Clarity, Options, and a Plan
Thoughtful fertility evaluation with stepwise treatments tailored to your goals, timeline, and history.
If you're trying to conceive, clear information and a structured plan make all the difference. We start with a focused workup to identify the most likely barriers, then outline evidence-based options—from cycle tracking and ovulation support to intrauterine insemination (IUI) and referral for IVF when appropriate.
Fast Facts
About 1 in 8 couples experience infertility
Evaluation looks at ovulation, egg reserve, tubes/uterus, and sperm
Many issues are addressable with simple, stepwise care
Timing and age guide how quickly we escalate therapy
What We Evaluate
- Ovulation: cycle history, mid-luteal progesterone, ovulation timing
- Ovarian reserve: AMH, antral follicle count (ultrasound), FSH/E2 as needed
- Uterus & tubes: pelvic ultrasound; saline sonogram or HSG when indicated
- Male factor: semen analysis (motility, morphology, count)
- Thyroid, prolactin, metabolic factors when clinically relevant
Why It Matters
A targeted workup prevents guesswork and speeds time-to-pregnancy. Understanding whether the main barrier is ovulation, sperm parameters, tubal factors, or uterine findings helps us choose the least invasive, most effective first step.
Our Evaluation Roadmap
Visit 1 focuses on history, cycle mapping, and baseline labs. We schedule ultrasound to assess ovaries and the uterine cavity; depending on your story, we may add an HSG to check tubal patency. A semen analysis is requested early. With results in hand, we review a personalized plan and timeline.
Common Treatment Paths
Timed Intercourse / Ovulation Support
- Cycle tracking with LH kits or ultrasound monitoring
- Ovulation induction (e.g., letrozole or clomiphene) when appropriate
- Good for irregular ovulation or unexplained infertility early on
- Low cost and minimal intervention
Intrauterine Insemination (IUI)
- Washed sperm placed in the uterus near ovulation
- Often paired with mild ovulation induction
- Useful for mild male factor or cervical factors
- Typically attempted in a short series of cycles
IVF (Partner Clinic Referral)
- Highest per-cycle success; embryo creation outside the body
- Best for tubal blockage, significant male factor, or after prior steps
- Enables genetic testing where indicated
- Co-managed with a trusted reproductive endocrinology team
Personalized Considerations
Age, cycle regularity, ovarian reserve, semen parameters, and time trying all inform whether we begin with timed cycles, move directly to IUI, or consider IVF referral. We align next steps with your goals, budget, and comfort with intervention.
What to Bring to Your Appointment
- ✓Cycle calendar or tracking app data (last 3–6 months)
- ✓Prior labs, ultrasounds, or procedure notes
- ✓Medication and supplement list
- ✓Any semen analysis results (if available)
- ✓Top questions and your timeline goals
Frequently Asked Questions
1How long should we try before testing?
General guidance is 12 months if under 35 and 6 months if 35 or older. Earlier evaluation is reasonable with irregular cycles, known conditions, or concern about time.
2Do I need all tests before starting treatment?
We prioritize tests that change management. Some treatments can begin while we complete remaining workup to avoid delays.
3What if my cycles are irregular?
We can often induce predictable ovulation safely and monitor timing. Addressing thyroid, prolactin, insulin resistance, or lifestyle factors may also help.
4When is IUI recommended?
IUI is commonly used for mild male factor, cervical factors, unexplained infertility, or when scheduling precision is helpful. It's typically attempted for a set number of cycles before escalating.
5When is IVF the better option?
IVF may be advised for blocked tubes, significant male factor, diminished reserve with time sensitivity, genetic indications, or after other therapies have not succeeded.
A Fertility Plan That Fits Your Life
From first labs to IUI or IVF referral, we'll guide each step with clear timelines and compassionate care.
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