There are several factors that contribute to infertility both for male and female patients. At Arizona Associates for Reproductive Health, we help advise patients in lifestyle changes, such as a healthy diet and exercise and quitting smoking, to improve chances of fertility. During your fertility evaluation, we can identify infertility factors and determine treatments, such as IVF, to combat them.
Studies have shown that having intercourse two days prior to the ovulation has the most success in achieving the pregnancies. Current use of ovulation predictor kits, which measures the luteinizing hormone in the urine, have been shown to be positive roughly one to two days prior to the ovulation, and this is the most fertile days of the ovulation.
Healthier lifestyle is definitely associated with better pregnancy rates, particularly patients who have ovulatory dysfunction. We also know that smoking is associated with decreased fertility in men as well as women. In a man it is associated with abnormal sperm parameters. In women it is associated with many problems, including ovulator dysfunction as well as miscarriages. And recreational drug use like marijuana is also associated with declining fertility.
Women who are too thin or too obese also have reduced pregnancy rates.
There are many reasons to consider IVF as a front line treatment. As an example, women having a tubal disease or having a severe oligospermia, that is low sperm count, women having a diminished ovarian reserve, severe endometriosis, and if they have failed to achieve the pregnancy with controlled ovarian hyperstimulation and insemination should also consider in vitro fertilization. The combination of the various male and female factors should also consider in vitro fertilization earlier than later. Women who are seeking any ovulatory screening through preimplantation genetic screening, or if they are carrying certain genetic diseases in their family should also consider in vitro fertilization.