Fertility management

As an experienced and qualified ob-gyn, Dr Isaacs is able to investigate the causes of infertility. Infertility is when a couple cannot conceive after having regular unprotected sex. Dr Isaacs recommends that you seek the help of an ob-gyn if you have been trying to conceive for 12 months without success. However, infertility evaluation should be initiated sooner in patients who are 35 or older or have medical risk factors for infertility.

Causes of infertility

Causes of infertility include uterine abnormalities, polycystic ovarian syndrome (PCOS), tubal obstruction, cervical issues, ovulation problems. In general, ovulation problems are the biggest cause of infertility in women. In men, abnormal sperm function or production are some of the leading causes of infertility. In other cases, couples simply struggle with timing intercourse during ovulation.

Tests

Dr Isaacs will conduct tests and provide advice on increasing your chances of falling pregnant. These tests may include:

• Taking your medical history: You will be asked questions about your menstrual period, abnormal bleeding or discharge from the vagina, pelvic pain, and any disorders that can affect reproduction, such as diabetes or thyroid disease
• Conducting a physical examination
• Measuring serum progesterone levels: These monitor ovulation on the 21st day of a woman's monthly cycle.
• Imaging tests to view the inside of the fallopian tubes and uterus

Seeing a fertility specialist

In certain cases, Dr Isaacs will refer you to a fertility specialist for more advanced treatment.

A fertility specialist may recommend one or more of the following treatments:

• Medication to induce ovulation
• Medication for related health issues such as thyroid dysfunction, diabetes, or high prolactin levels
• In Vitro Fertilization (IVF): a procedure that combines sperm and an egg in a laboratory
• Intrauterine insemination (IUI): sperm is inserted into the uterus during ovulation
• Injectable hormones
• Surgery to correct blocked fallopian tubes or problems in the uterus and fibroids
• Changing lifestyle factors such as diet and exercise