INFERTILITY DIAGNOSIS AND TREATMENT

If you are at a point where you feel you should seek help, at first, it may feel overwhelming. Certainly, this is not something anyone expected to go through. Treatment varies from simple intervention to more advanced therapies. However, if you follow instructions and focus on doing your part, you will find that it is not as scary as it looks at first! At Drug Mart, we will work closely with your physician’s office to achieve the mutual goal of making this process as seamless as possible and ensuring that you have access to a trained professional 24/7 to help answer any questions and address any concerns.

At first, your physician will conduct a detailed consultation to document your medical history. It is important to be open and honest with your RE so that they have a clear picture of your particular condition. Depending on your history, age and other factors, your physician will then order blood work and tests.

Blood work will help determine any hormonal issues that you may have. Other tests that your doctor may consider may include a hysterosalpingoram, hysteroscopy, laparoscopy and/or a sonogram. An endometrial biopsy is another possibility. The male patient will undergo a semen analysis to identify any male factor issues.

Throughout your treatment, make sure to ask questions so that you understand all of your options. We have found that the well informed patient who takes an active role in her treatment and is well organized and prepared usually experiences less stress, which is an important factor. If you have any questions about your medication, make sure to contact your doctor, nurse or Drug Mart before administration. We are available 24/7 and would prefer to advise you before administration so that you are certain and confident during your treatment. Never hesitate to call us, we are here and always available to help!

Your physician will determine whether you need a simple Clomid cycle, IUI, IVF or other treatment and will discuss your options with you.

PROCEDURE OPTIONS

IUI is a procedure in which the sperm is introduced directly into the uterus at the right time in your cycle. This is the least invasive treatment and depending on your diagnosis and age, may be tried several times if pregnancy is not achieved right away.

Ovulation induction involves stimulation of your ovaries to produce egg follicles by prescribing either clomiphene citrate or an injectable gonadotropin in order to stimulate your eggs to produce follicles.

Typically, a “trigger shot”, usually HCG, will facilitate ovulation approximately 34 hours after administration.

These patients are then either artificially inseminated or instructed to have sexual relations within a certain time frame in the hope of achieving a pregnancy.

In-Vitro Fertilization involves the joining of egg and sperm outside of the body to create embryos which are then implanted, or “transferred” into the uterus. This treatment involves controlled ovarian hyperstimulation using injectable gonadotropins. The patient is very closely monitored during the entire cycle to determine egg development, as well as identify any complications that may arise from the use of these medications. A possible complication could be hyperstimulation. Ovarian Hyperstimulation Syndrome (OHSS) can occur when the medication causes enlargement of the ovaries due to an excessive amount of liquid in the ovaries. This is why during your cycle you will need frequent blood work and vaginal sonograms to monitor the size and progress of your ovaries and prevent complications. Your physician will adjust your dose of medication accordingly in order to prevent this condition. However, it can occur. Some symptoms of OHHS are nausea, vomiting, bloating, pain around the ovaries and diarrhea. If OHHS occurs, most cases are mild. In severe cases, the patient may, in addition, experience rapid weight gain of 5-10 pounds in one or 3 days. If you experience any of these symptoms, mild or severe, you should contact your physician immediately. If your symptoms are severe, you should seek immediate medical attention.

When your physician determines that the patient is ready to have her follicles retrieved, a “trigger” shot is administered to trigger ovulation in approximately 34 hours. The procedure is scheduled and the eggs are then removed from the ovaries in order to mix with the sperm. The patient begins to inject progesterone at this point in order to maintain the lining of the uterus. After 3-5 days, the embryos are implanted into the uterus and the waiting for results begins! In our experience, many patients report that this is actually the most difficult time of the entire treatment because of the emotional anticipation of the results.

Natural Cycle IVF – This type of IVF relies on the natural menstrual cycle, with little or no use of medications.   It is “natural” because it relies on the body’s own hormone regulation and often results in a single egg, which is then retrieved and treated in the same manner as IVF above.

Third Party Reproduction – This means, quite literally, that there is a “third party” directly involved in one or more steps of the IVF process –  most commonly this general term relates to egg donation, embryo donation, surrogacy and gestational carrier treatments.

Patients who do not have the ovarian reserve or egg quality to yield a viable embryo may opt to use an egg from a young, healthy donor as a viable option. Patients who use a donor egg are referred to as the “recipient”. Egg donors are carefully screened and can be matched to a recipient by physical features, educational preferences, ethnic background and psychological profile. The donor may be anonymous or a person known to the recipient.

Treatment involves ovulation induction for the donor. The cycle of the donor and the recipient are synchronized so that the recipient takes medication to prepare the uterine lining to receive the embryo created by the donor, who undergoes ovulation induction. The donor egg and sperm are united to create an embryo which is then implanted into the recipient.

Using donor eggs has allowed thousands of couples to achieve their dream of creating a family.

Sperm Donation Cycles – Sperm donation is primarily used in two ways.  If there is no male partner present, sperm donation is used as a means of obtaining the male contribution of sperm to the creation of an embryo.  In other cases, there may be a male partner present but his sperm does not have the necessary quality to produce a viable embryo.

Gestational Carrier/Surrogacy – Gestational carriers are women who carry and deliver a baby for someone else.  The intended-parents are involved with the pregnancy, delivery and become the child’s parents once he or she is born.   Depending on the circumstances, the child’s can be genetically related to both, one or neither intended-parent.

Karen T.
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"They truly care, I tell everyone to go here. I've been with them since 2008."
Yolanda P.
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"Always helpful to save money on medication and very kind."
Michael A.
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"Helpful and knowledgeable. Can't ask for better service, thank you!"
Patti E.
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"The staff at Drug Mart are exceptionally helpful. The quality of their products are top notch. I recommend Drug Mart to everyone. Am with them for life!!"
Darryl F.
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"This is the best pharmacy I have ever been to. They are caring, helpful and treat you with respect."
Anita H.
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"My daughter was able to get emergency medication after hours within half hour of making the phone call to the 800#. I can't recommend Drug Mart more highly."
Robert T.
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"I've been going here for years since my doctor recommended this pharmacy. They're busier now then when I first started but their service is still top notch. Thanks again for all your help!"
David D.
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"They are most accommodating, courteous, friendly and professional pharmacist I've ever dealt with. I'm so grateful to call this pharmacy my own."
Tonia B.
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"Always very caring when asking a question about your medication they know what they're talking about and they are very knowledgeable I've been going to them for oh my goodness since they opened up wow where did time go anyway my drug store for life thank you!"
Josh P.
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"This pharmacy is one of the best. Pharmacist has lots of knowledge and staff takes time to explain in detail. They do other half of what doctors should do. Also, no waiting like big name pharmacy. I highly recommend this pharmacy. They also deliver and ship to anywhere in USA."
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Drug Mart Pharmacy
5.0
Based on 164 reviews
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Chanice Dorsey
Chanice Dorsey
02:45 12 Mar 20
The staff at Drug Mart are truly an extension of my family. Vik offered me one of the greatest opportunities while in... nursing school, as a graduate, and as a working professional. He continues to encourage young adults to pursue their dreams and provides them with opportunities to be impactful within the community. You can’t get any better than this.read more
langston hannah
langston hannah
12:02 07 Mar 20
I am very pleased with the service that I receive from the pharmacy. The people who serve you are very helpful and... friendly and assist you in any way that they can. The pharmacist are well informed with your prescription needs, if there's a problem with anything you need they will do their best to resolve any issue you have. I recommend everyone to check them out and get their prescriptions filled at Drug Mart. I will always be a customer of Drug Mart because they are so good at what they do.read more
Yolanda Mesa
Yolanda Mesa
15:11 05 Mar 20
The best pharmacy I ever went. Staff is very polite and friendly. Very fast and they also deliver. One time I totally... forget about a medication and they went to my house.read more
tracey evans
tracey evans
16:32 03 Mar 20
Drug Mart is my family, I’ve been with them since day 1. I moved away for a few years to another state, I’ve been... back i NJ. a little over 5 years and I’m still a happy customer. They’re very friendly, knowledgeable and very helpful and understanding, prices are better then most..read more
Cassandra Hemby
Cassandra Hemby
21:33 28 Feb 20
I so appreciate the dear people @Drug Mart! I am recovering from cancer and one day while in Chemotherapy I was told I... would need a certain cream right away, but I wouldn't be able to pick it up that day.however there is this very courteous and sweet young lady named Michele that assured me it would be delivered to me in at my daughter's home in Woodbridge, NJ, because that is where I go after having treatment.The kind of caring and compassion received there have made the staff endearing to me and has restored my faith in customer service again.read more
Denise Eady
Denise Eady
20:38 24 Feb 20
I love this place. Best pharmacy around!!!. I have been using this pharmacy since it opened. Whenever I walk in,... everyone is very cordial and always pleasant and with a smile, and they always greet me by nmy name. Vic and the other Pharmacists are very knowledgeable, and the staff takes the time to explain any new medications in detail. If you are not able to pick up your prescriptions, they do HOME delivery which is great. I transferred from Walgreens pharmacy and I am so glad I did!!!read more
Jay Bhatt
Jay Bhatt
21:05 22 Feb 20
The quality of service provided by the pharmacist and the staff is excellent! I wouldn't go to any other pharmacy. They... truly care.read more
Cindy Hall
Cindy Hall
15:21 20 Feb 20
I never have to wait. This is the best pharmacy I ever went to. I highly recommend them to everyone!
Maisha Bryant
Maisha Bryant
00:32 20 Feb 20
I have known Vik and his family since they opened. They have bright back what it means to have a home town family... operated pharmacy. He remembers you, that you have had a baby etc. He is compassionate and always goes above and beyond. He trains his staff to pursue their own dreams. Some have gone on to school. My prayer is that God gives him a long healthy life and that his business continues to prosper. Oh and BTW if you move he does mail order so he can continue to be your pharmacist no need to switch!read more
Sharel E. Gordon-Love
Sharel E. Gordon-Love
19:46 19 Feb 20
My family has been with Drug Mart since they first open and we’ve received top notch service every single time. Vic... and the staff are very friendly, and we are greeted with a smileread more
Tammy Nichols
Tammy Nichols
23:23 18 Feb 20
I used to get my prescriptions at Cvs. But when Drug Mart open close to my house i figured I give then a try and have... not looked back. The staff is always kind, helpful, and considerate. LOVE THIS PLACE.❤read more
Yolanda Parker
Yolanda Parker
20:50 17 Feb 20
I enjoyed the customer service I experience when I go into this store the friendly atmosphere the warm welcome you get... upon entering and exitingread more
Mike Webb
Mike Webb
16:48 06 Feb 20
Great being able to pick up my meds at this pharmacy. They are the best!
Janet Bynum
Janet Bynum
18:21 28 Jan 20
Leaving his experience I had with Drug Mart it's coming there getting my medication and then delivering it to me very... happy who had Drug Mart in my life far as my medications is concerned I don't have to call for refills they deliver them to me I've been the drug mart play my medications concern about 7 years or more appreciate the people they appreciate me I'm happy with Drug Mart this is my the best pharmacist that I know thank youread more
james hunter
james hunter
21:25 24 Jan 20
Always ready to help! Any way possible thank you for all your years of service!
Michelle Reyes
Michelle Reyes
21:03 24 Jan 20
Awesome staff always willing to help out 🙂
cindy ortega
cindy ortega
20:41 24 Jan 20
I love this pharmacy. Everyone makes you feel like your family. Any issues with prescription they try to resolve it... asap. I recommend this pharmacy to everyone.read more
jacqueline wells
jacqueline wells
19:33 31 Dec 19
Drug mart has the most pleasant employees and the service is swift I can't say enough good things about this pharmacy... Thanks for your years of dedication and service in our communityread more
Chris Hanington
Chris Hanington
13:47 18 Jul 19
These people take great care of THEIR people. Impressive!
R Turner
R Turner
21:57 01 Jun 19
I've been going here for years since my doctor recommended this pharmacy. They're busier now then when I first started... but their service is still top notch. Thanks again for all your help!read more
John Aleksandrowicz
John Aleksandrowicz
22:21 14 Apr 19
Great pharmacy with great customer service. Vik is great. He obviously cares about people and understands the needs of... each. Thank you!read more
Karen T
Karen T
18:54 06 Jan 19
This pharmacy is the best! I left Walgreens and very glad I did. They take the time to explain my medicines and know me... by name. I recommended them to all my family and friends.read more
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