Artificial Insemination (AI):
Places sperm directly in the cervix
(called intracervical insemination). Artificial Insemination is useful for women
who have structural problems, when the cervical
mucus is unreceptive, when donor sperm
are required, when the male partner's semen
contains very low numbers of sperm, or when
unexplained infertility exists in both partners.
In order to prepare for AI, a woman usually
takes Fertility drugs in advance. The man must produce sperm
at the time the woman is ovulating. The sperm are then "washed", using high-tech
laboratory procedures and are then inserted into the uterine cavity through
a long, thin catheter. To reduce the risk of multiple births, the amount of
the drug and the response to it is carefully monitored with several ultrasounds
and blood tests for estrogen levels.
Intrauterine Insemination (IUI):
Involves placement of sperm following separation from seminal fluid into uterine
cavity.
Microscopic Tubal Reconstructive Surgery
Treatment for reversal of tubal ligation or tubal obstruction. Tubal ligation
reversal (reanastomosis) is a surgical procedure, which can restore the function
of fallopian
tubes, which have been blocked
by a previous sterilization operation. Reversal operations are performed using
microsurgical techniques, in which microscopes or loupes are used to visualize
and bring together the very narrow hollow center portion of the fallopian
tubes. Microsurgery also uses very thin suture materials, the smallest possible
incisions, specially designed instruments and non-traumatic tissue handling
techniques. Patients go home the same day.
Ovulation Stimulation
Treatment for women who do not ovulate. This treatment requires the use of ovulation-inducing
drugs such as Clomiphene, Humegon, Pergonal, Metrodin, or Gonadotropin
Releasing Hormone (GnRH). Monitoring involves follicular sonograms and serum
hormonal tests.
Advanced Laparoscopic Surgery
Treatment for tubal obstruction, pelvic Endometriosis
and/or adhesions; ovarian cysts, ectopic pregnancy.
Involves a small surgical incision through the naval.
Advanced Hysteroscopic Surgery
Treatment for intrauterine insemination adhesions,
polyps, fibroids, and uterine septum; tubal catherization for tubal obstruction.
Involves the insertion of a small scope through the vagina
and cervix.