Candid Patient Reviews of
Dr. Eric Daiter

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How Can I help You?

Dr Eric Daiter has served Monmouth and Middlesex Counties of New Jersey as an infertility expert for the past 20 years. Dr. Daiter is happy to offer second opinions (at the office or over the telephone) or new patient appointments. It is easy, just call us at 908 226 0250 to set up an appointment (leave a message with your name and number if we are unable to get to the phone and someone will call you back).


"I always try to be available for my patients since I do understand the pain and frustration associated with fertility problems or endometriosis."


"I understand that the economy is very tough and insurance companies do not cover a lot of the services that might help you. I always try to minimize your out of pocket cost while encouraging the most successful and effective treatments available."

NJ Center for Fertility and Reproductive Medicine - Infertility Tutorials

Treating Ovulatory Dysfunction: Fertility Medications
Ovulation induction with fertility medication (clomiphene citrate or one of the menotropins) is appropriate in many clinical situations. Two different goals of fertility medication are

* ovulation induction, where a woman who does not ovulate takes medication to enable her to ovulate (form and release at least one mature egg), and

* ovulation enhancement, where a woman who ovulates spontaneously takes medication to optimize the maturation of recruitable follicles (and eggs) for a particular cycle.

Ovulation induction may be attempted in any woman who does not ovulate spontaneously as long as there are some eggs within the ovaries that may respond. The cycle day 3 FSH and estradiol concentrations as well as the clomiphene challenge test may help in determining ovarian reserve.

Clomiphene citrate is the usual entry level drug for inducing ovulation since it is easier to use than menotropins. It is

  1. much less expensive,
  2. requires less ongoing monitoring (ultrasounds and blood work), and
  3. the complications are typically much less severe.

Overall, in women selected for clomiphene citrate ovulation is initiated or made significantly more regular about 85% of the time. Regularization of ovulation may allow for a greater degree of predictability in timing intercourse or artificial inseminations. If clomiphene citrate fails to accomplish ovulation or if the woman is intolerant to the side effects, then menotropins should be considered.

If a woman is ovulating regularly on her own, it is not clear that clomiphene citrate offers any real fertility advantage.

Common indications for the use of clomiphene citrate include:

* Polycystic ovary syndrome, and

* CNS-hypothalamic dysfunctions when there is adequate estrogen production for at least a withdrawal flow to progesterone

Ovulation enhancement is an attempt to mature all of the recruitable eggs for a given cycle. Typically, clomiphene citrate is a poor ovulation enhancement medication but there is some reasonably convincing literature predominantly from Europe that suggests higher doses of this medication starting on cycle day 2 rather than cycle day 5 may result in better enhancement and regular development of more than one fully mature egg. The ovulation enhancement medication of choice is the family of menotropins, which includes Pergonal, Humegon, Metrodin, Fertinex and two different recombinant forms of FSH. Complications of menotropins can be significant. Some common indications for the use of menotropins include:

* subtle male factor problems,

* endometriosis,

* unexplained infertility,

* some forms of ovarian failure and women with deminished ovarian reserve,

* tubal factor infertility with patent fallopian tubes

* ARTs (including IVF)


| About this web page | Basic Infertility | Ovulation | The Sperm | Pelvic Factor |

Eric Daiter, M.D. - Edison, NJ - E-Mail: - Phone: (908)226-0250

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