Infertility in Females

You Are Not Alone

In the United States, approximately 10% of women between the ages 15 – 44 have difficulty conceiving or carrying a baby to term. This equates to about 6.1 million women who want to become pregnant, but face the obstacle of infertility.

Risk factors include age, as women generally become less fertile after the mid-30s. Extreme overweight or underweight patients may also suffer from infertility. Smoking, alcohol and caffeine use are known to impair fertility. Stress can also be a factor.

There are various medical conditions to consider, as well, that can affect a woman’s ability to reproduce. These disorders include:

  • Pelvic inflammatory disease
  • Endometriosis
  • Polycystic ovary syndrome (PCOS)
  • Premature ovarian failure
  • Uterine fibroids
  • Issues with ovulation, including hormones involved with ovulation
  • Irregular ovulation
  • blocked fallopian tubes
  • Structural problems in the reproductive system
  • Problems with the quality of cervical mucus
  • Problems with the quality of eggs
  • Infrequent or absent menstrual cycles
  • Elevated Prolactin levels
  • Congenital structural abnormalities
Woman taking a pregnancy test

Steps in the Fertility Journey

If you are struggling with fertility, we invite you to come in for a consultation. Premier Fertility Center uses all the technology available to determine what is wrong and implement a treatment plan. Your evaluation will include laboratory tests to help pinpoint the cause of infertility. These tests will also help your doctor monitor your treatments.

  • We test your blood to measure prolactin levels and thyroid function, which may indirectly affect fertility.
  • We study your hormone levels through blood and urine tests.
  • We examine the number of follicles and quality of your eggs through hormonal tests, including a Clomiphene Challenge Test, for ovarian reserve. This is especially important for older women.
  • We look for high FSH and high estrogen levels on the third day of your cycle, which can predict less success in fertility treatments in older women.
  • We look for high follicle-stimulating hormone (FSH) and luteinizing hormone (LH) levels and low estrogen levels, which suggest premature ovarian failure.
  • We look for high LH and low FSH, which may suggest polycystic ovary syndrome or luteal phase defect.
  • We look for LH surges, which indicate ovulation.
  • We may take tissue samples.

Imaging and Diagnostics

If these initial fertility tests are normal, we will pursue more extensive testing to reveal abnormal tubal and uterine problems. This includes:

  • Ultrasound
  • Saline-infusion sonohysterography
  • Hysterosalpingography
  • Hysteroscopy
  • Laparoscopy