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Issues with egg production (ovulation), egg quality and numbers (usually age related), blockage or other problems within the uterus or fallopian tubes, and also issues with sperm quality or numbers (male factor) are some of the many conditions that lead to pregnancy challenges. Many of these issues can be successfully overcome with low cost, non invasive treatment, using medications instead of IVF.
Fertility treatment must be individualized based on a patient's unique situation. Many endocrine problems including thyroid, pituitary and adrenal issues cause ovulatory dysfunction. Polycystic ovary syndrome (PCOS) is another extremely common endocrine problem that leads to a problem with ovulation and delay in pregnancy. As a medical endocrinologist, Dr. Glueck is able to comprehensively evaluate the whole picture and help decide the correct treatment options. Dr. Glueck’s priority is to ensure that the cause of infertility is fully understood and addressed in a logical and appropriate way. This means a highly individualized work up and protocol for treatment. Very often, simple correction of an underlying hormonal imbalance or metabolic issue corrects or improves reproduction function.
Over and over again, Dr. Glueck’s approach results in successful pregnancies in women who were never offered less invasive treatment options and/or have not done well with IVF.
She will dedicate herself to your goal of achieving a pregnancy. There are some conditions that require IVF (such as damaged or blocked fallopian tubes, need for preimplantation testing or severely low sperm count). If the best route for a patient is IVF, Dr. Glueck will make sure that this is understood in the timeliest way possible and help facilitate further treatment steps.
Ovulation induction medicines are the treatments used to correct certain problems with egg development and allow the ovary to produce an optimally fertile egg. Ovulation induction treatments cost a fraction of IVF treatments and can achieve pregnancy rates close to those of fertile couples.
Up to 40% of fertility problems in couples can be due to an underlying issue with the sperm, or male factor infertility. As part of the initial work up, men should complete a semen analysis to evaluate any problems with sperm production or function.
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