Infertility in Women

Woman thinking about infertility

The physicians at LGBT Fertility feel privileged to help patients achieve their dreams. Our focus is identifying the underlying issues interfering with your ability to successfully conceive. In order to obtain an accurate diagnosis of the cause of your infertility, your physician will conduct an extensive evaluation of your past and present fertility status. This starts with a complete history that is documented on our web portal prior to your first visit. Once your diagnosis has been established, you and your physician at LGBT Fertility will then determine the course of treatment that’s right for you. Our physicians are up-to-date on the latest protocols designed to maximize the prospects of success in even the most challenging cases, however, understanding the underlying cause of infertility is required.

Age and Infertility

If you are like most women, you have spent several years of your life trying not to get pregnant, and then when you are ready to conceive, age may be an issue.  Women are born with all the eggs they will ever have, and the egg quality begins to deteriorate with age, making it more difficult to conceive. Hormonal testing to evaluate ovarian function can be helpful in the diagnosis and treatment of age-related fertility issues. This involves blood tests, which are performed early in the diagnostic process.

Unexplained Infertility

Frequently, you can have a complete fertility evaluation and all the tests come back normal. This is extremely frustrating, but it does not mean that there isn’t a problem. It simply means that we are unable to identify a specific issue that is keeping you from getting pregnant. By increasing the number of eggs available at the time of ovulation, we are able to increase the success rate of pregnancy occurring.

Polycystic Ovary Syndrome

Polycystic ovary syndrome (PCOS) may well be the most common endocrine disorder affecting women of reproductive age. For some women, the disorder is easy to identify, with the classic signs of irregular menses, increased facial hair growth and infertility. For others, the signs are more subtle, making the diagnosis difficult.

Endometriosis

One of the most common symptoms of endometriosis is pain, mostly in the abdomen, lower back, and pelvic areas. The amount of pain a woman experiences is not linked to how much endometriosis she has. Some women experience no pain even if their endometriosis is very extensive, meaning that the affected areas are large, or that there is scarring. Other women, on the other hand, experience severe pain even if they have only a few small regions of endometriosis.

Tubal Factor Infertility/Hydrosalpinx

All patients, who have had a history of tubal disease, symptomatic or just on testing, should make certain that there are no residual blocked fallopian tubes. When these tubes fill with fluid they are called a hydrosalpinx. If a hydrosalpinx is present, your chances of success with IVF will be reduced by 50%. It is possible to clip or remove one or two of the hydrosalpinges, thus, reversing this 50% decrease entirely.