AN INFERTILITY DIAGNOSIS CAN BE DEVASTATING: WE ARE HERE TO HELP
You are not alone: Based on research by The National Infertility Association, an estimated 7.3 million Americans are facing the frustrating journey traveling through the trenches of fertility uncertainty. We know how unbelievably emotionally-draining the search for answers can be. That’s why we’d like to reassure you that we’re here to help, even if it’s just to act as a sounding board so that you can express your fears and frustrations. Don’t lose hope: Many patients who were told for years that they would never get pregnant were treated by Dr. Nezhat and now have beautiful, healthy children.
Conventional Definition of Infertility
For women 35 years and younger, infertility is defined as the failure of a couple to conceive after 12 months of regular intercourse without the use contraception. For women older than 35, it is defined as failure to conceive after six months of regular intercourse without the use of contraception.
Infertility is a common problem in today’s society, affecting approximately 10-15% of couples. There are multiple causes, with the most common being unexplained infertility, followed by male factor, problems with ovulation, tubal damage, cervical abnormalities, and endometriosis. Endometriosis is a major cause of damage to the female pelvic organs, especially to the ovaries and fallopian tubes. If left untreated, endometriosis increases the risk of infertility. As well, studies have shown decreases in the success of IVF for patients with endometriosis.
SOME OF THE MOST COMMON CAUSES OF INFERTILITY ARE:
– Male Factors: 25-30%
– Ovulatory Dysfunction: 15%
– Tubal Damage: 15%
– Endometriosis: 6%
– Coital Problems: 6%
– Cervical Factors: 3%
– Unexplained: 15-25%
– Other: 5%
COMMON CAUSES OF INFERTILITY THAT DR. NEZHAT TREATS
Treatment of Infertility
Some of the more typical conditions that Dr. Nezhat treats include:
– Uterine Fibroids (myomas)
– Ovarian cysts
– Abnormalities of the uterus (uterine septums, uterine scarring)
– Tubal disease, damaged tubes, and surgically tied tubes
– Unexplained infertility
– Polycystic Ovarian Syndrome (PCOS)
– Ovulatory Dysfunction
– Uterine polyps
Some cases of unexplained infertility may be:
– Undiagnosed endometriosis
– Undiagnosed low-grade pelvic infections
– Undiagnosed ovulatory dysregulation
However, in Dr. Nezhat’s experience he has found that the majority of patients classified as having unexplained infertility proved to be cases of undiagnosed endometriosis.
Whatever the final diagnosis, the good news is that all of the conditions listed above can very often be successfully resolved either medical or surgically.
Mild endometriosis CAN interfere with fertility
A common misconception is that mild endometriosis can’t interfere with infertility. Yet dozens of studies demonstrate that when mild endometriosis is surgically removed, patients experience almost immediate increases in fertility, including live births within a year of surgery.
Please see the below-listed for great overviews describing how even mild endometriosis can cause infertility:
– Wall Street Journal article: What You Should Know Before You Start IVF
– Fertility & Sterility Article: Laparoscopic treatment of endometriosis patients with failed in vitro fertilization cycles
– Stanford University Study: Surgery before IVF may prove more successful