Frequently Asked Questions

Infertility is a disease that affects up to one quarter of the population at some point in their lives. If you have been trying to conceive for a year and have been unsuccessful then you and your partner could be infertile.
If you are trying to conceive and there is some question as to your fertility you should consult a fertility specialist as soon as possible. For patients with a partner who is 35 or over, this should be done as early as after 6 months of infertility. Patients without a partner, who wish to freeze their eggs, should do so as early as possible, particularly if the patient is over 33 years of age. Non-traditional families requiring egg or sperm donation should also seek a fertility specialist as soon as they are ready to conceive. And it’s never too early for couples who wish to become pregnant to do a baseline work-up either through your obgyn or fertility specialist.
At the initial consult, I will take a thorough medical history; perform a physical exam including an ultrasound; and take blood tests and cultures. We will discuss further diagnostic testing options and treatments, which will in most cases include a day 3 FSH and may include an HSG (a hysterosalpingogram) to check the condition of the female patient’s fallopian tubes and uterine cavity. A treatment plan will also be discussed.
There are many treatment options that will be considered when building a treatment plan for you that can increase your fertility. Some of these include intrauterine Insemination (IUI), injectable fertility medication with monitoring and IUI, and IVF or in vitro fertilization.
Surgery is often required to diagnose endometriosis or tubal disease. Occasionally it is necessary to remove fibroids or polyps or correct a uterine malformation that one is born with.
IVF requires daily injections with fertility medications and monitoring with ultrasound and blood tests. At the appropriate time eggs are surgically removed using a minimally invasive ultrasound guided needle aspiration of ovarian follicles. Eggs and sperm are united in the lab; sometimes the sperm is directly injected into the egg (ICSI). Embryos are nourished in the lab and the healthiest, most developed embryos are transferred to the uterus (usually 2 embryos are replaced. Spare healthy embryos can be frozen (cryopreserved) for future use. The process takes 3-4 weeks in total.
I am board certified in Obstetrics and Gynecology, and Reproductive Endocrinology. I am also accredited in advanced operative laparoscopy and hysteroscopy. I was one of the first investigators in the world to perform successful preimplantation genetic diagnosis (embryo biopsy) to screen embryos for genetic disease or chromosomal abnormalities. In addition, our program is a pioneer in blastocyst transfer, which lowers the risk of multiple gestation while yielding high pregnancy rates. We also are world leaders in egg freezing technology, ICSI and embryo cryopreservation.
For the most up-to-date information, please refer to the Egg Freezing Program (http://nyulangone.org/locations/fertility-center/egg-freezing-program) on the NYU Fertility Center site. You can also view the video (link to New Yorker) on my Research page.
You can schedule an appointment by calling 212 263 7978 and Frances or Melissa will assist you.