Referring Providers: Did you know?
We want to work with you toward a common shared goal: maximizing reproductive health and increasing patients’ potential for successful pregnancies.
NRM provides the following referral services:
We know from experience that patients in our community enjoy continuity of care with their Ob/Gyn or other primary care provider. Often, these primary providers assist their patients in taking the first steps of fertility treatment. As a part of those first steps, we are happy to help these patients receive diagnostic testing in a convenient and confidential manner. NRM offers the following referral services to patients undergoing care with their primary Ob/Gyn or other physician; results are reported directly back to the managing provider.
- Coverage for your Weekend IUIs: Our team at NRM works 7 days a week. Patients receiving fertility care at their primary Ob/Gyn clinic may have their IUI performed at NRM if timing of their LH surge results in the need for a weekend IUI. Please contact us for more information on how to schedule.
- Comprehensive Gynecologic Ultrasound: Our highly-experienced ARDMS-certified ultrasonographer, together with our physicians, offer high-definition, 3D ultrasounds in a convenient, comfortable setting for patients experiencing abdominal or pelvic pain, heavy or irregular menses, PCOS, infertility, or to those undergoing familial cancer screening programs. Same day consultation with a physician is available upon request.
- Semen Analyses: Our semen analyses are run daily, with results delivered in 7-10 business days. The cost per analysis is $175 for patients without insurance coverage. We are happy to provide consultation on the results upon request.
NRM offers care for all reproductive health matters.
Some individuals may not be attempting pregnancy, but may have other reproductive health issues that lead their primary care provider to refer them to our team of board-certified reproductive endocrinologists. Examples include patients with:
- Irregular menstrual cycles
- Hirsutism
- Pelvic pain or fullness necessitating pelvic ultrasounds
- Abnormal ultrasound findings
- Fibroids
- Pelvic findings requiring advanced gynecologic surgeries
- Endometriosis
- Amenorrhea
- Pubertal disorders
- Premature ovarian failure or other menopausal concerns
Focus on Fertility: NRM is dedicated to building families.
As you have read from the report on our first successful year, NRM is passionate about helping families grow. From same sex couples and single individuals using donor sperm, donor egg, and/or gestational surrogates, to couples struggling with infertility or those experiencing recurrent pregnancy losses, NRM provides a wide range of fertility therapies to help patients maximize their chance of a healthy pregnancy.
When should fertility patients be referred to NRM?
- After 12 months of infertility for women <35
- After 6 months of infertility for women >= 35
- Immediately:
- Women >=40
- Women with known tubal factor infertility (such as hydrosalpinges) or past tubal ligation
- Women with amenorrhea
- Men having previously undergone vasectomy
- After 3 unsuccessful cycles of basic therapy such as ovulation induction with clomiphene citrate, letrozole, or IUI.
To maximize patients’ chances of success, it is important to remember the natural decline of infertility with age. When in doubt, refer early so that patients are able to explore their options and take time to make important decisions about their fertility.
The age-related decline has become even more pertinent in recent years due to social trends: a great number of women are joining the workforce and participating in higher education, which has led to later mean ages of first marriages. With advanced reproductive technologies, the opportunity for conception is greater than ever before, but nonetheless success rates vary widely by age. Let us educate your patients on their options so they can be proactive.
Have you heard? NRM offers egg freezing for fertility preservation.
With the current purposeful delay in childbearing, some women are unknowingly decreasing their chances to have a family. Talk to your patients about fertility preservation. Read more about the best ages to freeze eggs here.
