Approximately 15% of all couples trying to become pregnant will have difficulty conceiving. In about 70% of these infertile couples, a cause can be identified. While 30% will have unexplained infertility, overall, approximately 60% of couples will conceive using basic treatment approaches.
The likelihood of achieving a pregnancy depends upon the specific cause of infertility. Certain diagnoses respond to treatment better than others. Individualized treatment plans are developed using a team approach between you and your physician. Infertility factors vary from one couple to the next. It is our desire to help you add to or start a family, we realize the physical, emotional, and financial impact of going through treatment.
The Reproductive Medicine Group offers a complete array of treatments – from treating basic and complex disorders to overcoming infertility with the most advanced Assisted Reproductive Technologies (ART) available.
Basic and Advanced Fertility Treatments
Basic fertility treatments include interventions aimed at correcting the identified cause for infertility as well as treatments to enhance fertility in couples with unexplained infertility.
Minimally invasive surgeries such as laparoscopy to remove scar tissue or endometriosis and hysteroscopy to remove endometrial polyps, a uterine septum or open a fallopian tube blocked at its insertion into the uterus can improve fertility. Identification and treatment of an infection can improve sperm function or enhanced the sperm-cervical mucous interaction. Fertility medications can improve the timing and quality of ovulation as well as correct luteal phase deficiencies. Intrauterine insemination (IUI) includes washing and concentrating the sperm which also may activate sperm function and placing sperm past the cervical mucous directly into the uterus improving the probability of more sperm reaching the egg. IUI in combination with fertility medication use (both oral and injectable), ultrasound monitoring and HCG injection to trigger ovulation increases the chances of the egg and sperm interacting improving pregnancy rates significantly for many infertile couples. These types of treatments allow the sperm and egg to unite naturally within the woman’s body. These treatments do not allow us to confirm if the egg is actually fertilized by the sperm, if the cells divide to form an embryo, if the embryo enters the uterus or if the embryo implants into the uterus. However, almost 60% of couples are able to conceive with these types of treatments suggesting that the majority of couples are able to conceive with basic treatment interventions.
Of the remaining 40% of couples who do not conceive with basic treatments or in whom basic treatments would not be appropriate, the vast majority are able to become parents through in vitro fertilization either using their own eggs and their husband’s sperm if egg health is acceptable and viable sperm are produced within the testes or with donor oocyte IVF if ovarian function or egg quality is poor.
Advanced fertility treatments (ART) involve the use of injectable fertility medications to increase the number of eggs produced, removing the eggs directly from the ovaries under sedation and uniting the eggs and sperm in a petri dish outside of the body. Fertilization and cell division are confirmed before the embryos are replaced directly into the uterus. Pregnancy rates correlate to the woman’s age and embryo grade.