Chronic Conditions
Fertility Problems ![]()
What are fertility problems?
Infertility is defined as the inability to conceive after a year of continuous sex. There are several causes of infertility, such as low testosterone and a low sperm count, endometriosis and ovulatory conditions.
There are different categories of infertility, such as the following:
- Primary infertility develops when the couple cannot fall pregnant even after six months or more of unprotected sex.
- Secondary infertility happens when you cannot fall pregnant following a successful pregnancy.
- Unexplained infertility occurs when doctors cannot determine a reason for infertility.
What are the signs of fertility issues?
- Abdominal/pelvic pain
- Inconsistent menstrual cycles
- Abnormal vaginal bleeding
- Trouble with ejaculation
- Penile disorders
How do you diagnose fertility issues?
Gerard Thomas will inquire about your medical and sexual history. Afterwards, he will order some fertility testing and or refer to a fertility specialist which consists of the following:
- A pelvic exam is an investigative procedure that involves checking the pelvic region for structural issues or potential signs of disease.
- A blood test measures hormonal levels to check whether a hormonal imbalance is the reason for
- A transvaginal ultrasound involves the placement of an ultrasound probe through the vagina to check for problems affecting the female reproductive system.
- Hysteroscopy is the placement of a lighted scope with a camera attached at the end (hysteroscope) through the vagina to inspect the uterus thoroughly.
- Laparoscopy is an investigative procedure that involves inserting a fine tube with a light and camera connected to the end through an incision over the abdominal region. Laparoscopic surgery is done to determine the cause of scar tissue, uterine fibroids and endometriosis.
How do you address fertility problems in couples?
More couples are considering assisted reproductive technology to help them conceive. Typically, medications are prescribed to promote ovulation before considering these treatment options:
- In Vitro Fertilisation (IVF) is the retrieval of healthy eggs from the ovaries and mixing them with sperm in the petri dish.
- Intracytoplasmic sperm injection (ICSI) is carried out during the IVF
- Intrauterine insemination (IUI) is the insertion of sperm through the uterus.
- Assisted hatching is a procedure that involves exposing the exterior of the embryo to make it easier for it to attach to the uterine lining.
Gerard Thomas will discuss these options with you before considering your treatment plan.
FAQ
- Intrauterine insemination
- In vitro fertilisation


