The technical definition of infertility is the inability to conceive after one year of unprotected sex, and six months if you’re 35 or older. Infertility also includes women who can get pregnant, but not stay pregnant.
When you’re trying to get pregnant, several things need to happen, and a breakdown in any one of these areas can cause infertility:
Most fertility issues in women stem from ovulation problems. Ovulation problems are most often caused by polycystic ovary syndrome, or PCOS, a hormone imbalance that interferes with your ability to produce eggs normally.
Another problem that can cause ovulation issues is primary ovarian insufficiency, or POI, which is when your ovaries don’t properly work before you get to the age of 40.
Other, less common, causes of infertility are:
In addition to physical reproductive problems, there are a number of behaviors and conditions that can put you at risk for infertility, such as:
Since the causes of infertility are so vast, Dr. Sanches or Dr. Osman first perform a complete physical and review your medical history and your behaviors to determine where to start. Often, a conservative approach at the beginning is best, which involves mitigating some of the risks or treating the conditions that may have an impact on your ability to get pregnant.
If you’re still unable to conceive, your gynecologist will try more aggressive approaches that may include:
Dr. Osman or Dr. Sanches will work diligently toward a solution and often recommend a multi-pronged approach to increase your chances of success.
Feel free to email us regarding any scheduling or general questions!