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Blog Archive

Fertility Treatments for Gay and Lesbian Couples Sep 15th, 2020

University Reproductive Associates is proud to help same-sex couples build their families. At URA we believe that families come in all shapes and combinations. When you choose URA to help build your family, your journey starts with an initial consultation with one of our fertility doctors to go over diagnostic...

URA offers hope and help for those dealing with infertility during the pandemic Sep 9th, 2020

University Reproductive Associates offers hope and help for those dealing with infertility during the COVID-19 pandemic   The stress and anxiety of infertility often brings with it hard questions: Will I ever become pregnant? What will fertility treatment entail? Will my relationship with my spouse or partner suffer? Those questions...

Why is Facial Hair Growth a Symptom of PCOS? Aug 19th, 2020

Which came first, your hormone imbalance or your polycystic ovary syndrome (PCOS)? High levels of male hormones can disrupt your menstrual cycle and prevent ovulation, and changes to your ovulation cycle can lead to more male hormones. This ongoing cycle makes it hard to pinpoint the beginning, or the cause,...

Managing Food While Pregnant Jul 22nd, 2020

Whether you’ve been through a long journey with infertility, have experienced recurrent pregnancy losses, or have overcome conditions like polycystic ovary syndrome or endometriosis, you’ve finally made it — you're pregnant! Now what? One of the best and most basic ways to protect your pregnancy and ensure the proper development...

The Link Between Diabetes and Miscarriage Jun 23rd, 2020

Glucose fuels your body and gives it energy. Virtually every system in your body needs it to function properly. To turn glucose into energy, you need insulin, a hormone produced by your pancreas. When this process breaks down, you have diabetes. Type 1 diabetes happens when your pancreas doesn't produce...

How Uterine Septum Can Cause Infertility May 26th, 2020

There are many possible causes of infertility and miscarriages, including polycystic ovary syndrome (PCOS), endometriosis, uterine fibroids, and endometrial polyps. These typically involve several warning signs including pain. But one potential cause for your pregnancy challenges may not have any symptoms at all — a uterine septum. If you have...

Q & A With Dr. Adam Fechner May 16th, 2020

COVID-19 is a scary time for a lot of reasons, but it’s especially anxiety-inducing for women who are trying to conceive. Dr. Adam Fechner was recently interviewed by Bergen Magazine regarding a wide range of issues. http://www.healthandlifemags.com/bergen/May-2020/Q-A-withA-Fertility-Doc/  

The Benefits of Egg Freezing Apr 21st, 2020

You’re born with all the eggs you’ll ever have for your entire lifetime. For most women, that’s around two million, which seems like a lot. But there’s more to consider. Your ovaries only produce one egg every month, sometimes two. And if you do the math, you may still think...

Hasbrouck Heights is Open Mar 23rd, 2020

Dear patients, Please be advised that moving forward our Hoboken and Wayne locations will be closed until further notice. The Hasbrouck Heights office will remain open for all morning monitoring but please note that we will be working on a weekend schedule and only have limited staff. Therefore, our phone...

Living With PCOS Mar 16th, 2020

Often when women experience fluctuating hormones — think puberty, menstruation, childbirth. menopause — it can bring about other symptoms. Depending on the various levels and the specific hormones at play, you might feel moody, depressed, or irritable. You might have hot flashes, night sweats, or vaginal dryness. All women go...

Notice Regarding Wayne Office Mar 13th, 2020

The Wayne office will be closed the week of March 16, 2020. Please feel free to visit our Hasbrouck Heights or Hoboken locations during this time. We apologize for any inconvenience that this may cause. Please call 201-288-6330 for further information.

5 Tips for Managing Stress During IVF Feb 17th, 2020

Stress is your body’s way of getting you ready to either flee from danger or stay and confront it. You may have heard this adrenaline response called “fight or flight.” It makes you breathe faster, speeds up your heart rate, and puts all your bodily systems on high alert. Under...

What You Need to Know About Endometriosis and Infertility Jan 15th, 2020

A diagnosis of endometriosis may bring both relief and anxiety. If you’ve had trouble getting a diagnosis for your problems, you’re likely relieved to finally know what’s going on. But, endometriosis can also be a scary diagnosis and can cause anxiety about your health and fertility.  At University Reproductive Associates,...

Choosing A Fertility Specialist | 5 Questions To Ask Jan 6th, 2020

  Fertility specialists help people struggling with fertility issues. Fertility issues are vast and exist in both men and women. Specialists can pinpoint specific areas of concern and implement treatments to resolve the problems and help the person conceive.   CONDUCTING RESEARCH Finding the right fertility specialist requires a bit...

How Do I Know If I Have Fibroids? 3 Tips To Prepare For Your Endometrial Biopsy Dec 27th, 2019

Fibroids are muscular tumors that grow on the uterine walls and are usually benign. While most women don’t experience any painful symptoms, some severe cases require an endometrial biopsy, where a small tissue sample is taken from the lining of the uterus. The sample is viewed under a microscope for...

Reproduction For Same-Sex Couples: IUI vs IVF vs Donor Sperm Dec 20th, 2019

There are many options now available for same-sex couples interested in conceiving a child. These options may involve taking eggs or sperm from one or both partners or having one partner carry the child. Some of the most common treatments include IUI, IVF, and donor sperm.   INTRAUTERINE INSEMINATION (IUI)...

Baby Blues: Does IVF Affect Risk For Postpartum Depression? Dec 12th, 2019

Postpartum depression (PPD) generally occurs within the first week after delivery and can become severe if not addressed. Baby blues and postpartum depression are often thought to be the same, but there are differences. Baby blues is a relatively common and mild form of PPD. PPD, on the other hand,...

IVF vs Vasectomy Reversal: Having A Baby After A Vasectomy Dec 5th, 2019

Having a change of heart after getting snipped? Some couples may decide to have a child after a vasectomy. A vasectomy is the highest form of birth control for men. And about 500,000 undergo the procedure each year. However, the procedure does not mean all hope is lost. Over the...

Does Birth Control Affect Infertility? 4 Facts You Need To Know Nov 26th, 2019

A popular belief is that birth control can have long-term effects on fertility. This is not true. One large study evaluated women who had been using birth control for 7 years. After stopping birth control, 21% of these women were able to get pregnant within the first month, and almost...

What Is Irregular Ovulation And How Does It Affect Fertility? Nov 19th, 2019

Irregular ovulation is a condition that affects women in the pre-menopausal years. This condition can affect a woman’s fertility. During normal ovulation, the female body releases an egg from 1 of the 2 ovaries. The ovaries contain thousands of eggs that live for years inside the body until menopause.  ...

Thin Endometrial Lining | 3 Tips To Improve Your Uterus For IVF Nov 13th, 2019

The endometrium is a lining that coats the uterus. Each month when the ovaries release an egg, the endometrial lining, also known as the uterine lining, thickens in preparation for an embryo. If the egg does not get fertilized, the lining sheds and exits the body via the vaginal canal....

Secondary Infertility: Overcoming Pregnancy Obstacles To Grow Your Family Nov 6th, 2019

Nothing beats having a loving family. Many couples dream of hearing the feet of toddlers running around the house. Yet, growing a family feels like a pipe dream for people suffering from secondary infertility. This serious condition affects millions of couples trying to conceive again.   WHAT IS SECONDARY INFERTILITY?...

Female Fertility Testing Options: Pap Smears, FSH And LH Oct 24th, 2019

After one year of trying to conceive, unsuccessful attempts at pregnancy should be evaluated by a physician. There are specific test options for both female and male, and some overlap. The most common fertility tests for women are the pap smear, follicle-stimulating hormone (FSH) test, and the luteinizing hormone (LH)...

Pregnancy Over 30: The Link Between PCOS and Gestational Diabetes Oct 18th, 2019

Gestational diabetes refers to when a pregnant woman who has never had diabetes develops the condition during pregnancy. This high blood sugar can pose health risks to the baby and mother both during the pregnancy and after delivery. Women who are diagnosed with gestational diabetes need to manage the condition...

Artificial Insemination vs IVF: What Do Experts Recommend? Oct 11th, 2019

Artificial insemination (AI) and in vitro fertilization (IVF) are highly recommended fertility treatment methods. Artificial insemination is often the first step in the process and advocated for minor infertility conditions, single women, or same-sex couples. IVF is recommended when fertility drugs and AI have already failed or are unlikely to...

Can I Get Pregnant With Uterine Fibroids? Oct 4th, 2019

Any health diagnosis can make a woman anxious. However, some conditions, such as uterine fibroids, are widespread and often do not cause any health complications. Depending on symptom severity, many women don’t need invasive treatment for uterine fibroids. Though there are some risks to be aware of, many women are...

Having A Vaginal Ultrasound? Do You Know Your Doctor’s Disinfection Protocol? Sep 26th, 2019

For pregnant mothers-to-be, getting a vaginal ultrasound provides a clear picture of the developing embryo. This is an important procedure to ensure that the baby is healthy and safe. To continue to ensure the health and safety of both mom and baby, women should make sure to ask about proper...

5 Tips To Boost Fertility And Get Pregnant With PCOS Sep 19th, 2019

Many women with polycystic ovary syndrome (PCOS) have concerns about getting pregnant. PCOS is one of the most common conditions in women struggling with infertility. Women with this condition have higher levels of male hormones called androgens. This hormonal imbalance can interfere with ovulation. Although having PCOS may make getting...

Can I Get Pregnant With Pelvic Inflammatory Disease? Sep 12th, 2019

Getting pregnant with pelvic inflammatory disease (PID) can be challenging. However, women with the condition should not lose hope. With certain infertility treatments, women with PID can have the same chances of getting pregnant as those without the condition.   WHAT ARE MY CHANCES? About 1 in 8 women with...

6 Myths About Vaginal Care Sep 5th, 2019

More than the entryway to the female reproductive system, the vagina is the gatekeeper for female health. The vagina should be kept clean and dry through proper hygiene and wearing breathable fabrics. Vaginal health will affect a woman’s entire being, not just the body. Yeast infections, STDs, and any general...

IVF | Costs | Concerns | Common Questions Aug 27th, 2019

People who are having difficulty becoming pregnant may be suitable candidates for IVF treatment. Because IVF is a multi-stage process, the treatment can be quite expensive. However, there are different costs and different payment options available. Here are some common questions about IVF pricing and payment options.   WHAT IS THE AVERAGE...

4 Things To Consider Before Choosing A Gestational Carrier Aug 20th, 2019

A gestational carrier is a woman who becomes pregnant by means of IVF using eggs from an egg donor or from the intended mother. In gestational surrogacy, the woman who becomes pregnant is not genetically related to the baby. The egg is fertilized with sperm from the father, and the embryo...

How Diabetes, Obesity, and Hypertension Can Affect Pregnancy Aug 13th, 2019

People with diabetes, obesity, and hypertension must take special precautions before conceiving and carrying a child. These diseases can affect the development of the child and the health of the mom. Women should aim to learn more about these conditions before getting pregnant.   DIABETES AND PREGNANCY People with diabetes need...

Can Dysfunctional Uterine Bleeding Be Cured? Aug 6th, 2019

Dysfunctional uterine bleeding (DUB) affects at least 1/3 of women at some point in life. Problems can start at any time, such as during the first menstrual cycle all the way up to menopause. This condition affect’s the body’s ovulation cycle. Instead of following a normal 21-35-day menstrual cycle, DUB occurs at...

Talking To Your Doctor About Your Infertility | What to Ask Jul 29th, 2019

For many couples, getting pregnant is not an easy task. In the United States, about 15% of couples are unable to get pregnant after a year of regular, unprotected sex. Couples who fall into this group should talk to a doctor about fertility treatment options. Because there are so many fertility treatment...

3 Common Misunderstandings About Donor Eggs | Donor Sperm Jul 19th, 2019

People need donor eggs or donor sperm for a variety of reasons. For infertile couples, single women, or LGBTQ couples, donor eggs and donor sperm can be the answer to having children. But there are some common misunderstandings surrounding donor eggs and donor sperm.   MYTH #1: ONLY OLDER WOMEN NEED DONOR...

Fundamentals of Toxic Shock Syndrome: What You Need To Know Jul 12th, 2019

When hearing the term toxic shock syndrome (TSS) people usually think of concerns about tampons and proper personal hygiene during menstruation. However, this is not an illness that only affects menstruating women or even just women. Anyone can contract TSS. TSS just needs a person to come into contact with certain types...

How To Reduce Chances Of Infertility Jul 5th, 2019

The most common causes for female infertility include damage to the uterus or fallopian tubes, ovulation problems, and issues with the cervix. The natural process of aging also contributes to infertility. Although sometimes infertility has a clear physical cause, such as pelvic inflammatory disease (PID) or chronic infection, sometimes fertility can be...

Understanding Endometriosis | What To Ask Your Doctor Jun 26th, 2019

A diagnosis of endometriosis can be very disheartening, especially for women who are trying to start a family. However, being diagnosed with this condition does not mean having children is impossible. Conception just may need a little help along the way. Here are some questions women should ask the doctor about endometriosis....

3 Reasons Why You Might Have Trouble Getting Pregnant Jun 19th, 2019

Women who keep getting negatives on a pregnancy test can become disheartened and confused as to why there is still no positive test. Becoming pregnant can take time, regardless of a woman’s age. However, women under the age of 35 who have been struggling to become pregnant for a year or more may...

Preimplantation Genetic Testing | 5 Things To Know Before Seeing a Fertility Specialist Jun 12th, 2019

There are two types of preimplantation genetic tests a fertility specialist may perform. These are preimplantation genetic screening (PGS) and preimplantation genetic diagnosis (PGD). Fertility specialists use these tests to determine if the embryo or embryos have any genetic abnormalities which may result in failed implantation or miscarriage. Embryos which have...

Hysterectomy with the Benefits of Hormone Replacement Therapy Jun 5th, 2019

A hysterectomy is a surgical procedure to remove a woman’s uterus, also called the womb. Typically, the whole uterus is removed. In some cases, the surgeon may also remove the fallopian tubes and ovaries. After a hysterectomy, a woman is no longer able to menstruate or to become pregnant.   WHY GET...

IUIs | Timed Intercourse | Reproductive Surgery | More Fertility Options May 27th, 2019

Today there are more options for infertility treatment than ever before. Women who are trying to get pregnant can increase the odds by timing intercourse based on the ovulation cycle. If this method is not effective, women can have artificial insemination to stimulate the growth of egg follicles.   FIRST TREATMENT...

Fertility Treatments | IVF Isn’t Your Only Option May 20th, 2019

Most people have heard of in vitro fertilization (IVF). IVF is one of the most common forms of treatment for infertility. However, there are other options. Here is a rundown of other fertility choices which may be available for some women.   MEDICATION OPTIONS Gonadotrophins are fertility medications which are used...

How Irregular Periods Affect Your Ability to Get Pregnant May 13th, 2019

Women expect periods to operate like clockwork. In reality, periods don’t behave as expected. What’s considered an irregular period for one, may be common for another. Irregular periods should not be taken lightly. Especially if getting pregnant is on the horizon.   WHAT IS AN IRREGULAR PERIOD? A regular cycle occurs every...

Metabolic Syndrome | Infertility | How Medical Conditions Affect Getting Pregnant May 6th, 2019

There are over 3 million cases of metabolic syndrome each year in the US. The syndrome involves a cluster of conditions that occur simultaneously. If a person has just one of the conditions, that person does not necessarily have metabolic syndrome. But having one of the conditions can increase the...

Pituitary | Prolactin | Pregnancy | What You Need To Know Apr 25th, 2019

The pituitary is a major gland in the human endocrine system. This pea-sized gland is located in a small hollow behind the bridge of the nose. The pituitary gland controls several other glands in the female endocrine system, including the adrenal glands, thyroid, and ovaries. The hypothalamus, which lies behind the...

Premature Ovarian Failure | Estrogen Therapy | IVF Apr 18th, 2019

Premature ovarian failure, also known as premature ovarian insufficiency, causes a woman to have irregular or no periods. The condition also prevents the ovaries from releasing eggs. Premature ovarian failure can cause fertility problems. This condition should not be mistaken for early menopause, which is a different condition.   DIAGNOSING FERTILITY PROBLEMS...

Freezing Your Eggs vs Freezing Your Embryos | Understanding the Difference Apr 11th, 2019

Cryopreservation is a technique which may be used to freeze eggs or embryos for later use in an in vitro fertilization (IVF) cycle. When the eggs or embryos are needed, each are carefully thawed. Embryo cryopreservation means that a woman does not need to undergo multiple rounds of ovulation stimulation...

Will IVF Work With PCOS | Success Rates of IVF and PCOS Apr 4th, 2019

Polycystic ovary syndrome (PCOS) is a hormonal disorder which occurs in women of reproductive age. PCOS symptoms can include prolonged or infrequent menstrual periods or high male hormone levels known as androgens. PCOS is often diagnosed as pre-diabetes and metabolic syndrome. Often this disorder causes the ovaries to develop follicles, which prevents...

What IVF Feels Like | Changes In Your Body | What To Expect Mar 29th, 2019

Women who are considering IVF may feel nervous or overwhelmed. This is an exciting time and the prospects of starting a family can be a dream come true for many people. While IVF doesn’t guarantee a healthy pregnancy, this is an opportunity for woman who wouldn’t ordinarily be able to...

Understanding Your Ovulation Cycle | What You Need To Track Mar 21st, 2019

A woman’s monthly cycle is measured from day one of a menstrual period and continues until the first day of the next period. An average menstrual cycle is 28-32 days, though a woman may have a much longer or shorter cycle. Most women begin ovulating between day 11 and day 21 of...

When IVF Is Needed | When to Consult A Fertility Specialist Mar 14th, 2019

When a couple dreams of starting a family but has been struggling to conceive for a year or more, the situation can be disappointing and quite disheartening. Making an appointment with a fertility specialist could be the first step on the road to a successful pregnancy. There are a number...

How To Have A Healthy Vagina: Dos and Don’ts Mar 7th, 2019

Vaginal hygiene is an all-important aspect of women’s health. But many women have questions about how to take care of their vaginas, and they are not sure of the answers. Here are some dos and don’ts that all women should remember.   DO PRACTICE SAFE SEX Women should always use condoms when...

LGBTQ Donated Eggs | Surrogates | Gestational Carriers Feb 27th, 2019

Egg donation can help women who have had hysterectomies, have gone through IVF treatment but did not have success with the fertility medications, and women who are 40 years of age and over and have a reduced chance for a live birth. Donated eggs can also help male couples who need eggs...

Infertility | Common Questions | Words From Your Doctors Feb 20th, 2019

Couples can only get the answers they need about infertility and the options by asking the right questions. This is why couples must think about questions ahead of the consultation with a doctor or fertility specialist. Here are some common questions to help get the ball rolling.   WHAT IS THE CAUSE...

Diabetes | PCOS | Metabolic Syndrome | Obesity | Pregnancy Obstacles Feb 13th, 2019

For many women, getting pregnant is not easy. Especially when a woman has pre-existing health conditions such as diabetes, PCOS, metabolic syndrome, or obesity, getting pregnant can become an obstacle course. But women should not lose hope. Knowing how to manage health conditions can lead to a healthy pregnancy and baby....

Donor Sperm | Donor Eggs | Mental Health | Genetic Testing Feb 6th, 2019

Couples wishing to start a family may use a sperm donor when the male partner has a low-quality semen analysis. This can be due to oligospermia (low sperm count), azoospermia (no sperm in the ejaculate), or poor motility. A sperm donor may also be used if the male partner has a genetic problem which...

Ovarian Cysts | Fertility Issues | Is There a Connection? Jan 25th, 2019

The ovaries are a woman’s reproductive glands. They are located in the pelvic area, one on each side of the uterus. Each ovary is roughly1.5 inches long. They produce female hormones and eggs, and for regulating your menstrual cycle. An ovarian cyst is a small swelling within the ovary that contains a...

How to Evaluate Your Fertility Levels | What to Expect from Your Doctor Jan 18th, 2019

Women who are undergoing standard fertility level evaluation will first discuss their medical history with their doctor. At this time, patients should mention any previous problems with getting pregnant, miscarriages, and any history of uterine problems such as fibroids, or PCOS. Women who have a family history of uterine or fertility...

5 Reasons You Have Pain During Ovulation | What You Can Do Jan 11th, 2019

When a woman releases her egg from one of her ovaries, the egg travels down the fallopian tube where it may be fertilized by a sperm cell. Although ovulation only lasts for one day, many women feel some pain or discomfort around this time during their cycle. Though a sudden twinge as...

How Hypothyroidism Affects Pregnancy | Monitoring TSH Levels Dec 25th, 2018

Hypothyroidism is most commonly caused by Hashimoto’s disease, which causes the immune system to attack and damage the thyroid, preventing it from producing the hormone thyroxin. It may also be caused by treatment for hyperthyroidism, removal of the thyroid gland, and treatment for certain types of cancer.Symptoms usually develop gradually over several...

5 Ovulation Signs You Need to Know Dec 18th, 2018

Women who are trying to conceive need to know exact the exact point of ovulation. To make the most of the fertility window which is the five days leading to ovulation and the day of ovulation. There are signs women can use to recognize when ovulation is about to happen. Here are...

Can Acupuncture Help With Your Fertility Treatment? Dec 12th, 2018

Acupuncture has been used in Chinese medicine for centuries. It is founded on the notion of Chi which, according to Chinese tradition, is the energy that flows through all things. In acupuncture, there are meridians, or special conduits, on the skin. These form a connection between the skin’s surface and the organs...

Who is IVF Recommended For | Is IVF Right for Me? Dec 4th, 2018

Trying to conceive can be very disheartening when a couple has been trying unsuccessfully to start a family for several months. IVF offers an opportunity for couples struggling to get pregnant to conceive a child. IVF is suitable for people suffering from most types of infertility.   TUBAL FACTOR INFERTILITY...

Will IVF Work If You Have Endometriosis? Nov 25th, 2018

Endometriosis results in the development of abnormal cells in the lining of the uterus and outside of it, usually in the abdomen, fallopian tubes, ovaries, and ligaments supporting the uterus. The exact cause of this disease is unknown, and endometriosis cannot be prevented. This condition affects 1 in 10 women worldwide, between...

Fertility Treatment Options for Lesbian Couples Nov 18th, 2018

Starting a family for any couple is a big decision. For lesbian couples, the path to parenthood can be a winding one full of fertility choices. There are nearly 200,00 children in the United States being raised by same-sex couples today, which means lesbian couples have more fertility treatment options...

The Myth of the Turkey Baster | What You Need To Know About IUI Nov 11th, 2018

Artificial insemination is an infertility treatment that involves placing sperm near the cervix or directly in the uterus. You can have this performed at a doctor’s office, or you can do it yourself at home with a needleless syringe, sometimes called the turkey baster method. Does at-home insemination really involve...

Infertility and Isolation | Coping With The Disappointment Nov 5th, 2018

Infertility can be emotionally and physically challenging- leading to depression and isolation. You may find it difficult to celebrate major events in the lives of your family and friends when struggling to create the life you’ve envisioned for yourself. As a result, women dealing with infertility might avoid their social circles and...

Gestational Diabetes ׀ What You Need To Know Oct 25th, 2018

About 15% of women are diagnosed with gestational diabetes, however, there is a higher rate in American Indian, African American, Asian, and Hispanic women. Women that are overweight before becoming pregnant, have a family history of diabetes, or have had gestational diabetes in prior pregnancies are also at higher risk.  ...

LGBTQ Fertility Treatments | Options | Common Questions Oct 18th, 2018

The two main fertility treatment options for LGBTQ families are IUI (intrauterine insemination) and IVF (in vitro insemination). Whether the couple is two women, two men, transgender, or any combination thereof, the process of selecting a sperm or egg donor has been streamlined over the years. There are support groups and medical professionals ready...

Mental Health Consultation | Questions To Ask Before Using a Surrogate Oct 11th, 2018

Parents choose surrogacy for many different reasons. Some have a genetic defect that they do not wish to pass on to their children, others have a history of repeat miscarriages or are unable to carry a pregnancy to full-term. Gay male couples may also choose a surrogate parent if they prefer to...

Varicoceles and Infertility Oct 4th, 2018

Similar to a varicose vein you may find in your leg, a varicocele occurs when veins in your scrotum, the skin that surrounds the testicles become enlarged. 10-15% of men will develop varicoceles, and some may experience infertility as a result. Most varicoceles can be corrected with a surgical procedure. Varicoceles generally...

Coping with the Stress of Infertility Sep 24th, 2018

Many studies have examined the stress of infertility and fertility treatments. There is intense psychological stress that comes from wanting children but not being able to have them. Sometimes financial burdens secondary to expensive fertility treatments can further complicate stress levels. For years, doctors have suspected a link between stress and infertility. A recent...

Using Hormones to Detect Pregnancy Sep 17th, 2018

If you’ve ever walked down the pregnancy test aisle you were probably bombarded with bright boxes advertising the chance to know before you’ve even missed your first period. Human chori-onic gonadotropin (hCG), also called the pregnancy hormone, is one of the first clues you may be expecting.   Pregnancy Hormone:...

How Weight Affects Your Chances of Getting Pregnant | Obesity & Pregnancy Sep 10th, 2018

Studies have shown that being overweight can increase the risk of infertility by as much as three times. This is the case in both natural and assisted conception with probability increasing an estimated 5% per unit of body mass index (BMI) over 29.   The link between obesity and infertility...

7 Things To Know Before Going To The OB/GYN Sep 3rd, 2018

There are a number of things you can do to prepare and educate yourself for a visit with your OB/GYN. The most important is to understand that your doctor has one focus for your appointment: to use the time to make sure you are healthy and that you stay that...

5 Fertility Factors You Can Control Aug 17th, 2018

While there is no way to completely ensure your fertility, there are a few factors that can help you reduce your risk of infertility. Fertility starts with you- so the healthier you are, the more likely you’ll be able to conceive and carry a healthy baby.   FIT FOR MOTHERHOOD...

Luteinizing Hormone Aug 10th, 2018

WHAT IS LUTEINIZING HORMONE? Luteinizing hormone (LH) is produced in and released from the anterior pituitary gland. It plays a key role in ovulation in women and testosterone production in men.   LH’S ROLE IN REPRODUCTION Working in the ovaries, luteinizing hormone works in unison with other hormones to stimulate...

Red Noses and Big Bellies Aug 3rd, 2018

How to handle this allergy season with pregnancy. Pregnancy is an exciting time full of changes, new experiences and lots of dos and don’ts. Now that you’re doing everything for two- small things like reaching for an over-the-counter bottle of medication probably require a call to an OBGYN at URANJ....

Menorrhagia (abnormal uterine bleeding) Jul 27th, 2018

How long does a normal menstruation last in comparison to Menorrhagia? Blood loss that is greater than 80 ml (5.5 tablespoons) or lasting longer than seven days can be classified as Menorrhagia.See a physician if you are experiencing a lot of blood loss or if bleeding does not stop within...

When to consider Intracytoplasmic sperm injection (ICSI) Jul 20th, 2018

Overview of Infertility Infertility, defined as being unable to become pregnant even though you have unprotected sex frequently for at least a year, affects 10-15 percent of couples in this country. Although most couples will eventually succeed in becoming pregnant with or without treatment, for those who don’t, there exist...

IVF for Older Women Jul 13th, 2018

What is in vitro fertilization? In vitro fertilization, or IVF, is a treatment used to assist women who have fertility or conception issues. It is one of the most effective types of reproductive technology and can be especially beneficial for older women who are struggling to conceive. The first procedure...

Polycystic Ovary Syndrome Jul 6th, 2018

Discover more information about Polycystic Ovary Syndrome and how it affects the female reproductive organs.   Defining Polycystic Ovary Syndrome Polycystic Ovary Syndrome, or PCOS, is a hormone imbalance that is common in the reproductive years. PCOS can affect the frequency or duration of periods and/or cause increased levels of...

Artificial Insemination – Insurance Coverage Jun 29th, 2018

Single women or same-sex female couples often face insurance coverage issues when undergoing artificial insemination with donor sperm.   THE INSURANCE CHALLENGE FOR SAME-SEX AND SINGLE WOMEN SEEKING IUI Fifteen states have passed laws that require insurers to cover or offer coverage for infertility diagnosis and treatment. Those states are...

Sperm DNA Fragmentation Testing Jun 15th, 2018

Sperm DNA fragmentation testing is an opportunity to evaluate male fertility beyond semen analysis for those undergoing infertility treatments.   UNDERSTANDING THE REASON FOR SPERM DNA FRAGMENTATION TESTING Sperm carries DNA from the male testicles to the female egg. A very large amount of DNA is compacted into each tiny...

Thrombophilias & Recurrent Miscarriage Jun 1st, 2018

Thrombophilias are a group of clotting disorders that predispose individuals to inappropriate blood clot formation. These disorders can lead to health problems and recurrent miscarriage. Thrombophilias increase the risk of developing thromboembolism, or blood clots. These clots block the blood vessels throughout the body. If the clots travel to the...

Parental Balanced Translocation & Miscarriage May 25th, 2018

Parental balanced translocation is a factor in some cases of recurrent miscarriage.   UNDERSTANDING PARENTAL BALANCED TRANSLOCATION Before discussing the connection between parental balanced translocation and miscarriage, it is first important to understand parental balanced translocation. Normally, an individual has 23 pairs of chromosomes, which carry the genetic material that...

Ovarian Response & IVF Success May 18th, 2018

Ovarian response is vital to IVF success. Too much or too little response can lead to disappointment or even health risks. To improve the rate of success during in vitro fertilitzation (IVF) it is necessary to stimulate the ovaries to produce a large number eggs for fertilization through the administration...

Role of Progesterone in Infertility Treatments May 11th, 2018

Progesterone plays an important role in infertility treatment. The hormone is vital to becoming pregnant and maintaining pregnancy.   What is progesterone? Progesterone is a hormone manufactured and released by the corpus luteum (a structure formed by an ovarian follicle after its egg is released). The hormone is also produced...

Paying for Infertility Care Apr 20th, 2018

Paying for infertility care that is not a covered service is a challenge many couples face. Although there have been many advancements in infertility treatment, the cost can be a concern for those without insurance coverage. Only fifteen states mandate coverage for infertility treatment and most couples who undergo IVF...

Uterine Anatomic Abnormalities & Miscarriage Apr 16th, 2018

Uterine anatomic abnormalities, also known as uterine malformations, can interfere with the ability to carry a pregnancy to term and lead to recurrent miscarriage.   Uterine anatomical abnormalities & repeated miscarriage More than 12 percent of recurrent miscarriages are linked to uterine abnormalities that are congenital (present at birth). The...

Sperm DNA Fragmentation & Miscarriage Feb 23rd, 2018

In couples who experience recurrent miscarriage, sperm DNA fragmentation testing can identify genetic abnormalities that may contribute to the problem. While semen analysis measures the amount, movement, shape of sperm, it does not reveal genetic abnormalities. Sperm DNA fragmentation testing examines the genetic components of sperm to determine whether or...

Zika and Trying to Conceive Feb 16th, 2018

In recent years, the spread of Zika virus and the threat of Zika exposure has become a concern for couples planning conception. The virus can be transmitted through:   infected mosquitos sexual intercourse blood transfusion receipt of donor eggs, sperm, and embryos   In rare instances, a man can contract...

Embryonic Mosaicism and IVF Embryo Screening Feb 9th, 2018

Embryonic mosaicism may be detected through IVF embryo screening, also known as preimplantation genetic screening or PGS. Before proceeding with IVF embryo screening, it is important to understand the complicated topic of embryonic mosaicism and how it is identified.   UNDERSTANDING EMBRYONIC MOSAICISM Embryo screening performed on embryos created through...

Embryo Transfer – Fresh vs Frozen Feb 2nd, 2018

Couples who turn to embryo transfer in their quest for parenthood should understand the differences between fresh and frozen embryo transfer.   FRESH EMBRYO TRANSFER Fresh embryo transfer is a procedure where fertilized eggs – embryos – are transferred to the uterus of the intended mother several days after the...

Robotic Assisted Laparoscopic Surgery for Infertility Dec 4th, 2017

Robotic-assisted laparoscopic surgery for infertility makes it possible to correct specific issues that may be impacting fertility through a minimally invasive procedure.   REPRODUCTIVE SURGERIES PERFORMED USING A ROBOTIC-ASSISTED LAPAROSCOPIC TECHNIQUE Reproductive surgeons trained in the robotic approach use their own hands and skill set to control the instruments in...

Insurance Coverage for Infertility Care Nov 6th, 2017

It is no secret that infertility treatment can be costly (an average of $12,400 per IVF cycle), yet only 15 states mandate insurance coverage for infertility care. According to a 2014 National Health Statistics Report, about 12 percent of U.S. women of childbearing age (or their husbands or partners) have...

Use of PGD to Avoid Affected Children in Couples Carrying Dominant Genetic Traits for Disease Oct 23rd, 2017

Preimplantation genetic diagnosis (PGD) is beneficial to couples who carry dominant genetic traits and wish to avoid having affected children.   UNDERSTANDING DOMINANT GENETIC TRAITS Family health history plays an important role in the health of a child. An individual has two copies of nearly every gene, one from each...

Treatment Options for Male Factor Infertility Oct 2nd, 2017

Treatment options for male factor infertility are determined by the problem in the male reproductive system that leads to infertility. Once the precise cause is identified, the appropriate treatment option can be initiated. Male factor infertility can occur as a result of sperm disorders, structural blockages or defects, erectile dysfunction,...

Pregnancy Risk at very Advanced Age (over 40) Sep 18th, 2017

It has become more common for women over 40 to seek fertility treatment but the risks associated with pregnancy in the fifth decade of life should be understood. Fertility dramatically declines after age 40, and aging eggs are more likely to carry genetic abnormalities. The health risk to both mother...

Causes of Tubal Factor Infertility Aug 21st, 2017

Tubal factor infertility is blockage or damage that prevents the egg from traveling through the fallopian tube to reach the uterus. There are many causes of tubal factor infertility.   ROLE OF THE FALLOPIAN TUBES IN CONCEPTION To understand tubal factor infertility, it is important to recognize the role the...

Sperm DNA Fragmentation Testing and Fertility Jul 24th, 2017

Sperm DNA fragmentation testing may be recommended in certain cases where fertility is compromised. The test is used to evaluate the quality of sperm DNA. Embryos that develop from sperm that carries damaged (fragmented) DNA are less likely to survive.   WHAT IS SPERM DNA FRAGMENTATION? Deoxyribonucleic acid, or DNA,...

Double versus Single IUI Jul 17th, 2017

Intrauterine insemination (IUI) is usually performed once in a monthly cycle, but are there any advantages to double versus single IUI?   UNDERSTANDING IUI IUI is an artificial insemination procedure where washed and concentrated sperm is inserted directly into the uterus using a slim catheter. The hope is that by...

Factors Affecting Future Fertility Jul 10th, 2017

Even if a baby is not in your immediate future, it is good to be aware of factors that can affect your future fertility. During pregnancy, most women do everything they can to protect their babies, but poor lifestyle choices and other factors can also affect your ability to conceive. To...

Medical Therapy for Endometriosis Jul 3rd, 2017

There are many medical therapy options used to manage endometriosis. Therapy choice may depend on the extent or severity of the endometriosis and whether or not pregnancy is desired.   UNDERSTANDING ENDOMETRIOSIS Endometriosis occurs when the endometrium – the tissue that lines the inside of the uterus—grows beyond the uterus....

Abnormal Uterine Bleeding Jun 29th, 2017

Abnormal uterine bleeding can occur at any age but is most common in young girls beginning menstruation or women mid-40s and up in perimenopause.   WHAT IS ABNORMAL UTERINE BLEEDING? Bleeding outside of your typical menstrual cycle is generally considered abnormal. This includes:   Breakthrough bleeding – bleeding or spotting between...

Preconception Genetic Carrier Testing Jun 16th, 2017

Preconception genetic carrier screening can determine your risk of passing a genetic disorder to your children.   What is a Carrier? Many genetic disorders recessive traits, meaning that they are caused when someone inherits two abnormal or mutated copies of a gene- one from each parent. Individuals with one copy...

Risk of Pregnancy Advanced Age Jun 7th, 2017

There are risks associated with advanced maternal age, defined by age 40 and older Many women are delaying childbearing until their 30s and 40s, but there are risks associated with pregnancy and advanced maternal age.   First time mom age increasing In 1999, the average age of first time moms...

Uterine Septum Jun 2nd, 2017

Uterine septum is an anomaly of the female reproductive system that is associated with infertility and miscarriage Uterine septum is a defect that occurs during development of the uterus that causes the uterine cavity to be divided, partially or completely.   What is uterine septum? Uterine septum is the most...

Tubal Ligation Reversal May 28th, 2017

If your life circumstances change after tubal ligation, or having your tubes tied, tubal ligation reversal may enable you to get pregnant.   Tubal Ligation Reversal Process During the tubal ligation, your fallopian tubes were blocked, tied or cut to prevent an egg from becoming fertilized. The tubal ligation reversal...

Testicular Sperm Extraction May 19th, 2017

Having a baby after vasectomy is possible. Testicular sperm extraction (TESE) can provide another option if vasectomy reversal is not successful.   When Vasectomy Reversal Fails A vasectomy is when the vans deferns is severed, preventing sperm from mixing with semen prior to ejaculation. Three to six weeks following the...

IVF After Tubal Ligation May 11th, 2017

For some women who have undergone tubal ligation for permanent birth control but decide later to have another baby, tubal ligation reversal may not be a viable option. In those cases, in vitro fertilization (IVF) can be an alternate method for becoming pregnant following surgical sterilization.   Factors Requiring IVF...

Fertility Testing after Sterilization May 5th, 2017

There are many options that allow you to have a baby after sterilization, such as tubal ligation or vasectomy. Before undergoing a reversal procedure, it’s a good idea to talk to your fertility specialist and consider other fertility factors.   Sperm Quality Prior to tubal ligation reversal, your male partner’s...

Elective Oocyte Apr 27th, 2017

From 1970 to 2013, the average age of first-time moms in the U.S. increased by 5 years. The trend to postpone starting a family has had a negative impact on the fertility rate. Elective oocyte cryopreservation is one method for women to increase the likelihood of a successful pregnancy at...

When It Comes to Fertility, Knowledge Empowers Apr 26th, 2017

“Listen Up!” is the theme of this year’s National Fertility Awareness Week. Part of its focus is to help generate information and boost understanding of how infertility affects women. The first thing we do as fertility specialists is to listen to our patients. We can then proceed to educate them...

Vasectomy Reversal Apr 19th, 2017

Life circumstances can change. So, speak with your fertility specialist when a permanent birth control measure, such as vasectomy, requires reversal.   What is a Vasectomy? A vasectomy is a permanent birth control procedure that severs the vas deferens. The vas deferens is a tube that carries sperm produced in...

Ectopic Pregnancy Apr 9th, 2017

Ectopic pregnancy occurs when a fertilized egg implants in an area outside the uterus. Most ectopic pregnancies occur in one of the fallopian tubes, but rarely, the egg can attach to the abdominal cavity, cervix or ovary.   Understanding ectopic pregnancy Ectopic pregnancies are not viable pregnancies. If the pregnancy...

Frozen Embryo Transfer Apr 3rd, 2017

Frozen embryo transfer (FET) has shown better pregnancy success rates than fresh embryo transfer during in vitro fertilization procedures.   What is Frozen Embryo Transfer? An IVF cycle may result in several healthy five or six-day embryos at the the blastocyst stage that your reproductive endocrinologist does not use for...

Cystic Fibrosis Mar 30th, 2017

Cystic fibrosis (CF) is a genetic disorder that affects approximately 30,000 people in the United States, with about 1,000 new cases discovered annually.   What is Cystic Fibrosis? CF is a complex disease that causes mucus build-up in organs, such as the lungs and pancreas. Mucus traps bacteria in the...

Pituitary Adenoma Female Mar 16th, 2017

Pituitary adenomas can cause infertility in women. However, these small tumors often go undiagnosed for years- despite producing symptoms.   Pituitary Adenoma and Infertility Any pituitary adenoma can cause infertility by disrupting the hormone system, which is dependent upon a normally-functioning pituitary gland. Tumors in the pituitary gland can inhibit...

Pituitary Adenoma Male Mar 8th, 2017

Pituitary adenomas are small, generally benign tumors found in the pituitary gland. However, in some cases these adenomas can lead to secondary infertility in men.   The Pituitary Gland and Sperm Production The pituitary gland is a key part of the endocrine system, which is responsible for producing hormones. The...

Embryo Culture Mar 3rd, 2017

Deciding to undergo in vitro fertilization (IVF) is a big step in your fertility treatment. This complicated process requires several steps to ensure a successful IVF cycle. The embryo culture is a critical stage during in vitro fertilization.   Defining Embryo Culture Embryo culture begins immediately following egg retrieval and...

Masturbation Alternatives Feb 19th, 2017

Oftentimes, when couples are undergoing fertility treatments, semen samples are necessary. The best method for collection is masturbation without lubricant, but alternative methods are possible if masturbation is uncomfortable for you or prohibited in your culture or religion.   Options for Masturbation While it is ideal to collect a semen...

Risk of Multiples Feb 14th, 2017

Multiples, which include conception and birth of two or more babies, occur in approximately one to two percent of naturally occurring pregnancies. For women undergoing fertility treatments, as many as one in three women will conceive multiples- with about five percent of those pregnancies consisting of higher-order multiples (three or...

Women’s Health 20 Jan 31st, 2017

As a woman in your 20s, choosing to live healthfully today can help you maintain an active and fulfilling life as you age. Take control of your health and pledge to manage your health habits and risk factors.   Healthy Living Healthy living starts at home. Eating a balanced diet...

Congenital Uterine Abnormalities Jan 19th, 2017

Congenital uterine abnormalities occur when the uterus does not properly form in the fetal stage. These anomalies can increase your risk of amenorrhea (lack of menstruation), miscarriage, premature birth or infertility. However, many women with congenital uterine abnormalities don’t experience any fertility problems and go on to have healthy pregnancies...

Testosterone Effect on Sperm Jan 16th, 2017

Millions of men in the United States use testosterone replacement therapy (TRT) to treat low testosterone (Low T). With the rise in testosterone supplement use, fertility doctors are warning men who would like to have children in the future to reconsider starting TRT.   Testosterone’s Role in Sperm Production The...

Hypothalamic Amenorrhea Jan 11th, 2017

Amenorrhea is the absence of menstruation, whether you miss one or multiple menstrual periods. Menstruation may fail to occur due to normal reasons- such as pregnancy or breast-feeding, or it may be a sign of a medical issue- like hypothalamic amenorrhea.   What is Hypothalamic Amenorrhea? The hypothalamus is the...

6 Vaginal Health Tips | What Your Doctor May Tell You Jan 3rd, 2017

Women are sometimes shy about vaginal health issues, but vaginal health is an important part of overall wellness. Vaginal problems can affect fertility, sexual relationships, and a woman’s mood and self-confidence. So how can a woman keep her vagina healthy? Here’s what the doctor may say.   TIP #1: LET’S TALK...

Sperm Donor Jan 2nd, 2017

Using a sperm donor, also referred to as donor insemination, is an option for both heterosexual couples and women without a male partner. When considering donor insemination, your fertility specialist will likely recommend you and your partner speak with a counselor before undergoing the process. The counselor will ensure both...

PCOS and Type 2 Diabetes Nov 29th, 2016

Polycystic ovary syndrome (PCOS) is a common gynecologic and endocrine condition. Unlike other diseases that are easier to define, PCOS describes a constellation of symptoms that often include irregular periods and acne or excessive hair growth (or both). These symptoms are caused in part by hormonal imbalances and higher than...

Ovarian Hyperstimulation Syndrome Nov 20th, 2016

Women who take injectable hormones (gonadotropins) to stimulate the ovaries during an in vitro fertilization (IVF) cycle are at risk of developing ovarian hyperstimulation syndrome (OHSS). Women undergoing IVF typically administer injectable medication to stimulate the ovaries to produce multiple eggs which are subsequently retrieved surgically. For some women, the...

Infertility and Smoking Nov 12th, 2016

Couples who smoke and are trying to conceive need to know the risks of smoking associated with infertility. The chemicals found in cigarettes have an adverse impact on a women’s eggs, and studies show that women who smoke are up to 60% more likely to have difficulty conceiving. They also...

Infertility and Obesity Nov 5th, 2016

According to the National Institutes of Health, obesity is when your Body Mass Index (BMI) is measured at 30 or higher. A BMI of 30 means that you weigh about 30 pounds more than is healthy for you. There is a formula to calculate your own BMI, and there are...

Screening for Hemoglobinopathies Oct 27th, 2016

Hemoglobinopathies are a group of genetic disorders and diseases that affect hemoglobin, the protein in red blood cells responsible for carrying oxygen. Screening for these blood disorders prior to pregnancy can help identify parents at a higher risk of having a child with a hemoglobin disorder. Hemoglobinopathies are inherited conditions...

Dr. Susan Wolf Featured on Facebook Live Series Making the Rounds Oct 19th, 2016

(American Council on Science and Health) – Our own Dr. Susan Wolf was a recent guest on the Facebook Live video streaming series Making the Rounds. Dr. Wolf’s primary areas of expertise are infertility and menopause, and she responded to questions on those subjects. She reminded listeners about the importance of moderation in...

Single versus Double IUI Oct 16th, 2016

Fertility specialists and couples undergoing intrauterine insemination (IUI) must evaluate whether or not double IUI is more advantageous than single IUI.   What is intrauterine insemination? IUI is a procedure where male sperm is washed and placed directly into the female uterus during ovulation with a goal of increasing the...

Tamoxifen for Infertility Oct 11th, 2016

The breast cancer drug, Tamoxifen, is sometimes used in the treatment of female infertility. Also known by its generic name, nolvadex, the medication is part of a drug class known as selective estrogen receptor modulators.   How does Tamoxifen work? Tamoxifen is used in the treatment of steroid hormone-receptor positive...

Clomid and Thin Endometrium Oct 4th, 2016

Clomid – clomiphene citrate – is a commonly prescribed fertility medication, but one possible side effect of the drug is thinning of the endometrium.   Clomid’s Effect on the Endometrium Fertility specialists commonly prescribe Clomid as a first-line fertility treatment. The drug works as an anti-estrogen to stimulate ovulation in...

Varicella Immunity Testing Prior to Pregnancy Sep 24th, 2016

Prior to attempting pregnancy through infertility treatment, fertility specialists recommend varicella immunity testing. Mothers who are not immune to the virus are at risk of contracting the illness, which has been linked to the possibility of birth defects.   What is varicella? Varicella is a viral infection that is part...

Vitamin D and Reproduction Sep 17th, 2016

The role of vitamin D in reproduction has been the subject of multiple studies in recent years. The health community has long been aware of the benefits of this essential vitamin, including its ability to promote calcium and phosphorus absorption in the body and facilitate bone growth and bone remodeling....

Timing Intercourse for Optimal Chances of Conception Sep 12th, 2016

To optimize the chances of conception, fertility specialists suggest timing intercourse to coincide with the most fertile stage of the menstrual cycle.   Identifying the Fertile Window Ovulation is the phase in a woman’s menstrual cycle where one of the ovaries releases a mature egg into the fallopian tube. The...

Rubella Immunity Testing Prior to Pregnancy Sep 5th, 2016

It is vital that a woman’s rubella immunity be tested prior to pregnancy, since rubella infection presents a serious threat to the health of the fetus.   Understanding Rubella Rubella, also known as the German measles or three-day measles, is a highly contagious viral infection spread through direct contact of...

Using a Gestational Carrier Aug 30th, 2016

The job of a gestational carrier is to carry a pregnancy for another woman or couple through to delivery. Using a gestational carrier may be an option for a woman who does not have a uterus or who has a medical condition that prevents her from safely carrying a pregnancy....

Medical Treatment of Ectopic Pregnancy Aug 20th, 2016

An ectopic pregnancy is a pregnancy that occurs outside the uterus. Since these abnormal pregnancies can result in life threatening bleeding, all ectopic pregnancies require medical treatment.   Understanding Ectopic Pregnancy Only 2 percent or fewer pregnancies occur outside the uterus. The overwhelming majority of ectopic pregnancies (approximately 95 percent)...

Elective Single Embryo Transfer (eSET) Aug 12th, 2016

Elective single embryo transfer – eSET – is when a woman undergoing in vitro fertilization (IVF) makes a choice to have only one embryo transferred to her uterus in place of multiple embryos.   Advantages of Elective Single Embryo Transfer Improvements in the technology and techniques of IVF have led...

Women with common ovary problem may not get recommended tests Aug 9th, 2016

(Reuters Health) – A recent study by URA physicians has drawn attention from a national news service! Dr. Amy Dhesi, a former URA fellow, worked with Drs. Morelli and McGovern to publish an important study about PCOS. The study found that despite published guidelines, many women with PCOS are not...

Psychology of Infertility Aug 5th, 2016

The psychological impact of infertility should not be overlooked in couples undergoing fertility treatment. Studies have shown stress contributes to infertility, and there is also a psychological component to fertility treatment as well.   Stress & the Psychology of Infertility We now know stress plays a key role in infertility....

Natural Fertility Jul 30th, 2016

Natural fertility is a term used to describe becoming pregnant through intercourse without the aid of fertility treatments or support.   Physiology of Natural Conception A woman is born with approximately one to two million immature eggs (follicles) in her ovaries. Beginning at birth that number starts to decrease until...

Tubal Reanastomosis Jul 19th, 2016

Tubal reanastomosis is a procedure done to reverse previous fallopian tube ligation. It is used to restore fertility in women when clips, rings, sutures and cautery have been performed to achieve sterilization.   Tubal Reanastomosis Procedure To determine whether or not you are a candidate for tubal reversal, blood tests...

Ovarian Reserve Testing Jul 15th, 2016

Ovarian reserve testing may be useful in predicting the fertility potential in women. Typically, a woman has approximately one to two million eggs in her ovaries at birth. That number begins to decrease monthly and, bythe time she reaches menopause, the egg supply has virtually disappeared.   What is Ovarian...

Biochemical Pregnancy Jul 8th, 2016

A biochemical pregnancy produces positive pregnancy test results, but the pregnancy is not viable.   What is a biochemical pregnancy? For couples longing for a baby, biochemical pregnancy can be both heartbreaking and confusing. How can a pregnancy not be a pregnancy? A biochemical pregnancy is not a false pregnancy....

Intracytoplasmic sperm injection (ICSI) Jun 25th, 2016

Intracytoplasmic sperm injection is used to help the male sperm penetrate the female egg for fertilization.   How intracytoplasmic sperm injection is performed Also known as ICSI, intracytoplasmic sperm injection is a process where a tiny needle is used to inject a single sperm into a mature egg to improve...

Premature Ovarian Failure Jun 17th, 2016

Premature ovarian failure occurs when a woman’s ovaries stop functioning normally before age 40. Also known as primary ovarian insufficiency, the condition occurs in only about 1 percent of women, but can occur as early as the teenage years.   Understanding premature ovarian failure Premature ovarian failure affects the function...

Amenorrhea Jun 12th, 2016

Amenorrhea is the absence of menstruation. The term is applied when a woman who has previously menstruated misses three or more menstrual periods. It is also applied to young women who have not begun menstruation by the age of 15, whether or not they exhibit other signs of puberty.  ...

Zika Virus and Pregnancy Jun 3rd, 2016

The Zika virus is a mosquito-borne virus that typically produces only a mild reaction in healthy adults, but has been associated with microcephaly – a birth defect marked by a smaller than normal head and underdeveloped brain – and other neurological defects in children born to women infected with the...

LGBT Reproduction May 23rd, 2016

LGBT Reproduction: A Pathway to Parenthood Many LGBT individuals and couples turn to assisted reproduction technologies for help in realizing their dreams of building a family. The variety of options now available makes it possible for gay, lesbian, bisexual, transgender and genderqueer individuals to conceive a child, often with a...

Oncofertility May 18th, 2016

The field of oncofertility is focused on assisting cancer patients and survivors maximize their reproductive potential. Working together, oncologists and fertility specialists can address the impact life-saving cancer therapies have on fertility.   Cancer and Fertility Advances in cancer therapies have led to increased survival rates, but surgery, chemotherapy and...

Fertility Drugs May 9th, 2016

Fertility drugs may be prescribed to women with infertility to assist in conceiving.  For women who don’t already ovulate, these medications can induce ovulation (release of an egg).  For those who already ovulate, they can be used to cause the release of more than one egg to improve the chances...

Hysterosalpingogram May 3rd, 2016

What is a Hysterosalpingogram? Hysterosalpingogram (HSG) is an x-ray procedure done to diagnose problems of the uterus and fallopian tubes. The test is often used to determine the source of infertility. Hysterosalpingogram is used to identify blockage in the fallopian tubes, the passageway an egg travels through from the ovary...

Tubal Factor Infertility Apr 29th, 2016

Tubal factor infertility occurs when the fallopian tubes are blocked, scarred or damaged, preventing the egg from entering the uterus. Causes of tubal factor infertility Each month, during ovulation, the ovaries release an egg that is picked up by the fallopian tubes. If the egg comes into contact with sperm...

Ovulatory Dysfunction Apr 15th, 2016

Ovulatory dysfunction describes an ovarian problem that interferes with the maturation or release of the egg. An estimated 20 percent or more of infertile women suffer from ovulatory dysfunction. Causes of ovulatory dysfunction There are many reasons why a woman might experience ovulatory dysfunction including the following: Polycystic Ovary Syndrome...

Preimplantation Genetic Testing Apr 9th, 2016

Preimplantation genetic testing is genetic testing performed on embryos that have been created through in vitro fertilization prior to being transferred into the woman’s uterus. It is typically done to identify chromosome number issues or specific genetic defects in the embryo. When the embryo is screened to determine the number...

Reproductive Surgery (04.02) Apr 2nd, 2016

Reproductive surgery is utilized in cases of infertility that are related to anatomic or structural issues within the reproductive tract. Conditions treated through reproductive surgery Reproductive surgery may be used to treat problems of the uterus, tubes and ovaries. Specific conditions treated through reproductive surgery include: Uterine conditions – congenital...

PCOS Mar 24th, 2016

PCOS – polycystic ovary syndrome – is a disorder of the endocrine system.  The condition is common, affecting up to 10 percent of women of childbearing age in this country. Although all women have circulating levels of androgens, or ‘male’ hormones, women with PCOS typically have higher than normal levels. ...

Reproduction and the Thyroid Mar 13th, 2016

The thyroid is an important gland that influences metabolism, growth, development and body temperature as well as reproduction. Normal thyroid function is vital to fertility and reproduction. Thyroid Gland Function This small butterfly-shaped gland is located in the lower front of the neck. The main function of the gland is...

In Vitro Fertilization Mar 6th, 2016

In vitro fertilization, IVF, is the process of combining a man’s sperm with a woman’s egg, outside the body, in a laboratory dish, to promote fertilization. Later, one or more of the fertilized eggs are transferred into the woman’s uterus. How in vitro fertilization works In vitro fertilization is a...

Intrauterine Insemination Mar 1st, 2016

Intrauterine insemination – IUI – is an artificial insemination procedure that places the sperm of a woman’s male partner, or a donor, directly into the uterus around the time of ovulation. Is intrauterine insemination right for me? Intrauterine insemination may be a good option for couples experiencing certain fertility issues,...

Uterine Factor Infertility Feb 19th, 2016

Uterine factor infertility is a term used to describe abnormalities of the uterus that are linked to infertility. These abnormalities can make it difficult to conceive or carry a pregnancy to term. Uterine factors linked to infertility Fibroids – non-cancerous tumors that can interfere with implantation or distort the uterine cavity...

Unexplained Infertility Feb 15th, 2016

When a couple cannot conceive after one year of unprotected sex (or six months when the woman is age 35 or older) but no cause can be identified for these fertility issues, they are said to be experiencing unexplained infertility. Unexplained infertility diagnosis The frustrating diagnosis of unexplained infertility is...

Endometriosis Feb 14th, 2016

Endometriosis occurs when the same tissue found in the uterine lining attaches to pelvic organs and begins to grow. The condition is common and occurs in an estimated 10 percent of women of reproductive age, but 40-50% of infertile women. Endometriosis can develop in the lining of the pelvis and...

Elective Egg Freezing Feb 11th, 2016

Elective egg freezing, oocyte cryopreservation, allows a woman to have her eggs harvested, frozen and stored for later use. Female fertility peaks in the early to mid 20s followed by an increasingly rapid rate of egg loss. By age 40, a woman’s chance of becoming pregnant is less than 5...

Use of an Egg Donor Feb 8th, 2016

Use of an egg donor is an option for a woman who cannot produce her own eggs due to age, ovarian disease, genetic disorders, hormonal imbalances or egg quality issues. Donated eggs are removed from the selected donor using a needle attached to an ultrasound probe. The eggs are carefully...

Recurrent Pregnancy Loss Feb 3rd, 2016

Recurrent pregnancy loss (RPL) is a condition where a woman suffers two or more miscarriages before reaching the 20th week of pregnancy. The condition can be frustrating for both couples and fertility specialists. Recurrent pregnancy loss causes The majority of miscarriages occur as the result of a random chromosomal abnormality...

Male Factor Infertility Jan 29th, 2016

Male factor infertility is a common cause or contributing factor of infertility. It requires careful evaluation by a reproductive endocrinologist to determine an exact cause. Cause of Male Factor Infertility Male factor infertility is often attributed to the following conditions: Low sperm count Abnormal sperm morphology – the size and...

Fibroids Jan 24th, 2016

Fibroids are noncancerous tumors that develop in the muscle tissue of the uterus.  They are very common, affecting at least 50% of women, and the condition is even more common in African-American women. UNDERSTANDING FIBROIDS Fibroids, also known as myomas or leiomyomas, grow in or around the uterus. The majority...

What is a “fellow”, anyway? Nov 16th, 2015

During your visits to University Reproductive Associates, you may meet one of our physician fellows who are a part of our health care team. Fellows are fully trained obstetrician-gynecologists who are pursuing advanced training in the field of Reproductive Endocrinology and Infertility (REI). University Reproductive Associates, in association with Rutgers...

Fertility pills: Clomid, Tamoxifen and Letrozole Jul 26th, 2015

By: Dr. Susan Wolf Often taking fertility pills is one of the first options for treating couples with infertility, especially if you have irregular cycles. Sometimes you regular gynecologist will give you a prescription for 3 months of pills and have you see how it goes. If you are not...

Recurrent Miscarriage Jul 17th, 2015

By: Susan Wolf, M.D.  Recurrent miscarriage, also known as recurrent pregnancy loss (RPL) is a heartbreaking, but not uncommon, condition. Studies have shown that up to 5% of women suffer 2 pregnancy losses. We find a reason for the miscarriage in about 50% patients. The most common reason for miscarriage...

Do I Need To Use an Egg Donor? Jul 8th, 2015

By: Dr. Adam Fechner   Many women come to our office after being told they need to use donor eggs to get pregnant. Some are sent by their gynecologists after testing shows they may be in early menopause. This condition, known as premature ovarian insufficiency (POI, formerly ‘premature ovarian failure’...

What are the real costs of in vitro fertilization? Jun 15th, 2015

By: Adam Fechner, MD FINANCIAL: Many patients will tell you cost is their biggest concern about fertility treatment, and IVF can be a very expensive undertaking for many. When you factor in the cost of the frequent ultrasounds and bloodwork, the clinical procedures (egg retrieval, embryo transfer), the lab procedures and...

HSG-The Good News and the Not As Good News Apr 16th, 2015

By:  Dr. Susan Wolf HSG or the proper name “hysterosalpingogram” is likely to be one of the first tests that your doctor will order for you. I always warn patients about “googling” the test because you can get scared when you read about patient’s experiences. If you found this on...

Fertility Experts, Dr. Peter McGovern and Dr. Adam Fechner to Discuss Fertility FAQ’s on AM970 Apr 1st, 2015

– Doctors to answer the fertility questions patients really want to know- [4/1/15] Hasbrouck Heights, NJ – It’s Conceivable: The Infertility Show, the weekly radio show that helps its listeners better understand infertility and its treatments on New York’s AM970 The Answer, will air at 3:30PM this Saturday, April 4.  It’s...

Fertility Experts, Dr. Peter McGovern and Dr. Adam Fechner to Discuss Pregnancy Loss on AM970 Mar 26th, 2015

– Doctors to review what may be learned from pregnancy loss-  [3/26/15] Hasbrouck Heights, NJ – It’s Conceivable: The Infertility Show, the weekly radio show that helps its listeners better understand infertility and its treatments on New York’s AM970 The Answer, will air at 3:30PM this Saturday, March 28.  It’s Conceivable:...

Fertility Experts, Dr. Peter McGovern and Dr. Adam Fechner to Discuss PCOS on AM970 Mar 12th, 2015

– Doctors will review the process for diagnosis and treatment- [03/12/15] Hasbrouck Heights, NJ – It’s Conceivable: The Infertility Show, the weekly radio show that helps its listeners better understand infertility and its treatments on New York’s AM970 The Answer, will air at 3:30PM this Saturday, March 14.  It’s Conceivable: The...

Fertility Experts, Dr. Peter McGovern and Dr. Adam Fechner to Discuss Reproductive Surgery on AM970 Mar 5th, 2015

– Doctors will review several types of reproductive surgery for various conditions- [03/05/15] Hasbrouck Heights, NJ – It’s Conceivable: The Infertility Show, the weekly radio show that helps its listeners better understand infertility and its treatments on New York’s AM970 The Answer, will air at 3:30PM this Saturday, March 7.  It’s...

URA Doctors Featured in latest issue of Rutgers Magazine Feb 23rd, 2015

Sara Morelli and Aimee Seungdamrong, two of the eight doctors at University Reproductive Associates were featured in Rutgers Magazine’s article “Conception after Cancer” discussing the ways cancer patients can preserve their fertility in the event that they decide to have a family after their treatment ends. “We’re seeing more cancer patients...

Fertility Experts, Dr. Peter McGovern and Dr. Adam Fechner to Discuss Ovarian Aging on AM970 Feb 19th, 2015

– Doctors will explain ovarian reserve testing – [02/19/15] Hasbrouck Heights, NJ – It’s Conceivable: The Infertility Show, the weekly radio show that helps its listeners better understand infertility and its treatments on New York’s AM970 The Answer, will air at 3:30PM this Saturday, February 21. It’s Conceivable: The Infertility...

Fertility Experts, Dr. Peter McGovern and Dr. Adam Fechner to Discuss Third Party Reproduction on AM Feb 12th, 2015

– Doctors will explain the many options available to fertility patients – [2/12/15] Hasbrouck Heights, NJ – It’s Conceivable: The Infertility Show, the weekly radio show that helps its listeners better understand infertility and its treatments on New York’s AM970 The Answer, will air at 3:30PM this Saturday, February 14. It’s Conceivable:...

Fertility Experts, Dr. Peter McGovern and Dr. Adam Fechner to Discuss Alternatives to IVF on AM970 Jan 28th, 2015

– Doctors will explain the many options available to fertility patients – [1/28/15] Hasbrouck Heights, NJ – It’s Conceivable: The Infertility Show, the weekly radio show that helps its listeners better understand infertility and its treatments on New York’s AM970 The Answer, will air at 3:30PM this Saturday, January 31. It’s Conceivable:...

Fertility Experts, Dr. Peter McGovern and Dr. Adam Fechner to Discuss an Infertility Consultation Dec 29th, 2014

– Doctors will discuss what patients can expect at their first visit – [12/30/14] Hasbrouck Heights, NJ – It’s Conceivable: The Infertility Show, the weekly radio show that helps its listeners better understand infertility and its treatments on New York’s AM970 The Answer, will air at 3:30PM this Saturday, January 3. It’s...

Fertility Experts, Dr. Peter McGovern and Dr. Adam Fechner to Discuss Male Infertility The Answer Dec 22nd, 2014

– Doctors will explain the real role sperm plays in reproduction – [12/23/14] Hasbrouck Heights, NJ – It’s Conceivable: The Infertility Show, the weekly radio show that helps its listeners better understand infertility and its treatments on New York’s AM970 The Answer, will air at 3:30PM this Saturday, December 27. It’s Conceivable:...

Fertility Experts, Dr. Peter McGovern and Dr. Adam Fechner to Discuss Embryo Testing The Answer Dec 17th, 2014

– Doctors will explore this ground breaking technology and the lives it can change – [12/18/2014] Hasbrouck Heights, NJ – It’s Conceivable: The Infertility Show, the weekly radio show that helps its listeners better understand infertility and its treatments on New York’s AM970 The Answer, will air at 3:30 PM this...

Fertility Experts, Dr. Peter McGovern and Dr. Adam Fechner to Discuss Egg Freezing The Answer Dec 10th, 2014

Doctors will explain the benefits of egg freezing and the optimal age to explore this process  [Dec. 11th 2014] Hasbrouck Heights, NJ – It’s Conceivable: The Infertility Show, the weekly radio show that helps its listeners better understand infertility and its treatments on New York’s AM970 The Answer, will air at...

Fertility Experts, Dr. Peter McGovern and Dr. Adam Fechner to Discuss In Vitro Fertilization on AM97 Dec 3rd, 2014

– Doctors seek to demystify the process of IVF for listeners –  [December, 3rd 2014] Hasbrouck Heights, NJ – It’s Conceivable: The Infertility Show, the weekly radio show that helps its listeners better understand infertility and its treatments on New York’s AM970 The Answer, will air at 3:30PM this Saturday, December...

Fertility Experts, Dr. Peter McGovern and Dr. Adam Fechner to Host New York City Radio Show Nov 6th, 2014

DR. PETER MCGOVERN AND DR. ADAM FECHNER HOST “IT’S CONCEIVABLE: THE INFERTILITY SHOW” ON NEW YORK’S AM970 THE ANSWER. November 6, 2014: Hasbrouck Heights, NJ – University Reproductive Associates, a leader in fertility treatment, is pleased to announce the launch of its new radio show, It’s Conceivable: The Fertility Show, on...

Is your man too buff? Oct 15th, 2014

by Dr. Peter McGovern We are experiencing an epidemic of iatrogenic male factor infertility.  “Iatrogenic” is defined as: “caused by the diagnosis or treatment of a physician”.  We are seeing large numbers of men whose wives/female partners cannot become pregnant.  The men are being treated with either androgen replacement therapy or with...

Reproductive Surgery Sep 23rd, 2014

by Dr. Adam Fechner People understand the role of sperm and eggs in reproduction dating back to their middle-school health class.  Indeed, a baby cannot be created without a sperm successfully fertilizing an egg.  But many patients (and even some doctors) fail to appreciate the role that the anatomy plays...

Fertility Preservation for Patients with Cancer Aug 21st, 2014

by: Aimee Seungdamrong M.D.  Director of Fertility Preservation University Reproductive Associates At University Reproductive Associates, we work closely with oncologists to offer patients, who have been recently diagnosed with cancer, information about the ways cancer therapy may alter their fertility.  We counsel them about their options for fertility preservation prior...

Common Misconceptions About Infertility Treatment Debunked Jul 22nd, 2014

by Dr. Adam Fechner The Wall Street Journal recently published an article entitled “10 Things Fertility Clinics Won’t Tell You.”  (http://www.marketwatch.com/story/10-things-fertility-clinics-wont-say-2014-06-06).  In it, the author discusses ten aspects of fertility care she feels are not made clear to patients.  Some of her points are valid, others I would argue, and...

Our Montclair office in the Harries Pavilion has moved down the hall to Suite One Nov 12th, 2013

Our Montclair office has moved down the hall from Suite Three to Suite One in the Harries Pavilion. Dr. Fechner is available to see patients in this office every Monday, Tuesday and Thursday.

Join Dr. Adam Fechner for a free information session “Fertility: Preparing Your Body for Pregnancy” Jul 11th, 2013

Join Dr. Adam Fechner for a complimentary information session “Fertility: Preparing Your Body for Pregnancy” at HUMC Mountainside Hospital in Montclair, NJ on Monday July 29th at 7pm. This talk which is open to the community is designed for those just thinking about starting a family as well as patients already dealing...

Dr. McGovern and Dr. Weiss named “Top Doctors” by US News and World Report May 21st, 2013

US News in partnership with Castle Connolly has listed Dr. Peter McGovern and Dr. Gerson Weiss among the top 1% of Reproductive Endocrinologists in the nation. Click here for more.

Join Dr. Adam Fechner for “Fertility: Achieving Your Family-Building Goals” in Montclair, NJ on Mond Apr 23rd, 2013

Join Dr. Adam Fechner for a complimentary information session “Fertility: Achieving Your Family-Building Goals” at the Geyer Family YMCA in Montclair, NJ on Monday May 13th. This talk which is open to the community is designed for those just thinking about starting a family as well as patients already dealing with infertility....

Free Fertility Consultations April 26th Apr 23rd, 2013

In honor of National Infertility Awareness Week, URA physicians are offering free 15-minute consultations in person or by phone on Friday April 26th. No paperwork, registration or insurance information is required. To schedule a consultation with Dr. Aimee Seungdamrong in our Hoboken office, call 201-830-3450. For a consultation with Dr....

Fertility: Achieving Your Family-Building Goals Mar 11th, 2013

Join Dr. Adam Fechner for a complimentary information session “Fertility: Achieving Your Family-Building Goals” in Montclair, NJ on April 22nd. This talk which is open to the community is designed for those just thinking about starting a family as well as patients already dealing with infertility. Click here for more information.

Morning Monitoring Now Available in Our Montclair Office Feb 25th, 2013

Morning monitoring is now available at our Montclair office. For details, please see our monitoring schedule.