At Gwinnett Ob-Gyn Associates in Snellville, GA, our fertility specialists offer infertility testing and an evaluation to determine the best treatment. About 10% of couples battle infertility, so you are not alone. Our fertility specialists . If you have not been able to conceive after 6-12 months of having intercourse without using contraception, you may have an infertility issue. A woman’s age is an important factor in problems with infertility. Talk with your infertility doctor in Snellville, GA, about how long to wait before seeking an infertility evaluation.
In order to achieve a successful pregnancy, there are many processes that have to be working together. It all starts when a woman’s ovary releases an egg. This is called ovulation. It usually occurs about 14 days before the first day of your menstrual cycle. So, if you have regular monthly cycles, ovulation is about halfway between the first day of your cycle and the first day of the next cycle. After ovulation occurs, there is a small-time window that you have for the egg to be fertilized, usually about 12-24 hours. This is why the timing of intercourse is important. When the man ejaculates during intercourse, his semen travels up through the vagina, into the woman’s cervix, and then into the woman’s uterus. Semen contains the sperm that will then fertilize the egg when it meets it in the fallopian tube. The sperm can live in those tubes for about 3-5 days. When the sperm and the egg combine, it is called fertilization.
Once fertilization occurs, the fertilized egg moves down the tube and into the uterus where it attaches within the uterine lining and starts to grow.
Infertility issues can occur if there is a problem with any of the above steps.
Infertility testing looks at each of the steps in the process of getting pregnant to test whether or not there is a problem with any of those steps.
Tests with your infertility doctor to check to make sure the uterus is normal and the fallopian tubes are open- this can include ultrasound and a hysterosalpingogram (HSG)- this is a radiology procedure that checks to see if your tubes are open. Our fertility specialists will ask you to call the office on the first day of your cycle to schedule this procedure for around cycle day # 7. It is very important that once your cycle starts, you do not have intercourse until this test is completed. On the day of the procedure, you will come by our office for a urine pregnancy test, then check-in at admissions at Eastside Hospital. One of our doctors in Snellville, GA, will meet you in the radiology suite at the hospital. We will place a speculum in the vagina and insert a long thin tube into your uterus through the cervix. Dye is then injected through the thin tube in order to see if the uterine cavity looks normal and to see if your tubes are open.
Laparoscopy- an outpatient surgery where a small camera is placed into your belly in order to directly visualize how the inside of your abdomen and pelvis looks.
Our fertility specialists will work with you to develop a treatment plan for infertility based on your infertility test results from our infertility doctor. Some ways to help may include lifestyle changes, medication, surgery, or referral to a reproductive endocrinologist (infertility doctor who specializes in assisted reproductive technology). We do offer the oral medication Clomid in our practice to induce ovulation in women with ovulation issues. Here is further information about Clomid from infertility doctors in Snellville, GA.
As infertility doctors, in Snellville, GA, we know it can be challenging and emotionally draining. We hope you will let us know if there are any questions or problems along the way.