At Metro Fertility Care, we have dedicated ourselves to making the dream of having a baby a reality for each one of our patients. We strive to offer the most comprehensive range of fertility treatments and services, including, IVF, ICSI, intrauterine insemination (IUI), and egg donation, at our office in Alexandria, Northern Virginia.
We offer a full range of preliminary diagnostic tests for patients who are just starting the infertility evaluation. Your gynecologist may have ordered some of these tests, which we may not have to repeat if the results are available. Such testing includes:
These diagnostic evaluations will help you and Dr. Durso determine which method of treatment is best for you. The combination of your age, infertility factors, length of time trying to conceive, prior pregnancies, and ethical issues are all used to determine the choice of treatments. Although we are equipped to provide the most technical care available, we welcome patients who want to try more conservative treatments if appropriate. We are extensively trained to provide minimal stimulation IVF, IUI, and all of the latest, most technologically advanced infertility solutions today at our office in Alexandria, including:
Ovulation management (OM) involves the use of fertility drugs to stimulate the ovaries to produce multiple eggs. There are two levels of ovulation medication. Clomiphene has been used since the early 1960s to stimulate ovulation. It is a pill that works with the brain to send a signal to the ovary to induce ovulation. The side effects are mild and the risk of twins is increased from 3 to 10 percent. The risk of triplets or higher is no greater than normal. The second level of ovulation medication is gonadotropins. These medications are only available in injectable form and need to be taken on a daily basis. Monitoring with sonograms and hormone levels is necessary to keep careful track of the maturing follicles. Such monitoring is performed early in the morning to minimize disruption of a patient's daily routine.
Risks include an increased possibility of multiple births, ovarian cysts, and in rare cases, ovarian hyperstimulation syndrome (OHSS). Symptoms of OHSS include nausea, vomiting, bloating, weight gain, laborious breathing, and severe pain in the pelvis, chest, or abdomen.
Clomiphene, Serophene®, Repronex®, Follistim®, Bravelle™, Pergonal®, Gonal-F®, Metformin®, and Parlodel are some of the most commonly prescribed fertility drugs. They are used to treat women with infrequent periods, infrequent ovulation, polycystic ovary syndrome, unexplained infertility, and high prolactin levels.
To explore your ovulation management options, please contact Metro Fertility Care in Alexandria, Virginia today.
Intrauterine Insemination (IUI) is a relatively simple procedure which facilitates fertilization by placing sperm in a woman's uterus. During IUI, a man's sperm is inserted into the uterine cavity through a soft tube called a catheter. The procedure is scheduled close to when a woman begins ovulating. IUI increases the likelihood of pregnancy, because sperm are able to bypass the cervix and a higher number have a chance to get closer to the egg.
IUI is typically performed when the sperm and cervical mucus are incompatible, when a man is impotent or suffers from premature ejaculation, or when there is a low sperm count or motility. The woman must have at least one open fallopian tube to be able to use IUI. Sperm used in the procedure may come from a partner or from a donor. Ask about our discount program for donor insemination for single women.
Since the IUI procedure does not require medications or anesthesia, it is a popular option with many couples. Intrauterine insemination is also a less invasive and more affordable alternative to IVF for couples with unexplained infertility or mild male factor infertility. The success of IUI, as with other artificial insemination procedures, is dependent on the health of both the woman's body and the man's sperm.
If you would like more information about intrauterine insemination (IUI), please contact Dr. Nancy M. Durso in Alexandria today.
Egg donation, also known as oocyte donation, provides the chance to have the complete pregnancy experience to women who otherwise could not conceive. Women who have reached menopause and women who have poor egg quality, premature ovarian failure, or an elevated follicle stimulating hormone level (FSH) are among the patients who choose egg donation.
At Metro Fertility Care in Alexandria, Northern Virginia, we guide our patients through the entire egg donation process, from the initial consultation to the embryo transfer. In the interest of matching recipients with donors that best suit them, the consultation will include questions designed to get to know each individual patient, their personality and interests, in order to match them with a donor that shares these characteristics.
After the consultation, patients are given the opportunity to view the profiles of prospective egg donors. Profiles may include photos of the donor, personal interviews, academic achievements, and family medical and mental health history.
After a donor is selected and confirmed, it will take a few weeks to synchronize the cycles of the donor and the recipient. The donor takes injections to stimulate her ovaries. When the eggs are mature, the egg retrieval is performed. The eggs are then inseminated with the sperm of the recipient's partner, or from the sperm of a carefully selected donor. The resulting embryo is then transferred into the recipient's uterus and a pregnancy test is administered two weeks following.
A significant technological advancement, laparoscopic surgery allows us to view the inside of a patient's abdomen, including the reproductive organs, through a small, tube-like device known as a laparoscope. The laparoscope functions like a lighted telescope inside the patient's body. It allows us a clearer view of the internal organs in a minimally invasive way and can even remove ovarian cysts, adhesions in the pelvic area, or an obstructed fallopian tube, called a hydrosalpinx. Endometriosis is a disease commonly found in patients with infertility and pelvic pain. The only way to diagnose endometriosis is by looking into the abdomen. Treatment can be done at the same time with laser or cautery.
Because only small incisions are used, most patients return home the same day with a recovery period of less than a week. Dr. Nancy M. Durso is highly skilled in laparoscopic surgery. She has performed hundreds of surgeries over her 18+ years of practice.
For more information about our egg donation program or any of our other patient services, including IUI, contact Metro Fertility Care in Alexandria, serving Northern Virginia, Maryland, and the Washington, D.C. area.
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For more information about patient services such as IUI and egg donation, contact Metro Fertility Care in Alexandria, Northern Virginia today.
Metro Fertility Care
6355 Walker Lane
Suite 500
Alexandria, Virginia 22310
Call: 703-313-6997
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