FREQUENTLY
ASKED QUESTIONS
1.
What special training do Drs. Freedman and Castelbaum have?
2. Where are you located?
3. What services do you provide?
4. Do you provide in-vitro fertilization
services?
5. How accessible are the physicians
for questions?
6. Can you take care of women
with fibroids
7. How do I make an appointment?
8. How do I know if I need to
see a fertility specialist?
9. If my husband has an abnormal
semen analysis, should he see you, a urologist or both?
10. I have already had a child
and now I cannot get pregnant. Is this common?
11. I have had several miscarriages.
Can you help me?
12. Infertility therapy must
be very expensive. How do I know what will be covered?
13. Why should I make an appointment at Northern
Fertility as opposed to another office?
1. What special training
do Drs. Freedman and Castelbaum have?
Both
Drs. Freedman and Castelbaum completed fellowship training
in Reproductive Endocrinology and Infertility
at the Hospital of the University of Pennsylvania. Subsequently
they both passed the written and oral examinations establishing
themselves as Board Certified specialists in the field of
Reproductive Endocrinology and Infertility. We are amongst
only seven hundred and fifty eight physicians in the United
States who have this most prestigious certification. Drs.
Freedman and Castelbaum are reviewers for the most prestigious
fertility journals in the world.
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2.
Where are you located?
Our
office is located at 1650 Huntingdon Pike, Suite 154, in
Meadowbrook, Pennsylvania. We are open from 7:30 am to 4:00
pm, Monday through Friday, and also on Saturday and Sunday
mornings. Our philosophy is that the treatment of infertility
is a seven-day a week profession. We also see new patients
on Thursday afternoon at our Sellersville office in Bucks
County.
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3.
What services do you provide?
The doctors at Northern Fertility are fully trained specialists who evaluate and
treat every aspect of reproduction and infertility. We have consistently been
one of the best In Vitro Fertilization practices in the Delaware Valley. We have
unique and successful treatments for male infertility, ovulatory problems, endometriosis
and unexplained infertility. Our surgical expertise includes operative laparoscopy
for fallopian tube repair,
laser treatment of endometriosis, and ovarian cyst resection. We also specialize
in treatments for fibroids and
microsurgical approaches to untying fallopian tubes. Severe cases of endometriosis
associated with pelvic pain can be treated with laparoscopic presacral
neurectomy.
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4.
Do you provide in-vitro fertilization services?
We offer a full range of services that encompass all aspects of assisted reproductive
technology. Choosing the right infertility practice is the single most important
decision for a couple considering In-Vitro Fertilization. The most recent nationwide
report of IVF success rates, tabulated through the Centers for Disease Control,
has just been released. Northern Fertility continues to be one of the best IVF
practices in the Delaware Valley. You owe it to yourself to carefully review our
data.
Male factor infertility has been treated with the use of intracytoplasmic
sperm injection (ICSI). We have an extremely successful donor oocyte program
for women with diminished ovarian
reserve (high FSH levels) or menopause.
Patients can provide their own donor (usually a family member) or choose from
one of our fully screened donors.
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5. How accessible are the physicians
for questions?
We are available to our patients twenty four hours a day,
seven days a week. We take great pride in returning all
phone calls the same day. We want to answer all of your
questions to your satisfaction.
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6.
Can you take care of women with fibroids
We do not just treat patients with infertility. Many women
today are choosing to preserve their uterus despite having
multiple myoma
(fibroids). We frequently perform myomectomies for uterine
conservation. Many myomas may be removed through the hysteroscope
on an outpatient basis. Larger myomas may require inpatient
hospitalization.
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7.
How do I make an appointment?
Appointments can be made by calling 215-938-1515. Upon completion of a brief telephone
interview with our receptionist, you will be sent a brochure and map.
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8.
How do I know if I need to see a fertility specialist?
Infertility has classically been defined a one year of unprotected
intercourse without achieving a pregnancy. Couples should
consider a quicker evaluation if there is a known sperm
problem, or if the wife is in her late thirties. If there
is any question on your part as to whether you should be
seen, please phone us or send us an e-mail. We would be
happy to meet with you for a second opinion, and thoroughly
review your old medical records.
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9. If my husband has an abnormal semen
analysis, should he see you, a urologist or both?
You should man an appointment to see Drs. Freedman and Castelbaum
first. We work collaboratively with many urologists who specialize
in male evaluation and treatment. We also send many of our
male patients for testing of sperm function to determine which
couples should proceed directly to in
vitro fertilization with intracytoplasmic sperm injection
(ICSI).
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10. I have already had a child and now
I cannot get pregnant. Is this common?
Couples suffering from secondary infertility constitute
a large percentage of our practice. Subtle changes in ovulation,
causing diminished fertility, can be easily identified.
In many women endometriosis may be playing a role. Surprisingly,
some fathers are found to have a very abnormal semen analysis.
In general, treatment for these problems is straightforward
and successful.
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11.
I have had several miscarriages. Can you help me?
Miscarriage is a common reproductive problem. In couples
with two or three consecutive losses, the prognosis for
a successful pregnancy in the future is good. We perform
a comprehensive evaluation of both partners to determine
the causes of your pregnancy loss. This will include an
assessment of your uterine cavity, endocrine profile, chromosome
studies, ovulation pattern, cervical cultures as well as
immunologic testing.
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12. Infertility therapy must be very
expensive. How do I know what will be covered?
We participate with most insurance plans in and around the
Delaware Valley. Our office staff will work closely with
you to find out what your coverage includes and how we can
best treat your health issues. Our
in vitro fertilization insurance coverage specialist
will help determine if a change in your insurance plan during
open enrollment periods will result in better IVF coverage.
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13. Why should I make an appointment
at Northern Fertility as opposed to another office?
The goal of our office is to have you leave with a healthy
baby in the fastest time possible, using the least invasive
yet most effective therapies available. From the moment
you call to make an appointment you will be greeted by a
warm compassionate staff. Both physicians and nurses are
committed to delivering personalized care to help you reach
your goal. Ultimately, the true test is becoming pregnant.
We are proud of our superb pregnancy rates with both ovulation
induction and in vitro fertilization. Click
here for our latest IVF pregnancy rates.
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