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Infertility Specialist

Macer Fertility Center

Reproductive Endocrinology & Infertility Specialist located in Century City, Rolling Hills Estates, and Pasadena, CA

Young couples focus so much on preventing pregnancy that it comes as a shock when they decide to conceive and discover they can’t. If you’re one of the 12-15% of couples who still aren’t pregnant after a year of trying, Matthew Macer, MD, at Macer Fertility Center is the caring expert you need. Serving the greater Los Angeles area, including Manhattan Beach and Long Beach, he truly listens to your concerns, then puts his extensive experience to work, creating individualized treatments to help you conceive and have a healthy pregnancy. To schedule an appointment, call the office in Beverly Hills/West LA, Rolling Hills Estates, or Pasadena, California, or use the online booking feature.

Infertility Q & A

When should I seek help for infertility?

Couples are diagnosed as infertile when they’re not pregnant after a year of trying. However, women shouldn’t always wait a year before scheduling an infertility evaluation. It’s time to call Macer Fertility Center when you’re in one of the following categories:

  • Women younger than 35 who aren’t pregnant after one year of regular, unprotected sex
  • Women aged 35-40 who aren’t pregnant after six months of regular, unprotected sex
  • Women of any age who have irregular menstrual periods or a gynecological condition known to affect fertility
  • Women over the age of 40 who decide they want to get pregnant

If you’re 40 or older, getting a gynecological evaluation before you try to get pregnant gives you the opportunity to treat any problems first and increase your chances of getting pregnant and having a healthy pregnancy.

Why is age an important factor in infertility?

Fertility diminishes in men and women as they get older, but age is an urgent concern for women because the number and quality of their eggs rapidly diminish as they reach a certain age.

Women are the most fertile through their early 30s. Their fertility gradually declines until around the age of 35, at which point it may become more difficult or take longer to conceive. By 40 years of age, chances of getting pregnant begin to decline every month.

What causes infertility?

Men and women are equally likely to be the reason they can’t get pregnant. About one-third of couples are infertile due to a male-factor problem and one-third learn the problem is due to a condition affecting the woman. For the remaining one-third, the cause of infertility can’t be determined.

In women, the most common reasons for infertility include:

  • Ovulation problems, such as polycystic ovary syndrome (affects 25-30% of infertile couples)
  • Fallopian tube blockage (affects 20-30% of infertile couples)
  • Endometriosis (affects 5-10% of infertile couples)

Other problems that often affect a woman’s fertility include uterine fibroids, genetic conditions, and being overweight or underweight. When male-factor infertility is diagnosed, the problem often involves sperm problems, including a low sperm count, abnormally shaped sperm, and sperm that can’t move effectively.

How is infertility treated?

Infertility evaluations include a thorough examination of your reproductive health, including ultrasound imaging and tests that show hormone levels and ovarian function. If you have an underlying health condition, Dr. Macer customizes your treatment to take care of that specific problem. If improving health conditions doesn’t improve your ability to get pregnant, Dr. Macer may recommend options such as intrauterine insemination and in vitro fertilization.

To schedule an infertility evaluation, call Macer Fertility Center or book an appointment online.