Infertility Evaluation & Treatment

Approximately 80% of couples will get pregnant within the first six months, and 85% will conceive after one year of regular unprotected intercourse. For couples that have been trying for only two to three months, it may just take a little more time and effort. However, if you have been trying for a long time or believe that your or your partner’s age, lifestyle choices or medical history may be impacting your ability to get pregnant, call our office to make an appointment for an infertility evaluation.

Infertility Evaluations

At A Woman’s Healing Center, the recommended workup usually involves a history and physical exam, blood work, an assessment of the uterus and fallopian tubes, and a semen analysis. Reversible causes of infertility can then be treated. In more complicated cases, patients are referred to a reproductive endocrinologist, who is a fellowship-trained specialist in infertility.

Both male and female factors can contribute to infertility. Female factors may involve problems with ovulation, the reproductive organs, or hormones. Male infertility factors often involve problems with the amount of or the health of sperm.

Infertility treatments often include the following options:

Intrauterine Insemination (IUI)

Following your infertility evaluation, your physician may recommend treatment involving intrauterine insemination (IUI). Timing is based on the LH surge (ovulation) using an ovulation predictor kit (OPK). Usually, the IUI is done the day of the surge and the following day. Please discuss with us the specific instructions and options (sperm donor) that IUI necessitates.

Treatment with Clomid

After you have been evaluated and it is determined that your infertility may involve issues with ovulation, your doctor may recommend that you take Clomid (clomiphene citrate). Clomid works by stimulating an increase in the amount of hormones that support the growth and release of a mature egg (ovulation). Note: this medication is not recommended for women whose ovaries no longer make eggs properly. The incidence of spontaneous twins in the United States is 3.1%. The risk of becoming pregnant with twins or more increases with the use of Clomid.

The most common side effects of Clomid use are hot flashes, breast tenderness, mood swings, nausea, visual symptoms, and headache. Speak with your OB-GYN for medical advice about adverse side effects.

Frequently asked questions

When should I consider having an infertility evaluation?

You should consider having an infertility evaluation if any of the following apply to you:

  • You have not become pregnant after one year of having regular sexual intercourse without the use of birth control.
  • You are older than 35 years and have not become pregnant after six months of having regular sexual intercourse without the use of birth control.
  • Your menstrual cycle is not regular.
  • You or your partner have a known fertility problem.

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