Female infertility

Fertility is simple, guaranteeing it is hard.

Fertility Evaluation

Our team runs tests at specific times during the menstrual cycle to gather the most accurate information. Our strategies and procedures include:

  • Ovarian reserve: The term "ovarian reserve" refers to the reserve of the woman's ovaries (remaining egg supply). A woman's fertility (with the absence of any other fertility problems) mainly depends on the number and quality of eggs in the ovaries and how well the ovarian follicles are responding to the hormonal signals from the brain.

  • Proof of ovulation: Specialists chart body temperature, use kits to measure hormone release, deploy ultrasound technology, and provide medication to stimulate ovulation.

  • Hormone testing: Blood tests can be used to evaluate ovaries; thyroid, pituitary and adrenal glands; and insulin-producing cells.
  • Transvaginal ultrasound: Probe gives accurate imaging of the pelvic organs and can detect ovarian cysts; fibroids or polyps in the uterus; ectopic (tubal) pregnancies; and intrauterine pregnancies. The number of antral follicles visible on ultrasound is indicative of ovarian reserve. 
  • Testing of uterine cavity and fallopian tubes (Sonohysterography): Fluid is placed in the uterus, and an ultrasound is used to view the fluid in the uterus and fallopian tubes. Another test determines whether a woman's fallopian tubes are open and outlines the contour of the uterine cavity.
  • Semen Analysis:  50% of couples will have male factors contributing to the difficulty achieving pregnancy. Semen analysis is a simple test that detects male factors to better help you achieve pregnancy.

Timing of Ovulation

The best time to conceive is around ovulation. Ovulation is about two weeks before the next period. For couples pursuing pregnancy, the highest Fertile time appears to be with intercourse one to two days prior to ovulation and the day of ovulation. Therefore, attempting to identify the fertile period and timing intercourse during this interval maximizes the probability of conception. Some methods help a woman understand her body better and determine the signs that indicate it is a fertile time. They include:

  •  Cervical mucous: If a woman notices a clear, egg-white discharge, it indicates the fertile time. Most lubricants are sperm-toxic and should be avoided.
  • Basal Body Temperature: Temperature when you're at rest; Ovulation may cause a slight increase in basal body temperature. 
  • Ovulation Calendar: Tracking your menstrual cycle can tell you when you're most likely to be fertile.
  • Ovulation Predictor Kits: These kits can help women identify the most fertile days during the monthly cycle – that is, the day or two leading up to ovulation when sex (or insemination) is most likely to lead to pregnancy.
  • Ultrasound in the Middle of the Cycle: Ultrasound is used to monitor the ovulation cycle. With ultrasound we can visualize the ovary at the beginning of the cycle and visualize the preovulatory follicle. It is also used to assess pregnancy. 
  • HCG Trigger Injection: Tracking your menstrual cycle can tell you when you're most likely to be fertile.
  • Progesterone Levels: Tracking your menstrual cycle can tell you when you're most likely to be fertile.

Life Style Changes

  • Eat a healthy diet with protein, complex carbohydrates, and healthy fats.
  • Keep a healthy weight. Underweight or overweight women can have trouble conceiving. Overweight men could have lower sperm counts.
  • Exercise in moderation. For example, marathon-level training inhibits ovulation for women, even if they are not underweight. Certain bike seats can cause temporary fertility problems for men who are avid bicyclists.
  • Drink in moderation. For men, that means 0-1 drink daily. Significant daily drinking can lower testosterone and affect sperm production, among other things. Women should only drink occasionally, at least after ovulation. The biggest concern is the effects on the fetus.
  • Avoid tobacco use. It affects the fertility in both partners. For women, it can also slow the time to conception, increase miscarriage rates and is associated with earlier menopause.
  • Drink caffeinated beverages in moderation. Women should drink less than two caffeinated beverages a day. Men can drink a little more, but more than six caffeinated beverages daily can have health effects.
  • Avoid very hot baths or saunas. Very hot working conditions can also affect fertility.
  • Boxers or briefs? Your choice... it doesn't matter.
  • Try not to stress about getting pregnant. Find a healthy way to deal with stress such as couple time or time for yourself.