Fertility Wellness at Reproductive Associates of Delaware
Rhonda Wright, Clinician Director of Fertility Wellness

Lifestyle & Wellness Consultations

The journey to a healthy pregnancy begins with a healthy lifestyle, good nutrition, and proper control of any chronic medical conditions. For many patients these goals are often hard to reach alone. Whether patients suffer from persistent medical issues, or struggle with unhealthy lifestyles, the Fertility Wellness Program guides patients on their journey to better reproductive health. Through diet, exercise, and lifestyle counseling, the program is designed to enhance fertility, weight loss, metabolic function, aerobic capacity, flexibility, strength, and stamina. By boosting overall wellness, patients can improve future fertility and pregnancy outcomes.

How Weight and Metabolic Issues Impact Fertility

For women who suffer from weight and metabolic challenges, diet and nutrition can play a huge role in determining the health of a potential pregnancy. The effects of obesity can contribute to menstrual cycle disturbances, prolonged infertility treatments, pregnancy loss, and adverse pregnancy outcomes. Not only does added weight make it difficult to become pregnant, but women with a BMI greater than forty are at increased risk for preeclampsia, gestational diabetes, large gestational age infants, and hypertension during pregnancy. By targeting these modifiable risk factors that may impact fertility and pregnancy outcomes, we can enhance IVF success rates and promote healthy pregnancies.

Fertility Wellness Plan

At your initial visit you will meet with one of our clinicians. Together, we will thoroughly review your medical history, family history, and current medications. We will also discuss your plans for future family building. After reviewing all of the information, we will develop a plan of care for your unique needs. Your individualized Fertility Wellness Plan will include nutrition, exercise, and treatment recommendations, and will serve as your road map to better reproductive health. Sign up using our RADFit Application to get started!

What is Endometriosis?

Endometriosis is a condition that occurs when the lining of the uterus (endometrial tissue) grows outside the uterine cavity in areas such as the ovaries, fallopian tubes, and abdominal cavity. The excess tissue can cause irritation and pain in the organs where the endometrial tissue is growing and this irritation can develop into bands of scar-like tissue (adhesions) that can make it difficult for women to become pregnant.

What Signs or Symptoms are Associated with Endometriosis?

  • Pelvic or abdominal pain
  • Painful periods or an abnormal menstrual cycle
  • Pain during intercourse
  • Infertility
  • Feeling bloated or suffering from diarrhea or constipation
  • Frequent urination

How Does RAD Diagnose and Treat Endometriosis?

After patients complete a medical history and assessment, surgeons at RAD confirm an endometriosis diagnosis using laparoscopy, a minimally invasive procedure. The surgeons make three to four small incisions about 1/4-inch wide near the abdomen and use a camera to see the reproductive organs. Surgeons use the larger incision to make room for a tissue morcellator, which reduces the recovery time to two weeks instead of four to six weeks.

After surgery, patients will stay at our DOCS Surgical Center for one to four hours while they recover. Patients are not rushed and will not be discharged until they feel comfortable and are able to drink fluids and eat small snacks.

For more information on surgery options, click here.

What is PCOS?

Polycystic ovarian syndrome affects 5% of women and is one of the leading causes of infertility, as well as menstrual irregularity, and excessive hair growth (hirsutism). The condition occurs when the ovaries produce excessive amounts of androgens, (male hormones, such as testosterone.) Signs and symptoms of PCOS include:

  • Irregular menstrual periods
  • Infertility
  • Excessive hair growth (face, abdomen, chest)
  • Thinning hair
  • Acne
  • Weight gain
  • Obesity

Diagnosis and Treatment

In order to properly diagnose PCOS a full physical evaluation is crucial because hormonal fluctuations can greatly influence the body in many ways. Pelvic exams and ultrasounds can also provide insights into the causes of menstrual irregularities and/or fertility issues. Treatment plans can vary greatly depending on factors such as a desire for pregnancy, weight, or other health problems. For patients struggling with weight, we offer weight loss and lifestyle support to help patients increase their chance of pregnancy. Healthy lifestyle changes can improve the frequency of ovulation, lower diabetic risk and lower androgen levels.

For more information on PCOS

Dr. Feinberg’s Book “Healing Syndrome O,” A Strategic Guide to Fertility, Polycystic Ovaries and Insulin Imbalance” (Purchase “Healing Syndrome O”)

What causes pelvic pain?

There are a variety of issues that can cause pelvic pain. Upon your initial appointment, our clinical staff will perform a physical examination and health history assessment to determine if there are any visible signs of a problem. Because many issues related to pelvic pain are not visible through imaging tests, minimally invasive surgery is often the next step in determining a conclusive diagnosis. If non-gynecological problems are ruled out, some of the most common reasons for pelvic pain include:

  • Endometriosis
  • Adhesions
  • Uterine Polyps
  • Uterine Fibroids
  • Ovarian Cysts
  • Pelvic Inflammatory Disease


4735 Ogletown-Stanton Road
M.A.P. 2, Suite 3217
Newark, DE 19713
Phone: (302) 602-8822
Fax: (302) 623-4241


Silverside Medical Center
2700 Silverside Road, Suite 2A
Wilmington, DE 19810


Eden Hill Medical Center
200 Banning Street, Suite 240
Dover, DE 19904

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