Dr. Louis R. Manara

Patients with infertility often inquire about whether they are ovulating with certainty.  Physicians and patients tend to equate regular predictable menstruation with regular ovulation.  A…

Assessment of egg quality is a standard part of the evaluation of the infertility evaluation.  A recent Danish study suggests caution when interpreting two of…

A recently published Israeli study (Kedem et al., Fertility and Sterility – June 2014)  suggests that using the non-stimulated or minimally stimulated cycle for patients…

In a previous communications we reviewed uterine causes for implantation failure, hydrosalpinges, egg quality, smoking, abnormal embryonic development, and embryo transfer technique.  When IVF fails…

In a previous communication we reviewed uterine causes for implantation failure.  When IVF fails to result in pregnancy in spite of repeated attempts, there are…

While in-vitro fertilization remains the most powerful treatment available to help infertile couples achieve pregnancy, the fact remains that it often fails. This communication is…

Very few studies have looked at the impact of losing weight on fertility outcomes.  A recent study from Stanford University Medical Center suggests that weight…

Luteal phase defects have been described and written about in scientific journals for many years. Diagnosis has long been a source of controversy, while treatments…

While extreme thyroid abnormalities are a well-known cause of infertility, minor thyroid abnormalities also clearly impact fertility and should be identified and treated.

Diet and lifestyle choices may have a significant impact on fertility.  A Harvard study conducted in 2007 concluded that women who had the highest fertility…