Leaders in Fertility Research and Care
Since 1990, the Fertility Treatment Center (FTC) has been providing state-of-the-art, personalized reproductive care at the highest professional level. Our medical, clinical, and laboratory staff have received advanced, sub-specialty training in Reproductive Medicine, including In Vitro Fertilization (IVF), Intrauterine Insemination (IUI), and Preimplantation Genetic Diagnosis (PGD). We have a proven track record in all areas of female and male infertility diagnosis and treatment.
I am honored to have been chosen as an "All-Time Specialty Leader" & "Top Doc" by Phoenix Magazine every year since fertility was individually recognized 15 years ago. I am proud of the M.D. degree I earned at Washington University School of Medicine in St. Louis, and of the Reproductive Endocrinology & Infertility Fellowship I completed at the University of Chicago. But most of all, I am proud of the tens of thousands of patients FTC has helped achieve pregnancy and start families. As the father of five IVF children, I know the importance of having a family of your own, and I want to help you achieve that goal.
Who Are We? What brings patients to Dr. Craig at Fertility Treatment Center?
"Many patients come to us unaware of the many clinical types of infertility, and the wide range of treatments available at the Fertility Treatment Center," says Dr. Craig. "I think it's important to know why others have chosen us and how we can help."
Some of the reasons patients come to FTC include:
- Female age over 35. Most women are unaware of the dramatic decline in fertility after age 35. The American Society for Reproductive Medicine encourages physicians to inform patients of this and to accelerate treatment for this age group.
- Day 3 FSH level greater than 8. A significant decrease in fertility is documented in women with FSH levels greater than 8 on cycle day 3, and fertility therapy is usually required in order for these women to achieve pregnancy.
- Not pregnant after three treatment cycles. The pregnancy rate per cycle decreases after the third treatment cycle if clomiphene (Clomid) has been used, and more advanced therapy is usually required to restore high success rates.
- Blocked tubes. In addition to standard in vitro fertilization therapy, patients with tubal occlusion are often candidates for HSG-guided or hysteroscopic-guided tubal cannulation procedures, or for outpatient laparoscopic laser neosalpingostomy.
- Hydrosalpinx. Backflow of stagnant hydrosalpinx fluid is toxic to sperm, eggs, or embryos in the uterus, and appropriate treatment can double pregnancy rates.
- Tubal ligation. Pregnancy after bilateral tubal ligation can be achieved with our outpatient laparoscopic tubal reanastimosis program, or by bypassing the tubes with in vitro fertilization (IVF).
- Vasectomy. Pregnancy after vasectomy can be achieved with our outpatient vasectomy reversal program, or by testicular or epididimal sperm extraction followed by IVF using Intra Cytoplasmic Sperm Injection (ICSI). Donor sperm insemination is a low-cost alternative.
- Endometriosis. Depending on the severity of endometriosis and other clinical indications, the appropriate treatment is selected by Dr. Craig, including aromatase inhibition, GnRH analogs, continuous steroids, androgens, or laparoscopic laser ablation.
- Adhesions. Impaired fertility or pelvic pain caused by pelvic adhesion scar tissue are treated with advanced laparoscopic super pulsed laser surgery, or adhesions are bypassed with IVF therapy.
- Low sperm count or motility. Sperm counts lower than 20 million/mL (or with motility lower than 60%) are concentrated by centrifuge and density gradient techniques, followed by intrauterine Insemination. High pregnancy rates can be achieved with profoundly low sperm counts using IVF with intracytoplasmic sperm injection (ICSI).
- PCOS. A large variety of customized treatment options are available for women with polycystic ovary syndrome (PCOS), including aromatase inhibition, insulin sensitization, androgen receptor antagonists, and laparoscopic ovarian diathermy/wedge resection.
- Fasting insulin greater than 12 or glucose/insulin ratio lower than 8. These lab results are typically diagnostic of insulin resistance, which has been associated with ovulation dysfunction, recurrent miscarriage, PCOS, and gestational diabetes. Our insulin resistance program provides effective therapy for all of these conditions.
- Recurrent miscarriage. Women with a history of two or more miscarriages are evaluated for anatomic, endocrine, genetic, and immune disorders associated with pregnancy loss. Our patients then receive the appropriate targeted therapy to minimize the chance of another miscarriage. FTC offers testing and treatment for all five diagnosis categories.
- Preimplantation genetic diagnosis (PGD). Couples at risk for having children with genetic disorders such as cystic fibrosis, sickle cell, thalasemia, Tay Sachs, Huntington’s, or age-related Down syndrome qualify for our preimplantation genetic diagnosis clinic. Over 120 genetic syndromes can be detected and screened by PCR or FISH technology in the IVF embryos before they are transferred into the uterus. Genetic counseling services for couples are an integral part of the PGD program.
- Family balancing – sex selection. For selecting the sex of a baby using in vitro fertilization, PGD is available to couples with X-linked genetic disorders, or who already have one or more children of the opposite sex.
- Basic and advanced infertility evaluation and therapy. At the Fertility Treatment Center, this includes diagnostic cycles, complex ovarian stimulation protocols, and custom sperm processing for IUI and frozen storage.
- Donor sperm (AID). Donor sperm insemination uses IUI and quarantined sperm samples.
- In vitro fertilization and ICSI - Typically the most successful method to achieve pregnancy for tubal damage, oligospermia, maternal age, or failed standard therapy.
- High IVF and FET success rates. FTC’s rates are among the highest in the nation.
- Donor egg or donor embryo in vitro fertilization. FTC has achieved high pregnancy rates for advanced maternal age, prior oophorectomy, ovarian failure, post chemotherapy, and female genetic disorder.
- Outpatient reversal of tubal ligation. Patients benefit from FTC’s advanced laparoscopic techniques.
- PCOS and insulin resistance treatment. This results in improved ovulation, reduced miscarriage rate, cycle regulation, weight loss, and decreased hirsutism.
- No BMI or age group treatment limits Many fertility programs will not treat obese or older women. FTC welcomes all patients regardless of weight, age, or medical limitations.
Many fertility centers push patients straight to IVF or Donor Egg. I give patients options and let the patient be part of their treatment decisions. My staff and I take pride in the high level of patient care provided through a patient-centered care approach. At FTC, we provide patients with handwritten office notes for each visit, which lists test results, fertility cycle progress, recommended tests, along with treatment options, plans, and estimated success rates. This significantly enhances patient communication and compliance with treatment plans, which in turn results in more successful outcomes.
Everyone on the FTC staff shares my vision of providing high-quality, comprehensive infertility treatments delivered with compassion and personalized care. That vision is the cornerstone of our practice.
About Randall Craig
Medical School: Washington School of Medicine, University of
Graduation Year: 1982
Professional Webpage: fertilitytreatmentcenter.com/dr-craig-bio.html
Honors and Awards:
All-Time Specialty Leaders
Note: Number reflects total Top Doc listings, both in the given specialties and otherwise.
Fertility: Randall Craig (15)
To commemorate the 20th anniversary of Top Docs, we did some housekeeping. Through the upheaval of the Internet Age, our Top Docs database hadn’t changed much since 1995. Which is to say: It was still a stack of back issues piled in a closet.
We resolved to update our system. First, we broke open the PHOENIX magazine morgue and pulled our past Top Docs issues. Then we painstakingly catalogued every physician selected for Top Docs distinction over the issue’s 20-year history, from pediatrician Neil Aaron to psychiatrist Kenneth Zwier, and stored them on a spreadsheet. Finally, we crunched the 2,457 names to bring you these fun facts and all-time rankings.
Top Doc Award, Phoenix Magazine , 2015
Other Outstanding Achievements:
Dr. Craig has been named by physician peers, a Phoenix Magazine "TOP DOC" every year since the award was established in 1995!
Dr. Craig scored college level on standardized tests when in the fifth grade. His parents elected not to advance him to that level, but instead kept him on the standard school track for social development reasons. He converted a small room in the family apartment into a laboratory, building projects such as a solar powered electric generators and devices for cryopreservation of insects. After a liquid oxygen fire from one of his experiments, his laboratory was exiled by his mother to a storage shed in the backyard. He won several state contests for artwork, and was a swimmer on the AAU team, but his athletic ability quickly declined after he developed asthma at age 10. He attended Sunnyslope High School in Phoenix, spending his summers working as an EKG technician, followed by camping road trips and land speed racing with his friends.
Upon graduation from high school, Dr. Craig was recruited by the country’s top tech universities, including MIT, Pomona, and Georgia Tech. At this point in his life, he felt that he was becoming too much of a technical geek, and he was forced to make a critical decision. He didn't want to become an unbalanced person by focusing exclusively on science, so instead of a technical university he chose to attend a top liberal arts college. After reviewing the options, he selected Grinnell College in Iowa where he received his BA degree in physics with minors in anthropology and mathematics, and with a broad background in philosophy, literature, economics, classics, history, and Western Civilization. He feels that attending Grinnell was one of the best decisions he ever made and now describes himself as “a victim of a Classical Education”. He graduated in three years on a full ride scholarship, then moved to St. Louis to obtain a second BS certificate degree in Biomedical Engineering from Washington University.
Before he became a physician, Dr. Craig was a low temperature physicist. He loved the profession, but the only jobs available at the time of his graduation where in the defense weapons industry, which didn't interest him. After completing his degree in biomedical engineering, he realized he enjoyed the medical aspect more than the engineering aspect, and decided to apply to medical school. He was never a premedical student, and had to test out of college biology, then passed the MCAT test in the 99th percentile. He was accepted at the Washington University School of Medicine, one of the most selective in the country, accepting only 120 students from an applicant pool of nearly 9,000. Although his initial intent was to train for cardiovascular surgery, Dr. Craig switched to the brand new field of reproductive endocrinology because this subspecialty was entering its Golden Era. Optical laser surgery had just been invented, and the world’s first in vitro fertilization pregnancies had been achieved at that time, and he wanted in on the ground floor of this exciting new field of medicine.