Fertility Screening and Counseling

Services: Fertility

Fertility Screening & Counseling

Whether you are expecting a baby or are concerned for your health, we offer comprehensive genetic counseling. Our genetic counseling services provide personalized testing and information about diseases and disorders in your family to determine if risk factors may be present.

The most common cause of female infertility is a problem with ovulation. The most common cause of male infertility is a problem with sperm cells and how they function. Other factors that may affect fertility include age, lifestyle, and health conditions.

An infertility evaluation includes exams and tests to find why you and your partner have not gotten pregnant.

Dawn Ammirata, APRN

Infertility Risk Factors

The most common cause of female infertility is a problem with ovulation. The most common cause of male infertility is a problem with sperm cells and how they function. Other factors that may affect fertility include age, lifestyle, and health conditions.

Women underweight, overweight, or exercising too much may have a more challenging time getting pregnant. In women, drinking alcohol at moderate or heavy levels and smoking may reduce fertility. Smoking, heavy drinking, and using marijuana can lower sperm count and movement in men.

Laparoscopy—This procedure uses a camera with a thin light source inserted through the abdomen. This can show the fallopian tubes, ovaries, and the outside of the uterus.

For healthy couples in their 20s or early 30s, a woman’s chance of becoming pregnant is about 25 to 30 percent in any single menstrual cycle. This percentage starts to decline in a woman’s early 30s. It declines more rapidly after age 37.

By age 40, a woman’s chance of getting pregnant drops to less than 10 percent per menstrual cycle. A man’s fertility also declines with age, but not as predictably.

In men, infertility can be caused when the tubes that carry sperm from the testicles are blocked.

Problems with reproductive organs or hormones cause fertility issues.

What is an infertility evaluation?

An infertility evaluation includes exams and tests to find why you and your partner have not gotten pregnant. If a cause is found, treatment may be possible. In many cases, infertility can be successfully treated even if no reason is found.

When should I consider having an infertility evaluation?

Experts recommend an infertility evaluation if you have not gotten pregnant after one year of having regular sexual intercourse without using birth control. If you are older than 35, an evaluation is recommended after six months of trying. If you are older than 40, talk with your obstetrician-gynecologist (ob-gyn) about an assessment.

What type of doctor does an infertility evaluation?

Your ob-gyn usually will do the first assessment. You also may see a reproductive endocrinologist (an ob-gyn with special training in infertility). Men may see a urologist. It is essential to find a specialist you are comfortable with.

What causes infertility?

The most common cause of female infertility is a problem with ovulation. The most common cause of male infertility is a problem with sperm cells and how they function. Other factors that may affect fertility include age, lifestyle, and health conditions. Sometimes no cause of infertility is found. This is called unexplained infertility.

How can health conditions affect fertility?

In women, several health problems can affect women’s fertility, including:

  • Problems with reproductive organs or hormones
  • Scarring or blockages of the fallopian tubes (from past sexually transmitted infections [STIs] or endometriosis)
  • Problems with the thyroid gland or pituitary gland

In men, infertility can be caused when the tubes that carry sperm from the testicles are blocked.

Articles From Our Women's Health Library

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