How We Can Help
At your initial consultation with Dr. Aimee you will:
- Speak extensively with her about your fertility history.
- Review your medical, surgical and family histories.
- Get answers to the questions you have about infertility and treatment.
- Meet with a financial coordinator.
- Learn about Dr. Aimee’s TUSHY Method, her standard of fertility care that focuses on diagnosis before treatment. Using this method, Dr. Aimee will gather as much information as possible about your condition(s) and start to develop an individualized treatment plan.
The TUSHY Method
“T” in TUSHY stands for tubes (the fallopian tubes). In a tubal evaluation, a small amount of non toxic dye is pushed through the uterus and tubes in order to determine if the tubes are open.
“U” in TUSHY stands for ultrasound of uterus. A pelvic ultrasound is an important first test for any woman experiencing difficulty conceiving. The ultrasound will verify if there are any anatomic issues affecting your fertility. It will help Dr. Aimee determine the size, shape and position of the uterus, and determine the number of follicles present (Antral Follicle Count), which is a good indicator of a patient’s ovarian reserve. The ultrasound can also detect whether a patient has fibroids or ovarian cysts, which most often are evidence of a growing egg or evidence of recent ovulation. On occasion, however, a cyst may represent an abnormality such as endometriosis.
“S” in TUSHY stands for semen analysis. Every pregnancy is 50% egg and 50% sperm. Learning about sperm health is essential to a complete fertility screening.
“H” in TUSHY stands for hormone testing. Dr. Aimee’s Egg Whisperer panel measures three critical hormones connected to your fertility. Knowing these hormone levels will help guide Dr. Aimee in your treatment plan as well as your family planning decisions and the best timing to take action. Lab testing for fertility patients also includes a preconception panel that includes other hormones like TSH and prolactin to name just two on her list.
“Y” in TUSHY stands for your your reproductive genetic profile. These tests are like a crystal ball into your future fertiltiy. For example, there are genes for Polycystic Ovarian Syndrome, Primary Ovarian Insufficiency, Recurrent Pregnancy Loss, Endometriosis, and even Cancers. These tests will help guide Dr. Aimee to make smart decisions about your specific treatment protocol. They also include, Carrier Screening that help determine if you are a carrier for genetic disorders to make sure egg and sperm source don’t share the same mutations and if they do, PGD can help.
Intrauterine Insemination: If you and your partner are having a hard time conceiving then you may want to consider learning more about IUI, also known as “artificial insemination.” It’s the process of putting sperm directly into the uterus during an induced ovulation with a small plastic syringe. The process increases the chances of connection between sperm and egg by bypassing the cervix. An increasing number of single women are now choosing to conceive this way with donor sperm to become single mothers by choice.
In Vitro Fertilization: The medical definition of infertility is the inability to become pregnant after one year of sexual intercourse with no use of birth control methods. Infertility now affects over six million people in the US or 1 in 8 couples. In Vitro Fertization increases a couple’s or individual’s chances of getting pregnant. The process involves stimulating eggs to grow in the ovaries with hormones and then removing them through surgery. The eggs and sperm are then brought together in a dish, or a single sperm is injected into an egg to acheive fertilization. The embryos that grow from this invitro process are then placed inside the women’s uterus by passing a catheter through her cervix (Embryo transfer).
Preimplantation Genetic Diagnosis: This is a form of genetic testing that allows couples at risk for single gene disorders to have their embryos tested before they are implanted in the uterus during the IVF process. Thousands of unaffected children have been born worldwide from PGD for over 100 different single gene disorders.
Chromosome Screening (CCS): Performed in conjunction with IVF, CCS is particularly important to women over the age of 35 whose eggs are at an increased risk for chromosome errors. An estimated 70% of early miscarriage is associated with a chromosomal abnormality in the fetus.
Egg Freezing: Egg freezing is an Advanced Reproductive Technology that allows a woman to preserve her fertility. She goes through a standard cycle of In Vitro Fertilization in which she takes hormone shots that stimulate the growth of eggs. Her eggs are then extracted through a simple surgical procedure, persevered in liquid nitrogen and stored until she is ready to use them. In 2012, The American Society for Reproductive Medicine announced that egg freezing was a safe fertility treatment by lifting the “experimental label.” Studies show that frozen eggs are yielding successful pregnancies and healthy babies.
Freeze and Share Program: If you don’t work at a company that covers the cost of egg freezing, it may be overwhelming to think about the financial obligation of freezing your eggs as an out of pocket expense. Dr. Aimee wants you to be smart about your future fertility but not at the expense of your personal financial well-being. It’s why she created a program that offers women with healthy eggs the option to freeze their eggs at no cost to them if they are willing to share half with someone who needs them. Often it’s an older woman or same sex couple that requires a healthy egg and has the financial resources, but not the biological ones. If you’re willing to freeze your healthy eggs, keep some for you, keep some for them, then you will share in the benefit of the program. Read more about how the program works and if its right for you here.
LBGTQ Family Building: Dr. Aimee is proud to help LGBTQ people create the family they desire. She understands that same sex couples need to make a lot of decisions about the best route to conception with the help of sperm and eggs donors, and gestational carriers. There are so many amazing paths that you can choose. Donors may be a family member or friend of the woman desiring a pregnancy or an anonymous egg donor screened by Dr. Aimee. The egg donor must use fertility drugs to stimulate the development of multiple mature eggs, whereas the recipient woman takes estrogen and progesterone to prepare her uterus for embryos conceived through egg donation.
Oncofertility: If you’ve been diagnosed with cancer, the best first step is learn as much as you can about your reproductive choices. This could include freezing eggs or embryos for the future. Gathering as much information as possible will allow you to make empowered decisions -and its a vital part of your cancer care.
Recurrent Miscarriage: Miscarriage is an emotionally taxing experience for both members of a couple. Miscarriage is a common occurrence that affects one in five pregnancies, and 1-2 percentage of women will experience three or more consecutive miscarriages. Dr. Aimee has supported hundreds of women and couples who have experienced miscarriages and helped them get to a healthy pregnancy.
Getting more information upfront will make you more emotionally prepared for what may unfold and help you and Dr. Aimee make better choices.
You can email Dr. Aimee directly at: firstname.lastname@example.org