General Practitioners

• Primary Care
  If you have traveled to a Zika country and have developed symptoms suggestive of an infection, you should consult your primary care doctor as further blood testing is recommended. The upcoming summer travel season is likely to result in changes in countries with Zika infection. As we learn more about this viral infection in pregnant women our recommendations may change also. We strongly recommend you refer to the CDC website (www.cdc.gov) and consult your physician to keep abreast of the latest recommendations. English Version - Zika Video Spanish Version - Zika Video
• Immunizations
  With the recent FDA emergency use authorization (EUA) for Covid 19 vaccination, questions have arisen about whether pregnant women or women attempting pregnancy should receive this vaccine. Pregnant women were excluded from the studies that led to this EUA so there is no information regarding the safety of this vaccine in pregnancy. Most other vaccines, with the exception of live vaccines, are safe in pregnancy. The Covid 19 vaccination is not a live vaccine but rather uses a new technique called “messenger RNA (mRNA)” to stimulate an immune response. The mRNA is rapidly taken up by the muscles cells at the site of injection. After it stimulates an immune response it is quickly degraded. None of the existing vaccinations have used mRNA technology so we do not have any long-term outcome on such vaccines. However, the safety profile of the recent Covid 19 mRNA vaccines looks very reassuring. Animal studies of this vaccine in pregnancy also look reassuring although human data are lacking at present.

Gynecologists

• Gynecology
  While we make an effort to present accurate and reliable information on our web site, Arkansas Fertility & Gynecology Associates does not endorse, approve, or certify such information, nor does it guarantee the accuracy, completeness, efficacy, timeliness or correct sequencing of the information contained on this site, or that of information contained within the web sites of organizations listed on and/or linked to from this web site.
• Female Infertility
  In Vitro Fertilization (IVF) is the most widely used assisted reproductive technology. IVF is the process of fertilization by manually combining an egg and sperm in a sterile laboratory environment. With the IVF procedure, doctors can bypass common causes of male and female infertility and help women achieve pregnancy. Assisted reproductive technology booklet
• Obstetrics
  Dr. Francisco Batres was born and raised in Guatemala City, Guatemala. He obtained his medical degree from the University of San Carlos of Guatemala in 1972 where he graduated suma cum laude. He completed internships in obstetrics and gynecology at the General Hospital in Guatemala and at St. Joseph Hospital in Memphis, TN. He completed his residency in obstetrics and gynecology at the University of Arkansas for Medical Sciences in Little Rock. He was an instructor and assistant professor at UAMS from 1977 to 1979 where he began his work in the field of infertility. He was board certified in obstetrics and gynecology in 1979 and recertified in 1991 and, again, in 1998.
• Endometriosis
  Intrauterine insemination, or IUI, is an artificial insemination process whereby sperm from the man is processed in the laboratory, concentrated and then placed in the uterine cavity. The cervix is bypassed, thus allowing the best and most motile fraction of sperm to be placed closer to the egg. This painless, minimally invasive option is used to treatment a variety of fertility disorders including unexplained infertility, cervical factor, mild male factor, and early stage endometriosis. Intra-uterine insemination factsheet
• Pregnancy
  My husband and I tried for over five years to start a family of our own. With two miscarriages and a tubal pregnancy we were finally able to conceive with the help of Dr. Batres and AFG. A friend recommended AFG and it was the biggest blessing ever. The year 2016 we started the IVF process and transferred one beautiful 5-day embryo and froze the remaining embryos. We were very fortunate and blessed to be able to conceive with our first round of IVF; August 2, 2017 we welcomed our baby boy Maverick. The first year flew by and we were ready to go back for our other embryo. I remember being nervous because this time we would be having a FET (frozen cycle) but everyone at AFG explained this process and was just as awesome as they were during the fresh cycle process. Dr. Batres recommended we transfer only one embryo and we did that and were able to conceive with only one frozen cycle. My little girl made her big appearance on Mother's Day 2019 and it was the best present ever. Thank You AFG.

Internists

• Endoscopy
  Dr. Batres is an active member of the American College of Obstetricians and Gynecologists, the American Society for Reproductive Medicine, the Society for Assisted Reproductive Technology, the American Association of Gynecological Laparoscopists, the Central Arkansas Obstetrics and Gynecology Society, the Arkansas Medical Society and the Pulaski County Medical Society. He has received certification in advanced operative laparoscopy and hysteroscopy from the Accreditation Council for Gynecologic Endoscopy.

Psychiatrists

• Mental Health
  Purpose: This Notice of Privacy Practice describes how we may use and disclose your Protected Health Information to carry out treatment, payment or healthcare operations and for other purposes permitted or required by law. Protected Health Information (PHI) is information that may identify the patient and that relates to the patient’s past, present or future physical or mental health, and may include name, address, phone numbers and other identifying information.

Endocrinologist

• Endocrinology
  Dr. Dean Moutos grew up in San Angelo, Texas and graduated magna cum laude from Texas A&M University with a B.S. degree in chemical engineering. He attended medical school at The University of Texas Health Sciences Center in San Antonio where he was elected to the Alpha Omega Alpha medical honor society. Upon graduation from medical school, Dr. Moutos completed his residency in obstetrics and gynecology at The University of Oklahoma Health Sciences Center in Oklahoma City. Dr. Moutos was named chief resident of the OU residency program during his senior year. Dr. Moutos then completed a postgraduate fellowship in reproductive endocrinology and infertility at The Johns Hopkins University School of Medicine in Baltimore, Maryland.

Radiologist

• Ultrasound
  Step 2- Egg Retrieval Approximately 36 hours after the Ovidrel injection, we will retrieve the eggs transvaginally under ultrasound guidance. This procedure is performed in our clinic under intravenous (IV) conscious sedation. You will be heavily sedated, but not asleep. You should experience no pain during this procedure. The egg retrieval usually takes about 30 minutes to complete. Afterwards, you will recover for about two hours before going home. You will start progesterone supplementation the following day.
• Radiology
  Women who have documented proximal tubal occlusion on a previous hysterosalpingogram (HSG) are brought back to the radiology suite for tubal catheterization. An oral sedative and pain medication are given prior to this procedure. A standard HSG is performed first. Many women who had proximal tubal occlusion on a previous HSG will be found to have bilateral tubal patency on repeat HSG and no further therapy is required. However, if the repeat HSG confirms proximal occlusion, tubal catheterization is performed immediately. Small wires are threaded into the proximal tube at its insertion into the uterine cavity. This is performed under x-ray guidance. Most of the time the obstruction can be overcome and tubal patency established. For those women in whom the tubes cannot be opened with this technique, either surgical correction or IVF will be required.
• X-Rays
• Chemotherapy
  The survival rate of cancer patients has improved markedly over the past several decades. Cancer treatments, including surgery, chemotherapy or radiation, may leave the patient sterile or with reduced fertility. With advancements in laboratory freezing techniques, we are now able to freeze reproductive tissue prior to the start of potentially damaging cancer treatment.

Surgeons

• Minimally Invasive Surgery
  Laparoscopy is a surgical technique by which many gynecology procedures can be performed. This procedure is done under general anesthesia, therefore you will not be awake during the surgery. The procedure involves making two or more small incisions in the abdomen. The incisions are usually about one half inch in length. One incision is made at the umbilicus (navel). Another incision is usually made just above the pubic bone at the top of the pubic hairline. One or more incisions may be made lateral to this in the lower part of your abdomen. A small needle will be inserted into the umbilical incision and your abdomen will be filled with gas (carbon dioxide). A laparoscope will be inserted through this incision to view your pelvic organs. Surgical instruments will be placed through the incisions in your lower abdomen to perform the indicated surgical procedure. Minimally Invasive Surgery Laparoscopy and Hysteroscopy Booklet
• Vasectomy
  Surgical retrieval of sperm from the epididymis or testicle can sometimes be performed in men who have no sperm in their ejaculate (azospermia). Obstruction in the male reproductive tract is a common cause of azospermia. The most common causes of obstructive azospermia include the following: prior vasectomy, congenital absence of the vas deferens, infection and trauma. These men produce sperm, but due to the blockage, no sperm are found in the ejaculate. Sperm can usually be retrieved by aspiration of the epididymis or the testicle. The aspiration procedure is performed by a urologist under local anesthesia in the office. The quantity and quality of the sperm are such that IVF with intra-cytoplasmic sperm injection (ICSI) is necessary to achieve a pregnancy. It should be noted that men with congenital absence of the vas deferens are usually genetic carriers for the disease cystic fibrosis. They are at risk for producing offspring with the full cystic fibrosis disease. It is recommended that the female partner of these men be screened for the cystic fibrosis carrier state.
• Hysterectomy
  Women who have had a hysterectomy, but still have their ovaries, will need a gestational surrogate if they wish to have a biologic child of their own. Some women are born without a uterus or may have a uterus that is not shaped normally. These women also may benefit from the use of a gestational surrogate. Lastly, some women may have a severe medical condition that would make carrying a pregnancy too dangerous for them. A gestational surrogate would be indicated for these women also.
• Laparoscopy
  Proximal tubal occlusion can also be treated in the operating room using the hysteroscope. This procedure is usually reserved for those patients who are going to be having a laparoscopy for other reasons. A hysteroscope is inserted into the uterus and under direct visualization a small catheter is inserted into the opening of the fallopian tube. Dye is injected through this catheter and tubal patency is evaluated by an assistant who is looking at the tubes from above with a laparoscope.

Plastic Surgeons

• Laparoscopic Surgery
  Laparoscopy is generally a safe procedure, but there are certain risks that you need to be aware of prior to undergoing this procedure. Bleeding and infection are risks of any surgery, and as such may occur after laparoscopy. Injury to intra-abdominal or pelvic organs may occur during laparoscopy. This would include injury to your intestines, bladder, blood vessels or female reproductive organs. Injury may occur during insertion of the needle used to insufflate your abdomen, during insertion of the laparoscope and accessory instruments, or it may occur during the actual surgical procedure. Should an injury occur, it would need to be repaired. Sometimes this can be performed laparoscopically, however, other times it may require a laparotomy (larger incision on your abdomen) to repair the damage. Injuries that are recognized at the time of surgery are repaired immediately. However, some injuries may not be recognized at the time of surgery, but may become apparent several days to a week later. A second surgical procedure may be required at this time to repair the injury. The chance of this occurring is low, but these are recognized risks of laparoscopic surgery.

Physical Therapists

• Shoulder Pain