Do I have a fertility problem?

The most commonly accepted definition of infertility is failure to conceive over one year of unprotected intercourse. This will happen to 10 to 15% of couples, and presumes that you have intercourse frequently enough to have the sperm and egg meet. How often is that? If you have regular periods every twenty eight to thirty days, ovulation should occur around day fourteen to sixteen. (Day one is the first day of your period.) It may be that you only need to pay closer attention to sex every other day beginning around day 12. Sperm will live in the tubes for three to five days waiting for an egg to pop out. I have had many couples having problems who succeeded just by changing their timing of sex. It takes longer to conceive when you are older. After 35 it is not uncommon to take 8 to 12 months to conceive. Earlier in life it is common in the first 3 to 6 months. What should I be doing? If you think you may have a fertility problem, keep track of your periods and mark when you had intercourse. 40% of fertility problems are male, and it might be worth going ahead and getting a semen analysis done through his family doctor. He needs to abstain from ejaculation for 48 hours prior to providing the sample. May men have problems with their virility and egos all tied up in their sperm counts. Be sensitive in how you approach the topic, and tell him that you will be going to the gynecologist after the results are obtained. Feel free to bring him along to the initial consultation. The basic evaluation is fairly simple to understand. There have to be sperm of good quality. They have to meet with the egg at the right time. The passageway (cervix, uterus, and tubes) must be open. And finally the uterus must be able to accept the fertilized egg. There are tests to address each of these steps. Call and make an appointment to discuss your situation. It doesn't hurt to take a few of the above mentioned steps to get a head start. Don't keep basal body temps. It creates too much stress. Stress and anxiety are among the hardest of things to deal with is these situations. We can check for ovulation by measuring blood tests for progesterone. Good luck. It will happen.

Patient Education

Hereditary Cancer Syndrome Screening Information

Anyone can be at increased risk for cancer based on their family history. This is especially true for certain types of cancers such as: breast, ovary, colon, endometrium (uterine), pancreas, and melanoma. The more unusual the timing of the cancer (early age onset) or prevalence within a family, the higher... Read More

Essure Tubal Sterilization

There has been a good bit of advertising recently about the Essure method of tubal sterilization. Essure is not new, and has been on the market for a number of years. The Essure method of sterilization  requires placement of a device in each tubal opening, where it opens into the... Read More

American College of ObGYN Patient Information Website

The American College of ObGYN (ACOG) is the governing body for ObGYN doctors in America. They have created a very informative and helpful patient information page that covers a wide variety of topics for patients. If you have any questions about women's health, this website is a great resource. If... Read More

What's with the NEW Pap Smear Guidelines?

With the advancement of DNA technology, it has been determined that 99% of cervical cancers are caused by Human Papilloma Virus (HPV). There are many subtypes of HPV, and a small number have been detected in cervical cancers. These subtypes are called  high risk HPV subltypes. The highest risk types are types 16... Read More

Mirena IUD

Mirena IUD's are plastic devices that fit inside your uterus and provide contraception. They have several advantages. First they are very effective with greater than 99% prevention of pregnancy.  The stem of the Mirena contains levonorgestrel, a part of many popular birth control pills. Second, once inserted, they are almost... Read More

Pregnant! What not to eat.

You have probably heard that there are foods that should be avoided during pregnancy. Most of the restrictions are directed at avoiding mercury which has gotten concentrated in fish. The fish to be avoided are the predatory fish from the ocean, and include tuna, shark, mackerel, and salmon. In fact, most fish should... Read More

Insurance

Major Insurance Providers Accepted

Aetna
Anthem Blue Cross Blue Shield
Blue Cross Blue Shield
Choice Care
Cigna
Geo Blue
United Healthcare
United Health One
US Health Group

If you are ready for compassionate and quality care

in a friendly, comfortable environment, make an appointment!