Reproductive Care Center Newsletter

In This Issue
Free Infertility Educational Seminars
Welcome Dr. Swelstad
Tubal Reversal vs. IVF
Genetic Screening

Free Educational Seminars


Volume 1, Issue 5

June, 2012

We are proud to announce the opening of our new Ogden/Layton, UT office to serve patients north of Salt Lake City. Our new infertility specialist, Brad Swelstad, MD will staff this office.

This issue features articles comparing tubal reversal surgery to IVF and new methods (Counsyl) for genetic disease screening.
RCC is Offering Free Infertility Educational Seminars
Register for Free Seminars
One of Reproductive Care Center's (RCC) goals is to help educate the community on the causes of, and treatments for, infertility. As part of this mission, RCC is offering free infertility educational seminars in Sandy, UT and surrounding areas. 


The seminars provide extensive information with question and answer sessions. You can register at  where there is a complete listing of upcoming seminars with topics, locations, dates, and times.

Announcing the New Layton UT Office
New Layton Office
Our new Layton fertility clinic office is located across the freeway (I-15) from Davis Hospital and is just north and west of the IHC Layton Clinic in the Legend Hills office complex.


This is the closest reproductive endocrinology and infertility specialist office for patients traveling from southern Idaho and northern Utah.

awarenessBrad Swelstad, MD Joins Reproductive Care Center
Welcome Dr. Swelstad

Dr. Swelstad joined us after finishing his fellowship in reproductive
endocrinology and infertility (REI Infertility Specialist) 
at Johns Hopkins University. 


Dr. Swelstad specializes in fertility care and has authored several research abstracts involving the use of stem cells for the treatment of infertility. 


Dr. Swelstad joins Dr. James S. Heiner, Dr. Keith L. Blauer, and Dr. Harry H. Hatasaka in providing excellent care to married couples in need of infertility diagnosis and treatment including IUI and advanced reproductive technologies (ART) such as IVF and ICSI.


He graduated from the University of Wisconsin in 1997 with an Honors B.S. degree in zoology. After finishing his doctorate of medicine from Saint George's University, he completed his internship in Obstetrics and Gynecology at LSU in New Orleans and the residency program at The Methodist Hospital in Houston, Texas. Dr. Swelstad completed his fellowship training in Reproductive Endocrinology and Infertility at Johns Hopkins University in 2011 during which time he was on the adjunct faculty.


Dr Swelstad presented his research at the American Society for Reproductive Medicine Meeting (ASRM) in 2011, the internationally recognized leader for education, advocacy and standards in reproductive medicine.


Dr. Swelstad sees patients in the Ogden/Layton area at 1725 East 1450 South, Suite 300, Clearfield, Utah  84015. Telephone 801-784-5784.

Tubal Reversal Surgery or IVF
Which Offers the Best Chance of Pregnancy   
In many cases, tubal ligation can be reversed dependent upon several patient/couple specific variables. One determinant is how the tubes were tied. Traditional tubal ligation procedures, such as the Pomeroy method, can often be reversed more successfully than techniques such as electrocautery, which involves burning of the fallopian tubes. Techniques such as the Essure and Adiana procedures cause scarring and damage to the tubes making tubal reversal success unlikely.


If the fallopian tubes are not damaged, they can often be successfully reconnected resulting in per cycle pregnancy rates between 10-15% (if there are no other infertility issues), which is slightly lower than normally fertile women. 


Tubal reversal has the greatest chance of success in younger normally fertile women (good ovarian reserve with no male factor issues) who can attempt multiple intercourse cycles.


Success rates for IVF after tubal reversal vary dependent upon many patient specific variables, especially female age. Since 2006, over 93% of qualified patients who have completed our IVF Money Back Guarantee program delivered a baby.


IVF is usually the best treatment when the tubes are too damaged for successful tubal reversal surgery. Our infertility specialists also perform a complete male workup, especially important since half of all couples have a component of male infertility. When moderate to severe male infertility is present, IVF using ICSI is the recommended treatment.


The female evaluation includes ruling out any underlying conditions that contribute to infertility. We obtain an ovarian assessment report on day 3 of the cycle (includes FSH, estradiol, AMH, LH and Inhibin B) and conduct other tests such as transvaginal ultrasound to measure the antral follicle count to rule out diminished ovarian reserve or ovarian failure.  Pregnancy after tubal reversal surgery is highly unlikely if "egg quality" is poor or if other infertility diseases are present.


In women with poor egg quality, IVF using donor eggs is usually the best option. Donor egg success rates are typically high (>50% per treatment cycle) because of the young ages of the donors and high egg quality.


Women should consult with a Reproductive Endocrinology & Infertility Specialist before opting for tubal reversal surgery.  Specialists rule out many conditions that can negatively impact pregnancy success after tubal reversal surgery. 


Those interested in tubal reversal surgery should make a consultation appointment with one of the infertility specialists at Reproductive Care Center for a complete evaluation to determine the best option for treatment.


If tubal reversal is desired and is determined to be a good option. Ogden Regional Medical Center, in collaboration with Amber Bradshaw, MD, is now offering the latest robotic assisted laparoscopic reversal techniques at very competitive rates.


We always recommend the procedure that has the best chance for success. After in-depth counseling by the specialist, the patient makes the final informed decision of whether to pursue tubal reversal surgery or IVF. 

maleCounsyl Genetic Testing
Screening for Genetic Diseases

Genetics is one of the fastest growing and most exciting areas of modern medicine.  A few years ago, the amazing project of mapping the entire human genome was complete.  

This could be compared to Google maps of the entire planet earth, from satellite pictures of your individual house, to maps and directions to millions of places, large or small, on the planet. There are likewise thousands of physical conditions and diseases that have been linked to specific genes, or to certain parts of our genetic material, which can be located and tested.  

Many of these conditions are "recessive", meaning both mother and father must be affected by the condition, or be unaffected carriers of a gene mutation, in order for the condition to be passed on to the next generation. One of the major benefits of genetic research is that tests have been developed to identify and locate these conditions so they can be avoided. 


Genetic tests can be compared somewhat to blood type testing.  For decades, blood type testing has been required of pregnant women, so that if her blood type is identified as Rh negative, and if her husband is Rh positive, then she can be given treatment (Rhogam) to prevent future children from being adversely affected by Rh sensitivity disease. 


In a similar manner, today a woman can be tested to see if she is an unaffected carrier of Cystic Fibrosis, and if she is, her partner can be tested, and if the offspring is at risk, technology can be utilized to prevent the occurrence of the disease in a child.  Cystic Fibrosis is the most common significant genetic disease in America, with approximately one out of 29 people being unaffected carriers, and more than one in 3,000 children being affected.  It is a life altering and life shortening condition which can be completely eliminated with modern technology. 


For those who are carriers, about 80% of the time they have no family history of cystic fibrosis. There are likewise hundreds of other life altering conditions that can be tested for, identified, and avoided using modern technology.   Some of these are more serious than others.  Some affect us throughout life, and others only affect more as we get older.  All of them are a part of our makeup which is a nice thing to be able to inform our offspring of, since they may also potentially affect our children or grandchildren, even if they do not affect us.


There are many companies which have commercially available genetic test kits available for affordable prices.  One that we like to use at the Reproductive Care Center is the Universal Genetic Test by a company named Counsyl.  This test is done by analyzing DNA from cells excreted in our saliva, so no blood draw is required.  It tests for over 100 of the most common and important recessive and important genetic conditions, including Cystic Fibrosis, Thalassemia, Blood disorders, Tay Sachs Disease, Sickle Cell Disease, Spinal Muscular Atrophy, and many others. 


It is simple, and inexpensive, costing approximately $349 for all tests to be done.  A few years ago it would have cost more to screen for just one of these genetic diseases.  In addition, Counsyl is working with many insurance companies to get these tests covered by insurance as well, since it costs a lot less to avoid the diseases than to treat them for a lifetime. 


A tremendous benefit of using the Counsyl testing is that if a gene mutation for one of the tested conditions does show up, the company provides expert genetic counseling to explain the findings at no additional charge.


A similar test, offered by Natera, also has a program for covering the cost of preimplantation genetic testing (to help prevent transmitting the disease) if the original testing was done through Natera.


The American College of Obstetrics and Gynecology, the American College of Medical Genetics, and Reproductive Care Center, all recommend screening for testing such as Cystic Fibrosis and Spinal Muscular Atrophy. Reproductive Care Center believes that this can be provided by Universal Genetic Testing (Counsyl) and recommends this test for anyone considering having children. 


Even when couples have previously had normal unaffected children, it is still important to consider carrier testing because if both partners are unknowing carriers of a condition, there continues to be a 25% risk for  a future child to be affected. It helps those tested know if they have any genetic conditions which may affect them in their later years; it also helps them to avoid significant conditions that their children may be at risk for, and allows testing and technology to be utilized which can prevent transmission of those diseases. 


We encourage you to ask us, or other sources of medical information, for further details on how these tests can benefit you and your family.

RCC Wants to Hear from You 

If you have  comments about our services, we would appreciate your completing the practice evaluation at: eMerit using authorization code: NJXW-WTMZ-PFWG-R443-UXMY-N29Z

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