Department of
Obstetrics and Gynecology

UNIVERSITY OF WISCONSIN
SCHOOL OF MEDICINE AND PUBLIC HEALTH
Protrait

Bala Bhagavath, MD
Professor
Director, Division of Reproductive Endocrinology and Infertility
Medical Director of UW Health Generations Fertility Clinic

Reproductive Endocrinology and Infertility




Clinic Address
Generations
2365 Deming Way
Middleton, WI, 53562
Phone: 608-824-6160


Administrative Assistant
Greg Erickson
gerickson@wisc.edu
608-265-4723

Education

Fellowship University of Texas Southwestern Medical Center, Dallas, TX
Residency Medical College of Georgia, Augusta, Georgia
Advanced Training National University Hospital, Singapore
Internship Lemuel Shattuck Hospital, Jamaica Plain, MA
Residency Southmead Hospital, Birmingham Maternity Hospital, Glasgow Royal Infirmary, Falkirk Royal Infirmary, United Kingdom
Internship George Eliot Hospital, Nuneaton, United Kingdom
M.D. University of Madras, Chennai, India

Certifications

American Board of Obstetrics and Gynecology

Reproductive Endocrinology and Infertility


Honors and Awards

Medical School – Gold Medal for excellence in OBGYN

Residency – Best teaching resident award, Junior resident of the year award, CREOG award for excellence in exams, Excellent Chief Resident performance award

Faculty – CREOG excellence in teaching award and other multiple teaching awards, APGO educational scholar, APGO surgical scholar


Memberships

American Society for Reproductive Medicine

Association of Professors of Gynecology and Obstetrics

American Association of Gynecologic Laparoscopists

Society for Reproductive Surgeons


The current and future state of surgery in reproductive endocrinology

Bala Bhagavath

Published Date: July, 2022 - pmid:35895956 - Current opinion in obstetrics & gynecology


Clinical and Patient Reported Outcomes of Pre- and Postsurgical Treatment of Symptomatic Uterine Leiomyomas: A 12-Month Follow-up Review of TRUST, a Surgical Randomized Clinical Trial Comparing Laparoscopic Radiofrequency Ablation and Myomectomy

Steve Yu, Bala Bhagavath, S Abbas Shobeiri, David Eisenstein, Barbara Levy

Published Date: January, 2022 - pmid:35085837 - Journal of minimally invasive gynecology


Plan, plan, plan for a successful surgery!

Bala Bhagavath

Published Date: December, 2021 - pmid:34865848 - Fertility and sterility


Prolactin is Expressed in Uterine Leiomyomas and Promotes Signaling and Fibrosis in Myometrial Cells

Alessandra DiMauro, Christina Seger, Briaunna Minor, Andrea M Amitrano, Ifunanya Okeke, Manisha Taya, Ashley R Rackow, Divya Kumar, R Matthew Kottman, Bala Bhagavath, Stephen R Hammes

Published Date: November, 2021 - pmid:34724171 - Reproductive sciences (Thousand Oaks, Calif.)


Surgical simulation supplements reproductive endocrinology and infertility fellowship training

Tess Chase, Divya K Shah, J Preston Parry, Bala Bhagavath, Steven R Lindheim, John C Petrozza, Samantha Pfeifer, Christina Stetter, Allen Kunselman, Stephanie J Estes

Published Date: July, 2021 - pmid:34223232 - F&S reports


Crisis Management of Hysteroscopic Surgical Complications in the Office Setting

Robert A Roman, Carey C Roberts, Rachel Booth, Camran Nezhat, Bala Bhagavath, Steven R Lindheim

Published Date: June, 2021 - pmid:34192339 - Obstetrical & gynecological survey


Resection of a uterine septum in a normal uterus: Whoa Nellie

Artur Ludwin, Mark P Trolice, Bala Bhagavath, Steven R Lindheim

Published Date: April, 2021 - pmid:33823997 - Fertility and sterility


Surgical management of interstitial (cornual) ectopic pregnancy: many ways to peel an orange!

Bala Bhagavath, Steven R Lindheim

Published Date: April, 2021 - pmid:33810847 - Fertility and sterility


Post-Market Safety of Laparoscopic Ultrasound-Guided Radiofrequency Ablation

Steve Yu, Kaylen Silverberg, Bala Bhagavath, S Abbas Shobeiri, Anthony Propst, David Eisenstein

Published Date: January, 2021 - pmid:33510567 - JSLS : Journal of the Society of Laparoendoscopic Surgeons


Billing, coding, and practice management: a primer for today's reproductive medicine professional

Bala Bhagavath, Linnea Goodman, John Petrozza

Published Date: January, 2021 - pmid:33413957 - Fertility and sterility


Specificity of the lactate dehydrogenase isoenzyme index as a preoperative screen for uterine sarcoma before myomectomy

Lauren E Spivack, J Christopher Glantz, Clare Lennon, Bala Bhagavath

Published Date: October, 2020 - pmid:33070962 - Fertility and sterility


Reunification of the unicornuate uterus and the remnant horn- proceed with caution!

Bala Bhagavath, Artur Ludwin, Steven R Lindheim

Published Date: October, 2020 - pmid:33059888 - Fertility and sterility


Adolescent Endometriosis

Ashley Gubbels, Lauren Spivack, Steven R Lindheim, Bala Bhagavath

Published Date: August, 2020 - pmid:32856715 - Obstetrical & gynecological survey


Longitudinal vaginal septum: a proposed classification and surgical management

Artur Ludwin, Steven R Lindheim, Bala Bhagavath, Wellington P Martins, Inga Ludwin

Published Date: August, 2020 - pmid:32826051 - Fertility and sterility


Removal of Essure: TMTOWTDI

Bala Bhagavath, Steven Lindheim

Published Date: July, 2020 - pmid:32622416 - Fertility and sterility


Saline-Air Hysterosalpingo-Contrast Sonography Is Equivalent to the Modified Hysterosalpingogram Following Hysteroscopic Sterilization

Emerly Luong, Artur Ludwin, Thomas Winter, Jerome Yaklic, Rose A Maxwell, Bala Bhagavath, Steven R Lindheim

Published Date: June, 2020 - pmid:32511207 - Ultrasound quarterly


Overdiagnosis, overdetection, and overdefinition of the septate uterus: reexamination of the ASRM and ESHRE-ESGE criteria is urgently needed

Artur Ludwin, Wellington P Martins, Bala Bhagavath, Steven R Lindheim

Published Date: August, 2019 - pmid:31371057 - Fertility and sterility


Reproductive surgery: decreasing skills and advancing technology-an existential conundrum

Antonio R Gargiulo, Bala Bhagavath

Published Date: July, 2019 - pmid:31352960 - Fertility and sterility


Case Series of Reproductive Outcomes after Laparoscopic Radiofrequency Ablation of Symptomatic Myomas

Jay M Berman, Abraham Shashoua, Christopher Olson, Sara Brucker, John A Thiel, Bala Bhagavath

Published Date: June, 2019 - pmid:31238151 - Journal of minimally invasive gynecology


Creation and Piloting of a Model for Simulating a Minimally Invasive Myomectomy

Mary N Towner, Yolianne Lozada-Capriles, Amy LaLonde, Ashkan Ertefaie, Jonathan Stone, Bala Bhagavath, Ahmed Ghazi

Published Date: May, 2019 - pmid:31123645 - Cureus


Options for controlling blood loss during myomectomy

Bala Bhagavath, Steven R Lindheim

Published Date: April, 2019 - pmid:31029243 - Fertility and sterility


Overcoming the Challenging Cervix: Identification and Techniques to Access the Uterine Cavity

Michelle A Wood, Katherine L Kerrigan, Megan K Burns, Tanya L Glenn, Artur Ludwin, Mindy S Christianson, Bala Bhagavath, Steven R Lindheim

Published Date: November, 2018 - pmid:30468239 - Obstetrical & gynecological survey


Virginity-sparing management of blind hemivagina in obstructed hemivagina and ipsilateral renal anomaly syndrome

Artur Ludwin, Inga Ludwin, Bala Bhagavath, Wellington P Martins, Steven R Lindheim

Published Date: October, 2018 - pmid:30316446 - Fertility and sterility


Pre-, intra-, and postoperative management of Robert's uterus

Artur Ludwin, Inga Ludwin, Bala Bhagavath, Steven R Lindheim

Published Date: September, 2018 - pmid:30196976 - Fertility and sterility


Optimal management of symptomatic cesarean scar defects

Bala Bhagavath, Steven R Lindheim

Published Date: August, 2018 - pmid:30098693 - Fertility and sterility


Cesarean Scar Ectopic Pregnancy: Current Management Strategies

Tanya L Glenn, James Bembry, Austin D Findley, Jerome L Yaklic, Bala Bhagavath, Pascal Gagneux, Steven R Lindheim

Published Date: June, 2018 - pmid:29850919 - Obstetrical & gynecological survey


RE: "PROSPECTIVE COHORT STUDY OF UTERINE FIBROIDS AND MISCARRIAGE RISK"

Ceana H Nezhat, Samantha Pfeifer, Bala Bhagavath, Steven R Lindheim, John C Petrozza, Peter T K Chan, Steven F Palter

Published Date: March, 2018 - pmid:29547879 - American journal of epidemiology


Uterine Malformations: An Update of Diagnosis, Management, and Outcomes

Bala Bhagavath, Greiner Ellie, Kara M Griffiths, Tom Winter, Snigdha Alur-Gupta, Carter Richardson, Steven R Lindheim

Published Date: June, 2017 - pmid:28661551 - Obstetrical & gynecological survey


A Review of Laparoscopic Salpingo-Oophorectomy: Technique and Perioperative Considerations

Yolianne Lozada, Bala Bhagavath

Published Date: December, 2016 - pmid:28027976 - Journal of minimally invasive gynecology


Hysteroscopic morcellator to overcome cervical stenosis

Bijan W Salari, Bala Bhagavath, Michael L Galloway, Austin D Findley, Jerome L Yaklic, Steven R Lindheim

Published Date: August, 2016 - pmid:27542706 - Fertility and sterility


Minimally Invasive Gynecologic Surgery for Benign Conditions: Progress and Challenges

Bala Bhagavath, Amy Benjamin

Published Date: October, 2015 - pmid:26490165 - Obstetrical & gynecological survey


Metroplasty to treat chronic pelvic pain resulting from outflow tract müllerian anomalies

Bala Bhagavath, Eric Behrman, Bijan W Salari, Wendy Vitek, Sheela Barhan, Jerome L Yaklic, Steven R Lindheim

Published Date: September, 2015 - pmid:26363477 - American journal of obstetrics and gynecology


Longitudinal vaginal septa with associated uterine anomalies: a case series

Snigdha Alur, Katrina Nicandri, Bala Bhagavath

Published Date: October, 2014 - pmid:25349941 - Female pelvic medicine & reconstructive surgery


Metformin and other insulin sensitizers in polycystic ovary syndrome

Bala Bhagavath, Wendy Vitek, John Queenan, Kathleen Hoeger

Published Date: June, 2014 - pmid:24919033 - Seminars in reproductive medicine


Familial 46,XY sex reversal without campomelic dysplasia caused by a deletion upstream of the SOX9 gene

Bala Bhagavath, Lawrence C Layman, Reinhard Ullmann, Yiping Shen, Kyungsoo Ha, Khurram Rehman, Stephen Looney, Paul G McDonough, Hyung-Goo Kim, Bruce R Carr

Published Date: June, 2014 - pmid:24907458 - Molecular and cellular endocrinology


Surgical aspects of removal of Essure microinsert

Catherine M Albright, Gary N Frishman, Bala Bhagavath

Published Date: January, 2013 - pmid:23290426 - Contraception


Role of routine monitoring of liver and renal function during treatment of ectopic pregnancies with single-dose methotrexate protocol

Lindsay E Clark, Bala Bhagavath, Carol A Wheeler, Gary N Frishman, Sandra A Carson

Published Date: April, 2012 - pmid:22521698 - Fertility and sterility


Ectopic pregnancy in a cesarean-section scar: the patient >6 weeks into an ectopic pregnancy, underwent local treatment

Gary N Frishman, Katherine E Melzer, Bala Bhagavath

Published Date: April, 2012 - pmid:22464290 - American journal of obstetrics and gynecology


Testosterone and progesterone rapidly attenuate plasma membrane Gbetagamma-mediated signaling in Xenopus laevis oocytes by signaling through classical steroid receptors

Kristen Evaul, Michelle Jamnongjit, Bala Bhagavath, Stephen R Hammes

Published Date: October, 2006 - pmid:17021048 - Molecular endocrinology (Baltimore, Md.)


Bhagavath discusses fertility with Brava Magazine

Bala Bhagavath, MD, director of the UW Ob-Gyn Division of Reproductive Endocrinology and Infertility, provided insight into common causes and treatments of infertility in a recent article in Brava Magazine.

In “When Fertility Is Fragile”, Bhagavath outlines criteria for infertility, discusses common treatment options, and shares information on how much some of the treatment options cost.

Read the whole article here!


Women’s Healthcast: Finding Out About Fibroids, featuring Bala Bhagavath, MD

Uterine fibroids are incredibly common – between 20 and 70 percent of people with uteruses will develop fibroids during their lifetimes. And while they’re often benign, they can still cause some troublesome symptoms.

Bala Bhagavath, MD joined the Women’s Healthcast to talk about common symptoms of uterine fibroids, the broad variety of treatment options, and whether all fibroids need to be treated. Bhagavath is the director of the UW Ob-Gyn Division of Reproductive Endocrinology and Infertility.h

Did you know the Women’s Healthcast is available on all your favorite podcast platforms? Whether you like to listen on Apple PodcastsSpotifyStitcherPodbean, or anywhere else, you can find us! (Just search Women’s Healthcast, and while you’re at it, may as well subscribe!)


Bhagavath co-authors publication in Journal of Minimally Invasive Gynecology

UW Ob-Gyn Division of Reproductive Endocrinology and Infertility Director Bala Bhagavath, MD, co-authored a study in the latest issue of the Journal of Minimally Invasive Gynecology!

Clinical and Patient Reported Outcomes of Pre- and Postsurgical Treatment of Symptomatic Uterine Leiomyomas: A 12-Month Follow-up Review of TRUST, a Surgical Randomized Clinical Trial Comparing Laparoscopic Radiofrequency Ablation and Myomectomy” uses outcome data from a multicenter trial conducted at academic and non-academic hospitals, surgery centers, and fertility centers around the country. In comparing outcomes between two methods of surgery, the study found:

“The results from this 12-month follow-up study suggest that LAP-RFA is a safe, effective, uterine-sparing alternative to laparoscopic myomectomy in the treatment of ULs. These data points build on previously published studies showing that LAP-RFA has lower healthcare resource use overall, including lower postprocedure hospitalization rate and shorter length of stay. In clinical practice, LAP-RFA is a promising treatment approach to ULs for women.”

Read the whole study here!


Bhagavath discusses endometriosis and infertility in Milwaukee Journal Sentinel

In a recent article in the Milwaukee Journal Sentinel, a Wisconsin woman shares her experience with endometriosis and infertility. UW Ob-Gyn Division of Reproductive Endocrinology and Infertility Director Bala Bhagavath, MD adds insight into the challenges of endometriosis and the importance of insurance coverage for fertility services in the article. 

In “Summit woman shares her story of endometriosis, infertility”, published online for subscribers, Bhagavath describes the difficulties many people experience when trying to find a solution to endometriosis-related pain:

““The sad truth of endometriosis is that very often young girls who complain of pain or painful periods are told that everyone’s periods are painful; just live with it,” said Bala Bhagavath, UW Health fertility clinic’s medical director of Generations Fertility Care.

On average, it takes about 12 years and four doctors to get a diagnosis for endometriosis, which affects one in six women, said Bhagavath.”

Read the whole article here!


Bhagavath discusses fibroids with HealthCentral

Uterine fibroids can have big effects on menstruation, fertility, pregnancy, even sleep and exercise. In a new article on HealthCentral, UW Ob-Gyn Division of Reproductive Endocrinology and Infertility Director Bala Bhagavath, MD discussed how to recognize and manage uterine fibroids:

“Uterine fibroids aren’t cancerous—but that doesn’t mean they can’t affect your life profoundly, Dr. Bhagavath says. This is a condition that can interfere with all areas of your life, increasing the risk of pregnancy complications, making it hard to go to work, and even interfering with your relationships. That’s why it’s important to have frank and open conversations with your doctor about how your fibroids are affecting you.”

Read the rest of “How Uterine Fibroids Affect Your Health”!


Advocacy Update: Bill for insurance coverage of infertility care introduced in Wisconsin legislature

Fertility treatments can be costly, and most states across the country do not require insurance plans to cover fertility care (take a look at this Kaiser Family Foundation issue brief on coverage and use of infertility services in the United States). A bill recently introduced in the Wisconsin State Legislature would require insurance companies to provide coverage for fertility services.

In “Infertile couples support Wisconsin bill to require fertility coverage”, recently published in the Wisconsin State Journal, UW Ob-Gyn Division of Reproductive Endocrinology and Infertility Director Bala Bhagavath, MD discussed the negative effects fertility challenges can have on individuals and families, and the inequities in current access to fertility care:

““The impact of the disease can be devastating; studies on the psychosocial impact of infertility have placed it on par with a diagnosis of cancer,” said the letter, by Dr. Bala Bhagavath, medical director of Generations Fertility Care in Middleton, UW Health’s fertility clinic; and Dr. Laurel Rice, UW’s chair of obstetrics and gynecology.

Society needs children to support an aging population, but typically only infertile people who have higher incomes can afford to pay for treatments, Bhagavath said in an interview. “The more middle-income and definitely lower-income you are, the greater impact on you,” he said.”

Bhagavath serves on the steering committee for the Building Families Alliance Wisconsin, which supports the Building Families Act. Learn more about the bill, and read the rest of the Wisconsin State Journal article here.


Bhagavath accepted as AGOS fellow

Congratulations to UW Ob-Gyn Division of Reproductive Endocrinology and Infertility Director Bala Bhagavath, MD, who was recently accepted as an active fellow of the American Gynecological and Obstetrical Society (AGOS)!


AGOS advances the health of women by providing dedicated leadership and promoting excellence in research, education and medical practice. In order to be considered as an AGOS fellow, candidates must be outstanding leaders in academic obstetrics and gynecology with good character, high ethical standing and recognized ability as a teacher, physician and scholar.

Amazing work, Dr. Bhagavath! 


Bhagavath presents at SREI fellows forum

UW Ob-Gyn Division of Reproductive Endocrinology and Infertility Director Bala Bhagavath, MD presented at the Society for Reproductive Endocrinology and Infertility fellows forum in Utah on November 19!

Bhagavath’s presentation on reproductive surgeries garnered a lot of excitement from the REI fellows and physicians in attendance, with more than half the fellows expressing an interest in developing their surgical skills.

Incredible work, Dr. Bhagavath!


Bhagavath discusses fibroid treatment with HealthCentral

UW Ob-Gyn Division of Reproductive Endocrinology and Infertility Director Bala Bhagavath, MD answered common fibroid questions in the HealthCentral article “10 Things to Know About Uterine Fibroid Treatment.

In the article, Bhagavath explains what fibroids are and what kinds of symptoms they can sometimes cause (including heavy bleeding and pelvic pressure) and how to bring fibroid-related issues up to your doctor. He also discusses several treatment paths, from low-intervention options like birth control and pain medication, to more intensive options like surgery.

Read the whole article here!


Bhagavath explains endometriosis with Spectrum News

UW Ob-Gyn Division of Reproductive and Population Health Director Bala Bhagavath, MD discussed endometriosis in an article with Spectrum News.

In “Founded in Milwaukee, Endometriosis Awareness Month Shines Light on Women’s Health”, Bhagavath explains what endometriosis is, common symptoms, options for treatment and management, and why it can take a long time to arrive at an endometriosis diagnosis:

“…because pain can be a hard thing to measure, and these symptoms can also be linked with other conditions, Bhagavath said endometriosis doesn’t always get diagnosed right away. Confirming a case requires a laparoscopy or “putting a camera down the belly button.””

Read the whole article here!


Bhagavath edits Textbook of Assisted Reproduction

Pick up a copy of the newly released Textbook of Assisted Reproduction, and you’ll find a familiar name on the cover. UW Ob-Gyn Division of Reproductive Endocrinology and Infertility Director Bala Bhagavath, MD edited the book, which covers all aspects of assisted reproduction.

Take a look at the book here – congratulations, Dr. Bhagavath!