Tuesday, June 3, 2008

Do I need Genetic Counseling

Many couples who become pregnant find out that they need genetic counseling. There are all kinds of blood and urine tests, family history questions, medical exams and prenatal tests that can help determine if you and your partner need genetic counseling. Genetic counseling will help you determine the health of you and your baby, protecting against and preventing certain health risks.
You and your health care provider may determine that genetic testing could help you identify certain genetic diseases and disorders that may affect your child. Genetic testing can help identify Down Syndrome, Tay-Sachs disease, cystic fibrosis, spina bifida and sickle cell disease. If you are at risk for having a child with any of these problems, then your doctor may suggest going to genetic counseling.
A genetic counselor will evaluate the health and family history of you and your partner. Based on the information collected, or lack of information available, the genetic counselor may suggest certain genetic testing. The counselor will help you decide which risks are worth taking, but the final decisions will be up to you and your partner. Genetic counselors are experienced in dealing with these types of tough decisions and delicate matters. They can help you cope with any emotional distress that you may be feeling.
Gene testing on you and your partner will help identify hereditary disorders or diseases that you may be carrying in your DNA that could be passed on to your child. This is usually done by blood tests, but sometimes requires tissue samples. Your DNA combines with your partners during conception and the baby grows, replicating the new DNA chain over and over. If certain genes or DNA sections are damaged or abnormal, then diseases or disorders can result. Keep in mind that most of the genetic disorders that your child could inherit would need to come from both parents to manifest.
Down syndrome and some other disorders are not inherited, but occur during cell division. If you have genetic counseling and malformations or errors are found, the genetic counselor will help you to understand the findings.
Birth defects are not very common and most that occur are treatable. Cleft palate and clubfoot are the two most common birth defects and are almost always surgically treatable. Standard screening tests done when you are pregnant may give you cause for concern and warrant seeking genetic counseling. Your age alone could be a factor in determining if you should have genetic counseling. Women over thirty five years of age have a higher chance of having a child with Down Syndrome. If you or your partner know of inherited diseases, disorders or birth defects in the family then you may decide to seek genetic counseling.
If you have had problems getting pregnant or sustaining a pregnancy, seeing an infertility specialist as well as a genetic counselor can be helpful.

About the Author: Dr. Eric Daiter, the medical director of The NJ Center for Fertility and Reproductive Medicine, LLC, a leading NEW JERSEY INFERTILITY CENTER that offers a complete range of MALE INFERTILITY AND FEMALE INFERTILITY TREATMENT. For more information on The NJ Center for Fertility and Reproductive Medicine and Eric Daiter please visit www.drericdaitermd.com.

Dr. Eric Daiter MD: Doctor Testimonials

Using the testimonials of other doctors and surgeons can help you make your decision about which infertility specialist to go with. When interviewing doctors, ask for referrals and testimonials from other doctors, surgeons, staff members and nurses. You can better judge which infertility specialist you want to trust by using the experiences of others. Here are some testimonials about Dr. Eric Daiter MD in New Jersey provided by doctors, anesthesiologists and surgeons that have worked closely with him. – I am an anesthesiologist in New Jersey and have worked regularly with Dr. Eric Daiter for the past eight years. We have worked together in both elective and emergency cases. As a physician in the operating room, I have a unique perspective to Dr. Daiter’s surgical performance. Dr. Eric Daiter is an excellent surgeon. He is very thorough and always has a defined plan coming into surgery. His laparoscopic technique is superior. He is calm, careful, and patient. It is a pleasure to work with such a highly skilled surgeon.
On a personal note, I see Dr. Eric Daiter speaking with his patients and their families before and after surgery. He has a wonderful bedside manner and he is genuinely concerned about his patients. In addition, Dr. Daiter has an excellent rapport with the nurses and support staff in the OR.
-I have known Dr. Eric Daiter since 1994 when he joined our medical staff as an infertility specialist. During the past ten years, we have interacted very frequently. This has evolved into a relationship of mutual respect over this period of time.
As an interventional radiologist who has been interested and involved in infertility since 1988 and among the first physicians in the country to perform fallopian tube dilatation, I have over the years been fortunate to rely upon Dr. Eric Daiter’s infertility expertise. Without qualification, I can attest that he is an extremely conscientious, capable and compassionate physician. He has excellent people skills as demonstrated by his interaction with hospital personnel as well as the staff at my private office. He is one of those individuals with a gifted sense of knowing how to organize and perform in an efficient manner. His initiative, judgment and integrity have never been questioned to my knowledge. Dr. Eric Daiter’s relationship with his patients is one of concern and he always goes the “extra mile” to fully explain procedures to his patients, as well as to immediately upon completion of his hysterosalpingograms that we have performed together, to give them their results.

About the Author: Dr. Eric Daiter, the medical director of The NJ Center for Fertility and Reproductive Medicine, LLC, a leading NEW JERSEY INFERTILITY CENTER that offers a complete range of MALE INFERTILITY AND FEMALE INFERTILITY TREATMENT. For more information on The NJ Center for Fertility and Reproductive Medicine and Eric Daiter please visit www.drericdaitermd.com.

Epididymal Obstruction

Sperm is produced in the seminiferous tubules and is transferred to the epididymis. This is a tube coiled inside of the scrotum. This duct is actually about twenty feet long, but is coiled very tightly and runs behind the testes, forming a duct. This duct is a passage for sperm to travel down as they grow and mature before they are expelled. When this duct becomes blocked, it is referred to as an epididymal obstruction.
Epididymal obstructions prevent the sperm from ever making it to the ejaculate. Obstructions can occur on one side or both sides. One sided blockages normally cause a man to have a low sperm count. A two sided blockage can cause the sperm count to be as low as zero. This condition is referred to as azoospermia.
An epididymal obstruction can sometimes be felt in a simple physical exam. Blockages can cause the epididymis to become swollen and hard. Azoospermia can be caused by the sperm not being produced or not being delivered due to an epididymal obstruction. An infertility specialist will determine which is the cause if you are experiencing azoospermia. If any sperm are being produced, then they can be manually retrieved and can be used for conception through in-vitro fertilization or intracytoplasmic sperm insertion, so a zero sperm count does not always mean that you can not father a child.
Blockages of the epididymis can usually be surgically repaired. Success rates may depend on the cause of the blockage. Some blockages are naturally occurring, some can be caused by hernia or from the repair of a hydocele.
Your infertility specialist may need to take a tissue sample from the testis to determine if sperm production is happening. If it is, then a blockage may be diagnosed. After that, you may consider surgery to bypass the blockage. This surgery is called vasoepididymostomy. This bypass connects the vas deferens to the epididymis.
Many men choose sperm retrieval for use in in-vitro fertilization or intracytopolasmic sperm insertion over surgery. Sperm can be retrieved with a needle or incision into the testis. Another option is to retrieve the sperm directly from the epididymis through a Microscopic Epididymal Sperm Aspiration (MESA). This is a common choice because the sperm are more mature when taken from the epididymis. There is also more sperm to be retrieved from the epididymis than the testis. Sperm can be harvested and frozen for future in-vitro fertilization attempts.
About the Author: Dr. Eric Daiter, the medical director of The NJ Center for Fertility and Reproductive Medicine, LLC, a leading NEW JERSEY INFERTILITY CENTER that offers a complete range of MALE INFERTILITY AND FEMALE INFERTILITY TREATMENT. For more information on The NJ Center for Fertility and Reproductive Medicine and Eric Daiter please visit www.drericdaitermd.com.

Finding a Reproductive Endocrinologist-Dr. Eric Daiter MD

When you begin your search for an infertility specialist, you may be interested in the recommendations of family and friends. Another way to ensure that you are getting the best quality of care is to look for recommendations from other doctors and surgeons that have worked closely with an infertility specialist. They can give you a unique perspective when it comes to selecting the best Reproductive Endocrinologist for you and your situation. Below are some recommendations from doctors and surgeons in the New Jersey area that have worked with Dr. Eric Daiter MD, a leading Reproductive Endocrinologist in New Jersey.
I have been a practicing physician in Monmouth County for over twenty years. I have known Dr. Eric Daiter since his arrival in New Jersey over ten years ago, and I have referred numerous patients to him for care.
In my experience with Dr. Eric Daiter, I have found him to be a caring, compassionate doctor who is extremely organized. He consistently gives concise reports, and is the only doctor I know who provides review articles and newsletters in regards to our mutual patients.
I am a Fellow of the American College of Obstetrics and Gynecology and have been in practice in New Jersey since 1993. I have worked with many colleagues during my career and few rise to the level of skill, compassion and dedication of Dr. Eric Daiter.
I first met Dr. Eric Daiter in the 1980s. Besides displaying excellent clinical skills, Eric taught the essentials of compassion and kindness as he cared for many patients with difficult socioeconomic circumstances. Dr. Eric Daiter helped patients and all members of the medical staff to experience the joy of childbirth and the joy of caring for patients in need of help.
I was fortunate to work with Dr. Eric Daiter while he was undergoing fellowship training in infertility at the Hospital of the University of Pennsylvania. Eric was always well respected and known for an exceptional and kind bedside manner and also careful and excellent surgical skill. The Hospital of the University of Pennsylvania is one of the finest medical centers in the east coast. Its Reproductive Endocrinology and Infertility Division is widely known as one of the finest in the country. Dr. Daiter fit in well with the extraordinary physicians of that department.
As a practicing physician in the State of New Jersey, from time to time I have referred patients to Dr. Eric Daiter for care. I am happy to report that a number of patients with difficult medical histories have achieved healthy pregnancies and great outcomes thanks to Dr. Daiter. Other patients have referred for laparoscopic and hysteroscopic procedures which were performed with excellence and with good results. Not only do I feel comfortable referring my patients to Dr. Eric Daiter for excellent care, I would refer family members as well.

About the Author: Dr. Eric Daiter, the medical director of The NJ Center for Fertility and Reproductive Medicine, LLC, a leading NEW JERSEY INFERTILITY CENTER that offers a complete range of MALE INFERTILITY AND FEMALE INFERTILITY TREATMENT. For more information on The NJ Center for Fertility and Reproductive Medicine and Eric Daiter please visit www.drericdaitermd.com.

Gestational Hypertension

Hypertension is more commonly known as high blood pressure. About five percent of women who are pregnant will experience gestational hypertension, or pregnancy induced hypertension.
This condition occurs when the pressure in the arteries becomes too high. This can pose a great risk to a pregnant woman and her baby. Fortunately, modern techniques can be very effective in controlling high blood pressure during pregnancy.
Your blood pressure can change all the time. Your doctor will need to get several high readings before determining that you have high blood pressure. The blood pressure cuff will be placed around your arm. Systolic and diastolic pressure will be measured. Systolic pressure refers to the pressure inside your arteries during your heart’s contraction. Diastolic pressure is the pressure reading during the resting stage of your heart, between contractions. You may be diagnosed with high blood pressure if your readings consistently show a systolic pressure of greater than 140 or a diastolic pressure of 90 or higher.
If you are diagnosed with high blood pressure before becoming pregnant or early on in the pregnancy, it is referred to as chronic hypertension. Many women may have problems conceiving if they have chronic high blood pressure. Gestational hypertension refers to high blood pressure that occurs during or after the twentieth week of pregnancy and does not subside. If you are diagnosed with chronic or gestational hypertension, you will need to be under close supervision throughout your pregnancy.
Diet, exercise, heredity and lifestyle can all contribute to high blood pressure. Certain high blood pressure medications should not be taken during pregnancy so be sure that you consult with your physician if you are on high blood pressure medication and become pregnant. High blood pressure greatly increases your chances of having a stroke or a heart attack. Pregnancy can also increase these risks, so it is extremely important to keep your blood pressure under control throughout your pregnancy.
Your doctor will closely monitor your blood pressure and also regularly check for protein in your urine. When gestational hypertension is accompanied by protein in the urine, it is referred to as preeclampsia. Preeclampsia can be a life threatening condition. If you are diagnosed with preeclampsia, you may be required to stay in the hospital or on bed rest for the remainder of your pregnancy.
Symptoms of preeclampsia include swelling of the hands and face, rapid weight gain, blurred vision, headaches, dizziness and abdominal pain on the right side. If you experience any of these symptoms you should see your doctor right away. Hypertension constricts blood vessels to the uterus and can limit the air and blood supply for the fetus. This can cause the baby not to receive the nutrients that it needs to grow and can result in low birth weight and early delivery.

About the Author: Dr. Eric Daiter, the medical director of The NJ Center for Fertility and Reproductive Medicine, LLC, a leading NEW JERSEY INFERTILITY CENTER that offers a complete range of MALE INFERTILITY AND FEMALE INFERTILITY TREATMENT. For more information on The NJ Center for Fertility and Reproductive Medicine and Eric Daiter please visit www.drericdaitermd.com.

Healthy Body-Healthy Sperm

There are a lot of myths surrounding sperm count and sperm health. The truth is that your sperm count can vary from day to day and can be affected by many things. If you are interested in increasing your sperm health or sperm count, there are a few things that you can do to help improve your chances of having healthy sperm.
Take your vitamins. A daily multivitamin can help your body to become a good environment for sperm production. Zinc and Folic Acid have been shown to help in sperm production and increase sperm count for a lot of men. Keeping your body healthy can have a direct connection with keeping your sperm healthy.
Diet can have an impact on your sperm as well. Try eating lots of fruits and vegetables, lean proteins and whole grains. In today’s society, we tend to eat a lot of processed foods loaded with additives and little nutrition. Become label conscious and try to eat a more balanced diet. Healthy fats can help with sperm production. Omega-3 fatty acids are found in salmon, eggs, flax and avocados.
Refrain from damaging recreations such as smoking, drinking alcoholic beverages and drugs. All of these things will hinder sperm production. Cigarettes and drugs are loaded with toxins that are not compatible with sperm growth and development. Stay away from these things if you are trying to conceive.
Toxins in your environment can also damage sperm. If you are exposed to toxins daily, such as pesticides or paint fumes, then it may be affecting your sperm count. Wear gloves when exposing your skin to household cleaners. Wear a ventilation mask if you are around any fumes that could be inhaled. Shower often to help your body rid itself of toxins that could be in your system.
Heat can hinder sperm production. Choose warm showers over hot baths. Avoid hot tubs. Switch from briefs to boxers. Your testes naturally drop to get away from your body when they get too hot and contract closer to your abdomen if they need to warm up. Changing your underwear from briefs to boxers will allow your testes to function as they were designed.
Talk to an infertility specialist. Certain medications and illnesses can impact your sperm production. Make sure that you are not taking any medications that could thwart your efforts. Work with your doctor to figure out what could be causing your low sperm count. It could be your environment, lifestyle, habits or an underlying medical condition. Be patient and do what you can to help improve your chances of a healthy sperm count.

About the Author: Dr. Eric Daiter, the medical director of The NJ Center for Fertility and Reproductive Medicine, LLC, a leading NEW JERSEY INFERTILITY CENTER that offers a complete range of MALE INFERTILITY AND FEMALE INFERTILITY TREATMENT. For more information on The NJ Center for Fertility and Reproductive Medicine and Eric Daiter please visit www.drericdaitermd.com.

Pelvic Inflammatory Disease (PID)

Many women are affected by pelvic inflammatory disease. This condition affects the reproductive organs and can cause problems with fertility if it is not treated promptly. Pelvic inflammatory disease occurs when bacteria travels through the cervix, into the uterine cavity and into the fallopian tubes.
Gonorrhea and Chlamydia are common sexually transmitted diseases that can lead to the infection that causes pelvic inflammatory disease. This can cause the reproductive organs to combat the infection by scarring over. This scarring effect is what can give women problems with fertility. Fallopian tubes can be blocked by scar tissue making it difficult or impossible for eggs to travel to the uterus. Many times eggs are fertilized in the fallopian tubes and the result can be an ectopic pregnancy.
Ectopic pregnancies are pregnancies that occur outside of the uterus. An egg implanted in a fallopian tube can be a dangerous, even life threatening condition that requires immediate medical attention. Scarring inside the fallopian tubes and uterus can happen very quickly, so you should be aware of the signs and symptoms of pelvic inflammatory disease, particularly if you are of a reproductive age.
Symptoms to be aware of are fever, pain during intercourse or urination, foul smelling vaginal discharge, and irregular periods. If you have any of these symptoms, you should see your doctor right away. Sometimes symptoms are severe and obvious. Many times the symptoms are so mild that they are ignored. Even if you are experiencing mild symptoms, damage can easily occur if the pelvic inflammatory disease bacteria and inflammation are present. Delaying treatment can jeopardize your fertility or even your life.
If you suspect PID, you should immediately see your doctor. Your doctor will need to perform some tests to determine if you have PID. You will most likely be tested for Gonorrhea and Chlamydia. Your doctor may also need to perform an ultrasound to see if your reproductive organs are swollen. Inflammation and swelling can be a good indicator of an infection. Your body will continue to swell and scar in an attempt to stop the infection from spreading.
If you are diagnosed with PID, then you will need to immediately begin treatment to stop the infection. Antibiotics are administered to start battling the infection. Further treatments may be necessary if you have significant scarring. This is especially true if you plan on having a baby. Laparoscopic surgery is usually an option for women of reproductive age. You may wish to go to an experienced and skilled Reproductive Endocrinologist for this procedure to increase your chances of success.

About the Author: Dr. Eric Daiter, the medical director of The NJ Center for Fertility and Reproductive Medicine, LLC, a leading NEW JERSEY INFERTILITY CENTER that offers a complete range of MALE INFERTILITY AND FEMALE INFERTILITY TREATMENT. For more information on The NJ Center for Fertility and Reproductive Medicine and Eric Daiter please visit www.drericdaitermd.com.