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About
Erika Johnston-MacAnanny, M.D., FACOG is a board-certified reproductive endocrinologist at Shady Grove Fertility - Richmond, seeing patients at the Henrico, Stony Point and Roanoke locations. She completed her undergraduate degree at Cornell University, earned her medical degree at SUNY Syracuse, trained in OB/GYN at Thomas Jefferson University Hospital, and finished a 3-year REI fellowship at the University of Connecticut Health Center.
After fellowship, Dr. Johnston joined the faculty of Wake Forest School of Medicine as an Associate Professor in Reproductive Medicine, later becoming Medical Director of the Center for Reproductive Medicine. She joined SGF Richmond in 2018. She is highly active in continuing medical education: she has written for the American College of Physicians (MKSAP) and ACOG Prolog, co-chaired the 2018 Reproductive Medicine ACOG Prolog revision, writes exam questions for the ABOG subspecialty board, and teaches advanced operative hysteroscopy techniques to gynecologists and reproductive endocrinologists nationwide.
Dr. Johnston currently serves as President of the ASRM Women’s Council. During her fellowship and faculty career at Wake Forest she received national research and teaching awards and has published on IVF, endometriosis and recurrent implantation failure.
Clinical Expertise
- IVF (In Vitro Fertilization): Full-cycle management from ovarian stimulation to embryo transfer with individualized protocols
- Hysteroscopic surgery: Advanced operative hysteroscopy for polyps, adhesions and uterine septa
- Endometriosis-related infertility: Combined surgical and medical treatment for endometriosis
- Recurrent implantation failure (RIF): Comprehensive evaluation and protocol optimization for repeated implantation failure
- PGT (Preimplantation Genetic Testing): Embryo genetic screening to reduce hereditary disease risk
Why Choose Dr. Johnston-MacAnanny
President, ASRM Women’s Council: ASRM is the main US professional body for reproductive medicine, and leading its Women’s Council is a national governance role rather than a local one.
Castle Connolly Top Doctor for 11 consecutive years (2016-2026): Castle Connolly recognition is based on peer nomination and rigorous review — eleven consecutive years demonstrates sustained recognition by patients and colleagues.
Former Medical Director at Wake Forest School of Medicine: Leadership experience at a top academic medical center brings both clinical excellence and medical administration expertise.
National authority on hysteroscopy: She teaches advanced operative hysteroscopy to physicians nationwide, making her a recognized expert in uterine cavity surgery.
Professional Affiliations
Dr. Johnston-MacAnanny is board-certified by the American Board of Obstetrics and Gynecology (ABOG) in both OB/GYN and Reproductive Endocrinology and Infertility, and is a Fellow of ACOG. She currently serves as President of the ASRM Women’s Council, writes ABOG subspecialty exam questions, and previously co-chaired the ACOG Reproductive Medicine Prolog revision.
Suitable For
- Full-cycle IVF management: Patients preparing for or continuing IVF cycles who value individualized care
- Endometriosis-related infertility: Patients whose infertility stems from endometriosis and need combined surgical-medical treatment
- Recurrent implantation failure: Patients with previous implantation failures who need comprehensive evaluation and protocol optimization
- Hysteroscopic surgery needs: Patients with uterine polyps, adhesions or septa requiring surgical treatment