Inseminations (IUIs)


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

      ¬ Premature LH Surge
      ¬ Suboptimal Egg

      ¬ Ovarian Torsion
      ¬ Ovarian Cancer and
         Fertility Medication

  • Administering


In Vitro Fertilization

Patients review their care
with Dr Eric Daiter

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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).


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


"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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A premature LH surge (trigger to ovulate) may occur during menotropin therapy.

There is apparently a natural substance (not yet identified) that inhibits ovulation during the maturation of eggs. In a natural cycle, the signal from the brain to the ovary to trigger ovulation (the LH surge) appears to occur once the serum estradiol level reaches a certain concentration (about 250 pg/mL) for a certain length of time (about 2 days). In a cycle of controlled ovarian hyperstimulation using menotropins, the serum estradiol level may be greater than 250 pg/mL for much longer than a week without triggering ovulation. Therefore, the existence of a natural “ovulation inhibitor” has been postulated.

In possibly 5-20% (1 in 20 to 1 in 5) of women undergoing menotropin therapy there may be a premature LH surge. If this occurs, the use of a GnRH agonist such as Lupron or Synarel should prevent a spontaneous LH surge (ovulation) in future cycles. These medications (GnRH agonists) suppress the ovaries so that higher dosages of menotropins are usually required to accomplish multiple follicular development.

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The New Jersey Center for Fertility and Reproductive Medicine