Understanding Infertility

The fertility specialists at Cloudnine Fertility perform both male and female infertility diagnosis and testing. In very broad terms, fertility diagnosis starts with attempting to determine the impact of several major factors for the male and female partners with testing and diagnosis:

Female Fertility Diagnosis and Testing

The impact of aging on female reproduction is well known. Overall, a woman’s age is one of the best predictors as to whether or not she will conceive with her own eggs. After about age 43, the odds of this fall low enough (and miscarriage and chromosome abnormality rates raise high enough) that the likely best option is egg donation. After about age 35, when declines in natural fertility become sharper, many women are simply experiencing what we call age-related sub-fertility. That is, there is no specific fertility problem other than as we get older, the egg being ovulated may be less capable of sustaining a pregnancy.

Male and Female Fertility Diagnosis and Testing

Sexual Dysfunction. Although this might primarily have to do with one or the other partners in a couple (e.g. erectile dysfunction in men, vaginismus in women), oftentimes, sexual dysfunction is a couple’s problem and must be addressed by assessing both partners.

Unexplained Infertility. This is the diagnosis given when all the other tests are normal. Many couples failing to conceive after 1-2 years of trying, with all the usual tests coming up normal, may actually have age-related sub-fertility or endometriosis. On the other hand, there may be other diagnoses or medical problems that we have just not come to understand yet. The most recent diagnosis of “Decreased Ovarian Reserve” was only elucidated about 20 years ago.

Specialized Female Tests:
  • Sono-Hysterogram or Hysteroscopy
  • Laparoscopic (intra-pelvic surgery)
  • Fragile X
  • Karyotype (Chromosome test done on a blood sample)
  • Testosterone, 17-Hydroxy-Progesterone, Fasting Blood Sugar and Insulin (For Polycystic Ovarian Syndrome patients)
Specialized Male Tests:
  • Karyotype (Chromosome test done on a blood sample)
  • Y-Chromosome micro-deletion DNA analysis (Blood test)
  • Sperm Chromatin Separation Assay (SCSA) for DNA fragmentation (Sperm test)
  • Hormonal Tests: FSH, LH, Testosterone, Prolactin, Estradiol (blood tests done when severe male factor is found)

Success Stories

Had a comfortable experience. Doctors are very re
assuring. Very friendly staff. Overall a satisfying
I had my first IVF and it was done really well. It
was absolutely painless. Was a good experience
with no problem.
Mrs. Sheetal