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Patient Education

As you are undergoing fertility treatment at REACH in Charlotte or Lake Norman, you may have questions about a procedure or are looking for more information before or after your appointment with one of our fertility specialists. Our team had gathered this information that you may find helpful below.

If at any time you have questions or need to schedule an appointment with one of REACH's fertility specialists, please contact us at (888) 551-0874 or click here to schedule an appointment.


FACT SHEETS & RESOURCES

Depot Lupron™ (Leuprolide Acetate)

Depot Lupron treats endometriosis by lowering estrogen hormone levels that are vital to endometriosis survival.  As a result, this medication can provide significant pain relief. 

As for fibroids, Depot Lupron can decrease menstrual blood flow and is often recommended before surgery to help allow the woman’s body to build up iron stores in order for surgery to be safely performed. 

CLICK HERE TO DOWNLOAD the FACT SHEET.

Frequently Asked Questions during an IVF Cycle

Here are some of the most common questions our patients have about their IVF cycle. Should you have any additional questions or concerns, please contact your primary nurse. 

CLICK HERE TO DOWNLOAD the FACT SHEET

Patient Fact Sheets from the American Society for Reproductive Medicine

The American Society for Reproductive Medicine (ASRM) is a professional organization that specializes in reproduction and infertility. ASRM has a Patient Information Committee that includes physicians, nurses, counselors, and other professionals that write and update fact sheets for patients. These fact sheets represent a current national consensus among professionals in reproductive medicine. The physicians at REACH generally agree with the information and advice as presented in these documents. Your physician has checked certain boxes below to direct your reading. 

CLICK HERE TO DOWNLOAD the FACT SHEET

DHEA and CoQ10

DHEA and CoQ10 are supplements typically recommended for women with diminished ovarian reserve or age ≥ 40. This handout reviews these supplements prior to pregnancy. Ideally, look for supplements that have been certified by an independent 3rd party for purity and content.   

CLICK HERE TO DOWNLOAD the FACT SHEET

Endometriosis

Endometriosis is the presence of endometrium (the lining of the uterus that women menstruate every cycle) in locations outside of the uterus. Changes in these cells can be associated with bleeding and pain. The exact reason for the development of endometriosis is unknown. 

CLICK HERE TO DOWNLOAD the FACT SHEET on Endometriosis

Follicular Dynamic Ultrasounds

Follicular dynamic (FD) ultrasounds are vaginal ultrasounds done mid-cycle to evaluate timing of ovulation.  In a normal cycle, beginning about four to five days prior to actual ovulation, ultrasound can identify the dominant ovarian follicle.  In some women this process may not occur in a normal fashion.  We can follow the growth of the follicle and determine its size just prior to ovulation.

CLICK HERE TO DOWNLOAD THE FACT SHEET on Follicular Dynamic Ultrasounds

Human Chorionic Gonadotropin (hCG) Instructions

Your dose will be either 5,000 or 10,000 IU of hCG (Novarel, or Pregnyl).  You will be directed to take the dosage of medication appropriate for you.  hCG is a white powder and comes in a vial.  The box will also contain a vial of liquid for mixing.  

FOR INSTRUCTIONS ON PREPARING FOR YOUR HCG, CLICK HERE

Hysteroscopy or D&C

An operative hysteroscopy is a surgical procedure in which fibroids or polyps are removed from the uterine cavity.  Dilation and curettage (D&C) is a surgical procedure to remove tissue from the inner lining of the uterus. The cervix is dilated (made larger) and a curette (spoon-shaped instrument) is inserted into the uterus to remove tissue.   

FOR MORE INFORMATION ON Hysteroscopy or D&C, CLICK HERE

Laparoscopy

A Laparoscopy is aprocedure using a laparoscope, a slender tool with an attached camera, inserted into your belly button that enables a physician to view a woman's intra-abdominal reproductive organs. Laparoscopy can be used for diagnostic purposes or to perform surgical functions such as removing fibroids, adhesions, endometriosis, and ovarian cysts.

FOR MORE INFORMATION ON LAPAROSCOPY, CLICK HERE

Ovarian Hyperstimulation Syndrome (OHSS)

Both IVF and some IUI cycles begin with a process termed controlled ovarian hyperstimulation (COH).  The objective in each case is to encourage the ovaries to produce more than one dominant follicle in a given menstrual cycle.  This is not associated with any permanent change in physiology.  However, some women may experience Ovarian Hyperstimulation Syndrome (OHSS).  

TO DOWNLOAD THE FACT SHEET ON Ovarian Hyperstimulation Syndrome (OHSS), CLICK HERE

Polycystic Ovary Syndrome (PCOS) and Metabolic Syndrome (MBS)

PCOS is recognized to be one of the most common hormonal problems in women.  PCOS is a common cause of infertility, menstrual irregularity, and hirsutism (excessive hair growth).

FOR MORE INFORMATION ON THE DIAGNOSIS of Polycystic Ovary Syndrome (PCOS) and Metabolic Syndrome (MBS), click here.

Treatment Options after Miscarriage

Failed pregnancy, also referred to as a miscarriage, occurs in roughly 25% of all recognized pregnancies.  It is diagnosed by an early obstetric ultrasound.  After diagnosis, the following three treatment options will be discussed. Some women are able to decide immediately, and others may take some time to decide. Please refer to this informational handout and contact your patient care coordinator with any questions, and ultimately inform us how you would like to proceed. 

TO DOWNLOAD THE FACT SHEET, CLICK HERE.

Uterine Evaluation

One or more of the following tests may be recommended depending on your personal medical circumstances to evaluate your uterus: hysterosalpingogram (HSG), saline infusion sonohysterogram (SIS), office hysteroscopy (OH) and/or uterine sounding (SND).

 CLICK HERE TO DOWNLOAD THE FACT SHEET ABOUT Uterine Evaluation

Fertility Financing

REACH is proud to have several options to help our patients worry less about the financial aspect and focus on becoming a parent. Learn more about fertility financing solutions.
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Egg Donor Process

We have a team dedicated to our patients that are interested in using donor eggs. Our staff will walk these patients through the process every step of the way.
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