Welcome to Reply Infertility/Subfertility

Many couples who want to have a child experience difficulty getting pregnant. Sadly, such difficulty is fairly common. It affects about 1 in 7 couples at some point in their lives.

Using our cooperative approach, Reply offers a unique program of fertility evaluation and treatment called “Finding & Fixing.”  This starts with our view of infertility/subfertility as a symptom of underlying health problems, so we focus first on identifying and treating those underlying problems. Our goal is to restore and optimize health so that couples can conceive naturally.

Phase 1: Finding Phase

In the Finding Phase, we partner with patients to try to identify the cause(s) of their subfertility. Steps may include:

  • fertility awareness cycle charting to gather data about the woman’s cycle
  • laboratory assessment of hormones at specific times in the woman’s cycle
  • ultrasound to evaluate pelvic organs and follicles (eggs) in the ovaries
  • hysterosalpingogram (HSG) to evaluate for tubal blockage
  • diagnostic surgery
  • semen analysis and additional male factor evaluation as indicated
  • evaluation of lifestyle factors

It is important to note that infertility/subfertility often has more than one contributing factor and can relate to the woman, the man, or both. During our Finding Phase for evaluating infertility, we offer testing that includes guidelines from the American College of Obstetricians & Gynecologists [Download PDF].

Phase 2: Fixing Phase

In the Fixing Phase, we work to address underlying health problems and lifestyle factors. Steps may include:

  • treatment of underlying conditions that stop or interfere with ovulation
  • supplements to improve the quality of cervical fluid
  • hormonal treatments like progesterone, estradiol, clomiphene, letrozole and human chorionic gonadotropin
  • surgery for suspected endometriosis and/or other underlying problems
  • additional therapies, including health coaching, based on individual patient and couple’s needs

Phase 3: Fertility-timed Intercourse

Reply fertility educators teach couples how to optimize their chances to become pregnant through fertility-timed intercourse. Because an egg survives only 12-24 hours after it is released from the ovary at ovulation, timing intercourse on fertile days before ovulation gives couples the best chance to become pregnant.

 

Note on Terminology:

The medical definition of infertility is the inability to become pregnant after one year of having regular sexual intercourse.

The medical definition of subfertility is the inability to become pregnant after six months of regular sexual intercourse.

It is important to note that “infertility” is a general term that does not take into account any personal factors. Many women/couples with infertility eventually are able to conceive and have healthy pregnancies. This is why, at Reply, we prefer the term “subfertility” for all new patients and for couples going through evaluation, treatment, and a period of fertility-timed intercourse.

Become a Patient

Reply is welcoming new patients for infertility/subfertility evaluation. To schedule an appointment, please call us at 919.230.2100 or visit our Become a Patient page.