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Obstetrics and Gynecology

Program Update: UCLA Fertility and Reproductive Health Center

03/15/2012

PUP-Invitro FertilizationGoing Beyond Reproductive Success

The UCLA Fertility and Reproductive Health Center offers the complete scope of reproductive health services for women and their partners, providing in vitro fertilization (IVF), medical therapies for reproductive disorders and surgical correction of anatomic anomalies. And while the center focuses on successful reproduction, it is distinct in its dedication to the long-term health of patients. UCLA infertility physicians take a broad approach to healthcare, focusing on reproductive, metabolic and genetic issues that can impact a woman’s health for years to come.

Pre-Conception Counseling

Reproductive care at UCLA begins with preconception counseling to ensure the best possible outcomes. In addition to a thorough medical history, pre-conception evaluation can include physical examination, advanced medical imaging and laboratory testing. Genetic evaluation of both partners can help physicians diagnose reproductive conditions and identify potential genetic disorders that could affect the child. Semen analysis can also be performed.

Health problems that affect a woman during her pregnancy can increase the risk of miscarriage and can lead to birth defects or other health issues in the baby. Disorders including polycystic ovary syndrome (PCOS), obesity, thyroid disease and diabetes are multi-faceted conditions that can prevent conception, affect the course of a pregnancy, have adverse health consequences for the baby and impact the long-term health of the mother.

Our Commitment to Our Patients

PUP-OBGYN PatientsUCLA Fertility and Reproductive Health Center physicians work to control chronic conditions and optimize overall health before conception. They carefully consider all health factors when deciding on the best course of treatment for each patient. Managing the mother’s health and the timing of conception can be as important as the fertility treatment itself in providing quality outcomes for the long-term health of the family.

Reproductive Therapies

The Fertility and Reproductive Health Center offers every aspect of care for the management of female reproduction. UCLA reproductive endocrinologists carefully consider each case individually and make specific treatment recommendations to the woman and her partner. Reproductive care at UCLA begins with patient education, so couples can fully understand the process and participate in all treatment decisions.

Medical Therapy

Medical therapy can be used to optimize ovulation. For some couples, medical therapy alone can result in pregnancy; sometimes it is used in conjunction with other treatments.

Intrauterine Insemination

Intrauterine insemination (IUI) introduces a high concentration of viable, motile sperm into the uterus, increasing the number available to the egg for fertilization.

In Vitro Fertilization

In vitro fertilization is a process for fertilizing eggs outside the body before returning the resulting embryo(s) to the uterus for further growth and development. An embryo produced from the couple’s own egg and sperm can be transferred to the woman’s uterus, or another individual may provide the egg, sperm or surrogate gestation (the fetus develops in another woman’s uterus).
Advances in genetic testing through UCLA provide our physicians with more useful information than ever before on the embryos they are implanting. Now, an embryo’s genetic makeup can be rapidly tested, enabling physicians to implant the most promising embryos.

Because multiple births (twins, triplets, etc.) are associated with greater risks to mothers and fetuses from higher rates of Cesarean section and premature birth, UCLA strives for healthy, single births. UCLA physicians consistently transfer fewer embryos than allowed under published guidelines for the long-term welfare of the woman and her family. Yet due in part to their careful attention to their patient’s pre-conception health, UCLA physicians produce successful births at a rate that is equal or superior to other centers while maintaining its low rate of multiple births.

UCLA infertility physicians also offer advanced treatment to preserve fertility in women diagnosed with cancer and other life-threatening diseases. Physicians can retrieve a woman’s eggs before they are harmed by chemotherapy or radiation and can freeze (cryopreserve) them for later use in IVF.

Research

UCLA physician-scientists are advancing the understanding of reproductive medicine and applying that understanding to the care of their patients. Active areas of research include investigations into metabolic and reproductive abnormalities of PCOS and optimal methods of single-fetus conception by IVF and other fertility therapies.

UCLA patients sometimes have the opportunity to participate in a clinical study conducted to test new treatments in the area of reproductive health. Some studies may offer medications, therapies or remuneration that are otherwise unavailable in the community. Further information regarding research opportunities is available through the Women’s Health Clinical Research Unit in the UCLA Department of OB/GYN.

PUP-UCLA Fertility FacultyDivision Faculty

Daniel Dumesic, M.D.
Division Chief and Professor,
Reproductive Endocrinology and Infertility

Mousa Shamonki, M.D.
Director, In Vitro Fertilization and Assisted Reproduction
Assistant Clinical Professor

Kathleen Brennan, M.D.
Assistant Clinical Professor

Gautam Chaudhuri, M.D., Ph.D.
Chair and Distinguished Professor,
Department of Obstetrics and Gynecology

William Freije, M.D., Ph.D.
Assistant Professor

John Kuo, M.D., Ph.D.
Assistant Professor

Jackson Wu, M.D., Ph.D.
Associate Professor

UCLA Fertility and Reproductive Health Center

Peter Morton Medical Building
200 UCLA Medical Plaza, Suites 220
Los Angeles, CA 90095

(310) 794-7274
http://obgyn.ucla.edu/fertility





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