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Procedures

Inseminations (IUIs)

Ultrasound

Ovarian Hyperstimulation
  • Medications
  • A Typical Cycle
  • Complications
      ¬ Multiple Pregnancy
      ¬ Ovarian
         Hyperstimulation
         Syndrome

      ¬ Premature LH Surge
      ¬ Suboptimal Egg
         Development

      ¬ Ovarian Torsion
      ¬ Ovarian Cancer and
         Fertility Medication

  • Administering
    Menotropins


Surgery

In Vitro Fertilization

Patients review their care
with Dr Eric Daiter

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How Can I help You?

Dr Eric Daiter is a highly regarded infertility doctor with 20 years of experience. Dr. Daiter has personally witnessed which treatments are effective in different situations. If you are having trouble getting pregnant, Dr Eric Daiter is happy to help you (in the office or on the telephone). It is easy, just call us at 908 226 0250 to set up an appointment (leave a message with your name and number if we are unable to get to the phone and someone will call you back).

Availability

"I always try to be available for my patients since I do understand the pain and frustration associated with fertility problems or endometriosis."

Cost

"I understand that the economy is very tough and insurance companies do not cover a lot of the services that might help you. I always try to minimize your out of pocket cost while encouraging the most successful and effective treatments available."

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Multiple pregnancies menotropins are more common and of higher order when menotropins are used for controlled ovarian hyperstimulation as compared to clomiphene citrate cycles or natural cycles. In natural cycles, the twinning rate (in the USA) is about 1 in 90 and the triplet rate is about 1 in 8000. In clomiphene cycles, the twinning rate is about 1 in 10-12 and the triplet rate is about 1 in 150. In menotropin cycles, the twinning rate is about 1 in 4-5, the triplet rate about 1 in 20 (quadruplets or quintuplets less common).

At the point of triplets or more, the combined risks of morbidity or mortality to the pregnant woman and fetuses are generally greater than that of the selective reduction procedure (at a center with significant experience in performing this procedure).

Selective reduction is a procedure that is done to reduce the number of viable pregnancies, typically down to two. Because it does involve terminating one or more viable pregnancies it should be discussed carefully (and respectfully) with (and by) the couple. A decision on selective reduction may involve several moral, ethical, religious, medical, personal and emotional factors.

The decision on whether to employ selective reduction should ideally be made prior to the initiation of a controlled ovarian hyperstimulation cycle, while the couple is able to consider the variables without time limitations or the stress of knowing that there is a viable triplet or greater order multiple pregnancy.

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