INFERTILITY

 
 

At Center for Women’s Health, we understand the emotional struggle and frustration that infertility presents. If getting pregnant has been a challenge for you and your partner, you are not alone. Ten to 15 percent of couples in the United States struggle with infertility.

Our warm, caring physicians are experienced in the basic evaluation and treatment of infertility. If further care is needed than we can provide, we have a close relationship with local infertility specialists to which we can refer.

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Infertility is defined as no pregnancy after one year of having regular unprotected sexual intercourse. If you are older than 35 years, then an infertility evaluation is considered after six months of having regular sexual intercourse. For healthy young couples, the chance that woman will become pregnant is about 20 percent in any single menstrual cycle. Eighty-five percent of young healthy couples will become pregnant after one year. An infertility evaluation is also indicated for those women who are not having regular menstrual cycles as well.

Infertility can be caused by a number of factors both male and female. Female factors may include problems with ovulation,  reproductive organs or hormones. Male factor infertility typically involves problems with the amount or health of sperm.

The first visit typically involves a full history and physical. We would encourage both partners to attend this very important visit so both can be participating and full history can be taken. We will discuss the potential causes of infertility and review recommended testing. 

Depending on the findings during the history and physical, the testing may include the following:

  • Blood tests to determine hormones levels and confirm evidence of ovulation
  • Imaging tests including ultrasound and hysterosalpingogram
  • Laparoscopy
  • Semen analysis recommended for male partner

The treatment recommended will depend on the findings after testing. Some abnormalities require a referral to an infertility specialist while others can be continue to be treated at our Center. Ovulation abnormalities such as irregular menses or PCOS can be treated using medications for ovulation induction. If anatomic abnormalities are found, sometimes surgical intervention is indicated.