Fertility & Infertility
Fertility problems can be caused by many issues, and getting a proper diagnosis is the key to effective treatment and successful conception. Embry Women’s Health, in Mesa, Arizona, uses diagnostic and treatment techniques aimed at helping couples overcome fertility problems so they can start or add to their family.
Fertility & Infertility Q & A
What causes infertility?
Infertility can occur in men as well as women, and several factors can be involved. In men, fertility problems usually arise as a result of problems with the structure or motility (movement) of the sperm or in the concentration or number of sperm present. Problems with ejaculation or genetic issues can also cause fertility issues in men. In women, the most common causes of infertility include:
- decrease in normal hormone production associated with older age
- other causes of low hormone levels, including polycystic ovary syndrome (PCOS)
- endometriosis, a condition where the uterine lining forms outside the uterus
- fibroids, adhesions or polyps
- problems with ovulation or with the ovaries themselves
- abnormalities in the structure or the uterus or the uterine lining
- excessive production of mucus or other substances that can be toxic to sperm or make sperm motion difficult
- genetic disorders or other diseases
- cancer treatment
How is the cause of infertility determined?
Today, there are many tests that can be performed to determine the underlying cause of fertility problems so the most appropriate treatment can be recommended. Blood testing, sperm sampling, pelvic exams, ultrasound and other diagnostic imaging and evaluations all may be used depending on the symptoms of infertility, and other exams may be performed to look inside the uterus to evaluate the uterus, ovaries and fallopian tubes (structures that enable the eggs to travel from the ovaries to the uterus). Your Nurse Practitioner will refer you to a Reproductive Endocrinologist for advanced testing, procedures, and treatments if needed.
What Evaluations Are Done to Evaluate Infertility?
- Basic history and physical examination of both partners are taken.
- Sometimes, blood tests may be ordered.
- Semen analysis (sperm count) in men.
- X-ray test to determine if the tubes are damaged.
- We do the initial work-up and testing, and refer you to the appropriate specialist pending your results.
What treatments are available for infertility?
The treatment that’s used will depend on the underlying cause of infertility. For instance, hormone replacement therapy can play an important role in treating issues caused by low or fluctuating hormones or irregular ovulation, which we can treat. Structural issues affecting the uterus or fallopian tubes, such as fibroids, may require surgery, or medications and would be referred out to the appropriate specialists. Others may benefit from treatments like in vitro fertilization (IVF) or intrauterine insemination (IUI), which would be referred out to a Reproductive Endocrinologist. Each treatment will be carefully designed to suit the individual patient’s needs to help maximize the chances of successful conception.
Embry Women’s Health is committed to providing quality, affordable health care. We’re in-network with all major insurance plans, including Aetna, Blue Cross Blue Shield, Cigna and UnitedHealthcare. No insurance? No problem. We offer a simple fee schedule for those who wish to pay out-of-pocket. Click the button below for our complete list and more information:
Words from our patients
JoEllen is AMAZING! Not only is she professional- she makes your whole experience comfortable. If you’re looking for a professional that never judges your situation and treats you very well- I would definitely recommend this office!
5 Stars – Yelp
It is refreshing to meet a practitioner who sees the whole patient and not just a series of symptoms. JoEllen is willing to spend the time to ask questions and really listen to the responses. I have seen JoEllen several times and I have always appreciated how much time she spends with each appointment and her pragmatic approach with solutions. I feel like my health drives the appointment and not the schedule. Finding JoEllen’s practice was like finding a needle in a haystack, a caring practitioner who encourages patients to listen to their bodies and to be their own best advocate.
5 Stars – 10/11/2018
Friendly staff. JoEllen is incredibly kind, patient and answers all of my questions whenever I see her. I don’t feel like I am being rushed when I am there, it is very nice.
5 Stars – 10/4/2018
I was super impressed. NP Eva was wonderfully personable and professional. Front desk staff (thanks, Mia) was kind and thoughtful. They have snacks and drinks in the waiting room. It’s super clean and the view is lovely. It sits right on the lake at Dobson Ranch.
5 Stars – 5/24/2021
“I started seeing Joellen earlier this year and I have had nothing but good experiences every time I have gone back. She is very down to earth and listens to any concerns. I would highly recommend Embry Womens Health.”
5 stars – 09/28/2018