Please note that our offices will be closed after 12:30pm tomorrow, September 26, 2017, for a company event. Normal business hours will resume on 9/27. Nurses will continue making calls with instructions up until 7:00pm. Please do not page for instructions prior to this time. Non-urgent calls will be returned next business day.
Having all of the well-validated fertility treatment options in one place can help increase your chance of success and potentially reduce your time in care. While Dr. Google can provide a lot of content about infertility, IVF, inseminations, and PGD, often what’s missing is context. We can help at RMANJ. Hopeful parents like you have more information, resources, and support than ever before to help make good decisions about choosing the best fertility treatment options for you. But as leaders in the field of reproductive medicine, we can offer the unique insights and evidence to help you take control of your infertility care and potentially shorten the time needed to be successful.
If you’re having trouble getting pregnant or staying pregnant, you’re not alone. More than seven million men and women in the US struggle with infertility—about 12% of people of reproductive age. 2/3 of cases can be attributed to a problem specific to a male or female partner—in about 1/3 of cases, the cause of infertility cannot be determined. However, age remains our biggest obstacle to success.
The American Society for Reproductive Medicine (ASRM) recommends seeing a reproductive specialist if you are under age 35 and unable to get pregnant after trying for 12 months. If you’re over 35 and have been trying without success for 6 months, it may be time for some answers. RMANJ will work closely with you to present effective fertility treatment options and approach that feels right to you and focused on success.
Female fertility issues are the cause of infertility in about 1/3 of cases. Causes of female infertility can be due to ovulation disorders, such as polycystic ovary syndrome (PCOS) or premature ovarian insufficiency (POI) or physical issues with the reproductive system, such as fibroids or damaged fallopian tubes.
About 1/3 of infertility cases are due to male fertility issues—these can range from low sperm count or sperm abnormalities to hormonal imbalances or problems related to the reproductive anatomy. Health and lifestyle factors such as stress, weight, and alcohol consumption can also play a role.
As a recognized leader in LGBTQ Health Care Equality by the Human Rights Campaign (HRC) Foundation, we take great pride in our nearly 20 years of successfully helping same sex couples become parents. Offering a comprehensive approach and proven path to having a family in the shortest time necessary, for all patients from New Jersey, New York, Philadelphia and around the world.
As a new patient you might be overwhelmed by the many acronyms and medical jargon related to fertility care; IVF, IUI, OI, FSH, FET AMH, and CCS. We can help make sense of it all. RMANJ specializes in various fertility treatments across our offices in New Jersey. We offer only the most validated and effective procedures in assisted reproductive technology (ART).
Our goal is to help you achieve a healthy pregnancy and delivery in the shortest time possible. We’ll be there every step of the way to provide the fertility treatment options that are effective and feels right to you as a patient and person. Once you decide what options are right for you, your RMANJ physician will design a treatment plan tailored to your specific situation which may include:
Infertility Work Up – The starting point for all patients is an extensive review of their medical history, blood work, and examination via ultrasound. Within 30-days or less we can often get to the root causes of infertility. In most cases, the infertility work-up is covered by insurance. Check with your carrier or benefits director at your company.
Intrauterine Insemination (IUI) – IUI’s are usually a first line fertility treatment where the sperm is placed directly inside a woman’s uterus to facilitate fertilization. IUI are usually recommended when male sperm count is low or in conjunction with ovulation-stimulating drugs.
In vitro Fertilization (IVF) – IVF is a highly effective and common fertility treatment in the US today. Patient’s eggs are retrieved after ovarian stimulation and then combined with sperm to achieve fertilization in the laboratory. Embryos are allowed to grow to the blastocyst stage of embryonic development usually around day 5 or 6 after fertilization. Only high performing and well-controlled IVF labs can routinely offer blastocyst development which has shown to increase implantation rates.
Frozen Embryo Transfer (FET) – Not only have FET’s shown to increase implantation rates but support improved obstetrical outcomes including higher birth weight deliveries and lower risk of prematurity vs. fresh transfer cycles. FET’s allow a more natural transfer experience by safely cryopreserving or “freezing” the embryo and waiting until the patient’s hormone levels return to a more natural state – usually within their next cycle.
Preimplantation Genetic Diagnosis (PGD) – PGD is helping to make IVF care safer and more successful. Using the latest technology we can help identify specific genetic issues in embryos including Cystic Fibrosis, Fragile X Syndrome, Huntington’s disease, and the BRACA 1 and BRACA II genes. By removing affected embryos from the selection pool, we can reduce the risk of transferring genetic diseases by transferring only unaffected embryos.
Preimplantation Genetic Screening (PGS) – PGS allows your provider to determine if your embryos have a balanced number of chromosomes and have the greatest chance of becoming and healthy pregnancy and delivery. Embryos with too few or too many chromosomes will almost always lead to a field IVF cycle or miscarriage.
Fertility Preservation – Egg freezing is now a well-established path for many young women. Patients with a recent diagnosis of cancer will be seen within 24-28 hours of diagnosis and well before any chemotherapy. For other women fertility preservation offers peace of mind while focused on other things like careers and relationships.
Fertility Acupuncture – Our certified acupuncture specialists are trained in the healing arts of advanced acupuncture for fertility using traditional and laser acupuncture technology focused on the reproductive system.
Fertility Yoga – Some experts believe that yoga can help promote fertility health by increasing blood flow to your pelvis, stimulating hormone-producing glands and releasing muscle tension. RMANJ has partnered with local yoga studio Be Well Morristown.
Fertility Diet and Nutrition – Having a well-balanced healthy diet is one of the best ways a woman can prepare herself for pregnancy & fertility treatment. Medical nutrition therapy can play a major role in management of Polycystic Ovary Syndrome (PCOS), insulin resistance and hormone balance. Our registered dietitians work closely with your Clinical Care Team to provide personalized nutrition counseling and dietary education classes in each of our RMANJ office locations.