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Diagnosing Infertility at Princeton Medical Group

Infertility is defined as trying to conceive for 1 year without pregnancy in women under the age of 35. In women over the age of 35, infertility is defined as 6 months of trying to conceive without a successful pregnancy. Fertility interventions may be initiated in less than 1 year based on medical, sexual and reproductive history, age, physical findings and diagnostic testing.

There are many causes for infertility. In women, the problem is often related to an issue with not releasing eggs or a condition affecting the uterus or Fallopian tubes. For men, infertility is commonly due to an abnormal sperm count. Often, there can be more than one factor contributing to infertility.

The struggle to conceive a child is very personal and can be emotionally stressful, but couples should understand that infertility is a medical condition and not something about which to feel feelings of guilt or failure.

At Princeton Medical Group OBGYN, we are committed to helping both heterosexual and same-sex couples work toward their goals of having healthy, happy families.

Our caring medical staff understands that infertility is a difficult health issue and has its own unique emotional challenges. With that in mind, we feel privileged to offer health care, encouragement, and support for our patients as we accompany them through the process of trying to conceive.

If you are concerned that you may have infertility, please contact Princeton Medical Group OBGYN to schedule a consultation to diagnose the cause of your infertility and your treatment plan. Princeton Medical Group OBGYN physicians may refer you to a Reproductive Endocrine/ Infertility specialist in the area once your workup is complete.

What to Expect at Your Infertility Consultation Visit

If a couple is experiencing infertility, they will need to be evaluated in order to identify the cause or causes of their fertility problems.

At the evaluation, the physician will require an in-depth personal medical history, including pelvic infections, abdominal surgeries, previous pregnancies, current medications, and any underlying health conditions or symptoms that may be contributing to infertility. Women will need to discuss the frequency of their menstrual cycles as well as symptoms associated with their cycles.

Men will also need to provide a detailed medical history. The doctor will want to know his age / BMI, if he has fathered any children in the past, his occupational exposures, and if he is on any medications.

Couples should also be prepared to discuss how often they are having sexual intercourse and how long they have been trying to conceive.

Women may need blood work and a hysterosalpingogram (HSG).
Men may be sent for a semen analysis and to the Urologist if issues are discovered.

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There are reasons to seek an infertility consultation sooner rather than later.

Some couples have a health history that warrants consulting a healthcare professional either before or early in the process of trying to get pregnant.

If the woman has:

  • Irregular no menstrual periods
  • Negative luteinizing hormone (LH) testsm (Ovulation Predictor tests)
  • History of sexually transmitted infection
  • Prior pelvic or abdominal surgery for any reason
  • Prior history of infertility
  • Age 40 and above
  • History of endometriosis
  • History of chemotherapy or pelvic radiation therapy

If the male partner has:

  • Known problems with the testicles or genitalsv
  • Hypospadias (opening of the urethra not in the end of the penis)
  • Sexually transmitted infection
  • Problems with ejaculation
  • Prior history of infertility
  • History of chemotherapy or pelvic radiation therapy