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Infertile patients cannot afford to wait for treatment while their eggs get older.

Dr. Sherman Silber, Infertility Center of St. Louis, is offering video consultations for patients who need to plan now for their treatment while stay-at-home orders are in place. He is talking to and evaluating patients in their home to comply with social distancing measures.

Dr. Silber is discovering that patients actually prefer this method of telemedicine consultation over the conventional office visit. Patients have conveyed that “it is so much more convenient and less stressful” to have a telemedicine personal consultation than to take a day off from work to travel to the doctor’s office and sit with other nervous patients in the waiting room.

The COVID-19 pandemic is thus changing much of the way we will do things in the future, and for the better. “Our patients are surprisingly much happier with this approach. Of course, at some point we need to perform hands on treatment. But with this new manner of seeing patients, we can come to the right diagnosis and treatment plan for most patients more efficiently, quickly, and painlessly, with no loss of personal one-on-one communication.” This is a very welcome new era of telemedicine that has been forced on us by the current difficult times.

Treating Infertility – IVF & ICSI Bypass

Click Here to download Treating Infertility in PDF format.

Treating_Infertility_coverIVF and ICSI Bypass Everything That Can Go Wrong No Matter What the So called Diagnosis Is

In-vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI) solve the quandary presented by our frequent ignorance of why couples are not getting pregnant. If the cause of infertility really is low sperm count, the sperm can be microinjected directly into the egg. If the cause of the problem is poor ovulation, the hormonal stimulation and aspiration of eggs from the ovaries removes the need for ovulation. If the issue is poor cervical mucus blocking the entrance of sperm into the womb, these new technologies can bypass that problem as well. If the problem is endometriosis (a highly questionable but very popular diagnosis), again IVF overcomes the unfavorable environment for fertilization that endometriosis supposedly creates in the woman’s pelvis. If the problem is poor pickup of the egg by the fallopian tube from the surface of the ovary (a tricky feat in which the fallopian tube has to “reach over” and grab the egg by twisting back on itself), IVF, as well as gamete intrafallopian transfer (GIFT), once again bypasses this event.

With IVF, your eggs are fertilized with your husband’s sperm in a petri dish or a test tube, and the embryos are replaced back into your uterus two to five days later.
With IVF, your eggs are fertilized with your husband’s sperm in a petri dish or a test tube, and the embryos are replaced back into your uterus two to five days later.

Almost anything that can go wrong during the arduous process that sperm and eggs normally have to go through can be bypassed with IVF and ICSI. If the couple is committed to several treatment cycles, and the woman is not too far along on her biological clock, most will get pregnant no matter what the diagnosis and no matter how severe the problem.