Reproductive Science Center of NJ

Although pregnancy may seem like an inevitable event in a woman’s life,1 in 8 women will have difficulty conceiving. If you have been trying to conceive and have been unsuccessful, you do not need to feel like you are alone. There are many resources available to help, and discussing your concerns with your gynecologist or infertility specialist may be the first step to achieve that goal.

A healthy fertile couple has approximately a 20% chance of achieving pregnancy per month, with a cumulative pregnancy rate of 85% over the course of a year. It is recommended for a couple to seek infertility counseling and evaluation after the course of 1 year of monthly unprotected intercourse. Since the likelihood of pregnancy success decreases with female age, for women over age 35, it is recommended to seek further evaluation after a 6 month period of attempting conception.

A reproductive endocrinologist will take a medical history of both the female and partner. This includes a review of your menstrual history, and a discussion of any corresponding medical conditions, current medications, and surgical history.

In addition, a physical exam and pelvic ultrasound should be performed as part of your infertility workup. Blood testing is done to determine hormone levels that affect your ability to achieve pregnancy. Finally, a uterus and fallopian tube assessment is performed to determine if any factors exist that can impair your ability to get pregnant.

If there is a male partner, a semen analysis to evaluate for the presence and function of normal sperm should be performed. Approximately 30-40% of couples will have an identified “male factor” that contributes to their infertility.

Depending on your infertility evaluation, your physician will recommend an individualized treatment plan that increases your chances of conceiving. In some cases, a woman needs help releasing an egg (ovulating). There are medications that promote the development and release of an egg from the ovaries. Oftentimes, pelvic ultrasound examination will be carried out to monitor and determine the response of the ovaries to stimulation medications.

As mentioned previously, the cause of infertility may stem from the male, and a concentrated sperm sample can be placed directly inside the uterus via an “intrauterine insemination”, thus increasing the chances of the egg and sperm meeting to fertilize.

In more severe cases of infertility, including blocked fallopian tubes, severely decreased ovarian function, or severe sperm abnormalities, your physician may recommend that you undergo in-vitro fertilization to best increase your likelihood of conceiving.

At the Reproductive Science Center of New Jersey, we are available to answer your fertility questions, perform a complete fertility evaluation, and present you with individualized options for conception all in a comfortable and caring setting. Our patients are made to feel like guests in our home. We are a full service fertility center experienced in all the latest technologies and look forward to help you achieve success.

Reproductive Science Center of NJ has three locations, Lawrenceville, Eatontown, and Toms River. Our center offers convenient hours along with Free Phone Consultations and Free Second Opinions.

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Medical Professionals

Varicose veins are swollen veins that can be seen through the skin. They often have a bulging, twisted appearance. Some varicose veins may be very large and discolored. Others may be smaller. They can occur anywhere on the legs, including the groin area.

Blood must flow up, against gravity, to exit the legs and return to the heart. Our leg veins have one-way valves that assist in this process. Those valves can malfunction and leak, causing blood to flow in the wrong direction. The blood then pools in the legs, increasing the pressure in the veins. This is known as venous reflux disease or Chronic Venous Insufficiency (CVI). Venous reflux is one of the most common causes of varicose veins.

People with varicose veins and venous reflux may feel leg pain, leg heaviness, leg fatigue and/or leg swelling. Itching of the skin of the legs is also a very common complaint. Standing may worsen symptoms. Many people will notice the appearance of bulging legs veins. However, some people will only feel discomfort but not notice any cosmetic changes.

It is important to understand that varicose veins and venous reflux are NOT necessarily simple cosmetic problems. This can be a sign of an abnormal condition in the circulation. In addition to pain, some individuals may be at risk for chronic swelling, permanent skin discoloration, open wounds and even blood clots. With early diagnosis and treatment, long-term complications can usually be prevented. Treatment often has the added benefit of improving aesthetics, even in cases that are not considered “cosmetic.”

An experienced vascular specialist can make the diagnosis with a combination of a medical history, physical examination and a painless vascular test called a Doppler ultrasound (also known as a venous duplex scan.) Making the correct diagnosis is essential in properly treating this condition.

Medical Professionals

The Most Common Questions And Answers Concerning Varicose Veins aricose veins are one of the most common vascular conditions affecting women...and men of all ages. Jeffrey S. Gosin, MD, FACS Treatment options have improved greatly in techniques, allow for treatment recent years. In spite of these advancements, many people mistakenly still believe that treatment for this problem is difficult, painful, and WITHOUT the need for painful surgery. One of the best, most proven treatments for venous reflux is the Closure® Procedure. This simply considered “cosmetic.” Other people minimally invasive procedure is may experience leg pain and other symptoms performed right in the office in less but they don’t realize what is causing their than 30 minutes, with no incisions, condition. This article will answer some common questions regarding varicose veins, minimal discomfort, and excellent results. the associated symptoms, and treatment. How long is the recovery What are varicose veins? Varicose veins are swollen veins that can be seen through the skin. from vein treatment? In most cases individuals can return to their usual activities within They often have a bulging, twisted appearance. Some varicose veins a day of the procedure. may be very large and discolored. Others may be smaller. They can occur anywhere on the legs, including the groin area. Is varicose vein treatment covered by health

Blood must flow up, against gravity, to exit the legs and return to Venous reflux disease is a medical condition. Therefore, in many cases, varicose the heart. Our leg veins have one-way valves that assist in this process. vein treatment is covered by health insurance. An experienced vein treatment Those valves can malfunction and leak, causing blood to flow in the center will have insurance specialists who will work with your insurance company wrong direction. The blood then pools in the legs, increasing the pressure to confirm coverage. in the veins. This is known as venous reflux disease or Chronic Venous Insufficiency (CVI). Venous reflux is one of the most common causes Visit www.GetGreatLegs.comof varicose veins.

People with varicose veins and venous reflux may feel leg pain, leg heaviness, leg fatigue and/or leg swelling. Itching of the skin of the legs is also a very common complaint. Standing may worsen symptoms. Many people will notice the appearance of bulging legs veins. However, some people will only feel discomfort but not notice any cosmetic changes. I thought varicose veins are just a cosmetic problem. Is that true?

It is important to understand that varicose veins and venous reflux are NOT necessarily simple cosmetic problems. This can be a sign of an abnormal condition in the circulation. In addition to pain, some individuals may be at risk for chronic swelling, permanent skin discoloration, open wounds and even blood clots. With early diagnosis and treatment, long-term complications can usually be prevented. Treatment often has the added benefit of improving aesthetics, even in cases that are not considered “cosmetic.”

The Most Common Questions And Answers Concerning Varicose Veins Varicose veins are one of the most common vascular conditions affecting women...and men of all ages. Treatment options have improved greatly in recent years. In spite of these advancements, many people mistakenly still believe that treatment for this problem is difficult, painful, and simply considered “cosmetic.” Other

How are varicose veins and venous reflux diagnosed? An experienced vascular specialist can make the diagnosis with V people may experience leg pain and other symptoms but they don’t realize what is causing their condition. This article will answer some common questions regarding varicose veins, the associated symptoms, and treatment. a combination of a medical history, physical examination and a painless vascular test called a Doppler ultrasound (also known as a venous duplex scan.) Making the correct diagnosis is essential in properly treating this condition.

Sometimes compression stockings will be sufficient to control symptoms and prevent complications. When procedures are needed, current technology and techniques, allow for treatment WITHOUT Jeffrey S. Gosin, MD, FACS the need for painful surgery. One of the best, most proven treatments for venous reflux is the Closure® Procedure, now referred to as Venefit™. This minimally invasive procedure is performed right in the office in less than 30 minutes, with no incisions, minimal discomfort, and excellent results.

In most cases individuals can return to their usual activities within a day of the procedure.

Venous reflux disease is a medical condition. Therefore, in many cases, varicose vein treatment is covered by health insurance. An experienced vein treatment center will have insurance specialists who will work with your insurance company to confirm coverage.

• The Venefit Procedure The Closure Procedure • Microphlebectomy • Sclerotherapy for treatment of spider veins • Excel V Vascular Laser for treatment of spider veins and unsightly facial veins • IAC Accredited Noninvasive Vascular Laboratory on site • Enlighten(TM) Laser Tattoo Removal 442 Bethel Road Somers Point, NJ 08244 (609) 927-VEIN (8346)