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Erika B. Johnston-MacAnanny, M.D.

Board Certified

  • Obstetrics and Gynecology
  • Reproductive Endocrinology and Infertility
Richmond - Henrico Doctors' - Forest Office
Women's Hospital
1602 Skipwith Road
Richmond, VA 23229
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Biography

About ERIKA B. JOHNSTON-MACANANNY, M.D.

E

rika Johnston-MacAnanny, M.D., FACOG completed her undergraduate degree at Cornell University. She earned her medical degree at State University of New York in Syracuse and continued on to Thomas Jefferson University where she completed her residency in Obstetrics and Gynecology and a 3 year fellowship in Reproductive Endocrinology and Infertility (REI) at the University of Connecticut Health Center.

Upon completing her fellowship, Dr. Johnston became an Associate Professor in the Department of Obstetrics and Gynecology Section on Reproductive Medicine at Wake Forest School of Medicine in North Carolina, with her most recent role as Medical Director, Center for Reproductive Medicine, Department of Obstetrics and Gynecology at Wake Forest School of Medicine. Dr. Johnston is board certified in both Obstetrics and Gynecology and Reproductive Endocrinology and Infertility.

She has participated actively in continuing medical education including writing task forces for American College of Physicians (MKSAP) and American College of Obstetrics and Gynecology Prolog. She was selected to co-chair the Reproductive Medicine ACOG Prolog revision for 2018. She presently serves as the President of the American Society of Reproductive Medicine (ASRM) Women’s Council and has participated in American Board of OBGYN (ABOG) exam question writing for the subspecialty board exam. She teaches advanced operative hysteroscopy techniques nationally to gynecologists and reproductive endocrinologists.

During her fellowship and time as faculty at Wake Forest University, she received national research and teaching awards and has published research on multiple fertility topics including in vitro fertilization, endometriosis and recurrent implantation failure. Dr. Johnston joined SGF in 2018 in their Richmond, VA location.

Education
  • Residency: Obstetrics and Gynecology, Thomas Jefferson University Hospital, Philadelphia, PA
  • Fellowship: Reproductive Endocrinology and Infertility, The University of Connecticut Health Center, Farmington, CT
Awards & Recognition
  • Best Doctors in America, 2015-2018
  • Castle Connolly Best Doctors 2016-present
  • Wake Forest Baptist Medical Center Department of Obstetrics and Gynecology Faculty Teaching Award, 2015
  • Resident of the Year, Thomas Jefferson University Hospital, 2006
  • Outstanding Resident Research Award, Thomas Jefferson University Hospital, 2006
  • Outstanding Laparoscopic Surgeon Award, Thomas Jefferson University Hospital, 2006
  • S. Leon Israel First Place Resident Research Award, Philadelphia Obstetrics Society, 2006
  • Outstanding Resident Teacher Awards, 2002-2006
Professional Organizations
  • American College of Obstetrics and Gynecology
  • American Society for Reproductive Medicine
  • Society for Reproductive Endocrinology and Infertility
  • Society of Reproductive Surgeons
  • North Carolina Obstetrical and Gynecological Society
Q&A

Q & A

Q: Why did you become a doctor/reproductive endocrinologist?

A:

I loved science in high school and attended Cornell University where I became a health center volunteer in women's health during my freshman year. Finding enjoyment in my premed classes was complimented by a large dose of coursework in public health policy. I found that my interest in surgery, technical procedures, and women's health was a perfect segway into OB/GYN. During residency I was fortunate to have early exposure to reproductive endocrinologists who were excellent surgeons and very thoughtful about the hormonal disorders leading to the patient condition. This medical sleuthing resonated with me and I felt it was a good fit for my interest in problem solving, empathetic patient interactions, and technical procedures.

Q: Who inspires you?

A:

I am inspired by my parents who were both the first in their families to attend four year college and graduate programs and worked very hard to achieve their personal and professional goals.

Q: HOW WOULD YOU DESCRIBE YOUR PERSONALITY?

A:

I am a good listener, empathetic, and energetic with a strong work ethic. I am always focused on identifying a solution to the problem at hand and working through challenges with a positive focus.

Q: What are your hobbies and why do you enjoy them?

A:

I enjoy reading and playing sports with my children. As a family, we enjoy outdoor time and have many fond memories of evening fires and sticky s'mores. I enjoy kayaking and exploring on the waterways of Virginia. I learned to play squash in medical school, and I have had fun playing squash and volleyball with colleagues and friends through the years.

Q: WHAT IS SOMETHING ABOUT YOU THAT WOULD SURPRISE MOST PEOPLE?

A:

I love hydrangeas and have enjoyed growing them in my yard and sharing their stunning blooms with co-workers and neighbors. I can also clam with my toes, but can't eat them due to food allergy.

Q: What about SGF makes you the most proud?

A:

SGF has such a strong track record of patient-focused, cutting-edge care. I am excited to join such a patient-centered team of highly skilled physicians who aim to keep pace with our quick changing field of reproductive medicine and shape the future direction of the field.

Q: WHAT IS YOUR APPROACH TO HELPING PATIENTS WHO ARE STRUGGLING?

A:

Fertility treatment can be stressful and overwhelming to contemplate in one visit alone. I encourage patients to celebrate small successes and compartmentalize treatment into stages to feel that progress is being made and the goal is getting closer. I try to help patients anticipate what to expect at each visit or procedure to minimize anxiety. I also encourage them to surround themselves with positive support networks to cheer them on along the journey.

Q: DESCRIBE A TIME WHEN YOU WERE INSPIRED BY A PATIENT

A:

I was covering our office one weekend when one of my patients suffered a miscarriage while in the office for her visit. It was devastating. She and her spouse were so strong through it all, but helping them that day was so challenging. She was in pain both physically and emotionally. I was inspired by her strength in that moment but also in her willingness to continue in treatment. I am pleased to share that after another attempt, she is the proud mother of two healthy children. They never abandoned hope.

SGF has such a strong track record of patient-focused, cutting-edge care. I am excited to join such a patient-centered team of highly skilled physicians who aim to keep pace with our quick changing field of reproductive medicine and shape the future direction of the field.
Reviews

Reviews

"Dr. Johnston is the best. She is not only knowledgeable but also a warm, caring person with good communication skills. We enjoyed and trusted her so much after the birth of our first son that we decided that even after moving to the west coast it was worth flying across the country to be cared for by her again. We are now pregnant with our 2nd baby. There was just no provider that we could imagine trusting more."

"Dr. Johnston-MacAnanny is the best doctor I've ever had. My health problems in this area are complicated and frustrating, and she never stops looking for ways to help me. I can't imagine navigating my illness without her."

"Dr. Johnston communicates effectively with her patients, even calling them herself at home if questions arise. She has made every effort to include us in decision making for treatment options. There have been several times where she has spent additional minutes out of her busy day talking to us like people, not just her patient and spouse. Her bedside manner is second to none."

"She has a great personality and bedside manner that can make even the most anxious person (me) calm. She is so compassionate and empathetic; she genuinely seemed as upset and disappointed as I was after each failed cycle. I love her! I want everyone to be treated by her!"

"I had setbacks all along but Dr. Johnston always had a new idea. She was always willing to talk about any questions or concerns. Her bed aide manner is great. Talks to us like people and even emailed me personally after I got pregnant."

"Dr. Johnston-MacAnanny took the time to explain all of our previous test results with us and really listened to our concern. She explained everything very well and was empathetic and optimistic. I cannot say enough great things about our visit."

"This is the first time I've felt like my doctor understood what I'm going through and was going to help."


Publications

Publications

  • Johnston EB. Circumcision. In: Emmett G, ed. Field Guide to the Newborn Nursery. New York, NY: Lippincott, Williams and Wilkins, 2004.
  • Berga SB and Johnston-MacAnanny EB, Polycystic Ovarian Syndrome in Clinical Reproductive Medicine and Surgery A Practical Guide Falcone, Tommaso, Hurd, William W. (Eds.) 2nd ed. 2013.
  • Johnston-MacAnanny EB, Taylor RN. Disorders of the female reproductive tractIn: Hammer GD, McPhee SJ, eds. Pathophysiology of disease: an introduction to clinical medicine. 7th ed. New York: McGraw-Hill; 2014: 625-650.
  • Berga SB and Johnston-MacAnanny EB. Physiology of the Menstrual Cycle. In Gynecology, Second edition, ed. Eric J. Bieber, Joseph S. Sanfilippo, Ira R. Horowitz and Mahmood J. Shafi. Published by Cambridge University Press. 2014.
  • American College of Obstetrics and Gynecology Reproductive Endocrinology and Infertility Seventh Edition. ISBN: 978-1-934984-44-4 (contributing author, task force member) Publisher: American College of Obstetrics and Gynecology, 2015.
  • Burns CA, Weitz HH, Collins J, Hairston KG, Johnston-MacAnanny EB, Lakey WC, Mayson S, Sipos J Masters PA, eds.. In: Medical knowledge self-assessment program: endocrinology and metabolism. 17th ed. American College of Physicians; 2015.
  • Patel B, Collins G, Johnston-MacAnanny EB and Taylor RN. Clinical Manifestations, Diagnosis, and Treatment of Endometriosis. In: Arosh J, ed. Clinical, Molecular and Cellular Basis of Endometriosis. Current Women's Health Reviews, Bentham Science Press, Potomac, in press, 2016.
  • Johnston-MacAnanny EB, Baxter JK. Assisted reproductive technology and pregnancy outcome. Obstet Gynecol 2006; 107(4):953.
  • Johnston-MacAnanny EB, Ness A, Weinstein L. Diagnosis of gestational diabetes mellitus: is it time for a new critical value? J Reprod Med 2007; 52(6):463-6.
  • Johnston EB, Lev-Toaff AS, Batzer FR. Diagnosis and treatment of communicating uterus didelphys with atretic hemivagina: utility of 3-dimensional and intraoperative ultrasound. J Ultrasound Med 2008; 27(6):975-8. PMID 18499859
  • Johnston-MacAnanny EB, Hartnett J, Engmann LL, Nulsen JC, Sanders MM, Benadiva CA. Chronic endometritis is a frequent finding in women with recurrent implantation failure after in vitro fertilization. Fertil Steril 2009; 93(2):437-41. PMID 19217098
  • Peluso JJ, Liu XF, Gawkowska A, Johnston-MacAnanny E. Progesterone activates a progesterone receptor membrane component 1-dependent mechanism that promotes human granulosa/luteal cell survival but not progesterone secretion. J Clin Endocrinol Metabol 2009; 94(7):2644-9. PMID 19417032 PMCID: PMC2708946
  • Akar ME, Johnston-MacAnanny EB, Carrillo AJ, Miller J, Yalcinkaya TM. The pregnancy outcome of retrieved excess eggs collected during selective follicular reduction from patients with three or more preovulatory follicles undergoing controlled ovarian stimulation and IUI. Hum Reprod 2010; 25(11):2931 (Letter to Editor). PMID: 20858695
  • Johnston-MacAnanny EB, Koty P, Pettenati M, Yalcinkaya TM, Schmidt DW. The first case described: monozygotic twin sisters with the fragile X premutation but with a different phenotype for premature ovarian failure. Fertil Steril 2011; 95(7):2431.e13-5. PMID 21300345
  • Johnston-MacAnanny EB, DiLuigi AJ, Engmann LL, Maier DB, Benadiva CA, Nulsen JC. Selection of first in vitro fertilization cycle stimulation protocol for good prognosis patients: gonadotropin releasing hormone antagonist versus agonist protocols. J Reprod Med 2011; 56(1-2):12-6. PMID 21366121
  • Yalcinkaya TM, Akar ME, Kammire LD, Johnston-MacAnanny EB, Mertz HL. Robotic-assisted laparoscopic repair of symptomatic cesarean scar defect: a report of two cases. J Reprod Med 2011; 56(5-6):265-70. PMID 21682124
  • Yu J, Berga SL, Zou W, Sun HY, Johnston-MacAnanny E, Yalcinkaya T, Sidell N, Bagchi IC, Bagchi MK, Taylor RN. Gap junction blockade induces apoptosis in human endometrial stromal cells. Mol Reprod Dev. 2014;81(7):666-675.
  • Yu J, Berga SL, Johnston-MacAnanny E, Sidell N, Bagchi IC, Bagchi MK, Taylor RN.Endometrial stromal decidualization responds reversibly to hormone stimulation and withdrawal. Endocrinology. 2016;157(6):2432-2446. PMID: 27035651
  • Shu Y, Prokai D, Berga SB, Taylor RT, Johnston-MacAnanny EB. Transfer of IVF-contaminated blastocysts with removal of the zona pellucida resulted in live births. Journal of Assisted Reproduction and Genetics, published online 7.30.2016 DOI 10.1007/s10815-016-0776-3.
  • Prokai D, Gonzalez-Sanz T, Patel BG, Johnston-MacAnanny, EB. Successful Delayed Removal of Essure Device and Concurrent In Vitro Fertilization – Embryo Transfer resulting in Ongoing Pregnancy: A Case Report. Journal of Reproductive Medicine, in press, 2016.
  • Johnston-MacAnanny EB and Patel BG. Disorders of the Female Reproductive Tract. In: McPhee SJ and Hammer GD, eds. Pathophysiology of Disease: An Introduction to Clinical Medicine. 8th edition. McGraw-Hill, New York, in press, 2017.
  • Johnston EB. Fossum GT, Palascak lB, Awsare MB. Choudhary C, Dimarino AJ. Reported Rates of Recurrent Spontaneous Abortion and Infertility in Patients With Celiac Disease. Fertil Steril 2005; 84: SI60.
  • Johnston-MacAnanny EB, DiLuigi Al, Engmann LL, Maier DB, Benadiva CA, Nulsen JC. Selection of first in vitro fertilization (IVF) cycle stimulation protocol for good prognosis patients: GnRH antagonist vs. agonist protocols. Fertil Steril 2007; 88:S152.
  • Johnston-MacAnanny EB, Benadiva CA. Siano U, Nulsen JC, Maier DB, Engmann LL. Gonadotropin releasing hormone (GnRH) agonist triggers: do subsequent estradiol (E2) and progesterone (P) levels predict pregnancy? Fertil Steril 2007; 88:SI26.
  • Johnston-MacAnanny EB, DiLuigi Al, Benadiva CA. Maier DB, Nulsen J, Engmann LL. Choice of medication for oocyte maturation for in vitro fertilization (IVF) gonadotropin releasing hormone (GnRH) antagonist cycles: human chorionic gonadotropin (hCG) vs. leuprolide acetate (LA). Fertil Steril 2007; 88:S142.
  • Johnston-MacAnanny EB, Kliman HJ, Maier DB, Nulsen JC, Benadiva CA. The role of endometrial function test (EFT®) in recurrent implantation failure (RIF) in IVF. Fertil Steril 2007; 88:S162.
  • Hemphill M, Johnston-MacAnanny EB, Maier DM, Benadiva CA, Schmidt DW, Nulsen JC. Does luteal phase vaginal progesterone (LP-P) supplementation in first clomiphene citrate (CC)/intrauterine insemination (IUI) cycles change outcome? Fertil Steril 2008; 90:S414-S415.
  • Johnston-MacAnanny EB, Schmidt DW. The first case described: monozygotic twin sisters with the Fragile X premutation but with a discordant phenotype for premature ovarian failure (POF): is X-inactivation ratio skewing to blame? Fertil Steril 2009; 92(3):S13.
  • Akar ME, Johnston-MacAnanny EB, Carrillo AJ, Miller J, Yalcinkaya TM. The pregnancy outcome of retrieved excess eggs collected during selective follicular reduction from patients with three or more preovulatory follicles undergoing controlled ovarian stimulation and IUI [letter]. Hum Reprod. 2010;25(11):2931.
  • Johnston-MacAnanny EB, Akar ME, Miller JZ, Carrillo A, Bozoklu O, Yalcinkaya TM.Reducing the risk of multiples with controlled ovarian stimulation (COS): utilization of concurrent letrozole plus hMG protocol for IUI with option for follicle reduction (SFR) and oocyte vitrification [abstract]. Fertil Steril. 2010;94(4 Suppl 1):S154.
  • Leezer KH, Brady M, Yalcinkaya TM, Johnston-MacAnanny EB. Is a negative energy balance and strenuous exercise as a young adult a predictor of future fecundity? [abstract]. Fertil Steril. 2011;96(3 Suppl 1):S117.
  • Yalcinkaya T, Erman-Akar M, Kammire LD, Johnston-MacAnanny EB, Mertz HL. Robotic-assisted laparoscopic repair of symptomatic cesarean scar defect. World Robotic Gynecology Congress III (WRGCIII) & International Gynecologic Oncology Robotic Symposium IV (IGORSIV), Washington, D.C., May 5-6, 2011.
  • Singh SR, Johnston-MacAnanny E, Yalcinkaya TM, Carrillo AJ. Blastocyst development of sibling embryos in a single continuous (CC) extended culture vs. single culture media renewed on day3 (CCR). 98(3):S106 · September 2012.
  • Francisco AMC, Yu J, Yalcinkaya T, Johnston-MacAnanny EB, Sidell N, Berga SL, Taylor RN. Estradiol and inflammatory cytokines induce neuroangiogenic responses in endometriosis stromal cells. Reprod Sci. 2013;20(3 Suppl):149A.
  • Hou L, Taylor RN, Shu Y, Johnston-MacAnanny EB, Yalcinkaya TM. Vascular endothelial growth factor (VEGF) and placental growth factor (PLGF) directly correlate with ovarian follicle size in women undergoing in vitro fertilitzation (IVF) [abstract]. Fertil Steril. 2014;102(3 Suppl):e256.
  • Hou L, Shu YM [sic] [Shu Y], Johnston-MacAnanny EB, Yalcinkaya TM. Gamma-amino butyric acid (GABA) levels and GABA-Ergic gene expression in ovarian follicular fluid (FF) during controlled ovarian stimulation [abstract]. Reprod Sci. 2014;21(3 Suppl):115A.
  • Yu J, Berga SL, Salinas A, Johnston-MacAnanny E, Taylor RN. Ovarian hormones modify cell cycle dynamics, apoptosis and telomere length in primary human endometrial stromal cells [abstract]. Reprod Sci. 2014;21(3 Suppl):414A.
  • Hou L, Taylor RN, Shu Y, Johnston-MacAnanny EB, Yalcinkaya TM. Vascular endothelial growth factor (VEGF) and placental growth factor (PLGF) directly correlate with ovarian follicle size in women undergoing in vitro fertilitzation (IVF). Fertil Steril. 2014;102(3 Suppl):e256.
  • Yu J, Berga SL, Johnston-MacAnanny EB, Huang L, Sidell N, Bagchi IC, Bagchi MK, Taylor RN. Human endometrial stromal cell connexin (Cx)43 responds reversibly to hormone stimulation and withdrawal and regulates markers of angiogenesis and Mesenchymal-Epithelial Transition (MET) [abstract]. Reprod Sci. 2015;22(Suppl 1):81A.
  • Prokai D, Shu Y, Maisel L, Berga SL, Taylor RT, Johnston-MacAnanny EB Donor Sperm Intrauterine Inseminations (IUI) in Same Sex Couples or Single Mothers by Choice: How Much Sperm Is Enough to Achieve Pregnancy? Volume 104, Issue 3, Supplement, Page e112.
  • Yu J, Berga SL, Yook G, Pan JC, Andrade AA, Johnston-MacAnanny EB, Taylor RN.IL-1 beta disrupts morphological and biochemical differentiation of human endometrial stromal cells: potential role in infertility [abstract]. Reprod Sci. 2016;23(Suppl 1):247A-248A.
  • Prokai D, Taylor RT, Berga SL, Lamar Z, Johnston-MacAnanny EB, Neutropenic Infectious Risk Based on Contraceptive Method Type in Women with New Cancer Diagnoses: Are Indwelling Methods Riskier? Obstetrics and Gynecology 127:124S · May 2016. 
  • Prokai D, Poisson K, Shu Y, Johnston-MacAnanny EB. Application of Preimplantation Genetic Diagnosis (PGD) to Reduce Transmission Risk in a Family with a Child Affected with early onset Hereditary Spastic Paraplegia (HSP) with parental discordant haplotypes for mutant SPAST gene – a case report. Abstract submitted to ASRM 2016 Scientific Meeting, Salt Lake City, UT. October 2016.

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Infertility can be a lonely experience and research has shown that support groups can be a highly effective way to cope with the stress and distress of treatment. This group focuses on all types of infertility issues and will help individuals and couples.
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Infertility can be a lonely experience and research has shown that support groups can be a highly effective way to cope with the stress and distress of treatment. This group focuses on all types of infertility issues and will help individuals and couples.
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