Steps of having a baby
Having a baby happens naturally for most couples. Most couples have sex under the right circumstances and then have a baby. But about 1 in 7 couples are sub/infertile, they have tried for some time getting pregnant without success.
1 in 7 couples are sub or infertile and often go through the following steps:
- Tried and did not get pregnant
- See Obgyn
- Basic fertility evaluation
- See a fertility specialist
- Have a semen analysis
- Do bloodwork
- Have genetics test
- Do a hysterosalpingogram (hsg)
- Do a saline US sonogram/ultrasound
- Have an endometrial biopsy
- Have another ultrasound
- Have a hysteroscopy
- Have a laparoscopy
- If no ovulation take Clomid
- Have intrauterine insemination IUI
- Then have in-vitro fertilization IVF
- Have ICSI
- Have PGI
- Embryo transfer
- Frozen embryo transfer
- No implantation
- Try again
- Get pregnant
- Miscarriage
- Try again
- Stay pregnant
- Raise Hope
- Have a baby
The following three causes of infertility comprise over 80% of all major infertility issues. During infertility workup, over 80% of infertile couples have one or more of these problems:
- Ovulation Problems (often related to the mother's age): Anovulation and low egg quality
- Male Factors (sperm problems): Low sperm count and low quality sperm
- Pelvic factors (for example, problems with the fallopian tubes) Fallopian tube problems
Below are facts concerning the percentage distribution of fertility problems:
- About 25% of cases of infertility are due to ovulation problems such as anovulation and polycystic ovary syndrome (PCOS);
- 30% are caused by pelvic factors such as endometriosis, adhesions, or tubal disease, and
- 35% are due to male factors such as an abnormal sperm count (for example, oligospermia or not enough sperm, increased semen viscosity, decreased sperm motility, or decreased semen volume).
- Less than 5% of infertility is caused by abnormal cervical mucus penetration, antisperm antibodies, or corpus luteum defects (CLP).
- In about 10-15% of couples, no specific reason for infertility can be found on initial evaluation. This is called (unexplained infertility). But on further evaluation and treatment, occasionally factors such as poor sperm penetration or abnormal-appearing oocytes (eggs) are discovered.