Molar Pregnancy A molar pregnancy is an abnormality of the placenta, caused by a problem when the egg and sperm join together at fertilization. Molar pregnancies are rare, occurring in 1 out of every 1,000 pregnancies. Molar pregnancies are also called gestational trophoblastic disease (GTD), hydatidiform mole or simply referred to as a “mole.” What is a molar pregnancy? A molar pregnancy is the result of a genetic error during the fertilization process that leads… Read More

IVF - Unexplained Infertility - What is Infertilty ? - IUI - Weight and Fertility Weight and Fertility Body mass index and its effect on in vitro fertilization pregnancy rates Background A woman's weight can affect her fertility. We know that at both extremes, very thin and obese, that there can be disruption of the normal process of regular, consistent ovulation. Anovulation can often result. Medications can be used to induce ovulation in these women in an attempt to become… Read More

Miscarriage Why do miscarriages occur? The reason for miscarriage is varied and most often, the cause can not be identified. During the first trimester, the most common cause of miscarriage is chromosomal abnormality-meaning that something is not correct with the baby's chromosomes. Most chromosomal abnormalities are the cause of a faulty egg or sperm cell or due to a problem at the time that the zygote went through the division process. Read More

IVF - Unexplained Infertility - What is Infertilty ? - IUI - Weight and Fertility Unexplained Infertility Unexplained infertility simply means we do not know why the couple is infertile - it is a confession of medical ignorance. Patients with unexplained infertility fall into two groups. One is the group who really have no infertility problem whatsoever, but are just plain "unlucky". The other is the group which do have a reason for their infertility - but the reason is so subtle,… Read More

IVF - Unexplained Infertility - What is Infertilty ? - IUI - Weight and Fertility Intrauterine Insemination: IUI Intrauterine insemination (IUI) is a procedure which involves placing sperm inside a woman’s uterus to facilitate fertilization. This fertility treatment does not involve the manipulation of a woman’s eggs, and therefore is not considered an assisted reproductive technology (ART) procedure. Read More

Adenomiosis Adenomiosis may be felt during a pelvic exam, but many times myomas that are causing symptoms can be missed if the examiner relies just on the examination. Also, other conditions such as adenomyosis or ovarian cysts may be mistaken for fibroids. For this reason, I routinely do an ultrasound examination at the time of the first visit when a woman has symptoms of abnormal bleeding or cramping, or if I feel an abnormality on… Read More

This procedure allows us to determine whether there are any defects such as scar tissue, endometriosis, fibroid tumors and other abnormalities of the uterus, fallopian tubes and ovaries. If any defects are found then we can often be corrected with operative laparoscopy which involves placing instruments through ports in the scope and through additional, narrow (5 mm) ports which are usually inserted at the top of the pubic hair line in the lower abdomen.

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Fibroids that are attached to the outside of the uterus by a stalk (pedunculated myomas) are the easiest to remove laparoscopically. Many subserous myomas (close to the outer surface) can also be removed through the laparoscope. Fibroids that are deep in the wall of the uterus, or submucous are most difficult to remove laparoscopically. Although there have been successful pregnancies after laparoscopic removal of deep or multiple myomas, the real question is whether or not the uterus can be repaired as well through the laparoscope as can be done through an abdominal myomectomy.

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Pain is one of the most common symptoms of endometriosis. Usually the pain is in the abdomen, lower back, and pelvis. The amount of pain a woman feels does not depend on how much endometriosis she has. Some women have no pain, even though their disease affects large areas. Other women with endometriosis have severe pain even though they have only a few small growths.

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Pregnant women who perform Maternity Gymnastics often find they have an easier birth. Strengthening these muscles during pregnancy can help you develop the ability to control your muscles during labor and delivery. Toning all of these muscles will also minimize two common problems during pregnancy: bladder leaks and hemorrhoids. Maternity Gymnastics are also recommended after pregnancy to promote perineal healing, regain bladder control, and strengthen pelvic floor muscles. The best thing about Maternity Gymnastics is that they can be done anywhere, and no one knows you’re doing them.

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D&C, also known as dilation and curettage, is a surgical procedure often performed after a first trimester miscarriage. Dilation means to open up the cervix; curettage means to remove the contents of the uterus. Curettage may be performed by scraping the uterine wall with a curette instrument or by a suction curettage (also called vacuum aspiration), using a vacuum-type instrument.

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