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."
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There are several different types of procedures that infertility specialists may employ to help couples achieve a pregnancy. Each
procedure is designed to overcome specific barriers that have been identified during the diagnostic evaluation. Procedures also have a
set of risks that should be considered and carefully weighed by both the physician and patients undergoing treatment.
In Vitro Fertilization (IVF) is used liberally by more "contemporary" infertility programs as kind of a "panacea" (universal
treatment), presumably since it can bypass many pelvic and severe male factor obstacles and it has a relatively high success rate
(per attempted cycle). The downside is that IVF doesn't repair or fix the underlying problem and it is generally expensive.
Pelvic evaluation and repair using highly specialized surgical techniques and skills has been the more "traditional" approach,
presumably since the identification of pelvic abnormalities and their restoration (when possible) may significantly enhance a couple's
overall reproductive potential (so that IVF or other fertility procedures are no longer necessary). Surgical repair is generally
covered by medical insurance so cost is usually contained. The downside is that surgical complications, while uncommon, are possible
and if the repair does not restore natural fertility then other procedures such as IVF may still be required.
In this procedures tutorial, the risks, benefits and alternatives of various common infertility procedures are
reviewed and discussed by Dr. Eric Daiter.
Click image to visit the Procedures Tutorial site for additional information.
Intrauterine insemination (IUI) is a procedure that involves the placement of washed sperm at the top of the uterine
cavity, near where they could normally fertilize an egg within the fallopian tube. Dr. Daiter reviews the general indications for
intrauterine insemination (iui), the specific risks associated with the iui procedure, and the techniques available to wash and prepare
sperm for insemination.
Infertility physicians commonly use ultrasound examination of the female pelvis to assess reproductive pathology as
well as the development of eggs within the ovarian follicles since it is inexpensive, noninvasive and has very low risk. Dr. Daiter
discusses the basic principles of ultrasonography, the techniques used during an ultrasound exam to identify relevant structures, and
the safety of the procedure.
Controlled ovarian hyperstimulation involves the use of injectable fertility medications containing FSH (follicle
stimulating hormone) to stimulate the development of multiple mature eggs. The primary benefit is the release of a greater number of
fertilization capable eggs (targets) for the sperm. Dr. Eric Daiter discusses the indications for controlled ovarian hyperstimulation
("medicated cycles"), the types of medications that are available for use during a stimulated cycle, the appropriate protocols and
office procedures that should be expected during a medicated cycle, and the inherent risks involved with the medications and
procedures. Risks discussed include multiple pregnancies, when selective termination is medically appropriate, ovarian
hyperstimulation syndrome, premature LH surge (trigger to ovulate), ovarian torsion, sub-optimal response to medications, and
Laparoscopy - Hysteroscopy
Surgery is a valuable medical tool that can be used to restore natural reproductive potential and it may allow many
couples to achieve spontaneous pregnancies. Dr. Eric Daiter presents and reviews a great deal of information of interest, including
the types of incisions that may be needed, the importance of noninvasive preoperative testing and establishing a preoperative
diagnosis, the "microsurgical techniques" that are used to minimize postoperative scar formation and optimize functional (reproductive)
outcome, the importance of the operating room team and available equipment, what normally occurs in the operating room during pelvic
evaluation, and the complications that are possible during operative laparoscopy and operative hysteroscopy.
In Vitro Fertilization
In Vitro Fertilization (IVF) has become a very popular procedure and success rates are increasing rapidly as major
developments occur in fields such as embryology. Dr. Daiter discusses many of the major issues involved with In Vitro Fertilization,
including indications for IVF, patient selection criteria for IVF, patient preparation for IVF, and some of the cost considerations.
Additionally, there is a presentation of the medication protocols used during IVF, egg retrieval techniques employed for IVF, and when
to consider Gamete Intra-Fallopian Transfer (GIFT). There is further discussion of embryology laboratory issues such as hatching of
pre-implantation embryos for IVF, in vitro maturation of eggs (currently only experimentally available), Intra-Cytoplasmic Sperm
Injection or ICSI and some of the genetic concerns with this procedure, and embryo co-culture systems and their utility during IVF
embryo development. Dr. Daiter reviews information about embryo implantation, including the window of uterine receptivity for embryo
implantation, immunological concerns associated with embryo implantation, and when to consider gestational surrogacy.