Unexplained infertility means a “cause” for a couple’s infertility cannot be identified, which is perhaps the most frustrating conclusion. Unexplained infertility does not mean there is no cause, rather, science has not developed to the point where the cause (s) can be identified.
Many authorities believe that failed fertilization and genetic abnormalities of the egg or sperm are causes of unexplained infertility. The embryo might also fail to divide and develop properly or implant in the endometrium. One advantage of
in vitro fertilization in these patients is that it allows the physician and embryologist to observe fertilization and formation of the embryo. Many
reproductive hormone interactions and processes have been identified and undoubtedly new ones will be discovered.
First level treatment of unexplained infertility may involve
stimulated IUI. If this is not successful, many patients become candidates for
in vitro fertilization. In many cases,intracytoplasmic sperm injection or assisted hatching will also be employed.
Our physicians conduct a very thorough infertility evaluation and in most cases one or more causes are identified.