Dr. Drew Tortoriello

Adenomyosis

Adenomyosis is a prevalent gynecological disease in which endometrial (uterine lining) cells invade into the uterine muscle layer (myometrium). This ectopically located endometrial tissue is functional, proliferating and “menstruating” during every menstrual cycle. The ensuing inflammation will permeate into the uterine muscle, causing it to undergo hyperplastic changes leading to a bulkier, heavier, and occasionally tender uterus. The prevalence of adenomyosis may be as high as 35% of reproductive-age women and typically presents with painful and heavy menses.

Adenomyosis Read More »

Intraovarian PRP – a promising technique that requires more investigation

By Dr. Drew Tortoriello

Platelet-rich-plasma, or PRP, is a fraction of blood obtained upon
centrifugation that is enriched for cells called platelets. Other
cells, including white blood cells and red blood cells are ideally
excluded. Platelets have been shown to secrete chemicals that
facilitate clot formation and are vital in preventing excessive
bleeding in humans, but they are also capable of secreting other
factors that facilitate cell growth and tissue repair. It is for this
restorative capacity…

Intraovarian PRP – a promising technique that requires more investigation Read More »

Starting Your Journey With SFS

By Dr. Drew Tortoriello

Infertility treatment encompasses a wide range of possibilities, of
which IVF is only one option. It is not the treatment of choice for
everyone. However, while in the past, IVF was often considered the
last common pathway, today, due to a myriad of factors, IVF is
regarded as one of the mainstays for helping couples achieve the goal
of a healthy family. In the final analysis, it is our
individualized approach to treatment and our emphasis on putting
patients at the fore…

Starting Your Journey With SFS Read More »

Egg Freezing for Future Fertility

By Dr. Drew Tortoriello

Many patients come to me in their late 30s and 40s to either assess
their relative fertility or to start fertility treatments, and they
are often unpleasantly surprised to find out that their ovarian
reserve is low. It might be age-appropriate or even lower than age
might predicate, but both scenarios are frequently met with
consternation.
We know that there are several things that can hasten ovarian
follicular demise and lower the egg count prematurely. Among these
fact…

Egg Freezing for Future Fertility Read More »

Endometriosis Mechanism of Infertility

By Dr. Drew Tortoriello

Endometriosis is known to have a profoundly significant negative
effect on fertility. Normal natural pregnancy rates are in the range
of 0.15 to 0.20 per month and decrease with age, but women with
endometriosis tend to have a lower monthly rate of about 0.02–0.1
per month. Conversely, infertile women are 6 to 8 times more likely
to have endometriosis than fertile women.
Why does endometriosis cause infertility? The inflammation
associated with endometriosis ca…

Endometriosis Mechanism of Infertility Read More »

“Silent” Endometriosis

By Dr. Drew Tortoriello

Endometriosis is a pelvic inflammatory disease attributable to ectopic
implants of uterine lining (endometrium) establishing a foothold in
inappropriate locations in the pelvis, especially the ovaries, the
peritoneal lining, and the bladder. It is believed that retrograde
menstrual flow through the fallopian tubes allows some still viable
endometrial cells to enter the pelvis and implant where it lands. In
unusual circumstances, endometrial cells can travel and establish
the…

“Silent” Endometriosis Read More »

Adenomyosis

Intraovarian PRP – a promising technique that requires more investigation

Starting Your Journey With SFS

Egg Freezing for Future Fertility

Endometriosis Mechanism of Infertility

“Silent” Endometriosis

Path to Parenthood

Resources

Patient Access

Begin Your Fertility Journey

Location

Follow Us