Unexplained Infertility
After completing an infertility work-up, some couples will be diagnosed with unexplained infertility. This occurs when there seems to be no direct underlying condition for the infertility in either partner. Dealing with unexplained infertility can be frustrating. You may find some of the following questions helpful.
Should I get a second opinion?
Yes. Take your records, operative notes, lab data and x-ray films with you. Have a repeat semen analysis from a specialized fertility laboratory and ask about having a cycle day 3 ultrasound done to assess the antral follicle count on each ovary, as well as blood drawn for hormone levels. Even if your ovulation pattern is regular, discuss the possibility of intrauterine insemination (IUI) to optimize your cycle.
When should I seek the advice of a Reproductive Endocrinologist and Infertility (REI) specialist?
A complete infertility work-up can be initiated by your OB/Gyn; however, it is important to see a Reproductive Endocrinologist and Infertility (REI) to complete the diagnostic phase of your work-up. If you have been trying for one year and are under the age of 35, you should see an REI immediately. Also, those who are 35 or over and have been unsuccessful for six months should contact an REI.
Do I need to have a hysterosalpingogram (HSG) or hysteroscopy done to assess the fallopian tubes and uterine cavity?
These are diagnostic tools to assess the condition of the uterus and fallopian tubes. The HSG is an x-ray where a dye is injected into the uterine cavity to determine if the tubes are open or blocked. The doctor will recommend this procedure if there is a problem suspected and the openness of the tubes are in question.
A hysteroscopy is used to look into the uterine cavity and determine if there are any underlying conditions contributing to the inability to conceive. These conditions can range from endometrial polyps to mullerian anomalies, such as, septate uterus.
Should I get a second opinion?
Yes. Take your records, operative notes, lab data and x-ray films with you. Have a repeat semen analysis from a specialized fertility laboratory and ask about having a cycle day 3 ultrasound done to assess the antral follicle count on each ovary, as well as blood drawn for hormone levels. Even if your ovulation pattern is regular, discuss the possibility of intrauterine insemination (IUI) to optimize your cycle.
When should I seek the advice of a Reproductive Endocrinologist and Infertility (REI) specialist?
A complete infertility work-up can be initiated by your OB/Gyn; however, it is important to see a Reproductive Endocrinologist and Infertility (REI) to complete the diagnostic phase of your work-up. If you have been trying for one year and are under the age of 35, you should see an REI immediately. Also, those who are 35 or over and have been unsuccessful for six months should contact an REI.
Do I need to have a hysterosalpingogram (HSG) or hysteroscopy done to assess the fallopian tubes and uterine cavity?
These are diagnostic tools to assess the condition of the uterus and fallopian tubes. The HSG is an x-ray where a dye is injected into the uterine cavity to determine if the tubes are open or blocked. The doctor will recommend this procedure if there is a problem suspected and the openness of the tubes are in question.
A hysteroscopy is used to look into the uterine cavity and determine if there are any underlying conditions contributing to the inability to conceive. These conditions can range from endometrial polyps to mullerian anomalies, such as, septate uterus.
