Your Questions Answered
What is infertility and what can women do if they think they have infertility problems?
Infertility
The difficulty to conceive is more prevalent than many people are aware and the problem can raise questions that only compound the confusion and stress couples face throughout this ordeal. Nearly six million people in the United States are struggling through infertility. About ten percent of couples in the reproductive age group are unable to conceive within one year of beginning their attempt, and one million seek treatment every year. In addition, almost one million couples will have difficulty conceiving a second child.
Infertility is usually defined as a medical problem diagnosed after a couple has been trying for one full year to conceive. About one third of infertility is due to a female factor and one third is due to a male factor. In the remainder of couples the problem is a combination of both male and female factors, or as yet unexplained causes. It may be appropriate to seek help sooner than one year if you are older (>35 years), have had a history of gynecologic problems (such as irregular periods), or if your partner is known to have a low sperm count.
It is often hard to admit you may be having a problem conceiving. Couples often delay-hoping “it will happen this month.” You should always feel comfortable asking your health provider about these concerns.
Most OB/GYN physicians are trained in initiating an evaluation of your fertility concerns. At Harbour Women’s Health we are happy to work with you in the assessment that is needed. The initial evaluation is not complex or difficult and we can make a start in understanding and treating your particular situation. If the problem is more complex, we have established relationships with reproductive specialists to whom we can refer your problem. The majority of patients, however, do not require extensive or prolonged assessment.
Aside from general health examination, the evaluation of the woman is centered on documenting and timing ovulation. Additionally, tests to ascertain that the uterus and fallopian tubes are normal will be planned. As in other areas of medicine there are alternate tests that may be indicated after initial assessment dictates which direction to follow.
The male examination centers on evaluation of sperm count and motility. More advanced assessment may be required if abnormalities are found.
Within one or two cycles a basic foundation of information can be acquired and an organized plan of treatment or further evaluation developed.
You can do something about your concerns. Discuss them with your doctor, and obtain and read reliable information from your doctor or library. Contact RESOLVE (a patient-sponsored advocacy group) on the web at resolve.org or call 888.623.0744.
This month the New Hampshire chapter of RESOLVE is sponsoring a one-day symposium on September 22 in Manchester, NH. For information call 888.303.9144.