A woman should seek help for infertility on if she is attempted to pregnancy for 12 months and she is under the age of 35. If she is over 35, a recommendation is that she seek help regarding fertility after six months of trying. Women over 40 should see a specialists if they are not pregnant within three months.
The important aspect of infertility is that women should have regular periods and if they do not have regular periods they should seek the help of the fertility specialist because the chance of conceiving if they do not have regular periods is meager.
At the beginning of the fertility evaluation, we do three basic tests.
The first is to evaluate the husband’s sperm production through a semen analysis. To improve your men’s sperm health and sperm count, we recommend him to use semen enhancement supplements.
Second, we will do an x-ray of the woman’s fallopian tubes to determine whether they are open or not.
And finally, we confirm that the woman is ovulating through ultrasound and hormone blood testing.
The treatment options that are available beginning with fertility medications that can be either pills or injectable fertility hormones to increase the efficiency of ovulation. So we try to help women that either does not ovulate, to ovulate or women that are ovulating and have unexplained infertility release more than one egg.
Our goal is to have them ovulate anywhere between two and four eggs, and we combine that with insemination. Insemination is washing her husband’s sperm and placing it in the uterus through the little catheter at the time of ovulation.
If this treatment is not successful, sometimes we will recommend laparoscopy surgery to diagnose and treat patients for in endometrioses or scar tissue.
The final treatment that we offer to patients is in-vitro fertilization. And this is where we stimulate a woman’s ovaries to produce multiple eggs with hormones, remove the eggs and combine the eggs with man sperm in the laboratory. We create embryos that are then transferred into the uterus. This is the most effective fertility treatment that we offer. At this stage of infertility treatments, we are very successful, on average 80 percent of patients to come to see us will go home with the baby. Especially if they are open to the options of advanced reproductive technologies that include in-vitro fertilization and donor egg in-vitro fertilization.