- Anomalies of uterus
- Hormone Replacement Therapy
- Induction of Ovulation
- Male Infertility
- Menstrual Irregularities
- Ovarian Cysts
- Premature Menopause
- Premature Ovarian Failure (POF)
- Removal of fibroids
- Semen Analysis
Contact Us Today!
- Phone: (503) 227-4050
- Fax: (503) 477-7673
Connect With Us
Follow us on FacebookFacebook
Diagnosis of Infertility
The need to discuss and explore your unique circumstances is your first step. Together, we can find the best solution to create your new family. Dr. Greenberg’s practice makes more solutions available to you as she is qualified in more areas of fertility and gynecology than your typical medical office. Dr. Greenberg’s fertility practice is convenient and private, with comfort and confidentiality at the heart of everything she does.
You should visit Dr. Laura Hope Greenberg soon if:
You have any reason to be concerned about your fertility, for example, if you have had treatment for cancer, have been trying for a year or 6 months if you are over the age of 35. Fertility testing and investigation can be a lengthy process, and female fertility decreases with age, so it is best to make an appointment early on.
Dr. Greenberg will be able to advise about what to do next, and carry out an initial assessment to investigate causes of your fertility problems.
Taking your first step.
The first step is a consultation with Dr. Greenberg. This time will be spent going over your history, both personal and medical.
Topics covered during the consultation
Medical, Sexual and Social History
When you visit Dr. Greenberg, she will want to discuss your unique, medical history. This will help her identify what is causing your fertility problems. After talking about medical, sexual and social history, Dr. Greenberg may carry out a physical examination, do an ultrasound, or refer you for tests.
Dr. Greenberg will discuss your age, as fertility in women declines with age.
Dr. Greenberg will want to discuss any previous births and any complications you may have experienced. She will also ask about any past miscarriages.
You will be asked how often you have sex, and whether you have any difficulties during sex. There is no need to feel uncomfortable or embarrassed about discussing your sex life with Dr. Greenberg. The importance for open and honest discussion is paramount. If your problem has to do with sex, it might be overcome easily.
She will ask how long you have been trying to conceive. Around 95% of couples are able to conceive naturally after two years of having unprotected sex.
Length of time since stopping contraception
You will be asked about the type of contraception you previously used if any at all, and when you stopped using it. Some hormonal contraception methods take time to leave your system, and this may be affecting your fertility.
Dr. Greenberg will want to discuss any past or present medical conditions, including sexually transmitted infections. Dr. Greenberg may ask how regular your periods are and whether you experience any bleeding between periods or after sex. She will want copies of any prior abdominal or pelvic operative reports and of any imaging studies or hormonal tests.
Some medications can affect your fertility. Dr. Greenberg will look at any medication you currently take or have recently taken, and might discuss alternative treatments with you. It is important to include any non-prescription or herbal medications you are taking as well.
Several lifestyle factors can affect your fertility. She may recommend changes to your lifestyle to increase your chances of conceiving. Dr. Greenberg will want to know:
- if you smoke
- how much you weigh
- how much alcohol you drink
- whether you take any illegal drugs
- if you are stressed
- if you excercise regularily
During a physical examination Dr. Greenberg may:
– Weigh you, to see whether you have a healthy body mass index (BMI) for your height and build
– Examine your pelvic area, to check for infection, lumps or tenderness, which could be an indication of fibroids, ovarian tumours, endometriosis, or pelvic inflammatory disease (PID).
There are multiple tests to establish the cause of infertility.
If your periods are irregular, the level of follicle-stimulating hormone (FSH) and luteinising hormone in your blood may be tested along with thyroid hormone, prolactin and testosterone. A newer test, AMH (anti-Müllerian hormone), is used in some patients to check for ovarian reserve along with the FSH level.
Thyroid function test
It is estimated that between 1.3% and 5.1% of infertile women have an abnormal thyroid gland. If you have any symptoms of a thyroid abnormality, such as weight loss or weight gain, your thyroid gland will be tested to check whether it is functioning properly.
Chlamydia is an STI that can affect fertility. A swab (similar to a cotton bud, but smaller, soft and rounded) is used to collect some cells from your cervix to test for chlamydia. If you have chlamydia, you will be prescribed antibiotics to treat it.
A hysterosalpingogram is a type of X-ray taken of your womb (uterus) and fallopian tubes after a special dye has been injected. This will outline the cavity of your womb and detect any blockage of the fallopian tubes.
Saline Infused Sonogram (SIS)
is a type of ultrasound scan. A small amount of fluid will be injected into your womb through a tube that is put into your cervix (the womb opening). Ultrasound is used to check the uterine cavity for any filling defects that might signify uterine polyps or fibroids etc.
Hysteroscopy and Laparoscopy
A Hysterolaparoscopy involves making a small incision (cut) in your lower abdomen. A thin, tubular telescope called a laparoscope will be used to look more closely at your womb, fallopian tubes and ovaries. Dye may be injected into your fallopian tubes through your cervix in order to highlight any blockages in them.
A laparoscopy is usually only used if there is a strong chance that you have a problem, for example, if you have had an episode of PID in the past.
for your male partner, if needed.
What do I need for my first consultation?
You will need to request any records you may have from previous consultations if any. (please request these records in advance so they will be here in time for your appointment).
Prior to your first appointment, we will need necessary information to help you plan your care, there are a number of forms you will be asked to fill out and return to our office. If you are unable to print these forms, please contact us so we can mail them out to you. Please arrive a few minutes prior to your appointment time for our staff to review and make sure everything is completed as needed.
For more information, please visit the Synergy Womens Health Care website