Fertility 101

What is infertility?

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Infertility is a much more common condition than is often recognized. In fact, about 6.1 million couples in the United States, or roughly 10% of the population who are of reproductive age, are affected by the inability to conceive naturally. Because of the personal nature of infertility, it’s not talked about as much as other human ailments. But the emotional trauma of infertility can be just as devastating.

Infertility is defined as the inability to conceive after one year of regular unprotected intercourse. Couples who are truly serious about conceiving children should see a fertility specialist. While there have been dramatic advances in the field of fertility treatments, age is still a major determining factor to the success of any treatment. In simple terms, don’t wait.

There are four main contributing factors to infertility: Ovulatory factors; Tubal & Uterine factors; Male factors; and Unexplained factors. A couple facing infertility may be experiencing one or more of these obstacles in both the male and female partners. Read more here.

What treatment options are offered at CNY Fertility Centers?

After thoroughly testing both partners and identifying potential factors contributing to a couple’s infertility, treatment options will be recommended based on their individual needs. Not all couples and individuals need the most advanced treatments as the first course of action. Conversely, couples and individuals with identifiable factors may experience no benefits from the simpler protocols.

The most common treatment cycles incorporate IUI (Intrauterine Insemination) and IVF (In Vitro Fertilization) and will likely include the use of fertility medications. Many clients will also explore a donor cycle that may utilize the CNY Fertility Egg Bank, a sperm donor, or even an embryo donor. Additionally, you may find that you wish to take advantage of the PGD services that we are able to offer through our partnership with Reprogenetics.

What type of testing and evaluation should I have performed?

Below is a comprehensive list of recommended diagnostic testing as well as the preconception baseline blood work that you can expect to be drawn at your consultation.

A Normal Hysterosalpingogram

A Normal Hysterosalpingogram

 

Recommended diagnostic testing for the Female:

  • Preconception baseline blood work (yearly)
  • Autoimmune testing for recurrent pregnancy loss (if necessary)
  • Hysterosalpingogram (HSG / yearly) – to check condition of fallopian tubes and uterus
  • Physical exam and pelvic ultrasound (monthly)
  • Hysteroscopy / Laparoscopy (diagnostic) –A surgical procedure done under anesthesia (general) to evaluate uterus for polyps, fibroids, endometriosis and adhesions.

Recommended diagnostic testing for the Male:

  • Semen analysis (every 6 months)
  • Chromosome testing / male hormone blood work (if necessary)
  • Possible testicular / scrotum ultrasound to rule out varicose seal

Preconception baseline blood work drawn at consultation:

Female:

  • CBC (complete blood count)
  • CMP (complete metabolic panel)
  • Hepatitis
  • HIV
  • Cystic Fibrosis
  • FSH (follicle stimulating hormone)
  • Progesterone
  • HCG (pregnancy hormone)
  • TSH (thyroid)
  • Testosterone
  • Rubella
  • Varicella
  • LH (lutenizing hormone)
  • Prolactin
  • If you have recurrent pregnancy loss or Estrogen continuous failed implantation, also included will be: Lupus, NKC (natural killer cells), Karyotype (male and female), ANA (antinuclear antibody)

Male: (with male factor infertility)

  • TSH (thyroid)
  • Testosterone
  • Prolactin
  • LH (lutenizing hormone)
  • FSH (follicle stimulating hormone)

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