- Medical Weight Loss
- Primary Care
- Male InfertilityMen also experience a decrease in fertility as they age. The most common reasons for male infertility include azoospermia (no sperm cells are produced) and oligospermia (few sperm cells are produced).
- GynecologyAt this time, we are unable to accept new gynecology patients, as we now only focus on infertility. If you have been seen here before, you do not need to fill out any forms. Please call to make an appointment.
- Female InfertilityA woman is most fertile in her mid-20s. Her fertility declines until she reaches 30, and then drops rapidly. The most common female infertility factor is an ovulation disorder.
- ObstetricsClare Heidtke, MD, graduated from the University of Michigan Medical School in 1979 and completed her four year internship and residency at St.Joseph’s Mercy Hospital in Ann Arbor. She is Board Certified in obstetrics and gynecology, is a Fellow of the American College of Obstetrics & Gynecology, and a member of the Society of Reproductive Medicine. In over 30 years of practice, Dr. Heidtke has been a leader in bringing advances in the ever evolving field of gynecology and infertility to the women of Northern Michigan. She delivered thousands of babies over a 25 year obstetric career. She performed major gynecologic surgery for over 30 years as well as provided the most advanced infertility care to women in the region. She has now refocused her practice to provide up to date healthcare solely in the office, including both general gynecology as well as a full spectrum of infertility care. Dr. Heidtke and her husband David have two wonderful daughters and 4 grandchildren. She enjoys the outdoors, reading, and playing the violin, and considers Petoskey “heaven on earth”.
- Endometriosis
- Pregnancy
- Labor and DeliveryIncontinence and Prolapse problems can afflict women of any age and cause significant life style impairment. Childbirth, abdominal surgeries, certain types of heavy activities, or lack of appropriate exercise can cause weakening of pelvic support structures that keep the pelvic organs in place. The result is what is referred to as prolapse. There are different types of prolapse caused by different pelvic organs pressing onto or out of the vagina, including...
- UltrasoundThe overall process involves daily subcu injections for 7-10 days, followed by a one-time trigger shot, then timed intercourse or IUI 30-40 hrs. after the last injection. Dosing of the medication is very individualized and therefore the ovaries need close monitoring to properly adjust it. This requires an ultrasound on Day 2 or 3 of the cycle, followed by 2 or 3 more ultrasounds during the 1st 2 weeks of the cycle. You may also need blood work on some of those days to help with the monitoring.
- RadiologyHYSTEROSALPINGOGRAM (HSG): Xray done at Radiology facility to check patency of Fallopian tubes. You will be given specific instructions about where to go and when. You will instructed to take some medications beforehand.
- ChemotherapyIf you are a cancer patient interested in preserving your fertility prior to chemotherapy you can visit the Livestrong website to apply for financial assistance at
- Vasectomy
- HysterectomyHysterectomy is removing the uterus. This is the only 100% cure for never bleeding again. But it is also the most invasive. It is major surgery, which entails some immediate risk, no matter how healthy you are, and takes times for recovery, about 4‐6 weeks on average. Removing the uterus does not necessarily mean the ovaries, so there does not have to be any hormonal change, just no more bleeding. It can be done through the vagina, or through the abdomen, and sometimes a laparoscope is used.. Your anatomy and circumstances, as well as the expertise of the surgeon will determine the route. You always want to chose the least invasive route when medically possible and safe.
- Endometrial AblationEndometrial Ablation is a very quick, several minute procedure which destroys the inner layer of the uterus (endometrium). This is the part that sheds and bleeds with your menses. There are a number of techniques available to do this, and all have fairly similar success rates – about 90% of women have significantly reduced bleeding and at least half of those women don’t bleed at all. Usually, pain with menses, and even PMS is improved. It can be done in an office setting or outpatient at a surgical center. There are very minimal risks and you can be back to normal activities in a day or 2.
- Allergies