Helping Small Miracles Happen

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A supplement by Reproductive Science Center of New Jersey 2011

Transcript of Helping Small Miracles Happen

  • World-class medicine, sensitive careHoW IVF workson tHe road to parenthoodhes our special giftParents tell tHeir stories

    Reproductive Science Center

    of NJ

    happen

    Smallhelping

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  • Reproductive Science Center of NJ

    Reproductive Science Center of NJ

    2 helping small miracles happen

    Reproductive Science Center of NJ

    WELCOME to the reproductive science center of new Jersey (rscnJ). as a father, i recognize the strong desire

    to bear children, guide their growth and dream of their

    accomplishments. that is why every morning, there is no

    greater professional joy for me than to come here and share

    my patients excitement as they hear their babys heartbeat

    for the very rst time.

    reproductive endocrinology and infertility medicine is a

    eld that is ever evolving, which is why dr. Bromer, dr. salas

    mann and i nd it so exciting and rewarding. our entire team

    of fertility treatment specialists brings years of experience,

    expertise and research innovations to each patient/couples

    unique circumstances. our mission is to provide our patients

    with compassion and respect, plus offer them the services

    they need to become parents.

    at rscnJ, our philosophy of care is to create a

    partnership with our patientsto give them all the

    information they need to make the treatment decisions that

    are best for their individual needs, values and timeframes. of

    course, our ultimate goal is always the same: a healthy baby.

    Within these pages, you will learn more about our

    comprehensive medical, nancial and psychosocial services

    and hear the stories of couples who

    have made their dreams come true at

    rscnJ. We welcome your calls and

    invite you to learn more about us by

    visiting www.fertilitynj.com.

    Best regards,

    William Ziegler, d.o., medical director

    reproductive science center of nJ

    WERE HERE for you

    OUR financial SERVICESAT RSCNJ, our financial specialists can help you work within your health

    insurance coverage and personal

    budget to obtain infertility treatment.

    even before you come for your first

    appointment, we will consult with you

    on the phone to verify your insurance

    information. Within a few days, we will

    call you back to inform you of your

    benefits, any co-pays and out-of-pocket

    expenses you can expect, and any

    referrals you may need. We will obtain

    any authorizations or pre-certification

    for your first visit. there will be no

    financial surprises when you come here

    for the first time.

    Patients have so many medical

    issues on their minds that we make

    every effort to take the financial stress

    off them, says rscnJ practice manager

    donna a. riggio. rscnJ also offers

    self-pay options and medical financing

    through advanced reproductive care

    and can work within your employers

    flexible spending account.

    You can rely on us to help you

    navigate the financial complexities

    of infertility treatment. We encourage

    you to keep in touch with our Billing

    department at 732-918-2500 at every

    step of your journey.

    WILLIAM ZIEGLER, D.O.

    HELPING SMALL MIRACLES HAPPEN is PUBlisHedBY Wainscot media, montVale, nJ. 2011.

    all riGHts reserVed.

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  • Reproductive Science Center of NJ

    Reproductive Science Center of NJ fertil

    itynj.com

    732.9

    18.250

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    3helping small miracles happen

    fertilitynj

    .com 73

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    3helping small miracles happen

    IF YOU ARE having trouble getting pregnant, the physicians at the reproductive

    science center of new Jersey (rscnJ) can

    determine your best treatment option. First,

    youll meet with one of our board-certi ed

    reproductive endocrinologists. You can expect

    to spend 30 minutes to an hour discussing

    your menstrual cycle and pregnancy

    history, plus you and your

    partners medical and surgical

    histories, exposure to toxins,

    environmental in uences and

    any chronic illnesses you may be

    experiencing.

    a physical examination

    and a transvaginal ultrasound

    exam may be performed next.

    this non-invasive test can

    help a womans physician

    see the shape, anatomy and

    endometrial lining of her uterus.

    one can also see ovarian cysts, uterine

    broids and polyps, as well as determine

    the number of resting follicles within her

    ovaries. the latter is called the antral follicle

    count (aFc), which gives the reproductive

    endocrinologist an idea of how many eggs a

    woman has left that can be fertilized.

    as a woman ages, the approximately 1

    to 2 million eggs she is born with decreases,

    either because the eggs do not ripen for

    ovulation and are absorbed into the body, or

    because they are not fertilized after ovulation,

    says rscnJ reproductive endocrinologist

    Jessica salas mann, m.d. too few eggs may

    indicate advanced age or a history of radiation

    or chemotherapy, and can represent a sign of

    poor ovarian reserve. too many eggs

    could indicate that a patient may

    not ovulate.

    in addition to the

    aFc, speci c blood

    tests can be performed

    in order to get a

    sense of a patients

    ovarian reserve, or

    the number of eggs that

    a patient has left. these hormones include

    follicle-stimulating hormone (FsH), which is

    produced by the brain and is menstrual-cycle

    speci c, and anti-mullerian hormone (amH),

    which is produced by the ovaries and is not

    cycle speci c. other endocrinopathies such

    as thyroid and prolactin disorders as well as

    preconception blood work are

    performed to better guide

    patient-speci c treatment.

    an imaging test called a

    hysterosalpingogramduring

    which a radio-opaque dye is

    injected through a womans

    cervix, uterus and fallopian

    tubes so they can be viewed

    on moving X-rayshelps

    physicians determine if there

    are broids, polyps, scar tissue,

    tubal blockages or any other

    abnormalities that would

    impede a fertilized eggs journey from the

    tubes to the uterine lining for implantation.

    the male partners evaluation consists

    of a discussion of prior vasectomy, hernia

    repair, diabetes or other chronic

    illnesses, toxic exposure, smoking,

    ejaculatory dysfunction and any

    other factors that might affect

    fertility. a semen analysis

    will be performed by one of

    rscnJs andrologists. this will

    indicate the quality and motility

    (movement) of the sperm, as well

    as how many sperm are produced.

    if a man does not produce sperm

    or produces a very low number of

    sperm, he may be referred

    to a urologist for further testing

    or treatment.

    once all tests are

    completed, the patient

    or couple usually

    schedules a visit with

    their reproductive

    endocrinologist to

    review all options.

    WHAT TO expect BEFORE YOURE expectingFERTILITY SPECIALISTS HAVE SEVERAL WAYS TO FIGURE OUT HOW TO HELP YOU CONCEIVE

    A PRE-APPOINTMENT PHONE CONSULTATION

    WITH ONE OF OUR REPRODUCTIVE ENDOCRINOLOGISTS CAN ANSWER

    MANY OF OUR PATIENTS MOST COMMON PRELIMINARY QUESTIONS BEFORE

    THEIR FIRST VISIT. PLEASE CALL US AT

    732-918-2500.

    JESSICA SALAS MANN, M.D.

    IN COUPLES EXPERIENCING INFERTILITY, PROBLEMS ARE TYPICALLY DUE TO: FEMALE ISSUES 40% OF THE TIME MALE ISSUES 30% OF THE TIME COMBINED MALE AND FEMALE FACTORS 10% OF THE TIME

    PROBLEM CANNOT BE DETERMINED 20% OF THE TIME

    FIRST STEPS

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  • Reproductive Science Center of NJ

    Reproductive Science Center of NJ

    4 helping small miracles happen

    Reproductive Science Center of NJ

    released, the greater chance of fertilization.

    if conception does not occur after three

    or four cycles using these oral medications,

    injectable medications are usually next.

    these medications, called gonadotropins,

    bypass the womans pituitary gland

    and send a signal directly to the ovaries

    to produce more eggs. With frequent

    ultrasound exams of the ovaries, ovulation

    can be predicted to within almost an hour.

    Intrauterine insemination (IUI): With this treatment, the sperm is washed and

    prepared in the rscnJ andrology laboratory,

    drawn up into a thin catheter and then

    placed through the womans cervix and

    into the uterus. iUi brings the sperm closer

    to an egg, thus providing a greater chance

    of fertilization. the doctors at rscnJ may

    recommend iUi alone or in combination with

    super-ovulation medications.

    NON-INVASIVE/MINIMALLY INVASIVE PROCEDURESif the rst-line methods dont result in a

    pregnancy, further insight into the structure

    and function of a womans reproductive

    organs may be needed.

    Hysteroscopy: during this outpatient procedure, the physician uses a lighted

    scope placed through the cervix to view the uterine cavity and check for

    abnormalities.

    Laparoscopic surgery: this minimally invasive procedure, which is performed through several smal