Mild IVF (Mild Stimulation)

Our office believes that every patient deserves the chance to reproduce.  When a problem with fertility is discovered, then we encourage a thorough medical evaluation and a discussion of the clinically acceptable treatment alternatives. Currently, the clinical practices of Reproductive … Continue reading

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In Vitro Fertilization (IVF): What are the risks?

Physical Cost (Health Risks) of IVF “In vitro fertilization (IVF): What are the risks?” is a wonderful fact sheet written for The American Society for Reproductive Medicine (ASRM).  I will summarize and comment on some of the information on the … Continue reading

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Preparing for IVF: Emotional Considerations

“Preparing for IVF: Emotional Considerations” is an outstanding and very helpful paper written by The American Society of Reproductive Medicine (ASRM) and the Society for Assisted Reproductive Technology (SART). The aspects of IVF that their patients perceive as stressful include: … Continue reading

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Do birth control pills help with pain associated with endometriosis?

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  Endometrium is the normal tissue that lines the uterine cavity and it grows in response to estrogen.  Endometriosis occurs when the endometrial tissue grows outside the body of the uterus.  Endometriosis (endometrium outside the uterus) is also generally thought … Continue reading

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Medications that relieve pain associated with endometriosis

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  Analgesics are medications that relieve pain (provide analgesia).  These “pain killers” can act in many different ways, some work locally and are administered at the site of pain and others work systemically and are administered orally or parenterally to … Continue reading

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Treatment of endometriosis is based on the symptom

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  Endometriosis is associated with pain (which includes but is not limited to dysmenorrhea = pelvic pain with menstruation, dyspareunia especially during menses = pelvic pain with sexual intercourse, dysuria especially during menses = pelvic pain with urination, dyschezia especially … Continue reading

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Is it necessary to always diagnose endometriosis with laparoscopy?

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  Endometriosis is very common, and certainly under-diagnosed, in reproductive age women.  Endometriosis is known to cause two major problems: infertility and progressive pelvic pain (often with gastrointestinal problems like constipation and/or diarrhea and urinary problems like sharp subrapubic pain … Continue reading

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Can testing blood, urine, or other tissues diagnose endometriosis?

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  Medical research involving endometriosis has attempted to identify markers in women, including but not limited to tissue and blood components, that can be objectively and accurately measured and that can reliably identify the presence of endometriosis.  This type of … Continue reading

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Can ultrasound and MRI help diagnose endometriosis?

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  Pelvic endometriosis usually forms as superficial implants on the surface of the peritoneum (a thin lining or membrane that covers most of the organs within the pelvis and abdomen).  These superficial implants generally discolor this lining (the peritoneum) but … Continue reading

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Can the physical examination identify endometriosis?

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A thorough history of physical examination can usually provide enough baseline clinical information for an experienced clinician to formulate an initial assessment.  The physician’s level of knowledge and experience, along with this clinical data, provide the foundation for an accurate … Continue reading

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