Understanding the Menstrual Cycle

Fertility and Age

Polycystic Ovary Syndrome (PCOS)

Irregular Ovulation

Endometriosis

Tubal Disease

Uterine Factors

Male Factors

Asian Patients Have Lower Rates Of Pregnancy And Live Birth Than Caucasian Patients

Infertility

Infertility is one of the most challenging problems a couple can face in their relationship. It is usually the most frustrating because the couple will attempt everything within their power and still have no results. Guilt, depression, and anxiety often complicate the process of starting a family because often the problem is beyond the couple’s control. Often people assume that “It is not supposed to be work; it is just supposed to happen.” Many have tried to conceive for years without success and their dream for parenthood feels as if it is fading away.

About 6 million Americans, roughly 10 percent of the reproductive age population, are infertile. According to the American Society of Reproductive Medicine, a couple is considered “Infertile” if they have had unprotected intercourse for a year and no pregnancy has resulted. Some say the figure should be six months if the female is over 35 years of age. Many couple’s first approach to dealing with infertility is a visit to their obstetrician/gynecologist who is usually capable of evaluating and treating many basic forms of infertility. If the couple is unsuccessful, they are usually referred to a Reproductive Endocrinologist, a specialist in infertility.

Reproductive Endocrinology is a sub-specialty within Obstetrics and Gynecology. A Reproductive Endocrinologist receives special training to diagnose and treat problems such as infertility, recurrent pregnancy loss, hormonal imbalances, and menopause. A board certified Reproductive Endocrinologist has undergone 2-3 additional years of training beyond their four years of OB/GYN training; passed a second written examination and a second oral examination in Reproductive Endocrinology and Infertility; and spent a minimum of one year in independent practice. To date, there are less than 800 physicians with this distinction.

Advanced Reproductive Center of Hawaii

Kapiolani Medical Center Office Building 1319 Punahou Street Suite 520 Honolulu, Hawaii 96826 | Telephone: 808.949.6611