Category: Infertility

Uterine fibroids are non-cancerous tumors that grow inside the uterus, in the uterine wall, or just outside the uterus. There are a few different types of fibroids, but all of them can cause pain, pelvic pressure, heavy periods that may last longer than a week, frequent urge to urinate, trouble emptying your bladder, constipation, and […]

For many couples and individuals of diverse backgrounds throughout the world, artificial insemination is a solution to make the family they have been dreaming of become a reality. Through insemination, a doctor can manually insert a man’s sperm directly into a woman’s uterus, fallopian tubes or cervix. Depending on the situation, the sperm may be […]

I felt like I have to write another article about the mysterious diagnosis called “unexplained infertility” after seeing a number of patients in their early 30s with this diagnosis recently. I often hear from patients that “everything is normal” or “nobody could identify any problems”. It’s also not uncommon to hear “I went to different […]

What is it? Endometriosis is an estrogen-dependent disease characterized by the presence of endometrial tissue located outside of the uterus. It has been estimated to affect up to 10% of reproductive aged women and as high as 25-50% of women with pelvic pain and/or unexplained infertility1,2. Endometrial implants can range from 1 mm superficial peritoneal […]

Using eggs from a younger donor can contribute to IVF success and significantly improve a woman’s chances of pregnancy. This is because the age of the egg is, in many cases, a more important factor than the age of the woman (if considered separately than her eggs) in influencing the likelihood of success from IVF […]

 Fibroids can affect fertility more commonly than once thought and frequently co-exist in many patients with the diagnosis of infertility. The types of fibroids most likely to cause reproductive problems are large fibroids (diameter greater than 4 centimeters) or those that are located inside the uterine cavity regardless of their size. Because every case is […]

Celiac disease is a chronic inflammatory disorder of the intestine with varying degrees of gluten intolerance and may be associated with recurrent miscarriage and infertility. Gluten insensitivity or allergy may not cause significant intestinal inflammation as in the case of celiac disease and its impact on fertility is most likely not significant. Common complaints with […]

Women are born with a finite number of eggs (1-2 million in both ovaries at birth) and at the time of puberty the total number decreases to approximately 500,000. At age 37, there are approximately 25,000 eggs left in the ovaries and less than 500 at the time of menopause. A monthly process of using […]

In order to evaluate ovarian function or ovarian reserve, clomiphene citrate challenge test (CCCT) has been used in fertility practice over the years. CCCT can better predict individual response to ovarian stimulation compared to FSH test alone and may be used to help determine the treatment protocol. In controlled ovarian stimulation cycles, this test can […]

Adenomyosis is defined as the presence of endometrial glands and stroma in the myometrium (muscle layer) of the uterus. It can be localized or diffuse (involving most of the uterus) and more commonly observed in parous women between the ages of 35-50. The exact cause of adenomyosis is unknown and may resemble fibroids on ultrasound, […]