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OB Gyn Associates of Iowa City and Coralville

Negative Pregnancy Test


One of the most disheartening experiences a couple goes through is difficulty getting pregnant.

What causes infertility?

The most common cause of infertility in women is lack of or irregular ovulation. The most common cause of infertility in men relates to how sperm are made or how they function.

Age plays a role in fertility as well. By age 40, a woman’s chance of getting pregnant decreases to less than 10% per menstrual cycle.

Lifestyle factors can also affect fertility. In women, being underweight, overweight, or exercising too much may be associated with infertility. In both men and women, heavy drinking or even moderate alcohol consumption can affect one’s ability to become pregnant.

So what should I do if I think my partner and I are infertile?

Schedule an appointment at OB/GYN Associates. After getting a full history, we will discuss options for testing and/or medications.  

Available Tests/Treatments:

1) HSG (Hysterosalpingogram):  An HSG is a procedure to evaluate female fertility. It is a procedure that uses an X-ray to look at your fallopian tubes and uterus to check for blockages. Your doctor will then review the radiology report with you and explain if more tests or procedures are needed.

2) Lab work: Lab tests could include a urine test, a progesterone test, thyroid function tests, and a prolactin level test.

3) A semen analysis can be conducted to determine your partner’s sperm count, observe the size and shape of the sperm, and check the sperm’s ability to move correctly.  

4) Clomid and Letrozole are fertility medications. Clomid causes the pituitary gland to release hormones necessary for the release of the egg from the ovary. Letrozole suppresses estrogen production and, like Clomid, encourages the ovaries to release eggs with the help of the pituitary gland.

There are a variety of treatment options for you and/or your partner.  Lifestyle changes, medication, surgery, or other approaches may be recommended. The good news is infertility often can be successfully treated.

Questions? Don’t hesitate to give us a call to make an appointment.