​The semen analysis is an important test to evaluate a man's fertility.  It also tells us a lot about a man's health.

​Dr. Wilshire demonstrates wide, complete excision of pelvic endometriosis via laparoscopy.

​Dr. Wilshire discusses the reasons for needing or not needing donor eggs after age 40.  Testing and personalized decision making is reviewed.

​Dr. Wilshire discusses the ways your appearance supplies crucial health information.

​If you are considering having surgery to reverse your tubal sterilization, we invite you to watch this video.  Dr. Wilshire discusses the information we will need to make your surgery a success!

​With conflicting treatment approaches to hypothyroidism, Dr. Wilshire explains how infertility specialists assess and treat hypothyroidism.

#thyroid #hypothyroidism #hasimotos #thyroidfunction #thyroid101

You may have read that when you're trying to conceive, you need to wait before going to a fertility specialist.  The standard recommendation is if you're under 35, you try for a year; if you're 35 or older, you try for six months - then you start the process of an infertility diagnosis.  Sounds reasonable, except for some women (and men), waiting is wasting time.  Dr. Wilshire explains the ten exceptions to waiting.

The ten reasons are:

• You have irregular periods and do not know when you ovulate
• You're taking multiple medications that may impair fertility
  
• You're underweight or overweight; both extremes may impair fertility
  
• You have a history of pelvic infection, a previous STD (sexually transmitted disease), PID (pelvic inflammatory disease), or previous abdominal surgery (ie. removal of your appendix)
  
• You have painful periods or painful intercourse
  
• There are timing conflicts that will interfere with having relations during your ovulation window
  
• There are known male factor issues, such as treatment for childhood cancer, varicocele, etc.
  
• The male partner is taking multiple medications which may impair fertility
  
• The male partner is untested/unproven (semen analysis has not been done)
  
• Your time is priceless and you want to have a baby now - wasting time is not to your advantage
  

#infertility #drwilshire #ttcjourney #ttc #haveababy