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Unexplained Infertility

What do you do when you and your partner have had all the tests, the results come back normal, the docs can’t find anything wrong, and you still can’t get pregnant?

Some researchers say that unexplained infertility does not exist; they claim that the tests may simply be too narrow to detect the problem. Yet that is of little comfort to the 10-30% of couples who remain unable to conceive, while being told nothing is wrong. Guilt begins to creep in - “there’s no real problem, so it must be me.”

As with any diagnosis, education is key. Make sure you learn as much as you can about the tests you underwent and the results. Don’t be afraid to ask for a second opinion or for a second round of blood and semen tests; a result that was borderline in previous tests may now indicate a definite problem. Request a laparoscopy, if one has not already been done. The procedure will check for endometriosis or any remaining scar tissue that may be impeding fertilization.

Discuss your options with your doctor. Even though you have not pinpointed the cause of the problem, there are still treatments worth trying – perhaps fertility drugs, IUI, or IVF. Given the dozens of processes that have to be “just right” for conception to occur, it is understandable that tests may not be able to pick up every one of them. That doesn’t mean the standard fertility treatments won’t work. The good news is that the vast majority of couples (80%) with unexplained infertility do eventually get pregnant with the correct treatment.

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