Welcome to the Southeastern Fertility Center's Home Page
The Southeastern Center for Fertility and Reproductive Surgery offers this site as an information resource for couples coping with the difficulties of infertility. Just as our center provides the most advanced treatment for our patients, this site provides the most recent and accurate medical information concerning infertility and reproductive surgery.
Located in Knoxville, Tennessee, the center specializes in the diagnosis and treatment of male and female infertility problems. Under the direction of Jeffrey A. Keenan MD, HCLD, our patients receive the highest quality medical care available in the region. Dr. Keenan is one of the most experienced and respected specialists in infertility and reproductive medicine and surgery.
We provide updates on this site to ensure you are receiving the latest information. If you wish to schedule an appointment with us or have questions, please call us at (865) 777-0088 or click here to use our appointment request form.
Winter Update 2018
We at the Southeastern Center for Fertility and Reproductive Surgery hope that all of you had a very Merry Christmas and wish you a prosperous New Year! 2017 was filled with many pregnancies and new babies. Let us help you start or extend your family in 2018. Call today to schedule an appointment. (865)777-0088
Yeast Infections During Pregnancy
Are you pregnant and suffering from a yeast infection? Did you know that over the counter Monistat 7 day is actually the preferred method of treatment during pregnancy? (Monistat 1 day is too potent for pregnancy) The commonly prescribed Diflucan (fluconazole), even in a single dose, may increase miscarriage risk based on a Denmark study. So, next time you think you have a yeast infection while you're pregnant, schedule an appointment for an exam, and if in fact you have a yeast infection, we'll recommended over the counter Monistat 7 day.
You Want to Intentionally Injure My Endometrium?!!?
Endometrial scratching or intentional endometrial injury is an aggressive endometrial biopsy performed at a specific time in your cycle. The theory behind the procedure is that the scratches inside the womb prompt a repair reaction, which stimulates useful growth factors, which in turn gives the embryo a better chance of implanting. This is utilized in women who have had multiple failed IUI or IVF cycles in which they did not conceive. It causes moderate cramping, so we recommend taking 3-4 Advil or 2 Aleve 30 minutes to 1 hour prior to the procedure.
Does Cancer Impact Little Swimmers?
As featured in Fertility and Sterility, a study of 45 male Hodgkin Lymphoma (HL) and 13 male Non-Hodgkin Lymphoma (NHL) patients plus a control group of 29 healthy men was conducted to assess sperm production and aneuploidy (abnormal number of chromosomes) in HL and NHL before and after treatments. Before treatment, HL and NHL men had altered semen characteristics and higher sperm aneuploidy rates than the control group. After treatment, sperm production was significantly lowered 3 and 6 months after ABVD + radiotherapy or CHOP/MOPP-ABV. After ABVD + radiotherapy, the aneuploidy rate increased significantly only at 3 months, and values obtained 1 or 2 years later were lower than pretreatment values. In contrast, in the CHOP/MOPP-ABV treatment group, semen characteristics and aneuploidy rate did not return to normal levels until 2 years after treatment. So, what's the bottom line, semen does not return to normal until 1 year after ABVD treatment and 2 years for CHOP-MOPP. For other types of chemo- or radiation therapy, we recommend waiting the more conservative 2 year period.
Does Male Age Matter?
An article in Fertility and Sterility asks the question: Is advanced paternal age a health risk for offspring? There was not cutoff age mentioned; however, the adverse conditions most consistently associated with increased paternal age were stillbirths, musculo-skeletal syndromes (limb defects), cleft palate, acute lymphoblastic leukemia (ALL), retinoblastoma, autism, and schizophrenia. With that being said, remember that increased fetal mortality and morbidity attributed to advanced paternal age is low in absolute terms, partly because of the rarity of the particular diseases and the low proportion of children fathered by men > 45 years.