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Endometriosis is
a condition where the normal lining tissue inside the uterus
(endometrium) is also present outside the uterus, implanted on other
pelvic organs. Symptoms of endometriosis can vary greatly, but the
inflammation most often produces pain, especially severe menstrual
cramping, pain deep inside during intercourse, painful ovulation and
more.
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Tubal Ligation Reversal is
ideal for woman who wish to reverse a tubal ligation. Dr. Stoelk
performs the technique on an outpatient basis to lower patient costs.
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In-vitro Fertilization
(IVF) begins with fertility medications followed by egg removal and
fertilization. Then we transfer two or three developing embryos into
the uterus. This completely bypasses the fallopian tubes and is the
only possible way for many couples to conceive.
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Intrauterine Insemination
(IUI) is a very common, simple treatment for many sperm problems. When
sperm counts are low, swim poorly or antibodies exist, the sperm are
concentrated and then placed directly into the uterus. A greater number
of sperm arrive in fallopian tubes to fertilize the egg.
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Pre-Implantation Genetic Diagnosis (PGD) is the genetic analysis of embryos, possible during in-vitro fertilization. It allows
hopeful parents and doctors to screen for genetic problems that may affect
the baby's health or be the cause of a miscarriage.
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Intracytoplasmic Sperm Injection
(ICSI) is a new, high-tech procedure in which a single sperm cell is
picked up in a tiny glass needle and injected directly into the egg.
This procedure has revolutionized our ability to deal with the most
severe sperm problems.
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Comprehensive Fertility Testing helps speed
things up and lower patient costs. These tests can include on-site andrology
lab, hormone assay lab, ultrasound and more.
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Ovulation Testing
helps pinpoint one of the frequent causes of infertility and
miscarriages – ovulation problems. Ultrasound and hormone testing are
critical to understanding how to use the best medications to correct
these problems, maximizing your chances of success each month.
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Ovulation Therapy
is used when more aggressive treatment is necessary. Natural hormones
(FSH), which stimulate the ovaries are given in exaggerated amounts,
producing several eggs plus an ideal implantation site.
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Sperm Testing
is best done at true infertility centers such as our on-site andrology
lab. Accurate testing will then lead to the best available treatment.
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Donor Insemination
is one of the final basic options. It is the use of screened and
selected donor sperm, also available through the Northwest Fertility
Center.
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Testicular Sperm Extraction
(TESE) allows sperm cells to be obtained by a minor surgical technique,
then used to fertilize the wife’s eggs by IVF and ICSI. This is a
highly effective alternative to vasectomy reversal for some men,
especially advisable in men with long-term vasectomy when sperm
antibodies are usually present.
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Donor Oocyte In-Vitro Fertilization
is employed if the woman is unable too produce viable eggs. In that
case, another woman might be chosen as an egg donor. Eggs are
harvested, fertilized using the husband’s sperm and transferred into
the wife’s uterus.
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Gestational Surrogacy In-Vitro Fertilization is
employed when health conditions, such as a badly damaged uterus prevent
a woman from carrying a child. In those cases, we can mix your egg and
sperm to make an embryo. We then find a surrogate mother to carry to
term.
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Laser Laparoscopy
is useful for a number of conditions that affect the fallopian tubes,
ovaries and uterus. Laser laparoscopy is a minimally invasive technique
we use to treat, on an outpatient basis, debilitating conditions and
conditions that cause infertility.
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Outpatient Tubal Ligation Reversals
are ideal for woman who wish to reverse a tubal ligation. Dr. Stoelk
performs the technique on an outpatient basis to lower patient costs.
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Hysteroscopy is a minimally invasive technique to
treat endometrial conditions that lead to heavy, often painful periods or
infertility. Endometrial polyps, uterine
septum, adhesions and some fibroids
can be removed through hysteroscopy.
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Removal of Fibroids
may be necessary when benign tumors cause pregnancy loss, heavy vaginal
bleeding and a host of uncomfortable symptoms (depending on the size
and position of the tumors or fibroids). As many as 40% of woman 35 and
older have uterine fibroids. Thanks to medical advances, hysterectomy
is not the only answer. Other techniques allow us to remove the
fibroids and leave the uterus intact.
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Tubal Reanastomosis is the
reconnection of the healthy portions of the fallopian tube following a tubal
sterilization.
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Endometrial Polyps are often
non-cancerous growths in the lining of the uterus that can cause cramps, and
in some cases, infertility.
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Uterine Septums, when too large, can cause
fertility issues. This problem can be corrected with a hysteroscopy.
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Adhesions are scar tissue inside the pelvic
region that can interrupt the movement of the egg and implantation of the
embryo in the uterus.
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Fibroids, while non-malignant, are tumors that
can affect fertility when left untreated.
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Reproductive Endocrinology (RE) is the medical specialty addressing
infertility as it pertains to reproduction. Dr. Stoelk is a renowned medical
director, reproductive endocrinologist and fertility
surgeon with a MD from the University of Iowa College of Medicine;
residency at the Department of Obstetrics & Gynecology at the Blodgett
Memorial Medical Center in Grand Rapids Michigan; and a fellowship at the
University of Louisville. Dr. Stoelk is also an active member of the American
Society of Assisted Reproductive Medicine (ASRM) and the Society of Assisted
Reproductive Technology (SART).
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Fertility Surgery can help bring
hope to couples faced with a wide-range of fertility issues.
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