You want to grow your family, but after a year of trying you’ve been unable to get pregnant or you’ve had pregnancies end in miscarriage. Regardless of whether or not you have already had children, both you and your partner are frustrated and want answers.
Causes and Concerns
Talking about infertility can be complicated. Couples and individuals coping with infertility can experience deep feelings of fear, guilt, self-doubt and frustration. At the same time, infertility is much more common than most people realize. According to the CDC, impaired fecundity (the inability to have a child) affects 6.7 million women in the U.S. or about 11% of the reproductive-age population.
Some of the most common causes of infertility in women younger than 35 include:
- Ovulation disorders
- Polycystic Ovary Syndrome (PCOS)
- Uterine shape abnormalities
- Anatomical issues
- Fibroids, polyps or Asherman’s syndrome (uterine scarring)
Men can also be affected by infertility issues such as low sperm count, low sperm motility, poor sperm quality, vasectomy or ejaculatory problems. In fact, nearly 50 percent of couples with infertility have a contributing male cause.
Solutions and Treatment
While not all causes of infertility are known, the good news is that more and more evaluation and treatment options are effective in overcoming infertility.
We have a wide range of evaluation methods available, including:
- Prenatal testing
- Hormone assessments and blood tests
- Semen analysis / Sperm testing
- Tubal dye study (Hysterosalpingogram / HSG)
- Pelvic Ultrasound / Sonogram
- Hysteroscopy: A telescopic camera is used to look inside the uterus
- Laparoscopy: A telescopic camera is passed through an incision on the belly to look inside for endometriosis or other problems such as tubal disease
And our treatment options may include:
- In vitro fertilization (IVF) / Intracytoplasmic sperm injection (ICSI)
- Comprehensive Chromosome Screening and Pre-Implantation Genetic Diagnosis to determine whether an embryo is viable (CCS/PGS and PGD)
- Embryo freezing (cryopreservation, banking)
- Egg freezing or sperm freezing
- Sperm or egg donor
- Surrogate / Gestational carrier
- Surgical solutions to correct uterine abnormalities, remove fibroids or polyps, or treat endometriosis
- Medications to stimulate egg production and induce ovulation. This is often accomplished with Clomid or Femara pills and/or Gonadotropin injections (FSH shots)
- Intrauterine insemination (IUI) (also called Artificial insemination (AI)