Reproductive Medicine Program

The Reproductive Medicine program is a subspecialty within the Obstetrics and Women's Clinic of CentraCare Clinic-Women & Children.

The program offers medical evaluation and treatment to women or couples who are having difficulty conceiving, who have experienced recurrent miscarriages or who desire a pregnancy using donor insemination.

About the program

Who might benefit from these services?

What necessary steps do I take to establish care?

Will my insurance cover Reproductive Medicine services?

How do I contact the Reproductive Medicine Program?

About the providers

About the program

At the beginning, a thorough medical evaluation and medical history review of each partner is completed. Once the initial work-up is done, a diagnosis can be established and a decision made about an individualized treatment plan. Our evaluation services include a broad range of laboratory testing and diagnostic procedures.

The Reproductive Medicine Program offers diagnostic testing, ovulation induction services, ultrasound monitoring, and partner or donor insemination. If in-vitro fertilization or other advanced reproductive technologies provide the best option for a pregnancy, we have a collaborative relationship with area reproductive endocrinology clinics that provide these services.

Who might benefit from these services?

Women/couples who have not conceived after one year of unprotected intercourse. Women over age 35 who have not conceived after six months of unprotected intercourse. Women/couples who have experienced three or more pregnancy losses. Women/couples who have a diagnosed infertility problem, who now wish to receive care at this clinic. Women/couples who are seeking donor insemination. Women/couples who have medical problems that may impact their ability to conceive a child.

What necessary steps do I take to establish care?

To learn more about this program, please call (320) 654-3630, ext. 70291, to register for our free Reproductive Seminar offered the first Tuesday of each month at 6:30 p.m. This seminar is designed to offer information about:

Will my insurance cover Reproductive Medicine services?

Insurance benefits can vary significantly. Some services may be completely or partially covered, others are not covered at all. Costs can add up quickly, especially during treatment. Because financial issues may be a factor in decision making and a source of frustration, each women/couple will meet with our insurance coordinator before initiating any steps in the evaluation or treatment process. At that visit, we will help you maximize your insurance benefits and help you make a financial plan for your care. All fees not covered by your insurance are expected to be paid prior to any treatment.

How do I contact the Reproductive Medicine Program?

If you have questions, please call our Practice Nurses at (320) 654-3630, ext 70291.

About the providers

Each patient is matched with one physician, who leads the care team, and our practice nurses, who are registered nurses specially trained to care for the needs of the Reproductive Medicine patient. This team will follow you through the course of treatment to provide support and continuity. We are committed to working together to ensure a positive experience for each patient.

Program Leadership

David Kroska, M.D., Medical Director
Dr. Kroska is a board-certified obstetrician/gynecologist with a special interest in reproductive medicine and infertility. Dr. Kroska is one of the founders of the original Women and Children's Clinic and has been practicing for 24 years. He is a member of the American Society of Reproductive Medicine. Dr. Kroska is skilled in hysteroscopy, laparoscopy, and microsurgery. He is able to provide a full range of infertility care other than IVF (in vitro fertilization). When not involved in his clinical practice, Dr. Kroska enjoys gardening, genealogy, biking and camping.

Practice Nurses

Deb Ertl, R.N.
Deb has worked with fertility patients at CentraCare Clinic-Women & Children since 1997. Deb began her career here in 1979 and over the years has gained extensive experience in patient education and nurse triage in addition to her clinical nursing. Deb returned to school and completed her nursing degree in 1993. Deb is a current member of American Society of Reproductive Medicine. Away from work, Deb enjoys softball, camping, gardening and reading.

Tricia Heitzman, R.N.
Tricia began working at CentraCare Clinic-Women & Children as an L.P.N. in 1998. After completing her Registered Nursing program in 2004, her focus has been in the care of our reproductive medicine patients. Tricia has experience in patient education and triage nursing. Tricia is a current member of the American Society of Reproductive Medicine. After hours, Tricia enjoys scrap booking, camping, fishing and spending time with family and friends.