Over seven million men and women in the US are equally impacted by infertility. That's about 12% of the reproductive age population. According to the American Society for Reproductive Medicine (ASRM.org), you should seek the care of a reproductive specialist if you are unable to achieve pregnancy after 12 months of unprotected intercourse and the woman is under the age of 35 and six months if the woman is more than 35 years of age.
If you or someone you know is having trouble getting pregnant or staying pregnant, and can answer yes to one or some of the follow questions, it might be time to talk to a fertility specialist:Take The Quiz
The causes of infertility are equally split between men and women in the US. Approximately one third (30%) of the time infertility can be related to male factors such as low sperm count. Another third (30%) can be related to the female, typically an egg quality or egg quantity factor. In about 20% of cases infertility is unexplained, and the remaining infertility can be attributed to a combination of factors in both partners.
The causes of infertility are equally split between men and women in the US. Approximately one third (30%) of the time infertility can be related to male factors such as low sperm count. Another third (30%) can be related to the female, typically an egg quality or egg quantity factor. In about 20% of cases infertility is unexplained, and the remaining infertility can be attributed to a combination of factors in both partners.DOWNLOAD BROCHURE
At birth, a woman will have all the eggs she will ever have in her lifetime, nearly 1-million. But by the time she's in her early 30's her pool of eggs has decreased substantially to less than half. A secondary challenge for women is one of egg quality: by the time a women is in her late 30's nearly 40% of her eggs will be of low-quality due to genetic imbalances or other issues related to age.Next Question >
As a woman enters her late 30's and early 40's, the majority of her ovulated eggs are often unable to properly manage their chromosomes (genetic material). As a result, when these eggs fertilize, they are likely to result in embryos that contain chromosomal abnormalities (aneuploidy). Comprehensive Chromosome Screening can help patients improve their chances of having a healthy baby.Next Question >
Experiencing a miscarriage is a tremendous shock and can leave you with deep-rooted feelings of loss and sorrow.
Approximately 20% of all pregnancies end in miscarriage, most occurring within the first 12 weeks. Recurrent miscarriage can be defined as two or more consecutive losses. When miscarriage occurs this frequently, there may be an underlying cause such as aneuploidy or an imbalance of chromosomes in the genetic makeup of the embryo. Studies suggest that 50-70% of all miscarriages are due to embryos with too few or too many chromosomes, while the risk of aneuploidy increases with a woman's age.Next Question >
One of the many causes of infertility is tubal disease, in which your fallopian tubes become blocked or damaged. Scar tissue resulting from endometriosis or abdominal or gynecological surgery (bowel surgery, cesarean section, ruptured appendix, etc.) can block the egg from entering or traveling down your fallopian tube to meet the sperm.Next Question >
Hormones control every step in achieving pregnancy-from stimulating the development of an egg to ovulation and implantation of a fertilized egg in the uterus. Each hormone that plays a role in conception must be produced in a specific amount at a precise time in your menstrual cycle. Hormonal studies measure the levels of certain hormones produced by your body during your cycle and help identify hormonal imbalances that may impair your fertility.
High levels of FSH (Follicle Stimulating Hormone) are a common clue of infertility. AMH, or anti-mullerian hormone is a substance produced by granulosa cells in ovarian follicles and has become an important indicator of ovarian reserve for many patients.Next Question >
Irregular or abnormal ovulation accounts for 30% to 40% of all cases of infertility. Having irregular periods, no periods, or abnormal bleeding often indicates that you aren't ovulating, a condition known clinically as anovulation. Severely painful menstrual cycles, especially in the lower abdomen or pelvis, or the lower back may by an indication of endometriosis. Both anovulation and endometriosis affect a woman's reproductive organs which may impair her fertility.Next Question >
Although not a comprehensive measure of fertility, the semen analysis, if abnormal, may suggest that the probability of achieving fertility is statistically low. Among the numbers on the test, the sperm concentration and motility appear to correlate best with fertility. Two well-performed semen analyses can often suggest a diagnosis or direction.Next Question >
Menopause usually occurs in women between the ages of 42 and 56. Premature ovarian failure (early menopause) is a condition in which menopause occurs before the age of 40. Women who develop early menopause usually have run out of eggs in their ovaries. The cause of premature ovarian failure is generally unknown. However, there are a few reasons why the ovaries may stop producing eggs at an early age. Heredity can play a role-some genetic disorders lead to early menopause.Next Question >
The term "ovarian reserve" refers to a woman's current supply of eggs, and is closely associated with reproductive potential. As a woman ages, her supply of eggs gradually declines over time until the eggs are depleted at menopause. Although we expect the ovary to age in a certain way, there are times when it doesn't behave as predicted. In general, the greater the number of remaining eggs, the better the chance for conception.Next Question >
Exposure to certain chemicals or medical treatments like chemotherapy and radiation therapy can damage or destroy the ovaries and testis. For woman, chemo can damage the ovary and reduce the amount of hormones they produce. Chemotherapy's effect on men may lower the number of sperm cells, reduce their ability to move, or cause other changes.
Chemotherapy can, but doesn't always affect sexual organs and how they work. The possible side effects depend on the drugs used, your age, and your overall health. Speak to a fertility specialist to understand your fertility potential.Next Question >
Humans have 23 pairs of chromosomes in each cell - one derived from mom and one from dad. Genetic disease is caused by abnormalities of gene function. Single gene abnormalities (mutations) are caused by changes in the DNA sequence of a gene. Single gene disorders usually show a characteristic family history of a specific genetic disease. For example, Cystic Fibrosis (CF) is a serious inherited condition that primarily affects the lungs of CF patients.Next Question >
Clomid does not directly stimulate the ovaries. Rather, Clomid facilitates ovulation by excreting its effects at the hypothalamus, the gland that signals the pituitary to produce FSH, LH, and estrogen. FSH products stimulate the ovaries directly and the response is dose related.
Clomid is known to be effective usually within the first 3 cycles. Studies show that extended Clomid therapy beyond 3 cycles is less likely to be successful and may have adverse effects on the endometrium.See The Results >