Unexplained Infertility: A Fertility Doctor Explains the Treatment Options
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- čas přidán 3. 12. 2020
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Board certified OBGYN and REI, Dr. Natalie Crawford, MD, reviews unexplained infertility. Unexplained infertility is when couples do not have a known reason for their infertility. After testing sperm, ovarian reserve, ovulation, and uterus, tubes - and everything comes back normal, many couples are frustrated! Learn about the research guiding us on making infertility treatment decisions.
Reviewed in this video:
What is unexplained infertility?
How is unexplained infertility diagnosed?
Can you still get pregnant with unexplained infertility?
What are your treatment options with unexplained infertility?
Clomid
Injectable hormones (gonadotropins)
Intrauterine Insemination (IUI)
In vitro fertilization (IVF)
In this episode discussed:
Fritz and Speroff, Clinical Gynecology Endocrinology and Infertility, 8th edition, 2011
Reindollar, Richard H. et al. A randomized clinical trial to evaluate optimal treatment for unexplained infertility: the fast track and standard treatment (FASTT) trial. Fertility and Sterility, Volume 94, Issue 3, 888 - 899.
www.fertstert.org/action/show...
Goldman, Marlene B. et al. A randomized clinical trial to determine optimal infertility treatment in older couples: the Forty and Over Treatment Trial (FORT-T). Fertility and Sterility, Volume 101, Issue 6, 1574 - 1581.e2
www.fertstert.org/action/show...
#fertility #infertility #nataliecrawfordmd
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Dr. Natalie Crawford, MD is a double board certified OBGYN and REI, and co-founder of Fora Fertility, a boutique fertility practice in Austin, Texas.
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Sharing fertility facts to educate women about trying to conceive, getting pregnant, ovulation, fertility treatments, IUI, IVF, becoming a doctor, life as a woman in medicine, and more.
I had unexplained fertilty and got pregnant the first month on 50 mg. clomid @ 40 and 42. This vid seems to tell everyone they have no chance unless they do IVF. Which is unrealistic for many.
She just said that the success rate is significantly lower... not impossible. Congrats to you!
My doctor brought this up to me yesterday. Got all my tests within normal limit, husbands at home test came back positive.
Currently sitting here and my eyes are welling up listening to the % rate of actually getting pregnant with “unexplained infertility”
Luckily I’m near Boston IVF
*UPDATE! GOOD NEWS we got a positive pregnancy test 🥹 I’m actually 10 weeks and tomorrow is my first ob appointment to hear the heartbeat. Keep your hopes up baby dust 💗
This just happened to me. All my bloodwork came back normal, my husband's SA came back normal. I asked my doctor if we could try clomid, she said no. She just thinks our timing is off, although it's been almost a year of trying. I laid in bed and just completely sobbed because I know theres more options, but they're all so expensive and I feel like I'm not successful at being a woman because I'm struggling to conceive. We want one so badly and I'm about to turn 30 and it just keeps looking less and less likely.
@@CrispiePotato I’m sorry. Yeah it’s not easy. Even though we don’t mean to, we end up comparing our fertility and TTC journey to others. That was my biggest thing I had to get out of my head. It took me a while to figure it out. This month I stopped tracking and taking tests because I was obsessing over it. I tried that this month and it’s helped me so much. It feels like a weight is lifted off my shoulders.
Have you had an HCG test I believe it’s called. Where they use a catheter and some dye to see if your tubes are open and working right?? My doctor recommended I do that. She said it’s pretty painful. Reason being I had an appendectomy when I was little and my appendix ruptured so there was infection in that area. Well I guess you can develop scar tissue due to that, and my doctor said it very well could be that one tube is blocked.
I actually just made a short video on my YT channel. It’s about the TTC journey and what I’ve experienced. Don’t worry you will be i my thoughts and prayers! Also give me updates! Baby dust ✨✨✨✨✨✨ ✨❤️
@@CrispiePotato if a tube is blocked I bet that means surgery 🫢🫣 also don’t worry I’m 31 and my husband is 37
@@Diyer2023 my doctor didn’t even suggest looking at my tubes. Just went straight to a referral for a fertility clinic which could take months to get into
@@CrispiePotato Yeah my OB couldn’t really help much besides with blood testing. The fertility specialist mentioned that. My ob basically said here’s the referral and call us when your pregnant lol
I'm so happy I found you two months before we started looking into IVF! You've helped me ask important questions and to advocate for myself! Thank you!
Best of luck! Sending love
This is such a great summary of options. Thank you
Wow what helpful information! Thank you so much for sharing!! 💖
What a fantastic video! So informative! I wish I had access to this info 3 years ago, when I spend a year doing four rounds of IUI + Menopure... with that said, it did help prepare me for IVF!
Great point!! I bet you were a pro at the injections and it helped decrease anxiety!
Thank you so very much for this useful information! Currently struggling with this issue, please pray for me!
Very helpful content. Thank you for sharing
Wow- thank you for posting this! People talk about IUI vs IVF success rates all the time, but I had no idea how low the IUI success rates were for unexplained infertility (especially considering general IUI success is low as it is).
I see this so often, that people do many IUIs for unexplained but have no idea what the success rate is - which sets us up for disappointment if the most probable thing happens. Unexplained is hard.
Thank you for this video! You're such a good teacher 🙂
TY!!!!
Thank you for posting this! ❤ Your videos are always so helpful.
Thank you!! This means a lot to me!
Hey...have...you...heard...of...Dr...ehisz on...CZcams,...he...cured...my....wife ...from...infertility...my...wife..is...now...two... months...pregnant*
I would love to see a video like this on Recurrent miscarriage. Thank you for providing this information my husband and I are beginning our fertility treatment journey and are concerned about being pressured into doing multiple rounds of meds or Iui. For us we just feel like the % are too low and after multiple recurrent losses we just don’t want to put time and money (hope) into a treatment that has very low chances similar to if we just keep trying on our own.
The only problem is most of us cannot afford ivf. So we get left without.
Hey...have...you...heard...of...Dr...ehisz on...CZcams,...he...cured...my....wife ...from...infertility...my...wife..is...now...two... months...pregnant
Great informative video! I’d love a video on secondary infertility if you haven’t already made one!
Hey...have...you...heard...of...Dr...ehisz on...CZcams,...he...cured...my....wife ...from...infertility...my...wife..is...now...two... months...pregnant*
However, even more couples go through unintended childlessness for at least a year, with numbers ranging from 12% to 28%. Male infertility makes up 20-30% of infertility cases, female infertility makes up 20-35%, and combined complications make up 25-40% of infertility cases. Thank you so much for making this available! Blessings from God!
I love watching your channel! Could you speak about your knowledge about vaginal septums and infertility? I think it's so important for women to know. Some deets. I had mine removed when I was 21 and now that I'm 30 I had a miscarriage I'm going to be exploring it again.
Thank you for your videos 😁 Can you do a video for male factor infertility, including information on boosting concentration and morphology
Hey have you heard of Dr ehisz on CZcams,he cured my wife from infertility,my wife is two months pregnant. He also have the cure for male infertility
Infertility was the biggest problem to me and my husband, after 6 years of getting married without no child. Thanks you so much Dr maco for making me a mother indeed you are the best.
I was diagnosed with PCOS and then went on Letrozole for 6 cycles with no success. Then diagnosed with unexplained infertility so starting IVF my next cycle!
And how did it go
Hey...have...you...heard...of...Dr...ehisz on...CZcams,...he...cured...my....wife ...from...infertility...my...wife..is...now...two... months...pregnant*
Did you get pregnant?
I want to know too. How did it go?
I got to learn many new things from you in India many people believe if a woman is unable to conceived she had some bad curse or something bad for the rest of the generation but it is not the case at I see some women after divorce came to conceive after divorce ... Many love from India love ur videos .... Thank you doctor...
oh that is so sad!
Hey...have...you...heard...of...Dr...ehisz on...CZcams,...he...cured...my....wife ...from...infertility...my...wife..is...now...two... months...pregnant*
Please do a video on surgical and natural options for bilateral tubal occlusion. 😕
Still amazed with the immediate healing i received from Dr.ALUDA on youtube, now i'm free from my infertility permanently and i say only God will reward you for all the good works you putting out for people.
I got diagnosed with unexplained infertility. We did 3 medicated IUIs.
I feel defeated… and IVF is so expensive :(
Thank you, dr. Crawford, for the very useful videos!!
I was wondering if there is any risk of cancer, caused by fertility treatments/procedures you have mentioned in this video?
I am 34, probably facing unexplained infertility (not sure if slight higher prolactin levels might be a cause?!) no issue with the pituitary gland... I have been recommended to try last month a ‘natural’ approach, with letrozol and gonadotropin, my dr saw the 3 eggs at ultrasound, indicated when to have intercourse, but no success. I will have my tubes checked next month, but what else to investigate here??
Fro unexplained infertility, letrozole and gonadotropins do not increase success rates at all, i wouldn't recommend spending money/time on that. So ask your doctor clearly how to achieve a higher success rate.
Cancer risk - no increase risk seen with fertility treatments until women have done 8 egg retrievals, and even then it is a very very low increase in borderline ovarian tumors.
Still amazed with the immediate healing i received from Dr.ALUDA on youtube, now i'm free from my infertility permanently and i say only God will reward you for all the good works you putting out for people.
I learned in this video that every bot of money I've spent on infertility treatments has been pointless. My doctor didn't tell me it wouldn't help to just do medication and we don't believe in IUI or IVF. I feel like I just got slapped in the face.
Hi Dr Crawford! Thank you for this video. We went through two rounds of retrieval’s with no embryos. Retrieved 38 and 26 but arrested before blastocyst phase. Mostly likely my egg quality. My REI thinks that I should try IUI before attempting a 3rd retrieval since I did naturally get pregnant 3 years ago But is that worth it if the chances are so low?
If egg quality is the issue, why would an IUI help? I see this - and it can be overcome, make sure you have a good cycle review with your doctor and see what changes could be made (supplements? protocol? hGH? sperm?) and consider getting a second opinion. See the IVF tips YT episode and I have a podcast episode about IVF failing that may help give insight.
Hey love, I have secondary unexplained infertility
Just wondering have you got a video or help on where to start your research into Ivf? Who to talk to where yo go what to look for?
Hey...have...you...heard...of...Dr...ehisz on...CZcams,...he...cured...my....wife ...from...infertility...my...wife..is...now...two... months...pregnant
I definitely wish I would have had all of this information before wasting almost an entire year doing multiple IUIs. I do have a question about my unexplained infertility. I have had multiple egg retrievals and it always looks like I have lots of good follicles (good sizes) but less than half of my eggs that are retrieved are mature. For example during my first cycle I had 21 eggs, but only 9 were mature, and even less fertilized. The same thing happened during my second retrieval. Have you seen this before? During my second retrieval we added a growth hormone and there was no difference.
Hey...have...you...heard...of...Dr...ehisz on...CZcams,...he...cured...my....wife ...from...infertility...my...wife..is...now...two... months...pregnant*
My husband and I were diagnosed with unexplained infertility and it really was frustrating to hear. We had so many tests done just to find out we were both totally normal and there was no discernable issue to address. We only got our diagnosis at the end of last year and we were supposed to start IUI in the spring, but because of COVID that didn't happen, and then we decided to put it off because I didn't want to be pregnant during a pandemic. Our doctor is quite confident IUI will work for us though, so when we are ready to get pregnant, hopefully it won't take too long.
Though now I am wondering if I should just go straight to IVF instead. But it's a LOT more expensive :(
Sending love! COVID has made it harder and caused delays for so many. Have an honest discussion of success rates and how many IUIs the recommendation is. Make sure you can afford both (IUIs + IVF) in case the IUI is not successful
Hey...have...you...heard...of...Dr...ehisz on...CZcams,...he...cured...my....wife ...from...infertility...my...wife..is...now...two... months...pregnant*
Did you get pregnant?
Natalie pls help, Im based in California, I had Im 37 yrs I have 1 child 8 years old, I had fertility testing, they did salpingogram left fallipian tube it says likely blocked, right side is good, how can we be pregnant is it possible?
Can you please do a video on azoospermia
Can you please help me understand something. I have unexplained infertility. But i am thinking that it could be caused by a STD i had but was treated immediately back in 2016.
Could it be the reason!
Love you ❤❤❤
First of all thank you for all of your amazing information. I am 34 (will be 35 in July) and this month will be my 6th cycle of trying to achieve pregnancy. I got pregnant February 2019 and had a miscarriage around 7 weeks (my first ever pregnancy). I’ve had blood work done, my tubes have been checked and are open and I’m a healthy individual. I plan to go see my OB in January for next steps. IF you have ever been pregnant before can you still be categorized as having unexplained fertility? And would IUI + clomid be a good place to start (in general because I know everyone is different)? Thank you!
This depend on family planning goals. Overall - conception in the past is a positive sign for future success, but not guaranteed. We even see secondary unexplained infertility which is really difficult. Hard to know what was good luck (was a miscarriage cycle just hitting the 2-4%?). I like your plan to see your OB and make sure you are getting everything tested (sperm, ovarian reserve, etc) and then consider a fertility specialist for the best counseling. Hugs!
Hey...have...you...heard...of...Dr...ehisz on...CZcams,...he...cured...my....wife ...from...infertility...my...wife..is...now...two... months...pregnant*
Still amazed with the immediate healing i received from Dr.ALUDA on youtube, now i'm free from my infertility permanently and i say only God will reward you for all the good works you putting out for people.
I’m trying so hard to not become discouraged. I’m 33 and we’ve been trying for over a year. I ovulate regularly and have fairly regular periods. This month was my first cycle with clomid. We were so excited to try something new and then didn’t ovulate. First time I have not ovulated and it was on clomid! There’s no answers and every month is increasingly devastating.
Still amazed with the immediate healing i received from Dr.ALUDA on youtube, now i'm free from my infertility permanently and i say only God will reward you for all the good works you putting out for people.
They missed my ovulation twice on clomid. I kept ovulating earlier and earlier and so they kept having me come in too late.
I'm glad you put out this information, but I am so disappointed in the reality of it. There is no way we could afford IVF, so I appreciate that I know this now so we don't waste money trying anything else. I just am back at square one now of there is nothing we can afford to do, so maybe it wasn't meant to be.
It is terribly sad that IVF is so expensive and insurances do not usually cover it, really it is not fair.
Still amazed with the immediate healing i received from Dr.ALUDA on youtube, now i'm free from my infertility permanently and i say only God will reward you for all the good works you putting out for people.
Which produces more eggs per month? Clomid or letrozole? Strictly egg production.
Can you please talk about the difference between Clomid and Femera??
Hey...have...you...heard...of...Dr...ehisz on...CZcams,...he...cured...my....wife ...from...infertility...my...wife..is...now...two... months...pregnant*
Currently going through infertility treatment now with DOR. Unfortunately IVF is not an option so we did one Clomid/Ovidrel/IUI cycle that wasn't effective. We plan to try again in the new year. What would you say is the average for having it work under optimal conditions?
We stim DOR often - depends on multiple factors, but many of us don't consider that an exclusion to IVF. If unexplained infertility, average success rates are 5-10% for clomid IUI. Not 0! But always consider a second opinion if you need one.
Still amazed with the immediate healing i received from Dr.ALUDA on youtube, now i'm free from my infertility permanently and i say only God will reward you for all the good works you putting out for people.
@@piousbabe9325 take your herbalist nonsense elsewhere.
my doctor (in japan) told me i have to do 6 IUI cycles before i can 'graduate' to IVF. My first IUI was cancelled because i ovulated too early, but i should be having my first this month. I've been on medicated cycles for almost a year and i wish i could just go to IVF. I just want my baby already.
Even after laparoscopy, there will be cases of unexplained infertility?
Hi Dr.Crawford, thank you for the video!
I believe I'm experiencing unexplained infertility, although I haven't been officially told so.
As for going through IVF, I've read that there are health risks with going through it, such as ovarian hyper stimulation syndrome.
Would you be able to talk more about this? Thank you 😄
OHSS is now rare to be a serious problem with modern protocols! But a great topic for a video!
@@NatalieCrawfordMD thank you so much for a quick answer! That's good to hear. And would love to hear more about it on a video sometime!! I will look into your other videos on IVF as well. 💞
Hey...have...you...heard...of...Dr...ehisz on...CZcams,...he...cured...my....wife ...from...infertility...my...wife..is...now...two... months...pregnant*
Still amazed with the immediate healing i received from Dr.ALUDA on youtube, now i'm free from my infertility permanently and i say only God will reward you for all the good works you putting out for people.
Hi Dr. Crawford! Are multiple pregnancies more dangerous for IVF pregnancies than conventional pregnancies?
Still amazed with the immediate healing i received from Dr.ALUDA on youtube, now i'm free from my infertility permanently and i say only God will reward you for all the good works you putting out for people.
My girlfriend has pcos but she was ovulating on her own when she lost weight. But she would always ovulate around day 21. She taking clomid now and ovulated on day 14 or 15. Is it better thats she is ovulating at a more normal time or doesn't matter? We've been trying for somewhere around a year and a half. Tried femara last year and it didn't work. First month of clomid and no success.
Still amazed with the immediate healing i received from Dr.ALUDA on youtube, now i'm free from my infertility permanently and i say only God will reward you for all the good works you putting out for people.
That's my official diagnosis, but I also have PCOS. My RE explained that since all my cycles are ovulatory and generally a reasonable length (around 37 days), she considered our case unexplained. Is that a common thing?
Yes I say this too - PCOS can "graduate" to unexplained infertility after 6 ovulatory cycles and no conception (meaning, ovulation is no longer the rate limiting step)
We have been trying since July 2018, and have had two miscarriages in that time. Me and my husband have had the testing done and everything has come back normal, except I had higher levels of testosterone (I have been taking myo inositol and d chiro inositol and it has lowered it to normal range, no other signs of PCOS). I get monthly periods and positive OPK's monthly so I would expect that I ovulate monthly. The only thing I'm concerned about is low progesterone but my OB and fertility doc don't believe that it does anything. I had my progesterone tested once 7 days after a positive OPK and it came back at 9.6. I have been taking femara for 6 months with no success. We planned on doing IUI for 3 months starting in January. My insurance covers nothing fertility related so IUI and IVF would be out of pocket. Would it be worth our time to try IUI+gondatropins since femara alone hasn't been working for us.
9.6 is a normal luteal progesterone!!! The point of a luteal progesterone level is to confirm ovulation and anything over 3 ng/mL is normal. Femara and IC doesn't add anything to your success rates if you are already ovulatory, so this is complex - have these cycles been monitored? Are you getting 1 egg or more? Ask your doc. To me, if femara achieves our goal of 2-3 eggs then there is no reason to up the cost/risk with FSH for most patients.
@@NatalieCrawfordMD I'm on the highest dose- 12.5 mg days 3-7. I have had two monitored cycles and I've had 2 eggs. I have not used a trigger shot. I don't know if that would make a difference.
Still amazed with the immediate healing i received from Dr.ALUDA on youtube, now i'm free from my infertility permanently and i say only God will reward you for all the good works you putting out for people.
I wish you could be my doctor. 😔 I have been struggling and my clinic runs like a factory.
What is your professional opinion of the Wurn technique at Clear Passage? They claim to open tubes through deep tissue massage that breaks up the adhesions. I want it to be true but it seems like a scam.
Hey...have...you...heard...of...Dr...ehisz on...CZcams,...he...cured...my....wife ...from...infertility...my...wife..is...now...two... months...pregnant*
Do you recommend regular IVF or IVF + ICSI to try first for unexplained infertility?
We are unexplained except that my husband’s SA came back with low morphology at 1% twice. The other parameters are all good, so my doctor sees his result as normal. I went to another doctor to confirm, and he agrees the same. We have not found any other reasons why we are not getting pregnant, so I guess we are unexplained infertility :(
ICSI for any male factor or unexplained. Sending love!
@@NatalieCrawfordMD the children are likely to inherit the male factor infertility right?
Surprisingly,I got pregnant 2 times,miscarried and its been 1 year since dont get pregnant.All the tests are normal.I had mild thyroid issue but from last 6 months its under control.Any suggestion????
Still amazed with the immediate healing i received from Dr.ALUDA on youtube, now i'm free from my infertility permanently and i say only God will reward you for all the good works you putting out for people.
My period has been very late recently, I know I’m not pregnant but my period cycle is very uhm inconsistent
Still amazed with the immediate healing i received from Dr.ALUDA on youtube, now i'm free from my infertility permanently and i say only God will reward you for all the good works you putting out for people.
I'm 34, unexplainable infertility and I did 4 iui that failed all them I recently did a IVF cycle and the first embryo transfer did failed too. I'm not expecting good news anymore, it hurts, it has changed me, I'm devastated and emotionally exhausted. There's 2 more embryos frozen but I think my eggs are trash that has to be the reason.
Hi, we are in the same boat. Wishing you good luck. Just want to check the latest. Was anything done?
Started when I was 24 and I’m now almost 26. It will be 20 months next month and everything is fine. My husbands SA was even above average on everything. Nothing is found. I ALWAYS get the “but you’re still young comments” I’m sorry does that make it easier that I have such a low chance of conceiving naturally? Mental and physical work for almost two years straight that is getting me nowhere… OH BUT THANK GOD IM YOUNG.
Hey I know of a spell caster that can help you manifest children into your womb in less than 2weeks,he helped me my sis and my aunt. He can help you with twins or triplet,he is so powerful.🆗
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What if ALL I am looking to do is to produce more eggs (2-4 at a time)? No pregnancy issues and no unexplained fertility issues. Just need more eggs per retrieval. Can I then just do clomid for 5-8 days and then say a trigger shot like lupron effectively?
this is ovarian hyper stimulation, you can only get the eggs released from the vault that month, correlated with your AMH - but some protocols do better than others, need honest protocol review with fertility doc
@@NatalieCrawfordMD so to understand what you’re saying- basically yes, clomid would work by hyper stimulating the ovaries, thus producing more matured eggs, correct?
I’m 26 and haven’t gotten pregnant the past 1.5 years . I ovulate every month , my husband is healthy , my blood work was great , normal periods & im just stuck . Always hear “ you’re so young “
I’m moving to Texas in sept hoping I can get an apt with you
Hey I know of a spell caster that can help you manifest children into your womb in less than 2weeks,he helped me my sis and my aunt. He can help you with twins or triplet,he is so powerful.🆗
Message his what's app now👇👇
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TODAY 12/4 I'm answering all questions/comments about unexplained infertility! As always, I am a doctor (but not your doctor, for most of you), I'm here to educate you but I cannot give personal medical advice. XOXO
Thanks for this video. My husband and I have our first fertility specialist consultation in mid-January 2021. What questions are best to ask during the first consultation?
@@LisaUng I have a video on choosing a fertility doctor/clinic and it has some great questions to ask.
CZcams channel the Chatwins - Cara and Derek had triplets bc of Clomid. She has PCOS.
Hey...have...you...heard...of...Dr...ehisz on...CZcams,...he...cured...my....wife ...from...infertility...my...wife..is...now...two... months...pregnan
Still amazed with the immediate healing i received from Dr.ALUDA on youtube, now i'm free from my infertility permanently and i say only God will reward you for all the good works you putting out for people.
Took clomid but pain was so intense for two weeks so dr said to go to infertility specialists;(
Fertility docs are not scary - I promise!! We are here to help
@@NatalieCrawfordMD got
Preg twice on iui and hcg shot but u said chances are low?? Now I’m so
Confused
@@malkaklein5239 everyone is different. These success rates are specifically for unexplained* infertility
@@NatalieCrawfordMD that’s technically what I have , everything works but didn’t get preg without iui 🙉
@@malkaklein5239 yes well 5-10% is not zero! It obviously worked for whatever was behind your unexplained. yay!
You look like Reese Witherspoon!
Omg I love you!!
Hey...have...you...heard...of...Dr...ehisz on...CZcams,...he...cured...my....wife ...from...infertility...my...wife..is...now...two... months...pregnant*
You seem to really leaning into IVF? Why?