Some of the tests the doctor may want include: A sperm count and analysis to evaluate whether your partner is releasing enough live, normally shaped, fast-moving sperm to make fatherhood possible. Complete blood count and screening of both partners for blood type, HIV and hepatitis viruses, as well as immunity to German measles, and to assess functioning of organs, such as the thyroid gland. Horm ...

Testing and Treatment: The first few days of your monthly cycle is the best time to schedule your first visit to a fertility doctor, so you can start trying to get pregnant right away. Bring along all your medical records, or ask your previous doctor to send them directly to the reproductive endocrinologist. Also, you should make a list of any questions that you'd like to discuss during this initi ...

Risk factors Many of the risk factors for both male and female infertility are the same. They include: Age. Women's fertility gradually declines with age, especially in the mid-30s, and it drops rapidly after age 37. Infertility in older women is likely due to the lower number and quality of eggs, and can also be due to health problems that affect fertility. Men over age 40 may be less fertile th ...

Getting Pregnant When You Have Endometriosis: Most women who have endometriosis can conceive normally. But if you're having problems getting pregnant, endometriosis may be the cause. To find out, your doctor may suggest a laparoscopy. In this procedure, a surgeon inserts a small camera through a tube into your abdomen to check for abnormal endometrial tissue. The surgeon might want to confirm the ...

Assisted conception The following methods are currently available for assisted conception. Intrauterine insemination (IUI): At the time of ovulation, a fine catheter is inserted through the cervix into the uterus to place a sperm sample directly into the uterus. The sperm is washed in a fluid and the best specimens are selected. The woman may be given a low dose of ovary stimulating hormones. I ...

When to see a doctor You probably don't need to see a doctor about infertility unless you have been trying regularly to get pregnant for at least one year. Women should talk with a doctor earlier, however, if they: Are age 35 or older and have been trying to conceive for six months or longer Are over age 40 Have irregular or absent periods Have very painful periods Have known fertility problems H ...

Diagnosis Before infertility testing, your doctor or clinic works to understand your sexual habits and may make recommendations to improve your chances of getting pregnant. In some infertile couples, no specific cause is found (unexplained infertility). Infertility evaluation can be expensive, and sometimes involves uncomfortable procedures. Some medical plans may not cover the cost of fertility ...

Surgery – After a thorough history, physical examination, and ultrasound are performed, your doctor may recommend surgery to correct and abnormality. In reproductive medicine, the most common surgical procedures are laparoscopy, hysteroscopy, and abdominal myomectomy (removal of uterine fibroids). Laparoscopy is an operation performed in the abdomen or pelvis through small incisions, generally no ...