Dr. Susan Sarajari

07/17/2017

06/22/2017

Dr. Waud and Dr. Sarajari are featured in the July/August Arlington Magazine Women in Business Edition. Dominion Fertility is lucky to have these two dedicated, compassionate and intelligent doctors!
Please check our website in the next couples of weeks for an upcoming Egg Cryopreservation session led by Dr. Waud. In this free discussion, she will explain what Egg Cryopreservation is, why it is a valuable option for many women, and provide a detailed overview of the process.

06/07/2017

Dr. Sarajari is available to see patients in our Bethesda office and is ready to continue !

08/30/2016

How Reaching Out Helps Heal the Wounds Left by Infertility: http://goo.gl/0f5Bkm

08/26/2016

More than 150 blog posts were submitted, and then narrowed down by RESOLVE staff. It’s your turn to vote for your favorite. Discover the 2016 Hope Award for Best Blog nominees and vote for your favorite blog: http://goo.gl/Vu8I9s

08/24/2016

Depression and : Treatment Considerations: http://goo.gl/pulq5Z

07/31/2016

http://fertilegrounds.dominionfertility.com/profiles/blogs/recurrent-pregnancy-loss-evaluation-and-treatment-options

06/10/2016

Dealing With The Emotional Aspects Of Choosing Donor Insemination: http://ow.ly/eJfD30160An

05/12/2016

Someday I will look back...

05/06/2016

Share 6 ways to give support to someone in the community on Mother's Day. http://bit.ly/1X94T7Y

04/26/2016

12/10/2015

Endometriosis and Fertility
Endometriosis is a gynecologic disorder that affects about 6-10% of reproductive age women and is present in about 38% of infertile patients. It mainly presents with chronic pain and infertility. There is some evidence that endometriosis has a familial association and patients with an affected first-degree relative have an about 7-10 fold increase in developing endometriosis. The mechanisms causing endometriosis are complex but it is thought to be due to the attachment and implantation of endometrial tissue on the pelvis and pelvic organs, which then results in an inflammatory response. Endometriotic lesions can also implant on the bladder and bowel, and can form ovarian cysts called endometriomas. A definite diagnosis can only be made by evaluating lesions removed at surgery but a presumptive diagnosis can be made in patients presenting with chronic pelvic pain, significant pain with periods (dysmenorrhea) and pain during in*******se (dyspareunia). Bowel and bladder symptoms can also be present. However, a significant number of patients are asymptomatic. Symptomatic patients can be treated with pain medication as well as medical suppressive therapies such as oral contraceptive pills. The decision whether or not to proceed with surgery, such as laparoscopy, to further evaluate the patient for endometriosis should be made on a case-by-case basis.The factors contributing to infertility in patients with endometriosis are thought to be due to abnormal s***m and oocyte function caused by an abnormal peritoneal environment as well as anatomic abnormalities such as adhesions and endometriomas. Antimüllerian hormone, a marker of ovarian reserve, is often decreased in patients with endometriosis. Patients with infertility and suspected or proven endometriosis need to be evaluated carefully with ovarian reserve testing, pelvic ultrasound and testing for fallopian tube status and the treatment plan needs to be tailored to each patient’s needs.Ref: Management of Endometriosis. ACOG Practice Bulletin. #114. July 2010.