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To determine whether you are infertile, your doctor will go over your health history, medications, sexual history, and sex habits, like how often you have sex.
Men will get a physical exam and often a sperm analysis, which tests the health of the sperm.
For a woman, testing begins with a medical history and physical exam, including a pelvic exam. The doctor then makes sure that she ovulates regularly and that her ovaries are releasing the eggs. Blood tests are taken to measure hormone levels. The ovaries and uterus may be examined by ultrasound, and a specific X-ray test can check the uterus and fallopian tubes.
In about 80% of couples, the cause of infertility is either an ovulation problem, blockage of the fallopian tubes, or a sperm problem. In 5%-15% of couples, all tests are normal, and the cause is not known.Fertility Treatment
Generally most patients will start a fertility evaluation after one year of attempting pregnancy. The average fecundability (pregnancy rate per month) for a fertile couple is approximately 20 percent. As a result, approximately 90 percent of couples will have become pregnant after one year of attempting. The remaining 10 percent should be evaluated for fertility treatment. Women over the age of 30 should seek medical advice after 6 months of attempting pregnancy. Women over the age of 40 may consider meeting with a fertility specialist as soon as they have decided to pursue childbearing.
We will evaluate female patients attempting pregnancy from the age of 18 years old to 55 years old.
The answer depends on the etiology of the lack of menses. If in fact you are menopausal then you will need egg donation. However, if the problem is hormonal, you may be treated with fertility medications.
If your fertility treatment involves intrauterine insemination (IUI), typically the process takes about two weeks. During these two weeks, your ovaries will be stimulated to produce follicles, ovulation will occur and thereafter an insemination is performed.
In vitro fertilization (IVF), takes a bit longer, lasting anywhere from 4-6 weeks prior to egg retrieval. The embryos are then transferred anywhere from 3-5 days later.
To answer this question, each scenario really must be individualized. Many factors must be considered, and patient input is critical. Generally, we transfer anywhere from one to five embryos at one time. (Women over 42 years of age, or those who have had recurrent IVF failure, may elect to transfer more embryos.)
No, we do not. We feel that ICSI is to be performed on patients who have an indication for the procedure, such as severe male factor and/or prior history of poor fertilization.
No. The urine test depends on your hydration level. Furthermore, they are predictable to about 25 mIU per mL of bHCG. On the other hand, blood tests are sensitive to approximately 2 mIU per mL. Therefore, a very early pregnancy could be missed with a urine pregnancy test that may still be detected with blood levels.
We usually recommend that patients test their urine in the early afternoon. If measured early in the morning, the urine can be concentrated and thus give you false positive results. Therefore, we recommend any time after 3:00 p.m.
We do have an andrologist in the office that will perform male infertility evaluations. Please contact our office for more information.
USC Fertility provides expert fertility medical treatment for married and unmarried couples, same sex couples and individuals.
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ART is sometimes used as a catchall term for any fertility treatment, from medications to surgery. But in the medical community, ART refers to treatments that manipulate the sperm or the egg to make pregnancy more likely.
ART works best in couples who have an issue with sperm or who have a diagnosis that makes it difficult for the sperm to fertilize the egg. Women who ovulate infrequently may also benefit from ART, since an ART cycle greatly increases the odds of a successful pregnancy each cycle.
ART is also a viable option in couples who have unexplained infertility. This is because the odds of pregnancy are higher with each ART cycle, and ART can circumvent many common but difficult-to-diagnose problems. Couples who have tried other treatments without success, as well as people attempting to get pregnant without a partner, may also choose ART.