Infertility is a symptom, not a diagnosis. There are often multiple factors that cause infertility including:

• Ovulation disorders
• Endometriosis
• Blocked or damaged fallopian tubes
• Uterine abnormalities such as fibroids, adhesions, or adenomyosis
• Hormonal issues such as hypothyroidism, low progesterone
• Limited cervical mucus
• Pelvic adhesions
• Low sperm counts or poor sperm motility

We seek the root cause by evaluating different aspects of your overall health. Then, we provide a comprehensive diagnostic evaluation including:

• Blood tests
• Pelvic ultrasounds
• Follicle ultrasound study
• Selective Hysterosalpingogram (SHSG)
• Diagnostic hysteroscopy
• Diagnostic laparoscopy
• Semen analysis

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Did you know almost one third of babies in the United States are born by c-section? While c-sections lead to a healthy delivery, a cesarean scar (aka ‘isthmocele’ or ‘uterine niche’) defect may develop.

PCOS (Polycystic Ovary Syndrome) is a hormonal disorder affecting women, characterized by irregular periods, excess androgens, and abnormal ovaries on ultrasound.

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Pearl’s approach addresses PCOS by focusing on the root causes, not just the symptoms. We use a holistic approach that balances hormones naturally through lifestyle changes, dietary guidance, and personalized medical treatments.

• Heavy vaginal bleeding
• Irregular periods
• Postmenopausal bleeding
• Infertility
• Hormone abnormalities
• Pelvic pain
• Painful intercourse
• Pelvic floor myalgia
• Uterine fibroids
• Premenstrual syndrome / Premenstrual dysphoric disorder
• Endometriosis
• Adenomyosis
• Pelvic adhesive disease
• Ovarian cysts
• Recurrent miscarriage
• Menopause symptoms
• Cesarean scar defects
• Fallopian tube abnormalities / blockage
• Vaginal discharge / infection
• Continuous cervical mucus
• Cervical insufficiency
• Uterine / cervical polyps
• Uterine septum
• Intrauterine adhesions
• Polycystic ovarian syndrome
• Yeast infections
• Urinary tract infections
• Urinary frequency or incontinence

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• Robotic surgery
• Advanced hysteroscopy
• Myomectomy (fibroid removal)
• Excision of endometriosis
• Robotic, laparoscopic, and vaginal hysterectomy
• Ovarian cyst removal
• Ovarian wedge resection
• Tubal reversal
• Tubal recanalization
• Cesarean scar defect (isthmocele) removal
• Robotic transabdominal cerclage
• Vaginal cerclage
• Labioplasty
• Vaginal surgery
• Pelvic floor trigger point injections
• Pelvic floor Botox injections
• Endometrial ablation
• Uterine / cervical polypectomy
• Lysis of uterine adhesions
• Lysis of pelvic adhesions