Fertility Services

OVERVIEW OF REPRODUCTION
The Female Reproductive System
A women's reproductive system is mostly located inside the abdominal region. The uterus in located in the lower part of the abdomen and opens into the vagina. A woman has two ovaries, one on each side of the uterus.

Ovulation occurs each month when an egg is released from one of the ovaries into the fallopian tubes; this typically occurs about 12-14 days before the next menstrual period. If a woman has sex around the time ovulation she may become pregnant.
Once sperm in ejaculated into the uterus, it travels the following pathway:
From the uterus, to the vagina, through the cervix, through the uterus and then into the fallopian tubes. When the sperm joins with the egg, the egg then becomes fertilized. The fertilized egg travels down the fallopian tube and then attaches to the lining of the uterus (endometrium) to begin development of the fetus.

If fertilization of the egg does not occur or if a fertilized egg is not attached to the uterine lining, the lining of the uterus is then shed and this process is known as menstruation.

Infertility Factors
A couple facing inferility may be experiencing one or more of these obstacles in both or just one partner. More specifically, 40% of the time both partners may have a problem or 20% of the time just women have the problem and 20% men have the problem. The remaining 10% of the time is related to unknown factors.

About an Infertility Evaluation
An infertility evaluation is a personal consultation with the couple or individual to evaluate past treatments and future needs. An individualized plan is then created to maximize the best options for success with the resources that are available.

A thorough evaluation takes time to carefully assess the factors relating to infertility and requires commitment from the couple. This will likely indicate a cause for infertility and will provide the health care provider with the information to determine the most effective and efficient treatment options.

It is important to note that success rates for conception have continued to improve, although there is no guarantee that an evaluation will determine the cause of your infertility or that conception will occur. As mentioned above, approximately 10-20% of infertility cases are unexplained.

A health care provider from Binghamton Gynecology & Fertility will recommend a follow-up plan to thoroughly assess your past treatments and future needs.

Details about the Evaluation
- Medical History - details about your health, previous and/or current illnesses, surgery history, medications, medication allergies and family history
- Menstrual Cycles - current information and history about your menstrual cycles
- Sexual Habits - a health care provider may recommend, for example, when and how often you should have sexual intercourse
- Pregnancies - previous pregnancies and outcomes (if any) - for example, miscarriages and/or abortions
- Lifestyle - details about food intake, exercise routine, alcohol and/or recreational drug use, smoking and emotional issues
- Physical Examination - routine gynecologic and/or pelvic exam, a health care provider will also assess signs of other conditions that may impact your fertility
- Laboratory and Other Tests - these tests are helpful to evaluate and determine the best treatment options

What is a Hysterosalpingogram?
A hysterosalpingogram is also referred to as the "dye test" or "HSG"; an HSG is a type of x-ray test that is used to carefully examine the uterus and fallopian tubes.

During the HSG test, a specific type of dye is injected into the uterus. The dye is injected by attaching a small tube to the outside of the cervix or by using a thin tube that is inserted through the cervix into the uterus.

During the test continuous x-ray pictures will be taken. The pictures show the pathway of the dye. For example: the dye travels from the fallopian tubes into the uterus.

An HSG can allow your health care provider the opportunity to identify problems such as blocked fallopian tubes, or abnormalities of the uterus; normally when an egg is released (ovulation) it then travels through the fallopian tube into the uterus. If fallopian tubes are blocked, injured or have abnormalities it may prevent sperm from entering the fallopian tubes and therefore, the egg will be unable to become fertilized. Abnormalities of the uterus may lead to miscarriages or premature deliveries.

This test will be performed by Dr. James Dana Kondrup at Lourdes Hospital.

Counseling

Often times there are many emotions that come with fertility treatments, we may refer you to work with a counselor, Deborah Launt.

Deborah E. Launt, R-CSW, MSW received her bachelors degree from Cornell University and her Masters degree from Syracuse University. She has been involved for over 10 years with mental health clinics, working with handicapped children and in school systems. She now applies her diverse knowledge and skills in private practice as a psychotherapist.

Some of the major areas in which Deborah works are:

- Everyday Living

- Marital Issues

- Depression

- Women's Issues

- Attention Deficit Hyperactive Disorder

- Traumatic Brain Injury

This mission of coaching for success is: to raise clients awareness; to help clients use the skills they already have; to handle everyday life stressors; help people refine their strengths; eliminate the negative; and to achieve life enrichment.

Practice location: 4513 Old Vestal Road, Vestal, New York 13850

Phone: 607.624.2009

Insurance Reimbursement
Reimbursment from your insurance provider varies from plan to plan. It is important to understand your benefits for infertility treatment. New York State has passed a new infertility law - for more information on this law, click here.

Fertility Services at Binghamton Gynecology & Fertility
- Complete evaluation and treatment for couples and individuals
- Ovulation induction with medications
- Clomiphene pills (Clomid®, Serophene®)
- Gonadotropins injections (Gonal-F®, Follistim®, Repronex®)
- Satellite In Vitro Fertilization through CNY Fertility Center in Syracuse, New York
- Advanced laparoscopic surgery to correct conditions which impair fertility
- Artificial insemination with either husband's or donor sperm
- Tubal Ligation Reversal

A certain percentage of women regret having their tubes "tied" or ligated. We offer a procedure with only a very small incision (approximately 2 inches, in most cases) where we can microscopically re-connect the tubes together
Success will depend on:
- type of ligation used
- age
- male factors such as abnormal sperm, low motility and low count



Fertility Services OVERVIEW OF REPRODUCTION The Female Reproductive System A women's reproductive system is mostly located inside the abdominal region. The uterus in located in the lower part of the abdomen and opens into the vagina. A woman has two ovaries, one on each side of the uterus. Ovulation occurs each month when an egg is released from one of the ovaries into the fallopian tubes; this typically occurs about 12-14 days before the next menstrual period. If a woman has sex around the time ovulation she may become pregnant. Once sperm in ejaculated into the uterus, it travels the following pathway: From the uterus, to the vagina, through the cervix, through the uterus and then into the fallopian tubes. When the sperm joins with the egg, the egg then becomes fertilized. The fertilized egg travels down the fallopian tube and then attaches to the lining of the uterus (endometrium) to begin development of the fetus. If fertilization of the egg does not occur or if a fertilized egg is not attached to the uterine lining, the lining of the uterus is then shed and this process is known as menstruation. Infertility Factors A couple facing inferility may be experiencing one or more of these obstacles in both or just one partner. More specifically, 40% of the time both partners may have a problem or 20% of the time just women have the problem and 20% men have the problem. The remaining 10% of the time is related to unknown factors. About an Infertility Evaluation An infertility evaluation is a personal consultation with the couple or individual to evaluate past treatments and future needs. An individualized plan is then created to maximize the best options for success with the resources that are available. A thorough evaluation takes time to carefully assess the factors relating to infertility and requires commitment from the couple. This will likely indicate a cause for infertility and will provide the health care provider with the information to determine the most effective and efficient treatment options. It is important to note that success rates for conception have continued to improve, although there is no guarantee that an evaluation will determine the cause of your infertility or that conception will occur. As mentioned above, approximately 10-20% of infertility cases are unexplained. A health care provider from Binghamton Gynecology & Fertility will recommend a follow-up plan to thoroughly assess your past treatments and future needs. Details about the Evaluation - Medical History - details about your health, previous and/or current illnesses, surgery history, medications, medication allergies and family history - Menstrual Cycles - current information and history about your menstrual cycles - Sexual Habits - a health care provider may recommend, for example, when and how often you should have sexual intercourse - Pregnancies - previous pregnancies and outcomes (if any) - for example, miscarriages and/or abortions - Lifestyle - details about food intake, exercise routine, alcohol and/or recreational drug use, smoking and emotional issues - Physical Examination - routine gynecologic and/or pelvic exam, a health care provider will also assess signs of other conditions that may impact your fertility - Laboratory and Other Tests - these tests are helpful to evaluate and determine the best treatment options What is a Hysterosalpingogram? A hysterosalpingogram is also referred to as the "dye test" or "HSG"; an HSG is a type of x-ray test that is used to carefully examine the uterus and fallopian tubes. During the HSG test, a specific type of dye is injected into the uterus. The dye is injected by attaching a small tube to the outside of the cervix or by using a thin tube that is inserted through the cervix into the uterus. During the test continuous x-ray pictures will be taken. The pictures show the pathway of the dye. For example: the dye travels from the fallopian tubes into the uterus. An HSG can allow your health care provider the opportunity to identify problems such as blocked fallopian tubes, or abnormalities of the uterus; normally when an egg is released (ovulation) it then travels through the fallopian tube into the uterus. If fallopian tubes are blocked, injured or have abnormalities it may prevent sperm from entering the fallopian tubes and therefore, the egg will be unable to become fertilized. Abnormalities of the uterus may lead to miscarriages or premature deliveries. This test will be performed by Dr. James Dana Kondrup at Lourdes Hospital. Counseling Often times there are many emotions that come with fertility treatments, we may refer you to work with a counselor, Deborah Launt. Deborah E. Launt, R-CSW, MSW received her bachelors degree from Cornell University and her Masters degree from Syracuse University. She has been involved for over 10 years with mental health clinics, working with handicapped children and in school systems. She now applies her diverse knowledge and skills in private practice as a psychotherapist. Some of the major areas in which Deborah works are: - Everyday Living - Marital Issues - Depression - Women's Issues - Attention Deficit Hyperactive Disorder - Traumatic Brain Injury This mission of coaching for success is: to raise clients awareness; to help clients use the skills they already have; to handle everyday life stressors; help people refine their strengths; eliminate the negative; and to achieve life enrichment. Practice location: 4513 Old Vestal Road, Vestal, New York 13850 Phone: 607.624.2009 Insurance Reimbursement Reimbursment from your insurance provider varies from plan to plan. It is important to understand your benefits for infertility treatment. New York State has passed a new infertility law - for more information on this law, click here. Fertility Services at Binghamton Gynecology & Fertility - Complete evaluation and treatment for couples and individuals - Ovulation induction with medications - Clomiphene pills (Clomid®, Serophene®) - Gonadotropins injections (Gonal-F®, Follistim®, Repronex®) - Satellite In Vitro Fertilization through CNY Fertility Center in Syracuse, New York - Advanced laparoscopic surgery to correct conditions which impair fertility - Artificial insemination with either husband's or donor sperm - Tubal Ligation Reversal A certain percentage of women regret having their tubes "tied" or ligated. We offer a procedure with only a very small incision (approximately 2 inches, in most cases) where we can microscopically re-connect the tubes together Success will depend on: - type of ligation used - age - male factors such as abnormal sperm, low motility and low count