Semen
analysis and blood tests to evaluate male factor: The semen
analysis specifically determines the sperm concentration, motility (movement)
and morphology (shape).
Tests
to evaluate the uterus and tubes. Hysterosalpingogram (HSG) can
uncover the presence of uterine scar tissue, polyps, fibroids, or an abnormally
shaped uterus. The X-ray offers detailed images of the uterine cavity and the
fallopian tubes. A hysteroscopy , which uses a fiberoptic
scope, may also be performed to conduct an examination of the uterus.
Laparoscopy
can diagnose tubal factor; such as blocked or damaged fallopian
tubes. The procedure enables a surgeon to view and find abnormalities of the
uterus, ovaries, fallopian tubes, and pelvis using a fiberoptic scope. Damaged
or blocked fallopian tubes can sometimes be repaired via endoscopic surgery,
using laser; electrocautery; or other operative techniques.
Pelvic
ultrasound can determine if a woman has irregular or abnormal
pelvic anatomy, as well as provide information about the uterus and its endometrial
lining. Using advanced ultrasound technology, a doctor can see if the ovaries
are producing follicles, the cystic structures where the eggs develop, or if
the uterine lining is adequate. Saline infusion sonohysterography (SIS) can
delineate intrauterine problems.
Assessment
of female fertility potential
Using the
combination of Day 3 FSH levels, antral follicle counts on pelvic ultrasound,
and serum AMH levels, doctors at URA can help infertile women evaluate their
ovarian fertility potential.
In
Vitro Fertilization (IVF)
Eggs are retrieved from the ovary and fertilized with sperm from a male partner
or donor. Fertilization occurs in the laboratory outside the woman's body. The
embryos are then transferred to the uterus. This is a promising option for couples
whose infertility is caused by blocked, damaged, or absent fallopian tubes;
male factor; endometriosis; or unexplained infertility.
URA IVF success
rates are outstanding and can be seen at their website
at www.uranj.com
or at www.sart.org
.
Intracytoplasmic
Sperm Injections (ICSI)
Severe male factor infertility can be overcome with ICSI, a highly successful
micro-injection technique that introduces a single sperm into the egg.
Assisted
Zona Hatching (AZH)
This micromanipulation
technique delicately opens up the coating around the embryo (the zona pellucida)
in order to facilitate the embryo's interaction with the uterus and therefore
improve implantation.
Pre-implantation
Genetic Diagnosis (PGD)
PGD allows
detection of inherited abnormal genetic traits from parents known to be carriers
of Mendelian traits (autosomal recessive traits like sickle cell anemia, Tay
Sachs or cystic fibrosis, autosomal dominant traits such as Huntington's disease,
or sex-linked disorders such as hemophilia) or balanced translocations. Selective
transfer of only unaffected embryos allows prevention of these serious diseases
and avoids the ethical dilemmas of amniocentesis and mid-term pregnancy termination
for affected pregnancies.
Research
Studies
Clinical
and basic research is always ongoing at URA. The resources provide by our close
working relationship with scientific colleagues at New Jersey Medical School
allow us to be on the cutting edge of the latest advances in reproductive medicine.
Our patients are eligible for enrollment in a variety of studies, which are
supported by the NIH, industry, and UMDNJ.
Fertility
Preservation Program
As the URA
lab staff has perfected the process of egg freezing, fertility preservation
is now available as an option for both women and men contemplating potentially
gonadotoxic therapies, such as chemotherapy. With financial support for patients/couples
available through Fertile Hope (for those meeting their criteria), fertility
preservation is within reach for many individuals and offers a realistic hope
of future fertility to most patients.
Main Office:
214 Terrace
Ave
Hasbrouck
Heights, NJ 07604
Phone: 201-288-6330
or toll-free 1-888-770-9080
Fax: 201-288-6331
Conveniently
located in a free-standing building in Hasbrouck Heights, N.J. The center is
only 20 minutes from New York City, and accessible from Routes 80, 17, 4, and
46, the New Jersey Turnpike, and the Garden State Parkway.
Hoboken
Office:
79 Hudson
Street, Suite 102 LL
Hoboken,
NJ 07030
Phone: 201-830-3450
or toll-free 1-888-770-9080
Fax: 201-526-9508
This office is located one block from the
Hoboken train station. Using the NJ Transit or PATH systems, this office is conveniently
reached from all parts of NJ and NYC.