Portland (503) 771-1883

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Infertility

Pearl Women's Center diagnoses and treats a variety of conditions that can cause infertility. Our practitioners perform a systematic assessment to help couples who visit us in Portland, Oregon, identify the cause of their infertility. We then recommend management, either with medical intervention or surgery. For patients requiring assisted reproductive technology, we work closely with top infertility centers in our area to help them achieve a successful pregnancy.

Choose the specialists at Pearl Women's Center for every stage of your life. Ask a question, book online, or call our office in Portland at (503) 771-1883. We serve patients from Oregon, Washington, Idaho, Northern California and Alaska.

Watch Interviews with Pearl Women's Center Gynecology Practitioners

When to Start Testing

When you decide to start a family, it can be difficult to be patient. If conception is unsuccessful for at least 12 months, you may be considered a candidate for infertility testing. The likelihood that you are actually infertile depends on your age. The majority of women between the ages of 27 and 39 who do not conceive within the first year are successful in the second year, when the father is under age 40.

Infertility Assessment

Determining the cause of infertility is often a complicated process that requires specialized knowledge of reproduction. When you visit us for your infertility assessment, we recommend bringing records of your menstrual cycles over the previous several months. Also bring any ovulation data you might have collected by measuring your basal body temperature (BBT) or using a home ovulation predictor kit. During this assessment we will perform one or more of the following:

  • Health history for you and your partner
  • Physical examination
  • Blood work and other laboratory tests
  • Ultrasound examination of your uterus, fallopian tubes and ovaries

Your physician may recommend one or more of the following additional procedures, which can be conducted in our office or in the Pearl SurgiCenter:

  • Imaging studies such as a hysterosalpinogram (HSG)
  • Hysteroscopy to evaluate the uterine cavity
  • Laparoscopy to evaluate the pelvis, fallopian tubes, and remove endometriosis if necessary

While it's essential that both partners are assessed, our practice specializes in care for women. As part of the infertility assessment we refer male partners out for tests such as sperm and semen analysis.

Surgical Interventions

Many infertile patients require surgical intervention for problems such as fibroids, pelvic disorders like endometriosis, or fallopian tube disease. Our medical director, Dr. Richard Rosenfield, has extensive training in infertility surgery from Stanford University, including excision of endometriosis and hysteroscopic surgery to remove lesions from within the uterine cavity. We also offer fallopian tube reconstruction and female sterilization reversal as outpatient procedures.

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