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Infertility Treatment Options

IVFReproductive Medicine involves treating patients’ physical condition as well as meeting their emotional needs during the process. At Fertility CARE, we strive to educate our patients extensively about their particular diagnosis and the treatment options available to them.

We believe that knowledge empowers the patient, allows them to take more control over their fertility, thereby being proactive in their treatment. We always include the patient in the decision involving all aspects of their treatment. We find this approach reduces anxiety while increasing well-being.

Treatments

Today, a wide range of treatments is available to address even the most complex causes of male and female infertility. At Fertility CARE, we develop a customized treatment plan for you. Depending on your diagnosis, the plan may include one or more treatment options below.

Click the title of each treatment to discover more.

Intrauterine insemination (IUI) is a minor office procedure that places sperm with a small catheter directly into a woman’s uterus when she is ovulating. A large concentration of sperm is deposited into the upper uterus so they are closer to the fallopian tubes, where they travel to fertilize an egg. This process, called insemination, uses a thin flexible tube (catheter) that is passed through vagina and cervix into the uterus. Most women experience little or no discomfort. IUI can be done with sperm from the male partner or a donor, and is often combined with ovulation induction (OI) or controlled ovarian hyperstimulation (COH).

Prior to insemination, the sperm are usually washed and concentrated (Placing unwashed sperm directly into the uterus can cause severe cramps). Concentration is accomplished by selectively choosing highly active, healthy sperm that are more capable of fertilizing an egg. Donor sperm are used if the male partner is sterile, has an extremely low sperm count, or carries a risk of genetic disease. A woman planning to conceive without a male partner can also use donor sperm.

OI uses fertility medication to develop a single follicular cyst (follicle) on the ovary for ovulation. COH is offered in ovulatory women and stimulates the ovary to produce more than the usual one follicle per month, so an increased number of eggs are exposed to sperm thereby increasing the chances for pregnancy.

Reproductive surgery treats anatomical abnormalities interfering with normal reproductive function. For women, reproductive surgery treats:

  • Tubal obstruction
  • Endometriosis
  • Uterine fibroids
  • Scarring of the ovaries or other pelvic structures resulting from pelvic inflammatory disease (PID)

For men, surgery might address conditions such as:

  • Varicocele (varicose veins of the testes)
  • Obstruction along the reproductive tract
Artificial insemination involves the simple process of washing sperm in the laboratory to enhance fertilization. Then, using a small catheter, the sperm is gently placed into the upper uterine cavity. Since IUI passes through the vagina and bypasses the cervix, a high concentration of total moving sperm is placed closer to the fallopian tubes where fertilization normally occurs. This procedure is performed in the office without the need for sedation since a woman rarely experiences more than a mild menstrual-like cramp.

If donor sperm is necessary, you may choose an anonymous donor or a friend or relative who is willing to provide sperm.

Anonymous donor sperm must remain frozen for at least 6 months before it can be used. This is done so that the donor can be tested to ensure that he does not have an infectious disease, including the human immunodeficiency virus (HIV).

Frozen sperm are less effective than fresh sperm and are not recommended for use due to the concerns of infectious disease transmission. A couple often chooses to use sperm from a donor who resembles the male partner.

In vitro fertilization is the Assisted Reproduction Technology (ART) advancement that revolutionized the fertility treatment of women following the first baby born from this process in 1978. IVF literally means ‘outside the body fertilization.’

After stimulating a woman’s ovaries to produce multiple follicular cysts, each containing an egg, a minor procedure called egg retrieval is scheduled. This procedure is performed in our office and involves intravenous sedation while ultrasound is used to guide a needle through the woman’s vagina into the ovary to puncture the cysts, aspirate the fluid and collect the eggs to be immediately analyzed in the laboratory and eventually inseminated later that day for fertilization.

This procedure takes less than 30 minutes and you may return to work the next day. Originally developed to assist women with damaged fallopian tubes, IVF has now emerged as the highest monthly chance for a successful pregnancy above all other treatment options regardless of diagnosis.

Frequently Asked Questions

How long will it take to figure out what the problem is?

If performed correctly, the process above will be completed in one menstrual cycle and will take about 4-8 weeks depending on when you presented. A follow-up visit will be scheduled to discuss all the results and to make a decision for the most appropriate treatment plan.

My husband/wife has children from a prior relationship; doesn’t that prove that he/she does not have fertility issues?

No. Age is a large issue and secondary infertility is actually more common than primary infertility. Also, recent miscarriages should not be viewed as reassuring.

Does my partner need to be at the initial appointment?

It is encouraged but not required that your partner attends the initial appointment. If your partner has multiple questions, this will be the best to get answered in real time instead of speculating what the correct answer will be.

The IVF Center – Why Fertility CARE is Unique

Dr. Trolice and the team supporting Breast Cancer Awareness month.

Dr. Trolice and the team supporting Breast Cancer Awareness month.

At Fertility CARE we recognize the process of IVF can at times be overwhelming.

To address this issue, we have an IVF Nurse available 24/7 to answer questions, guide you through the process, and provide emotional support. We also offer a Reproductive Health Psychologist to help couples develop their best coping strategies along their journey.

Success of the IVF Program at Fertility CARE is due to our scientific and technological excellence coupled with our compassionate and highly personalized approach to patient care.

Fertility CARE is committed to each couple’s success by providing individualized and supportive care along the way. We consider each couple part of our family as we attempt to help them create their own.

What our Patients are Saying

“Dr. Trolice and his incredible staff were with my husband and I every step of the way towards having our miracle baby. We could tell they really cared. We could never thank them enough for helping us have our precious baby boy.”

Fertility CARE Patient, Facebook Review

“Unbelievable compassion from Dr. Trolice and his staff. We don’t know how we could get through this without the Fertility CARE team. Thank you thank you thank you!!”

Fertility CARE Patient, RateMds.com Review

“After struggling with infertility and feeling hopeless, Dr. Trolice quickly comforted us and provided outstanding care. He is compassionate and committed so I felt we were in excellent hands. His staff are all warm and caring. Success came and we are grateful to him!”

Fertility CARE Patient, Vitals.com Review

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