When to Seek Infertility Treatment
You may want to seek care from a fertility specialist if you and your partner:
- Have been unable to get pregnant after 12 months of unprotected sex
- Are over age 35 and have been unable to conceive after six months of unprotected sex
- Have infertility risk factors including:
- Concerns about your reproductive health
- A medical condition such as polycystic ovary syndrome (PCOS), endometriosis or fibroids
- You have undergone cancer treatment
- Repeated miscarriages
- Suspected or known male infertility
If you are part of an LGBTQ+ couple seeking fertility options, you may want to meet with a fertility specialist to understand your options for starting or growing your family.
If you are single and want to start a family, we help create an individualized plan to help you reach your goal.
Our team of fertility specialists can evaluate your situation, conduct tests to determine if there is an underlying cause of your infertility, and recommend a range of infertility treatments to help you conceive and have a baby. At the same time, because infertility can cause anxiety and put stress on relationships, our psychologist can help you with this process through consultations, individual and couple support groups, and more.
Fertility Evaluation and Testing
The first step is a consultation with one of our fertility specialists. They will evaluate your medical history, conduct a physical exam, and get a better understanding of your circumstances. They will also recommend tests to identify whether a medical condition is causing your infertility.
Initial fertility testing may include semen analysis, ovulation testing, hormone testing, and tests to estimate your egg count.
Your uterus, fallopian tubes, and ovaries can be safely and painlessly evaluated using a vaginal ultrasound probe. Ultrasounds are performed throughout the fertility testing and treatment process.
A hysterosalpingogram uses X-rays to evaluate your fallopian tubes and the inside of your uterus. A contrast dye is injected into the uterus through a thin tube that is threaded through the vagina and cervix. The dye helps show the outline of the fallopian tubes and can identify a blockage or abnormality. This test is performed in the comfort of our clinic by one of our doctors.
This procedure uses ultrasound to evaluate your uterus and the shape of your uterine cavity. A saline solution is put in the uterus through a thin tube that is inserted through the vagina and cervix. The solution fills the uterus and allows your doctor to see any abnormalities in the uterine cavity, such as fibroids, polyps or scar tissue.
Treating Infertility at the Duke Fertility Center