The traditional definition of infertility is sexually active couples not using contraception for one year without conception; or sexually active couples older than 35 years of age, not using contraception or 4 to 6 months without conception.


  • Male issues— 26 percent
  • Ovulation dysfunction — 21 percent
  • Tubal damage — 14 percent
  • Endometriosis — 6 percent
  • Coital problems — 6 percent
  • Cervical factor — 3 percent
  • Unexplained — 28 percent

Lifestyle factors can affect the duration of time before achieving pregnancy and modifying these factors may enhance fertility. The recommendations below are based upon data from observational studies; no randomized trials have been performed. This information is taken from UpToDate.

  • We suggest sexual intercourse two to three times per week to ensure that intercourse falls within the fertile period (up to two days before ovulation) and semen quality is optimal.
  • We recommend smoking cessation for couples who smoke based on the overall health benefits of smoking cessation.
  • A body mass index greater than 27 kg/m2 or less than 17 kg/m2 is associated with an increased risk of anovulatory infertility.
  • Moderate and heavy female drinkers tend to take longer to achieve a pregnancy and are at higher risk of undergoing an infertility evaluation.
  • It is unclear whether high caffeine consumption affects female fertility; it does not appear to affect male fertility. We suggest women contemplating pregnancy limit caffeine intake to no more than one or two cups of coffee per day.


  • Ovulation
    • Temperature charting
    • Ovulation prediction kit testing
    • Progesterone testing
    • Lab work for ovarian reserve, pituitary function, hypothalamic function, adrenal function
  • Uterus/cervix
  • HSG
    • X-ray study with dye to showed the shape of the uterus and the patency of the fallopian tubes
    • DOC 7 – 11 (day of cycle #1 is the first day of menstrual bleeding)
  • FemVue
    • New in-office ultrasound study instead of the HSG (no x-rays)
    • Shows the shape of the uterus and patency of the fallopian tubes
  • Male
    • Semen analysis for total sperm count, % of motile sperm, and % of normally formed sperm

Infertility treatment we offer

  • Medications to stimulate ovulation
  • Ultrasound monitoring of ovulation
  • Intrauterine insemination – flushing a prepared specimen of semen into the uterus to increase pregnancy rates
  • Laparoscopy – minimally invasive surgical treatment of pelvic adhesions and endometriosis
  • Hysteroscopy – no incision surgical treatment of polyps, fibroids or adhesions inside the uterus

To learn more about our infertility services or to schedule an appointment, please call our main office at (404) 255-3633. You can also use our online Request an Appointment form. Our infertility patients come to us from the area of Buckhead in Atlanta, Alpharetta, Dunwoody, Roswell, Forsyth, Cumming, North Atlanta and, Sandy Springs in Fulton County, GA.

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