Infertility Explained

Infertility  Definition

Infertility can be defined as the inability to become pregnant. This does not mean that the couple is unable to have children, but assistance might be needed in the process.  The term ‘infertility’ is used in the following cases:

  • Where couples have not conceived after twelve months of attempting to conceive.
  • The female partner is over the age of 35 and the couple has not  been able to conceive within six months of attempting.

Aevitas Fertility Clinic, based in Cape Town, is a well-known leading expert in South Africa, within the field of human infertility. Through the information provided on this page, we hope we can assist you to better understand the causes, as well as treatment used at Aevitas Fertility Clinic.

Infertility Evaluation

At Aevitas Fertility Clinic, equal emphasis is placed on evaluating male- and female fertility. The reason being, approximately one-third of infertility is attributed to the female partner, one-third attributed to the male partner and one-third is caused by a combination of problems in both partners or, is unexplained. The Aevitas Fertility Clinic team values the diagnostic process, in order to determine the causes and contributing factors leading to infertility.

*Our Aevitas team likes to involve both partners in this fascinating journey through reproductive biology.

— General Guidelines of fertility evaluation

Aevitas physicians value the evaluation of lifestyle factors, which could play a role in infertility. Lifestyles factors like smoking and the use of alcohol have been shown to have a negative effect on the outcome of fertility treatment. Being overweight, and therefore having a higher body mass index, does have a negative effect on the success of fertility treatment. This fact applies to both men and women. All medicine, vitamin intake, or drug use, even the use of so called “natural supplements”, should be discussed with your fertility specialist.

— Female Partner fertility evaluation

Your Aevitas fertility specialist will take a thorough history and perform a gynaecological examination. An ultrasound examination is always part of the first visit and will usually be done at follow-up visits to determine response to treatment. The timing of further tests, for example laparoscopy, will also be discussed, if deemed necessary.

— Male Partner fertility evaluation

A basic semen analysis is the cornerstone of evaluation of the male partner. The semen analysis results will be discussed in detail with the patients. Lifestyle evaluation is also of great importance in men. Smoking, alcohol use and certain drugs can affect the semen quality and be a cause of sub-fertility. Of importance is the avoidance of any medication containing androgen or testosterone. These drugs will always suppress sperm production. At times blood hormone levels on the male partner may be indicated.