Dr. Louis R. Manara

Patients experiencing infertility often inquire about how they might improve their chances of successful pregnancy by modifying their diet, activity, or lifestyle.  This article is…

Vitrification, or rapid freezing, has enabled us to freeze human eggs while minimizing damage to delicate intracellular spindle fibers that are responsible for moving…

Intrauterine insemination coupled with ovarian stimulation is a common infertility treatment, which may be utilized for couples with unexplained infertility, male factor, ovulatory disorders, or…

Our understanding of polycystic ovarian syndrome (PCOS), the most common endocrine disorder of women, has improved dramatically in recent years.  Its association with metabolic abnormalities…

Mounting evidence suggests that the significant reduction in infertility treatment success as women age is mostly related to increased production of genetically abnormal (aneuploid) embryos…

Letrozole is one of a class of drugs termed aromatase inhibitors, which work by inhibiting the production of the enzyme responsible for the synthesis of…

Uterine fibroids are present in approximately 30-50% of reproductive aged women, and are often identified through ultrasound in the course of the infertility evaluation.  It…

Repeated in-vitro-fertilization (IVF) failure is perplexing for patients as well the infertility team providing care.  In spite of repeated placement of what appear to be…

Because of the known significant risks of multi-fetal gestation, there have been substantial efforts directed toward decreasing the number of multi-fetal pregnancies associated with assisted…

In recent years embryo and egg cryopreservation techniques have been refined through the use of vitrification, a rapid freezing technique that results in improved live…