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Friday, October 18, 2013

When ‘Trying” Isn’t Enough

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Most of us think that getting pregnant is the easiest thing in the world, right. You just don’t do anything and within month so stopping birth control you should be planning baby showers. When that does not happen you might start to wonder what is wrong.

At Parkmed we specialize in diagnosing and treating conditions leading to infertility and can help you get on the right track. Our sensitive and knowledgeable Board Certified doctors are happy to sit down with you and answer any of your questions regarding infertility. You can call or send us an email for Appointments.

Infertility is defined as not conceiving a child during a year or more of unprotected sex and is generally grouped into two types.

Primary Infertility is when a couple has been trying for over a year without success. Whereas Secondary infertility is when the couples has had successful pregnancies but of some reason are unable to conceive another child after a year of trying.

There are several reasons that both men and women can be infertile.

Infertility in men or limited fertility can be caused by general health issues and environmental factors. Fertility can be affected by cancer and cancer treatment medications.  Unbalanced hormone levels, scaring from STDs, impotence retrograde ejaculation also can be a factor. Smoking, exposure to pollution, heavy alcohol or drug use or exposure to high heat for prolonged periods of time can also have negative effects.

For women autoimmune disorders, diabetes, cancer, Polycystic Ovarian Syndromes,  Pelvic Inflammatory Disease  , Endometriosis, thyroid disorders and abnormal hormone levels can make ovulation, fertilization and implantation difficult. Also, Eating disorders, obesity, alcohol consumption and over exercise can also be factors. Discussing these issues with your OBGYN can help mediate some of these factors and get you on track for decorating nurseries.
If you are having trouble getting you family started there are tests your OBGYN can do to help figure out what is standing in the say.

Both partners need to be involved in this process because the problems could be on either or both sides. Make an appointment with your OBGYN for both of you.

After a basic physical exam to look for problems you doctor may recommend some tests to look for the source of your infertility.
  • Blood tests to check hormone levels, including progesterone and follicle stimulating hormone to make sure that ovulation is occurring.
  • FSH and clomid challenge tests. These tests help determine whether a woman has a limited ovarian reserve which can be a negative predictor for pregnancy.
  • Hystosalpingogram (HSG). In this test a dye is injected into the uterus and pushed through the fallopian tubes to look for blockages that could keep egg and sperm from meeting.
  • Pelvic Ultrasound
  • Laparoscopic surgery to examine the uterus and fallopian tubes and possible remove fibroids or other tissue that might be causing problems with conception.
  • Luteinizing hormone tests
  • Thyroid function test for women.
  • Sperm testing for men.
Once these tests are done you and your OBGYN make a plan of treatment which can greatly improve your chances of starting your family.
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