Posts Tagged ‘reproductive endocrinologist’

How long will it take for me to get pregnant?

Friday, April 28th, 2017

Contemplative womanThe answer to this question depends on many factors and is very personal. Some people get pregnant the first month they try. For others, it takes longer. If you have been trying to conceive for a few months, you may just need more time. Most couples who try to get pregnant do so within one year. It may not happen immediately, but the odds are it will happen soon.

But if you have been trying to get pregnant for more than a year (or six months if you are 35 or over) and have not conceived, your health care provider may suggest you consult a reproductive endocrinologist. A reproductive endocrinologist is an obstetrician/gynecologist (OB/GYN) who specializes in diagnosing and treating infertility.

Infertility means that the body’s ability to perform the basic function of reproduction is impaired. According to the Center for Disease Control and Prevention (CDC), approximately 1 in 8 couples of childbearing age have difficulty conceiving or carrying a pregnancy to term.

There are many possible causes of infertility. If you do see a reproductive endocrinologist, both you and your partner will most likely need to undergo testing. Infertility affects men and women equally. And 25% of infertile couples have more than one factor that contributes to their infertility.

Risk factors

There are a number of risk factors for infertility. Many of them are the same for both men and women. They include:

  • Age. As you get older, your fertility will start to decline. Each woman is born with a set number of eggs. As you get older, you have fewer and fewer eggs, and the eggs you have aren’t easily fertilized by a man’s sperm. All this makes it harder for you to get pregnant. And men over age 40 may be less fertile than younger men.
  • Weight. Women who weigh too much or too little can have difficulty conceiving. And a man’s sperm count can be affected if he is overweight.
  • Smoking. Smoking reduces fertility for both men and women.  According to the American Society for Reproductive Medicine (ASRM), up to 13% of female infertility is caused by cigarette smoking and women who smoke have an increased risk of miscarriage.
  • Alcohol use. There is no safe amount of alcohol during pregnancy. If you are trying to get pregnant, avoid alcohol. Heavy alcohol use in men can decrease both sperm count and motility (the ability of the sperm to swim towards the egg and fertilize it).

Treatment options

There are several kinds of fertility treatments. You, your partner, and your reproductive endocrinologist can decide which treatment gives you the best chance of getting pregnant and having a healthy pregnancy. Treatments include:

  • Surgery to repair parts of your or your partner’s reproductive system. For example, you may need surgery on your fallopian tubes to help your eggs travel from your ovaries to your uterus.
  • Controlled ovarian stimulation (also called COS). COS uses certain medicines to help your body ovulate and make healthier eggs.
  • In vitro fertilization (also called IVF). IVF is the most common kind of assisted reproductive technology (ART). In IVF, an egg and sperm are combined in a lab to create an embryo which is then transferred to the uterus.

You may be concerned that consulting a reproductive endocrinologist means you will need IVF.  Usually, this is not the case. In fact, 85-90% of infertility cases are treated with conventional therapies.

If you’ve been struggling to conceive, talk to your health care provider to learn about what you can do.

Have questions? Email us at AskUs@marchofdimes.org.

When do you need a reproductive endocrinologist?

Friday, April 29th, 2016

preconception healthWe get a lot of questions from women wondering how long it will take them to get pregnant. If you have been trying to conceive for a few months, you may just need more time. Most couples who try to get pregnant do so within one year. It may not happen immediately, but the odds are it will happen soon.

However, if you have been trying to get pregnant for more than a year (or six months if you are 35 or over) and have not conceived, talk to your health care provider. She may suggest you consult a reproductive endocrinologist. A reproductive endocrinologist is an obstetrician/gynecologist who specializes in diagnosing and treating infertility. They complete 4 years of medical school and a 4-year residency in Obstetrics and Gynecology. They then receive an additional 3 years of specialized training in Reproductive Endocrinology.

At your first visit, your reproductive endocrinologist will review your:

  • Medical history, including menstrual cycle, pregnancy/loss history, birth control use, & any other medical conditions
  • Family health history
  • Lifestyle and work environment

After a complete physical exam, your doctor will discuss with you any additional tests that may be ordered. These may include ovulation testing, looking at the anatomy of the uterus and fallopian tubes, determining the quality and quantity of eggs, testing hormone levels, and a pelvic ultrasound. Your partner may be referred for additional testing as well.

There are several kinds of fertility treatment. You, your partner, and your reproductive endocrinologist can decide which treatment gives you the best chance of getting pregnant and having a healthy pregnancy. Treatments include:

  • Surgery to repair parts of your or your partner’s reproductive system. For example, you may need surgery on your fallopian tubes to help your eggs travel from your ovaries to your uterus.
  • Controlled ovarian stimulation (also called COS). COS uses certain medicines to help your body ovulate and make healthier eggs.
  • In vitro fertilization (also called IVF). IVF is the most common kind of assisted reproductive technology (ART). In IVF, an egg and sperm are combined in a lab to create an embryo which is then transferred to the uterus.

Some couples may be concerned that consulting a reproductive endocrinologist means they will need IVF.  But this is typically not the case. In fact, 85-90% of infertility cases are treated with conventional therapies.

If you have been struggling to conceive, talk to your health care provider and see if consulting a reproductive endocrinologist is the right choice for you.

Have questions? Email us at AskUs@marchofdimes.org.