The main goal of Center for Advanced Reproductive Medicine is providing the comprehensive fertility service with the state-of- the-art reproductive technology that encompasses both diagnostic and therapeutic services. Our faculty and staff acknowledge the importance of successful infertility treatment, and strive to achieve the highest pregnancy rate utilizing the latest reproductive techniques of ovulation induction, artificial insemination, and in vitro fertilization. The Fertility Preservation Program and Preimplantation Genetic Diagnosis (PGD) Program are the new programs that only CARM can offer in Kansas City.
The Fertility Preservation Program at KU is established to provide the service for cancer patients who desire to preserve fertility before gonadotoxic cancer treatment. This is the first Fertility Preservation Program in the region and perhaps the third in the US.
Aggressive cancer treatment can cause gonadal failure. Where the risk of gonadal failure is high with chemotherapy and radiotherapy, it is wise to attempt to safeguard the fertility before treatment. To date, there are a few options for fertility preservation including sperm banking for men, GnRHa, oophoropexy, freezing of embryos, oocytes, and ovarian tissue for women, but most of theses options except sperm and embryo cryobanking are still experimental.
Cryopreservation of embryos is a well established technique, but it cannot be an option for the patient who cannot delay cancer treatment or who does not have a partner. The technology of oocyte freezing has been improved last 2-3 years, and the live birth rate per transfer after 2005 is above 30% in some centers. A new strategy, involving transplantation of stored ovarian tissue, may be effective for reinstating fertility as well as restoring hormonal function for women facing premature ovarian failure. We are one of the few centers in the world that has expertise and experience in ovarian cryopreservation and transplantation.
All Andrology laboratory tests are available including semen analysis, strict sperm morphology, viability staining, post vasectomy check, anti-sperm antibodies, semen cryopreservation , semen preparation for Intrauterine Insemination (IUI) or In Vitro Fertilization (IVF), sperm identification and cryopreservation during sperm aspirations, donor sperm storage and processing.
Endocrine laboratory services are also available upon receipt of a physician’s order and a properly labeled serum sample. Available laboratory assays are ß hCG, estradiol, follicle stimulating hormone, luteinizing hormone, progesterone, prolactin, DHEA-S, 17- alpha hydroxy progesterone, testosterone.
Advanced Reproductive surgery is available including microsurgical tubal reanastomosis (tubal reversal), robotic assisted myomectomy (removal of fibroid tumor), laparoscopic cystectomy, laser surgery of endometriosis, hysteroscopic surgery. In addition, our well trained and experienced surgeons can provide reconstructive surgery for congenital anomalies of genital organ such as uterine septum (wall inside the uterus), bicornuate uterus (uterus with two horns), or vaginal agenesis (absence of vagina).
All endocrine disorders related to reproduction or reproductive organs can be managed by our doctors who have subspecialty training in Reproductive Endocrinology. The common endocrine disorders in the clinic include Polycystic Ovary Syndrome (PCOS), Hirsutism (excessive male pattern hair growth), Amenorrhea (no menstruation for more than 6 months), Dysfunctional Uterine Bleeding, Hyperprolatinemia (elevation of prolactin hormone that is produced from pituitary gland in the brain), Premature Ovarian Failure (early menopause before the age 40).