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Category Archives: FAQs

Welcome to F.I.R.M. Blogs

I hope to post blog entries on a regular basis to help to answer some of the common questions that we have been asked by patients regarding various subjects in the field of Reproductive Endocrinology & Infertility. This is in an effort to help to provide clear explanations of various conditions, and to counter a lot of mis-information that patients can sometimes receive from other sources such as the internet, friends, or other health professionals. It should be recognized that each patient is in a separate situation which can justify various treatment options. There is not a single right or wrong way to treat each person. The information in these postings is a general educated view that is supported by factual medical literature. I strive to keep this as well as my own knowledge as up to date in the field as possible. Though these opinions are generally held by all of the physicians at the FIRM, understand that slight differences of management may occur depending on a patient’s individual situation. I welcome new questions that can serve as future blog topics.

How does age affect my chances for fertility?

September 21st, 2010 by F.I.R.M. FAQs

As a woman ages her egg supply diminishes with respect to both the quantity and the quality of the remaining eggs. A female is born with all of the eggs that she will have to ovulate with throughout her lifetime. Therefore, as a woman ages the eggs are depleted and not replaced. Additionally, as a woman ages so does her eggs. With a lower number of eggs, and lower quality eggs the per cycle pregnancy rate decreases as a woman ages. In addition to a decreased chance for pregnancy there are also increased risks for miscarriage, and babies with an abnormal set of chromosomes such as trisomy 21 (Down syndrome).

What is typically involved in the initial evaluation of a couple’s infertility?

by F.I.R.M. FAQs

The usual infertility investigation evaluates three main areas. The first is whether the woman is naturally ovulating. This can sometimes be determined by the regularity of her menstrual cycles, other times it is not so obvious. Using hormone testing and ultrasound evaluation, we can determine if ovulation is occurring. The second area of evaluation is that of the female reproductive system. The uterus and ovaries are typically examined by ultrasound to be certain there are no abnormalities. Additionally, a procedure called a hysterosalpingogram (HSG) can be performed to determine whether both the fallopian tubes are open. This is a procedure that is typically done in a radiology setting. It involves placing dye through the patient’s cervix and into the uterine cavity. From there it spreads into the fallopian tubes and is able to be visualized on plain film x-ray. The final piece of the initial infertility evaluation is a semen analysis. The semen parameters of count, movement and shape are determined. After the above diagnostic testing has been completed, you will typically meet again with your physician to review all the studies and put together a treatment plan individualized for you.

What is In Vitro Fertilization?

August 5th, 2010 by F.I.R.M. FAQs

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