Dr. Bruce Semo and the compassionate team at Irys Medical Center understand that every woman's fertility journey is unique. We provide comprehensive evaluation, personalized treatment plans, and unwavering support to help you achieve your dream of motherhood.
Female fertility refers to a woman's natural ability to conceive and carry a pregnancy to term. Each month, your body goes through a complex hormonal dance designed to release an egg (ovulation), prepare the uterus for implantation, and support early pregnancy. Understanding this delicate balance is the first step toward optimizing your fertility potential.
You're most fertile during the 5-6 days leading up to and including ovulation. The egg survives only 12-24 hours after release, while sperm can live up to 5 days in the reproductive tract. Timing intercourse during this window dramatically increases conception chances.
Age is the single most important factor affecting female fertility, primarily due to the natural decline in egg quantity and quality (ovarian reserve) over time. Here's what you need to know:
Peak Fertility: 86% chance of conception within 1 year. Highest chance of success per cycle.
High Fertility: 78% chance of conception within 1 year. Start of a gradual decline.
Good Fertility: 63% chance of conception within 1 year. Decline becomes more noticeable.
Declining: 52% chance of conception within 1 year. The rate of decline accelerates significantly.
Important: While fertility declines with age, many women in their late 30s and early 40s conceive naturally or with assistance. Dr. Semo specializes in using advanced treatments (like IVF) to help women of all ages maximize their fertility potential.
Approximately 40% of cases
Includes conditions like PCOS (Polycystic Ovary Syndrome), thyroid disorders, premature ovarian failure, or hypothalamic dysfunction. Symptoms often involve irregular or absent periods.
Approximately 30% of cases
Involves blocked or damaged fallopian tubes from past pelvic inflammatory disease (PID), infections, endometriosis, or previous surgeries. This prevents the egg and sperm from meeting.
Approximately 10% of cases
Conditions within the uterus such as fibroids, polyps, scar tissue (Asherman's syndrome), or congenital abnormalities that affect embryo implantation or pregnancy maintenance.
Approximately 20% of cases
Includes issues like endometriosis, cervical factors, immunological factors, or cases of unexplained infertility where no clear cause is identified after thorough testing.
Dr. Semo conducts a thorough fertility evaluation to identify any underlying issues:
Most basic testing can be completed within one menstrual cycle. Dr. Semo explains all results in detail and creates a personalized treatment plan based on your specific situation.
Understanding your ovulation pattern is crucial for timing conception:
Track morning temperature; slight rise indicates ovulation has occurred.
Detect LH surge in urine 24-36 hours before ovulation.
Egg-white consistency indicates fertile window.
Track cycles and predict fertile days based on historical data.
Most accurate method; tracks follicle growth and confirms ovulation.
Dr. Semo offers a stepped approach to fertility treatment, starting with the least invasive options:
Optimizing health factors, tracking ovulation, and timing intercourse during fertile window. Success rates: 15-20% per cycle for couples with no identified issues.
Medications like Clomid or Letrozole to stimulate egg development. Combined with timed intercourse or IUI. Success rates: 20-25% per cycle for ovulation disorders.
Washed sperm placed directly into uterus around ovulation. Often combined with ovulation drugs. Success rates: 15-20% per cycle for mild male factor or cervical issues.
Eggs retrieved, fertilized in lab, and embryos transferred to uterus. Success rates: 40-65% per cycle depending on age and diagnosis.
Dr. Bruce Semo brings over 15 years of specialized experience in female fertility to every consultation. "I believe in treating the whole person, not just the diagnosis," he says. "Your emotional wellbeing is as important as your physical health on this journey." Dr. Semo takes time to understand your unique story, explains complex medical information in simple terms, and involves you in every treatment decision. His gentle approach and exceptional success rates have helped hundreds of women become mothers. He's known for his availability—answering late-night calls and celebrating every positive pregnancy test as if it were his own family.
Schedule Your Fertility ConsultationSimple lifestyle changes can significantly improve your fertility:
Our success rates exceed national averages thanks to Dr. Semo's expertise and personalized approach:
IVF Success: 65% per cycle
IUI Success: 25% per cycle
IVF Success: 55% per cycle
IUI Success: 20% per cycle
IVF Success: 45% per cycle
IUI Success: 15% per cycle
Note: Success rates vary based on individual factors. Dr. Semo provides realistic expectations during your consultation.
Don't wait too long to seek expert guidance. Schedule a consultation with Dr. Semo if:
Remember: Early intervention often leads to better outcomes. There's no such thing as "too soon" when it comes to understanding your fertility.