Infertility Services

Not being able to get pregnant or not being able to carry a pregnancy to term is very difficult for most couples. There is physical, psychological, and financial stress of infertility testing and treatments. There is stress on the couples’ relationship as they undergo testing and face the disappointment of not getting pregnant.

We consider a couple infertile if they have been unable to achieve pregnancy in 12 months of having sex without using any birth control. Or, if a woman is age 35 or above, unable to achieve pregnancy in 6 months. This is a fairly common problem; about 12% of couples in the United States are considered infertile.

In order for a pregnancy to result, the woman must release an egg (ovulate) and the man must release an adequate number of well-formed, well-moving sperm. The egg and sperm must meet in the Fallopian tube, and then implant in a uterus which has the proper hormonal environment. Causes of infertility may be related to problems in the woman, problems in the man, problems with both partners, or unknown causes. Testing of you and your partner will be undertaken in order to determine if there are problems which might be treatable.

Infertility in a woman may be due to:

  • hormone problems which prevent ovulation or prevent implantation of the fertilized egg in the uterus
  • physical problems such as scarring of the tubes due to pelvic infections, sexually transmitted diseases, or endometriosis
  • being overweight which can prevent normal ovulation
  • excessive exercise or low body weight which can prevent normal ovulation
  • age related decline in ovarian reserve
  • birth defects of the uterus or cervix
  • genetic disorders, history of cancer treatment
  • smoking, alcohol, or marijuana use
  • thyroid disease, diabetes, or other medical causes

Infertility in a man may be due to:

  • sexually transmitted diseases
  • varicose veins in the scrotum
  • history of infections such as mumps which may have damaged the testes or history of trauma to the testes
  • use of certain medications or supplements
  • high temperatures affecting sperm production; this may be work related or due to wearing tight underwear
  • hormonal or genetic disorders, history of cancer treatment
  • smoking, alcohol, or marijuana use
  • low sperm count or abnormal sperm motility

Tests which might be done (not all tests are done in all couples):

  • ovulation predictor kits to see if the woman is ovulating
  • semen analysis to determine if the male partner is producing normal sperm
  • hysterosalpingogram to see if the woman’s tubes are open
  • lab work to look for hormonal or medical problems that can lead to infertility

We know this is an overwhelming and stressful time for you. Please don’t hesitate to come to us with your questions and concerns. Our goal is a healthy pregnancy for you.