Steps of having a baby

Having a baby happens naturally for most couples. Most couples have sex under the right circumstances and then have a baby. But about 1 in 7 couples are sub/infertile, they have tried for some time getting pregnant without success. 

1 in 7 couples are sub or infertile and often go through the following steps: 

1. Tried and did not get pregnant
2. See Obgyn
3. Basic fertility evaluation
4. See a fertility specialist
5. Have a semen analysis
6. Do bloodwork
7. Have genetics test
8. Do a hysterosalpingogram (hsg)
9. Do a saline US sonogram/ultrasound
10. Have an endometrial biopsy
11. Have another ultrasound
12. Have a hysteroscopy
13. Have a laparoscopy
14. If no ovulation take Clomid
15. Have intrauterine insemination IUI
16. Then have in-vitro fertilization IVF
17. Have ICSI
18. Have PGI
19. Embryo transfer
20. Frozen embryo transfer
21. No implantation
22. Try again
23. Get pregnant
24. Miscarriage
25. Try again
26. Stay pregnant
27. Raise Hope
28. Have a baby

The following three causes of infertility comprise over 80% of all major infertility issues. During infertility workup, over 80% of infertile couples have one or more of these problems:

1. Ovulation Problems (often related to the mother's age):  Anovulation and low egg quality
2. Male Factors (sperm problems): Low sperm count and low quality sperm 
3. Pelvic factors (for example, problems with the fallopian tubes) Fallopian tube problems

 Below are facts concerning the percentage distribution of fertility problems:

• About 25% of cases of infertility are due to ovulation problems such as anovulation and polycystic ovary syndrome (PCOS);
• 30% are caused by pelvic factors such as endometriosis, adhesions, or tubal disease, and
• 35% are due to male factors such as an abnormal sperm count (for example, oligospermia or not enough sperm, increased semen viscosity, decreased sperm motility, or decreased semen volume).
• Less than 5% of infertility is caused by abnormal cervical mucus penetration, antisperm antibodies, or corpus luteum defects (CLP).
• In about 10-15% of couples, no specific reason for infertility can be found on initial evaluation. This is called (unexplained infertility). But on further evaluation and treatment, occasionally factors such as poor sperm penetration or abnormal-appearing oocytes (eggs) are discovered.