the APS but also may include autoantibodies to thyroid, antinuclear antibodies, and alloimmune responses. All of these conditions are still unclear as to how they correlate exactly with fetal losses.
Prolactin: It’s not all about milk
MARK P. TROLICE, M.D., FACOG, FACS
(November 2007)
Normal menstrual function involves an exquisitely synchronized coordination of hormonal signals involving the hypothalamus, pituitary, and ovary (HPO). During a woman’s reproductive years, the most dramatic indication of a disruption in the HPO axis is amenorrhea (absence of menses for six months, excluding pregnancy).
Reproduction & the Thyroid
MARK P. TROLICE, M.D., FACOG, FACS
(November 2007)
Perhaps the most confusing endocrine organ involved in reproduction, the thyroid gland has become increasingly complex in its integration with pregnancy. Recent evidence now links thyroid dysfunction, specifically subclinical hypothyroidism, as a risk factor in impaired neurologic fetal development and compromised cognitive function in newborns. Additionally, there is new insight into recurrent miscarriage and antibodies to the thyroid that may improve outcome in this challenging population of patients. As a result, this article will review the latest information on the thyroid gland as it pertains to reproduction.
Premature Ovarian Failure
MARK P. TROLICE, M.D., FACOG, FACS
(November 2007)
Premature ovarian failure (POF) is categorized as a lack of ovarian function associated with markedly elevated FSH levels in women less than age 40. Occurring in 1 - 5% of women, POF may be further defined as greater than six months of amenorrhea in a previously menstruating patient with FSH levels above 30 for two consecutive months and no intervening menses (to exclude a midcycle natural FSH surge). In addition to the devastating impact on reproductive capability, this column will also discuss the important medical consequences of POF, particularly bone mineral density loss.
Understanding Recurrent Pregnancy Loss
MARK P. TROLICE, M.D., FACOG, FACS
(October 2004)
Approximately 50 percent of fertilized oocytes end in spontaneous abortion, most occurring before or at the time of the next expected menses. Of clinically recognized pregnancies, 15 percent result in miscarriage. Recurrent pregnancy loss (RPL) has been defined as three or more spontaneous losses, usually in the first trimester. However, evaluation after two losses (up to 5% of couples) has been recommended due to the similar diagnostic yield following the work-up for two vs. three losses.
Azospermia - Advances in Fertility Options
Mark P. Trolice, M.D., M.D., FACOG, FACS & Bin Wu, PhD, HCLD
In couples that are having difficulty trying to conceive a child, approximately 40% will be diagnosed with a male problem.
Acupuncture and Infertility: An East West Medical Integration
Katie Stevenson, Dr. Hailing Fu, O.M.D. & Mark P. Trolice, M.D., M.D., FACOG, FACS
Acupuncture has been the primary source of healthcare in China for more than 3,000 years. In the case of infertility, the needles along with Chinese herbal remedies encourage the body to restore normal function of the uterus, the ovaries and the neuro-endocrine system needed for healthy ovulation and egg fertilization.
Advances in the Treatment of Ovulatory Dysfunction (Part 1)
Mark P. Trolice, M.D., FACOG, FACS
(April 2005)
Ovulatory dysfunction represents one of the most common causes of female infertility. Here we will review the etiologies and diagnostic approach to ovulatory dysfunction.
Advances in the Treatment of Ovulatory Dysfunction (Part 2) Read full article
Mark P. Trolice, M.D., FACOG, FACS
(April 2005)
Fertility 101
Mark P. Trolice, M.D., FACOG, FACS
(June 2005)
Infertility is defined as a failure to conceive after 1 year of unprotected, appropriately timed intercourse without conception. This article will address the basic infertility work-up.