How to Pick the Best Fertility Treatment for You

Know Your Diagnosis

How do you know what treatment to pick if you don’t know the diagnosis? I see time and time again where women who are struggling to get pregnant are given fertility pills by their doctor. Then a year or more goes by and they discover that their tubes are blocked or there’s a problem with the sperm. That’s really disappointing. It means this patient has wasted precious time and energy. I don’t want that to happen to you.

Ask Yourself:

How old are you?

How many kids do you want?

I know this sounds super basic, but if you know your diagnosis and factor in your age and desired family size, then you can start formulating a plan.

My 3 Questions:

1. What do you want?

2. What is it going to take to get what you want?

3. Are you willing to do it?

If you know the answers to these along with your fertility diagnosis then you can formulate a plan.

What can I do that is in my control to increase the chances of pregnancy?

You don’t know what that is until you get a diagnosis. Some things may be obvious, but others will become apparent after testing.

How to Find Out Your Diagnosis

You’ve heard me talk about it before, but this time it is officially trademarked with the U.S. patent office. The TUSHY method (yay!) is a 5-step way to figure out what your fertility diagnosis is. Tubes, Uterus, Sperm, Hormones, and Your Genetics.

Let’s go through different fertility scenarios.

It’s worth noting that I do not expect you to be able to determine what treatment is right for you from this blog post or show episode. The intention is to equip you with a starting point that will lead to questions you can ask when you meet with a specialist and begin the work of getting a diagnosis.

Scenario 1: Blocked Tubes

First, you want to understand if one tube is blocked or if both are. If one tube is blocked and it’s not dilated or filled with fluid you can still consider trying to get pregnant naturally.

Scenario 2: Endometriosis

Endometriosis is very common. Some people think that maybe up to 40% of women who have fertility problems might have some aspect of endometriosis. If you have it then you likely know what I’m talking about as it can cause lots of pain, heavy bleeding, and may affect your egg quality, block your tubes, and it can also affect implantation rates.

Scenario 3: Fibroids

When patients hear the word fibroids it can sound scary. Many people immediately think of cancer. But what I tell people is that fibroids are super common and as insignificant as a freckle on your face. It all depends on how big the fibroid is and where it’s located. There are many options for removing fibroids that don’t involve surgery or much hospitalization. I ask my patients to see a MIGS surgeon (which stands for Minimally Invasive Gynecologic Surgeon) when it comes to any surgery that requires anesthesia in the hospital. Although please keep in mind that not every fibroid needs to be removed so take a look at where it is. Is it in a cavity? Does it need a hysteroscopy? Before you even have it removed ask yourself the key questions. How old am I? How many kids do I want? What’s my diagnosis?

Scenario 4: Vasectomy

What do you do if your partner has had a vasectomy or a vasectomy reversal? Well, surprise, surprise — the same series of questions apply here too. How old are you? How many kids do you want?

One Final Thought: Please be true to yourself.

I know I’m an IVF doctor, but I really don’t want everyone to do IVF. I want everyone to know what their diagnosis is and to be heard. To work with a doctor that’s going to listen to them, and take care of their needs and be honest with what all the side effects are for all of the treatments.




Fertility Doctor, Reproductive Endocrinologist, Egg Whisperer:

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Dr.Aimee Eyvazzadeh

Dr.Aimee Eyvazzadeh

Fertility Doctor, Reproductive Endocrinologist, Egg Whisperer:

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