Infertility is defined as one year of unprotected sexual intercourse on a regular basis without conception. It affects approximately 10-15% of couples in the reproductive age group which makes it an important component of a gynecologist’s practice.
Becoming pregnant and birthing a child is truly a miracle. Pregnancy can be one of the most wonderful times in a woman’s life, but achieving this goal is often not as easy as expected. A gynecologist is trained to evaluate and often treat women who are unable to conceive. Sometimes evaluation is warranted sooner than in one year, such as in the case of a woman who is approaching her mid-30’s.
Basic infertility evaluation consists of testing both partners, of which male factor infertility can be the cause 40% of the time. Semen analysis is usually the only test needed to evaluate the reproductive ability of the man. Women need to undergo a few timed laboratory tests to determine if there is an underlying endocrine condition which may be affecting her fertility and monthly ovulation. Other tests for the woman should include evaluation of the female pelvic organs for structural or obstructive abnormalities usually in the form of a pelvic examination, ultrasound, hysterosalpingography, hysteroscopy and/or laparoscopy, as well as culture testing for infections.
When these basic tests are performed, usually 85-90% of time an etiology to the infertility is discovered and can be treated. Unfortunately, this will still leaves 10-15% of couples who will then be classified as unexplained infertility.
Infertility Treatment Options
With the incredible advances with reproductive technologies, infertility can be treated in most cases. Medical and surgical treatments are available for the 85-90% of couples who have a diagnosis for the etiology to their infertility. Ovulation induction with timed intercourse may be assisted with use of a number of medications specifically formulated for this reason. Sperm washings and timed intrauterine insemination is usually the first invasive treatment option once medical or surgical treatments have been considered or used.
In the offices of Dr. David Fong, if pregnancy is not achieved in a timely fashion, it does not only become frustrating to him but also the struggling parents to be. Fortunately, Dr. Fong has developed a great relationship with the top reproductive endocrinologist in the area (and even nationwide) in whom he has utmost confidence to provided advanced assisted reproductive technologies to his patients. These include:
- IVF (in-vitro fertilization)
- ICSI (intracytoplasmic sperm injection)
- GIFT (gamete intrafallopian transfer)
- ZIFT (zygote intrafallopian transfer)
Our Infertility Services Include:
- Comprehensive Evaluation and Management
- Intrauterine Insemination
- Ovarian Ovulation Induction