About one in ten couples experience some difficulty conceiving a child. Sometimes it is just a matter of time. 80% of couples will conceive within the first year of trying for a pregnancy and another 10% will conceive within the second year. Generally there is no need to investigate husband or wife until at least one year has passed. Infertility, or subfertility as it is sometimes called, can have many different causes. The important thing to remember is that in the majority of cases there is not just one specific problem but a combination of factors that cause a delay to fertility and it is important that both husband and wife are seen together and investigated as 'unexplained' infertility is the most common cause.
From the woman's side, there may be an ovulation disorder (eggs may not be produced every month). There may be a tubal disorder (infection or endometriosis or other conditions may have caused a blockage in the fallopian tubes). Or there may be a problem in the uterus itself, such as fibroids or congenital problems that inhibit implantation. Investigations of the woman include her history and physical examination, blood testing, ultrasound scan, x-ray dye tests (HSG) and laparoscopy (link to Laparoscopy page when it is on the site).
From the man's side, there may be problems with the number or the quality of the sperm. Some men may have infection or may have formed antibodies which then inhibit fertilization. After taking a history and doing a physical examination, the next step in investigating the man is to analyze the semen. If problems are found, a referral to our urologist is usually the next step.
The first step is to make an appointment as a couple with one of our gynecologists who will then discuss the issues with you, examine and investigate thoroughly, and depending on the results, outline possible treatment strategies. Treatment plans typically involve both husband and wife, and can include changes in nutrition and lifestyle, as well as a range of medical solutions.
Our supportive staff will provide a safe, informative environment for you to begin the process of managing this medical condition.