Can I do my own surgeries?
Yes, please let us know if Dr. Duke can assist with these- she would be happy to!
<<< BACK TO FAQ
When can I send my patients over?
We offer immediate consultation for cancer patients, within 24 hours. All other patients are seen typically within 1-2 weeks, depending on availability. We would be happy to get you in ASAP, do you prefer morning or afternoon appointments?
<<< BACK TO FAQ
What are your success rates?
We maintain consistently above national average success rates through our partnerships!
<<< BACK TO FAQ
I have a surgical procedure scheduled with Dr. Duke but I have not heard anything since.
It would be my pleasure to assist you with this! We appreciate you calling in. Please allow me to put you in touch with a member of our nursing Team (say the Name of the person on Phones that day) who can assist you further.
You can also send requests for further information about your surgery through your patient portal or by email to nursing@nevadafertilityinstitute.com
<<< BACK TO FAQ
Can Dr. Duke remove my Essure tubal ligation?
Dr. Duke can assess to see whether your Essure needs to be trimmed down. Would you like to schedule an appointment with Dr. Duke to discuss further?
If you are coming in to see Dr. Duke, please go ahead and request that a copy of the operative report for your Essure tubal ligation surgery be sent to this office BEFORE the day of your appointment so that Dr. Duke may have adequate information to advise you during your visit with us.
<<< BACK TO FAQ
Does Dr. Duke Perform Surgeries?
Yes. Dr. Duke performs surgeries, as needed, on her patients. Surgeries that she routinely performs include:
Hysteroscopy: a non-invasive type of surgery to remove things like endometrial polyps, sub-mucosal fibroids or treat scarring inside the uterus/womb.
Laparoscopy: a minimally invasive type of surgery to treat issues affecting the ovaries, uterus, fallopian tubes or pelvis. This includes surgery to treat pelvic scarring, tubal scarring and endometriosis.
Myomectomy: a surgery to remove uterine fibroids while preserving a person born with a uterus’ chances to carry children. This can be either hysteroscopy or open surgery, depending on the specific patient case.
<<< BACK TO FAQ
Can Dr. Duke refer me to someone who can do my tubal ligation reversal surgery?
Yes! If you are a good candidate for tubal reversal surgery, Dr. Duke can make a referral. We advise is that you come in to chat with the Doctor to review if tubal ligation reversal may be your best option. The doctor is very thorough and she can help advise you on all of the options available to you. Would you like to schedule an appointment?
<<< BACK TO FAQ
Does Dr. Duke perform tubal ligation reversal surgery?
Dr. Duke does not currently perform Tubal reversal surgeries. This is in part because the results can vary significantly depending on the patient’s medical history, their age and the specific details of how the patient’s tubal ligation was performed. However, Dr. Duke is happy to review your specific case with you and discuss all available options for you to get pregnant. Would you like to schedule an appointment to see her?
If you are coming in to see Dr. Duke, please go ahead and request that a copy of the operative report for your tubal ligation surgery be sent to this office BEFORE the day of your appointment, so that Dr. Duke may have adequate information to advise you during your visit with us.
<<< BACK TO FAQ
What services/procedures do you perform at NFI?
Consultations
Egg Freezing
Embryo Banking
Genetic Carrier Screening & Testing. (we work with Natera, Cooper Genomics, SEMA4 & Invitae to name a few of the national genetic carrier screening companies)
Hysterosalpingogram (HSGs).
Intrauterine Inseminations (IUI) which is also known as artificial insemination
Ovulation Induction (OI)
In vitro Fertilization (IVF)
Preimplantation Genetic Testing (PGS/PGD/PGT) including testing for Family Balancing
Semen Analysis
Sperm Freezing including for patients planning vasectomy and for cancer patients
Surgeries (hysteroscopy, laparoscopy, myomectomy, tubal cannulations); Dr. Duke does not currently perform tubal ligation reversal surgery
<<< BACK TO FAQ
What services do you offer for Single Women Single Persons born with Ovaries or Same Sex Female couples?
We offer a full range of family building services which include Intrauterine insemination (IUI) where we help the patient time ovulation of an egg and then perform insemination of specially prepared donor sperm into the uterus; all the way to Reciprocal in vitro fertilization (IVF) where we can use eggs from one partner and donor sperm to create embryos that the other partner will then carry! Or, for same sex female couples, both partners can also use their eggs to create sibling embryos, via in vitro fertilization (IVF) with Donor sperm, that either partner can then carry during a pregnancy! Talk to our Fertility Counselor Today, to learn more!
We work with our patients to help them source donor sperm from FDA approved sperm banks across the United States. Here is a list of sperm banks.
<<< BACK TO FAQ
What services do you offer for Single Persons born with Testicles or for Same Sex Male couples?
We offer a full range of family building services which include assisting with the sourcing of donor eggs for embryo creation using in vitro fertilization (IVF) with the patient and/or their partner’s sperm, sourcing of gestational carriers via surrogacy agencies and more!
We can also work with HIV Positive patients to help them safely achieve pregnancy, using a gestational carrier (surrogate), via the proven Bedford protocol.
<<< BACK TO FAQ
What services do you offer for Transgender Persons who are planning Gender Affirmation Surgery?
We offer a full range of fertility preservation and family building services which include egg freezing, sperm freezing, embryo creation and more!
<<< BACK TO FAQ
What can I expect during my first consultation with a fertility expert?
You will meet with our Fertility Expert, Dr. Duke to discuss your fertility journey thus far, health and medical history, and goals. From there, Dr. Duke will create a customized treatment plan for you.
<<< BACK TO FAQ
What happens after my consultation with Dr. Duke?
Once you receive your personalized treatment plan from Dr. Duke, your concierge will reach out to discuss your plan, including all financial information. If you decide to proceed with treatment, your treatment concierge will book your first in-office appointment to begin treatment, as well as provide your treatment calendar via your patient portal account. This is where you can schedule appointments, coordinate prescriptions, and chat 24/7 with your care team.
<<< BACK TO FAQ
Do I need a referral before I can schedule a visit at Nevada Fertility Institute?
In general, patients do not need a referral to be seen at our clinic. However, for patients with certain insurance plans such as Health Plan of Nevada (HPN), Sierra Health and some Aetna plans, you will need to have a referral submitted to your insurance by your primary ob/gyn, before the day of your new patient visit for insurance to cover your testing or other fees/charges which may originate at our clinic.
Our Financial Concierge can help you determine if a referral is needed Before your first appointment with us!
<<< BACK TO FAQ
Does Dr. Duke perform Video (virtual) appointments?
Yes! As a leader in Telefertility, Nevada Fertility Institute has dedicated Video medicine services which facilitate the safe and thorough evaluation of patients who are local to Nevada and those who live further away.
Video/Telemedicine consultation appointments are generally performed by Dr. Duke or Christine O’Brien, NP. The cost for the new patient (virtual) appointment is $350 total (cost includes the first time consultation with the provider and one followup visit) — payment is due at least 24 hours before the visit starts, and we strongly encourage having your medical records and patient intake questionnaire completed at least 24 hours prior to the appointment or we may need to reschedule your appointment.
Please note that all foreign records need to be translated into English (and notarized if not originally in English) before sending them to Nevada Fertility Institute.
<<< BACK TO FAQ
Does Dr. Duke see regular GYN patients?
Dr. Duke does not typically do routine Gyn visits like annual examinations or pap smears. However, if during the course of her treating you for another reason, it is found that you need any of these, she may be able to perform such services or she may refer you to one of the many highly skilled general gynecologists in Town, with whom she maintains a wonderful relationship.