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Couples frequently ask their physician why they are not getting pregnant.  It is not infrequent for the wife to be told by her Ob-Gyn or infertility specialist that "everything is fine" and the chance of pregnancy looks good.  If several months go by without conception, the situation becomes extremely more frustrating.

Unexplained infertility affects about one out of eight couples (12%) who are trying to conceive.  With modern advances in the evaluation and diagnosis of reproductive disorders, we now know that the true incidence of unexplained infertility is much lower, probably on the order of five percent or less. At our Institute we find that less than 2% percent of patients have true. unexplained infertility. We can work with couples to identify any and all factors leading to reduced fertility.

Unexplained infertility is seen in situations where the wife has normal ovulatory function, no apparent endometriosis, patent tubes, and normal cervical mucous; and the husband's sperm count appears to be normal, and tests of sperm function all appear to be within the normal range.  

Virtually all cases of unexplained infertility will usually be due to one of the following three problems:

1. Failure of ovum pickup
2. Failure of fertilization
3. Failure of implantation

In many cases these problems overlap and may be coincident. Furthermore, the presence of subfertility in each partner may result in infertility in the couple, despite apparently adequate reproductive function in each partner. At our center. We do the detective work to find out why a couple is not getting pregnant. With this approach, we find out that the vast majority of cases of unexplained infertility can actually be explained.