The causes of infertility are divided equally between male and female factors. In many cases both are at play and need to be addressed before pregnancy can be achieved. That’s why at New England Fertility your initial consultation is very important. During your initial consultation at New England Fertility you (and your partner) will meet with Dr. Lavy and other members of our team of highly skilled fertility experts, who will ask you questions and perform a thorough infertility evaluation. (See below.)
Note: At New England Fertility, we spend considerable effort diagnosing the cause of your infertility. That is because having a clear diagnosis allows us to develop and recommend treatment options and plans that are best suited to your particular situation – that have the greatest likelihood of resulting in a live birth.
A thorough evaluation of every infertile couple or individual is of utmost importance to finding the right course of treatment. Specifically, it provides clinicians with the information they in order to: 1) Counsel the couple or individual about the nature of their problem. 2) Review the various fertility treatment options that are available and their chances of success. 3) Outline a treatment plan.
That’s why at New England Fertility, during the initial consultation, we highly recommend patients go through an evaluation cycle. During the evaluation cycle, the female patient’s menstrual cycle is tracked, with tests performed at various points in the cycle. These tests assess hormone levels, ovulation status, luteal function, and the status of the uterus and the fallopian tubes. At the same time, the male partner is evaluated, with a semen analysis performed.
At the conclusion of the evaluation cycle the couple or individual meets with a clinician to review the results and formulate a treatment plan that fits their specific situation and desires.
Common Treatment Options
- Ovulation Induction: Ovulation disorders are the most common cause of infertility in younger women. And the most common treatment of this problem is the use of various fertility drugs to restore ovulation.
- Intrauterine Insemination (IUI): Intrauterine insemination, where a fine catheter (tube) is inserted through the cervix (the natural opening of the uterus) into the uterus to deposit a sperm sample directly into the uterus, is used alone or in conjunction with ovulation induction in cases of sub-optimal semen parameters.
- Assisted Reproductive Technology (ART): Assisted reproductive technology includes IVF (In Vitro Fertilization) and related procedures such as ICSI (Intra Cytoplasmic Sperm Injection or assisted fertilization), AZH (Assisted Zona Hatching), Preimplantation Genetic Diagnosis (PGD), cryopreservation (freezing of eggs, sperm, and embryos), and egg donation. All of these procedures are supported by our endocrinology, andrology, and embryology laboratories, which are located on site at our Stamford, Connecticut, offices.
- Surgery: In some cases surgery is recommended to correct the cause of infertility and to improve the chances of success. Common conditions treated surgically include uterine polyps, uterine fibroids, and blocked fallopian tubes.