IVF Helps Deliver a Gift worth Waiting For

Posted by Brigham and Women's Hospital October 29, 2013

Leah Miriam Urovitch was born on March 30, 2013, healthy and one day ahead of schedule.

Leah Miriam Urovitch was born on March 30, 2013, healthy and one day ahead of schedule. But her parents, Josh, 45, and Lisa, 43, had been waiting for this little girl for years.

Josh and Lisa were married in 2009, and, because of their ages, they started trying to have a baby right away. They continued trying to conceive naturally for more than a year before deciding to seek professional help.

In 2011, they reached out to Dr. Elena Yanushpolsky, an infertility specialist with the Center for Infertility and Reproductive Surgery (CIRS) at Brigham and Women’s Hospital (BWH). At that point, the primary options for Josh and Lisa were intrauterine insemination (IUI) treatments or in vitro fertilization (IVF).

For IUI, the male partner’s sperm is collected and then injected into the female partner, usually on two consecutive days at the time of ovulation. IVF, on the other hand, is a more involved process and can be broken down into four steps: using medications to stimulate the ovaries to produce multiple mature eggs; surgically removing the eggs; fertilizing and incubating the eggs; and returning the eggs to the uterus by means of a catheter.

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Fertility Treatment Options for Women with Endometriosis

Posted by Brigham and Women's Hospital March 13, 2013

Dr. Marc Laufer, founder of the Boston Center for Endometriosis

March is Endometriosis Awareness Month. Today’s post is written by Dr. Marc Laufer, a senior gynecologist in the Center for Infertility and Reproductive Surgery, Brigham and Women’s Hospital. He also founded the Boston Center for Endometriosis in 2012. This post also appeared on the blog of RESOLVE New England, a nonprofit organization helping patients facing fertility issues.

Recently, I saw 37-year-old woman who was concerned about her difficulty becoming pregnant after she and her husband had been trying for four months. Though her pelvic ultrasound was normal, she mentioned she had significant pain during her periods and some pain with sex. She had experienced this pain for many years. Given her history, I suspected she might be suffering from endometriosis.

Endometriosis occurs when the cells that normally line the inside of the uterus (endometrial cells) are found in other parts of the body, usually in the abdomen or pelvic cavity. Endometriosis can cause severe pain and, if undiagnosed or untreated, can result in fertility problems. There is no correlation between the amount of disease and the amount of pain experienced. Some women have a small amount of disease but experience significant pain, while others have no pain but still experience fertility problems. The more advanced your endometriosis, the more difficult it may be to become pregnant.

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