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Doctor insights on: Need Infertility

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Why might HSG be needed (infertility)? Can i refuse it? What are alternatives? Can i ask for anesthesia? Very prone to anxiety, low pain threshold.

Why might HSG be needed (infertility)? Can i refuse it? What are alternatives? Can i ask for anesthesia? Very prone to anxiety, low pain threshold.

HSG wow: Hsg is appropriate (at some point) for all females undergoing fertility treatment. It tests your tubes; the alternative test is surgery. Of course you can refuse it, but some doctors - me for instance - will not treat you (prescriptions) more than 3 cycles if you decline. No one will give you general anesthesia, some will give valium for anxiety (i don't ever), but thats another story.). ...Read more

Dr. Khurram Rehman
1,232 doctors shared insights

Infertility (Definition)

Infertility = inability to conceive or if a woman under age 35 - not being able to get pregnant after having regular sex for a year without birth control use. For a woman over 35 years old is not being able to get pregnant after having regular ...Read more


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When do I need to seek infertility treatment with different circumstances?

When do I need to seek infertility treatment with different circumstances?

Infertility assess: It is better to seek an evaluation to understand if you are having any challenges to getting pregnant if you have been trying to get pregnant for over a year, have regular cycles each month, have no history or risk factors for pelvic infections, or your partner has not had problems in the past. You should always seek help earlier if you have any of the findings above or anytime you are concerned. ...Read more

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Does propecia (finasteride) cause permanent infertility? Please, need some answers?

Does propecia (finasteride) cause permanent infertility? Please, need some answers?

Rarely: It may however be a problem with prolonged us of propecia (finasteride) since the male hormone is reduced and most goes to estrogens. ...Read more

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What is the best testosterone therapy plan if you don't want to suffer infertility but need to raise your levels (313 currently)?

What is the best testosterone therapy plan if you don't want to suffer infertility but need to raise your levels (313 currently)?

Testosterone: Since a t level of 313 is close to normal, i would not use supplimental testosterone if you are concerned with fertility right now. Testosterone may well decrease sperm production. ...Read more

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I am 18yrs old. I had testosterone levels in the low 300s at morning. Low/normal fsh/lh. I will repeat test. What if need TRT? Afraid of infertility.

I am 18yrs old. I had testosterone levels in the low 300s at morning. Low/normal fsh/lh. I will repeat test. What if need TRT? Afraid of infertility.

Check levels: Check the levels again. If it is low again you have Hypogonadism,and you need to find out weather it is hypothalamic/Pituitary or testicular. At your age HCG, gonadotropin releasing hormones are preferred. Clomid (clomiphene) may work very well. ...Read more

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I had once IUI resulted in chemical pregnancy no reasons for infertility i need advice whether to repeat IUI or move to IVF married 3 years?

I had once IUI  resulted in chemical pregnancy no reasons for infertility i need advice whether to repeat IUI or move to IVF  married 3 years?

Difficult choice: 6 cycles of IUI on injectable medications costs around the same as one cycle of ivf. One takes 6+ months and ivf takes 6 weeks. Here is the "rub". 6 cycles of IUI is not as successful as 1 cycle of ivf. So it is a choice. By doing iui, you "gamble" that it works in 2-3 attempts and save money; but if not, than ultimately it costs more because when IUI does not work, you have to go to ivf. ...Read more

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Can i be infertile?

Can i be infertile?

Infertility: If you have been having sex for one year and not doing anything to prevent pregnancy, then you are considered infertile. Some couples just take longer to get pregnant, it doesn't mean there is any problem. If the woman is over 35, we recommend testing after 6 month, you don't have to wait a full year. ...Read more

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What causes Infertility?

What causes Infertility?

Basic Infertility: Many different causes contribute to infertility. There are male factors (sperm), ovary factors (the making and releasing of eggs), and factors that interfere with the sperm and egg joining (endometriosis, blockage in the tubes or uterus, etc). There are also less common and unknown factors. A careful evaluation by a GYN specialist can help most couples. ...Read more

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What does infertile mean?

What does infertile mean?

Infertility: Inability to conceive within a year (or 6 months if over 35) after unprotected intercourse. See a fertility specialist if it is taking longer! ...Read more

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Is infertility hereditary?

Possibly: Some forms of infertility are hereditary. For instance some forms of male infertility have genetic components that are automatically passed to male children (y chromosome microdeletions). Endometriosis definitely has a hereditary component. Pcos also runs in families. And fragile x which can affect egg production is hereditary as well. The vast majority of time infertility is not hereditary. ...Read more

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What can cause infertility?

Multiple: At age 44 many women are infertile due to having higher rates of chromosomal abnormalities in their eggs. This is a normal aging process in women. Males over 40 also have slightly higher rates of infertility due to age but age affects females much more. Other causes are blocked tubes, pcos, endometriosis and medical issues such as obesity and thyroid disease. ...Read more

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What does infertility mean?

What does infertility mean?

It depends: For younger women (younger than 35), we can use the traditional definition of 1 year or trying to conceive. For women 35-40, 6 months is enough time to consider seeing a specialist for an evaluation. And for women older than 40, it is important to seek help as soon as you are ready! ...Read more

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What can cause infertility?

What can cause infertility?

Top diagnoses: Top reasons: 1) male infertility, tied with 2) female ovulatory dysfunction, followed by 3) tubal disease (female.) 'infertility' is defined by unprotected intercourse for one year. This is based on observing 85% of normal couples conceive in that time. ...Read more

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How do you detect infertility?

Detect infertility: You detect infertility when you have had intercourse but never pregnant. If this persists over time please see a gynecologist. You should go together with your significant other because the problem may be on his side not yours. ...Read more

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What can make a man infertile?

Infertile: Infertility usually results from low testosterone. Please see your doctor and tell him/her about your symptoms and background medical history. You will be examined and appropriate lab studies ordered. Once the data is in the doctor will have better information to help you. ...Read more

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How to know you are infertile?

Infertile: If you are concerned regarding fertility, quite simply, see a Board Certified Gynecologist. The workup will involve Semen Analysis, Blood Hormone profiles, an ultrasound, an XRAY to view the uterine cavity and to see if your tubes are open. In addition, a full history and physical exam will be performed including a pap smear and screening for sexually transmitted infections. ...Read more

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What are causes of infertility?

Many: There are so many different causes of infertility but 50% of those causes come from the female and 50% come from the male. The definition of infertility is > than one year of unprotected sex and > than 6 months if you are 35 or older. You should consult your gyn to discuss a basic work-up which includes a sperm test, check for ovulation, check that your tubes are open, hormone levels are normal. ...Read more

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Are there signs for infertility?

Pelvic pain: There are many signs that might hint that you have an infertility problem these include pelvic pain (seen with fibroids, endometriosis, pelvic adhesions) history of irregular or absent cycles (not ovulating), heavy periods (polyps, fibroids), history of pelvic infections or ectopic pregnancy, excessive hair growth, breast discharge, age greater than 35, obesity, and poor diet. ...Read more

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How do I know if I am infertile?

Fertility evaluation: Infertility evaluation involves confirmation of ovulation, patency of fallopian tubes, and assessment of sperm characteristics. Abnormalities in any one of these may make it more difficult to conceive, even with history of previous live birth(s). This evaluation can be started by seeing your ob/gyn or an infertility specialist. ...Read more

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