Infertility and Miscarriage
Difficulty in getting pregnant can be an extremely difficult time for some couples. Whilst most will achieve a pregnancy within the first year of trying, a number of couples take longer.
There was a number of essential requirements to get pregnant: an egg, a sperm, and the means for them to meet.
The more common causes for sub-fertility include polycystic ovarian syndrome, endometriosis, a low sperm count and maternal age. For many, however, no specific cause is found.
The primary investigations for sub-fertility involve trying to determine whether an egg is being produced, and how regularly, what is the quality of the sperm, and if the fallopian tubes are open so they can be brought together.
Conservatively, medication can be used to increase the chances of ovulation. There may be lifestyle changes that can improve sperm quality. Blocked tubes can usually not be fixed.
I can assist in these early stages of investigation and fertility management.
If this approach is not successful, further assistance with some form of IVF technique would usually follow.
Miscarriage, and particularly recurrent miscarriage, can also be a very difficult time for couples. About one-third of pregnancies will miscarry, so it is a lot more common than most people think.
As with subfertility, often no cause will be found. A chromosomal anomaly is the most common cause for miscarrying, and this tends to be a sporadic or random event. It's important to bear in mind that following a miscarriage, the majority of couples will have a successful pregnancy, and that it remains true even after two or more miscarriages. For those who have suffered two or more miscarriages, further investigations may be appropriate. Early regular ultrasound scans and the use of progesterone has been shown to be beneficial for those following recurrent miscarriage.