Dr. Louis R. Manara

The objective of intrauterine insemination (IUI) is to introduce a quantity of sperm into the female partner’s uterus, and thereby facilitate fertilization.  For IUI, sperm…

One of the most important factors in achieving successful in-vitro fertilization is the ovarian stimulation.  Over the years, many stimulation protocols have been utilized in…

In the course of caring for infertile couples, various treatment options are often available.  Well-controlled randomized trials designed to evaluate treatment outcomes for specific groups…

Premature ovarian failure (POF) is the loss of ovarian function before the age of 40.  Usually a woman’s ovaries supply eggs and hormones until the…

Several publications have demonstrated that thin endometrial lining, as measured by transvaginal ultrasound, results in decreased prospects for successful embryonic implantation, while thicker endometrial development…

It has long been suspected among clinicians that stimulation of the ovaries in standard IVF treatment creates an environment that is not ideal for embryo…

The quest to achieve the best possible outcomes with in-vitro fertilization has led to the use of embryo biopsy to determine the genetic makeup of…

Uterine fibroids are very common, occurring in one out of every four women during their reproductive years.  These benign tumors may cause excessive uterine bleeding,…

While the complete relationship between Vitamin D and infertility has yet to be completely understood, gathering evidence suggests that having higher blood levels of this…

Patients with infertility often inquire about whether they are ovulating with certainty.  Physicians and patients tend to equate regular predictable menstruation with regular ovulation.  A…