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Reproductive Medicine and Surgery Center Services

Infertility:
There are a variety of infertility treatments to help couples have children. While In Vitro Fertilization may be the most well known and the best choice for many couples, the vast majority of patients conceive with simpler relatively low-cost treatments such as intrauterine insemination or medications such as Clomid. Our clinic offers all possible infertility treatments. Visit http://www.rmscva.com/infertility-treatments.html for more information. 

Endometriosis:
Endometriosis can cause excessive discomfort with menstrual periods, painful intercourse, and difficulty becoming pregnant.  Endometriosis is the presence of normal endometrial tissue (the uterine lining) outside of the uterus. Usually the tissue stays in the pelvis, but in some cases it can be found outside the pelvic cavity.  The actual incidence of endometriosis is estimated at two to five percent of the general female population.  There is a familial predisposition, and women who have a mother or sister with endometriosis have as much as tenfold increased risk of getting it themselves. Visit http://www.rmscva.com/endometriosis.html for more information.  

Polycystic Ovary Syndrome:
Polycystic Ovary Syndrome (PCOS) is the most common hormonal disorder of reproductive-age women; it affects approximately one in twenty women.  PCOS is characterized by irregular menstrual periods, unwanted hair growth, difficulty in becoming pregnant, oily skin and/or acne, and two thirds of patients with PCOS have excessive weight gain. Visit http://www.rmscva.com/pcos.html for more information.  

Uterine Fibroids:
25-30% of women have a uterine fibroid. Fortunately, most fibroids never lead to any problems. The vast majority of patients with fibroids do not need any type of treatment, only reassurance. However, seeing a specialist to measure the size and location of fibroid(s) is important to receive appropriate guidance about the potential impact of fibroids.  Some of the common complaints, with the minority of women who have problems, include; heavy and uncomfortable menstrual periods, pelvic and abdominal pressure due to uterine enlargement, uncomfortable intercourse, having to urinate more frequently, infertility and miscarriage. Visit http://www.rmscva.com/surgeryUterine.html for more information. 

Recurrent Miscarriage:
Our fertility clinic staff is attuned to the pain and disappointment that accompanies miscarriage. Our specialists are highly trained to deal with the medical causes of miscarriage and can often help couples carry their baby to term. There is a variety of conditions that can cause recurrent miscarriage, including; luteal phase defect, uterine abnormalities, chromosome imbalance, bacterial infections, viral infections, blood clotting disorders, diabetes, thyroid disease, and environmental causes. For more information on each condition visit http://www.rmscva.com/Miscarriage.html  

Advanced Laparoscopic Surgery:
Laparoscopy is an outpatient surgical procedure useful for the diagnosis and treatment of infertility, endometriosis, fibroids, blocked fallopian tubes, ovarian cysts, pelvic adhesions and pelvic pain. The operation allows a direct view of the uterus, tubes, ovaries and pelvis in general. Tubal reversal surgery can also be performed laparoscopically. We are now usually able to perform many procedures endoscopically which formerly required a major operation. In addition to establishing a diagnosis, we offer endoscopic surgical treatment for many conditions. Often we are able to perform an outpatient conservative laparoscopic reproductive surgery that a general Ob/Gyn would so as an inpatient open incision (laparotomy).  Laparoscopy requires general anesthesia and can last from 45 minutes to several hours. The risk of complications from laparoscopy is low and patients nearly always go home the same day. But while the risks are low, every surgical procedure includes risks. Visit http://www.rmscva.com/surgeryLaparoscopy.html for more information.  

In Vitro Fertilization:
In vitro fertilization (IVF) involves fertilization of eggs outside the body in a special environment created in the laboratory. Our fertility center has 3 board certified or eligible reproductive endocrinologists, infertility specialists on staff. Our IVF program is successful.  

Attempting to establish a pregnancy through IVF treatment involves several steps:

  • Stimulation of the ovary to produce multiple mature eggs or oocytes
  • Retrieval of the oocytes by a surgical procedure. 
  • Fertilization of the oocytes by a preparation of spermatozoa in a laboratory dish or ICSI.
  • Culture and evaluation of the embryos. 
  • Transfer of selected embryos into the uterus for implantation

Categories of infertility that might be helped by IVF treatment include: 

  • Fallopian tube dysfunction
  • Ovulation dysfunction
  • Endometriosis that has not responded medical treatment
  • Male factors such as low sperm count, motility, and/or morphology
  • Diminished ovarian reserve in which the supply of eggs in the ovary is limited
  • Unexplained infertility
  • Antisperm antibodies
  • Genetic diseases

Visit http://www.rmscva.com/virginia-ivf-clinic.html for more information. 

Tubal Ligation Reversal Surgery (getting your tubes untied):
Tubal reversal surgery, also known as microsurgical tubal reanastamosis, is a highly successful procedure to restore normal fertility after fallopian tube ligation (tubes have been tied.) Until in vitro fertilization (IVF) became routine and successful, tubal reversal surgery was the best way to get pregnant after tubal ligation. Therefore, it is important that any woman considering tubal reversal surgery also be counseled about the benefits and drawbacks of IVF as compared to tubal reversal surgery. For more information visit http://tubalreversal.rmscva.com/

Reproductive Medicine Surgery Center
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