Infertility

Are you having difficulty getting pregnant? You aren’t alone. About 1 in 6 people in the world struggle, too. At Grapevine Women’s Health and Gynecology, LLC, medical experts Nicola Rotberg, MD, and Sarah Jordan, MD, offer comprehensive evaluations and treatment plans to help you on your journey to parenthood. They provide advanced diagnostics, including hormone testing, semen analysis, and imaging, and cutting-edge treatments. Learn more by calling or booking an appointment online today.

What is infertility?

Infertility is a medical condition defined by the inability to conceive after one year of regular, unprotected intercourse. It affects both men and women and can be a source of significant emotional and psychological stress. Infertility isn’t just about the inability to get pregnant; it encompasses various reproductive challenges that may require medical intervention.

What causes infertility?

Infertility can stem from a variety of factors affecting both men and women. Common causes include:

Ovulatory disorders

Problems with ovulation, such as polycystic ovary syndrome (PCOS), thyroid disorders, or hormonal imbalances, can prevent the release of eggs.

Fallopian tube damage or blockage

Conditions like pelvic inflammatory disease (PID), endometriosis, or previous surgeries can block or damage the fallopian tubes, hindering the egg’s journey to the uterus.

Uterine or cervical issues

Structural problems, such as fibroids, polyps, or uterus abnormalities, can affect implantation.

Male factor infertility

Issues with sperm, including low sperm count, poor sperm motility, or abnormal sperm shape, can impair fertilization.

Age

Fertility naturally declines with age, especially after 35 in women and after 40 in men.

Lifestyle factors

Smoking, excessive alcohol consumption, obesity, and stress can negatively impact fertility.

How is infertility diagnosed?

Diagnosing infertility begins with your provider learning about your medical history and lifestyle and performing a physical examination to identify possible causes. 

Ovulation testing follows, involving blood tests to measure hormone levels and ultrasound scans to monitor egg development. A semen analysis may be recommended to evaluate sperm count, motility, and morphology.

Imaging tests, such as hysterosalpingography (HSG) or laparoscopy, are used to examine the uterus and fallopian tubes. Based on initial findings, your provider may recommend specialized tests such as hormone assays, genetic screening, or immunological tests.

How is infertility treated?

Infertility treatment depends on the underlying cause and may include:

• Medications: hormonal treatments, such as clomiphene citrate or letrozole, to stimulate ovulation
• Surgical interventions: procedures to correct blockages or remove fibroids and endometriosis
• Assisted reproductive technologies (ART): techniques like in vitro fertilization (IVF), intrauterine insemination (IUI), or intracytoplasmic sperm injection (ICSI)
• Lifestyle and dietary changes: recommendations to improve overall health and fertility, including weight management, smoking cessation, and stress reduction

Consulting with your Grapevine Women’s Health and Gynecology, LLC fertility specialist can provide personalized guidance and help you explore the best treatment options for your situation.