Infertility is the inability to get pregnant after trying for one full year.  More than 6 million couples in the United States are affected by infertility.  Conception is a complicated process and if you have been struggling to get pregnant our specialists can help.  With our thorough consultation and testing process, we can diagnosis the problem and offer treatment.

Infertility may be caused by more than one factor.  Some causes are easily found and treated, while others are not.  You and your partner will receive care as a couple.  The decision to begin testing depends on a number of factors.

Infertility Evaluation

The basic workup of an infertility evaluation can be finished within a few menstrual cycles in most cases.  This workup includes a physical exam, medical history, semen analysis, checking for ovulation, tests to check for a normal uterus and open fallopian tubes, and discussions about how often and when you have sex.

Infertility Testing and Procedures

Additional testing and procedures may be done as well.  These include hysterosalpingography (HSG), transvaginal ultrasound, hysteroscopy and laparoscopy.


Hysterosalpingography is an X-ray that shows the inside of the uterus and fallopian tubes.  A small amount of dye is placed in the uterus through a thin tube inserted through the cervix before the X-ray is taken.  The fluid outlines the inside of the uterus and shows whether the fallopian tubes are open (by a spill of the fluid out of the tubes).

Transvaginal Ultrasound

Transvaginal ultrasound uses sound waves to produce images of pelvic organs.  The device is inserted into the vagina and is used to check the ovaries and uterus.


Hysteroscopy involves a thin telescope-like device, called a hysteroscope, which is placed through the cervix.  The doctor can see inside the uterus using the hysteroscope.  During this procedure, the doctor can correct minor problems, get a sample of tissue for study, or decide whether another procedure is needed.


Laparoscopy also uses a small telescope-like device, called a laparoscope.  The laparoscope is inserted through a small cut at the lower edge of the navel.  The doctor can look at the fallopian tubes, ovaries and uterus and see if there are pelvic problems, such as endometriosis, scar tissue or blocked tubes.

Infertility can be treated using medication, surgery or assisted reproductive technologies.  In some cases treatments may be combined to improve results.

Intrauterine Insemination

Intrauterine insemination (IUI) is a form of therapeutic insemination using the husband or donor’s sperm.   This procedure is performed in our office.