Female Infertility: Causes and Diagnosis
Infertility affects about 12 percent of women ages 15 to 44 in the United States. Female infertility can be attributed to many issues affecting the ovaries, fallopian tubes, uterus, and cervix. Reproductive and infertility specialist Ali Guerami in Dallas, TX, provides expert care in a warm and caring environment to identify the causes of female infertility and recommend a solution to help hopeful parents grow their families.
Causes of Female Infertility
In order for pregnancy to occur, a woman must ovulate and release an egg every month. Sperm must fertilize the egg, and then it must travel through the fallopian tube and become implanted in the uterus. If one of these processes is disrupted, you may experience difficulty becoming pregnant. The most common causes of female infertility include:
- Ovulation disorders – Disorders affecting the hormones that regulate ovulation or problems within the ovaries themselves can impede pregnancy.
- Fallopian tube disorders – Damaged or blocked fallopian tubes can keep a fertilized egg from reaching the uterus. Damage can be caused by sexually transmitted diseases, surgical scars, and pelvic tuberculosis.
- Endometriosis – If the tissue that lines the uterus grows outside the uterus, it can compromise fertility.
- Uterine or cervical causes – These can include polyps, scarring resulting from endometriosis, an abnormally shaped uterus, and cervical stenosis.
- Age – Women over age 35 may have trouble conceiving or carrying to term due to the quantity or quality of her eggs, which declines over time.
Dr. Guerami is double board-certified and has been practicing for over 30 years, helping many hopeful parents to grow their families.
Testing for Diminished Ovarian Reserve
A diminished ovarian reserve (DOR) means that a woman has begun to lose her reproductive potential. It refers to the quantity and quality of the eggs. DOR usually occurs with age, although genetic abnormalities or other medical conditions can also contribute.
Dr. Guerami can perform an ultrasound and hormone testing to assess the number of eggs and their quality. Although there is no treatment that can correct a diminished ovarian reserve, there are solutions such as in-vitro fertilization (IVF) that can help women become pregnant in spite of the condition.
Common Tests for Women with Fertility Issues
Fertility testing is recommended to women who have been trying to become pregnant for a year. If you are over 35 and have been unable to become pregnant over a period of six months, testing is also warranted. Dr. Guerami will review your medical history, medications, possible exposure to chemicals and toxins, and other factors.
He may also recommend tests such as:
- A physical and pelvic exam
- Blood tests to check hormone and thyroid levels
- Tests for follicle stimulating hormone (FHS) & luteinizing hormone (LH)
- Body temperature charting
- Postcoital testing
- A transvaginal ultrasound exam
- Hysterosalpingogram (also known as an HSG)
- Endometrial biopsy
Contact Dr. Ali Guerami, Fertility Specialist
Dr. Guerami is double board-certified and has been practicing for over 30 years, helping many hopeful parents to grow their families. If you have been unsuccessful in becoming pregnant, Dr. Guerami can find the cause of your infertility and recommend a solution. His friendly staff will help you explore ways to make fertility treatment a fit for your budget, including Prosper® payment plans. Contact us online or call (214) 345-6963 to schedule your consultation today.
“Helping patients build a family is my passion. I am completely invested in your treatment and will apply my full knowledge and abilities to achieve your goals.” Dr. Guerami