I’ve been dealing with infertility for several years now, and I’ve stayed with the same doctor. I chose my doctor because he came recommended by my cousin, who happens to be his anesthesiologist. Though I sought a second opinion at one point during our treatment, (which I think is always an important thing to do) I opted to stay with my doctor through IVF and IVF with eggs donated by my sister. But it isn’t until now, as I’m preparing for an embryo donation at a clinic in another state, that I understand why I like my doctor so much (even though he has yet to get me pregnant).
Source: RMA New York
Dr. Eric Flisser, a fertility doctor at RMA of New York, discusses things to consider when deciding which fertility treatments, including in vitro fertilization (IVF), to pursue for family building.
It’s human nature to want to know why something is happening. But discovering what’s causing infertility can take time — certain tests and exams that are part of the fertility workup have to be performed at specific times during your menstrual cycle. But there is a light at the end of this lengthy tunnel: your fertility treatment plan.
California has more fertility clinics than any other state in the US. A number of these are in the San Francisco area, which has at least 10 fertility clinics specializing in reproductive medicine according to the latest Centers for Disease Control and Prevention (CDC) and American Society for Reproductive Medicine (ASRM) report.
I've received an enormous amount of email recently from patients asking me for information about how they should get started with their infertility workup. Apparently, they are women, men and couples who have experienced difficulty conceiving and now want some direction about how they should proceed. Building a family was something they had imagined their entire lives to be a natural progression -- from student to career, getting married then having a family -- and they’re frustrated that their difficulty conceiving has affected their lives. For many -- some of whom have never experienced a health problem -- it prevents them from appreciating or even doing anything else.
See an RE for a Fertility Workup
My response to these emails is that the patients seek assistance from an infertility specialist, a reproductive endocrinologist, whose specialty and experience is in helping infertility patients conceive. A reproductive endocrinologist has two to three years of additional specialty fellowship training in infertility after completing an OB/GYN residency.
The RE will conduct a history and physical examination during your initial consultation. This exam typically includes a pelvic ultrasound of a woman’s ovaries and uterus. He can tell if there are any uterine abnormalities that may affect implantation or pregnancy as well as assess ovarian activity and rule out cases of moderate or severe endometriosis.