Infertility is defined as an inability to conceive for 6–12 months, depending on your age.
On your first visit to an infertility specialist the doctor will listen to your medical history, review any medical records available, and order a set of labs that will help determine the underlying cause of your inability to conceive. Your treatment will then be tailored to your specific needs.
Infertility usually falls into one of four categories, explains Peyman Saadat, M.D.:
1. Anovulation: lack of ovulation from the female. Anovulation can be treated by the use of certain medications designed to induce ovulation such as Clomid, Letrozole and FSH injections.
2. Low sperm count: when the sperm count or motility is low. This issue can be managed by the female partner undergoing intrauterine insemination and/or in vitro fertilization – depending on the severity of the problem.
3. Tubal factor: when the Fallopian tubes connecting the uterus to the ovaries are blocked. This condition can be due to a variety of reasons including prior tubal ligation, prior infection of Chlamydia, prior endometriosis, or other surgeries resulting in scar tissue formation and tubal blockage. This is usually treated by either surgery to unblock the tube or in vitro fertilization.
4. Unexplained infertility is when all the tests (including ovulation testing, semen analysis and testing of the fallopian tubes) are normal and no real cause of infertility is seen. In this case we usually treat the patient either with ovulation induction and insemination, or in vitro fertilization.
Peyman Saadat, M.D. notes that the treatment may be modified based on other factors, such as age of both the male and the female, duration of infertility, if any prior treatments have been used and other factors.
The first step can be the hardest, but it is important to see a fertility specialist sooner rather than later, and get started on the recommended testing and treatment. When you are ready, call RFC, and let Peyman Saadat, M.D. and his caring staff help you become the parent you are meant to be.