Infertility

Alternative names:

barren; inability to conceive; unable to get pregnant

Treatment:

Treatment depends on the cause of infertility for any given couple. It may range from simple education and counseling, to the use of medications that treat infections or promote ovulation, to highly sophisticated medical procedures such as in-vitro fertilization.

It is important for the couple and provider to recognize and discuss the emotional impact of the condition upon the couple, both as individuals and jointly as a couple. As new treatments are announced, couples may either experience new hope or only have to deal with old wounds being reopened. Support groups for infertile couples may be an important source of strength and comfort. RESOLVE, a national organization, provides both informal support and serves as a referral base for professional counseling specific to infertility issues. See infertility - support group.

Expectations (prognosis):

A probable cause can be determined for about 85 to 90% of infertile couples. Appropriate therapy (not including advanced techniques such as in-vitro fertilization) allows pregnancy to occur in 50 to 60% of previously infertile couples. Without any treatment intervention 15 to 20% of couples previously diagnosed as infertile will eventually become pregnant.

Complications:

Although infertility itself does not cause physical illness, the psychological impact of infertility upon individuals or couples affected by it may be severe. Marital problems, including divorce, as well as individual depression and anxiety are commonly encountered.

Calling your health care provider:

Call for an appointment with your health care provider if you are unable to achieve a desired pregnancy.