{"id":15147,"date":"2018-04-02T11:33:58","date_gmt":"2018-04-02T17:33:58","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=15147"},"modified":"2023-06-23T11:57:35","modified_gmt":"2023-06-23T17:57:35","slug":"options-for-infertility","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/options-for-infertility\/","title":{"rendered":"Options for infertility"},"content":{"rendered":"
<\/div>

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If you\u2019re struggling with infertility, you\u2019re not alone. In the United States, about 6 percent of married women up to age 44 are unable to get pregnant after a year of trying, while 12 percent of women up to age 44 have used infertility services.<\/p>\n

But even with a diagnosis of infertility, pregnancy may be possible.<\/p>\n

\u201cIt\u2019s something that needs to be evaluated, and then you can see if there\u2019s a treatment,\u201d said Dr. Jeff Chamberlain<\/a>, an OB-GYN with UCHealth Women\u2019s Care Clinics in Steamboat Springs<\/a> and Craig<\/a>. Below, Chamberlain outlines things to consider if you\u2019re dealing with infertility.<\/p>\n

Reasons often aren\u2019t clear<\/strong><\/h3>\n

There are numerous known causes of infertility, including issues with ovulation, hormones or the reproductive tract. Lifestyle issues such as diet, a low body mass index, or use of alcohol, tobacco or marijuana can also play a role.<\/p>\n

But in many cases, the reason for infertility isn\u2019t clear.<\/p>\n

\u201cSometimes it\u2019s obvious and you can zone in on an issue,\u201d Chamberlain said. \u201cBut it\u2019s pretty common to not have a known cause by the end of all of it all.\u201d<\/p>\n

Age matters<\/strong><\/h3>\n
\"\"
Dr. Jeff Chamberlain is an OB-GYN at UCHealth Women’s Care Clinics in Steamboat Springs and Craig.<\/figcaption><\/figure>\n

The older a woman is, the more difficult it is to get pregnant.<\/p>\n

\u201cAfter around age 35, women begin to ovulate with poorer quality of eggs and often less frequently than at a younger age,\u201d Chamberlain said. \u201cThat\u2019s even more true at age 40. If you\u2019re over 40, the chance of getting pregnant during a menstrual cycle is 10 percent or less. If you are 20 to 30-something, that percentage is in the 25 to 35 percent range.\u201d<\/p>\n

For women up to age 35, infertility is defined as not becoming pregnant after a year of regular sexual intercourse without the use of any birth control. For women older than 35, the diagnosis is made after six months. Women who are 40 or older or who have irregular menstrual cycles may consider immediate infertility evaluation.<\/p>\n

\u201cBe open to discussing any concerns of infertility with your primary care provider or OB-GYN,\u201d Chamberlain said. \u201cThe sooner you bring it up, the sooner we can see if it\u2019s even a concern you need to have.\u201d<\/p>\n

An infertility evaluation is the best first step<\/strong><\/h3>\n

Infertility testing is very personalized and based on factors such as a patient\u2019s medical history, family history and lifestyle. Typically, tests for women include blood work, a review of ovulation patterns and an ultrasound of the pelvis, while men undergo a semen analysis.<\/p>\n

An OB-GYN doctor is a good place to begin, but patients may ultimately be referred to a fertility specialist, also known as a reproductive endocrinologist.<\/p>\n

Before starting an infertility evaluation, it\u2019s a good idea to call insurance and understand your benefits.<\/p>\n

\u201cIt is a big question that almost every patient has, and it\u2019s an easy phone call to make to double check,\u201d Chamberlain said.<\/p>\n

Infertility treatments are available<\/strong><\/h3>\n

Options include hormone treatments to encourage regular ovulation, lifestyle changes such as maintaining a healthy body mass index and limiting use of alcohol and drugs, or even surgery to treat endometriosis, fix a blocked fallopian tube or remove polyps or fibroids.<\/p>\n

Another option is in vitro fertilization (IVF), in which eggs and sperm are combined in a laboratory and then an embryo is transferred to the uterus.<\/p>\n

\u201cWhether or not a couple needs to go down the IVF road is a very personalized decision based on the couple\u2019s age, what they\u2019ve tried before, resources available and what they\u2019re willing to go through,\u201d Chamberlain said.<\/p>\n

At the end of the day, Chamberlain encourages couples to do their best to practice patience and stay optimistic through what is often a difficult, heart-wrenching process.<\/p>\n

\u201cBeing optimistic is hard, but we have lots of tools for evaluation and treatment, which helps,\u201d Chamberlain said. \u201cIt takes a big commitment from both partners.\u201d<\/p>\n

This article first appeared in the Steamboat Pilot & Today on March 19, 2018.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

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