Infertility Evaluation Specialist

Advanced Women's Center

Okey Okoli, M.D. FACOG

Obstetrics and Gynecology located in San Antonio, TX

Adding a new member to your family is an exciting time. For many couples, however, infertility is a huge obstacle. Finding a doctor who is able and willing to offer compassionate infertility services can make a world of difference in your experience as you work on becoming a parent. Dr. Okey Okoli understands the stress and anxiety that infertility can bring, and he approaches each woman in his care on an individualized basis. If you’re ready to try a new approach to infertility evaluation and treatment, schedule an appointment at Advanced Women’s Center today by calling the San Antonio, Texas, office or using the online scheduling tool.

Infertility Evaluation Q & A

Who should seek infertility evaluation?

Difficulty conceiving can occur for a number of different reasons. There’s no one single cause of infertility, which is part of what makes the experience so frustrating for couples who are ready to welcome a baby into their family.

Most women who want to get pregnant do not need to contact their doctor until they’ve been trying to conceive for a year with no success. However, there are certain groups of women who should seek infertility evaluation, including those who:

  • Are over the age of 40
  • Are between the ages of 35 and 40 and have tried to conceive for six months or more
  • Have undergone treatment for cancer
  • Have painful periods
  • Experience irregular periods
  • Have pelvic inflammatory disease or endometriosis
  • Have had multiple miscarriages

What are some common causes of infertility?

In order to conceive a child, numerous steps involving ovulation and fertilization must occur. If anything goes wrong, or if the timing is simply off, then conception will not occur.

Researchers believe that nearly one-third of infertility cases are due to problems with the woman’s reproductive system. An additional one-third are linked to issues with the male’s reproductive functioning. The remaining third are attributed to issues that cannot be detected.

Some of the more common causes of female infertility include:

  • Damage to or blockage of the fallopian tubes
  • Endometriosis
  • Pelvic adhesions
  • Uterine or cervical abnormalities
  • Ovulation disorders
  • Early menopause

What are the diagnostic options for infertility?

The most important step in treating infertility is a thorough diagnostic process. Dr. Okoli takes the time to sit down and review your health history and lifestyle before beginning an infertility evaluation.

In some cases, lifestyle modifications can help you achieve pregnancy. These include improving your diet, losing excess weight, reducing stress, and getting enough sleep.

Infertility testing options include:

  • Blood tests to determine ovulation patterns
  • Imaging to detect disease in your uterus or fallopian tubes
  • Ovarian reserve testing to ensure sufficient egg counts
  • Hysterosalpingography to detect fallopian tube blockage
  • Hormonal screening

Depending on the outcome of infertility screening, Dr. Okoli creates a customized treatment plan for each woman in his care, as there are treatment options for many causes of infertility.  

For women who learn that they are simply unable to conceive naturally, assisted reproductive technology offers a path to parenthood.

If you're trying to get pregnant and are not achieving the desired results, schedule an appointment with Dr. Okoli today to explore comprehensive infertility evaluation and treatment.