Reproductive, Endocrinology, Infertility (REI) Center

Mission

To improve the referral process to the infertility clinic and expedite the initiation of the basic work up on patients prior to their initial appointment to specialty reproductive endocrinology and infertility care.

Services Provided

• Reproductive Endocrinology
• Treatment for Recurrent
  Pregnancy Loss
• Treatment for Polycystic
  Ovarian Syndrome (PCOS)
• Treatment for Developmental
  Reproductive Issues
• Treatment for Diminished
  Ovarian Reserve
• Primary Ovarian Insufficiency
• Unexplained infertility
• Extended Fertility Work up and Medical Counseling
• Tubal Reversal
• Intrauterine Insemination
• In Vitro Fertilization (IVF) to include Intracytoplasic Sperm Injection (ICSI)
• Genetic testing of embryos

Andrology and embryology services are provided by an outside laboratory. Andrology services include sperm wash for IUI, in depth semen analysis and sperm cryopreservation. Embryology services include in vitro Fertilization (IVF). These services are not covered by TRICARE and can cost anywhere from $250 to more than $10,000 depending on the services needed.

IVF is offered 11-times a year and patients are placed on a wait list for an average of 6-12 months. Please contact the IVF coordinator for more information.

Prior to Referral

Tripler is committed to the long-term health of all patients and strongly encourages all patients with a BMI in excess of 30 to actively engage in a weight reduction/health maintenance program during or prior to infertility treatment.

People who use tobacco are strongly encouraged to quit smoking prior to starting fertility treatment. Smokers must be actively enrolled in smoking cessation class prior to receiving ovarian hyper stimulation medications for infertility treatment.

Immediate Referrals (All female patients)

• 35 years of age interested in fertility 
• any age with previous failure of in vitro fertilization (IVF) at an outside clinic or hospital
• with over two miscarriages
• newly diagnosed cancer
• same sex couples

Reproductive Endocrinology

A patient with reproductive endocrinology conditions, per provider's judgment.

Reproductive Anatomic Abnormality

• Intersex conditions
• Abnormalities of sexual differentiation

Developmental Reproductive Issues

• Reproductive developmental delay
• Precocious reproductive development

Infertility

• 1 year unprotected intercourse under 35 years old
• Detailed referral to the Gynecology/Infertility Clinic in CHCS. Referring providers outside of the military charting system may fax referrals.

Bilateral Tubo-Tubal Anastomosis (BTA) - Tubal Reversal

Females age less than 39 years old at time of referral are candidates for BTA.  The basic infertility work up for both male and female partners will need to be completed prior to scheduling the initial visit. Once the work up is completed, the patient may call to schedule their initial appointment.

Fertility

Diagnosis and treatment for recurrent pregnancy loss are available through Tripler, including all advanced reproductive technologies. Patients are financially responsible for services not covered by TRICARE. Infertility services are dedicated to support the Families within the military health care system.

Tripler's OB/GYN Services include
Behavioral-Medicine-Consultation-Services
Neonatal-Intensive-Care-Unit-NICU
Mother-Baby-Unit
Breastfeeding-Support
Urogynecology-Female-Pelvic-Medicine
Labor-and-Delivery-Unit
Midwife Services
Minimally-Invasive-Gynecologic-Surgery-MIGS
Centering-Pregnancy
Moody-Mom-or-Anxious-about-Baby

Online Resources

Referral_Guidelines
Tripler Army Medical Center IVF orientation
Semen Analysis                                           
Intrauterine_Insemination                                                  
smoking_infertility                                        
weightfertility                         
Association of Reproductive Medicine - http://www.asrm.org/         
Society for Assisted Reproduction Technologies - https://www.sart.org/   
National Infertility Association - https://resolve.org/
Gonal-F Instructions
Instructions for Progesterone in Oil Injection (Shot)
Menopur SQ
Ovidrel Injection
Tripler Army Medical Center Infertility Packet OCT 2020
Tripler Army Medical Center Infertility fees 2020
Tripler Army Medical Center IVF Information Sheet
REI New Patient Information Questionnaire
Freedom Med Tech
Sharps Disposal