Fertility Facts

Personalized Fertility Means Understanding You

Dr. Aimee believes that no matter where you are on your fertility journey that technology complimented with real human support is fundamental to your best care.

Have you ever used a driving navigation app and been redirected midway to a better route? The app removes obstacles out of an otherwise potentially painful traffic situation using data. It’s not a one-size fits-all-route; it’s customized and updated in real-time.

Infertility can result from a range of factors, and the more data Dr. Aimee has on those factors, the better care she can give. Dr. Aimee brings the beauty of a “map app” to fertility care by serving as a personal navigator for every one of her patients. It’s the approach required for every fertility patient to have their best chance at getting to their destination: a baby.  

There are many potential routes and obstacles, and therefore no standard path to get there, and the route is different for every patient  It depends on how many children you want, your sex, your age, your health, your hormone levels, and your partner’s health. All these factors necessitate a custom route to get you to the kind of family that you imagine.

It Starts with Diagnosis

In all fertility health, your starting point for treatment is specific to your diagnosis. As a result, the steps you’ll take will be specific to your unique needs. This includes the diagnostic and genetic tests that you’ll take, and the plan and expectations that you’ll need to set.

Dr. Aimee begins every patient relationship with her TUSHY Method (See How We Can Help), a new standard of fertility care that focuses on diagnosis before treatment. This method makes personalized fertility medicine easier, more affordable, and ensure that every patient will experience the highest likelihood for a healthy pregnancy and baby.

She starts with this method because in most cases, this vital fertility screening will identify the most common causes of Infertility and help her come up with an action plan specifically designed for you. 

Common Causes For Infertility

  • Age- Related Infertility: Advanced age is now the leading cause of infertility in the United States. For women, age-related infertility results from a decrease in the number and quality of her eggs over time. 

 

  • Tubal Conditions: Problems with fertility may arise if a woman’s fallopian tubes have been damaged by pelvic infection, endometriosis, previous tubal pregnancy or a ruptured appendix. Most women with tubal problems benefit from in vitro fertilization (IVF).

 

  • Ovulation Disorders: Most women ovulate every 21 to 35 days. Women with cycles greater than 35 days are considered to have oligo-ovulation. Those who do not ovulate at all have anovulation. Medical therapy is often successful in these cases.

 

  • Endometriosis: Endometriosis is a condition where normal uterine tissue grows outside the uterus. Laparoscopy, a minor outpatient surgical procedure, is the most common treatment for endometriosis.

 

  • Cervical Abnormalities: Abnormalities of the cervix affect fertility. One of the most common causes is prior surgery on the cervix (such as a cone biopsy or laser therapy to treat cervical cancer). Treatment includes intrauterine insemination and IVF.

 

  • Uterine Abnormalities: Abnormalities to the shape of the uterus can also impact fertility. Some of these include scar tissue, polyps or fibroids. Hysteroscopy or a laparoscopy can be used to treat many uterine abnormalities. When a couple has fertility concerns, we recommend that both the male and female partner have full consultations in order to determine the most effective treatment approach.

 

 

  • Infertility in Men: A common misconception is that infertility is primarily a woman’s “problem.” In fact, for almost 50% of infertile couples, the cause is related to the male partner (either alone or in addition to a female factor). To identify male infertility, we analyze a semen sample for the volume of semen, the concentration of sperm, the percent of actively moving sperm and number of normal shaped sperm. Even if one or more of these measurements is lower than normal, a man may have normal fertility. A semen analysis alone cannot fully predict a couple’s fertility. When male infertility is identified, we recommend an infertility evaluation by a fertility-trained Urologist.

 

Some of the causes of male infertility include:

  • A problem with testicular production of sperm
  • No sperm (azoospermia)
  • A blockage or absence of the duct for sperm (vas deferens) from the testicles
  • A dilated vein in the scrotum (varicocele)
  • A hormonal imbalance
  • Low sperm count and  motility
  • Previous injuries or health factors
  • Ejaculation disorders

Treatment Approaches for Male Infertility:

If male factor infertility has been diagnosed through a semen analysis, there are several approaches for treatment including drug therapy, surgical therapy, ART, ICSI and donor sperm.

  • Drug Therapy: Hormonal imbalances affecting the development of sperm can usually be successfully treated with drug therapy.
  • Surgical Therapy: When there is a physical barrier preventing sperm production and maturation or ejaculation, a surgical procedure may be the most effective means of retrieving the sperm for insemination. These surgical procedures involve retrieval of the spermatozoa using a thin needle.
  • ART – Assisted Reproductive Technology: The female partner will often undergo intrauterine insemination (IUI) or in vitro fertilization (IVF) to treat certain types of male infertility. In cases where IVF is involved, it is often performed using ICSI.
  • ICSI – Intracytoplasmic Sperm Injection: Intracytoplasmic sperm injection, or ICSI, and pICSI are used in cases where sperm are insufficient, do not swim properly, or have an abnormal shape that prevents them from penetrating the egg. An embryologist uses a microscope to carefully select, immobilize and draw a single healthy sperm into a pipette. After stabilizing the mature egg of the female partner, the embryologist carefully injects the sperm into the egg. This process takes less than ten minutes and does not damage either the egg or the sperm.
  • Donor Sperm: An alternative approach to male factor infertility is using a donor from one of several national sperm banks. We can provide information to aid your search for a donor. Once a donor is identified and the sperm is available, the female would most likely go through an IVF cycle in combination with ICSI.
  • Vasectomy Reversal: A vasectomy can often be reversed through surgery. A vasectomy reversal rejoins the vas deferens. It is performed under a light sedation with the aid of a microscope. Pregnancy rates following a vasectomy reversal are generally over 50%. Many future fathers also consider a sperm aspiration procedure for IVF instead of a vasectomy reversal.

You can email Dr. Aimee directly at: email@draimee.org