UAB Medicine Fertility Services
UAB Medicine’s nationally recognized physicians have years of experience in diagnosing and treating both male and female infertility. We treat infertility with a team approach that includes a urologist, a reproductive endocrinologist, specialized nurses, and laboratory scientists. A variety of conventional treatments are available, including corrective microsurgery. For those who do not have a condition that can be treated, procedures such as intrauterine insemination or in vitro fertilization (IVF) may be used to help a couple get pregnant.
Our fertility experts will determine a treatment plan that is best suited for each individual and their partner. As a major center for research, UAB Medicine continues to investigate new advances in fertility treatment aimed at increasing the chances of conceiving healthy babies.
Common Terms
Donor egg
Egg donation is a federally regulated and safe process. The egg from a young, fertile donor may be fertilized with sperm, and the embryo is then transferred into the uterus.
Donor sperm
Insemination using donor sperm from a federally regulated sperm bank may be an option for single individuals, same-sex couples, and couples experiencing male infertility.
Endometriosis
Endometriosis is a painful disorder in women in which tissue that normally lines the inside of the uterus, called the endometrium, grows outside the uterus on other organs or structures in the body. Endometriosis can affect a woman’s ovaries, bladder, fallopian tubes, bowel, or the tissue lining the pelvis.
Fertility testing
This first step includes evaluating your medical history, dietary habits, sexual health, and menstruation patterns. We also review your lab results (mostly hormone levels) and ultrasounds, which help determine you and/or your partner’s fertility health.
Fertility treatment
After your initial fertility consultation and evaluation, our team will develop your fertility treatment plan. It may include ovulation induction, intrauterine insemination, or other assisted reproductive technologies, such as in vitro fertilization. Our financial counselor is available to meet with you during your care plan discussion.
Hysterosalpingogram (HSG)
This short outpatient X-ray procedure evaluates your uterus and fallopian tubes. Dye is introduced into the uterus through a small catheter (tube) placed in the cervix, and X-rays are taken as the dye passes through the uterus and fallopian tubes. An HSG should be performed after your menstrual cycle, between days 6 and 12 of your cycle. Please let us know if you are allergic to iodine or contrast material (dye).
Intrauterine insemination (IUI)
An IUI is a minor, in-office procedure that involves passing sperm in a small catheter through the cervix and into the uterus near the fallopian tubes, where it can more easily fertilize the egg.
In vitro fertilization (IVF)
IVF involves fertilizing an egg outside the body and transferring the resulting embryo into the uterus. After the woman’s ovaries are stimulated with medication and monitored for ovulatory response, the eggs are retrieved during an outpatient procedure while under sedation. In the lab, the egg is fertilized with sperm and allowed to grow for 3-5 days. The embryo is then transferred into the woman’s uterus using an ultrasound-guided catheter, usually 3-5 days after retrieval.
Ovulation induction
In cases where a woman does not ovulate properly, medications can be used to stimulate the growth and release of eggs. This may be done with oral medications or injections. Once you start taking the medications, we may monitor your response using at-home ovulation prediction kits or in our office with lab work and ultrasounds.
Polycystic Ovary Syndrome (PCOS)
Polycystic ovary syndrome (PCOS) is a common hormonal condition that affects women of reproductive age. It usually starts during adolescence, but symptoms may fluctuate over time. PCOS can cause hormonal imbalances, irregular periods, excess androgen levels and cysts in the ovaries. Irregular periods, usually with a lack of ovulation, can make it difficult to become pregnant. PCOS is a leading cause of infertility.
Semen analysis
This test is an essential early step in the fertility evaluation. It looks at the semen and sperm to identify any issues that may affect conception.
How We Treat Infertility
UAB Medicine’s nationally recognized physicians have years of experience in diagnosing and treating both male and female infertility. A variety of conventional treatments are available, including corrective microsurgery. For those who do not have a condition that can be treated, procedures such as intrauterine insemination or in vitro fertilization (IVF) may be used to help a couple get pregnant. Our fertility experts will determine a treatment plan that is best suited for each individual and their partner. As a major center for research, UAB Medicine continues to investigate new advances in fertility treatment aimed at increasing the chances of conceiving healthy babies.
Videos
Meet the Team: Sukhkamal Campbell
A reproductive endocrinologist, Dr. Campbell specializes in fertility preservation for cancer patients, helping them focus on both their physical and mental health.
Watch
Coping with the emotional impact of infertility
Watch
How to support someone struggling with infertility
Watch
Mallory’s story: first baby born from UAB Medicine’s uterus transplant program
In May 2023, Mallory became the first patient to give birth via a uterus transplant outside of a clinical trial, and her son was the first baby born from UAB Medicine’s uterus transplant program.
Watch
What you need to know about uterine fibroids
Learn key facts on what you need to know about uterine fibroids.
Watch
Inside UAB Medicine’s In Vitro Fertilization Lab
In this video, we tour the in vitro fertilization (IVF) lab at the UAB Women and Infants Center.
Watch
Women’s Health with Dr. Huh: Endometriosis-Associated Infertility
Richard Burney, M.D., discusses the causes and progression of endometriosis; methods of diagnosis and treatment; and the related concern of infertility.
Listen
Women’s Health with Dr. Huh: Early Pregnancy Loss
Dr. Huh is joined by Shweta Patel, M.D., an obstetrician, to share little-known facts about early pregnancy loss that can help patients understand this emotional experience.
Listen
Women’s Health with Dr. Huh: Fertility Preservation – What You Need to Know
In this panel discussion, Dr. Arbuckle and Dr. Sukhkamal Campbell discuss oncofertility.
Listen
Care Providers
Ricardo Azziz, MD
UAB Women & Infants Center
Endocrinology, Gynecology, Reproductive Endocrinology and Infertility
Richard Owen Burney
UAB Women & Infants Center, Hoover Specialty Care
Reproductive Endocrinology and Infertility
Sukhkamal Campbell, MD
UAB Women & Infants Center
Reproductive Endocrinology and Infertility
Courtney Gregory, CRNP
UAB Women & Infants Center, Hoover Specialty Care
Reproductive Endocrinology and Infertility
Caitlin Hutchins, PA-C
UAB Women & Infants Center
Obstetrics and Gynecology, Reproductive Endocrinology and Infertility
Peter Kolettis, MD
Hoover Specialty Care, The Kirklin Clinic of UAB Hospital
Urology
What to Expect During Your Consultation
The first step is making the appointment to see a fertility specialist and completing a thorough history with that physician. At your first visit we will discuss fertility goals as well as obtain a complete patient history. We will discuss topics such as menstrual history, prior pregnancies, prior fertility therapies, prior surgeries, and medication history. Based on this initial visit and patient goals, the next step will likely be imaging (ultrasound or hysterosalpingogram), lab work to assess fertility hormones (thyroid function, ovarian reserve testing), and discussion of sperm source (potential semen analysis for patients with male partners or discussing donor sperm sources).
We choose treatments tailored to the patient’s specific source of infertility. We usually start with more conservative therapies, such as oral agents to induce ovulation (clomiphene citrate or letrozole). Sometimes this is paired with timed intercourse, and sometimes it’s paired with intrauterine inseminations. Additional therapies we offer include the use of donor gametes, gestational carriers, and in vitro fertilization with the options for genetic testing of embryos (PGT-A and/or PGT-M).
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