Community Physicians of Indiana

Each patient room has a second large video screen so that patients can see what the doctor or nurse is seeing during the ultrasound exam.

Community Reproductive Endocrinology is dedicated to the diagnosis and treatment of female and male infertility conditions through cutting-edge diagnostic and minimally-invasive surgical techniques. FDA guidelines and protocols are strictly followed for the handling of human eggs and sperm for transplantation. All services are available in one convenient location on the Community Hospital North campus in Indianapolis, Indiana.

Fertility therapies offered include:

• In vitro fertilization (IVF) - 100% IVF Refund Program
• Gamete intrafallopian transfer (GIFT)
• Intracytoplasmic sperm injection (ICSI)
• Intrauterine insemination (IUI)
• Therapeutic donor insemination
• Andrology services, e.g., sperm analysis
• Egg freezing and storage for women; sperm freezing and storage for men
• Embryo donation/adoption 
• Advanced laparoscopic and hysteroscopic surgery

Special microscopes and micromanipulators are used to inject sperm into eggs.

For additional information about these services and lab procedures, please visit Community Health Network's Assisted Fertility Services at eCommunity.com/AssistedFertility.

Minimally-invasive surgical procedures

New! da Vinci endometrial resection - minimally-invasive robotic surgery

Dr. Carnovale is the first physician in the state of Indiana to use the da Vinci surgical robot laser delivery system for the treatment of pelvic endometriosis. During endometrial resection, a minimally-invasive surgery, the da Vinci robot facilitates removal of multiple endometriomas through the articulation of a special laser fiber using a robotically-assisted arm. Removal of multiple endometriomas in one procedure is difficult to accomplish with laparoscopy (and could result in the need to perform a laparotomy). To inquire about this treatment, please contact us. Learn more about da Vinci Surgical System

Other procedures

Click the name of a minimally-invasive procedure below to learn more, including how to prepare for this procedure at Community Reproductive Endocrinology.

• Endometrial biopsy
  As with any biopsy, a sample of tissue is obtained for analysis. Specifically, a small piece of the tissue lining the endometrial cavity is removed. In most cases, a thin flexible plastic catheter is utilized to perform the procedure.
• Hysteroscopy
  

  Mobile incubators are used to keep eggs and embryos under ideal conditions for survival.

  A hysteroscopy is often recommended for patients who have difficulties with infertility, menstrual abnormalities, and/or recurrent pregnancy loss. It may assist in diagnosing and/or treating polyps, uterine fibroids, scarring, and uterine structural abnormalities. During this procedure a dilation and curettage may also be performed.
• Laparoscopy
  A laparoscopy is often recommended to patients who have pelvic pain with or without intercourse, history of abdominal surgery or pelvic infection, and/or menstrual abnormalities. It may assist in identifying and/or treating problems such as pelvic scarring (adhesions), endometriosis, uterine fibroids, ovarian cysts, and ectopic pregnancies. Often, the physician may inject dye through the uterus during this procedure to see if the fallopian tubes are open.

Diagnostic fertility procedures

Special freezers are used to store sperm, eggs and embryos. These freezers are padlocked and secured with alarms to prevent tampering and to ensure that the optimum storage environment is always maintained.

Click the name of a procedure below to learn more, including how to prepare for this procedure at Community Reproductive Endocrinology.

• Hysterosalpingogram (HSG)
  The HSG procedure is essentially an x-ray of the uterus at the same time that dye is being infused into the uterine cavity. The infusion of dye pushes the walls of the uterus apart and provides contrast to the uterus when the x-ray picture is taken.
• Sonohysterogram / Saline infusion sonogram (SIS)
  The saline sonogram procedure is essentially an ultrasound of the uterus at the same time that fluid is being infused into the uterine cavity. The infusion of sterile fluid pushes the walls of the uterus apart, improving the image obtained with the ultrasound.

Male partner evaluation

Evaluation of the male partner's sperm production is a critical part of every infertility evaluation. Sensitive to the need for both convenience and privacy, CRE offers a dedicated semen collection room, with connected bathroom, for the male partner of couples experiencing infertility. After semen is collected, it can be analyzed in our laboratory by our andrology specialists. Semen to be used for insemination is then prepared in the lab (under strict guidelines) using techniques that will optimize the quality of the sperm placed into the female partner's uterus.

Fertility associated services

Fertility associated services are offered to patients with the disorders listed below who are having difficulty getting pregnant. Fertility associated services include the treatment of polycystic ovary syndrome (PCOS), endometriosis, fibroids (leiomyomata uteri), hormonal imbalances, genetic and endocrine disorders of reproduction, and reproductive tract anomalies.