6 ■ WINTER 1995 ISSUE ■ SINAI HOSPITAL
WinFiner "

Infertility

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Magyar, DO, Maria Hayes, MD, and Gary Jones,
MD. These specialists offer complete services for
infertility evaluation and therapy at the Sinai fa-
cility at 29255 Northwestern Highway.
Normal conception rates vary by age. A woman
has a 20 to 25 percent chance of conceiving dur-
ing each menstrual cycle at the peak of her fertil-
ity. Fertility starts to decline slightly in her late
20s and early 30s and more steeply after about
age 35. According to Dr. Jones, "Many members
of the baby boom generation who have delayed
starting a family will generally find getting preg-
nant is not necessarily easy."
Infertility today can be treated with a variety
of therapeutic approaches depending upon the
cause of the problem. Drug therapy, for exam-
ple, is often used to treat infertility. Fertility drugs
are used to induce ovulation or to improve semen
quality. When hormonal testing in the course of
an infertility workup suggests some sort of hor-

;■

PECIAL ADVERT' EMEN

Reproductive
endrocrinology
specialists
Maria Hayes, MD,
David Magyar, DO,
and Gary Jones, MD
offer infertility
evaluation and
therapy to couples
having difficulty
conceiving.

mone imbalance in one or both partners, correc-
tive therapy with fertility drugs is frequently
prescribed. The most popular of these drugs are
Clomid® and Serophene® , which act on the hy-
pothalamus and Pergonal (human menopausal
gonadotropins), which stimulates the ovaries or
testicles directly. "Because these powerful drugs
can have a wide range of side effects, patients need
to be carefully counseled in their use and should
be closely monitored during their administration,"
warns Dr. Magyar. With both types of fertility
drugs, there is an increased risk of multiple births
when administered to the woman.
Tubal surgery is another common form of treat-
ment for infertility resulting from previously dam-
aged tubes. Endometriosis also may be treated
surgically and/or with medication. Problems with
the cervix and cervical mucus may be bypassed
with intrauterine insemination using the part-
ner's sperm. Donor insemination may be utilized
where the treatment of the man's infertility has
not been successful.
New reproductive technologies like in vitro fer-
tilization and G.114'1' (Gamete Intrafallopian Trans-
fer) can be used with couples who have not
responded to other forms of infertility treatment.
In vitro fertilization can even be effective for
women whose fallopian tubes are damaged or
missing. Eggs are retrieved from the woman and
mixed with sperm. Fertilized eggs are then placed
into the woman's uterus. In vitro also can use tech-

niques such as intracytoplasmic sperm insertion
(ICSI) which is used in instances when semen qual-
ity is poor. The insertion of semen into the ova
usually results in higher rates of fertilization than
through traditional means for these couples.
GIFT is appropriate for a woman whose tubes
are normal but who has not, to date, been able to
conceive with other therapies. GIFT varies from
in vitro in that eggs are collected in the operating
room and are immediately mixed with sperm. This
egg-sperm mixture is then transferred to the tubes
where fertilization will hopefully occur. Unlike in
vitro, GIFT requires that the woman have at least
one healthy fallopian tube. Zygote Intrafallopian
Transfer (Z1F11) is a procedure similar to Girl; ex-
cept that an already fertilized egg is inserted di-
rectly into the fallopian tube. an' and have
higher success rates than does in vitro fertiliza-
tion. However, advances in technology and knowl-
edge have improved the success rates of all
high-tech forms of treating infertility. Unfortu-
nately, success is not assured for all couples.
In addition to the new reproductive technolo-
gies, some of the older technologies are undergo-
ing revision. An example is the transvaginal
treatment of tubal blockage. Passages of thin wires
through the cervix into the fallopian tube has

allowed for the treatment of some forms of tubal
blockage and can often be done with sedation in
an outpatient setting. According to Dr. Hayes,
"The recovery time is very short and the procedure
can be performed very quickly and much more in-
expensively using the transvaginal route."
There are numerous causes for male and female
infertility. A given couple may demonstrate more
than one single cause. However, treatments
abound, and couples now have multiple options.
At Sinai, these options are now available from our
team of experts.

Obstetrics Center

continued from page 2

Dr. Schwartz adds, "There's a whole range of
additional specialty services that we would like
to offer to women." Underway are plans for a
Sinai Park Complex in Novi that will include a
women's center and program to also address is-
sues that face not only women of childbearing
age but the mature woman. As the healthcare
needs of women continue to grow and change,
so will the Sinai Health System.

HealthNews Briefs

continued from page 1

was effective in August 1995.
Sinai's Department of Physical Medicine
and Rehabilitation received a three-year accredi-
tation from CARF. This accreditation was
particularly noteworthy as CARF made no rec-
ommendations for improvement to Sinai. Some
strengths cited were nationally recognized med-
ical leadership, highly tenured clinical staff and
strong administration. The accreditation was ef-

fective October 1995.
Sinai received a two-year accreditation from the
Commission on Laboratory Accreditation of CAP
for the excellence of service provided. This ac-
creditation was effective August 1995.
Sinai's voluntary participation in these surveys
is further testament to its dedication to quality
care for patients.

departments of Radiation Oncology and Urology
at Sinai introduced the therapy this fall as an al-
ternative to surgery or external beam radiation. It

involves implanting low dose radiation pellets at
the sight of the tumor. Cancerous cells are de-
stroyed yet little threat is posed to the surround-
ing organs and tissue. This alternative boasts lower
rates of impotence and incontinence than tradi-
tional methods. For more information, please call
313-493-5100.

Critical Care
Transport Service

rilhe Critical Care Transport Service is a mobile
intensive care unit. The service bringspa-
. tients from their home, physician's office, or
another hospital — within a 30-mile radius — to
Sinai for immediate diagnosis and treatment. The
service, which is licensed to operate in Wayne and
Oakland counties, is intended for people who are
critically ill. Ask your doctor about the Sinai
Critical Care Transport Service or call 1-800-
AMI-9486.

Attention: Men who Suffer
from Prostate Cancer
Sinai Offers New Hope

thanks to the Sinai Prostate Cancer Center,
.1..!.• men who suffer from prostate cancer have new
hope in the form of seed implantation therapy. The

6014
Sinai Women's
Health

Psychiatric Day Hospital
Relocates

Fthe Psychiatric Day Hospital, which provides
psychiatric services for patients still requiring
some structure or supervision during the day, is
also located in a new facility on the same grounds
as Sinai Women's Health.

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