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Fertility problems

One in six couples have trouble conceiving a baby. Even couples without fertility issues have only a one in five chance of conceiving every month. You should consult with a doctor if you’ve been trying for a year without success. Women over 35 should seek help after six months.

The good news is that most couples receiving medical help to get pregnant go on to have a healthy baby. At Geisinger, we offer a wide range of fertility tests and treatments to help you conceive.

What you should know about fertility problems:

  • A third of the time, the woman has the fertility issue, and a third of the time, the man does. The rest of the time it’s due to a combination of both the man and woman, or for reasons that remain unknown.
  • The cause of male infertility is not known about 50 percent of the time. A woman’s risk of infertility increases with age, starting after her mid-30s. Other factors that increase a woman’s risk of infertility include:
    • Smoking.
    • Excessive alcohol use
    • Extreme weight gain or loss
    • Excessive stress

Why choose Geisinger for your fertility problem care?

  • Comprehensive fertility evaluation: The first step to moving past infertility is trying to pinpoint the cause. At Geisinger, we offer the most advanced testing and evaluation services. They include:
    • Semen analysis to measure the quantity and quality of a man’s sperm
    • Testicular biopsy to examine testicular tissue for additional information on a man’s sperm quality
    • Hysterosalpingogram, or X-ray procedure, that checks for blockages and abnormalities in a woman’s uterine cavity and fallopian tubes
    • Sonohysterography, or special ultrasound, that looks for abnormalities in a woman’s uterus
    • Minimally invasive laparoscopic surgery, a procedure in which a doctor inserts a thin instrument (laparoscope) through a small incision in a woman’s abdomen to view and evaluate the uterus, ovaries, fallopian tubes and pelvic cavity
  • Wide range of treatment options: Our highly trained reproductive endocrinologists (doctors who focus on fertility problems) work with you to determine the best treatment options. Possible treatments include:
    • Medicine: We stimulate a woman’s egg production or egg release during ovulation.
    • Surgery: We repair abnormalities or blockages in both men and women.
    • Intra-uterine insemination (IUI): We place sperm into a woman’s uterus around the time of ovulation to increase the chance of pregnancy. This procedure is also known as artificial insemination.
    • In vitro fertilization (assisted reproductive technology): Eggs and sperm are grown together in a petri dish to produce an embryo. The embryo(s) is then placed inside the woman's uterus, to improve the probability of pregnancy. You can also use donor eggs or sperm for this procedure.
    • NaProTECHNOLOGY® (Natural Procreative Technologies): Incorporates both medical and advanced surgical techniques to restore reproductive function and treat other reproductive and gynecologic health conditions. This approach utilizes the patient’s charting of the clinical signs or biomarkers of the fertility cycle, known as the Creighton Model FertilityCare™ System. Our providers specialize in the treatment of infertility, recurrent pregnancy loss, pelvic pain, tubal reconstruction, endometriosis, polycystic ovarian syndrome, irregular periods, and high-risk pregnancy. They also perform restorative reproduction medicine integrating microsurgical and anti-adhesive techniques and robotic-assisted surgery. 
  • Emotional support: Our specially trained behavioral health experts help families cope with fertility challenges, pregnancy loss and other issues.

Treatment options

Our reproductive endocrinologists can help you have a healthy baby.

  • Cryopreservation
  • Donor egg or sperm
  • Intracytoplasmic sperm injection (ICSI)
  • In vitro fertilization
  • Intra-uterine insemination (IUI)
  • Male infertility treatment
  • Medicine to stimulate a woman’s egg production or egg release during ovulation
  • NaProTECHNOLOGY® (Natural Procreative Technologies)
  • Surgery to repair abnormalities or blockages in men and women

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