Infertility Solutions -- Our Practice

Philosophy

A traditional approach to the problem of infertility is to perform a standardized work-up to exclude major causes of infertility and then wait for pregnancy to occur. Such an approach does not take advantage of recent scientific advances in our understanding of reproductive physiology.

At Infertility Solutions, P.C., our objective is to perform a targeted rapid evaluation of the couple before moving to providing help to make pregnancy occur as quickly as possible using the technologies that are available. Testing is done to help determine choices of therapy that are going to be most effective. Any therapy is undertaken for a limited number of tries before re-evaluation. The couple then either undergoes further testing or moves to a more advanced therapy. We believe that this targeted therapy is both more cost efficient and time effective than other approaches to infertility care.

Infertility care can be the most stressful event that a couple has ever experienced. Our patients are seen in a comfortable, private setting. Our professional staff understand the problems that the couple is experiencing and are able to provide a caring environment in which therapy can take place. Professional psychologists are also available as needed.

Our IVF and other programs do not exclude patients with a poor prognosis based on their history, examination or laboratory testing (such as elevated day 3 FSH levels). Our approach is to very directly explain their poor prognosis to them and if they still wish to proceed with therapy, we will help them to try to achieve pregnancy using the technologies that are available. This hurts our IVF statistics compared to programs that don't do this, but it helps many patients who have no other place to turn. Some patients with a poor prognosis do get pregnant. Some patients need to try everything possible before moving on to adoption or donor eggs/sperm.

The Scope of Our Practice

Infertility Solutions, P.C. was established by Bruce I. Rose, Ph.D., M.D. to provide specialized care for women with gynecological problems and to couple's experiencing infertility. Dr. Rose is board certified in gynecology, in reproductive endocrinology and in infertility. We strive to meet both the clinical and emotional needs of our patients. Our small size and personal experiences with infertility make us more capable of helping patients in this way. We are not a "clinic" and our patients are not "numbers".

The practice is supported by a state-of-the-art advanced reproductive laboratory. We believe that laboratory quality is what distinguishes infertility practices from one another. Our laboratory is nationally certified. Our small size enables us to have a closer connection between clinical medicine and a subspecialty laboratory than many larger practices.

This practice has long had both a clinical and research focus on male infertility. We are supported by our male infertility assessment laboratory and our sperm/embryo cyrobank. Almost any sperm problem can be overcome with current techologies. Even some men who produce no sperm in their ejaculate can also achieve pregnancy.

Infertility care is tailored to the needs of each patient. We believe in an active, as opposed to observational, approach to achieving pregnancy as quickly as possible. There is potentially an endless amount of testing that can be done on infertility problems. Our evaluations are targeted and cost efficient.

We are very aware of the burden that limitied insurance coverage places on patients and have tried to utilize approaches that maximize the impact of their resources. We offer several appoaches to funding IVF which we believe are among the best in the country.

Infertility

Infertility can be attributed to multiple factors, many of which are treatable. Because the factors which produce fertility are shared almost equally by male and female, treatment requires that both partners be evaluated.

A thorough evaluation usually begins with the simplest tests and progresses to the more complicated tests. The results can help determine the best course of treatment for increasing the couple's probability of achieving pregnancy. Some infertility treatments enable pregnancies to occur that otherwise would have no chance of occurring. However, most infertility treatments make possible pregnancies more likely to occur in a shorter period of time. This is important because we cannot see into the future. Although a patient might achieve a spontaneous pregnancy five years from now, it is also possible that five years from now, she would have lost her ability to ever become pregnant. Advancing age in the female patients is problem we can least effectively treat.

Breakthroughs in medications, microsurgery, and advanced reproductive technologies offer more hope than ever before for infertile couples. Therapies and an enhancement of the scientific basis of reproduction continue to progress at a very rapid pace in this area of medicine.

Reproductive surgery

As a specially trained microsurgeon, Dr. Rose offers the highest level of expertise in reproductive pelvic surgery including tubal ligation reversal. An increasing focus of his practice is providing extensive reconstructive surgery through very small laparoscopic incisions. This is both cosmetically more desirable than the traditional approach and greatly decreases recovery time.

Dr. Rose also possesses expertise in some of the newer reproductive techniques including removal of fibroids through the hysteroscope, ovarian drilling and transcervical tubal cannulization of blocked tubes.

In Vitro Fertilization Program

Infertility Solutions, P.C. offers leading edge advanced reproductive technologies including in vitro fertilization (IVF), intracytoplasmic sperm injection (ICSI), fertilization technology utilizing testicular sperm (TESE), PGD, embryo cryopreservation and assisted hatching. IVF, ICSI and TESE enable us to treat almost any male infertility problem including cases in which no sperm is in the ejaculate. Assisted hatching maximizes our effectiveness in achieving pregnancies in women over age 35. Embryo cryopreservation decreases the cost of achieving pregnancy with IVF in younger women. PGD is a new technology which involves removing a single cell from an embryo and sending it for genetic diagnosis. It can be used to select normal embryos from patients with genetic translocations, recurrrent IVF failures, recurrent miscarriages, and X-linked diseases. It can also be used for sex selection.