Infertility - A Couple's Survival Guide

Candid Patient Reviews of
Dr. Eric Daiter

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).

Availability

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

Cost

"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

Sperm Washing Procedures (detailed)

(1) washing:

following centrifugation, resuspension of the sperm pellet into an inert buffered media. This technique does not eliminate dead sperm or debris from the resuspended washed sperm

(2) swimup:

following centrifugation an inert buffered media is layered over the unagitated sperm pellet and some of the motile sperm will swim toward the surface. This technique generally takes 30-60 minutes for the sperm to swim out of the pellet, and then the media near the surface with the motile sperm is collected. There will be a lower sperm count following this procedure due to the elimination of dead sperm but the quality of the motile sperm may be improved

(3) gradient differential centrifugation:

inert particles are suspended in an inert buffered media at differing densities (concentrations) and layered so that following centrifugation the motile sperm fraction of the semen will be found isolated within a certain layer (density). Percoll (silicone particles with polyvinyl pyrrolidine links) was widely used for this indication until removed from this market in 1996 when potentially hazardous endotoxin levels were identified. Research has suggested that the recovery of motile sperm is better with Percoll than with the swimup technique, and that the harmful effects of oxygen reactive species of molecules is less significant with the Percoll technique as compared to swimup. Other particles are now available for differential centrifugation, one of the most common in 1997 being "Isolate."

(4) others:

swimup into chemicals such as hyaluronidase or filtration through glass wool (which reportedly will adhere selectively to dead sperm) are occasionally used but not widely accepted at this time.