Other Infertility Treatments

Safe Care Commitment

The health and safety of our patients, families and staff is our top priority. We know that COVID-19 will be with us for the foreseeable future, so we’re taking a comprehensive approach to provide you and your loved one the safest possible environment. Read our Safe Care Commitment.

As we emerge from the COVID-19 crisis, you can start or continue your infertility care in-person or with Virtual Visits. Your infertility challenges haven’t stopped and neither has our care.

As an advanced Boston center for infertility treatment and a national leader in reproductive medicine, we offer all available procedures and services approved in the US. Before any course of infertility treatment is initiated, couples and individuals will undergo a thorough screening and evaluation led by one of our physician fertility specialists. Infertility treatments and procedures offered include:

Ovulation Induction (OI)

In the ovulation induction process, medications are given to stimulate the ovaries to make eggs.  Ovulation induction is suitable therapy for multiple types of infertility including: polycystic ovarian syndrome (PCOS), hypothalamic amenorrhea (prevents ovulation due to abnormal hormonal secretion affecting ovarian function), diminished ovarian reserve, and unexplained infertility.  This type of treatment typically induces ovulation of one or more eggs using either oral medications or injectable medications that are the same hormones the brain produces to cause ovulation (gonadotropins).  Ovulation induction is also used routinely for women who already ovulate as there is benefit using these medications in this group.  Your doctor will advise you if this treatment would be recommended as well as the risks and benefits of ovulation induction.

Intrauterine Insemination (IUI): At one of our Boston-area clinics, the male partner’s sperm is collected and then injected into the female partner’s uterus at the time of ovulation. An oral medication is often taken on days five to nine, increasing the success rate of this treatment. Intrauterine Insemination (IUI) is most appropriate for couples with mild male factor, minimal endometriosis, or unexplained infertility.

Therapeutic Donor Insemination (TDI): This infertility treatment option involves injecting sperm from an anonymous or a known sperm donor into a woman’s cervix at the time that she is ovulating. The use of frozen semen (from a licensed sperm bank) to prevent sexually transmitted disease is recommended by the Food and Drug Administration and the Center for Disease Control. At sperm banks, donors are tested for sexually transmitted diseases, including HIV, chlamydia, gonorrhea, syphilis, hepatitis, and others. Commercial sperm banks are the source of donor sperm in the majority of cases. The sperm banks provide information about the physical characteristics, medical history, education, and ethnic or racial background of the donors. This treatment is undertaken in couples in whom the male partner has a low sperm count, in women without partners, and in lesbian couples.

Recurrent Pregnancy Loss Program

Recurrent pregnancy loss is defined as the miscarriage of two or more consecutive pregnancies. The Recurrent Pregnancy Loss Program is a comprehensive evaluation and management program that covers all aspects of treatment, including medical, surgical and psychological care. Recognized around the world, the program has helped thousands of women, who have repeatedly lost pregnancies, build healthy families.

Tubal Ligation Reversal (TLR)

Women who have had their “tubes tied” can have the procedure reversed. The tubes are reanastamosed (untied) through a surgical procedure that is often a minimally invasive, same-day surgery. The likelihood of procedural success will depend upon the woman’s age, type of tubal ligation originally performed and the length of her remaining healthy tubes. The Center for Infertility and Reproductive Surgery at the Brigham and Women’s Hospital has one of the leading gynecological surgery teams, assuring you of comprehensive care and the best possible chance for a successful outcome.

A Full Array of Services

Laboratory and access to other specialists: The Center for Infertility and Reproductive Surgery has its own nationally-certified, full-service laboratories. Lab services include hormone testing, semen analysis and sperm processing for intrauterine inseminations and testing for genetic diseases. For high-resolution ultrasonography and other imaging procedures, our doctors work closely with Brigham and Women’s Hospital radiologists, also renowned in their field.

Nurse Led Education We offer a variety of educational programs led by nurses currently working in the Center for Infertility and Reproductive Surgery. We offer classes on IVF, Ovulation Induction, Egg Donor and Recipient, Emotional Wellbeing during IVF Treatment and others. Some may also be available on-line. During IVF women will undergo a series of daily injections. Private injection teaching is available to couples in conjunction with classes or upon request. Please Contact Us to find out more.