The clinical facilities available for training in Reproductive Endocrinology include the UT Medicine Fertility Center, Methodist Ambulatory Surgery Hospitals, St. Luke’s Baptist Hospital, the University Health Center Downtown, University Hospital, and the San Antonio Military Medical Center.
The UT Physicians Fertility Center is a referral center for reproductive endocrinology and infertility patients in San Antonio. The Fertility Center contains ancillary staffing and capital equipment sufficient for complete patient care, including a dedicated procedure room, ultrasound machine with vaginal transducer and a full-service assisted reproductive technology (ART) and andrology laboratories. The Fertility Center functions for 8 half-day sessions per week, including weekends and holidays accommodating approximately 15-20 patients daily. New patient visits at the Fertility Center number over 600 per year. Emphasis is placed upon treatment of difficult reproductive endocrine infertility cases. Fellows will gain experience in basic evaluation of the infertile couple, ultrasonography, office hysteroscopy and sonohysterography, ovulation induction techniques, artificial insemination, diagnostic and therapeutic laparoscopy and hysteroscopy, robotic surgery, reconstructive surgery for external and internal reproductive tract abnormalities, and tubal microsurgery.
UT Health San Antonio’s ART Program is located at the Fertility Center. Approximately 150 embryo transfers are performed yearly. Gamete/embryo micromanipulation is performed, including intracytoplasmic sperm injection and assisted embryo hatching. Successful embryo and oocyte cryopreservation and donor oocyte programs are established. Preimplantation genetic screening and diagnoses procedures are also performed.
The Fellow in their first year of training will be primarily responsible for seeing patients at the Fertility Center five half-days per week. A designated faculty member is present at each session for supervision. Fellows also participate in reproductive surgery cases at Methodist Ambulatory Surgery Hospital, St. Luke’s Baptist Hospital and University Hospital.
The Reproductive Endocrinology Clinic at the University Health Center Downtown serves approximately 900 patient visits yearly. It meets one half-day per week (Monday afternoon) and is staffed by a faculty member in the Division. Fellows will supervise roughly one-third of the sessions during their second and third years, and will assist residents with any surgical cases generated by this activity. Approximately 54 major surgical procedures and 76 minor procedures are performed yearly from this clinic. During the second and third years, fellows have the opportunity to attend the Medical and Pediatric Endocrine Clinics.
A weekly clinical conference is held by the Division. The agenda includes review of all current ART participants (as well as a monthly review of the summary data from the program), review of hysterosalpingograms, review of interesting or challenging cases, and presentation of all potential surgical cases. The first-year Fellows, in conjunction with the residents and a designated faculty member, are responsible for presenting these conferences.