In Vitro Fertilization
Dr. De Rosa has partnered with the world renowned Infertility Center of St. Louis and Dr. Sherman Silber. This has enabled us to offer our patients continuity of care and the full spectrum of infertility services. Realizing that no two couples are alike, we are able to tailor treatments based on history, physical exam, and evaluation. These may range from simple office procedures to advanced reproductive technologies such as IVF.
EVALUATION, DIAGNOSIS & TREATMENT
EVALULATION OF WOMENS FERTILITY POTENTIAL (OVARIAN RESERVE)
Antral Follicle Counts/day 3 FSH can help determine your fertility potential. This is a simple ultrasound evaluation measuring the number of small cysts ( < 1cm ) in your ovaries. Treatment can then be offered based on these findings.
EVALUATION OF THE FALLOPIAN TUBES
Women with tubal disease have not only a decrease in fertility, but also and increased risk of miscarraige and tubal pregnancy. By evaluating your tubes with a simple procedure we can determine the status of your tubes. Depending on this result, surgical intervention and/or IVF may be suggested.
EVALUATION OF THE UTERUS AND UTERINE CAVITY
By employing on of several simple techniques (sonohysteroscopy/hysterosalpingogram/3D ultrasound/ hysteroscopy) we can accurately assess the uterine cavity and if necessary correct the abnormality.
EVALUATION OF MALE FACTOR INFERTILITY
Greater than 40 % of infertility can be attributed to abnormalities of sperm production (number of sperm, sperm mobility, sperm morphology). A simple semen analysis is all that is required to assess male fertility. Very low or absent sperm counts will require IVF and sometimes a simple outpatient procedure on the male to achieve pregnancy.
EVALUATION OF OVULATORY DYSFUNCTION
Some women with PCOS or Hypothalamic hypopituitarism may not ovulate. These patients need a comprehensive evaluation of their hormones and may require ovulation induction strategies such as clomid, letrozole, and possibly even gonadotopins (shots).
EVALUATION OF RECURRENT PREGNANCY LOSS
NATURAL CYCLE EVALUATION: By monitoring a patients cycle with ultrasound, we can determine if and when a patient is ovulating. Based on these findings additional treatment may be necessary.
ABOUT THE DOCTOR
Dr. DeRosa was born and raised in New Jersey and completed his undergraduate work at Muhlenberg college in Allentown, Pennsylvania. He first came to St. Louis in 1980 to attend St. Louis University School of Medicine. He graduated in 1984 and one week later married his wife who was a St. Louis native. He completed his internship and residency in OB-GYN at St. Louis University in 1988 and then completed his obligation to the military by serving at Whiteman AFB from 1988 to 1991. He returned back to St. Louis to start private practice and has treated patients in obstetrics and gynecology for the past 20 years.
He has been board certified by the American Board Of OB/GYN since 1991 and is a fellow of the American College of OB/GYN, and a member of the American Society of Reproductive medicine and the American Association of Gynecologic Laparoscopists.
He loves all aspects of his practice from seeing patients daily in the office, to delivering babies, gyn surgery, helping couples to conceive and managing women through menopause. But the greatest part of his job is the friendships he has developed with patients over all these years.