unexplained infertility is infertility that is idiopathic in the sense that its cause remains unknown even after an infertility work-up, usually
Unexplained infertility is infertility that is idiopathic in the sense that its cause remains unknown even after an infertility work-up, usually including semen analysis in the man and assessment of ovulation and fallopian tubes in the woman. You can also listen to my response
Unexplained infertility is a frustrating diagnosis to receive. It is also a common one. Approximately one in four fertility challenged couples will be told there is no explanation for why they can’t conceive. Unexplained infertility does not, however, mean that you have no options. There is a reason for hope.
In fact, depending on your age and how long you’ve been trying, the odds of conceiving on your own may be higher than it is for most infertility diagnoses. A 2012 study of just over 1,300 women with infertility, ages 28 to 36, found that 43 percent of those who never received fertility treatment eventually conceived and gave birth.
Unexplained infertility can only truly be diagnosed after a full and complete fertility evaluation of both the male and female partner.
An unexplained infertility diagnosis may be justified if it has been shown that…
- You are ovulating regularly.
- Your ovarian reserves are good. (Evaluated with blood work and/or an antral follicle count.)
- Your fallopian tubes are open and healthy. (Evaluated with an HSG.)
- Your partner’s semen analysis is normal (including total count, sperm movement, and sperm shape.)
- There are no serious uterine fertility issues. (Evaluated with a hysteroscopy.)