Infertility - Main Line Fertility

Specialties

Infertility

Polycystic Ovaries

Endometriosis

Fibroids

Menopause

Repetitive Miscarriage

Menstrual Irregularities

Fertility Preservation

Artificial Insemination (IUI)

Anonymous Egg Donation

Halachic Supervision

Infertility Evaluation and Treatment

We recommend that a couple seek out evaluation and treatment for possible fertility problems if:


	The woman's menstrual cycle is not regular (fewer than 24 or more than 35 days between periods).
	More than one year of unprotected intercourse has passed in a couple where the woman is less than 35 years old.
	More than six months of unprotected intercourse has passed where the woman is between 35 and 40 years of age.
	Either partner has reason to suspect that they have reduced fertility. Examples would be history of sexually transmitted disease, pelvic surgery or infertility in prior relationship.

The majority of fertility treatments fall into four categories:


	Surgery
	Fertility drugs
	Artificial insemination
	Assisted reproductive technology

Surgery is performed:


	To correct congenital malformations of the reproductive tract (female, male)
	To eliminate scar tissue that has formed as a result of infection or prior surgery (female, male).
	To open blocked fallopian tubes (female).
	To eradicate endometriosis (female).
	To tie off varicose veins which drain the testicle (male).
	To remove growths (tumors) such as fibroids, polyps, ovarian cysts (female).

Fertility drugs (clomiphene, gonadotropins) are administered to women in order to induce or hyperstimulate ovulation. Hormones such as estrogen and progesterone are utilized to support the growth and development of reproductive tissues.

Artificial insemination may utilize the husband's sperm or, in some cases, donor sperm.

Assisted reproductive technologies include in vitro fertilization (with its many variations) and gamete intrafallopian transfer. These treatments are particularly effective for male factors, endometriosis, fallopian tube issues and infertility of unknown origin.

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