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Five Steps to Take When Infertility May Be An Issue

Written in partnership with Rinovum Women’s Health, March 1, 2015
by Genoveva N. Prisacaru, M.D., FACOG

For couples who have decided it’s time to have a baby, seeing month after month go by without results can be an increasingly frustrating, heartbreaking experience.

Even before an infertility diagnosis (six-12 months of trying without results), many begin to worry that something’s wrong, and whether there’s anything they can do about it. And the pressure the “biological clock” can add is real; especially for women over 30, fertility declines with every passing month.

It can be a stressful time, full of uncertainty. Here are five practical steps that can help, even before an infertility diagnosis:

  1. Get healthy. Good health matters. Obesity and smoking are major contributors to infertility. Conversely, good nutrition and exercise not only increase your chances of conception, they support a healthy pregnancy as well.
  2. Get smart. Brush up on your reproduction basics. Timing is critical. Women are most fertile during and just before ovulation. Learn how to pinpoint those days. And guys, fertility issues are as likely on your end as hers. It may be time for boxers. Study up.
  3. Get close. Infertility can put a huge strain on a relationship. Sex can become a chore where it once was fun. Remember, now more than ever, it takes two. Keep the lines of communication open and keep your focus on what makes your relationship great.
  4. Get going. In addition to steps 1, 2 and 3, try an at-home conception aid. The Stork® OTC is a good choice. It’s FDA-cleared for home use without a prescription and utilizes cervical cap insemination, which has a success rate of 10-20%1, 2 , similar to IUI3. For more information visit
  5. Get advice. It’s never too early to consult a healthcare provider to discuss any of the steps above, whether it’s time to start diagnostic testing, or other details specific to your situation.

    Read more on Dr. Genoveva N. Prisacaru at

    1 "Therapeutic donor insemination: A prospective randomized trial of fresh versus frozen sperm." Leslee L. Subak, MD, G. David Adamson, MD, Nancy L. Boltz, RNC. American Journal of Obstetrics & Gynecology, Volume 166, Issue 6, Part 1, June 1992.
    2 "The cervical cap for home artificial insemination." Corson SL, Batzer FR, Otis C, Fee, D. Journal of Reproductive Medicine, May 1986; 31(5)349-52.
    3 American Society for Reproductive Medicine:

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