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Who's Who in the Infertility World?
An Infertility Starting Lineup
By Neilia Sherman
In Bethany's case, her family doctor says she is young and there is nothing to worry about, yet. (Doctors' attitudes can vary from this to those that immediately launch thorough investigations.) Bethany decides to visit her OB/GYN, who does preliminary tests, such as monitoring ovulation, a post-coital test and basic blood work.
Kim Wade of Laurel, Miss., went to see her OB/GYN after several years of trying on her own. "She did what I call the basics: blood test, sperm count and tubule X-ray," Wade says. "But when she performed the tubule X-ray, she found that my tubes were not blocked. At this point she suggested that I try on my own, because she has found that some women have success once the tubes are 'cleaned.'" Wade ended up trying for another year with no success before returning to her doctor.
Back with our fictional couple, Daniel mentions the fertility issue to his family doctor during his annual physical. He has been having some trouble getting aroused lately (probably due to anxiety), but to be on the safe side, his doctor refers him to a urologist who specializes in male infertility.
Dr. Russel Williams of Houston, Texas, is a urologist who completed a fellowship in male infertility and microsurgery. He founded the Male Reproductive Clinic, P.A., a dedicated center for the evaluation and treatment of male infertility. "Fifty percent of couples who present for an evaluation will have a male factor causing decreased fertility," Dr. Williams says. An abnormal semen analysis, while contributing to infertility, can also be a very important sign of underlying disease. ... I diagnose on a frequent basis otherwise silent hormonal abnormalities, genetic abnormalities, prostate infections and erectile dysfunction on the initial visit."
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