Division of Reproductive Endocrinology & Infertility (REI)
To provide quality, comprehensive women’s healthcare to DoD beneficiaries, including reproductive endocrine and assisted reproductive technologies.
- Comprehensive Fertility Work-Up and Evaluation
- Ovarian reserve testing
- Pelvic ultrasound
- Saline sonograms
- Semen analysis
- Endocrine hormone testing
- Treatment for:
- Unexplained infertility
- Recurrent pregnancy loss
- Polycystic Ovarian Syndrome (PCOS)
- Developmental reproductive issues
- Diminished ovarian reserve
- Primary ovarian insufficiency
- Reproductive counseling
- Reproductive surgeries (mullerian anomalies, complex leiomyoma cases)
- Ovulation induction cycles
- Intrauterine insemination
- Primary ovarian insufficiency care
- Polycystic ovarian syndrome care
- In Vitro Fertilization
- Fertility preservation (elective and medically indicated)
- Referral to genetic counseling
Andrology services for Intrauterine Insemination cycles are performed with collaboration with a civilian andrology clinic. Currently, there is an additional cost associated with IUI sperm wash services.
Embryology services are provided by an outside laboratory. These services include In-Vitro Fertilization (IVF), Pre-Genetic Testing (PGT) of embryos, and Frozen Embryo Transfer (FET) cycles. These services are not covered by TRICARE and cost anywhere from $3000 to more than $20,000 out of pocket depending on the services needed.
IVF is offered once a month at the Wright-Patterson Medical Center in collaboration with civilian partners and patients are placed on a waitlist for an average of 1-3 months.
Our team consists of…
- 1 REI Physician
- 1 REI Nurse Practitioner
- 1 REI RN
- 1 REI LPN
- This composition of our team may vary due to readiness requirements, manning, and greater Air Force needs.
Specific Criteria for Referral
- Family member must have Tricare Select or Reserve Select to receive care in the WPAFB REI Clinic.
- Patients with oocytes must be <42 years of age to proceed with treatment.
- Patients with oocytes must have a BMI <40 to be eligible for IVF care.
- Patient & partner (if applicable) must be non-smokers to be eligible for fertility treatment.
When to Refer
- Women <35 years of age with an inability to conceive a pregnancy after 12 months of regular, unprotected intercourse.
- Women >35 years of age with an inability to conceive a pregnancy after 6 months of regular, unprotected intercourse.
Indications for Immediate Referral
- Irregular menstrual cycles
- Known Uterine or Tubal Disease
- Stage III or IV Endometriosis
- Known male factor infertility
- Previous failure of in-vitro fertilization (IVF) at an outside clinic or hospital
- Over two miscarriages
- Newly diagnosed cancer
- Same-sex couples
- Planned single-parent families
- Women interested in embryo or oocyte cryopreservation
Prior to Referral
- For those presenting to our clinic for an infertility evaluation, please request that your Primary Care Manager order an Anti-Mullerian Hormone level (blood test that can be drawn at any point during the menstrual cycle); and a Semen Analysis for the male partner (if applicable).
- Wright-Patterson Medical Center is committed to the long-term health of all patients and strongly encourages all patients with a BMI more than 30 to actively engage in a weight reduction/health maintenance program during or prior to infertility treatment.
- People who use tobacco products (smoking, chewing, vaping) will be required to quit for 3 months prior to starting fertility treatment. Those with a history of tobacco use will undergo a blood test to confirm they have no nicotine in their system.
- Commanders may authorize up to 35 Permissive Temporary Duty (PTDY) days during the member's permanent duty station assignment, not all of which must be used consecutively; instead, the days are to be used as needed and as recommended by medical authority for both male and female Airmen and Guardians, who are participating in a fertility treatment program at a military Medical Treatment Facility (MTF). (Table 3.6, Rule 24.)
- This 35-day period should be divided into separate PTDYs as deemed appropriate by medical authorities. Members are required to notify their commands with documentation from medical authorities detailing the duration of the treatments and the potential dates for medical procedures.
- Active-duty members may need to acquire command approval for elective treatment prior to starting more significant surgical or medical treatment options.
Fertility Support for Veterans
More information is available here