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10 Most Common Fertility Questions

1. When should a couple consider going to a fertility treatment center for consultation?
For couples 35 years old and younger and no known fertility problems, most fertility experts recommend seeing a specialist if conception has not taken place after a year or more of well-timed intercourse. Couples over 35 should consider seeking specialized help after six months, and those with known fertility issues should seek the help of specialists as soon as they are considering starting a family.

2. What Can We do to Increase Our Chances of Becoming Pregnant?
Naturally, increasing the amount of intercourse during a cycle will increase your chances of becoming pregnant, as well as having intercourse the day you ovulate or immediately before you ovulate.

3. How Do I Know When I am Ovulating?
If you have a regular cycle, approximate ovulation is easy to calculate. Counting forward from the first day of your period, ovulation occurs 15 to 19 days into the cycle. Your body also gives certain clues. The mucus changes and becomes the consistency of egg white. Some women also feel a sharp pain in the abdomen when the egg is released.

4. Is it Possible to Improve Sperm Count or Sperm Quality?
Most fertility treatment centers recommend wearing looser fitting undergarments as well as well as taking cool showers over hot baths to promote better sperm production. Smoking and alcohol consumption also play a role in poor sperm production.

5. When Can I Take a Pregnancy Test After IUI?
Taking a pregnancy too early can result in a false positive. The best time to take a pregnancy test is after 16 from the last IUI.

6. How Much Does Treatment Cost?
The cost of fertility treatment will vary depending on the fertility treatment center you choose and the treatment protocol. IVF treatments can cost between $10,000 to $20,000.

7. Is There an Increased Risk of Birth Defects in Babies Conceived Using Fertility Treatments?
Many studies are ongoing concerning the risks of birth defects associated with fertility treatments. Most studies do confirm a slight increase in the rate of some birth defects such as cleft lips, bowel problems and malformed hearts. It is unknown whether these abnormalities are caused by the treatment itself or if they are related to the root causes of the infertility.

8. Should Women Start Fertility Treatments With Their Regular OB on Clomid?
It is highly recommended that patients having difficulty conceiving consult a fertility treatment center before beginning treatment. Most physicians prescribe Clomid, which has a 12-cycle lifetime maximum recommended usage. Fertility treatment centers will run expansive tests before beginning treatments, including testing of the male partner, which may rule out the necessity of using Clomid altogether. Additionally, the use of some drugs may be counter productive in some women.

9. How Do You Choose A Fertility Treatment Center?
The International Council on Infertility Information Dissemination recommends seeking board approved M.D.s who have completed a fellowship in Reproductive Endocrinology and clinics with success rates with in the national averages. Support groups can also provide information on reputable, experienced centers.

10. How Long Should Fertility Treatments be Pursued Before Investigating Other Options?
Choosing to continue fertility treatments is a very personal choice which depends on many factors. Factors such as age, finances, and stress all play a role. Ultimately, weighing the desire for a family through any means is weighed against the possibility of a family through biologic means.


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