ABOUT

Over many decades, we have helped thousands of couples successfully have a baby. Some of these couples have been challenged with multiple unexplained pregnancy losses (miscarriages). Others have experienced losses or Repeated Implantation Failures (RIF) following IVF embryo transfer cycles with genetically tested normal embryos. Finally, many couples have been told that they have so-called “unexplained infertility,” when in fact, they are not infertile. They are instead experiencing a series of very early pregnancy losses that were simply undetected.

We strongly feel that the traditional approaches to determining the causes of miscarriages or IVF implantation failures offered by most miscarriage clinics are not sufficient, and that a much more integrative immunological approach is needed.

Over many decades, we have helped thousands of couples successfully have a baby. Some of these couples have been challenged with multiple unexplained pregnancy losses (miscarriages). Others have experienced losses or Repeated Implantation Failures (RIF) following IVF embryo transfer cycles with genetically tested normal embryos. Finally, many couples have been told that they have so-called “unexplained infertility,” when in fact, they are not infertile. They are instead experiencing a series of very early pregnancy losses that were simply undetected.

We strongly feel that the traditional approaches to determining the causes of miscarriages or IVF implantation failures offered by most miscarriage clinics are not sufficient, and that a much more integrative immunological approach is needed.

Many factors including insulin resistance, increased chronic inflammation and NK activity, immunological reasons, undiagnosed endometriosis, clotting disorders called thrombophilias, micronutrient deficiencies, unbalanced gut and vaginal microbiome, poor sleep, exercise, and diet can all affect your chances of having a healthy baby. Equally important is the health of your partner. We will evaluate, discuss, and offer suggestions, supplements, and other treatments for all of these issues in addition to conducting a traditional workup.

Once pregnant, we will follow you and continue to treat you until you have gone beyond the miscarriage period, which is usually between week 10 and 12 of your pregnancy. While we cannot guarantee that our treatment will be successful, our experience shows that the majority of our patients have been able, with our approach, to successfully have a baby, sometimes after many years of trying.

We have contracts with most medical insurance companies, and since most people with reproductive issues have an underlying medical condition, we can usually bill your insurance company for the majority of your consultations and treatments.

Many factors including insulin resistance, increased chronic inflammation and NK activity, immunological reasons, undiagnosed endometriosis, clotting disorders called thrombophilias, micronutrient deficiencies, unbalanced gut and vaginal microbiome, poor sleep, exercise, and diet can all affect your chances of having a healthy baby. Equally important is the health of your partner. We will evaluate, discuss, and offer suggestions, supplements, and other treatments for all of these issues in addition to conducting a traditional workup.

Once pregnant, we will follow you and continue to treat you until you have gone beyond the miscarriage period, which is usually between week 10 and 12 of your pregnancy. While we cannot guarantee that our treatment will be successful, our experience shows that the majority of our patients have been able, with our approach, to successfully have a baby, sometimes after many years of trying.

We have contracts with most medical insurance companies, and since most people with reproductive issues have an underlying medical condition, we can usually bill your insurance company for the majority of your consultations and treatments.

THINGS WE LOOK FOR:

We look at problems related to your hormones, ovulation, uterine anatomy, cervix, and infections, but we do not stop there. We will also take an in-depth look into the often-overlooked issues related to your microbiome, bowel permeability, sleep and diet, undiagnosed insulin resistance and increased chronic inflammation, undiagnosed immune issues, endometriosis, and undiagnosed chronic infections of your endometrium.

TESTS OFFERED:

Standard hormonal assays
NK assay, TH1:TH2 Cytokine ratio (TNF), expanded antiphospholipid testing, paternal leukocyte testing (LAD)
Full thrombophilia testing – blood clotting disorders
Pelvic ultrasound
Sonohysterogram – fluid ultrasound
Femvue - in office liquid hysterosalpingogram
Receptiva® test - looking for undiagnosed endometriosis, endometritis and low Integrins
ERA test – Endometrial Receptivity Analysis, determining the optimum embryo transfer window
Emma & Alice test for endometrial microbiome
GI-Map – DNA stool test that evaluate your gut microbiome and other issues in your gut

TREATMENTS OFFERED:

Prior to your next pregnancy, we will treat any traditional issues discovered and focus on behavioral and dietary modifications, supplements, and immune medications to balance identified insulin resistance, increased inflammation, and immune issues.

Once pregnant, or before an embryo transfer, we will often add stronger treatments which may include Prednisone, in-office Intralipids, Lovenox (Enoxaparin), and immune modulators such as Tacrolimus. In most cases, we do not use IVIG, since the combination of medications we use is usually sufficient for success. Finally, when you become pregnant, we will follow you on a weekly basis until you have passed the miscarriage period of 10 to 12 weeks of gestation. We often also see you a few times during your pregnancy to monitor for immune-related pregnancy issues.

FEES

We do accept most insurance and can usually bill most of the initial and follow up consultations and testing using normal medical codes. In addition your insurance will usually pick up the majority of testing that is related to a normal medical code as well.

If you choose to pay for the visits and tests out-of-pocket, our fees are as follows:

CONSULTATIONS

Consult (one hour or more) + review of records – Please contact us
Emails – no cost if very simple. We may suggest an in-person visit or Zoom call if more complex.

PROCEDURE & TREATMENTS

Endometrial biopsy for ERA®, Emma & Alice, CD138 (Endometritis), or Receptiva® – Please contact us

FEES

We do accept most insurance and can usually bill most of the initial and follow up consultations and testing using normal medical codes. In addition your insurance will usually pick up the majority of testing that is related to a normal medical code as well.

If you choose to pay for the visits and tests out-of-pocket, our fees are as follows:

CONSULTATIONS

Consult (one hour or more) + review of records – Contact Us
Limited Exam and US – Contact us
Follow up visit (in person or zoom) - Contact us
Emails – no cost if very simple. We may suggest an in-person visit or Zoom call if more complex.

PROCEDURE & TREATMENTS

Endometrial biopsy for ERA®, Emma & Alice, CD138 (Endometritis), or Receptiva® – Please contact us.

CONTACT