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  1. Ovarian Drilling for PCOS

    Laparoscopic ovarian drilling is a surgical treatment that helps women who have PCOS ovulate without medications. Read on to learn how this work.

    Polycystic ovarian syndrome (PCOS) affects 10% of all women and is defined as follows with two of the three criteria:

    • Signs or symptoms of anovulation or oliogoovulation
    • Hyperandrogenemia (clinical or serological)
    • Ovarian ultrasound of >12 follicles in an ovary
    • Rule out “other causes”

    Women with PCOS have ovaries that produce more androgens (male hormones) than normal. This is due to elevated levels of insulin which leads to the increase in production of androgen within the ovary. These high levels of androgen can hinder the development and release of eggs during ovulation.

    Polycystic ovary syndrome (PCOS) can cause the body to produce too much testosterone and is associated with insulin resistance, and can lead to decreased fertility. High levels of testosterone can cause irregular menstrual cycles, and prevent ovulation hindering pregnancy.

    PCOS patients should first try weight loss management and/or take different medications to help with conception. However, if these treatments are unsuccessful, ovarian drilling (as known as ovarian diathermy) could be the answer.

    How does ovarian drilling work?

    Ovarian drilling is a surgical treatment used to help women who have PCOS ovulate without medications. While the name may sound forceful, ovarian drilling is relatively simple and minimally invasive.

    This laparoscopic procedure is performed under general anesthesia, where one of our highly trained physicians will insert a thin, lighted telescope through a small incision below the belly button. This allows the doctor to visually examine the patient’s ovaries and other internal pelvic organs.

    Electrocautery or laser is then used to create small holes in the ovaries, destroying the thick ovarian stroma that contribute to excess testosterone production. This process decreases the amount of testosterone production allowing many women to ovulate more regularly thus boosting fertility without medications.

    Approximately 50% of women will conceive within the first year following ovarian drilling. Unlike fertility medications that are to be taken repeatedly, ovarian drilling is a one-time treatment. Also, the risk of multiples is not as likely with ovarian drilling as with fertility medications. Even in cases where ovarian drilling fails to regulate the menstrual cycle and restore ovulation, it can be effective in helping the women respond better to fertility medications.

    The first step is to schedule a consultation with one of our physicians at Brown Fertility to determine if one is a good candidate for laparoscopic ovarian drilling.

    Sources

    American Society for Reproductive Medicine: Ovarian Drilling for Infertility
    Retrieved from ReproductiveFacts.org

    Attain Fertility: PCOS and Ovarian Drilling
    Retrieved from AttainFertility.com

  2. Brown Fertility Announces New Physician, Dr. Lori Hollins

    JACKSONVILLE, FL (January 8, 2018) – Brown Fertility is pleased to announce the addition of a new physician, Lori Hollins, M.D. who begins with the practice in January.

    Dr. Hollins joins Brown Fertility with over 20 years of experience and is an acknowledged leader within the field of Reproductive Endocrinology. Dr. Lori Hollins is dually board certified in Obstetrics and Gynecology and Reproductive Endocrinology.

    “We are excited to welcome Dr. Lori Hollins into the Brown Fertility family. She comes to us with an incredible amount of infertility experience from the Cleveland Clinic and Northern Ohio area that will undoubtedly enhance our practice.  Dr. Lori Hollins brings a warm heart and compassion for infertility patients and we welcome her in January of 2018”, said Dr. Samuel E. Brown.

    Dr. Hollins a graduate of Brown University and University of Cincinnati College of Medicine, completed her residency in Obstetrics and Gynecology at the MacDonald Women’s Hospital/University Hospitals and Metrohealth Medical Center in Cleveland, Ohio.

    She completed her fellowship in reproductive endocrinology and infertility at Wayne State University School of Medicine/Hutzel Hospital in Detroit, Michigan. At Hutzel, she won the Fellow’s research award for best research project.  Dr. Hollins has experience in academic medicine and private practice and has conducted and published research on Women’s Health.

    In her spare time she enjoys spending time with her family (mother to a daughter and a son), traveling, writing, reading, swimming, biking, and storytelling.

    New Appointments with Dr. Hollins will be available in 2018. Please call us at 904.260.0352 or request an appointment online.

    About Brown Fertility: With more than 30 years of combined experience and the management of more than 7,000 IVF cycles, Dr. Samuel E. Brown, Dr. Rafael A. Cabrera, Dr. Bruce Rose, and Dr. Lori Hollins are dedicated to Conceiving Miracles™. Brown Fertility offers a fully comprehensive array of fertility treatments, including in vitro fertilization, egg donation and artificial insemination and is home to Florida’s most state-of-the-art IVF center, which produces some of the highest pregnancy rates in the country. Brown Fertility has earned a reputation for not only producing excellent outcomes and offering affordable treatment options, but also for providing patients with the one-on-one attention and the compassionate care they deserve. Visit www.BrownFertility.com for more information.

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    Media Contact:

    Nicole Haggerty, Director of Marketing

    nahaggerty@brownfertility.com

    904.260.0352

  3. Fertility Preservation

    Cryopreservation of eggs (oocytes), embryos and sperm allow patients to protect their future fertility. The two main reasons patients choose fertility preservation are for medical necessity and social or lifestyle choices.

    Medical Necessity

    Patients who are set to undergo certain cancer treatments are also faced with making a decision about fertility. Cancer treatments such as chemotherapy, radiation and some surgeries can endanger reproductive health and cause irreversible damage in both female and male patients. The American Cancer Society suggests healthcare providers counsel their patients on the risk of infertility and the assisted reproductive strategies that are available to patients as soon as possible after initial cancer diagnosis.

    Lifestyle

    Many women are delaying motherhood for several reasons including personal, education, career or not having yet found a suitable partner. While women are empowered to put off having a child until a later age, the natural age-related decline in female fertility still persists. According to the Center for Disease Control “there were more than nine times as many first births to mothers 35 and older than there were in the 1970s.”

    Fertility begins to decline for women in their 30s and even more rapidly after age 35. Fertility preservation is a viable option for women who have decided ahead of time that they will wait until a later age to start their families.

    Treatment Options

    Sperm cryopreservation has been around for several decades and is known to be viable after being frozen for an indefinite number of years. Patients can either provide a sample to be frozen or sperm can be retrieved via a surgical sperm retrieval (i.e. PESA, TESE, MESA). Cryopreserved sperm can be later thawed and used in both Intrauterine Insemination and In Vitro Fertilization procedures without causing problems with the sperm of future offspring.

    Female patients have the option of either freezing their eggs through Oocyte Cryopreservation or freezing embryos (fertilized eggs). Eggs are retrieved from the ovary and either frozen, or fertilized and then frozen. As of 2012, the American Society for Reproductive Medicine has declared that egg freezing is no longer experimental and have announced that egg freezing is now an acceptable fertility treatment. Due to scientific advancements such as vitrification (extremely rapid freezing of oocytes and embryos), pregnancy rates as well as health of delivered babies have proven oocyte cryopreservation to be a safe and viable option.

    Through partnership with the non-profit organization Livestrong Cancer Program, Brown Fertility is able to offer reduced cost fertility preservation treatments.

    Conclusion

    Whether a patient defers parenthood by choice or due to their fertility being at risk, there are options available at Brown Fertility to meet the patient’s needs. Learn more about fertility preservation by calling either our Jacksonville or Orlando office or by completing our online contact form.

See what our Patients are Saying About Us View All

“Throughout our journey to conceive, Dr. Brown became so much more than our reproductive endocrinologist. He became our therapist, problem-solver, cheerleader, and—most importantly—our friend.”Greg & Dana