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.

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  • 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

Instagram

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Arcuate uterus - @dr_cmart⁣ ⁣ Not to be confused with a uterine septum… women are occasionally diagnosed with an arcuate uterus during an #infertility or #miscarriage workup. It is technically considered a uterine anomaly, but it probably is actually a variation of normal. It may occur in 4% of all women. Similar to a uterine septum, it can be diagnosed on a hysterosalpingogram or a sonohystogram. The pic above is a sonohystogram. The uterine cavity looks like a ❤️ ⁣ Are you flipping back and forth to see the post about uterine septums? We can determine the difference between a uterine septum and an arcuate uterus based on how deep the indention (2️⃣) is. We make the diagnosis based on how far the cavity of the uterus indents compared to the top of the uterus. If less than <10 mm indentation then arcuate. If >10mm, then septum. The top of the uterus (1️⃣) does not indent in arcuate or septate uterus configurations. Remember this for our next post on bicornuate uterus. ⁣ ⁣ Although surgery is often indicated with a uterine septum, it is not needed with an arcuate uterus because an arcuate uterus is not thought to impact fertility. ⁣#TTC #ttccommunity #ttcsisters #miscarriageawareness #ivfjourney #fertility #infertilitysucks #infertilityawareness ⁣

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Credit: @dr_cmart We imagine some of you have read the headlines correctly – a 73-year-old just gave birth to twins in India. She and her 80-year-old partner had been trying for over fifty years. How could this happen? #donoregg. Should this happen? #ethics.⁣ ⁣ In theory (and in practice), if a uterus is normal, the age of a women’s uterus does not effect pregnancy in IVF, just the age of the donor who provided the eggs. Most clinics in the US limit the age of an intended parent to the natural age of menopause (50 or 51). Talk to your clinic 5o learn about its limits. Our professional society, @americansocietyforreprodmed , discourages pregnancy after 55. ⁣ Why impose an age limit? Pregnancy is a lot for a woman to go through medically. A lot of physiologic changes occur that could be life threatening to someone with an underlying medical condition. ASRM recommends if a woman is over 45 that extensive testing be done to ensure there are no underlying medical conditions that could be harmful to the patient if she carries a pregnancy. Older moms also have a higher risk of experiencing pregnancy complications such as #pretermlabor, low birth weight, preeclampsia or gestational diabetes. Furthermore, ASRM recommends if intended moms are older that they choose to have only one embryo transferred to minimize the risk of twins or triplets. ⁣which can further complicate the #pregnancy. Although rare, the impact on disability and disorders from the age of the father should not be ignored either. Ethically, some wonder whether it is fair to the child to be born to parents are higher risk of death before the child reaches adolescence. As parental loss is one of the hardest things a child will endure in life. Many people disagree with this because grandparents raise grandchildren regularly and many children lose parents before adulthood regardless of their parental ages. ⁣ What do you think?⁣ #talk #ethical

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Today and this upcoming week our fellow @dr_cmart will drop info on uterine anomalies. Today she talks about uterine septum. Sometimes during a workup for #infertility OR #recurrentmiscarriage we discover differences in women’s uterine anatomy, such as a uterine septum. ⁣ ⁣ ☑️What causes a uterine septum? A division between the two sides of the uterus is normal In development, but it is supposed to resorb on its own when you’re in-utero. ⁣ ⁣ ☑️How common is it? Unclear – possible as low as 0.1% or as high as 12% of women⁣ ⁣ ☑️How do we find it? Septums can be seen during saline infusion sonograms or hysterosalpingograms or even routine ultrasounds. We have to be careful to make sure that you don’t have a different problem instead, such as an arcuate uterus or a bicornuate uterus. More info to come on other anomalies in the next few days!⁣ ⁣ ☑️When do we need to do something about it? Since the septum is typically made of a fibrous material instead of muscle, it is an unhealthy area for an embryo to implant and grow. Women with uterine septa may experience recurrent miscarriages. However, many can have normal pregnancies. Sometimes when someone has infertility we discover a septum on a workup – we usually want to treat the septum before someone does #fertility Treatment like #IVF or #IUI. ⁣ ⁣ ☑️How do we treat it? During a simple outpatient procedure called hysteroscopy, we use small scissors to incise the septum to unify the cavity. The procedure takes 30 minutes and you are back to your routine the next day with a bow lower risk of miscarriage. ⁣#miscarriageawareness #miscarriage #doctor #infertilitysucks #ivfjourney⁣ #ttc #ttccommunity #ttcsisters #stlttc💕 ⁣ PMID:23312243 ⁣

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