If you and your partner are having trouble getting pregnant, you are not alone. The Centers for Disease Control and Prevention estimate that 7.3 million people are affected by infertility in the United States -- that's roughly 12% of the reproductive-age population. Fortunately, there are many tests and procedures that can identify and treat the causes of infertility.
According to the American Society for Reproductive Medicine, infertility is a medical condition of the reproductive system that results in the inability to conceive or carry a pregnancy to term. The condition is diagnosed after a couple has had a year of unprotected, regular intercourse without conceiving, or when pregnancy occurs but does not result in a live birth.
Infertility can be due to factors in either the female or the male. 35-40% of the time the cause can be traced to the female partner, and 35-40% of the time infertility can be linked to the male partner. Sometimes conditions in both partners play a role. Other times the reason for infertility remains unknown.
Common Causes For Women
Common Causes For Men
Sperm production can be affected by blocked passageways, fevers, infections, or birth defects.
Other factors that can contribute to infertility include stress, smoking, alcohol use, excess weight and overall health.
Most physicians will recommend that couples try to conceive for a year before seeking medical assistance. If a woman is over 30, has a history of pelvic disease, miscarriage, painful menstruation, irregular cycles, or if her partner has a low sperm count, the National Infertility Association recommends that she and her partner may want to seek professional advice sooner.
A doctor may recommend a variety of diagnostic tests that can help determine why a couple is having trouble getting pregnant.
Diagnostic tests for women include a thorough medical history, blood tests to check hormone levels, an ultrasound to examine the lining of the uterus and look for any structural abnormalities of the uterus, and an X-ray to determine the shape of the uterine cavity and if the fallopian tubes are open. A doctor may also recommend laparoscopic surgery to check for endometriosis, adhesions or pelvic scarring. Laparoscopy is generally performed on an outpatient basis.
Tests may include:
Tests to evaluate male causes:
Tests to check for how well a woman’s ovaries are functioning:
Tests to make sure a woman uterus and tubes are working:
Treatment depends on the cause of infertility for any given couple. It may include simple education and counseling, the use of medications that treat infections or promote ovulation, or highly sophisticated medical procedures such as in-vitro fertilization.
It is important for the couple to recognize and discuss the emotional impact of infertility, and to seek medical advice from a health care provider. Support groups for infertile couples may be an important source of strength and comfort. RESOLVE, a national organization, both provides informal support and serves as a referral base for professional counseling specific to infertility issues.
Reviewed By: Irina Burd, MD, PhD, Maternal Fetal Medicine, Johns Hopkins University, Baltimore, MD. Review provided by VeriMed Healthcare Network.