Blog Archive

Seeing family and friends is supposed to be enjoyable. However, many people get anxious about the holiday season during challenging times. Catching up often means explaining events you’d rather avoid discussing, and it’s common to receive unsolicited questions or advice. If you’re currently dealing with infertility, keep these tips in...

With the holidays quickly approaching, you’re going to see a lot of people you haven’t seen in a while. They’ll want to catch up. Unfortunately, this can be awkward if you or someone in your circle is struggling with infertility. At University Reproductive Associates, with locations in New Jersey and...

Many things are left up to chance when you are trying for a baby. In fact, many variables can contribute to infertility, and sometimes, it can be difficult to conceive without some intervention.  At University Reproductive Associates, with locations in New Jersey and New York, our team of reproductive specialists...

Polycystic ovary syndrome (PCOS) is a leading cause of infertility, yet 70% of cases go undiagnosed. In fact, many people don’t realize their PCOS is a problem until it interferes with family planning.  If you’re struggling to conceive and think you may have PCOS or already have a diagnosis and...

Whether you want to wait a while to have a baby, have a condition requiring treatment that could harm your eggs, or are ready to try IVF for infertility, egg harvesting is often the first step. The process has been around for a long time. In fact, the first human...

When you’ve experienced recurrent pregnancy loss, trying again can feel like setting yourself up for heartbreak.  While unexplainable miscarriage is a far more common outcome for pregnancy than most realize, multiple miscarriages usually have a root cause that can be overcome with the help of an experienced provider. Our team...

When a medical condition causes so much ongoing pain, it can be difficult to believe there’s any hope. This is especially common in cases of endometriosis, which is a condition still misunderstood. If you’re struggling with abnormal bleeding, painful periods, uncomfortable intercourse, or infertility, our team can help.  Our team...

Fertility is not something to be taken for granted, especially while you’re young and healthy. If your heart is set on having children of your own, you should take steps to make that a reality. However, this doesn’t mean rushing a relationship or placing high expectations on a partner. It...

Conceiving a child can be a long and challenging process, especially if you’re relying on the help of modern gynecology to achieve that goal. Naturally, you want to ensure your attempt has the highest chance of success. Testing embryos before implantation can help ensure the best possible outcome, and it...

If you’re seeking help after recurrent pregnancy loss, picking the right provider is key. Fortunately, our experts have connections to get you the needed assistance.  Our team of reproductive specialists at University Reproductive Associates helps women who have suffered recurrent pregnancy loss find solutions for any medical issues as well...

It’s an unfortunate reality for many people that their weight determines the quality of health care they receive. It’s easy to pin problems on excess weight without digging any deeper, never considering that the weight gain might be a symptom rather than the initial problem. When it comes to PCOS,...

Whether you have concerns about your future fertility or want to secure viable eggs during your younger years, freezing your eggs puts you in control of your family plans. For people interested in egg freezing, we provide insight into the inner workings of oocyte cryopreservation.    Our team of reproductive specialists...

It’s a misconception that endometriosis leaves every woman infertile. That said, there are a considerable number of women who struggle to conceive because of it. Depending on the severity of your condition and where the endometrial tissue is growing, you might have a challenging time getting pregnant. Fortunately, a specialist...

If you’re having trouble conceiving, ovulation induction could be the first step to holding your own child at last. It’s estimated that 13.4% of women aged 15-49 have trouble conceiving or carrying a child to term. So, you definitely aren’t alone if you struggle with fertility. Our team of reproductive...

Our diet affects our energy levels, mood, and nutrition. It affects fertility as well. If you and your partner are trying for a baby, adding or cutting out certain foods can increase your chances of conceiving. At the same time, a fertility specialist can help you with the rest.  Our...

The exact cause of polycystic ovary syndrome is still unknown, and research is ongoing. With so much we don’t know about PCOS, it’s easy to feel discouraged about the complications and outlook. Having a specialist on your side can help you understand your condition, stay updated, and find solutions that...

The Waiting Game First-time parents-to-be: Our apartment’s too small. We haven’t traveled. We haven’t saved enough money. None of our friends have started a family. I’m up for a promotion. We haven’t had enough time to just “be us.” Second-time parents: We’ll have two in diapers. I’m still exhausted from...

University Reproductive Associates and the Diamond Institute Join Forces  We are pleased to announce that University Reproductive Associates (URA) has acquired the Diamond Institute for Fertility & Menopause. This creates one of the most technologically advanced networks of fertility clinics in northern New Jersey and New York, as well as...

Embryo transfer has allowed many individuals and couples achieve conception and carry healthy babies. With in-vitro fertilization and embryo transfer, you have several options. You can choose to implant fresh embryos or opt for frozen embryo transfer.  IVF basics During in-vitro fertilization, the egg is collected from the donor after...

Many couples do not face challenges with conception. However, for others, a little assistance may be needed. At University Reproductive Associates, with offices in Hasbrouck Heights, Wayne, and Hoboken, New Jersey, our fertility experts offer in vitro fertilization to help people who want to have a baby conceive when traditional...

If you’re having trouble getting pregnant, ovulation induction can be a great way to stimulate the release of eggs, increasing your chances of conceiving. For many women, it is the first step to overcoming infertility. If you have doubts or concerns about the side effects of these medications, discussing them...

Has becoming a proud and happy parent been something you’ve always wanted but have been unable to achieve on your own? Every day across the USA, third party reproduction (egg donor, sperm donor or gestational carrier) makes it possible for thousands of people to achieve their parenting dreams.  Our team...

According to the World Health Organization, 15% of reproductive-aged couples struggle with infertility. In many such cases, there are one or more underlying factors that can be treated medically or surgically to improve fertility.  Our team of reproductive specialists at University Reproductive Associates, located in Hasbrouck Heights, Hoboken, and Wayne, New Jersey, work...

Many women are choosing to postpone having children until they’re older. But they don’t want to risk infertility as they age.  The future can be uncertain, but egg freezing puts you in control of your fertility, providing an alternative if or when you need it. Regardless of why you’re freezing...

Fertility research has come a long way in recent years, and same-sex couples are finally able to enjoy the benefits of having and raising a child of their own rather than adopting from another family. While egg donors and surrogacy present unique challenges, our team can help you understand your...

In-vitro fertilization, or IVF, is an in-demand and highly successful form of fertility treatment. IVF accounts for a staggering 99% of fertility treatment procedures and has a success rate of 50% (live birth rate) for women under the age of 35.  At University Reproductive Associates, with offices in Hasbrouck Heights,...

Is conception just not happening no matter how hard you try? Sometimes your body just needs some extra help with ovulation. If you have an irregular menstrual cycle, ovulation induction could help you better track your fertility for natural or assisted conception. Our team of reproductive specialists at University Reproductive...

It’s estimated that 11% or more of women between the ages of 15 and 44 have endometriosis, a painful condition involving the reproductive system and potentially the entire pelvic region. However, that number may be low since a staggering number of women never even get a correct diagnosis. Our team...

You keep cutting calories, switching to no-sugar and no-fat options, and increasing your number of steps a day — but the weight keeps piling on. If that sounds like you, it’s time to talk to your OB/GYN. At University Reproductive Associates, with offices in Hasbrouck Heights, Wayne, and Hoboken, New Jersey,...

Polycystic ovarian syndrome (PCOS) is a condition connected to hormonal imbalances in the body, which can cause multiple physical side effects, such as skin problems, menstrual cycle issues, and even infertility. It is thought that 10% of women experience PCOS.   At University Reproductive Associates, with offices in Hasbrouck Heights, Wayne,...

Many people want to become pregnant but have trouble with conception. In vitro fertilization (IVF) can help you conceive a child and fulfill your parenting dream. At University Reproductive Associates, with offices in Hasbrouck Heights, Wayne, and Hoboken, New Jersey, our fertility experts offer IVF to assist people struggling with conception. How IVF...

Dr. Douglas is a graduate of the Yale School of Medicine MD/PhD program. She completed her OBGYN residency and Reproductive Endocrinology and Infertility fellowship at Columbia University Medical Center/New York Presbyterian Hospital. Dr. Douglas entered the world of REI while conducting research for her PhD thesis at Yale.  With the...

Maybe you’re busy with your career right now. Maybe you’re not with someone you want to have kids with. Maybe you’re not sure you need a partner to have a kid at all. Perhaps you have a health condition that could adversely affect your fertility. Or maybe you’re undergoing treatment...

A “normal” period is different for everyone. One person might experience a short, light flow every month, while another might experience heavier bleeding and cramping. However, if your periods have gotten notably more intense, irregular, or otherwise out of the ordinary, there might be a deeper problem at play.  At University...

Not being able to get pregnant when you’re ready to start a family can cause anxiety, embarrassment, and unhappiness. It can even push couples apart at a time when they need to be strong together. You need to be able to talk with your partner regarding fertility. At University Reproductive Associates (URA),...

In most cases, conception is fairly straightforward. However, not all people seeking to become pregnant are part of a heterosexual couple. For single women, same-sex couples, and couples with fertility issues, IVF can be the key to starting or enlarging a family. At University Reproductive Associates, with offices in Hasbrouck Heights,...

Most women ovulate once per menstrual cycle, shortly after they finish their period. That opens a “fertile window” of time where your chances of getting pregnant increase. However, it’s possible for you to ovulate more than once per cycle, irregularly, or not at all. If you’re having trouble getting pregnant,...

Many women experience chronic endometriosis pain for years before getting an official diagnosis. Even after your disorder has been confirmed, it can take even longer to find an effective treatment plan and the right doctor.   Our team of reproductive specialists at University Reproductive Associates, located in Hasbrouck Heights, Hoboken, and...

Your diet can affect your weight, mood, and almost everything in between — including your fertility. If you’re struggling with infertility, simply balancing your diet might not be enough. The next step is to begin adding fertility-friendly foods to your meals and begin removing things that might harm your chances. ...

One in eight couples experience infertility, which can be driven by the timing of sexual intercourse to the quality and quantity of a woman’s eggs; the quality, quantity or motility of a man’s sperm; an underlying medical condition in either partner; or a blend of any of the above, according...

PCOS is a common issue facing many women today. It’s estimated that around 10% of women have some level of polycystic ovarian syndrome (PCOS). PCOS causes infertility in many women who have the condition. Therefore, if you have PCOS, there’s a high chance that it can be impacting your fertility....

Having a baby is supposed to be the most natural thing a woman of child-bearing age can do. It’s not rocket science. You have sex at the appropriate point in your cycle, and next thing you know, you’re pregnant. So, you follow the calendar, try to make a baby, and...

Most women have periods in their lives when they aren’t ready to have a baby. Others might be facing a circumstance when they can’t have a baby but know they want to at a later date. Fortunately, modernized medicine allows women to have control over their reproduction, allowing them to...

The key to conceiving can sometimes be as simple as embracing a few healthy habits. If you’re having trouble getting pregnant, making a few changes to your diet and lifestyle might be all you need. Combined with the advice of a specialist, you can improve your fertility while building a...

The reproductive system is complex, especially the female anatomy. Periods and tampons aren’t the only things you need to learn about the menstrual cycle. And, unfortunately, ovulation is often overlooked. Our experienced doctors can explain everything in detail, but here’s a brief overview of what you missed in health class. ...

Conception misconceptions University Reproductive Associates’ Dr. Kavitha Persaud dispels four of the most common mistaken beliefs about becoming pregnant. Getting pregnant may seem simple, especially with several million women in America becoming pregnant and giving birth every year, but that isn’t always the case, according to Kavitha Persaud, MD, fertility...

One in ten women has PCOS, making it a relatively common gynecological issue. It is one of the leading causes of infertility among women and can put you at risk of other health conditions as you get older. If you’re struggling with irregular periods and other hormonal issues, you might...

Getting pregnant can be fun and exciting, but for some women, it can be incredibly difficult. In vitro fertilization can increase the chances of a healthy pregnancy and help you overcome many common fertility issues.   At University Reproductive Associates, with offices in Hasbrouck Heights, Wayne, and Hoboken, New Jersey, our...

Getting pregnant isn’t always easy, even if you and your partner are capable of having children. But did you know that intrauterine insemination can help simplify the process and increase your chances of getting pregnant?  There are many reasons someone might choose IUI, ranging from fertility issues to LGBTQ family...

Modern medicine has evolved to give women more control over their reproductive health. Birth control allows them to decide when they get pregnant, and fertility treatments can help them conceive when they’re ready.  If you want to delay having children or protect your dreams of having a family, freezing your...

The desire for a blood-related child and the chance to experience birth first or secondhand is often the reason that same sex couples opt for fertility treatment over adoption. Also, for some couples, the adoption process is fraught with obstacles beyond their control.  The reproductive specialists at University Reproductive Associates...

Dr McGovern was recently interviewed about how robotic surgery for endometriosis may help with infertility. Read the entire interview here: Robotic Surgery for Endometriosis Want to book a telemedicine visit with Dr. McGovern? Just visit us at www.uranj.com or simply call 201-288-6330 today.

Are you struggling with conceiving a child? Your ovulation cycle could be to blame. Good news, there’s a simple procedure that can help you ovulate and time your conception attempts to increase your chances of getting pregnant. Our team of reproductive specialists at University Reproductive Associates has helped couples throughout...

Issues conceiving are more common than you think: 12.7% of women seek help for infertility. A variety of factors can lead to fertility problems, and the root issue lies with male partners just as often as with women. However, if your infertility is caused by a medical issue like thyroid...

Understanding hormonal treatment for infertility   Fear that there may be a significant issue impacting a couple’s ability to become pregnant is common for many who are struggling to conceive. Fortunately, hormonal treatment can a be simple solution that results in pregnancy, said reproductive endocrinologist and infertility specialist Kavitha Persaud,...

Have you been struggling to become pregnant but found there are obstacles in your way? Maybe you’re part of a same-sex couple, or perhaps you or your partner have been diagnosed as infertile. Don’t give up hope. Our team of reproductive specialists at University Reproductive Associates meets many people throughout...

Dealing with lupus is a daily reality for the rest of your life. Depending on the severity and the frequency of your flare-ups, you may be managing symptoms with an array of medications and treatments to keep it under control. But did you know that some of those treatments may...

Knowing when it’s time to seek medical help for conception After deciding that they want to have children, many couples hope it happens quickly. However, when natural conception takes longer than expected, it can be difficult to know when it’s time to obtain medical help. The natural pregnancy rate for...

The female reproductive system relies on multiple complex organs to function in harmony to ovulate, menstruate, and conceive. If any part of the system malfunctions, it affects the others and may lead to serious health complications, like endometriosis.  That occurs when the lining of your uterus goes rogue and starts...

The latest techniques make the process of egg freezing more effective, giving women the ability to extend their fertility and take pressure off the “biological clock.” Today, women have more options than ever professionally, academically, and socially, and many women are waiting longer to have children.  While women reach peak...

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...

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...

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,...

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...

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...

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...

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/  

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...

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...

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...

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.

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...

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,...

  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...

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...

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)...

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,...

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...

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...

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.  ...

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....

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?...

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)...

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 (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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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....

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...

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...

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...

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...

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...

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...

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...

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, 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...

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...

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...

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...

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 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...

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...

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...

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...

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....

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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 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...

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.  ...

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...

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...

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...

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...

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:...

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...

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...

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...

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...

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....

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...

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...

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...

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...

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 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 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 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 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...

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 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, 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...

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...

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 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...

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 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...

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...

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 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,...

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...

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 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,...

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...

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...

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 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 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...

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 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...

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...

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...

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...

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...

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...

“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...

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 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 (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 (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 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 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...

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...

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...

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...

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 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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

(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...

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...

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 – 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...

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...

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....

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...

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...

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....

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 – 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...

(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...

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 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 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 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...

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 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 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 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.  ...

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: 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...

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 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...

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 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 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 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 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 – 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. ...

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, 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 – 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 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...

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 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, 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 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 (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 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 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...

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...

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...

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...

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’...

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...

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...

– 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...

– 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:...

– 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...

– 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...

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...

– 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...

– 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:...

– 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:...

– 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...

– 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:...

– 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...

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...

– 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...

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...

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...

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...

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...

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 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 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...

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 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....

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....

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