If you have been trying to get pregnant without success – you are not alone. Ten to fifteen percent of couples have difficulty conceiving.
Infertility is defined as not being able to get pregnant despite having frequent unprotected intercourse for one year. There are many reasons why a couple may not be able to get pregnant. These include female factors and male factors. Additionally, there are times when a reason is not found. Roughly, one-third of infertility is female related, one-third is male related and one-third is unexplained.
Fortunately, many couples (even with unexplained infertility) are able to become pregnant with a little assistance with our infertility treatment and testing assistance. When it comes to family planning, we have many safe and effective options available.
The first step in getting pregnant is to have an evaluation. At Metro OBGYN we understand this can be a stressful and difficult process and we are here to support you and work with you.
In general, we begin evaluating a couple for infertility treatment and testing if you have not conceived after one year of frequent, unprotected intercourse. You may think about being seen sooner for family planning if:
Your partner may consider being evaluated if:
Performed on the 3rd day after your period starts. Performing the test on day three lets us evaluate the hormones the ovary produces. Other, tests are evaluated at this time that do not depend on where you are in your cycle.
Assesses if you are ovulating
Ultrasound – Evaluates the uterus and ovaries for fibroids or cysts
Hysterosalpingography – An x-ray study that evaluates if the fallopian tubes are healthy and open as well as evaluating the inside cavity of the uterus.
Semen Analysis – Evaluates the quality and quantity of semen.
The evaluation you have is individual. You may have some or all of these tests performed. Occasionally, additional testing is performed. If you are interested in testing for genetic conditions, i.e. cystic fibrosis or sickle cell disease this is a very good time to perform these tests. Talk with your doctor if you are interested.
There are many treatment options and treatment depends on the cause of infertility. For women treatment usually involves stimulating ovulation with fertility drugs, intrauterine insemination or surgery to treat a structural problem like an endometrial polyp or a uterine septum. Male factor infertility frequently involves the semen – either a low volume of sperm or the sperm does not move well. Intrauterine insemination can overcome these issues. Occasionally, men may need a surgical procedure to correct a problem like a varicocele.
Chlomid and Letrozole are two medications that may be used to stimulate the release of an egg. Additionally, injectable medications may be used. We will then check a blood test on day 21 of your cycle to see if you have ovulated. If you have not ovulated the dose of medication may be increased or we may add an injectable medication.
This is when the sperm is placed directly into the uterus. This bypasses the cervix and allows the most sperm to meet with an egg. Intrauterine insemination may be performed by itself or in combination with a medication to stimulate ovulation.
This is a procedure where the sperm and an egg are collected and the egg is fertilized outside the woman's body. Once fertilized it is then placed into the uterus. For this procedure, we will refer you to a reproductive specialist.
It is important that women seeking out assistance with fertility understand the risks of the procedures. With medications that stimulate ovulation like Clomid or
Additionally, there is a risk of ovarian hyperstimulation syndrome. The symptoms of this condition include abdominal distention, enlarged ovaries
It is important to talk with your doctor about potential risks and side effects of medication prior to starting treatment.