Infertility

If you’ve been trying to conceive without success, you may be feeling frustrated, overwhelmed, or unsure of what to do next. At Lamorinda Women’s Health in Lafayette, California, board-certified gynecologist Karine Hajyan, DO, FACOG, provides compassionate infertility evaluations and personalized care to help you identify potential factors affecting conception and guide you through your available treatment options. Call the office today or schedule an appointment online to learn more about infertility testing and treatment.

What is infertility?

Infertility is defined as being unable to become pregnant after one year of regular, unprotected intercourse. However, your age, health history, and individual circumstances can affect when to seek an evaluation.

Infertility can affect anyone and may involve factors related to ovulation, reproductive health, or both partners.

When should I seek medical help for infertility?

If you’re under age 35, you may want to schedule an infertility evaluation after 12 months of trying to conceive. If you’re 35 or older, it’s often recommended to seek help after six months of trying because fertility can change with age.

You may also benefit from an earlier evaluation if you have concerns such as:

• Irregular or absent menstrual cycles
• A history of sexually transmitted or pelvic infections 
• Endometriosis or uterine conditions
• Previous pelvic or reproductive surgeries
• Recurrent pregnancy loss
• Known fertility concerns affecting you or your partner

At Lamorinda Women’s Health, Dr. Hajyan provides compassionate infertility evaluations to help identify what’s affecting your ability to conceive. She takes the time to listen to your concerns, review your health history, and recommend appropriate next steps based on your goals.

How is infertility diagnosed?

Infertility testing typically begins with a detailed discussion about your menstrual cycle, medical history, lifestyle factors, and reproductive goals. Dr. Hajyan may recommend diagnostic testing to evaluate ovulation, hormone levels, your uterus and ovaries, and other factors that can impact fertility.

Testing may include blood work, an ultrasound, checking your fallopian tubes, and other evaluations based on your needs. Your partner may also need testing, since fertility concerns can be related to factors affecting you, your partner, or both of you.

What can cause infertility?

There are many possible causes of infertility, and sometimes more than one factor may contribute. Causes can include:

• Ovulation disorders
• Hormonal imbalances
• Endometriosis
• Blocked fallopian tubes
• Uterine fibroids or polyps
• Age-related changes
• Certain medical conditions

In some cases, testing doesn’t identify a specific cause.

What are my infertility treatment options?

Your treatment options depend on your diagnosis, health needs, and family-building goals. Dr. Hajyan may recommend medications, treatment for underlying gynecologic conditions, lifestyle changes, or referrals to fertility specialists when appropriate.

If you have concerns about infertility or are ready to begin an evaluation, contact Lamorinda Women’s Health today to schedule an appointment with Dr. Hajyan for compassionate care and support throughout your fertility journey.