The Facts about Infertility
Did you know? 1 in 8 couples have trouble getting pregnant or carrying a pregnancy to full term?
Did you know? The American Society for Reproductive Medicine (ASRM) and the American College of Obstetricians and Gynecologists (ACOG) and the World Health Organization (WHO) recognize infertility as a disease. Infertility is a disease or condition that results in the abnormal functioning of the male or female reproductive system.
Did you know? Approximately one-third of infertility is attributed to the female partner, one-third attributed to the male partner and one-third is caused by a combination of problems in both partners or, is unexplained.
Did you know? Approximately 85-90% of infertility cases are treated with drug therapy or surgical procedures. Fewer than 3% need advanced reproductive technologies.
Did you know? Often there are no signs or symptoms associated with an infertility problem. Early detection and treatment of a problem are often critical in achieving successful pregnancy outcomes later.
Do You Need to See A Specialist?
According to the American Society for Reproductive Medicine, you should seek the care of a specialist if you are unable to achieve pregnancy after 12 months of unprotected intercourse and the women is under the age of 35, six months if the women is more than 35 years of age. You should also seek the care of a specialist if you have had more than one miscarriage.
If you answer "YES" to any of these statements talk to your healthcare professional now regardless of how long you've been trying to conceive. Asking questions, educating yourself or your partner, and being your own advocate are the fastest ways to building your family.
- I have painful periods.
- I have irregular periods.
- I cannot pinpoint when I ovulate.
- My partner/I have a history of STDs.
- I have an unhealthy Body Mass Index (BMI). (underweight or overweight)
- I have had more than one miscarriage.
Infertility Diagnostic Testing
- Hormonal Testing - Blood or urine testing to look for hormone abnormalities
- Ovarian Reserve Testing - A test to determine the changes of pregnancy from the eggs remaining in a woman’s ovaries
- Pelvic Ultrasound - An ultrasound is performed in the office to view the uterus and ovaries. A sonohysterograghy is a test done in the office to evaluate the inside of the uterine cavity
- Hysterosalpingogram - An x-ray to examine the uterine cavity and to demonstrate that the fallopian tubes are open. This test is done at a hospital in radiology department by Dr. Thie.
- Semen Analysis - This test is performed at a qualified sperm lab but must be ordered by Dr. Thie or your partner’s physician.
- Laparoscopic surgery - This is an outpatient surgery for the diagnosis and treatment of certain fertility problems. Dr. Thie is trained on Da Vinci Robotic surgery as well.
Dr. Thie also evaluates patients for the causes and treatment of:
- Recurrent pregnancy loss (multiple miscarriages)
- Premature menopause (Menopause staring before age 40)
- Polycystic ovarian syndrome (hormone imbalance with extra male hormones and insulin resistance)
Infertility Services (Basic)
- Ovulation Induction - This is the use of fertility medication to induce or improve the ovulation of eggs. This can be done with the use of oral medications such as clomiphene, tamoxifen or aromatase inhibitors. Fertility medicines can also be given by injections. These are natural hormones and produce higher pregnancy rates than oral medications.
- Hysteroscopic surgery for:
- Uterine fibroids
- Intrauterine scarring
- Uterine septum
- Myomectomy - Removal of uterine fibroids with conservation of the uterus. This may be done with a DaVinci robotic procedure or may in some cases require an open procedure.
- Microsurgical Tubal Ligation Reversal - This surgery can now be done with the Da Vinci robot which allows for an outpatient procedure.