Hysteroscopy
A minimally invasive procedure, where there are no cuts or incisions on the patient’s belly and whereby the womb cavity is visualized using a special telescope, as it passes through the vagina and cervix into the womb. This procedure allows for the diagnosis and removal of intrauterine pathology such as endometrial polyps, submucosal fibroids, uterine scar tissue and more.
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ICSI (intracytoplasmic sperm injection)
A micromanipulation procedure whereby a single sperm is captured in a thin glass needle and injected directly into the egg. This procedure allows fertilization to be possible, even when a patient has sperm that do not move.
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IUI
A painless procedure in which washed semen is injected into the uterus, near the openings to the fallopian tubes, using a specialized soft catheter.
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IVF
In Vitro Fertilization is a process by which eggs are harvested from the ovaries and mixed with sperm outside of the body and allowed to fertilize. Fertilized eggs, or embryos, can be cultured for up to 6 days in the laboratory. At that point, embryos or blastocysts are transferred to the uterus.
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Laparoscopy
Laparoscopy is a surgical procedure, performed under a general anesthetic, where a tiny camera is introduced into the abdominal cavity or pelvis through small incisions (usually 0.5–1.5 cm) located around the belly button. Laparoscopy can be used to inspect and diagnose a condition or to perform surgery. Common laparoscopic procedures performed by Dr. Duke include excision of endometriosis, chromotubation, excision of pelvic scar tissue and excision of ovarian cysts.
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SA (semen analysis)
A laboratory test used to assess semen quality: semen volume, sperm quantity & concentration, sperm morphology (shape), and sperm motility (movement)
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Preimplantation Genetic Testing (PGT)
Refers to genetic profiling of embryos prior to implantation (as a form of embryo profiling). PGT can be used to detect abnormalities of both chromosome number and/or specific gene content.
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What sort of patients does NFI see?
We are a full service Reproductive Endocrine & Infertility Clinic. Dr. Duke treats patients for any or all of the following:
Amenorrhea (absence of periods for greater than 6 months)
Endometriosis (if the patient has been referred by a Gynecologist)
Future Fertility Planning & Fertility Preservation in men, women & LGBTQIA+ patients
Hormonal abnormalities (e.g thyroid, prolactin, low testosterone) that are affecting male and female reproduction
Infertility in men, women and non-binary patients
Menopause (if the patient has been referred by an Ob/Gyn)
Oncofertility – we offer fertility preservation (egg freeze, sperm freeze, embryo freeze) services for patients facing a cancer diagnosis. We are the only full-time egg and sperm freeze program for Cancer patients in Nevada! We can get a cancer patient in to see the Doctor, as soon as 48 hours from the initial time of consult request!
Pediatric Endocrinology (hormone problems in pediatric and adolescent patients such as early periods before age 8 or never had periods)
Polycystic Ovary Syndrome (PCOS)
Recurrent Pregnancy Loss (RPL) or Miscarriages – this is defined as 2 or more miscarriages/still births/neonatal deaths in a woman’s lifetime
Use of a Gestational Carrier or Surrogate – we have a third party reproduction program. The Program Director is Christine Obrien, Nurse Practitioner
Use of Donor Eggs or Sperm
Uterine Cavity Adhesions/Scarring – this is known as Asherman’s Syndrome
Uterine Fibroids
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Does your fertility treatments include LGBTQIA+ options?
18% of the US population has trouble conceiving or is LGBTQIA+. 12% of the US population has dangerous genetic disorders. No matter the unique treatment plan, we make fertility simple.