If you are interested in fertility services at Duke, use these resources to expand your knowledge of the medications, diagnoses, and infertility alternatives.

• Fertility Diagnoses Overview
  Understanding a diagnosis can help you determine the treatment option that will fit you best.
• Adenomyosis
  Adenomyosis is uterine thickening that occurs when endometrial tissue, which normally lines the uterus, extends into the fibrous and muscular tissue of the uterus.
• Ectopic Pregnancy
  An ectopic pregnancy is a pregnancy that has occurred outside of the uterine cavity.
• Endometriosis and Fertility
  Endometriosis is tissue normally found lining the inside of the uterus that has implanted in an abnormal location outside of the uterus.
• Enlarged Thyroid
  An enlarged thyroid may be an indicator of an underlying thyroid problem involving abnormal production of thyroid hormone. This can disrupt menstrual cycles and ovulation, thereby interfering with fertility.
• Fibroids
  Fibroids are muscle tumors of the uterus that are very common in the general population.
• Galactorrhea
  Galactorrhea is the release of milk in a non-pregnant woman.
• Hydrosalpinx
  Hydrosalpinx describes a fallopian tube that has become dilated and fluid-filled.
• Ovarian Hyperstimulation Syndrome
  Ovarian Hyperstimulation Syndrome (OHSS) occurs in approximately 1 to 5 percent of controlled ovarian hyperstimulation (COH) cycles.
• Ovarian Cysts
  Ovarian cysts are misunderstood and extremely common.
• Polycystic Ovarian Syndrome
  Polycystic ovarian syndrome (PCOS) is a set of clinical findings and not a disease itself. There are many abnormalities which may collectively produce the findings which characterize PCOS.
• Pregnancy Loss
  Couples have often invested tremendous time and resources to achieve that positive pregnancy test. A topic that is not discussed adequately is that of pregnancy loss.
• Infertility Alternatives
  Fertility treatments are not always successful. As one of the alternatives to becoming pregnant, adoption can be very rewarding. There are many options available, including embryo adoption.

Medications

• Clomid
  Clomiphine citrate (Clomid) is a compound that is very similar in structure to estrogen.
• Estrace
  Estrace is a form of estrogen. It can be administered orally to mimic the effects of estrogen normally produced by the ovaries.
• Gonadotropins
  The term gonadotropin refers to compounds that directly stimulate the ovaries. These medications are generally combinations of follicle stimulating hormone (FSH) and luteinizing hormone (LH) or pure FSH.
• Human Chorionic Gonadatropin
  Human chorionic gonadotropin (HCG) has a chemical structure that is very similar to luteinizing hormone (LH), which triggers ovulation. HCG is also the hormone produced by pregnancies from the chorionic villi and placenta.
• Lupron
  Lupron is a gonadotropin-releasing hormone (GnRH) agonist.
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