"After 7 first trimester miscarriages, thanks to Dr. Braverman we have our precious baby boy,"
Infertility, IVF Failure, Egg Donation Failure and Miscarriage: the Role
Please take the time to read this information. Not all the information
applies to your specific case or diagnosis. The objective of this material
is to familiarize you with the essential concepts of endometriosis diagnosis
and its treatment.
Our approach to the diagnosis and treatment of endometriosis:
- Immunological Evaluation.
- Clinical Evaluation.
- Surgical Diagnosis and Resection.
- Combination of Medical Immune Therapy with Appropriate Fertility Treatments.
If you have failed to conceive on your own for a long period of time or
if you have failed multiple IUI, IVF or even Egg Donation Cycles, silent
endometriosis has to be considered as one of the possible contributing factors.
Our clinical and immunological assessment includes a thorough screening
for the presence of endometriosis.
Scientific evidence shows that that immune system dysfunction may be associated
specific immunological profiles are linked to a high probability of endometriosis.
We have identified genetic markers in the HLA gene as well as cytokine
and cellular markers that can suggest the presence of endometriosis even
without a single symptom. This is because we now understand that endometriosis
is a symptom of underlying autoimmune disease and also now recognize that
the underlying disorder must be treated medically as well as surgically
for optimal results.
Many doctors fail to consider the presence of endometriosis:
this is particularly true in patients who only have subtle symptoms or
no clinical symptoms: we call this silent endometriosis.
We have seen patients with multiple IVF failures whose doctors refuse to
even consider a possible evaluation of endometriosis and continue recommending
one IVF cycle after another
Although any surgery carries some risks, it is also true that repeat IVF
cycles have consequences that are physical, psychological and financial.
Once endometriosis is identified and treated, the appropriate fertility
treatment is combined with immunological treatment.
Below you will find some useful information about endometriosis.