- Family PracticeTake the first step today by getting a referral from your Family Practice, OBGYN, Urology or other physician. Once we receive your referral, we will reach out to begin your care.
- Male InfertilityNonobstructive Azoospermia: This means that there are no sperm in the ejaculate because sperm production is dramatically reduced. Still, many of these men will have areas in the testicles that are producing sperm and if these areas can be identified, the sperm can be used for IVF with ICSI. Several techniques are used to obtain sperm in this setting. The oldest technique is testicular biopsy of multiple areas of the testicles. A newer technique, microdissection testicular sperm extraction (micro-TESE), involves dissection of the testicle using an operating microscope. The areas of the testicle which are more likely to be making sperm are identified and removed. A third technique, testicular mapping, involves tiny needle biopsies of the testicles and examination of the fluid so that a biopsy can be targeted to the area most likely to contain sperm. A male infertility specialist performs these sophisticated procedures.
- Emergency CareFor Emergency Matters: If you are experiencing an emergency situation, please call 911 or proceed to the nearest hospital emergency department.
- GynecologyWe have resumed all fertility services.We remain committed to the fact that reproductive health care is an essential service and believe strongly that your fertility care is time sensitive. The American College of Obstetrics and Gynecology (ACOG) is NOT recommending that women avoid pregnancy during this pandemic. The risk of acquiring COVID-19 during pregnancy (to mother and or baby) is not known and will not be known for some time. While preliminary data on COVID-19 in pregnancy are reassuring, they are very limited.
- Female Infertility
- ObstetricsYes, it is recommended by ACOG (American College of Obstetrics and Gynecology) and ASRM (American Society for Reproductive Medicine) that all patients seeking to become pregnant, or are pregnant, receive the COVID 19 vaccine. The second dose of the vaccine (if you are receiving Pfizer or Moderna) can cause a fever in some people. Please plan your transfer one week before or one week after you receive your second dose.
- Pregnancy
- UrologyDr. Carrell is also a Professor of Surgery (Urology) and Human Genetics at the University of Utah, where most of these images were taken.
- Endocrinology“What I have found most compelling about reproductive endocrinology is that it is not just practicing medicine - it’s helping patients to overcome conditions on their journey to grow their family and community. The opportunity to play a supporting role in your life’s village is an honor I absolutely cherish"” View Profile
- UltrasoundOn day one of your menstrual period (first day of flow, not spotting), please call CRM to schedule a baseline ultrasound. The baseline ultrasound should be done on day two or day three of your period. The ultrasound is trans-vaginal (a wand-like transducer is inserted vaginally to look at your ovaries, uterus and endometrial lining).
- ChemotherapyThe chance of diminished fertility or menopause after cancer treatment depends on age at the time of treatment, the type and dose of chemotherapy needed, and/or the location and strength of radiation used in treatment. A physician can give you more specific answers about your situation once your individual treatment plan is determined.
- Radiation TherapyAnother group of women who might consider egg freezing would be those found to have cancer during their reproductive years. Often the cancer therapies are successful but at a cost of depleting the number of eggs left in the ovary because of the chemotherapy or radiation therapy necessary to treat the cancer. Radiation to the pelvis can cause damage to the uterus.
- VasectomyObstructive Azoospermia: This means that there is a blockage in the ducts that are supposed to carry sperm from the testicle. This can either be acquired, such as after a vasectomy, or congenital. Generally, these men have normal sperm production but the sperm flow is blocked. Because the sperm production is normal, sperm can be reliably obtained simply by passing a tiny needle into the epididymis (percutaneous epididymal sperm aspiration or PESA) or testicle (testicular sperm aspiration or TESA) with local anesthesia or sedation. If this is not successful, a sliver of the interior portion of the testicle can be removed. This is called testicular sperm extraction or TESE. Sperm are retrieved in the vast majority of these patients. The retrieved sperm are frozen and utilized during a subsequent IVF cycle.
- HysterectomySome women are born without a uterus capable of carrying a child (congenital absence or abnormality of the uterus), while many others undergo surgical removal of the uterus (hysterectomy). In other cases, uterine disease renders the woman incapable of bearing a child or chronic ill health makes pregnancy inadvisable. For these couples, having another woman, a “third party,” bear a child for them is their only option.