1. Evaluation of Infertility
- History and Physical
- Pre-pregnancy blood work
- Blood Work to assess hormonal imbalances
- Hysterosalpingogram to check tubal patency
- In-office Hysteroscopy (evaluation of the uterus)
- Semen analysis
- Correction of ovulatory abnormalities
- Treatment of Hormonal imbalances
- Assessment for possible Endometriosis
2. Reproductive Immunology
- Evaluation of Recurrent Pregnancy Loss and Implantation Failure
- History and Physical to rule out anatomic causes
- Review of previous pregnancy outcomes and appropriate pre-pregnancy testing
- In-office Hysteroscopy to evaluate the uterus
- Endometrial Biopsy to rule out implantation defects
- Blood work to assess potential causes of RPL, including blood clotting and immunologic causes
3. Evaluation and treatment of Polycystic Ovarian Syndrome
- Blood work for health and hormone assessment, including Insulin Resistance
- Dietary Consultation
- Integrative approach to treatment of PCOS symptoms
- Treatment of infertility, abnormal bleeding or hirsutism if present
4. Pelvic Pain, Endometriosis, Abnormal Bleeding
- Careful History and Physical to rate Endometriosis Symptoms
- Visual Analog Scale for following symptom resolution
- Ultrasound to rule out ovarian cysts
- Laparoscopy and/or Hysteroscopy as needed
5. Menopause and Perimenopause
- History and physical
- Blood work for hormone assessment
- Bone density assessment
- Hormone replacement therapy