Kaufman Robert A

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Physicians & Surgeons, Gynecology, Physicians & Surgeons, Physicians & Surgeons, Family Medicine & General Practice

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Map & DirectionsDirections800 5th AveFort Worth, TX 76104 Write a ReviewWrite Review

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AKA: Kaufmann, Leesa
Categories: Physicians & Surgeons, Gynecology, Physicians & Surgeons, Physicians & Surgeons, Family Medicine & General Practice, Physicians & Surgeons, Gynecologic Oncology, Physicians & Surgeons, Obstetrics, Physicians & Surgeons, Obstetrics And Gynecology, Physicians & Surgeons, Surgery-General

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Phone: (817) 348-8145

Address: 800 5th Ave, Fort Worth, TX 76104

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Kaufman Robert A

General Practitioners

Primary Care
Some insurance plans are “managed” meaning that some type of referral or authorization is required before office visits, testing or treatments can be conducted. WHEN A REFERRAL IS REQUIRED, IT IS THE PATIENT’S RESPONSIBILITY TO OBTAIN THIS FROM THE PRIMARY CARE PHYSICIAN PRIOR TO THE APPOINTMENT TIME.
Male Infertility
Intracytoplasmic sperm injection (ICSI) has revolutionized the treatment of male factor infertility. ICSI can be used to treat a variety of male infertility disorders, such as low sperm count (oligospermia), low sperm motility (asthenospermia), and abnormally-shaped sperm (teratospermia). Additional conditions that may require ICSI include: problems with sperm binding to and penetrating the egg, prior or repeated failure with conventional IVF methods, and obstruction of the reproductive tract.
Infectious Diseases
Fort Worth Fertility acquires cryopreserved (frozen) sperm only from reputable, licensed sperm banks. Semen is frozen in liquid nitrogen at a temperature of -196°C, where all sperm activity is essentially halted until it is thawed. After thawing, most sperm return to the pre-freeze motile and functional state. To insure safety, the sperm donor is tested for HIV and other infectious diseases at the time of sperm donation, and the sperm is then frozen for six months. The donor is retested at this time, and if the donor's testing for infectious diseases remains negative, the frozen sperm is made available for use. While this does not eliminate the possibility of disease transmission, it makes the risk extremely low.
Electrocardiogram
Required laboratory and diagnostic studies include a recent pap smear, TSH, mammogram if necessary, hysteroscopy and a trial transfer. If the patient is older than 44 we also require an EKG, stress test, chest x-ray and evaluation by a primary care physician.

Gynecology
Kaufmann RA, Johnson MP, Evans MI. Genetics of the Menopause. In: Clinical Post Reproductive Gynecology. Eds. Hajj SN and Evans WJ: Appleton & Lange Publish Co., Norwalk, Connecticut, 1993
Female Infertility
By monitoring blood flow, researchers have shown that applying acupuncture to the points specified for female infertility does increase the blood supply to the uterus. This is important because the increased blood supply can increase the endometrial lining of the uterus. The endometrial lining is the part of the uterus that receives and nourishes the fertilized egg, the fundamental first step to establishing a pregnancy.
Obstetrics
Gordon K, Kaufmann RA, Williams. Physiologic and Psychologic Adaptations in the Puerperium. Eds: T. Moore, R. Reitin, R. Reban, V. Baker, Churchill Living Stone, New York: Obstetrics & Gynecology, 1993:625-636
Endometriosis
Some centers turn away or discourage treatment for patients with a diagnosis such as decreased ovarian reserve or severe endometriosis in an effort to have higher pregnancy results. We believe that the decision to proceed with treatment is an individual one and we will provide an accurate assessment of your potential success rates.
Pregnancy

Endocrinologist

Endocrinology
Our established fertility clinic advocates for your family-building choices. Dr. Kaufmann and Dr. Patel employ advanced fellowship training in reproductive endocrinology to direct your fertility treatment. Whether you have struggled with recurrent miscarriage, or need a proactive plan for fertility preservation, we have answers.
Thyroid

Ultrasound
In general, an ultrasound is performed prior to initiation of clomiphene citrate in order to ensure that this medication can be given safely. Women occasionally have an ovarian cyst, which may prevent the use of clomiphene citrate during that cycle secondary to possible negative effects of the cyst on ovulation. Intercourse should begin 3-5 days after the last clomiphene citrate tablet every other day for approximately 1 week.
X-Rays
Chemotherapy
Previous chemotherapy, ovarian surgery, premature menopause and absence of ovaries at birth are some of the reasons why ovaries are absent or function poorly. Additionally, some women carry a genetic disorder they do not want to transmit to a child.
Radiation Therapy
These circumstances stem from a number of causes such as the absence of sperm production, previous vasectomy, or residual effects from chemotherapy or radiation therapy. Donor Sperm insemination may also be used in cases where both the male and female are carriers of a genetic disorder or a female is severely Rh immunized and the male is Rh positive.

Vasectomy
Hysterectomy
Gibbins, WE, Gitlin SA, Lazendorf SE, Kaufmann, RA, Slotnick RN, Hodgen GD. Preimplantation Genetic Diagnosis (PGD)/Tay-Sachs: Successful pregnancy after pre-embryo biopsy/Gene amplification by polymouse chain reaction (PCR). Society for Gynecologic Investigation, 40th Annual Meeting, March 25, 1994. Servy EJ, Kaufmann RA. Extracorporeal Hysterectomy via mini laparotomy. American College of Obstetricians and Gynecologists, District IV, South Hampton, Bermuda, October 1995.
Laparoscopy
The important thing is for the surgeon to identify that there is at least 4-5 cm of Fallopian tube to work with (average length of fallopian tube is 6-10 cm). If there is any doubt regarding whether a tubal reversal could be considered, we will first perform a laparoscopy to evaluate the quality and length of tube remaining and if there is a sufficient length of tube, he will proceed with the tubal reversal.

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