Unexplained infertility is a diagnosis given when there is no apparent cause for infertility. This can occur even after extensive testing to identify any possible causes of infertility.
How many couples have unexplained infertility?
Unexplained infertility cases have been diagnosed in approximately 1:5 couples who have difficulty conceiving. This high percentage is partly because the definitions for fertility testing are varied but also because often we can not find the cause of your diagnosis of unexplained infertility.
Do we know what causes unexplained infertility?
Sadly, the very term ‘unexplained’ means that it’s not possible to find a cause of the reason you are struggling to get pregnant. Therefore, the cause of unexplained infertility is still unknown; however, there are a number of theories that may explain the condition……….
Some experts believe that it may be due to subtle changes in hormone levels or abnormalities with the egg. It is also believed by some, that lifestyle factors such as stress and lack of sleep may play a role in unexplained infertility. However, it could also be, that as yet we just don’t have the technology to diagnose the reason for unexplained infertility!
Is it possible to get pregnant with unexplained infertility?
Yes, although it may take longer than if you were without a diagnosis of infertility. It is important to seek help from your doctor or fertility specialist who can discuss options for treating unexplained infertility.
There are also lots of things you can do at home to optimise your fertility, such as healthy lifestyle changes, reducing stress, improving diet and exercising regularly, stopping alcohol and not smoking.
Treatment options for unexplained infertility
Depending on how long you have been trying to conceive, your doctor may recommend a number of different treatments. These include medications like Clomid or Letrozole which stimulate ovulation; intrauterine insemination (IUI); and in vitro fertilization (IVF). Let’s cover these in more detail one by one:
Ovulation induction medication and timed intercourse for unexplained infertility
Clomid and leterzole are both oral medication that stimulate the ovary to produce multiple eggs at one time. This treatment is taken for a number of days at the start of a cycle and then intercourse is recommended during your most fertile days of the cycle. This is known as ‘timed intercourse’ and can increase your chances of conceiving.
Intrauterine insemination (IUI) for unexplained infertility
Intrauterine Insemination (IUI) involves placing healthy sperm directly into the uterus. This gives the sperm a better chance of reaching the egg, which increases the chances of a successful pregnancy. IUI can be used alone or in combination with medications such as Clomid and Letrozole. However, IUI is used less and less these days but do talk to your doctor about whether this could be an option for you.
Clomid plus insemination, IUI for unexplained infertility
Clomid or Letrozole are common medications used to stimulate ovulation, and can be combined with intrauterine insemination (IUI). In this treatment, semen is collected and placed directly into the uterus around the time of ovulation.
IVF for unexplained infertility
In vitro fertilization, or IVF, is a more advanced form of fertility treatment. It involves retrieving eggs from the ovary and combining them with sperm in a laboratory to create embryos that can then be transferred back into the uterus. IVF is a more extensive treatment than IUI or ovulation induction medication and you are likely to have lots of questions as to whether this treatment is right for you.
Ultimately, the best treatment plan for your specific case of unexplained infertility will depend on a variety of factors including age, lifestyle and medical history. Make sure you have an open discussion with your doctor to determine which option is right for you.
The emotional impact of unexplained infertility
Unexplained infertility can be an emotionally difficult diagnosis and it can feel incredibly frustrating not to have a diagnosis that you can potentially overcome! However, it is important to remember that there are still ways to conceive a child and build a family.
Talking to your doctor or fertility specialist can help provide guidance and support in finding the right treatment plan. There is hope, and with the right support, couples can find success in their journey to parenthood.
To conclude
In conclusion, unexplained infertility is a diagnosis given when there is no apparent cause for infertility. This can occur even after extensive testing to identify any possible causes of infertility. Although the cause of unexplained infertility is still unknown, couples with this diagnosis should not lose hope. With proper testing and lifestyle adjustments, fertility treatments can help increase the chances of conception. Additionally, some couples have been able to conceive naturally without any medical intervention. By talking to your doctor about your options, you can make an informed decision on the best course of action for you and your partner.
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