Did you know that women are born with all the eggs they are ever going to have? Over time those egg numbers go down in childhood, adolescence, adulthood, and even while on birth control pills. Everyone’s rate of egg or oocyte loss is specific. So, the best way to know is to test it. Women with lower egg numbers have diminished ovarian reserve.
What tests are used for ovarian reserve screening?
Tests for ovarian reserve include an ultrasound and/or blood work.
Who needs ovarian reserve screening?
While age is the most common factor for a diminished ovarian reserve, women experiencing infertility need this assessment. Some women with a normal work up but an infertility history can have low oocyte numbers or diminished ovarian reserve about 1/3 of the time. If knowing your ovarian reserve testing might change your family building plans, then you should test it.
We get it. You are killing it in your job and personal life. But, you aren’t ready for a family. Maybe you haven’t found your special someone and want to have options, LOTS of options, when you are ready.
That’s where Your Family Fertility comes in.
We get it. We have been there. Fertility assessment and options don’t have to be scary or unapproachable. Our team will work with you learning about your goals and dreams.
Simple tests maybe all that’s needed to help get a handle on your fertility options.
Empower yourself with information so that you have all the options to build Your Family in the future.
An in office ultrasound performed at Your Family Fertility can give you tons of information about your fertility options. An ultrasound can provide many details related to the uterus and ovaries. Sometimes, an ultrasound can provide answers to reasons why a couple has yet to conceive. This procedure is typically done with complete privacy and discretion to protect your privacy. It’s typically performed transvaginally.
A semen analysis should be done very early in the evaluation of a couple seeking fertility treatment. It can give a lot of information about 50% of the story.
“Even if you have fathered children in the past, having a semen analysis is key to understanding the whole picture.”
Dr. Krystene DiPaola
This procedure looks at the uterine cavity and the openness of the fallopian tubes. The procedure lasts about 10 minutes and is performed in the hospital’s Radiology unit. The physician injects contrast dye into the uterine cavity via a catheter inserted through the cervix. If the fallopian tubes are open, the contrast dye will fill the tubes and enter the abdomen. You will have the results right away.
Saline Infusion Sonohysterogram (SIS)
SIS is an ultrasound test performed in the office where a catheter is inserted through the cervix, and saline (fluid) is injected to distend the uterine cavity. This is generally comfortably performed and requires little downtime from work. This test can help detect the possible presence of any structural issues with the uterus. Sometimes, this special test can uncover polyps (overgrowth of the uterine lining) or fibroids (overgrowth of the uterine muscle). Both conditions are non-cancerous. Nonetheless, both polyps and fibroids may interfere with pregnancy. Dr. DiPaola can also perform an in-office fallopian tube patency test in conjunction with an SIS. This is a great option for those with allergic reactions to contrast dyes.
Intrauterine or artificial insemination involves placing a highly-concentrated sperm sample into the uterus during ovulation. Depending on the infertility cause, IUI can be coordinated with your normal cycle or done in conjunction with ovulation induction medications. Each cycle is carefully monitored through office visits, ultrasounds and blood work. Typically, these treatments are covered by insurance. If not, the cost is relatively low for IUI, and it is usually the first step in treatment.
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In vitro fertilization (IVF) is a procedure in which you would undergo medications to help grow multiple eggs (aka follicles), the eggs would be removed from the ovaries. The eggs would then be fertilized within the state of the art embryology laboratory.
IVF is a common fertility treatment done throughout the world. The use of IVF has increased overtime given the high success rates in achieving healthy live birth.
IVF is the most successful treatment you can do using your own eggs and sperm (or donor sperm). IVF is very effective for multiple diagnoses:
• Tubal factor infertility
• Severe male factor infertility
• Recurrent miscarriage
• Polycystic ovarian syndrome
• History of genetic disease
• Unexplained infertility
• And more...
Your doctor can help you understand how IVF works, the potential risks and if this method of treating infertility is right for you.
Some women will need donor sperm in order to build their family. Donor sperm is most commonly recommended in cases where the male partner has a medical condition that has severely damaged sperm production, or in situations where there is no male partner (single female or lesbian couples).
For patients who will need donor sperm, Your Family Fertility is here to help. In New York State, there are your sperm bank needs to be authorized to distribute sperm to our state. Our office will help you identify multiple sperm banks for you to choose from so your care is seamless.
We make it easy for patients to navigate the entire process from start to finish.
Choosing the right donor sperm sample is an important step on your journey; patients should be aware of all the medical and genetic implications of their choice before they choose their sample.
Contact Your Family Fertility today so we can help you learn about all the facts. If you have questions about donor sperm or feel like you would like to talk to one of our doctor about this option, contact Your Family Fertility for a consultation today.
It our goal at Your Family Fertility to help you conceive utilizing your own egg. However, there are women that truly need an egg donation in order to achieve pregnancy.
Egg donation is a very effective fertility treatment. If performed correctly, pregnancy rates can be as high as 60% to 70% per cycle, or even higher. The reasons why such outcomes are so high is because egg donors are specifically recruited while they are in their 20s and early 30’s when their egg quality is expected to be high. Egg donation recipients have very high pregnancy success rates because the donated egg confers a high likelihood at pregnancy. The uterus does not typically age to the degree that eggs do.
We know that your time is valuable. Needing an egg donation to become pregnant can feel overwhelming at first. But, our third party team is able to navigate this path to help achieve pregnancy with ease.
If you feel like you are in need of egg donation or have questions about whether or not this is right for you, schedule a consultation with us and ask your doctor which option is best for you.
Gestational surrogacy is a fertility treatment where embryos that are created through IVF are transferred into a woman who is not related to the pregnancy. Gestational carriers are amazing women that help individuals and couples achieve pregnancy which would otherwise be impossible.
Gestational surrogacy is can help you navigate this process and get you in a position for complete understanding of this highly coordinated treatment.
This treatment has medical/ legal processes that can not be avoided. Your Family Fertility can help you understand this complexity and can guide you to the support you need.
If you think you may need a gestational carrier or surrogate to help you on your path to parenthood, contact Your Family Fertility for a consultation today.
Recurrent pregnancy loss is defined by two or more pregnancy losses. A pregnancy loss is defined as a confirmed pregnancy involuntarily ending before 20 weeks.
The treatment recommendations for patients with recurrent pregnancy loss are based on the underlying cause of recurrent pregnancy loss. No matter what the results of the work-up are, the chance for a successful future pregnancy is high: 77% if the work-up showed no abnormalities, and 71% if an abnormality was found.
Recurrent pregnancy can be extremely frustrating. If you are experiencing recurrent pregnancy loss, you deserve an evaluation and discussion of treatment options. Contact Your Family Fertility for a consultation today