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School of Medicine
Infertility Evaluation and Treatment
If you are trying to have a baby and not getting pregnant, your feelings of frustration and isolation can be overwhelming. All of our physicians have experience in evaluating and treating couples for infertility. We offer several diagnostic and treatment solutions.
What is infertility?
Infertility is defined as the inability to conceive a child after one year of unprotected intercourse. For women who are older than 35, infertility is defined as six months without conception.
What types of fertility testing do you offer?
First, we will discuss how long you have been trying to get pregnant. Our practitioners may recommend:
- Postcoital testing – this examines a woman’s cervical fluid after intercourse to determine how many mobile sperm are present and moving normally.
- Endometrial biopsies – the endometrium is the lining of the uterus. By examining the tissue in a biopsy, your doctor may be able to determine the general health of your uterus and identify any possible hormonal causes of infertility.
- HSG testing - A hysterosalpingogram (HSG) is an X-ray that uses a contrast dye to examine the fallopian tubes and uterus. By watching the flow of the dye through the fallopian tubes and uterus, doctors can sometimes determine if there is a fertility issue.
- Semen analysis testing - we also order semen analysis to test for male factor infertility.
What are some of the infertility treatments you offer?
Depending on the results of your infertility testing, our practitioners may recommend Clomid or Serophen® – this medication, known as clomiphene citrate, stimulates ovulation. We also offer Metformin.
What if the treatment doesn’t work and we still can’t get pregnant?
When necessary, our practitioners will refer you to infertility specialists in the area. There are other sophisticated infertility treatments available, including IUI, IVF and donor egg programs. Visit the Johns Hopkins Fertility Center for more information.