Infertility affects approximately 1 in 5 couples who want to have a family, but becomes much more common in the mid-30s to beyond age 40. Infertility is defined as no pregnancy after one year of trying in women younger than age 35, and no pregnancy after 6 months of trying in women ages 35 or older.
Advanced reproductive age is a common cause of infertility, as egg quality and quantity start to diminish when a woman is in her mid-30s. Other causes of infertility include male factor or low sperm count, blocked fallopian tubes or hydrosalpinx, polycystic ovary syndrome (PCOS) and other disorders that lead to lack of ovulation, or uterus abnormalities (fibroid uterus, unicornuate uterus, bicornuate uterus, double uterus, didelphic uterus, septate uterus, uterine scarring or Asherman’s syndrome).
At USF IVF, typical steps taken to determine the cause of your infertility include a sperm count or semananalysis, hysterosalpingogram or HSG to study the fallopian tubes, ultrasound and saline ultrasound to evaluate the uterus and ovaries, and blood tests such as day 3 FSH and AntiMullerian Hormone (AMH). We will also review your prior medical records.
After your testing is completed, you will meet again with your infertility doctor to discuss treatment choices.