Our Patients’ Rating: Trying to conceive without success can be stressful and discouraging. This experience is more common than people expect, and it can happen even when both partners seem healthy. In many cases, medical testing reveals clear issues. In others, the cause remains unknown despite careful evaluation.
During your first visit, we review your medical history, daily habits, and previous attempts to conceive. We then recommend tests that help us understand possible factors that affect success. Together, we create a plan that fits your needs and goals.
Meet Our TeamThe evaluation starts with a full overview of both partners' reproductive health.
For women, this includes a thorough gynecological history, as well as hormone testing such as AMH (anti-Müllerian hormone), FSH (follicle-stimulating hormone), and Estradiol.
A transvaginal ultrasound offers a more detailed view of the ovaries and can help assess follicle development. Hysterosalpingography (HSG) or ultrasound-based tubal testing assesses whether the fallopian tubes are open and functioning correctly. Fertility specialists typically include this test in their evaluation of tubal health during a comprehensive fertility workup.
For men, the process typically begins with a review of sperm count, motility, and morphology through a semen analysis. Your fertility doctor may recommend further hormonal testing panels or genetic screenings based on your initial test results.
These tests provide us with a better understanding of what’s getting in the way and help us determine the next step together.
Our fertility clinic offers fertility options for couples with infertility, including various forms of assisted reproductive technology (ART). The choice depends on your test results and personal preferences.
In many cases, IUI is often the first treatment we consider. Less invasive and more affordable than IVF, it's often the first step in treatment. IUI can help when there’s low sperm count, mild male factor issues, sexual dysfunction, or unexplained infertility.
The procedure places washed sperm into the uterus during ovulation, increasing the chance of conception. Doctors may prescribe fertility medications to trigger ovulation and help time the insemination more precisely. According to the American Society for Reproductive Medicine (ASRM), success rates depend on whether fertility medications are used, age of the female partner, infertility diagnosis, as well as other factors.
Another option now available for certain patients is Femaseed. This newer, non-invasive method delivers sperm into the fallopian tube using a catheter. It is done in the office without anesthesia.
It may help patients with unexplained infertility or mild male issues. These issues include slightly low sperm count, reduced motility, or minor problems with sperm shape.
Learn more about Intrauterine Insemination (IUI) ➜When other options don’t result in pregnancy, IVF becomes the next logical step. IVF begins with hormone medications to stimulate the ovaries and produce multiple eggs. The process then continues with retrieving eggs from the ovaries.
Embryologists fertilize the eggs in the lab and monitor embryo development to select the healthiest ones. One or more embryos are then transferred into the uterus. IVF helps in cases like blocked fallopian tubes, low sperm count, or other complex fertility issues.
Learn more about IVF (In Vitro Fertilization) ➜ICSI is used when standard IVF may not succeed due to sperm-related problems. In these cases, fertilization is less likely to occur, even under lab conditions. ICSI allows the embryologist to inject a single sperm directly into the egg. This approach improves the chances of fertilization when sperm count is low, movement is limited, or shape is irregular.
Learn more about ICSI (Intracytoplasmic Sperm Injection) ➜Patients often consider donor sperm when other options no longer lead forward. This choice can be difficult, but for many, it becomes a path to parenthood.
Donor sperm is an option when there’s no usable sperm from the partner. It is often used for severe male infertility or when there is a known genetic condition that might be passed on.
Choosing a donor can feel overwhelming at first. Some patients look for certain physical features. Others prioritize things like health history or background.
The donor selection process can take time, and that's okay. You'll have support as you explore options and move forward with IUI or IVF at your own pace.
Learn more about Sperm Donation ➜
Sometimes, even after a full evaluation, the reason remains unclear. If you've been trying for over a year without success, talk to our fertility specialists. See what options may help. With the right plan, many patients move forward and conceive.
Lifestyle habits like nutrition, sleep, weight, and stress can affect fertility. Smoking, alcohol, and certain medications may also reduce the chances of conceiving.
During your consultation, our doctors will take time to review how your lifestyle may be influencing fertility. You might discuss adjustments to diet, exercise, or sleep patterns. Sometimes, even small changes can make a difference in supporting reproductive health.
Fertility challenges can feel overwhelming and may affect emotional well-being, relationships, and daily life. In some cases, couple fertility therapy may help partners cope with the emotional stress of infertility. Our team provides support, resources, and referrals for counseling when needed. We focus on personalized care for each patient.
If you are struggling to conceive, our team is here to help. We support couples through each stage of the fertility journey. Schedule a consultation or contact us to get started. Let’s talk about what comes next.
Take the first step toward building your family. Discover how California Fertility Clinic can help make your dreams of parenthood a reality.
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