Infertility


 

Olympia Fertility provides the most complete and sophisticated infertility care locally available. The guiding principle of our care is to first localize the problem (egg production, sperm production, or the path between). Specifically treating the problem usually results in the desired outcome. Diagnosis and treatment at our facility are done in a cost efficient manner.

Infertility care begins with a consultation. The initial consultation fee is $150. Those desiring children meet with Jeff Robinette, our embryologist, and Dr. Moruzzi, our OB/GYN. A complete medical, gynecologic, and infertility history is obtained. Past attempts at fertility are discussed. By the end of the consultation, a preliminary approach to solving the fertility problem is outlined for the patient. All relevant medical records, operative reports, procedure reports, and videotapes are reviewed in detail.

Treatment usually begins with simple and more cost-efficient procedures. Ovulation is typically followed with home urinary-LH detection kits, serial ultrasounds, and a confirmatory luteal phase progesterone test. Blood tests for FSH, LH, and estradiol on the third day of menstruation give some idea of ovarian reserve. Most ovulatory problems can be remedied with hormone therapy.

A semen analysis after three days of abstinence will give a good idea of the male partner's fertilizing ability. This analysis is performed at our office, and the cost for this procedure is $150. Male factor infertility is treated with sperm washing techniques and artificial inseminations. Severe male factor infertility may require in vitro fertilization (IVF) or donor sperm. Our clinic is able to assist couples in locating appropriate donor sperm samples, and can freeze sperm in our cryostorage tank until they are ready to use.

A clear passage for the sperm requires a receptive cervix, open tubes, and a normal abdomen (no endometriosis or adhesions). A post-coital test is routinely performed around the time of ovulation. Tubal patency and peritoneal factors are only investigated if the patient's history or ultrasound suggest a problem. Patients who have not conceived after several months of optimal therapy will require hysterosalpingogram or laparoscopy.