Women’s Health Topics

Infertility

Infertility typically means that a couple has tried to get pregnant for at least 12 months without success. In some cases, it is appropriate to start an evaluation after six months of trying. In general, reasons why a couple has not conceived will fall into a couple of categories. In women, the most common problems are related to ovulation or a problem with the inside of the uterus or tubes. In men, it is usually due to abnormal sperm counts.

There are several pieces of information that your doctor will ask about:

  • First, we will typically ask you to detail your periods. How often are they occurring? Are they about the same every time, every month? Is there severe pain or cramping? It is important to know if you have ever had any pelvic infections, surgery inside your abdomen, or if there are any underlying medical conditions that may be playing a role. We will want to know if your partner is healthy, takes any medications or sees a doctor for any health issues, what he does for a living and if he has ever fathered any children. Also important is how often the two of you are having sex.

  • Depending on your circumstances, we may check several tests, possibly including blood work, ovulation kits, semen analysis, ultrasound or hysterosalpingogram (HSG or X-ray of tubes and ovaries), or recommend surgery. There are several options for treatment, including pills, insemination, injections or in vitro (IVF or “test tube babies”). If you have any concerns about whether or not you will need any or all of these tests, we encourage you to make an appointment with your doctor soon.

The following are links to the American College of Obstetrics and Gynecology’s Web site.ACOG logo