Hyacinth Nicole Browne, MD is a board certified reproductive endocrinologist. She majored in Chemistry at Dartmouth College and graduated cum laude. She graduated from Yale University School of Medicine in 2002, and she completed her reproductive endocrinology and infertility fellowship at the National Institutes of Health. Dr. Browne specializes in compassionate and personalized infertility care and she is devoted to helping couples achieve their dreams of having a family. She has authored numerous publications and is the recipient of various awards in medicine, research, and academics.
First find a Fertility Specialist that best fits your needs, review their experience, and determine that the location is convenient for you. Then, from that page, upload your insurance information. The Doctor’s office will contact you to verify whether your plan is accepted.
Many plans allow for access to out of network providers for the same out of pocket cost as in network providers.
Andrologists are Urologists who have completed additional training in male fertility. Andrologists may evaluate and treat male fertility issues alone, or along with a reproductive endocrinologist.
A woman's fertility testing may include bloodwork to assess Anti-Mullerian Hormone (“AMH”) and Follicle-Stimulating Hormone (“FSH”) levels, both of which are good indicators of ovarian reserve. Testing may also include an ultrasound to evaluate Antral Follicle Count (the number of follicles contained within the ovaries helps the physician to determine how many eggs may be produced in any given month).
In addition to sperm analysis other tests that may be performed include blood tests to see how well the body is producing the hormones necessary for fertility and possibly genetic testing. Some doctors may also do an ultrasound of the testicles.
Conventional medical therapies can reverse infertility in 85 to 90 percent of all cases. Treatments include drugs, surgery, and ART for both men and women (assisted reproductive technology).
Only men with no sperm in their ejaculate (azoospermia) need to have sperm retrieved directly from the testis or epididymis. Simple sperm retrievals are performed in men with obstructions, who make sperm without a problem. These procedures go by the acronyms TESA, MicroTESA, PESA, TESE, MicroTESE, and MESA. Simple sperm retrievals are usually performed the day of egg retrieval in the woman.
IVF has many steps and can take several months to complete the whole process. During IVF , mature eggs are collected from ovaries and fertilized by sperm in a lab. Then the fertilized egg or eggs are transferred to a uterus. Sometimes it works on the first try, but many people need more than 1 round of IVF to get pregnant. IVF definitely increases the chances of pregnancy, but there is no guarantee.
Transvaginal ultrasound aspiration is the usual retrieval method. An ultrasound probe is inserted into the vagina to identify follicles. Then a thin needle is inserted into an ultrasound guide to retrieve the eggs. If the ovaries are not accessible through transvaginal ultrasound, an abdominal ultrasound may be used. Temporary cramping and feelings of fullness or pressure may be felt after the procedure.
Yes, anesthesia is usually required as the egg retrieval procedure can be uncomfortable. Also, making sure the patient is completely motionless maximizes the success rate for collecting as many eggs as possible.
In ovarian reserve testing the clinician is assessing how well a woman's ovaries are responding to the hormonal signals from her brain. The most common tests to evaluate ovarian reserves are: 1. AMH (anti-mullerian hormone) 2. Antral follicle count 3. Baseline follicle stimulating hormone (FSH)
A testicular biopsy takes a tissue sample from the testicle for laboratory analysis. A testicular biopsy can be used to: 1. Diagnose the location and condition of a lump in the testes 2. Diagnose causes of male infertility 3. Obtain sperm for in vitro fertilization (IVF)
Co-maternity IVF is an LGBTQ fertility treatment that involves both female partners. In this procedure, one woman - the genetic mother - undergoes egg retrieval for fertilization. The partner - birth mother - undergoes embryo transfer and then carries the pregnancy.
A gestational surrogate is a woman who carries the embryo of another couple in her uterus until the birth of the baby. She does not have any genetic ties to the child because the embryo was created from the egg of the biological mother.
PreferredMD’s online service allows you to filter your results for Fertility Specialists by gender. That way, you’ll only see Doctors who match your preferences.
PreferredMD’s online service allows you to filter for Fertility Specialists with availability after 5 p.m. Just choose the special hours filter at the top of our search page.
You can use PreferredMD’s online service to find Fertility Specialists who are highly rated by real patients. Every time a patient completes an appointment booked on PreferredMD, they are invited to review their experience. All ratings are based on verified reviews submitted by real patients. Each review must comply with PreferredMD’s guidelines.
PreferredMD’s online service uses a purple video icon on the profiles of Fertility Specialists who offer online video visits. You can filter your search results to show only Fertility Specialists who offer video consultations.
PreferredMD’s online service allows you to search specifically for Fertility Specialists who have appointments available before 10:00 am, or after 5:00 pm. Just choose the special hours filter at the top of our search page.
PreferredMD’s online service allows you to see real-time availability for Fertility Specialists that offer appointments on Saturdays and Sundays. Just choose the special hours filter at the top of our search page.
Assisted reproductive technology (ART) is used to treat infertility. Some examples of ART are in vitro fertilization (IVF), gamete intrafallopian transfer (GIFT), pronuclear stage tubal transfer (PROST), tubal embryo transfer (TET), and zygote intrafallopian transfer (ZIFT). In vitro fertilization (IVF) is the most common and effective type of ART. All treatments include the handling of eggs and/or embryos.
Unexplained Infertility is a term used when the woman is likely to be ovulating regularly with a good ovarian reserve/egg supply, and a “dye test” (hysterosalpingogram) proves that the fallopian tubes are open, and the man’s sperm quality meets normal standards. About 10 percent of infertile couples suffer from unexplained infertility.
Couples with unexplained infertility have several options to help them have a baby. Treatments such as fertility medications combined with IUI (intrauterine insemination) or IVF (in vitro fertilization) can dramatically improve pregnancy rates for women/couples with unexplained infertility. Your Doctor will help you decide the best treatment plan.
A gynecologist can perform a preliminary fertility evaluation. A fertility specialist is a gynecologist who has completed three years of specialized training with an approved reproductive endocrinology fellowship program. A reproductive endocrinologist is double boarded, in OB/GYN and in Reproductive Endocrinology.
Luckily there are two post-vasectomy pregnancy options: vasectomy reversal and IVF.
During a vavosectomy the surgeon reconnects the severed vas deferens. Vasectomy reversal is considered major surgery requiring a longer recovery period than vasectomy. IVF is a multi-step procedure that utilizes sperm aspirated directly from the testicles. Under local anesthesia, a needle is passed directly through the scrotum into the testicle itself or the epididymis.
Most insurers provide coverage for video visits at the same rate as in-person visits. You can search on PreferredMD specifically for Fertility Specialists who accept your insurance for video visits. Select your carrier and plan from the drop-down menu at the top of the page to verify. If that information is not available, we recommend you check with your insurance carrier directly to confirm your coverage and out of pocket costs for video visits.
PreferredMD patients can often get same day appointments; on average within 24 hours. You can search for real-time availability of Fertility Consultations in your area, with Doctors who accept your insurance and make an appointment online.
Now that you’re here, you can use PreferredMD’s free online service to find Fertility Consultations and book appointments instantly. You can easily search for a Fertility Consultation in your desired location and specify your insurance plan. Based on that information, you’ll see a list of Doctors who meet your search criteria, accept your insurance, and their available appointment slots.