The Most Trusted Fertility and IVF Specialists in the St. Louis region

We offer more than 30 years of experience providing consistently high pregnancy success rates, honest and accurate information, and compassionate care. Our expertise and the extensive resources of Washington University School of Medicine enable us to offer the most effective procedures and technologies in fertility treatment today.

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What sets us apart?

From being the first IVF program in the state of Missouri, to having access to the latest medical advancements, our board-certified physicians have the most IVF experience in the St. Louis region. Staying current lets us offer our patients effective methods and the best reproductive care.

Our locations

Our locations

See our board certified physicians at one of our 3 locations in the expanded St. Louis area. We also offer appointments at CoxHealth in Springfield, MO, via telemedicine.

  • Central West End
  • West County
  • Shiloh, Illinois
  • Springfield, MO

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Treatments and services

In addition to infertility treatments for women and men, our reproductive endocrinologists provide the full spectrum of women's reproductive health care and therapies.

See all treatments and services »
  • Recurrent Pregnancy Loss
  • Fertility Surgery for Women
  • Fertility Surgery for Men
  • In Vitro Fertilization (IVF)
  • Non-IVF Therapies
  • Preimplantation Genetic Testing (PGD/PGS)
  • Intracytoplasmic Sperm Injection (ICSI)
  • Fertility Preservation
  • Fertility Preservation for Cancer Patients
  • LGBT Family Building
  • Gestation Carrier / Surrogacy

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How it works and what you need to prepare to freeze your eggs @wustl_fertility SCHEDULE APPT: make sure you see a board certified reproductive endocrinologist/fertility clinic that has experience freezing eggs. The consultation will be 30-60 minutes. Come prepared to answer questions about your reproductive goals. Bring along a member of your support system :) GET TESTING: Our physicians will check markers of ovarian reserve, specifically an AMH and ultrasound antral follicle count to help set expectations and qualify how many eggs you might get with one cycle of egg freezing (more on that below). AMH is a blood test usually done that day and the US may be done that day or later depening on where you are in your menstrual cycle. GET COUNSELING: Our physicians will review pros/cons of the egg freezing process and utilize the above test results to help you understand how many eggs are necessary to achieve 40-70% livebirth. This information will help you determine whether you might need to be prepared for more than one egg freeze cycle. DECIDE: The decision to freeze eggs is highly personal. On one hand it will help extend one's future fertility, but on the other, its not a guarantee for future livebirth and may incur significant cost. Some have used referred to a, so called "sweet spot" to freeze eggs, which is thought to be age 33-37. MAKE PAYMENT: Egg freezing costs $5-10,000 per cycle. very few employers provide coverage for this. TWO WEEKS: A cycle of egg freezing requires about 2 weeks of time during which you are giving yourself 1-2 separate "bee sting" like injections daily for about 10 days. During those 10 days of daily injection, you will visit the fertility clinic 3-5 times for estrogen blood levels and vaginal ultrasounds to measure your response. After about 10 days, then you are triggered with a third injection (in the hip) and then 36 hours later - you undergo an egg retrieval, which is an outpatient surgical procedure. FREEZE EGGS: Eggs are stored temporarily onsite and then moved to a long term storage facility. Annual fees for storage are about $300-400. REPEAT MAYBE: some patients will elect to cycle again to retrieve more eggs.

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Part 1. Introduction and Terminology. This topic/conversation is complicated and highly individualized but let's outline a framework from which one can feel informed. 1️⃣Language is important so let's clear up some terminology. Preimplantation genetic testing (PGT) is a tool used to test the genetics of the embryo(s). The three most common types of PGT used in clinical practice are testing for *️⃣Aneuploidy (PGTa) *️⃣ single gene Mutation testing (PGTm) and *️⃣Balanced translocation testing (PGTsr). 🧬PGT, be it PGTa, PGTsr, PGTm, is an adjunct to the IVF process. In its current form in the US, (though there is some variation) PGT involves culturing the embryo(s) out to the 5th or 6th day, biopsying the embryo(s), freezing the embryo(s), and then amplifying and testing the sampled DNA. Most clinics send out the sampled DNA to a commercial reference lab for testing. Some clinics do the testing "in house." A 5-7 day turn around time is typical for resulting of the biopsied sampled with send out labs. 🧬After which time, the patient can then proceed with a routine Frozen embryos transfer (FET) and transfer of the tested embryo. Oftentimes, patients will have the transfer 4-8 weeks after the biopsy of the embryos. 🧬In PGTa, in general, 3-6 cells are removed from the hundreds of cells that make up the trophectoderm - the area of the embryo that ultimately becomes the placenta. The cell's DNA is then amplified and sophisticated genetic and bioinformatics tools (e.g SNP array, array CGH, and more recently next gen sequencing) are used to determine if there are deletions or duplications in all chromosomes 1-22 X, Y. 🧬In PGTm and PGTsr, a more sophisticated process of DNA testing of the sampled cells is used to probe for the presence of single gene mutations or structural chromsomal rearrangements that may be associated with miscarriage. 🧬There is a variation on how physicians (and patients) approach PGT. Tune in this week for some basic insights.  Next: Part 2. Enhancing the Embryo selection process: PGTa #infertilitysucks #ttctribe #ivfjourney #ivfwarrior #ttc #ttcstl #ttccommunity #ttcsisters #infertility #fertility #docsofinsta #doctor

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Shout out to our new fellow @dr_cmart (Caitlin Martin, MD) who will be assisting us in the care and management of all of our patients. This weekend she is going Park a city for an annual retreat for all REI fellows to get a crash course in how to shape a career in the world of fertility care. Some fun facts about Caitlin 💥she is a triplet3️⃣ 💥her interview at our program last year was her first trip to Missouri ✈️ 💥 She did @teachforamerica 💥 She did her obgyn residency at the same place @emorygynob as our own @drkenanomurtagmd and second year fellow @velveeta.alejandro

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