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Preconception Health

Infertility Resources & Support

Cancer and Fertility: What Options Do You Have?

To some people, conceiving, carrying and giving birth to a healthy child may seem routine. But for women who are facing cancer, having a baby is much more complicated. Cancer treatments can disrupt the process of conception and affect a woman’s ability to have children.

To some people, conceiving, carrying and giving birth to a healthy child may seem routine. But for women who are facing cancer, having a baby is much more complicated. Cancer treatments can disrupt the process of conception and affect a woman’s ability to have children.

If you’ve yet to begin cancer treatment, talk with your doctor about fertility. Different treatments can have different effects, but there may be ways to save or protect your fertility before, and possibly even during treatment.

Cancer and fertility: Things to consider

Before moving forward with fertility-saving treatment, your physician must try to answer the following questions:

  • Has the cancer spread?
  • Is there a high risk of the cancer returning to the same areas or organs?
  • Is pursuing a time-consuming method to preserve fertility going to delay treatment of a fast-growing cancer?
  • What are the chances of success? (Most fertility procedures are less successful for women over age 40.)

Cancer and fertility: Options you may have

When it comes to starting or continuing to build your family, you do have choices. In fact, you and your doctor may attempt to preserve your fertility by using more than one option. These may include:

  • Freezing sperm for men
  • IVF to freeze embryos
  • Egg freezing (stimulating the ovaries to retrieve mature eggs)
  • Surrogacy
  • Surgery

Helping you overcome every obstacle to fertility

At Reproductive Gynecology & Infertility, we’ve been helping couples bring children into their lives for more than 25 years. If cancer has interrupted your plans to have a baby, our experienced physicians will explore every option with you, including fertility preservation in Canton, Akron, Columbus, and Youngstown, Ohio.

Surgery is one of the most successful methods for correcting infertility due to cancer treatments or other challenges. Our surgeons expertly and gently perform a range of procedures, including minimally invasive laparoscopic and microscopic surgical techniques, which can shorten both down time and recovery time. To learn more, reach out today. Our caring, dedicated team of specialists is here to put their whole hearts and minds into making pregnancy and parenthood possible.

To schedule an appointment, call 866-537-2461 or use our convenient online form to request an appointment.

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Infertility Resources & Support

Preconception Health

Male Fertility

Male Factor Infertility Diagnosis and Treatment

Coping with infertility can be a difficult, isolating experience. But it is important to remember you’re not alone. Approximately 1 in 6 couples in the United States struggle with some type of infertility. And, while it may be surprising to learn, nearly 30 percent of infertility cases are related to male factor issues.

Coping with infertility can be a difficult, isolating experience. But it is important to remember you’re not alone. Approximately 1 in 6 couples in the United States struggle with some type of infertility. And, while it may be surprising to learn, nearly 30 percent of infertility cases are related to male factor issues. But the good news is there are plenty of options available to help you achieve the family of your dreams.

Diagnosing male factor infertility

Diagnosing male infertility typically includes:

  • General physical exam and medical history
  • Semen analysis

Common causes of male factor infertility

Here are the most common factors that can contribute to male infertility:

  • Structural abnormalities
    This may include abnormalities or blockages along the reproductive tract due to a birth defect, injury or illness.
  • Sperm production disorders
    Defects in sperm quality (morphology) or quantity.
  • Sperm motility issues
    Poor sperm motility means the sperm can’t swim properly, which decreases their chances of fertilizing the egg.
  • Ejaculatory disorders
    A condition in which it takes an extended period of sexual ejaculation for men to reach sexual climax and release semen.
  • Immunologic disorders
    This disorder causes the immune system to attack sperm.

What are the treatment options for male factor infertility?

In some cases, your doctor may recommend assisted reproductive technologies (ART), such as in vitro fertilization (IVF), IVF with intracytoplasmic sperm injection (ICSI) or the use of donor sperm. For couples where both male and female factor infertility are an issue, your doctor may recommend donor embryos.

If you and your partner have been trying to conceive for at least 12 consecutive months (6 months for women aged over 35), it’s time to see a specialized reproductive endocrinologist. The caring doctors at Reproductive Gynecology & Infertility can diagnose and treat male factor infertility in Columbus, Akron, Canton and Youngstown. Call 866-537-2461 to get the answers you need.

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Infertility Resources & Support

How Old Is Too Old for In Vitro Fertilization?

Unfortunately, there isn’t an easy answer to this question. Generally speaking, women over the age of 43 are not advised to undergo IVF with their own eggs. Instead, reproductive specialists recommend using donor eggs, as older eggs have a higher chance of being chromosomally abnormal.

It’s a fact that American women are starting families later in life. Since the year 2000, 46 states and Washington, D.C. have experienced an increase in the number of women over age 35 having their first child.

As a result, many of these older women need to rely on assisted reproductive technologies, like in vitro fertilization (IVF). Female fertility begins to decline naturally around age 30. A woman in her early 40s has only about a five percent chance of conceiving naturally in any monthly cycle.

How old is too old for in vitro fertilization?

Unfortunately, there isn’t an easy answer to this question. Generally speaking, women over the age of 43 are not advised to undergo IVF with their own eggs. Instead, reproductive specialists recommend using donor eggs, as older eggs have a higher chance of being chromosomally abnormal. These abnormalities can lead to miscarriage, disease, or problems in growth or development. Women over the age of 50 are generally not considered candidates for IVF.

However, women of any age with access to viable eggs or embryos (her own or from a donor) and a receptive uterus (her own or with a gestational surrogate) is capable of achieving motherhood through IVF. If you are between the ages of 35 and 50 and are considering in vitro fertilization, it’s important to understand your risks of pregnancy and perinatal complications, such as:

  • Obstetric hemorrhage
  • Preeclampsia
  • Pregnancy induced hypertension
  • Gestational diabetes
  • Higher rate of Cesarean delivery
  • Preterm delivery
  • Low birth weight

If you would like to explore your options for fertility treatments or are in need of skilled in vitro fertilization services in Columbus, Akron, Canton, Youngstown and other Ohio communities, please contact Reproductive Gynecology & Infertility at 866-537-2461. Our fellowship-trained, board-certified fertility specialists are dedicated to helping you achieve the family of your dreams in a safe, compassionate, and state-of-the-art environment.

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Infertility Resources & Support

How Long Does it Take to Get Pregnant?

While some women get pregnant faster than others, it’s not uncommon for it to take longer than expected. This is especially true if you or your partner are dealing with known or unknown fertility issues.

While some women get pregnant faster than others, it’s not uncommon for it to take longer than expected. This is especially true if you or your partner are dealing with known or unknown fertility issues.

If you’re a healthy woman between age 25 and 35 you have about a 20 percent chance of getting pregnant each cycle with regular unprotected sex. For women over 35, the probability of conceiving goes down steadily. For example, 40-year-old women have about an eight percent chance of getting pregnant each month, while 42-year-old women have about a two-to-four percent chance.

What is the average time it takes to get pregnant?

So, how long does it take to get pregnant? It really depends on a lot of factors, but here are some average statistics: Approximately 25 percent of women under the age of 35 (with no known fertility problems) will conceive within three months of regular intercourse. Fifty percent will get pregnant within six months, and 85 percent within 12 months.

If you are a woman under age 35 and have been trying to conceive for at least 12 consecutive months (or have irregular cycles), we recommend seeking treatment as soon as possible (six consecutive months for women over age 35).

How can I increase my chances of getting pregnant?

Here are some things you can do to tip the odds in your favor:

  • Maintain a Healthy Weight
    Carrying too much or too little weight can have an adverse effect on your hormones, which are responsible for ovulation.
  • Eat Well and Exercise
    Regular exercise and a healthy diet will increase your chances of conceiving.
  • Practice Clean Living
    Now is the perfect time to stop drinking and smoking. Not only will it be good for your overall health, but your fertility as well.
  • Fertility Evaluation & Diagnosis
    There are many factors that can affect male and female fertility. A comprehensive evaluation can help identify your condition and set you on a new path to achieve the family you so desire.

The reproductive endocrinologists at Reproductive Gynecology & Infertility are highly skilled and specialized in treating both male and female factor infertility. Contact us for skilled fertility evaluation & diagnosis in Columbus, Akron, Canton & Youngstown, Ohio.

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Infertility Resources & Support

Fertility Treatments

Ovulation & Fertility: What Every Woman Should Know

Reproductive Gynecology & Infertility (RGI) offers every available fertility treatment with unsurpassed expertise—to give you the child of your dreams. Our treatment plans are individualized to your specific needs to ensure you’re getting the exact treatment or procedure you need.

Approximately one in ten couples struggle with infertility. In fact, infertility can affect women of any age, and from any background. If you’ve been trying to conceive for more than 12 consecutive months (6 months for women over age 35) without success, your primary care physician may refer you to a specialized fertility center for diagnostic testing and potential medication or services.

Reproductive Gynecology & Infertility (RGI) offers every available fertility treatment with unsurpassed expertise—to give you the child of your dreams. Our treatment plans are individualized to your specific needs to ensure you’re getting the exact treatment or procedure you need.

Fertility services at RGI

When you choose RGI, you’re maximizing your chances of having a child with leading-edge fertility capabilities, such as:

  • Evaluation & Diagnosis
    Our thorough fertility testing capabilities examines everything from ovulation cycles and uterine health to body weight and possible infections. We also provide on-site male fertility testing for maximum convenience and peace of mind. Once we have a diagnosis, we’ll help you determine the next best step in your fertility journey.
  • Fertility Surgery
    For many women, surgery is one of the most effective methods of improving fertility. The skilled RGI fertility specialists and surgical gynecologists can perform any leading edge, minimally invasive procedure you need.
  • In Vitro Fertilization (IVF)
    We use IVF to help with the trickiest aspects of pregnancy (fertilization and implantation) and to optimize your chance of success. We also combine IVF treatment with advanced techniques, like pre-implantation genetic screening & diagnosis, to improve your chance of having a healthy baby.

Get started on your fertility journey with RGI

We have outstanding IVF success rates for both fresh and frozen embryo transfer cycles. However, we’re proud to offer the first IVF 100% Success Guaranteed Plan in Northeast and Central Ohio. It’s our goal to help you have a baby—or we’ll refund every penny.

Contact Reproductive Gynecology & Infertility for leading-edge fertility services in Columbus, Akron, Canton and Youngstown, Ohio, and maximize your chance of having a child.

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Infertility Resources & Support

Age and Fertility: What You Should Know in Your 20s, 30s and 40s

A woman’s age is the most important factor affecting her fertility and chance of having a baby. As men and women age, their potential to have children naturally decreases, though the exact time this starts to happen varies.

A woman’s age is the most important factor affecting her fertility and chance of having a baby. As men and women age, their potential to have children naturally decreases, though the exact time this starts to happen varies.

All about fertility in your 20s

Whether you’re ready to start thinking about a family or not, there are some important things you should know about fertility while you’re in your 20s. This information could affect how you view your fertility and the idea of getting pregnant in the future. Here’s what you need to know:

  • Fertility
    Fertility declines at a different rate for every single woman and can happen as early as her late 20s.
  • Lifestyle Choices
    The lifestyle choices you make now could heavily affect your fertility in your thirties. If you love white rice, white sugar, smoking and/or adult beverages, it could make it more difficult to conceive down the road.

All about fertility in your 30s

A woman is born with all the eggs she will ever have. As she ages, so do her eggs—and their number and quality reduce over time. Here’s what you need to know about fertility on your 30s:

  • Fertility
    Between the ages of 33 and 42 (with an average age of 38), the loss of immature eggs accelerates. This marks the beginning of decline in a woman’s fertility, which eventually leads to menopause.
  • Preservation
    If you are a woman in your 30s and aren’t quite ready to start a family, it might be time to consider egg freezing (cryopreservation). Egg freezing allows women to use their young, healthy eggs to help them achieve pregnancy later in life, when they are ready. Frozen eggs are viable and may be used to achieve pregnancy for more than 10 years.

All about fertility in your 40s

Your chances of conceiving naturally in any given month lower significantly once you reach 40 years of age. In fact, the average 40-year-old woman has only a 8 percent chance of getting pregnant each month..

  • Fertility
    Women in their 40s are less likely to become pregnant naturally due to poor egg quality. As women age, more and more of their eggs have either too many or too few chromosomes, which can significantly lower the chance of pregnancy and increase the chance for miscarriage or birth defects.
  • Assisted Reproductive Technologies
    Whether you froze your eggs in your 20s or 30s or have decided to use an egg donor, assisted reproductive technologies (like in vitro fertilization) can help you achieve pregnancy in your 40s.

If you are a woman in your 20s or 30s and would like to learn more about preserving your fertility with egg freezing (Cryopreservation) in Columbus, Akron, Canton & Youngstown, Ohio, contact the skilled physicians at Reproductive Gynecology & Infertility.

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Infertility Resources & Support

Ectopic Pregnancies & Fertility: Can You Still Get Pregnant After One?

Approximately one in every 50 pregnancies in the United States is ectopic. Ectopic pregnancies, also known as tubal pregnancies, occur when a fertilized egg grows in the wrong place (e.g., ovary, fallopian tube, cervix or abdominal cavity). Most ectopic pregnancies—nearly 98 percent—occur in the fallopian tube.

Approximately one in every 50 pregnancies in the United States is ectopic. Ectopic pregnancies, also known as tubal pregnancies, occur when a fertilized egg grows in the wrong place (e.g., ovary, fallopian tube, cervix or abdominal cavity). Most ectopic pregnancies—nearly 98 percent—occur in the fallopian tube.

Unfortunately, ectopic pregnancies cannot move or be moved to the uterus, so they always require treatment. They cannot result in a baby and can be life threatening for the woman. There are two main treatment options for ectopic pregnancies which depend on your unique signs and symptoms: medication or surgery.

Signs and symptoms of an ectopic pregnancy

Light vaginal bleeding and pelvic pain are the usually the first symptoms of an ectopic pregnancy. The following symptoms may indicate a serious medical emergency:

  • Sharp waves of pain in the abdomen, pelvis, shoulder or neck
  • Severe pain on one side of the abdomen
  • Light to heavy vaginal bleeding
  • Dizziness or fainting
  • Rectal pressure

Ectopic pregnancy and fertility

If you’ve suffered an ectopic pregnancy you have a slightly higher risk for another, however as many as 65% of women are healthily pregnant within 18 months of an ectopic pregnancy.

The chance of subsequent pregnancies after an ectopic pregnancy depends on the health of your ovaries and fallopian tubes. Some women who experience ectopic pregnancy require medical intervention to remove the fertilized egg and, in some cases, the ovary or fallopian tube.

Am I at risk for ectopic pregnancy?

You have an increased risk for ectopic pregnancy if you have a history of or currently use the following:

  • Previous ectopic pregnancy
  • Salpingitis (pelvic infection)
  • Damaged fallopian tube
  • Infertility
  • IVF
  • Tubal ligation
  • Intrauterine device (IUD)
  • Progesterone-only oral contraceptive

To learn more about ectopic pregnancies and fertility, contact the skilled specialists at Reproductive Gynecology & Infertility. We can help you achieve a healthy pregnancy, whether you’ve experienced a previous ectopic pregnancy or are struggling with unexplained infertility. Call 866-537-2461 so your dreams of growing your family can come true.

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What Our Patients Say About Us

There is no one better than Dr. Maseelall❤️ She gave us two little miracles at once!! Thankful for the family she helped us create!!
We were patients of Dr Nash but Dr Jain did my egg retrieval and we are so thankful for him and his part in helping us grow our family! ❤️
So appreciative of Dr. Maseelall! Always so kind during our journey and ready to listen to me. That was important to us. She helped bring us our miracle!
So grateful for Dr. Nash who gave us our sweet 15 month old! He’s the most straightforward yet compassionate Dr and I loved working with him! ♥️♥️
Dr Nash!!!!! There aren’t enough words to describe our thankfulness and appreciation for you. We have our sweet Charlotte because of you. Thank you, thank you!!!!!! -Angela and Dan Gossard (2022)
What an amazing and rewarding event to put on! It’s not often the the doctors and nurses get to see the end result. Seeing so many pictures of the families you’ve helped build is just amazing! So thankful for Dr. Jain and his staff for giving us our blessing!
RGI made our dreams come true! And Samantha’s gift of hope….there really aren’t words to express how they changed our lives. We won their grant in 2019 and it has continued to bless us several years later. Every time we make a financial decision I think of SGH and how I don’t know if it’d be possible if it wasn’t for them.
RGI and Samantha’s Gift of Hope has forever changed our lives in the best way possible because they have given us the greatest gift we could ever get—our sweet daughter. We have this joy of being parents we had previously only dreamed about, and honestly weren’t sure we would ever have. Now, everyday is filled with baby giggles and snuggles, cheering her on to her next milestone (which is currently crawling), and trying to be the best parents we can be. We will never be able to repay RGI and Samantha’s Gift of Hope, but we will forever be grateful to them and are daily reminded of it.
RGI made it possible for us to experience the joys of becoming parents. There is no greater feeling or love in this world that we’ve experienced than bringing Liam into this world. We truly understand the miracle and blessings babies are. SGOH we will forever feel grateful for. We cannot thank Lisa, Matt and Sam enough for their generosity and helping couples pay towards their IVF journeys. Honestly, SGOH really does provide HOPE. Winning the grant also helped us to feel like this is really happening, it’s meant to be.
Because of Samantha’s Gift of Hope, our dream of having a child came true. We could focus more on each step of the process and keep a positive attitude through it all instead of constantly worrying about what things cost and how we would make it work. Now, our sweet Tenley girl is 1 week old and I continue to be thankful each day for the opportunity Samantha’s Gift of Hope gave us. We are now living out our favorite roles as mom and dad and are filled with so much love for our little girl!
“RGI is amazing, start to finish. They never make you feel anything but comfortable. Thank you all for your compassion and care!”
“Thank you for everything the RGI team has done for our family! Everyone has been amazing, and we are grateful for your skills.”
“A wonderful place! I would highly recommend RGI to anyone who is in the same position as me and my husband.”
“Thank you! Everyone is extremely caring and professional. I wouldn’t go anywhere else!”
“RGI went above and beyond to make my husband and me comfortable and happy with the care they gave us!”
“We had a wonderful experience with the RGI staff during our IVF cycle. All staff were kind, friendly and very informative! We felt comfortable at every visit and each procedure. The staff at RGI are wonderful and made our IVF journey a great experience. We are so thankful!”

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