J. Clark Bundren M.D. - Infertility and Gynecology


	*Fertility* Human conception is a difficult and complex process, even under the best conditions. Fertility problems affect both men and women. more details *Endometriosis* Nearly 5.5 million women and girls in the U.S. and Canada are effected by this disease. more details *Irritable Bowel Syndrome (IBS)* IBS affects approximately 20 million people with about 2/3 of them being women. more details

Facts About Fertility

Human Reproduction
Considering the precision and intricacy with which the human reproductive system must function to result in conception and live birth, it seems miraculous that babies are born without difficulty to the majority of couples. The fertility of the human race is insured by the reliable excesses of nature in providing over 400 ovulations in the lifetime of the fertile woman and abundant sperm in the fertile man.

Fertility
25% of women conceive in the first cycle of unprotected intercourse.

63% within 6 months
80% within 9 months
85% within 1 year

Less than 5% will conceive in the next 6 months, making 1 year of exposure a good trial time in an otherwise normal young couple.

Basic infertility evaluation and treatment may be accomplished by the gynecologist. More complex problems of evaluation and treatment should be done by a specialist in infertility. (more)

Infertility In Men
The first step in infertility treatment is to rule out the male factor since about 35% of infertility is male in origin. Semen analysis is important as a first step, since evaluation in women can often be extensive, time-consuming and more expensive. Any corrective measure attempted in a woman may be fruitless if the problem lies with her partner’s low sperm count, sperm antibodies or other contributing problems. At this point an evaluation can be made as to the direction of the treatment. A few causes of infertility in men respond to treatment, like change of lifestyle, medication or surgery. (more)

Infertility in Women
About 35% of infertility in married couples is attributed to the woman. There are many reasons for subfertility or infertility in women. Some of the most common are endometriosis, an ovulatory dysfunction, pelvic adhesions, tubal occlusion, uterine fibroids, vigorous exercise or practices before or after intercourse, as well as many physiological reasons. Consideration of both the male and female infertility factors is taken in logical steps to determine the course of the treatment that may lead to a successful pregnancy. (more)