Dr Eric Daiter is a nationally recognized expert in Reproductive Endocrinology and Infertility who has proudly served patients at his office in New Jersey for 20 years. If you have questions or you just want to find a caring infertility specialist, Dr Eric Daiter would be happy to help you (in the office or on the telephone). It is easy, just call us at 908 226 0250 to set up an appointment (leave a message with your name and number if we are unable to get to the phone and someone will call you back).
"I always try to be available for my patients since I do understand the pain and frustration associated with fertility problems or endometriosis."
"I understand that the economy is very tough and insurance companies do not cover a lot of the services that might help you.Â I always try to minimize your out of pocket cost while encouraging the most successful and effective treatments available."
Need help or have a question?
Pelvic Factor Tutorial
Normal human reproduction requires a mature sperm to meet and fertilize a mature egg within the female reproductive tract
(usually the fallopian tube). The fertilized egg (pre-implantation embryo) grows to become a multi-cellular "blastocyst," hatches
from its "shell" (a soft gel like shell called the zona pellucida), adheres to the uterine lining (endometrium) and implants into
the uterus. The implanted embryo then connects and communicates with the female host (pregnant woman) through blood vessels that
are developed, from which it can then obtain nutrients and release metabolic waste products.
Pelvic factor infertility refers to any structural (anatomic) abnormality that limits or prevents the mature sperm and mature egg
from meeting and developing into a normal pregnancy.
In this pelvic factor tutorial, the mechanical events that must occur for normal human reproduction are reviewed and
discussed by Dr. Eric Daiter.
Click image to visit the Pelvic Factor Tutorial site for additional information.
The normal events that allow fertilization (of the mature sperm and mature egg) and implantation (of the subsequent
pre-implantation embryo) are active areas of medical research. Dr. Daiter reviews pelvic factor abnormalities that can reduce the
chances for successful pregnancy, including mechanical barriers that limit the release of a mature egg (from the ovary and its
subsequent entry into the fallopian tube) or the release of a mature sperm (from the testis and their subsequent entry into the
female reproductive tract), cervical mucus abnormalities that reduce viability of sperm, and anatomic abnormalities of the pelvis
(such as endometriosis symptoms or pelvic adhesions) or uterus that limit normal fertilization and implantation.
Dr. Daiter discusses the available diagnostic tests to detect a pelvic factor problem, including the sensitivity
and specificity of the screening semen analysis, sterile speculum exam, postcoital test, hysterosalpingogram, sonohysterogram,
endometrial biopsy and pelvic evaluation (laparoscopy and hysteroscopy).
There are a number of different locations where pelvic abnormalities may reduce fertility, each with their own
treatment alternatives. Dr. Daiter describes the anatomic problems involving the male outflow tract, the vaginal vault, the cervix,
the uterus, the fallopian tubes, pelvic endometriosis, and pelvic adhesions.
The clinical evaluation for pelvic factor infertility that Dr. Daiter employs in his practice at The New Jersey
Center for Fertility and Reproductive Medicine is presented. The questions asked to obtain a thorough history and a description of
the procedures involved with the postcoital test, hysterosalpingogram, sonohysterogram, and pelvic evaluation (laparoscopy and
hysteroscopy) are provided.
The treatment options for pelvic factor abnormalities are based primarily on the type of problem identified.
Dr. Daiter reviews these treatments, including intrauterine inseminations, controlled ovarian hyperstimulation, surgery, and In
Vitro Fertilization (IVF).