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Services
and Procedures

View a list of services and procedures we provide with links to documents and information.

Patient
Information Center

Review documents about hysterosalpingograms (HSG's), semen analysis, postcoital tests, and more.

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and Learn More

Learn more about the causes of infertility as well as many related issues.

Dear Dr. Keenan and Staff, Thank you for remembering and caring for the embryos. Thank you for raising awareness of them and for making families like ours possible. Our son is a perfect match for us, and he wouldn't be here without your help. H.M., Roanoke, VA.
Dr. Jeffrey KeenanAutumn Galbraith, Nurse Practitioner

Dr. Keenan and Autumn Galbraith, Board Certified Women's Health Nurse Practitioner, work collaboratively to provide you with holistic care and multidisciplinary treatment. You will receive compassionate care and the most up to date treatments available. Click here or call today to schedule an appointment.

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 from Good Morning America. We're so happy for the entire Gibson family!

Spring Update 2018

Spring is here! The blooming flora reminds us that Spring is generally considered a fertile period. Have you been struggling with infertility or thinking about expanding your family? Or, could you use a little “spring cleaning” of your general health? Call today for an appointment and allow us to assist you in your efforts!  (865)777-0088

A New Face

Sandra Partilla

Sandra Partilla, RN is a registered nurse who is joining us part time to assist with our increasingly busy schedules. She previously worked at Children’s Hospital, and will be assisting both Mari and Lynda with phone calls, lab orders, and prescription refills. She will also be helping to bring patients back to the exam rooms and prepare them for their visits with Dr. Keenan and nurse practitioner, Autumn Galbraith. Sandra is very friendly and eager to help. We hope you will join us in welcoming her.

Literature Review

Semen Analysis Via Cell Phone?!!?

Is your partner embarrassed by the thought of scheduling an appointment for a semen analysis, or does he simply refuse to provide a specimen for testing? If so, there may soon be hope. New technology promises to alleviate the discomfort of reporting to a lab for a semen analysis once smartphone accessories and software developed by a team from Harvard Medical School hits the market. These new tools, together with diverse smartphones, will be able to capture video and data that can be sent to technicians for evaluation without the patient having to leave his house.

Hydrosalpinx and In Vitro Fertilization (IVF)

A recent meta-analysis published in Fertility and Sterility looked at 3,065 patients in 33 studies to compare pregnancy outcomes in hydrosalpinx (fluid filled fallopian tube) patients treated by Essure, laparoscopic salpingectomy, and proximal tubal occlusion (LPTO) before IVF. Management of hydrosalpinx by laparoscopic salpingectomy and LPTO yielded the same effect on the improvement of the pregnancy outcome after IVF. Placement of Essure devices to treat hydrosalpinx before IVF produces inferior pregnancy outcomes compared with those following the laparoscopic approach. So, what’s the bottom line? If you have a hydrosalpinx and are considering IVF, it should be treated laparoscopically instead of with the Essure procedure for best results.

CDC State-Specific Assisted Reproductive Technology (ART) Surveillance Report

This report provides state-specific information for the United States on ART procedures performed in 2015 and compares birth outcomes that occurred in 2015 (resulting from ART procedures performed in 2014 and 2015) with outcomes for all infants born in the United States in 2015.

There were 182,000 ART procedures and 59,000 deliveries, which is a rate of 32%. There was a 41% live birth rate per embryo transfer. 35% of couples elected to have only one embryo transferred. This is a huge increase from only a few years ago, and largely due to genetic testing of embryos. We do not offer or routinely recommend this procedure. 71,000 infants were born, 20% of which were twins. This accounts for 1.7% of all U.S. births and 17% of multiples. 25% of the infants had low birth weight compare with the 8% that is seen in the general population. 31% were born prematurely, compared with 10% in the general population.

I am trying to get pregnant. I just have a question. I think I am haivng hormonal problems. I am having irregular cycles. I think I need IVF I think I need surgery. I am having pelvic pain. I am having miscarriages.