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OK, you've decided to seek help after unsuccessful attempts at conceiving a child. One of the first things a specially trained reproductive health care team will do is thoroughly assess each partner's reproductive system. In addition to looking at the couple's history, a series of tests initially determines whether or not all the integral parts of each partner's reproductive system are working properly. The assessments include: uterus, fallopian tubes, ovaries, cervix, and the sperm quantity and quality for the male partner. Once the team has diagnosed the problem (if any), we then discuss treatment options with the couple -- helping them take an active role in the decision-making process about their health care choices.

Once all the tests have been completed and a couple decides to pursue treatment, it's time to enhance chances of conception. Depending on diagnosis, we will increase the number of eggs that are released from the ovaries starting with first oral medications and then moving to injectable medications if oral were unsuccessful. If these more simple forms of treatment do not work (or they are not suitable for the diagnosis), we must move to the next level of treatment: in vitro fertilization (IVF).