Search Health Library

Health Library Home

Pregnancy & Birthing COE Home Page
Birth Statistics in the US
Reproductive Anatomy & Physiology
Planning a Pregnancy
& Your Menstrual Cycle
Dealing With Infertility
Prenatal Medical Care & Screening
Fetal Development by Trimester
Weight Gain During Pregnancy
Diet During Pregnancy
Exercise During Pregnancy

Dealing With Fertility Problems

by Cynthia M. Johnson, MA

If you have been trying to get pregnant for a year or more (6 months or more if you are 35 or older), you may want to visit your doctor to discuss your fertility. Getting pregnant requires a complex chain of events to fall into place. If one piece of that chain is not occurring properly, then you may not be able to get pregnant. There are many fertility treatments that can help you to become pregnant.

While a few women can easily get pregnant soon after they start trying, many women face fertility problems. Infertility affects more than 7.5 million Americans, or just over 12% of the reproductive-age population.

You should schedule a visit with your doctor to discuss your fertility if you:

There are a number of factors that affect infertility. In women, increased age, uterine fibroids, endometriosis, pelvic inflammatory disease, polycystic ovarian syndrome (PCOS), premature ovarian failure (POF), luteal phase defect (LPD), smoking, alcohol use, extreme underweight or overweight, strenuous exercise, eating disorders, and sexually transmitted diseases (STDs) are examples of factors that can affect fertility. In men, increased age, alcohol, drugs, STDs, diabetes, prostate surgery, and testicle injuries or problems are factors that can lead to infertility.

Increased age is associated with declining fertility, especially in women after age 35. Men often remain fertile into their 60s and 70s, although increased age can be linked to problems with the shape and movement of sperm.

If your doctor performs fertility testing on you and/or your partner and finds a problem with fertility, there are a number of treatment options that can help you get pregnant. The table below lists some of the most common fertility treatments.

Treatment Description
MedicationsA variety of medications can be used to treat infertility. Many of these medications can be used to treat women with ovulation problems. Your doctor will explain the medication options that will be of most benefit to you.
SurgeryOften, surgery can be performed to treat male or female infertility, especially if it is due to a structural problem such as damage to the ovaries, fallopian tubes, or uterus.
Intrauterine insemination (IUI)Intrauterine insemination, or artificial insemination, involves injecting a woman with sperm from her husband or a sperm donor. IUI is often used with medications to encourage ovulation.
In vitro fertilization (IVF)In IVF, medications are used to encourage the ovaries to produce multiple eggs. The eggs are removed when they are mature. They are cultured in a dish with sperm. Fertilized eggs are placed into the woman’s uterus or fallopian tubes.
Donated gametes (reproductive cells) or embryosA woman or man may have problems producing eggs or sperm or may have genetic problems that could be passed on to offspring. Donated eggs, sperm, or embryos, along with IVF, can be used to achieve a pregnancy.
SurrogacyIf a woman is unable to carry a pregnancy or cannot safely carry a pregnancy, a surrogate carrier may be used. In surrogacy, an embryo is placed in the surrogate, who carries the pregnancy until birth and then gives the baby to the parents.
Back to Pregnancy & Birthing COE Home Page

References:

Evaluating infertility. The American College of Obstetricians and Gynecologists website. Available at:
...(Click grey area to select URL)
Updated June 2012. Accessed January 30, 2017.
Infertility. American Pregnancy Association website. Available at:
...(Click grey area to select URL)
Accessed January 30, 2017.
Treating infertility. The American College of Obstetricians and Gynecologists website. Available at:
...(Click grey area to select URL)
Updated March 2015. Accessed January 30, 2017.
What is infertility? The National Infertility Association website. Available at:
...(Click grey area to select URL)
Accessed January 30, 2017.

RESOURCES:

National Infertility Association
http://www.resolve.org
Office on Women's Health
https://www.womenshealth.gov

CANADIAN RESOURCES:

The Society of Obstetricians and Gynaecologists of Canada
https://sogc.org
Women's Health Matters
http://www.womenshealthmatters.ca
Last reviewed January 30, 2017 by Andrea Chisholm, MD
Last Updated: 12/20/2014
Back to Pregnancy & Birthing COE Home Page

 

EBSCO Information Services is fully accredited by URAC. URAC is an independent, nonprofit health care accrediting organization dedicated to promoting health care quality through accreditation, certification and commendation.

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.

To send comments or feedback to our Editorial Team regarding the content please email us at healthlibrarysupport@ebsco.com. Our Health Library Support team will respond to your email request within 2 business days.

Privacy Policy | Editorial Policy