Doctor insights on:
What Criteria Classifies A Couple As Infertile
6-12 months: If you believe you have a fertility problem, you should seek out an expert in fertility diagnosis and treatment. In women under 35, common guidance is to try for a year, if you feel you are healthy, before seeking assistance. Over age 35, 6 months. If menstrual cycles are irregular, or you have a medical condition, seek help sooner. ...Read moreSee 1 more doctor answer
About 10-15%: Infertility occurs in about 10-15% of couples. We believe that normal fertility is about 20% per month and cumulatively 90% of couples succeed in a year. In 2 years over 99% of normal couples should be pregnant. It takes longer when you are older. We recommend that you see a specialist after 1 yr if female age <35 and after 6 months if older. Best wishes. ...Read moreSee 2 more doctor answers
It varies: The cost varies considerably, depending on multiple factors. In some states (like ma), insurance must cover it. In other states, insurance pays for testing but not treatment. Each fertility center has its own fees, too. At my center (sfirm), we do everything possible to minimize any costs to make testing/treatment as affordable as possible. :-). ...Read more
Depends: A recent nih sponsored clinical trial recommends that most couples with unexplained infertility will do well with 3 cycles of clomid/iui followed by ivf if the Clomid (clomiphene) does not work. This must be individualized to your particular situationl the first step is a thorough evaluation with a reproductive endocrinologist. Best of luck to you! ...Read moreSee 2 more doctor answers
Typically 1 year: I believe whenever they are ready. More usually, physicians recommend evaluation after 1 year of unsuccesful trying. When the woman is over 36 years of age, it is nowadays more appropriate to start evaluation after 6 months. I'm glad you asked when a 'couple' can start, both partners should be involved from the very beginning. ...Read moreSee 1 more doctor answer
Testing: Test for health of sperm and egg, a way for them to find each other, and a healthy uterus for the embryo. This includes evaluation of the menstrual cycles, a semen analysis, vaginal ultrasound, blood test of ovarian reserve, and possibly a hysterosalpingogram. ...Read moreSee 1 more doctor answer
Baby's health: Rh factor typically does not affect fertility, but it can affect a woman's secondary and beyond pregnancies if she is rh negative and her partner is rh positive. The baby inherits the positive trait and those rh+ proteins can get in the mother's blood. Her body then makes antibodies against this protein. The next time she gets pregnant, the antibodies can attack the fetus. Rhogam shots can prevent. ...Read more
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