Mulitiple Factor Infertility

January 02, 2018. By CFA.

Multiple factor infertility

Multiple factor infertility is diagnosed when there is more than one infertility factor at work, and it’s more common than people realize.

You may know you have endometriosis and assume that’s the cause of your infertility, without knowing you also have a uterine abnormality. Or, you may assume PCOS is preventing your ability to get pregnant, while in fact your partner’s poor sperm motility is further complicating things.

This is why it’s so imperative that both partners are given a complete fertility workup.

Both Partners Should Be Given a Complete Fertility Workup

A complete workup, conducted during your first fertility consultation, is the only way fertility specialists can identify exactly what factors are making conception – or a full-term pregnancy – so difficult.

Be wary of any fertility specialist who recommends any fertility treatment without looking into both partners’ fertility factors. Doing so can have costly ramifications – from the emotional and psychological, to the financial.

For example, there was a fertility treatment horror story recently that can happen when a

Multiple factor infertility

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fertility center isn’t thorough during their patient intake.

The woman’s menstrual cycle was regular and all symptoms indicated that she ovulated regularly. Her husband, who had a vasectomy after a previous marriage, had reversed the vasectomy 12-months prior. Even with meticulous timing for conception at home, they still couldn’t get pregnant. Thus, the clinic they visited determined the husband’s vasectomy reversal had failed and started out with two cycles of IUI. That didn’t work. Then they moved on to IVF – and the woman miscarried two IVF cycles in a row – both miscarriages occurring early on in the pregnancy.

At this point, the couple was devastated. The clinic did some genetic screening and found that the woman had a condition called balanced translocation, where chromosomes are not arranged as they should be. While this may not result in any identifiable characteristics in the person with the translocation, it will make it more difficult for their embryos to be viable. In this case, 50% of the time, her eggs had missing genetic material that made resulting embryos unviable.

In other words, the couple was actually dealing with multiple factor infertility.

Once this was established, the couple proceeded with IVF – using preimplantation genetic diagnosis (PGD) – and selecting embryos that were free from chromosomal abnormalities.  Less than 12-months later, they had a healthy baby.

Never Move Forward with Expensive Fertility Treatments Until You Have all the Answers

Had the couple insisted on a full fertility workup from the beginning – they would have avoided years of emotional hardship and struggle.

Regardless of what you know about yourself or your partner, never assume there is only one fertility factor at work. A full fertility workup, including preconception genetic screening, is the only way for fertility specialists to identify all of the factors preventing conception or a healthy pregnancy, so we can determine a personalized fertility treatment plan that addresses specific issue(s).

Are you struggling to get pregnant on your own? Have you based your fertility treatment plan on assumed factors, rather than exploring all the potential possibilities? Contact Columbia Fertility Associates. We insist on evaluating both partners thoroughly, and this is why we experience some of the best fertility treatment rates in the nation.


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