Tuesday, March 24, 2015

What is IUI and how does it work?


Intrauterine insemination (IUI) is the most common type of artificial insemination. IUI is most often prescribed as an infertility treatment in cases where couples have been unsuccessfully attempting to get pregnant for an extended amount of time and other causes of infertility have been ruled out. The IUI procedure consists of five steps: 


Step 1
Fertility drugs are prescribed to stimulate the growth of two to three eggs to maturity. Typically, Clomid®, Tamoxifen, or Letrozole (Femara)pills or Gonadotropin injections are given to nurture the growth of follicles, which cause ovulation to take place

Step 2
Monitoring of the drug treatments is conducted to measure the growth of follicles and to control the drug doses based on the patient. Because fertility drugs can produce multiple eggs, monitoring is also needed to reduce the risk of multiple pregnancies. Blood tests are used to measure estrogen concentrations, and an ultrasound is used to measure follicular development

Step 3
When monitoring shows the maturity of at one to three follicles, the patient receives an injection of the hormone hCG (human chorionic gonadotropin) which induces ovulation

Step 4
Here, the actual artificial insemination (IUI) procedure is performed.  On the morning of ovulation, a sperm sample is provided by the male partner, prepared for the IUI. With a catheter, the washed and concentrated sperm sample is inserted through the cervix, into the uterus of the woman. The IUI procedure is fairly painless and uncomplicated

Step 5
Usually two weeks after the IUI procedure, a pregnancy test is performed

Success rates will vary with the couple’s original diagnosis and the number of cycles of IUI.  The pregnancy rate per cycle of insemination is 15-20% at best.  The pregnancy rate may be as high as 30-50% in couples undergoing three cycles of IUI.

To learn more about the VCRMED IUI procedure and costs, you can visit: http://www.vcrmed.com/iui-success-rates-virginia-center-for-reproductive-medicine-in-reston-va-virginia/


Saturday, March 21, 2015

Virginia Center for Reproductive Medicine announces 2013 results and earns

distinction as one of the Top IVF Clinics in the US


Washington DC metro based VCRM posts 76% better results for live births through IVF than

the national average


Virginia Center for Reproductive Medicine (VCRM) is excited to announce the results of its calendar year 2013


IVF treatment cycle.

The clinic administered achieved the following results in 2013:

* 66.7% live birth rate for women in 35-37 age group (21 cycles performed)

* 51.3% for women under 35 (39 cycles performed)

* 35.1% for women 38-40 (37 cycles performed)

* 22.2% for women 41-42 (9 cycles performed and 2 live births achieved).

Of particular note, > 50% of cycles in women less than 38 had an elective single embryo transfer (eSET) (one

of the highest use of eSET in the US). VCRM has been at the forefront of programs trying to decrease the

multiple pregnancy rate and therefore the complication rates for mothers and babies, a practice we started in

2004.

These live birth results for IVF treatment are in fact one of the best that VCRM has enjoyed during the clinic’s

distinguished history. Detailed results are available in the 2013 National results for ART, released March 3,

2015 on the Society of Assisted Reproduction (SART) website.

SART is the primary organization of professionals dedicated to the practice of assisted reproductive

technologies (ART) in the US and it publishes an annual report of birth outcomes from its member clinics. The

information is disclosed for patients to make informed decisions and compare success rates with different

clinics*.
FACT: When compared to the National averages published by SART, Virginia Center for Reproductive

Medicine posted 76% better live birth results.


This stat confirms that VCRM patients have a 76% greater likelihood of delivering a baby each cycle, which

ultimately means that couples challenged with fertility can achieve their goal of having a baby sooner while

experiencing lesser emotional and financial toll.

Additionally, Fertilitysuccessrates.com – an independent IVF data aggregator website – ranked VCRM second

in the nation in 2013 for “Best IVF Clinics In United States For Women 35-37 Using Fresh Embryos”.
Dr. Sharara, Founder and Medical Director of VCRM, stated, “2013 was a banner year for the practice and we


are very proud to be mentioned among the Top IVF clinics in not only the Washington DC metro area but also

the entire United States.”

About Dr. Sharara:
Dr. Sharara is a world-renowned expert in the field of Obstetrics and Gynecology. His practice (VCRM) is



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appears here


located in Reston, Virginia and has a reputation for consistently posting one of the highest success rates for

ART on the East Coast. The clinic prides itself on its “boutique” setting along with its personalized and

customized treatment plans. Dr. Sharara regularly treats patients from around the globe and the clinic has

become the go-to place for many patients who have failed to achieve success at other fertility centers.

*A comparison of clinic success rates may not be meaningful because patient medical characteristics, treatment

approaches, and entry criteria for ART may vary from clinic to clinic.
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appears here



Contact Information

Dr. Fady I. Sharara

Virginia Center for Reproductive Medicine

(703) 437-7722

Thursday, January 29, 2015

Polycystic Ovarian Syndrome (PCOS): What is it and what are its symptoms?



Polycystic Ovarian Syndrome (PCOS) is a condition that affects woman’s menstrual cycle, fertility and hormones. Women develop PCOS when they have high levels of androgens, sometimes called male hormones. This hormone makes ovulation rare or irregular.
Symptoms of PCOS include:
  • Infrequent, irregular, or absent menstrual cycles
Polycystic Ovarian Syndrome (PCOS)
  • Infertility due to irregular or absent ovulation
  • Increased hair growth on face, neck, stomach, back, hands, and feet
  • Acne or oily skin
  • Dandruff
  • Pelvic pain
  • Weight gain
  • High cholesterol
  • Thinning hair
  • Skin tags
  • Dark or thick skin located on the neck, arms, thighs, and/or breasts
  • Increased hair growth on face, stomach, back, hands or feet
  • Sleep Apnea

Usually women with PCOS are likely to have a relative with PCOS as well, leading researchers to believe there may be a genetic factor. Many women with PCOS also struggle with weight issues. The main culprit is insulin -.  Excess insulin in a women’s body causes a production increase of androgen, causing irregular ovulation.

Normally a woman ovulates when an egg-containing follicle develops and releases a mature egg. Polycystic Ovarian Syndrome keeps those follicles from growing; the follicles build up in the ovaries and form small cysts that release estrogen and excess androgens. The combination of estrogen and androgens disrupts the production of other hormones that help ovulation to occur.  

The primary fertility problem with PCOS is the lack of ovulation or late ovulation. If a woman struggles with weight issues, losing weight will improve ovulation, and a low carbohydrate diet is key such as our own Dr Sharara’s app “The Infertility Diet” which will be available in the App Store on February 3rd. Prescribing insulin-sensitizing drugs such as Metformin helps many PCOS women ovulate on their own or respond better to drug treatment. Fertility drugs like Clomiphene and Gonadotropins may be prescribed to help ovulation occur if Metformin and life style changes are not enough to achieve ovulation. Multiple pregnancy remains a major concern for women using Gonadotropins.

Another fertility option for woman with PCOS is in vitro fertilization (IVF). IVF creates the best opportunity of getting pregnant during a menstrual cycle because it gives doctors better control and allows for the transfer of a single embryo.

Dr. Sharara at the Virginia Center for Reproduction Medicine will evaluate a woman’s symptoms, review their medical records and conduct a physical exam and blood test to evaluate hormone levels to assist women with PCOS get pregnant. For more information, please visit http://www.vcrmed.com/fertility-reston-va/pcos/

Thursday, January 22, 2015

Trying to conceive after being on birth control


A common question we are asked at the Virginia Center for Reproductive Medicine is “How long does it take birth control to wear off?”
Some women take birth control to prevent a pregnancy, while others take it to regulate their periods.
Once a woman decides to stop taking birth control to conceive, it only takes about a week for the hormones to leave your system. Your body will then begin to function on its own and produce follicles again, leading you to ovulate.
Each woman’s body is different, it may take a couple of week to ovulate and for others it may take several months. On average, it takes two to three months for your body to regulate. Whether you have been on birth control for a few months or several years, your body should go back to ovulating fairly quickly, regardless of the time period. However, if you had problems with ovulation before starting the pill, the same issues may still be there. If Dr. Sharara deems it necessary, medication to induce ovulation may be prescribed.
There are no known issues involved with getting pregnant after stopping birth control. It is recommended to wait at least one period cycle before trying to conceive. This will help Dr. Sharara determine your time of ovulation and better calculate your birth due date. 
When you are ready to conceive, you can contact Dr. Sharara at 703-437-7722 or request an appointment by visiting: http://www.vcrmed.com/

Tuesday, January 13, 2015

Endometriosis: What is it and how does it affect fertility?



Endometriosis, also referred to as ‘endo’ occurs when endometrial tissue is found outside the uterus, usually on the ovaries, fallopian tubes or ligaments that support the uterus. The condition affects at least 5 million women in the United States.
Endometriosis is more common in women who:
·      Are between 30-40 years old
·      Have not had any children
·      Have periods lasting longer than 7 days
·      Have cycles shorter than 28 days
·      Have another family member with the condition
If Dr. Sharara suspects a woman may have endometriosis he will perform a pelvic exam to check the ovaries, uterus and cervix for any abnormalities.  An exam may reveal a cyst or internal scarring due to endometriosis. In some cases an ultrasound, or MRI will be used to help with diagnosis. A Laparoscopy is the only sure way to determine if a patient has endometriosis. The procedure consists of inflating the abdomen with gas through a small incision in the naval. Dr. Sharara will take small pieces of tissue for a biopsy.
The symptoms of Endometriosis are:
·      Above average pain before and during a menstrual cycle
·      Pain while having intercourse
·      Infertility
·      Fatigue
·      Painful urination and bowel movements during a menstrual cycle
·      Gastrointestinal issues like diarrhea, constipation, and nausea
Women can live their whole lives with endometriosis and not be aware they have the condition until they have difficulty getting pregnant. Infertility affects about 1/3 of women with endometriosis but the reasoning is not completely understood. Luckily there are medical treatments available to overcome fertility and pregnancy can even relieve some of the symptoms of endometriosis. Because hormones cause endometriosis, hormone treatments like birth control pills, or GnRH agonists are effective at treating the symptoms of endometriosis. For women trying to conceive, a laparoscopy may be performed to remove or vaporize the tissue as a way to improve fertility in women. However, in most cases a laparoscopy can be avoided and treatments such as ovulation induction/IUI or IVF are recommended instead.
Virginia Center For Reproductive Medicine (VCRM) is a world renowned fertility clinic led by Dr. Sharara - a highly regarded, published and awarded specialist. To learn more about VCRM, please visit www.vcrmed.com
If you have specific questions, please contact Contact VCRMED at info@vcrmed.com or call 703-437-7722 to schedule a personalized consultation. Dr. Sharara will gladly answer any questions you may have.

Wednesday, January 7, 2015

What is FET?


FET, also known as Frozen Embryo Transfer is a process in which frozen embryos from a previous fresh IVF cycle are thawed and transferred into the woman’s uterus. Healthy embryos produced from an IVF cycle but not transferred to the patient can be frozen and stored. FET is the most effective way for women to preserve their fertility.
Frozen-Embryo-Transfer-VCRM
Women consider FET as an option to avoid the risks, costs and inconvenience of fertility drugs and undergoing egg collection multiple times. Patients who had an unsuccessful cycle or ready to expand their family again will have the FET option waiting for them.
When a couple decides they want to proceed with the FET cycle, an ultra sound is performed and medications will be given to optimize the lining of the woman’s uterus for implantation. Estrogen and progesterone injections will be given for 2-3 weeks and Dr. Sharara will check the uterine lining before beginning the implantation. Embryo thawing only takes an hour or so and the quality of the embryos is thoroughly checked for a positive transfer outcome. Patients will find that going thru the FET process is easier and less intense than an IVF cycle.
The success rate of an FET cycle is about the same as a fresh IVF cycle, the fundamental factor for success is the maternal age at the time of the embryo freezing. Many of our patients wait several years before going thru the FET process. Rest assured, no matter the amount of time between embryo freezing and thawing patients can rely on the same embryo quality because frozen embryos are suspended in time and do not age.
The Virginia Center for Reproductive Medicine Frozen Embryo Success Rate results for January 1, 2014-June 30, 2014 can be seen here:
VCRM 2014 FET Results

The complete Frozen Embryo Transfer Results for 2013 are shown here:
VCRM 2013 FET Results

 We are happy to offer guidance or answer any questions you may have. Please click here to Schedule a Consultation: http://www.vcrmed.com/

Saturday, November 1, 2014

Weeding out genetic diseases

Our PGD and PGS program ensures that the embryos created are tested for specific genetic diseases (PGD) such as cystic fibrosis, sickle cell anemia, etc; and for chromosomal aneuploidies (PGS) that are the most common causes of abnormalities with increasing age. Please check our website for further details

http://www.vcrmed.com/other-services/genetic-screening/preimplantation-genetic-screening-pgs/