Saying Goodbye

by Susan Trout, MD July 7, 2011 5 Comments

One of the hardest things I do is say goodbye to patients. Even when they are pregnant and heading off to their obstetricians because we have been successful, it’s still hard. So here are some the things I wish I could say and do: I am not just acting thrilled that you are pregnant, I […]


Surrogates and Gestational Carriers

by Susan Trout, MD July 1, 2011 No Comments

“Doctor, do you think I need a surrogate?” I get this question a lot, and the answer is almost always “No, a surrogate is not necessary”. Let’s start with a few definitions: a traditional surrogate is a woman who provides the eggs and carries the baby. In other words, sperm is deposited into her uterus […]


IUI (Intrauterine inseminations)

by Susan Trout, MD May 23, 2011 No Comments

Intra-uterine inseminations may sound like a scary and invasive procedure, when you doctor first mentions it, but it really isn’t. It is a procedure to put sperm into the uterus and maximize the amount of sperm that gets to the egg, and it is very similar to a PAP smear in procedure and discomfort levels. […]


Smoking and Fertility

by Susan Trout, MD April 22, 2011 No Comments

We all know that smoking can cause lung cancer, heart disease, and strokes; but many of us still smoke. “You have to die of something” is what I hear a lot from my patients. I am not going to debate the wisdom of that statement here, but let me explain smoking’s impact on both male […]


Trying to conceive when sex isn’t safe

by Susan Trout, MD April 21, 2011 No Comments

There are many couples in the U.S. who can’t conceive the old fashion way. It isn’t safe. This is because one or the other of them has an infectious disease like Hepatitis or HIV that could be transmitted to their partner. For these couples, having a child of their own seems completely out of reach. […]


I don’t want to be an Octomom!

by Susan Trout, MD April 18, 2011 No Comments

Having more than one baby at a time (multiple gestations–twins, triplets, etc) is the fear and desire of many couple struggling with infertility. When scientist look at why couple don’t pursue fertility treatments, fear of multiple gestations is one of the leading reasons (the other is fear of the cost–see my previous blog on the […]


What is the cost of infertility treatment?

by Susan Trout, MD April 12, 2011 No Comments

When researchers study why couple don’t seek help for their infertility, they find that fear of the cost is one of the top 2 reasons (the other reason is fear of having multiple babies at once) for not going to see a reproduction specialist. Many couples believe it will take tens of thousands of dollars […]


Cervical Factors to Infertility

by Susan Trout, MD March 21, 2011 No Comments

The cervix is the opening at the bottom of the uterus. It sits at the top of the vagina, and it has a small canal that allow the menstrual blood out of the uterus during a period and allows the sperm into the uterus during intercourse. The canal is filled with mucus, which is made […]


Surgery with a Robot?!

by Susan Trout, MD March 16, 2011 No Comments

The first time I heard the term robotic surgery, I pictured a surgeon lounging in a chair telling a robot what to do as it operated on a patient. When I tell my patient that I want to do robotic surgery, I can see on their faces that they are picturing a similar scenario. Well, […]

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