Preconception and Infertility

Whether or not you’re thinking about having a family—either in the immediate or distant future, preconception health is important for both men and women. Preconception health is a way of making sure that your body is healthy and equipped to handle the stresses and challenges of adult life, as well as caring for children. And whether or not you ultimately decide to have children, preconception health will give you a solid foundation of wellness from which you can enjoy your life. Preconception health involves maintaining good healthcare goals and lifestyle habits which will serve you well whether or not you intend on becoming a parent. The Board Certified gynecologists at Commonwealth OB-Gyn, located in Brookline Village near downtown Boston, MA, can advise you on attaining preconception goals such as:

  • Attain and maintain a healthy body weight
  • Make positive lifestyle changes, such as quitting smoking
  • Avoid dangerous substances in chemical products
  • Acquire information about your family medical history
  • Relieve stress and anxiety
  • Establish healthy sleep patterns
  • For some women who decide to try and become pregnant, sometimes preconception health issues can transition into questions about fertility. If you’ve decided that you’re ready to try for conception but things aren’t progressing as quickly as you had hoped, it may be time to consider seeking medical advice. The Board Certified gynecologists at Commonwealth OB-Gyn are skilled and experienced at helping prospective parents solve their fertility challenges, putting them on the right track to welcome a new addition to their families.


    Hysteroscopy—What to Expect

    There are many reasons why doctors may recommend a hysteroscopy—including diagnosing the causes of abnormal bleeding, removal of polyps, and as a way to check for certain types of cancer. However, if you are experiencing fertility problems, a hysteroscopy is also an excellent way to identify possible causes of that condition, including:

    • Abnormal uterine shape
    • Uterine scar tissue
  • Blocked fallopian tubes
  • Identify causes of miscarriages
  • The hysteroscopy is generally performed in a hospital setting with companying mild anesthesia.  Your doctor will insert a speculum gently into your vagina, allowing the hysteroscope to pass through the cervix. The hysteroscope is similar to a small camera, and transmits images of the interior of the uterus which the doctor may use to identify abnormalities within the uterine wall. The procedure typically takes about 30 minutes, and most patients are able to go home the same day.


    What is HyCoSy, and When Might I Need One?

    In some cases of difficult conception, your doctor may recommend a hysterosalpingoconstrastsonography, generally abbreviated to HyCoSy. This test is performed to identify any blockages of the Fallopian tubes or an abnormal uterine shape. During this test, a small amount of colored dye is introduced into a woman’s reproductive system, and is then traced and monitored as it makes its way through the Fallopian tubes and throughout the uterus.

    This procedure is generally painless, and can be performed in your doctor’s office. A speculum will be used to open the vagina, allowing your doctor to thread a fine plastic tube through the cervix and into the uterus. From there, a small balloon will be inflated within the cervix, which will ensure that the tube remains stable. A small amount of contrasting material is injected into the uterus, which can easily be identified with an ultrasound.

    Following the injection of contrast material, the speculum is removed and the ultrasound is performed—involving a high-frequency sound hand piece gliding along the outside of your lower abdomen. The ultrasound will be able to identify any blockages in the Fallopian tubes, as well as an abnormal uterine landscape, as the contrasting fluid passes through the reproductive system.

    Although many patients experience some mild discomfort, the test is typically painless, and generally requires no anesthesia or downtime. To minimize any discomfort, and anti-inflammatory, such as Neurofen, can be taken one hour before the test is conducted.


    Contact Commonwealth OB-Gyn

    If you are concerned about pre-conception health or infertility and would like to follow up with one of our Board Certified gynecologists, or if you would like to learn more about Commonwealth OB-Gyn, our physicians, and our other services, we encourage you to schedule your appointment today.  We look forward to hearing from you!

    Commonwealth Ob-Gyn