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Who Should See an Infertility Specialist

Making the first phone call or sending an email can be one of the most difficult steps you’ll take on the road towards parenthood. Some people wait months, even years, and could waste precious time. Knowing when to seek help is crucial, so it's important you receive timely and effective care.

Listed below are conditions that can impair either female or male fertility. If you have been diagnosed with or suspect that you may have any of these conditions, please contact us to schedule a consultation with one of our physicians who will work closely with you to evaluate your situation and develop an appropriate treatment plan.

Couples with any of the following conditions or circumstances should contact us: advanced reproductive age, such as a female who is in her mid 30s or older; reproductive tract problems like tubal disease; past treatment for cancer; irregular menses; inherited or inheritable genetic conditions; infections; DES exposure; or a male with a low sperm count or poor sperm motility (movement). Also gay men and lesbian women who want to become parents can find treatment options to help you achieve your goal.

Please contact us if you are a woman who is experiencing or has experienced:

  • Abnormal secretion of hormones at inappropriate times
  • Amenorrhea: absence of menstruation or regular menstrual cycles
  • Cervical factor/hostile cervical mucus: occurs when the cervical mucus is too thick to allow sperm to pass through the cervix
  • Chromosomal problems
  • Dysfunctional/irregular uterine bleeding
  • Endometriosis: uterine lining tissue found outside the uterus, often inside the peritoneal cavity on the ovaries, fallopian tubes, uterus, bowels and bladder.
  • Fallopian tube damage
  • Single/unmarried/same sex couples who want to build a family
  • Fibroids: nonmalignant growths in the uterus
  • Hirsutism: excessive hairiness in women often associated with polycystic ovarian syndrome (PCOS)
  • A history of chemical pregnancies, repetitive miscarriages
  • Hyperandarogenic disorders: caused by an excess of male hormones and is frequently seen in women with PCOS
  • Immunologic problems
  • Implantation defects
  • Lupus (SLE): an autoimmune disorder that can impair infertility
  • Luteal phase deficiency: problem in the luteal phase, which is the time between ovulation and menstruation and which may have an impact on sustaining a pregnancy
  • Menstrual problems
  • Ovarian cysts
  • Ovarian failure
  • Ovulatory dysfunction
  • Pelvic inflammatory disease/scar tissue
  • Polycystic ovaries: one of the most common hormonal disorders affecting approximately 7% of all women with symptoms that can include irregular or absent periods, excessive hair growth, obesity and infertility
  • Problems with egg quality or release
  • Prolactinomas: non-cancerous pituitary tumors that secrete too much prolactin, the milk hormone
  • Turner's Syndrome: a chromosomal abnormally with a number of complications, including infertility because of non-working ovaries
  • Tubal sterilization or ligation
  • Unexplained infertility
  • Uterine anatomic defects, including the following:
    • Double uterus (uterine didelphis), double vagina
    • Uterine septum: a congenital (birth) abnormality where the uterine cavity is partitioned with a septum
    • Unicornuate uterus: a rare uterine malformation where the uterus is formed from one only of the paired Müllerian ducts
    • Bicornate uterus: another rare uterine malformation also known as a "heart-shaped" uterus, where two "horns" form at the upper part of the uterus.
    • Congenital absence of the uterus: also known as Rokitansky-Kuster-Hauser-Mayer
    • Androgen insensitivity syndrome (AIS)
    • Sawyer Syndrome

Please contact us if you are a man with:

  • Antisperm antibodies: an immune system response in either the man's or woman's body where antibodies damage or kill sperm
  • Erectile dysfunction who desires fertility
  • Failed vasectomy reversal
  • Chromosomal problems
  • Complete azoospermia: lack of sperm
  • Congenital absence of the vas deferens: part of the male anatomy that transports sperm for ejaculation.
  • Sertoli cell only syndrome
  • Sperm banking needs due to impending chemotherapy
  • Testicular failure
  • Kleinfelter syndrome

For the benefit and convenience of our patients, Abington Reproductive Medicine is closely associated with Steven J. Hirshberg, M.D., who serves as Director of Male Infertility Services at Abington Memorial Hospital’s Toll Center for Reproductive Sciences. Dr. Hirshberg, one of the only fellowship-trained reproductive urologist in the Delaware Valley, is one of the region’s foremost experts in diagnosing and treating cases of male factor infertility.