Dr Eric Daiter has served Monmouth and Middlesex Counties of New Jersey as an infertility expert for the past 20 years. Dr. Daiter is happy to offer second opinions (at the office or over the telephone) or new patient appointments. It is easy, just call us at 908 226 0250 to set up an appointment (leave a message with your name and number if we are unable to get to the phone and someone will call you back).
"I always try to be available for my patients since I do understand the pain and frustration associated with fertility problems or endometriosis."
"I understand that the economy is very tough and insurance companies do not cover a lot of the services that might help you. I always try to minimize your out of pocket cost while encouraging the most successful and effective treatments available."
Polycystic Ovaries (detailed)
Polycystic ovary syndrome (PCOS) is a complex endocrinologic disorder
resulting in chronic anovulation. The clinical appearance of PCOS
was originally described by Stein and Leventhal in 1905 (often
called the Stein Leventhal syndrome) and classically has involved
obesity (overweight), amenorrhea (absence of menstrual flow) and
hirsutism (excess hair growth with a male pattern) associated
with the finding of enlarged ovaries that have many follicular
cysts seemingly arrested in development.
There are "atypical" presentations for PCOS. About 30%
of PCOS patients are not hirsute, probably as a result of decreased
peripheral metabolism of the androgens to the more active form
(dihydrotestosterone) that is associated with hirsutism. Also,
about 50% of PCOS patients are not obese and some are quite slender.
Many women with PCOS have a mild elevation of insulin and associated
insulin resistance. Obese women have a greater disorder of insulin
than thin women. There is a syndrome called HAIR-AN syndrome which
involves hyperandrogenic insulin resistance and acanthosis nigricans.
Acanthosis nigricans is a an irregular velvety dark discoloration
of the skin especially in regions of skin folds or creases. It
seems to be especially difficult to stimulate ovulation in women
with HAIR-AN syndrome.