Our Services
A careful search for the cause when pregnancy is not happening, and a plan for what to do next.
Difficulty conceiving is common and it is nobody's fault. Infertility is usually defined as not becoming pregnant after 12 months of trying, or after 6 months if you are 35 or older. An evaluation looks for the reason, because the right treatment depends on the cause.
Infertility can involve either partner, both, or neither in any way that testing can identify. Frequent causes include:
Your physician begins with a detailed conversation about your cycles, your medical and surgical history, and how long you have been trying. The evaluation usually includes a pelvic examination, blood tests to assess ovulation and hormone levels, and a pelvic ultrasound. A semen analysis for your partner is an important early step. Depending on what is found, we may recommend a test to check whether your fallopian tubes are open.
Many causes of infertility can be treated. Options your physician may discuss include timing guidance, treatment of thyroid or hormonal conditions, medication to help you ovulate, and surgery for conditions such as fibroids or endometriosis when they are thought to be contributing.
When treatments such as intrauterine insemination (IUI) or in vitro fertilization (IVF) are the best path, we refer you to reproductive endocrinology specialists and coordinate your care with them. Once you are pregnant, we look forward to caring for you through delivery.
Come in sooner than 12 months if your periods are irregular or absent, if you have had pelvic surgery, pelvic infection or endometriosis, if you have had more than one miscarriage, or if you are 35 or older.
Our office is at 203 East 62nd Street, New York, NY 10065, on Manhattan's Upper East Side. Most of our patients come to us from across the tri-state area, and many travel from other states and from abroad for their care. To make an appointment, use the booking button on this page or call 917-688-2624.
This page offers general information and is not medical advice. Your physician will advise you about your own situation.