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Posts for tag: Infertility

By James A. Scales, MD
December 14, 2018
Category: OBGYN Care
Tags: Infertility  

If you are having trouble conceiving it’s important to turn to your OBGYN for help.

While it isn’t a topic that a lot of people feel comfortable talking about, at some point, it’s important to acknowledge that you and your partner are having trouble conceiving. Given the significance of the topic, it’s important to know when to see a doctor for an evaluation.


When should I visit an OBGYN?

At some point you may be wondering whether or not you should seek a consultation with a fertility doctor. Here’s when you should,

  • If you are under the age of 35, have been trying to conceive, and haven’t used birth control for over 12 months, then it’s time to schedule a consultation
  • If you are over 35 and have been trying to actively conceive for six months, you should get evaluated right away


What will happen during my appointment?

Your OBGYN will first want to make sure you are ovulating, which every woman can easily figure out on her own by charting her basal body temperature for a few months. This may provide some answers as to why you are having trouble conceiving.

Fertility testing may also be recommended. During this appointment, we will go through your medical history and talk to you about different tests such as an ultrasound, blood work, and physical exams for both partners, which can provide the information we need to figure out why you are having trouble getting pregnant.

Once testing has been completed we will be able to make a definitive diagnosis as to why you and your partner are having difficulty conceiving. Even if we aren’t able to find anything wrong, you can still receive fertility treatment to improve your chances of getting pregnant.


What are my fertility treatment options?

The most common types of fertility treatments include,

  • Medication (to help your body release one or more eggs each month)
  • In-vitro fertilization (IVF)
  • Surgery (to fix defects, remove fibroids, treat PCOS, etc.)


If you and your partner are having trouble conceiving, it’s best to have these concerns addressed as soon as possible. Many women go on to have healthy, happy babies with the help of their obstetrician. Call your doctor to learn more about the fertility treatment options available to you.

By James A. Scales, MD
April 03, 2018
Category: Fertility
Tags: Infertility  

There are many reasons couples have trouble getting pregnant. There are so many factors that can influence fertility and it can be almost impossible to pinpoint the cause without turning to a medical expert for help; fortunately, your OBGYN is a great source for providing a proper evaluation and treatment options to increase your odds of getting pregnant.

So, when should you consider visiting your gynecologist or infertility specialist? If you are at a high risk for infertility, if you are over the age of 35 or if you’ve been trying to get pregnant for a year, then you may want to schedule an evaluation to find out if there is something that could be preventing you from getting pregnant.

During a fertility evaluation, you and your partner will provide details regarding your medical histories, and you will undergo a physical examination. For women, a blood test will be performed to check hormone levels. If you have a history of irregular periods this could also mean that there is an ovulation issue.

X-rays or other imaging tests may also be performed to check the health of the reproductive organs or to determine if there is a blockage in the fallopian tubes. Uterine fibroids can also be detected through these imaging tests, and this common issue can also affect a woman’s ability to get pregnant.

The most effective fertility treatment will really depend on the root cause. If there is an ovulation problem then medication will be prescribed to either stimulate the release of the egg or to treat conditions such as polycystic ovary syndrome, which can make it difficult to get pregnant.

If there is a fallopian tube blockage, then surgery will be performed to remove the blockage. If endometriosis is causing your infertility then a minor surgery may be recommended to remove the excess endometrial tissue.

However, there are situations in which your OBGYN can’t find the cause of your infertility. Even if this happens there are different ways to treat infertility to increase your odds of getting pregnant. Just like with any condition, there is trial and error when it comes to finding the right treatment. Medication may be prescribed (often the same type of medication used to treat ovulation problems).

If a woman is dealing with damaged fallopian tubes, severe endometriosis or other fertility issues that don’t respond to the treatment options above, in-vitro fertilization (IVF) may be recommended.

Your gynecologist will sit down with you to discuss the ideal fertility treatment options that will offer the best chance for success.