Monday, October 19, 2009

semen analysis cost

Semen Analysis Cost (2009)

The semen analysis is a basic diagnostic test for male infertility that can determine whether the sperm that is produced within the semen (at ejaculation) has a normal appearance. Sometimes, the semen analysis is proposed as a “sperm function” test, such as when “strict morphology” is performed, but the reliability of a semen analysis to determine the ability of the sperm to fertilize an egg (it’s function) is low (it is unable to accurately predict function).

A semen analysis is a valuable and a relatively inexpensive fertility test. In our offices a basic semen analysis costs 100 dollars and determines the volume (of the total ejaculate), concentration (number of sperm per mL ejaculate), motility (percentage of the total sperm that are moving), and morphology (shape of the sperm) of the sperm. With this information, our Board Certified Reproductive Endocrinologist will be able to consult with you to further discuss useful diagnostic tests and infertility treatments. If a mild to moderate male infertility problem is suggested, starting infertility treatment with natural cycles and intrauterine insemination (IUI) is usually considered. If these are ineffective, more aggressive management is then considered.

Dr. Eric Daiter at The NJ Center for Fertility and Reproductive Medicine, LLC has extensive experience in the treatment of male infertility and he would be happy to help you. For an appointment to discuss your situation with Dr. Daiter, please call the office at 908 226 0250. Also, you can visit us on the web at http://www.drericdaitermd.com http://www.infertilitytutorials.com or http://www.ericdaiter.com

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Wednesday, October 14, 2009

Male Factor Infertility

Male infertility

When a couple has been trying to get pregnant for a long time, the partners often try to figure out the reason for their lack of success. Statistically, the reason involves male infertility about one third of the time, female infertility about one third of the time, and a combination of male and female infertility factors the remaining one third of the time. Consulting with a Reproductive Endocrinology and Infertility expert can significantly help to determine the range of causes and develop an infertility treatment plan.

Male infertility can be due to difficulty in completing intercourse, an inability of the sperm to live within the female reproductive tract long enough to fertilize the egg within the fallopian tube, or a problem with the production of normal sperm.

Difficulty with completing intercourse can be due to an erectile or an ejaculatory problem. Sometimes these problems can be effectively treated with medication. When treatment is not possible, but the man is able to produce a semen sample into a container, then intrauterine inseminations (IUI) that are timed at ovulation are often effective.

The sperm normally fertilizes the egg within the woman’s fallopian tube. There is usually a tremendous decrease in the number of motile sperm along this journey from the initial placement within the vagina (where sperm is usually destroyed within about one hour due to a difference in acidity between the semen fluid and the vaginal vault) to residing within the uterine cervical mucus (where sperm can usually survive comfortably for several days) to passage through the uterus and into the fallopian tube. Generally, it is estimated that if 50 million sperm are placed within the vaginal vault during intercourse only a few thousand of these sperm ever reach the fallopian tube, where they have a chance to fertilize the egg. When this type of male factor is a cause of infertility, then IUI (intrauterine insemination) procedures to place the sperm near the egg at the time of ovulation can be helpful.

The semen analysis is the most common test to determine whether normal sperm are being produced. The major variables that are tested include volume (amount of semen in the ejaculate), concentration (number of sperm per unit volume of semen), motility (percent of sperm that are moving), and morphology (shape of the sperm present). When these numbers fall within the normal range for semen analysis, the sperm is thought to be “good.” But really only a history of proven fertility, such as having achieved a pregnancy with someone in the past or having fertilization at IVF (in vitro fertilization), demonstrates that the sperm is actually capable of fertilizing a human egg. For most mild to moderate male infertility problems involving the production of normal sperm, IUI (intrauterine insemination) is a reasonable treatment alternative. If there is a severe male infertility problem with the sperm, then ICSI (intracytoplasmic sperm injection, which is a form of assisted fertilization) or the use of donor sperm may need to be considered.


Dr. Eric Daiter at The NJ Center for Fertility and Reproductive Medicine, LLC has extensive experience with male infertility and has personally performed thousands of semen analyses. He would be happy to help you. For an appointment to discuss your situation with Dr. Daiter, please call the office at 908 226 0250. Visit us on the web at http://www.drericdaitermd.com/or http://www.ericdaiter.com

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Monday, October 12, 2009

IUI cost

IUI, Artificial Insemination, treatment cycle cost (2009)

IUI (intrauterine insemination) is ideally performed just prior to ovulation (the release of a fertilizable mature egg). The sperm may survive and be able to fertilize a mature egg for several days following artificial intrauterine insemination (IUI) but the mature egg is probably only able to be fertilized for 1 to 2 days after ovulation.

The IUI procedure requires that the semen sample be prepared (washed) to remove the sperm (the male reproductive product that contains the potential father’s DNA) from the semen (liquid secreted from the seminal vesicles that contains prostaglandins). If prostaglandins are placed within the uterus, as would be the case if IUI were performed without washing the sample free of semen, then the woman would suffer terrible uterine cramps for several hours. Generally, in New Jersey IUI costs roughly 200-400 dollars and the washing procedure costs roughly 150-300 dollars.

The total cost of an IUI treatment cycle varies considerably depending on whether fertility ovulation enhancing medications are used. These medications can be expensive and the monitoring that is required for their safe use is also potentially expensive.

In natural ovulation cycles with IUI, where no fertility medications are used, the woman allows her egg to mature on its own and an IUI is performed at the time of ovulation. When a woman has highly predictable menstrual cycle intervals then ovulation can be predicted fairly accurately to occur about 14 days before the onset of the next expected menstrual flow. This timing can be confirmed with an ovulation predictor kit, which generally uses LH detection to determine when the LH surge occurs (the LH surge triggers the release of the mature egg at ovulation). LH ovulation predictor kits often contain several LH detection sticks (one test stick is used each day) and cost about 25-50 dollars per kit. Sometimes, several ovulation predictor kits are required per month if the timing of ovulation is less predictable. If the available ovulation predictor kits are not reliable for a particular woman or if additional accuracy is necessary, then serial ultrasound exams and blood work (for estradiol and LH concentrations) usually is able to determine follicular development more accurately. Often 2-4 ultrasound exams and blood tests are required per cycle. Each ultrasound exam costs roughly 150-350 dollars and blood work at Quest Diagnostics or LabCorp for these hormones can also be a few hundred dollars.

Clomiphene citrate (Clomid) is an ovulation inducing medication that may be effective to regularize or shorten the menstrual cycle intervals if a woman has very irregular menstrual cycle intervals. Clomid often costs less than 100 dollars per cycle and a few ultrasounds or blood tests may be suggested to monitor egg development.

Controlled ovarian hyperstimulation to produce many mature eggs per cycle provide “more targets” for the sperm to attempt to fertilize at IUI and provide a greater per cycle success rate. The medications used for controlled ovarian hyperstimulation are expensive, since each ampule of medication costs 35 – 80 dollars and a woman may use 2 - 6 amps of medication a day for up to 7-10 days (1,000 to 4,000 dollars a cycle depending on medication requirements). Monitoring egg development using 2-5 ultrasound examinations per cycle and blood work 2-5 times per cycle is required to safely administer these medications.

You can save a considerable amount of money as well as increase your chances for success if you consult a Reproductive Endocrinologist (infertility expert) early on to review the range and cost of infertility treatments that may be effective for your unique situation.

Dr. Eric Daiter at The NJ Center for Fertility and Reproductive Medicine, LLC has extensive experience with all types of infertility, the appropriate use of IUI, and he would be happy to help you. For an appointment to discuss your situation with Dr. Daiter, please call the office at 908 226 0250.
For more information please visit us on the web at http://www.drericdaitermd.com/or http://www.ericdaiter.com/

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IUI (artificial insemination)

IUI (Artificial Insemination)

Artificial insemination within a New Jersey fertility office usually includes an IUI (intrauterine insemination). IUI is an office procedure that involves the collection of a semen sample, the washing of the semen sample to remove the semen component, the resuspension of the sperm in a buffered inert medium (often a modified human tubal fluid), and the placement of the washed sperm sample into the woman’s uterus using a thin flexible catheter.

The IUI procedure is relatively inexpensive (generally 200-400 dollars), painless (sometimes slight cramping may occur), and risk free (minimal bleeding and cramping may occur, infection is very rare, and trauma to the uterus is also rare).

IUI (artificial insemination) is an effective treatment when there is a mild to moderate male factor (abnormality in the semen analysis), difficulty completing sexual intercourse (erectile or ejaculatory dysfunction), female domestic partners, an abnormal postcoital test (sperm mucus interaction problem including hostile mucus), or in conjunction with ovulation enhancing fertility drugs (clomiphene citrate = clomid or menotropins including Bravelle or Menopur).

Dr. Eric Daiter at The NJ Center for Fertility and Reproductive Medicine, LLC has extensive experience in IUI and would be happy to help you. For an appointment to discuss your situation with Dr. Daiter, please call the office at 908 226 0250.
For more information please visit us on the web at http://www.drericdaitermd.com/or http://www.ericdaiter.com/

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Saturday, October 10, 2009

Infertility Doctor

Can't afford infertility treatment? Dr. Eric Daiter is an infertility doctor who can help you.

A couple that is struggling with their attempt to become parents is often under significant stress. This stress may impact the very relationship that initially brought the couple together. Men and women generally expect to have the opportunity to have children and develop their own family as soon as they decide to do so. Concerns with infertility can be frightening, stressful, and ultimately destructive.

Medicine has developed a great deal of information about infertility, including a growing appreciation of the causes of infertility and effective treatments for these causes of infertility. Reproductive Endocrinologists are infertility specialists with special training in the useful tests and treatments for couples suffering with fertility problems. Consulting with an experienced infertility expert can be very helpful in several different ways: you can learn about (1) the normal physiological events that must occur for fertility to be successful, (2) the male and female infertility tests that are available to determine where a problem may exist, and (3) the infertility treatments that should improve your chances of conception.

Infertility treatments can vary in terms of their invasiveness (more or less natural), aggressiveness (more or less focused), cost (more or less expensive), or suitability for a particular couple (more or less customized to match the couple’s own unique personal desires for care).

Dr. Eric Daiter at The NJ Center for Fertility and Reproductive Medicine, LLC has extensive experience in the diagnosis and treatment of infertility and he would be happy to help you customize a management plan that fits your own lifestyle. For an appointment to discuss your situation with Dr. Daiter, please call the office at 908 226 0250. You can also visit us on the web at http://www.drericdaitermd.com/or http://www.ericdaiter.com/

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Friday, October 9, 2009

Infertility Treatment Cost

The cost of some infertility treatments can be unaffordable, or they may place a significant financial burden on a couple. Fortunately, there are usually a range of different infertility treatment alternatives that could be effective for a couple, based on the results of specific male and female infertility tests. Some of these infertility treatments may be covered by insurance or less expensive in general. Often, an infertility expert can help you to develop a management plan that is both effective and affordable.

It is important to understand your specific medical insurance benefits as well as the costs of different infertility treatments. At The NJ Center for Fertility and Reproductive Medicine, LLC your insurance benefits are checked before your initial appointment so that you know whether you have any out of pocket costs for your infertility treatment. During your initial consultation, Dr. Eric Daiter fully reviews your situation and the full range of appropriate and effective infertility treatments. Throughout your care, you actively participate in deciding on an infertility treatment management plan that you are comfortable with.

For more information, see our website at http://www.drericdaitermd.com/or http://www.ericdaiter.com/

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Friday, May 30, 2008

Intercourse Positions to Aid in Conception and Gender Selection

Making a baby is supposed to be fun, right? For millions of couples each year, however, this becomes an arduous task fraught with anticipation, disappointment, and hard to avoid stress. Stress in the mind leads to adverse conditions, especially in a woman’s body, and is to be avoided. But how can you avoid stress when sex has become a full-time job, a calendar watching, temperature-taking sojourn for a conception-minded couple? Maybe try mixing it up a little. Perhaps a little hiatus from having a baby one-mindedness could help. A little diversionary route into gender selection techniques might just be the change of focus that is needed to get things headed in the right direction and make conception a reality. The following discussion is very controversial as it is not based on high quality scientific research, but is presented as it is often a focus of discussion.

Conception chances increase by making sure that the man’s sperm is deposited as closely as possible to the woman’s cervix, so positions allowing for maximum depth of penetration are most advantageous. Remember gravity can be your friend when attempting conception, so “woman on top” positioning is not the best for conception due to the necessary upward travel of the sperm. The objective is to make sure all of the male’s sperm has its best chance to reach the cervix, so gravitationally challenged positioning could allow an excessively unnecessary amount of the sperm to leak out. A position that fits this criteria and, according to a method developed by Landrum B. Shettles will help have a male offspring, is the rear entry or “doggie” position. Allowing the sperm to be deposited nearest the cervix gives the best chance for shorter living Y-chromosome, male producing sperm to fertilize an egg. Shettles also advises to have sexual intercourse as near to ovulation as possible so don’t put those basal body temperature charts away! Allowing Y chromosome sperm this smaller distance to travel increases the chance for its survival. A female orgasm is also advisable to increase Y chromosome-favorable alkaline secretions within the vagina. For chances resultant in a female offspring to be increased, Shettles recommends having sexual intercourse in the missionary position (man on top), but with shallow penetration. This idea is motivated by the X chromosome’s (girl sperm) ability to live longer than the male sperm. To promote female egg fertilization, Shettles recommends that intercourse happen several days before ovulation in order to give these long living, girl producing sperm a better chance of outlasting the Y chromosome sperm and reaching the egg.

Most couples having trouble conceiving will of course be happy with any gender offspring, but perhaps a little change of focus might be the variety necessary to achieve success. As always, ask your doctor for more tips and hints, and remember to enjoy these attempts, relieve some stress, and conception just might be easier!

About the Author: Eric Daiter has been sponsored by The NJ Center for Fertility and Reproductive Medicine, LLC, a leading provider of infertility treatment. For more information, please visit http://www.infertilitytutorials.com/ http://www.drericdaitermd.com or http://www.ericdaiter.com/

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Thursday, May 15, 2008

Increasing Male Fertility

Millions of couples each year decide it is time to start a family. A substantial percentage of those find that after several years of successful family planning to avoid conception, getting pregnant can be elusive and seemingly impossible. In these situations, infertility responsibility should not merely fall to the female, for research has shown that male infertility shares the burden of conceptive issues. In fact, male infertility has shown to be a contributive factor in 50% of all infertility cases and the sole reason for unsuccessful conception in nearly 33% of all infertility cases. Male partners must be conscious of their lifestyle in order to put their best sperm forward that will prove viable and capable of making contact with their partners’ eggs and flourish.

Many men are less fertile because of their negligible diets. Eating potato chips, drinking beer, and sitting on the couch each and every day does not provide the due diligence necessary to be a productive partner for the female you care for and want to start a family with. Men need to be more conscious of their diets. Diets rich in zinc provided by multi-grain cereal, seafood, and eggs, have shown to increase sperm production in healthy men and increase viable sperm production in less fertile men as well. Men should also consistently eat 5 servings or more of fruits and vegetables daily to help promote motility in their sperm. A diet rich in antioxidants can help men produce vigorous and healthy sperm that will have no trouble wriggling their way through their partners’ vaginas and ultimately fertilizing an egg.

Daily exercise is not only helpful at keeping obesity and that unsightly paunch at bay, regular exercise has been shown to help relieve the stress and anxiety which often affects fertility in both men and women. Men should exercise at least 45 minutes, 5 times a week to help promote a healthy body weight and increased sperm production, not to mention its positive affects on male libido. Research is split over cycling however, with studies showing that the friction the testicles are subjected to can increase their temperature and cause lower sperm counts.

As always, the use of tobacco products, excessive drinking, and illicit drug use are not good for the body, male or female. Men should abstain from use of these recreational substances as part of their conscious effort to help with conception.

Male fertility can be increased by simply adapting better food and exercise choices. It is only fair that fertility responsibility be shared by a hopeful couple as they look forward to the future of shared responsibility that is parenting.

About the Author: Eric Daiter has been sponsored by The NJ Center for Fertility and Reproductive Medicine, LLC, a leading provider of semen analysis and male infertility treatment. For more information, please visit www.infertilitytutorials.com.

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Tuesday, April 1, 2008

New Male Infertility Testing

The University of Virginia has been conducting research on the development of a post-vasectomy sterility test for men, and SpermCheck is one of the many products adapted from that technological research by John C. Herr, of UVA’s Center for Research in Contraceptive and Reproductive Health. The technology has been licensed and patented by the University of Virginia, and though many have attempted to create such a home test, SpermCheck stands out because it is the first to achieve FDA approval.

It is the result of years of clinical chemistry and scientific research according to Dr. Herr who collaborated with Dr. Stuart Howards and Charles Flickinger. The idea is similar to that of a home pregnancy test for women. SpermCheck is the first diagnostic home test with the ability to accurately detect low sperm count, largely targeting post vasectomy men. Previously, men were required to return to a physician or specialist after a vasectomy in order to confirm a drop in sperm count. With SpermCheck, these men will have the option of home testing to confirm sub-fertile sperm counts, saving time and money.

Out of the hundreds of thousands of men who undergo vasectomies, approximately one percent will experience recanalization. It is actually possible for the vas deferens to spontaneously heal, thus rendering the vasectomy ineffective. Though this is a real possibility, most men do not continue regular check-ups with a physician in order to prevent the risk of pregnancy especially because the risk of recanalization is much higher in the first month following the procedure. This is another useful application for SpermCheck, providing men with an easy, at home method of testing their sperm count in order monitor the risk of pregnancy.

Pure curiosity about male infertility is another important application for SpermCheck. For pre-marriage and fatherhood men, SpermCheck will provide a simple solution for analyzing their sperm count, establishing the future possibility of fathering children. This may help couples to make decisions about their future, bringing more awareness to the possibility of impotence. This kind of awareness can serve to reduce the psychological stress of male infertility, giving men an easy method of determining the possibility of fatherhood earlier in life.

The University of Virginia and John Herr are very excited to see 20 years of research result in an actual product on the market. It is the first time for the biology department of UVA to experience such an accomplishment. This simple test for scientific knowledge will truly serve the public good by preventing unwanted pregnancy by a failed vasectomy and easily bringing new reproductive awareness to men.

About the Author: Eric Daiter has been sponsored by The NJ Center for Fertility and Reproductive Medicine, LLC, a leading expert in female and male infertility. For more information, please visit www.infertilitytutorials.com.

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Sunday, March 2, 2008

Coping With Infertility

If you are one of the many couples dealing with fertility problems you may be wondering how to cope with the wave of emotions that has arisen. Family and friends don’t always understand what it’s like to struggle with conceiving and the overwhelming disappointment you feel each month when the pregnancy test comes back negative or the grief and loss felt with each miscarriage. Here are few ways to help you and your partner cope with infertility.

Do not blame yourself or your partner. It is not uncommon for one or both partners to feel that it is their fault they are unable to get pregnant. Blame may stem from past choices or circumstances that may have had an effect your ability to conceive, or be directed toward your partner for wanting to wait until later to start a family. The blame game is always a lame game. Blaming is never helpful or constructive. It is be hurtful and creates stress that can further distance you from your goals. Instead, acknowledge that there are things that may have influenced your chances of having children, but you cannot change the past. Look forward to the future and what you can do together now. Work as a team to determine your options.

Continually educate yourself about infertility. Uncertainty or fear of the unknown plays a big part in how you respond or cope with feelings. The more you understand about infertility and infertility treatments available the better you and your partner are able to plan for what lies ahead. This can be a great source of hope. You will know what to expect from different types of treatments and how much they will cost. You’ll also feel more comfortable talking to family and friends about your situation.

Give yourself permission to talk about your feelings. Be open and honest with your partner about how you are feeling and you may find they are feeling some of the same emotions. Set a time limit for how long you and your partner talk about frustrations, sadness, and further plans, since it can be draining or amplify those negative feelings. Find a support group for couples who are struggling with fertility problems. Your doctor’s office should be able to recommend groups that meet in your neighbourhood. There are support groups available online where you can chat with others who are experiencing the same things you are and be encouraged by couples who have been through it and have had a successful pregnancy.

Don’t give up hope. Whatever type of infertility treatment you and your partner choose there may be disappointments, but be encouraged. There is always someone who has walked the same road and can share their experience, strength and hope.


About the Author: Eric Daiter has been sponsored by The NJ Center for Reproductive Medicine, a leading provider of infertility treatment, to write information about male infertility. For more information, please visit www.infertilitytutorials.com.

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Wednesday, January 30, 2008

Male Infertility and Testicular Sperm Extraction

Male factor infertility is accounted for in approximately 50% of couples attempting to conceive. This is attributed to a wide range of factors including stress, excessive use of recreational drugs, hypogonadism, erectile dysfunction, hypospadias, obstruction of the vas defens, oligospermia, and infections. Azoospermia and necrospermia are among the more serious forms of male infertility and generally require infertility treatment in order to achieve a pregnancy.

Men with azoospermia have no sperm in their ejaculate. This is further categorized into obstructive azoospermia, where there is a blockage in the pathway from the testes to the point of ejaculation, and non-obstructive, where there is a problem producing the sperm in the testes. Necrospermia is where the sperm in the ejaculate is dead or lacks motility. These conditions are congenital and cannot be cured. Immotile cilia syndrome is a congenital disorder in which the sperm are actually alive but cannot move. Live sperm that is arrested in development may not be able to be released from the testes, and in these situations advances in infertility treatment, such as testicular sperm extraction, can provide an infertility solution.

The hormones FSH and LH are responsible for sperm production in men, which begins in the testes. Sperm cells go through several phases in the testes and eventually become mature spermatozoa. Spermatozoa leave the testes and travel into the epididymis. It is here where they develop motility and become fully mature sperm capable of fertilizing an egg. It was once thought that no motile sperm could be found in the testes. This has proven true for cases where there is no obstruction in the pathway. When a blockage is present healthy motile spermatozoa have been found in the efferent ducts or the caput epididymis.

Retrieving the sperm is a relatively simple and painless procedure that can be done on an outpatient basis. The skin is stretched out tightly and a small “butterfly” needle is inserted into the testes. Movement of the needle draws out testicular tubules. The needle is withdrawn slowly taking a strand of testicular tissue with it. The tissue is grasped with forceps and gently pulled from the testes. Placed in a culture medium the sample can be examined under a stereozoom microscope for presence of suitable sperm.

The physician will be looking for healthy motile sperm with proper morphology, or shape. Samples don’t often possess enough sperm for intrauterine insemination (IUI), but can work well with intra-cytoplasmic sperm injection(ICSI). ICSI is a microscopic procedure that requires in vitro fertilization, involving the placement of individual sperm cells into individual eggs using a glass needle. The fertilized egg or preimpantation embryo is then transfered into the uterus. The fertilized egg is then inserted into the uterus. While the process is not without risk, ICSI has become accepted as a relatively safe medical procedure.

About the Author: Eric Daiter has been sponsored by The NJ Center for Reproductive Medicine, a leading provider of infertility treatment, to write information about the infertility solution. For more information, please visit www.infertilitytutorials.com

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