Infertility may have many causes. The causes of infertility can be classified as female factor, male factor, combined or unexplained. Regardless of the cause of your fertility issues, we can help you maximize the chances of successfully conceiving and having a child.
Treating infertility starts with diagnosing the cause of your fertility problems. When evaluating female factors for infertility, we begin with a complete medical history and physical exam. That will help us determine the right course of action for you.
If more simple tests are inconclusive or more complex tests are required, they might include the following:
Laparoscopy, which is performed if your doctor suspects scarring in your ovarian or fallopian tubes, or endometriosis (a painful inflammation of tissue in the uterus).
Your doctor makes two small incisions at the pubic bone and navel, and then inserts a laparoscope (a long tube with lenses and a fiber optic light) into one incision, and a long probe through the other. With the probe, your doctor can view the ovaries, fallopian tubes and uterus to check for scar tissue.
In some cases, the physician may cut the scar tissue away. While the procedure typically requires general anesthesia, the risks are generally slight.
Hysterosalpingogram (HSG) checks the condition of your fallopian tubes. Using a needle, your physician injects a harmless dye through your cervix into your uterus.
Your physician then takes an X-ray to determine whether the dye passes through the open ends of the fallopian tubes. If the dye emerges, the tubes are not blocked.
In some cases, the dye actually clears away blockages in the fallopian tubes, restoring fertility. This test may also reveal other fertility problems such as fibroids, structural abnormalities and endometrial polyps.
If infertility is related to ovulation disorders, fertility medications are the primary treatment. These medications work by causing the release of hormones that either trigger or regulate ovulation.
Some medications are taken orally, while some are injected. Even if you are using assisted reproductive techniques such as IVF, fertility medications are still an important part of treatment.
These often the first choice of medication because they have been effectively used for more than 40 years.
These medications cause the hypothalamus and pituitary glands located deep in the brain to release a set of hormones that will stimulate the ovaries to produce eggs. These medications are often used with assisted reproductive techniques or artificial insemination.
Your doctor may recommend one of these to stimulate ovulation:
Other fertility medications your physician may prescribe include:
If we are able to identify a cause of fertility issues, whether female factor, male factor, or combined, we will recommend a course of treatment.