Aesthetic Medical Center
Dr. Iacob Marcovici, M.D., FACOG
911 Medical Circle
Myrtle Beach SC 29572
Phone: 843 945 9990
info@drmarcovici.com

Infertility

The decision to start or grow your family should be a happy one. Unfortunately, tadalafil it's a fact that millions of people experience infertility. The diagnosis of infertility is made if a patient fails to become pregnant after 1 year of regular, check unprotected sexual intercourse. There are many factors to consider. We can help determine the cause of infertility, and provide available treatment options and solutions.

  • One reason a woman may be infertile is that she is not ovulating or releasing eggs (anovulatory). This failure to ovulate may be caused by: hormone imbalance including thyroid gland problems, tumors in the pituitary gland, ovary problems, such as a tumor or cyst, a menstrual cycle that is too short, weight loss, including eating disorders such as anorexia and bulimia or intense exercise, overweight, or too much stress.
  • Damage of fallopian tube or uterus can also cause infertility. These organs may be damaged from a previous infection, such as: a sexually transmitted disease, pelvic inflammatory disease. Other reasons for infertility could be an uterus with an abnormal shape or position, polyps or fibroids in the uterus, surgery to remove a tubal pregnancy, endometriosis (tissue from the uterus growing outside the uterus), adhesions (scar tissue) inside the uterus or in the pelvis.
  • On occasion the problems is with your cervix (mouth of the womb), such as: a cervix that is very narrow or closed and/or abnormal cervical mucus.
  • In rare cases, a woman's body is allergic to sperm and destroys it.
  • Some rare genetic problems also cause infertility.
  • Also do not forget the biological clock: A woman becomes less fertile as she is getting older, especially after age 35.

To diagnose the problem you and your partner will have a physical examination and you will be asked about:

  • Your sexual history, including previous pregnancy, miscarriage, or abortion
  • Your history of medical conditions such as illnesses and infections
  • Your family history
  • Use of drugs and alcohol
  • Sexual intercourse practices, such as how often you have sex and whether you use lubricants
  • Genital or abdominal surgery
  • Genital development.

Possible testing to help determine the cause of infertility will be:

  • A count of your partner's sperm to see if the cause of infertility is too few sperm or abnormal sperm.
  • Urine and blood tests to check for infections and a hormone imbalance
  • Tests of samples of cervical mucus and tissue from the lining of your uterus to check for ovulation.
  • The doctor may tell you how to take and chart your body temperature each morning. A woman's temperature rises after ovulation and therefore, the chart helps checking for ovulation.
  • You may have procedures to check for a blockage in the fallopian tubes or uterus, or adhesions, such as: laparoscopy (a scope is inserted into your abdomen to evaluate the pelvic organs) and/or a hysteroscopy (a scope is inserted in the uterus through the vagina) or a hysterosalpingogram (an x-ray of the uterus and fallopian tubes after they are injected with a special dye) or a hystero-sonogram (sterile saline is injected into the uterus while having an ultrasound).

Treatment for Infertility: Treatments may include medication, such as hormones or antibiotics, or surgery. Sometimes a combination of treatments for both partners is necessary. You may be asked to keep a record of your daily temperature to track ovulation. This will help predict when you are most fertile or if the drugs you are taking stimulate egg production. If your partner's sperm count is low, artificial insemination is an option. The sperm is collected at several different times and then placed in your body during the most fertile time in your menstrual cycle. This procedure has varying success. Another choice is to use sperm donated by another man.

In vitro fertilization (IVF) is another option that has good success rates. IVF is a process by which egg cells are fertilised by sperm outside the body, in vitro. IVF is a major treatment in infertility when other methods of assisted reproductive technology have failed. The process involves hormonally controlling the ovulatory process, removing ova (eggs) from the woman's ovaries and letting sperm fertilise them in a fluid medium. The fertilised egg (zygote) is then transferred to the patient's uterus with the intent to establish a successful pregnancy.

For women that have had tubal ligation in the past and want tubal reversal, a successful corrective tubal surgery is possible, on occasion. All depending on the type of tubal surgery performed at the time of sterilization.

Finally: The period of investigation and treatment for infertility can be stressful for a couple. It can put unusual strain on your relationship. Counseling may help you get through any difficult times. Your doctor can help.

Call at 843 945 9990 to schedule an appointment with Dr. Marcovici

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