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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.

Dr. Jeffrey A. Keenan

Frozen More Than 24 Years, Born Perfectly Healthy!

What once sounded like science fiction became reality when a 26-year-old gave birth to an embryo frozen for more than 24 years, and it happened right here in East Tennessee! In fact, she was our patient! In late 2017, Tina Gibson gave birth to baby Emma Wren, delivering the world's longest-frozen embryo to successfully come to birth. Tina and her husband Benjamin were embryo-receiving parents through the National Embryo Donation Center and had their frozen embryo transfer (FET) performed through us. This story made global headlines! Click here to view the coverage on Good Morning America. We're so happy for the entire Gibson family!

Summer Update 2018

Happy summer! We hope you are enjoying your summer plans and vacations. Summer is usually a time when we have more availability in appointment slots due to traveling patients. If you've experienced some difficulty scheduling appointments due to scheduling conflicts, be sure to check with Taylor for appointments that have opened up, or if it is some time before your next scheduled appointment, and you would like to be seen sooner, call to see if we have availability to move up your appointment. We hope to see you soon!

A Window into the Uterus

Do you have abnormal uterine bleeding or spotting between your periods? Have you had recurrent miscarriages? Have you been told that you need an assessment of your uterine cavity? We now offer in-office hysteroscopy! Prior to this option, a uterine cavity assessment had to be done either in the operating room with a hysteroscope while under anesthesia, or in the office with a saline-infused ultrasound. With in-office hysteroscopy, you can avoid the operating room, and if an abnormality is found, it can sometimes be addressed right then rather than scheduling a trip to the operating room for a traditional hysteroscopy, which occurs when a saline-infused ultrasound is abnormal. We are offering this service when appropriate to certain patients. Ask if you are a candidate today!

Moles and Warts and Skin Tags...Oh, my!

Our Nurse Practitioner, Autumn Galbraith, WHNP-BC is now offering Verruca-Freeze®. Verruca-Freeze® is a hand held aerosol canister that contains refrigerated gases that we can use for cryosurgery and cryotherapy in an outpatient setting to freeze unwanted skin lesions. Some of the most common treatable lesions are common warts, plantar warts, sun spots, age spots, moles, and skin tags. We are offering Verruca-Freeze® complimentary for a limited time. Inquire with the receptionist about your appointment today!

New Opioid Law

If an opioid prescription is greater than a 3-day supply, informed consent must be obtained from a woman of childbearing age (15-44 y.o.), capable of becoming pregnant, and include risks of opioids, methods of birth control, and the availability of free or reduced cost birth control.

Literature Review

Are ART Pregnancies the Same as Naturally Conceived Pregnancies?

Studies have shown that pregnancies conceived with assisted reproductive technologies (ART), such as IVF, have poorer outcomes than those pregnancies that were naturally conceived. ART conceived pregnancies have a higher risk for preterm delivery, low birth weight, and maternal complications, such as gestational diabetes, hypertension, placenta previa, and cesarean section. Differences in pregnancy and maternal outcomes following ART pregnancies may result from differences in the egg and sperm, variations in laboratory procedures, or from differences between the fertile and infertile populations (age, semen parameters, comorbid conditions, uterine factors, immunologic parameters, etcetera). Uterine environmental factors may also play a role. Estrogen and progesterone prepare the uterus to receive an embryo but the levels and ratios, as well as the timing of these hormones are not the same in most assisted reproduction cycles; therefore, stimulation used during an ART cycle may have an adverse effect on uterine receptivity. In general, frozen thawed embryos are more successful and may have a higher chance for implantation than those that are transferred in a fresh cycle, a fact which has led some clinics to defer all transfers to frozen cycles where the endometrial environment can be more precisely controlled. Here at the Southeastern Center for Fertility and Reproductive Surgery, we take a more moderate approach, still performing fresh cycles but having a low threshold for deferring to frozen transfer.

Kovacs, P. (2018). Perinatal Outcomes in Assisted Reproduction: Maternal vs Treatment Effects. Medscape.