Dr. Blotner will make a determination that one of these basic infertility treatments is suitable for achieving your pregnancy goal.
This process involves the use of fertility medications to stimulate the ovaries to produce more than one mature egg per cycle. Careful monitoring of the patient utilizing blood tests and pelvic ultrasound optimizes the medication dosing and timing of sperm exposure. Increasing the number of mature eggs per cycle, in essence "targets" for the sperm, often will increase the chance of pregnancy each month.
Intrauterine Insemination (IUI)
When necessary, the semen is prepared in the laboratory by separating the sperm cells from the seminal fluid, and placing the sperm in a sterile nutrient solution that is inserted directly into the uterus. This procedure is implemented when the cervical mucus impedes the sperm's progress, or when the sperm quantity and/or quality is suboptimal. The IUI is also frequently employed in cases of unexplained infertility prior to proceeding to more advanced reproductive procedures. The timing of the IUI is enhanced by the concurrent use of the fertility medications.
Laser laparoscopy is a surgical procedure the doctor uses to look at the uterus, ovaries and fallopian tubes. If any problems are diagnosed the doctor can usually correct them in this procedure.
Laparoscopy can diagnose fibroids, scar tissue, endometriosis, and blocked fallopian tubes, all of which can cause infertility. Using a narrow fiber optic telescope, inserted through a tiny incision near the navel, the doctor can examine the ovaries, fallopian tubes, and the outside of the uterus.
Laparoscopy is a short surgical procedure performed under general anesthesia, so it is done in a hospital or surgery center. Once one is under anesthesia, the doctor will insert a needle and inject a harmless gas into the abdomen. The gas raises the abdomen wall so that the doctor can see the reproductive organs more clearly. The needle is removed and a laparoscope is inserted through a tiny incision. Another small incision is made in the lower abdomen so that the doctor can insert a probe. The probe is used to move or lift the organs to see certain hidden areas. Also a dye may be injected through the cervix into the uterus and fallopian tubes to see if they are blocked.
Around the time of ovulation, the endometrium (inside lining of the uterus) grows thick with blood vessels, glands, and stored nutrients to allow a fertilized egg to implant and grow. If fertilization does not occur, the endometrial tissue sheds as menstrual flow to mark the beginning of the next cycle. Progesterone and estrogen control the growth and stabilization of the endometrial tissue. If one doesn’t produce enough of these hormones, the uterus may not maintain a pregnancy. An endometrial biopsy is taken by the doctor and then sent to a pathologist who will examine the sample of the endometrial tissue under a microscope. The doctor can thereby tell if the body is producing enough of these hormones by the thickness and pattern. If the body is not producing enough hormones, medications may be prescribed to regulate them.
Basic treatments at Westchester Fertility & Reproductive Endocrinology includes Ovulation Induction, Intrauterine Insemination (IUI), Endometriosis Treatment, Laser Laporoscopy.
They always kept my spirits up and answered ALL my questions and concerns (I had and still do have alot) They are always avaliable. I am 2 months pregnant now and will definately KIT with this office. They are the best.
xoxo Carol NY
.. from RateMDs.com - Jul 19th 2011