Reproductive Endocrinologist

Dr Derman a top doctor again

Seth G Derman,MD, top doctor: Princeton IVF blog

Dr. Seth Derman listed as top doctor in Reproductive Medicine again for 2018

A top fertility doctor in New Jersey 2018 from Inside Jersey magazine

Our medical director at Princeton IVF and a Reproductive Endocrinologist at Delaware Valley OBGYN and Infertility, Lifeline Medical Associates, Dr. Seth Derman has been named one of Inside Jersey Magazine's Top 2219 Doctors for 2018.

The candidates for the top doctor list are vetted  by Castle Connolly, and nominated and selected by their peers for inclusion in this list.

Dr Derman featured in Princeton Packet

Infertility causes and solutions in the Princeton Packet: Princeton IVF blog

YOUR HEALTH: Infertility: causes and solutions

By Stephanie Vaccaro

Dr. Derman talks about the causes and treatments for infertility

This article recently appeared in the Health Matters Column of the Princeton Packet...

   So You Want to Have a Baby?

   Infertility is defined as the inability to conceive after engaging in unprotected sex for one year, according to the Centers for Disease Control and Prevention.

   What causes fertility problems?

It can be a number of factors. Dr. Seth Derman of Princeton IVF and Delaware Valley OBGYN, said that approximately 40 percent of the fertility issues he sees are due to male problems, 40 percent are due to female problems, and 20 percent a combination of both partners.

   ”The exact cause of male infertility is a little harder to diagnose because it’s not well understood,” Dr. Derman said. “With female infertility, the most common cause is ovulation problems, which usually show up as irregular cycles. Polycystic ovarian syndrome is the most common of these.”

   Fertility problems can be caused by endometriosis. They also can be linked to damage to the fallopian tubes, which can be caused by previous sexually transmitted diseases. This is particularly a problem in women who have had prior Chlamydia infections.

   And sometimes infertility has no identifiable cause.

   What options exist for treatment?

   ”Well, it depends what’s wrong,” Dr. Derman said. “If there’s an ovulation problem, usually the treatment is fairly simple with fertility drugs. These are medications that induce ovulation, such as clomid or letrozole.”

   ”For tubal problems — the treatment is usually surgery or IVF (in vitro fertilization),” Dr. Derman said. “IVF is clearly the most effective treatment for these problems.”

   Oftentimes the most effective option involves treating the female partner. IVF allows for the sperm to be injected directly into the egg, and is the most effective treatment for male infertility. “The poorer the husband’s sperm the more likely the couple will need more invasive treatment such as IVF,” Dr. Derman said.

   A less invasive alternative to IVF is insemination, in which sperm is injected up into the uterus. In contrast, IVF involves fertilization of the egg outside of the body, and the transfer of that embryo into the woman’s womb. It is also much more effective than insemination. When patients have unexplained infertility, insemination is oftentimes done first, and if that doesn’t work then they may try IVF, Dr. Derman said.

   What are the odds of success?

Typical fertile couples have a 20 to 25 percent chance of getting pregnant each month. Infertile couples have a 3 percent chance when trying on their own. IVF increases the odds of having a child to twice what it would be in a fertile couple. Those numbers can vary based on age.

   IVF is very often successful in the first or second cycle, particularly in young women. If it isn’t successful, it’s not unusual for a couple to try three or four times, according to Dr. Derman.

   Who pays for IVF?

In New Jersey, the Family Building Act (August 2001) requires companies with more than 50 employees to cover fertility testing and treatment, including IVF. There are exceptions in the law, and since the passage of healthcare reform, those exceptions have gotten even larger.

   Some of the other treatments can be relatively inexpensive. “For instance, treatment using fertility pills and some monitoring is not terribly expensive,” Dr. Derman said.

   When should you go see a fertility doctor?

   ”Generally, over 35, we recommend coming after six months,” Dr. Derman said. “If they are under 35, one year is the right time.”

   What should you expect when you go see a fertility doctor? When patients go to see Dr. Derman for the first time, the first stage in the process is to try to understand why they are unable to conceive. After getting a detailed history, tests will be ordered, which include testing to make sure their eggs are not running out, to make sure their tubes are open, to make sure the ovulation process is going well and that the sperm is normal. After getting a clearer picture of what is going on, they can better determine the next steps.

   ”Not everybody with infertility needs IVF, even though it is the most effective treatment out there,” Dr. Derman said. “IVF is the last thing that we do, not the first thing.”

 

Pioneer of IVF in America Remembered

IVF-pioneer-in-US-Howard-Jones

The father of IVF in the US and his legacy

This past month the Reproductive Medicine community lost one of the giants in our field, Dr. Howard Jones. Although I never had the opportunity to work under Dr. Jones, my own mentors did train under him in Norfolk and Johns Hopkins. Like all reproductive medicine specialists in the country, not just those who trained under him, we owe a special debt to him for enabling us to do what we do.

In the early days of our specialty, fertility doctors could do little to help our patients. There were medications to help women with irregular cycles ovulate and fertility surgeries that had limited success. Still, many causes of infertility remained remained very difficult to treat. After leaving Johns Hopkins for Norfolk, Dr. Jones' team was the first in the US to perform successful IVF on an infertile couple, and his team's numerous contributions to the advancement of IVF continued for years to come.

Now, built on the foundation by Drs. Howard and Georgeanna (his late wife and partner) Jones, today we can actually help most of our patients have a baby to take home, and that is a truly a life to celebrate.

Dr. Derman named top doc

Seth G Derman, MD selected as a top doctor by Castle Connolly

top-fertility-doctor-NJ.jpg

Princeton IVF and Delaware Valley OBGYN are pleased to congratulate Dr. Seth Derman for his selection as a regional Top Doctor in Reproductive Endocrinology by Castle Connolly.  The organization is a leader in helping patients find the best doctors in various medical specialties. They assist magazines such as Inside Jersey, New York Magazine and Philadelphia Magazine in compiling their top doctor lists.

Reproductive Endocrinology (also referred to as Reproductive Medicine) is the subspecialty of Obstetrics and Gynecology that deals mainly with infertility and recurrent miscarriages, but also other reproductive hormonal disorders such as polycystic ovarian syndrome (PCOS), endometriosis and developmental disorders of reproductive system.

According to  Castle Connolly's website:

These Top Doctors' medical educations, training, hospital appointments, disciplinary histories - and much more - are screened by the Castle Connolly physician-led research team. Those doctors who are among the very best in their specialties and in their communities are selected for inclusion. Doctors do not and cannot pay to be included in any Castle Connolly Guide or online directory.