INFERTILITY
Infertility is traditionally
defined as one year of intercourse without conception. In the
absence of a condition or symptom that suggests a reason for infertility
it is appropriate for couples/women less than 34 years of age to wait for
10 - 12 cycles before becoming concerned. However, if any of the
following are present consultation should be sought earlier:
- Cycles are irregular or absent
- A history of sexually transmitted
infection
- Significant endometriosis
- Male urologic or
genital issues
- Either partner has significant
general health problems
(i.e. diabetes or kidney disease)
In women 34
and older, failure to conceive in 6-8 months is not uncommon but
because of age and time issues consultation may be sought earlier
than in younger women.
Female
Infertility
50% of
infertility is primarily caused by a problem in the woman. Another
25% is a couples issue involving both the male and female. The three
primary problems found in women are: anovulation, endometriosis and
tubal disease. Evaluation should include testing in all three areas.
When no male or female problem is found this is known as
"unexplained" infertility.
Click Here for
General Fertility Brochure
Male Infertility
25% of infertile couples
will have a male factor as the primary problem. Another 25% will
have a male factor as part of the overall problem. Therefore,
initial consults should be done as a couple and a semen analysis should
be one of the first tests performed. Differentiating a fertile semen from sub fertile or infertile semen is difficult. We
recommend that semen analysis for fertility be done in an IVF/fertility
facility rather than a general laboratory.
Before a couple considers a vas reversal, it is important for the wife
to have a basic evaluation. If the vas ligation is more than 5
years old, the couple may wish to do a testicular biopsy and an IVF-ICSI
approach. In selected situations, even couples with a ligation
less than 5 years in duration may benefit from this approach. More
information is contained in the
Tubal
Reversal Brochure.
Click
Here for IVF Brochure
Other
Services Offered
- Donor Sperm
- Donor Oocytes
- Tubal Reversal
- Video-Laparoscopy/Pelviscopy
- Donor Embryos
- Carrier Pregnancy
(in very select circumstances only)
- Fibroid Removal
- Operative
Hysteroscopy for uterine malformation and scarring (Asherman's
Syndrome)
Click Here for
Tubal Reversal Brochure
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