Initially, the patient evaluation will
take place with an in-depth review of your medical history. Basic tests
will be performed such as hormonal assays, ovulation detection and cervical
cultures. These basic tests are performed before a decision is made for
Fertility investigation of a man hinges largely upon a single procedure
called a semen analysis. The series of tests performed on a semen specimen
tells us most of what there is to know about the state of specimen production
In our Program, the first step is
an evaluation of all information regarding the cause or causes of infertility.
Most couples have completed a comprehensive initial evaluation for infertility
with their gynecologist prior to referral to our Program, and may have completed
corrective procedures or therapy without obtaining a pregnancy.
An assessment of your previous medical
history evaluation and therapy will guide us toward providing the particular
form of assistance that is indicated for you. We will review your information
with you at your initial appointment and a treatment plan will be established
for your care.
As information regarding your fertility
parameters is collected, we will develop and modify your treatment
based on these factors. Any therapy must have an adequate trial. In couples
without fertility problems, the best chance of pregnancy per cycle is estimated
to be 15-25%. Thus, in four cycles with all parameters corrected, 60% of
couples can expect to see results. We will attempt to achieve a pregnancy
for approximately four cycles with a particular therapy if it has corrected
the identified problems. Your care during this time will be primarily provided
by a nurse and/or nurse practitioner with close monitoring by a physician.
If pregnancy does not occur, we will investigate more unusual causes of
infertility specific to you as a couple, and again, modify your treatment.
We prefer that you meet with your physician every 2-3 months during your
After the evaluation process of an infertile couple, a treatment
plan will be implemented that may include several options.
Click on an area of treatment for more information