Services

• Initial Consultation 

The initial consultation includes a comprehensive review of the patient's medical and infertility history leading to an evaluation of the probable cause of the couple's infertility. If the purpose of the visit is for the treatment of an infection, the origin of the infection will be assessed. The patient should come to this interview prepared. The "Contact Us" page of this web site provides two downloadable questionnaires; the medical history and the reproductive history questionnaires. The advance collection of the required information expedites the process. In lieu of the initial consultation, patients may opt for a telephone conference for a preliminary review of their case. Patients are offered this option prior to traveling long distances for testing and therapy. 

• Evaluation of the Microbial Profile of the Genital Canal. 

Since our studies have shown that infections are the main cause of all functional disturbances in the genital tract of both males and females, all work ups start with a microbiological evaluation of the genital tracts of both sexes. Microbiological studies include Chlamydia trachomatis, mycoplasma, aerobic and anaerobic bacteria and yeast-like organisms. Urine samples are tested for the parasite, Trichomonas. . A history of an abnormal PAP test warrants testing for the HPV virus. 

• Comprehensive Antibiotic Therapy  

Antibiotic therapy is based on culture studies and sensitivity tests. Therapy is administered for both males and females for symptomatic infections, including Pelvic Inflammatory Disease, Interstitial Cystitis, Urethral Syndrome, in women and Urethritis, Prostatitis, Seminal Vesiculitis, in men or for the purpose of restoring fertility. Treatment modalities include a wide variety of broad spectrum antibiotics.

• Hormone Tests 

A battery of hormone studies are performed, including FSH, LH, Estradiol  and Progesterone on pre-set days of the menstrual cycle. Since most hormone abnormalities are reversed by antibiotic therapy, all abnormal readings are repaeated following the completion of antibiotic therapy.    

• Fertility Drug Treatment of Ovulatory Disorders 

Clomiphene, Metrodin, Pergonal and HCG (Human Chorionic Gonadotropin) are the most frequently prescribed drugs for infertility. We rarely use these drugs at our center. If antibiotics fail to restore the normal hormone levels of the menstrual cycle we may resort to them.

• Evaluation and Treatment of Male Infertility

As in females, subnormal male fertility responds best to antibiotic therapy. All attempts are made to exclude environmental factors affecting semen parameters. The patient undergoes a complete evaluation for infections, and antibiotic therapy as indicated. We do not use Clomiphen or other injectable fertility drugs except in a very small, well-defined group of patients with documented pituitary disfunction. 

• Artificial insemination (AI)

AI, using the husband's seminal fluid, is limited to cases with severe oligospermia, prior to recommending IVF. We offer artificial donor insemination with samples obtained from licensed sperm banks.

•       Counseling 

Counseling and therapy offered for the treatment of premenstrual syndrome, post partum depression, dysmenorrhea, Policystic Ovarian Syndrome (PCO), Premature Ovarian Failure (POF) and habitual abortion (recurring miscarriages) and for patients with previous high risk pregnancies.  

• IVF procedures. 

In the rare situations where irreversible structural or immunological damage make antibiotic therapy alone ineffective, we refer our patients to a select group of qualified institutions.that perform IVF. 

• Follow up care

We offer follow up care for our pregnant patients throughout their pregnancies, and if infectious complications develop, we recommend additional antibiotic therapy.

• Therapy for benign prostatic hypertrophy.

Our clinic offers injection therapy for males with Benign Prostatic Hypertrophy (BPH). Due to the frequent association of chronic prostatitis with BPH, a suspicious rise in PSA levels can occur. We recommend intraprostatic antibiotic injections prior to undergoing a series of prostatic biopsies to rule out cancer. 

 • Telephone consultation 

Out of town patients benefit from this service. A one hour telephone consultation is almost always sufficient to asses the most probable cause of a clinical problem and suggest the most expeditious therapy. 

 

For more information, See Chapter 4 in The Fertility Solution