What to expect
Infertility is the inability to become pregnant after a year of unprotected intercourse (six months if the female partner is older than 35). Up to 15 percent of couples may be diagnosed with infertility, caused by the female partner, the male partner, a combination, or an unknown cause.
Infertility is most often a treatable condition, and sometimes the answer may be simple. First, a complete physical and medical history evaluation will help pinpoint the problem.
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Both male and female partners undergo examinations. For men, semen analysis assesses sperm health and function. For women, specialists assess ovulatory functions by monitoring menstrual cycle history, which may include daily basal body temperature and testing hormone levels.
Additional testing may be required, including ultrasound examination of the ovaries and uterus, and hysterosalpingogram (HSG), or an X-ray test to look for structural problems of the fallopian tubes or uterus.
Diagnosis and treatment
After diagnosing the suspected cause of infertility, we try to explore the easiest, most inexpensive options first – such as ovulation induction and other fertility medications – working our way up to assisted reproductive technologies such as IUI (intrauterine insemination), IVF (in vitro fertilization), and maybe even ICSI (intracytoplasmic sperm injection – used in conjunction with IVF), and PGD (preimplantation genetic diagnosis).
Every patient’s process will be different based on their unique situation. While a couple may be able to achieve pregnancy with simple fertility medications, others will need to go directly to IVF treatment.