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Our medical, clinical, and laboratory staff have received advanced, sub-specialty training in Reproductive Medicine, including In Vitro Fertilization (IVF), Intrauterine Insemination (IUI), and Preimplantation Genetic Diagnosis (PGD). We have a proven track record in all areas of female and male infertility diagnosis and treatment.\n\nI am honored to have been chosen as an \"All-Time Specialty Leader\" & \"Top Doc\" by Phoenix Magazine every year since fertility was individually recognized 15 years ago. I am proud of the M.D. degree I earned at Washington University School of Medicine in St. Louis, and of the Reproductive Endocrinology & Infertility Fellowship I completed at the University of Chicago. But most of all, I am proud of the tens of thousands of patients FTC has helped achieve pregnancy and start families. As the father of five IVF children, I know the importance of having a family of your own, and I want to help you achieve that goal.\n\nWho Are We? What brings patients to Dr. Craig at Fertility Treatment Center?\n\"Many patients come to us unaware of the many clinical types of infertility, and the wide range of treatments available at the Fertility Treatment Center,\" says Dr. Craig. \"I think it's important to know why others have chosen us and how we can help.\"\n\nSome of the reasons patients come to FTC include:\n•\tFemale age over 35. Most women are unaware of the dramatic decline in fertility after age 35. The American Society for Reproductive Medicine encourages physicians to inform patients of this and to accelerate treatment for this age group.\n•\tDay 3 FSH level greater than 8. A significant decrease in fertility is documented in women with FSH levels greater than 8 on cycle day 3, and fertility therapy is usually required in order for these women to achieve pregnancy.\n•\tNot pregnant after three treatment cycles. The pregnancy rate per cycle decreases after the third treatment cycle if clomiphene (Clomid) has been used, and more advanced therapy is usually required to restore high success rates.\n•\tBlocked tubes. In addition to standard in vitro fertilization therapy, patients with tubal occlusion are often candidates for HSG-guided or hysteroscopic-guided tubal cannulation procedures, or for outpatient laparoscopic laser neosalpingostomy.\n•\tHydrosalpinx. Backflow of stagnant hydrosalpinx fluid is toxic to sperm, eggs, or embryos in the uterus, and appropriate treatment can double pregnancy rates.\n•\tTubal ligation. Pregnancy after bilateral tubal ligation can be achieved with our outpatient laparoscopic tubal reanastimosis program, or by bypassing the tubes with in vitro fertilization (IVF).\n•\tVasectomy. Pregnancy after vasectomy can be achieved with our outpatient vasectomy reversal program, or by testicular or epididimal sperm extraction followed by IVF using Intra Cytoplasmic Sperm Injection (ICSI). Donor sperm insemination is a low-cost alternative.\n•\tEndometriosis. Depending on the severity of endometriosis and other clinical indications, the appropriate treatment is selected by Dr. Craig, including aromatase inhibition, GnRH analogs, continuous steroids, androgens, or laparoscopic laser ablation.\n•\tAdhesions. Impaired fertility or pelvic pain caused by pelvic adhesion scar tissue are treated with advanced laparoscopic super pulsed laser surgery, or adhesions are bypassed with IVF therapy.\n•\tLow sperm count or motility. Sperm counts lower than 20 million/mL (or with motility lower than 60%) are concentrated by centrifuge and density gradient techniques, followed by intrauterine Insemination. High pregnancy rates can be achieved with profoundly low sperm counts using IVF with intracytoplasmic sperm injection (ICSI).\n•\tPCOS. A large variety of customized treatment options are available for women with polycystic ovary syndrome (PCOS), including aromatase inhibition, insulin sensitization, androgen receptor antagonists, and laparoscopic ovarian diathermy/wedge resection.\n•\tFasting insulin greater than 12 or glucose/insulin ratio lower than 8. These lab results are typically diagnostic of insulin resistance, which has been associated with ovulation dysfunction, recurrent miscarriage, PCOS, and gestational diabetes. Our insulin resistance program provides effective therapy for all of these conditions.\n•\tRecurrent miscarriage. Women with a history of two or more miscarriages are evaluated for anatomic, endocrine, genetic, and immune disorders associated with pregnancy loss. Our patients then receive the appropriate targeted therapy to minimize the chance of another miscarriage. FTC offers testing and treatment for all five diagnosis categories.\n•\tPreimplantation genetic diagnosis (PGD). Couples at risk for having children with genetic disorders such as cystic fibrosis, sickle cell, thalasemia, Tay Sachs, Huntington’s, or age-related Down syndrome qualify for our preimplantation genetic diagnosis clinic. Over 120 genetic syndromes can be detected and screened by PCR or FISH technology in the IVF embryos before they are transferred into the uterus. Genetic counseling services for couples are an integral part of the PGD program.\n•\tFamily balancing – sex selection. For selecting the sex of a baby using in vitro fertilization, PGD is available to couples with X-linked genetic disorders, or who already have one or more children of the opposite sex.\n•\tBasic and advanced infertility evaluation and therapy. At the Fertility Treatment Center, this includes diagnostic cycles, complex ovarian stimulation protocols, and custom sperm processing for IUI and frozen storage.\n•\tDonor sperm (AID). Donor sperm insemination uses IUI and quarantined sperm samples.\n•\tIn vitro fertilization and ICSI - Typically the most successful method to achieve pregnancy for tubal damage, oligospermia, maternal age, or failed standard therapy.\n•\tHigh IVF and FET success rates. FTC’s rates are among the highest in the nation.\n•\tDonor egg or donor embryo in vitro fertilization. FTC has achieved high pregnancy rates for advanced maternal age, prior oophorectomy, ovarian failure, post chemotherapy, and female genetic disorder.\n•\tOutpatient reversal of tubal ligation. Patients benefit from FTC’s advanced laparoscopic techniques.\n•\tPCOS and insulin resistance treatment. This results in improved ovulation, reduced miscarriage rate, cycle regulation, weight loss, and decreased hirsutism.\n•\tNo BMI or age group treatment limits Many fertility programs will not treat obese or older women. FTC welcomes all patients regardless of weight, age, or medical limitations.\n\nMany fertility centers push patients straight to IVF or Donor Egg. I give patients options and let the patient be part of their treatment decisions. My staff and I take pride in the high level of patient care provided through a patient-centered care approach. At FTC, we provide patients with handwritten office notes for each visit, which lists test results, fertility cycle progress, recommended tests, along with treatment options, plans, and estimated success rates. This significantly enhances patient communication and compliance with treatment plans, which in turn results in more successful outcomes. \n\nEveryone on the FTC staff shares my vision of providing high-quality, comprehensive infertility treatments delivered with compassion and personalized care. That vision is the cornerstone of our practice.\n\nDr. 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Dr. H. Randall Craig

Dr. H. Randall Craig

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