Infertility,
Fertility, New York Services
Our New York fertility clinics are focused on delivering the highest quality of care employing the appropriate technologies including IVF, PGD, and many others. Approximately 11% of couples will experience infertility at some time during their reproductive lives and in large metropolitan areas, such as New York, the percentage can be as high as 20%.
Infertility is defined as the inability of a woman under the
age of 35 to conceive after one year of unprotected intercourse.
This definition is often shortened to six months in women over the
age of thirty-five. The number of couples experiencing infertility
has increased as more women are delaying child bearing until
they are in their mid to late thirties. The sociological time
frame for reproduction does not necessarily match the biological
clock. Women over thirty-five desiring pregnancy should not
delay seeing a reproductive endocrinologist infertility specialist, like Dr. Goldstein, as fertility can
decline rapidly in this age group.
Male infertility is recognized as a major contributor to couples infertility, occurring in up to 47% of cases. Our New York fertility clinics focus on treating both partners and employ "state of the art" andrology services. An accurate semen analysis, and tests for sexually transmitted diseases, in the male must be performed early in the evaluation. Male infertility may manifest as
a decreased sperm count, poorly shaped sperm, erratically
swimming sperm, or sperm that will not penetrate and fertilize
an egg.
Dr. Goldstein, Board Certified Reproductive Endocrinologist, Infertility Specialist prefers to see
both partners at the initial evaluation, when he reviews
their medical histories and genetic backgrounds. The female
will be asked to return on day three of her menstrual cycle
for blood work. Fertility tests include measurements of hormones such
as FSH, LH, estradiol and sometimes others, such as androgens.
Both partners will be screened for sexually transmitted
infections with organisms such as Chlamydia and syphilis.
In many cases, a hysterosalpingogram is ordered to verify that the tubes are open. A hysterosonogram is done to rule out polyps, fibromas, and scar tissue inside the uterine cavity, to verify
that the tubes are open and that the uterus is not obstructed.
A semen analysis to rule out male infertility must be completed before female therapy
begins.
Depending upon numerous diagnostic
variables, the patient may be started on Clomid for ovulation
induction from cycle days 3 through 7. This cycle will be
monitored by ultrasound to confirm follicular development
and intercourse is timed around ovulation. Progesterone hormone levels are measured to confirm ovulation. Egg release, with follicular collapse and creation of corpus luteum, is checked with repeat ultrasounds.
If pregnancy has not occurred
after three ovulatory cycles of Clomid, the next step is
often ovulation induction, IUI, with follicle stimulating
hormone. Many factors bear upon a couple's and the physician's
treatment choice(s). Female age may cause a more aggressive
approach, such as IVF or IVF using donor eggs. A female
age over 35, with an elevated FSH level, may not have time
to wait for three failed cycles. Likewise, women with blocked
tubes are immediately candidates for in vitro fertilization.
All of these treatments
are discussed throughout the Web site. Fortunately, over
80% of women who undergo treatment delivered by a reproductive
endocrinologist fertility specialist will become pregnant. Also, the per cycle
success rate for IVF in most infertility programs exceeds
the chances of achieving pregnancy in a natural cycle. Or New York fertility clinics are convenient and easy to locate. We include precise "door to door" directions on our locations page.
Directions to Our New York Fertility Clinics
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