Ruth Lathi, M.D.

Obstetrician/Gynecologist, Fertility specialist

Associate Professor of Obstetrics and Gynecology (Reproductive Endocrinology and Infertility) at the Stanford University Medical Center

Gynecology Clinic

  • 900 Blake Wilbur Drive
  • Palo Alto, CA 94304
  • Phone: 650-725-6079
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Professional Education

Fellowship: Stanford University School of Medicine (2003) CA

Residency: Baylor College of Medicine (2000) TX

Internship: Baylor College of Medicine (1997) TX

Medical Education: Univ of California San Francisco (1996) CA

Board Certification: Reprod. Endocrinology and Infertility, American Board of Obstetrics and Gynecology (2006)

Board Certification: Obstetrics and Gynecology, American Board of Obstetrics and Gynecology (2005)

Board Certified, American Board of OB/GYN, Reproductive Endocrinology and Infertility (2006)

Board Certified, American Board of OB/GYN, Obstetrics and Gynecology (2005)

MD, UC-San Francisco, Medicine (1996)

BS, M.I.T., Biology (1992)

Honors & Awards

CREOG - Faculty Teaching Award, Stanford University Medical Center, Department of Obstetrics and Gynecology (2006)

Administrative Appointments

Director, Recurrent Pregnancy Loss Program, Reproductive Endocrinology & Infertilty Division, Stanford University (2007 - Present)

Associate Director of the REI fellowship, Stanford University (2004 - Present)

Clinical Trials

Clinical trials are research studies that evaluate a new medical approach, device, drug, or other treatment. As a Stanford Health Care patient, you may have access to the latest, advanced clinical trials.

Open trials refer to studies currently accepting participants. Closed trials are not currently enrolling, but may open in the future.

Embryo Selection with Preimplantation Chromosomal Screening in Patients with Recurrent Pregnancy Loss
Shahine, L. K., & Lathi, R. B. (2014). Embryo Selection with Preimplantation Chromosomal Screening in Patients with Recurrent Pregnancy Loss. SEMINARS IN REPRODUCTIVE MEDICINE, 32(2), 93-99.

Frequency of the Male Infertility Evaluation: Data from the National Survey of Family Growth
Eisenberg, M. L., Lathi, R. B., Baker, V. L., Westphal, L. M., Milki, A. A., & Nangia, A. K. (2013). Frequency of the Male Infertility Evaluation: Data from the National Survey of Family Growth. JOURNAL OF UROLOGY, 189(3), 1030-1034.

Outcomes of trophectoderm biopsy on cryopreserved blastocysts: a case series
Lathi, R. B., Massie, J. Am., Gilani, M., Milki, A. A., Westphal, L. M., & Behr, B. (2012). Outcomes of trophectoderm biopsy on cryopreserved blastocysts: a case series. REPRODUCTIVE BIOMEDICINE ONLINE, 25(5), 504-507.

Oocyte retrieval following continued stimulation five days beyond ovulation yields live birth after frozen embryo transfer
Friedman, B. E., Pao, S., Westphal, L. M., & Lathi, R. B. (2012). Oocyte retrieval following continued stimulation five days beyond ovulation yields live birth after frozen embryo transfer. JOURNAL OF ASSISTED REPRODUCTION AND GENETICS, 29(5), 433-435.

Informatics Enhanced SNP Microarray Analysis of 30 Miscarriage Samples Compared to Routine Cytogenetics
Lathi, R. B., Loring, M., Massie, J. Am., Demko, Z. P., Johnson, D., & Rabinowitz, M. (2012). Informatics Enhanced SNP Microarray Analysis of 30 Miscarriage Samples Compared to Routine Cytogenetics. PLOS ONE, 7(3).

Testosterone concentrations in early pregnancy: relation to method of conception in an infertile population
Lathi, R. B., Moayeri, S. E., Reddy, C. D., Gebhardt, J., Behr, B., & Westphal, L. M. (2012). Testosterone concentrations in early pregnancy: relation to method of conception in an infertile population. REPRODUCTIVE BIOMEDICINE ONLINE, 24(3), 360-363.

Successful frozen blastocyst transfers after failed fresh transfers in assisted reproductive technologies patients with hydrosalpinx
Sueldo, C. M., Milki, A. A., & Lathi, R. B. (2012). Successful frozen blastocyst transfers after failed fresh transfers in assisted reproductive technologies patients with hydrosalpinx. AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 206(3), E4-E6.

Comparison of morbidity associated with laparoscopic myomectomy and hysterectomy for the treatment of uterine leiomyomas.
Lemyre, M., Bujold, E., Lathi, R., Bhagan, L., Huang, J. Q., & Nezhat, C. (2012). Comparison of morbidity associated with laparoscopic myomectomy and hysterectomy for the treatment of uterine leiomyomas. Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstétrique et gynécologie du Canada : JOGC, 34(1), 57-62.

Early pregnancy testosterone after ovarian stimulation and pregnancy outcome
Gustin, S. Lf., Mukherjee, G., Baker, V. L., Westphal, L. M., Milki, A. A., & Lathi, R. B. (2012). Early pregnancy testosterone after ovarian stimulation and pregnancy outcome. FERTILITY AND STERILITY, 97(1), 23-U48.

First Trimester Miscarriage Evaluation
Lathi, R. B., Hazard, F. Kg., Heerema-McKenney, A., Taylor, J., & Chueh, J. T. (2011). First Trimester Miscarriage Evaluation. SEMINARS IN REPRODUCTIVE MEDICINE, 29(6), 463-469.

Sextuplet heterotopic pregnancy presenting as ovarian hyperstimulation syndrome and hemoperitoneum
Fisher, S. L., Massie, J. Am., Blumenfeld, Y. J., & Lathi, R. B. (2011). Sextuplet heterotopic pregnancy presenting as ovarian hyperstimulation syndrome and hemoperitoneum. FERTILITY AND STERILITY, 95(7).

The effect of air bubble position after blastocyst transfer on pregnancy rates in IVF cycles
Friedman, B. E., Lathi, R. B., Henne, M. B., Fisher, S. L., & Milki, A. A. (2011). The effect of air bubble position after blastocyst transfer on pregnancy rates in IVF cycles. FERTILITY AND STERILITY, 95(3), 944-947.

Ovarian stimulation and the risk of aneuploid conceptions
Massie, J. Am., Shahine, L. K., Milki, A. A., Westphal, L. M., & Lathi, R. B. (2011). Ovarian stimulation and the risk of aneuploid conceptions. FERTILITY AND STERILITY, 95(3), 970-972.

Age-Related Success with Elective Single versus Double Blastocyst Transfer.
Friedman, B. E., Davis, L. B., Lathi, R. B., Westphal, L. M., Baker, V. L., & Milki, A. A. (2011). Age-Related Success with Elective Single versus Double Blastocyst Transfer. ISRN obstetrics and gynecology, 2011, 656204-?.

Day 2 versus day 3 embryo transfer in poor responders: a prospective randomized trial
Shahine, L. K., Milki, A. A., Westphal, L. M., Baker, V. L., Behr, B., & Lathi, R. B. (2011). Day 2 versus day 3 embryo transfer in poor responders: a prospective randomized trial. FERTILITY AND STERILITY, 95(1), 330-332.

Is infertility a risk factor for female sexual dysfunction? A case-control study
Millheiser, L. S., Helmer, A. E., Quintero, R. B., Westphal, L. M., Milki, A. A., & Lathi, R. B. (2010). Is infertility a risk factor for female sexual dysfunction? A case-control study. FERTILITY AND STERILITY, 94(6), 2022-2025.

Etiology of recurrent pregnancy loss in women over the age of 35 years
Marquard, K., Westphal, L. M., Milki, A. A., & Lathi, R. B. (2010). Etiology of recurrent pregnancy loss in women over the age of 35 years. FERTILITY AND STERILITY, 94(4), 1473-1477.

CHARACTERIZATION OF A RECURRENT PREGNANCY LOSS GENE EXPRESSION SIGNATURE IN PERIPHERAL BLOOD LEUKOCYTES (PBL).
Maas, K. H., Krieg, S., Dosiou, C., Nayak, N., Linda, G. C., & Lathi, R. B. (2010). CHARACTERIZATION OF A RECURRENT PREGNANCY LOSS GENE EXPRESSION SIGNATURE IN PERIPHERAL BLOOD LEUKOCYTES (PBL). FERTILITY AND STERILITY, 94(4), S47-S47.

Deep phenotyping to predict live birth outcomes in in vitro fertilization
Banerjee, P., Choi, B., Shahine, L. K., Jun, S. H., O'leary, K., & Yao, M. Wm. (2010). Deep phenotyping to predict live birth outcomes in in vitro fertilization. PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 107(31), 13570-13575.

Coexistence of endometriosis in women with symptomatic leiomyomas
Huang, J. Q., Lathi, R. B., Lemyre, M., Rodriguez, H. E., Nezhat, C. H., & Nezhat, C. (2010). Coexistence of endometriosis in women with symptomatic leiomyomas. FERTILITY AND STERILITY, 94(2), 720-723.

Karyotype of miscarriages in relation to maternal weight
Landres, I. V., Milki, A. A., & Lathi, R. B. (2010). Karyotype of miscarriages in relation to maternal weight. HUMAN REPRODUCTION, 25(5), 1123-1126.

Asian Ethnicity and Poor Outcomes After In Vitro Fertilization Blastocyst Transfer
Langen, E. S., Shahine, L. K., Lamb, J. D., Lathi, R. B., Milki, A. A., & Westphal, L. M. (2010). Asian Ethnicity and Poor Outcomes After In Vitro Fertilization Blastocyst Transfer. OBSTETRICS AND GYNECOLOGY, 115(3), 591-596.

Poor Prognosis with In Vitro Fertilization in Indian Women Compared to Caucasian Women Despite Similar Embryo Quality
Shahine, L. K., Lamb, J. D., Lathi, R. B., Milki, A. A., Langen, E., & Westphal, L. M. (2009). Poor Prognosis with In Vitro Fertilization in Indian Women Compared to Caucasian Women Despite Similar Embryo Quality. PLOS ONE, 4(10).

Effect of selective serotonin reuptake inhibitors on in vitro fertilization outcome
Friedman, B. E., Rogers, J. L., Shahine, L. K., Westphal, L. M., & Lathi, R. B. (2009). Effect of selective serotonin reuptake inhibitors on in vitro fertilization outcome. FERTILITY AND STERILITY, 92(4), 1312-1314.

Oocyte retrieval versus conversion to intrauterine insemination in patients with poor response to gonadotropin therapy
Shahine, L. K., Lathi, R. B., & Baker, V. L. (2009). Oocyte retrieval versus conversion to intrauterine insemination in patients with poor response to gonadotropin therapy. FERTILITY AND STERILITY, 92(4), 1315-1317.

Normal pregnancy after tetraploid karyotype on trophectoderm biopsy
Krieg, S. A., Lathi, R. B., Behr, B., & Westphal, L. M. (2009). Normal pregnancy after tetraploid karyotype on trophectoderm biopsy. FERTILITY AND STERILITY, 92(3).

Effect of methotrexate exposure on subsequent fertility in women undergoing controlled ovarian stimulation
McLaren, J. F., Burney, R. O., Milki, A. A., Westphal, L. M., Dahan, M. H., & Lathi, R. B. (2009). Effect of methotrexate exposure on subsequent fertility in women undergoing controlled ovarian stimulation. FERTILITY AND STERILITY, 92(2), 515-519.

Laparoscopy in women with unexplained infertility: a cost-effectiveness analysis
Moayeri, S. E., Lee, H. C., Lathi, R. B., Westphal, L. M., Milki, A. A., & Garber, A. M. (2009). Laparoscopy in women with unexplained infertility: a cost-effectiveness analysis. FERTILITY AND STERILITY, 92(2), 471-480.

Pregnancy after trophectoderm biopsy of frozen-thawed blastocyst
Lathi, R. B., & Behr, B. (2009). Pregnancy after trophectoderm biopsy of frozen-thawed blastocyst. FERTILITY AND STERILITY, 91(5), 1938-1940.

Menstrual bleeding from an endometriotic lesion
Burney, R. O., & Lathi, R. B. (2009). Menstrual bleeding from an endometriotic lesion. FERTILITY AND STERILITY, 91(5), 1926-1927.

Embryo quality before and after surgical treatment of endometriosis in infertile patients
Shahine, L. K., Burney, R. O., Behr, B., Milki, A. A., Westphal, L. M., & Lathi, R. B. (2009). Embryo quality before and after surgical treatment of endometriosis in infertile patients. JOURNAL OF ASSISTED REPRODUCTION AND GENETICS, 26(2-3), 69-73.

Basal follicle-stimulating hormone as a predictor of fetal aneuploidy
Massie, J. Am., Burney, R. O., Milki, A. A., Westphal, L. M., & Lathi, R. B. (2008). Basal follicle-stimulating hormone as a predictor of fetal aneuploidy. FERTILITY AND STERILITY, 90(6), 2351-2355.

Transvaginal ligation of the cervical branches of the uterine artery and injection of vasopressin initial in a cervical pregnancy as an step to controlling hemorrhage - A case report
Davis, L. B., Lathi, R. B., Milki, A. A., & Dahan, M. H. (2008). Transvaginal ligation of the cervical branches of the uterine artery and injection of vasopressin initial in a cervical pregnancy as an step to controlling hemorrhage - A case report. JOURNAL OF REPRODUCTIVE MEDICINE, 53(5), 365-368.

The effect of selective serotonin reuptake inhibitors on in vitro fertilization outcome
Friedman, B. E., Rogers, J. L., Shahine, L. K., Westphal, L. M., & Lathi, R. B. (2008). The effect of selective serotonin reuptake inhibitors on in vitro fertilization outcome. FERTILITY AND STERILITY, 89, S12-S12.

Aneuploidy in the miscarriages of infertile women and the potential benefit of preimplanation genetic diagnosis
Lathi, R. B., Westphal, L. M., & Milki, A. A. (2008). Aneuploidy in the miscarriages of infertile women and the potential benefit of preimplanation genetic diagnosis. FERTILITY AND STERILITY, 89(2), 353-357.

Elective single blastocyst transfer in women older than 35
Davis, L. B., Lathi, R. B., Westphal, L. M., & Milki, A. A. (2008). Elective single blastocyst transfer in women older than 35. FERTILITY AND STERILITY, 89(1), 230-231.

Cytogenetic testing of anembryonic pregnancies compared to embryonic missed abortions
Lathi, R. B., Mark, S. D., Westphal, L. M., & Milki, A. A. (2007). Cytogenetic testing of anembryonic pregnancies compared to embryonic missed abortions. JOURNAL OF ASSISTED REPRODUCTION AND GENETICS, 24(11), 521-524.

Preoperative vaginal preparation with baby shampoo compared with povidone-iodine before gynecologic procedures
Lewis, L. A., Lathi, R. B., Crochet, P., & Nezhat, C. (2007). Preoperative vaginal preparation with baby shampoo compared with povidone-iodine before gynecologic procedures. JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY, 14(6), 736-739.

Pelvic pain after gonadotropin administration as a potential sign of endometriosis
Jun, S. H., & Lathi, R. B. (2007). Pelvic pain after gonadotropin administration as a potential sign of endometriosis. FERTILITY AND STERILITY, 88(4), 986-987.

A comparison of letrozole to gonadotropins for ovulation induction, in subjects who failed to conceive with clomiphene citrate
Quintero, R. B., Urban, R., Lathi, R. B., Westphal, L. M., & Dahan, M. H. (2007). A comparison of letrozole to gonadotropins for ovulation induction, in subjects who failed to conceive with clomiphene citrate. FERTILITY AND STERILITY, 88(4), 879-885.

The effect of infertility medication on thyroid function in hypothyroid women who conceive
Davis, L. B., Lathi, R. B., & Dahan, M. H. (2007). The effect of infertility medication on thyroid function in hypothyroid women who conceive. THYROID, 17(8), 773-777.

Rupture of ectopic pregnancy with minimally detectable beta-human chorionic gonadotropin levels: A report of 2 cases
Fu, J., Henne, M. B., Blumstein, S., & Lathi, R. B. (2007). Rupture of ectopic pregnancy with minimally detectable beta-human chorionic gonadotropin levels: A report of 2 cases. JOURNAL OF REPRODUCTIVE MEDICINE, 52(6), 541-542.

Metformin and fetal malformations
Shahine, L., Lathi, R. B., & Dahan, M. H. (2007). Metformin and fetal malformations. FERTILITY AND STERILITY, 87(5), 1240-1240.

Risk of monozygotic twinning with blastocyst transfer decreases over time: an 8-year experience
Moayeri, S. E., Behr, B., Lathi, R. B., Westphal, L. M., & Milki, A. A. (2007). Risk of monozygotic twinning with blastocyst transfer decreases over time: an 8-year experience. FERTILITY AND STERILITY, 87(5), 1028-1032.

Serum total testosterone levels in a patient with late onset 21-hydroxylase deficiency and a twin gestation
Mains, L. M., Lathi, R. B., Burney, R. O., & Dahan, M. H. (2007). Serum total testosterone levels in a patient with late onset 21-hydroxylase deficiency and a twin gestation. FERTILITY AND STERILITY, 87(5).

Effect of reduced oxygen concentrations on the outcome of in vitro fertilization
Kea, B., Gebhardt, J., Watt, J., Westphal, L. M., Lathi, R. B., & Behr, B. (2007). Effect of reduced oxygen concentrations on the outcome of in vitro fertilization. FERTILITY AND STERILITY, 87(1), 213-216.

Optimal ovarian stimulation protocol for IVF-ET treatment in the patient with endometriosis.
Burney, R. O., Henne, M., Jacobson, M. T., Milki, A. A., Westphal, L. M., & Lathi, R. B. (2006). Optimal ovarian stimulation protocol for IVF-ET treatment in the patient with endometriosis. FERTILITY AND STERILITY, 86, S275-S275.

Night sweats and elevated follicle-stimulating hormone levels while taking selective serotonin reuptake inhibitors
Shahine, L. K., & Lathi, R. B. (2006). Night sweats and elevated follicle-stimulating hormone levels while taking selective serotonin reuptake inhibitors. OBSTETRICS AND GYNECOLOGY, 108(3), 741-742.

Congenital interruption of the ampullary portion of the fallopian tube
Dahan, M. H., Burney, R., & Lathi, R. (2006). Congenital interruption of the ampullary portion of the fallopian tube. FERTILITY AND STERILITY, 85(6), 1820-1821.

Predictive value of magnetic resonance imaging in differentiating between leiomyoma and adenomyosis.
Moghadam, R., Lathi, R. B., Shahmohamady, B., Saberi, N. S., Nezhat, C. H., & Nezhat, C. (2006). Predictive value of magnetic resonance imaging in differentiating between leiomyoma and adenomyosis. JSLS : Journal of the Society of Laparoendoscopic Surgeons / Society of Laparoendoscopic Surgeons, 10(2), 216-219.

Comparison of letrozole to gonadotropins (FSH) for ovulation induction in clomiphene (CC) failures.
Wen, Y., Quintero, R. B., Urban, R., Westphal, L. M., Lathi, R. B., & Dahan, M. H. (2006). Comparison of letrozole to gonadotropins (FSH) for ovulation induction in clomiphene (CC) failures. FERTILITY AND STERILITY, 85, S24-S25.

Role of laparoscopic treatment of endometriosis in patients with failed in vitro fertilization cycles
Littman, E., Giudice, L., Lathi, R., Berker, B., Milki, A., & Nezhat, C. (2005). Role of laparoscopic treatment of endometriosis in patients with failed in vitro fertilization cycles. FERTILITY AND STERILITY, 84(6), 1574-1578.

The dilemma of endometriosis: is consensus possible with an enigma?
Nezhat, C., Littman, E. D., Lathi, R. B., Berker, B., Westphal, L. M., & Milki, A. A. (2005). The dilemma of endometriosis: is consensus possible with an enigma?. FERTILITY AND STERILITY, 84(6), 1587-1588.

Ruptured ectopic pregnancy with minimally detectable Beta-HCG level.
Fu, J., Henne, M. B., Blumstein, S. L., & Lathi, R. B. (2005). Ruptured ectopic pregnancy with minimally detectable Beta-HCG level. FERTILITY AND STERILITY, 83, S25-S26.

Dose-dependent insulin regulation of insulin-like growth factor binding protein-1 in human endometrial stromal cells is mediated by distinct signaling pathways
Lathi, R. B., Hess, A. P., Tulac, S., Nayak, N. R., Conti, M., & Giudice, L. C. (2005). Dose-dependent insulin regulation of insulin-like growth factor binding protein-1 in human endometrial stromal cells is mediated by distinct signaling pathways. JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 90(3), 1599-1606.

Rate of aneuploidy in miscarriages following in vitro fertilization and intracytoplasmic sperm injection
Lathi, R. B., & Milki, A. A. (2004). Rate of aneuploidy in miscarriages following in vitro fertilization and intracytoplasmic sperm injection. FERTILITY AND STERILITY, 81(5), 1270-1272.

Interferon-related and other immune genes are downregulated in peripheral blood leukocytes in the luteal phase of the menstrual cycle
Dosiou, C., Lathi, R. B., Tulac, S., Huang, S. Tj., & Giudice, L. C. (2004). Interferon-related and other immune genes are downregulated in peripheral blood leukocytes in the luteal phase of the menstrual cycle. JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 89(5), 2501-2504.

Tissue sampling technique affects accuracy of karyotype from missed abortions
Lathi, R. B., & Milki, A. A. (2002). Tissue sampling technique affects accuracy of karyotype from missed abortions. JOURNAL OF ASSISTED REPRODUCTION AND GENETICS, 19(11), 536-538.

Changes in cytokine expression in peripheral leukocytes, detected by microarray analysis, in the secretory vs proliferative phase of the menstrual cycle.
Lathi, R. B., Tulac, S., Lobo, S. C., Huang, S. Tj., & Giudice, L. C. (2002). Changes in cytokine expression in peripheral leukocytes, detected by microarray analysis, in the secretory vs proliferative phase of the menstrual cycle. FERTILITY AND STERILITY, 78(3), S109-S109.

Recombinant gonadotropins.
Lathi, R. B., & Milki, A. A. (2001). Recombinant gonadotropins. Current women's health reports, 1(2), 157-163.