Prevention and disease management

Infertility

Get the right fertility treatment to increase your chances of conception and carrying to full term.

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10 easy-to-access Twin Cities locations

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Choose from 65+ board-certified OBGYNs and APPs

On-site testing and treatments

Explore Infertility

Get to the root of infertility with a comprehensive evaluation and treatment. We specialize in solving complex conditions such as ovulation disorders, menstrual irregularity, male infertility, and physical abnormalities that can prevent conception.

 

Almara’s time-sensitive and ultra-responsive services include in-office laboratory services, ultrasounds, and procedures such as intrauterine inseminations. We also partner with highly specialized practices for IVF, egg freezing, and egg donor services. We look forward to caring for you during your pregnancy.

When conception doesn’t happen as expected, an infertility evaluation helps uncover why. This may include a detailed health history, hormone testing, imaging, and semen analysis (for partners). The process provides clarity, not blame, and helps guide next steps with compassion and a plan that aligns with your timeline and goals. 

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Experiencing more than one miscarriage can feel devastating and isolating. Evaluation involves reviewing your medical history, testing for hormonal or genetic causes, and examining the uterine structure. Sometimes, no single answer appears, but support, monitoring, and treatment can make future pregnancies safer and less uncertain.

PCOS is a common cause of infertility due to irregular ovulation. Testing often includes hormone levels and ovarian imaging. Treatment may involve medication to support ovulation, regulate menstrual cycles, or reduce symptoms such as acne or excessive hair growth. With the right care, many people with PCOS go on to conceive successfully.

Tracking your menstrual cycle, including ovulation timing, hormone shifts, and uterine lining development, helps time intercourse or treatment accurately. Monitoring may involve ultrasounds and blood work at key points during the cycle. It provides insight into how your body is working and improves timing for conception efforts.

Infertility testing explores possible physical, hormonal, or structural causes of delayed conception. This involves blood tests, ultrasounds, and in some cases, genetic screenings or partner testing. It’s about collecting information, so decisions are grounded in clarity, not guesswork.

If ovulation isn’t happening regularly, medications can help stimulate the process. Options may include pills like letrozole or injections that support egg development. Monitoring helps ensure safe, effective timing. This treatment is often the first step for those with irregular cycles or ovulatory disorders.

IUI involves placing washed sperm directly into the uterus during ovulation to increase the chances of fertilization. It’s often used for mild male-factor infertility, cervical issues, or unexplained infertility. The process is quick and less invasive than in vitro fertilization (IVF), although success rates vary based on individual factors.

Genetic and aneuploidy screening checks for inherited conditions or chromosomal imbalances that may impact fertility or lead to miscarriage. Testing may involve blood work, saliva testing, or embryo testing during in vitro fertilization (IVF). Knowing these factors can inform treatment and help guide next steps with greater confidence.

When structural concerns, such as fibroids, polyps, or blocked tubes, are suspected, then surgery may be part of the evaluation or treatment. Minimally invasive procedures, such as hysteroscopy or laparoscopy, can diagnose and correct certain issues. Surgery is never the first step, but it can be a vital part of moving forward.

When using donor sperm, donor eggs, or a gestational carrier becomes part of the path to parenthood, guidance is essential. This process involves both medical and emotional planning. Your provider may walk you through legal, ethical, and physical considerations, always keeping your hopes and values at the center.

My husband and I truly appreciate the time and care from Dr. Persch. She was incredibly calm, concerned, and thorough. She allowed time for us to talk about our loss, truly listened to our perspective, and gave us a solid plan of care moving forward. We were absolutely impressed when she walked in the room and was already well versed in our story and our history. She knew about our previous deliveries, knew about our loss already, and was able to incorporate our history into the plan moving forward.

~ Alexandra

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Almara Women’s Health is an independent practice that is owned and operated by physicians. This gives us the ability to build a more comprehensive and personalized health care delivery system specifically around the needs of women. Learn more about how to get a personalized, evidence-based, and comprehensive approach for your life and longevity. 

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Infertility and Insemination FAQs

What is infertility?

Most women can conceive within 12 months of trying to get pregnant, but if you have tried to have a baby for over a year without success, you may have fertility problems. If you are over the age of 35 years and have been trying to get pregnant for over 6 months without success, it is also reasonable to undergo further evaluation.

Infertility is a complex and difficult condition, but it does not necessarily mean that you need to give up on your dreams of motherhood with access to the right underlying condition diagnoses and treatments.

Even when there is no clear cause of infertility, fertility treatment may still help you conceive. Here are some common causes of hormonal imbalances and structural problems that can make fertility difficult:

  • Polycystic ovary syndrome (PCOS)
  • Issues involving ovulation
  • Primary ovarian insufficiency
  • Uterine fibroids
  • Endometriosis
  • Pelvic inflammatory disease
  • Uterine abnormalities
  • Male factor
How is infertility treated?

If a hormonal imbalance is to blame for your infertility, medication may resolve the problem. Your physician might recommend a variety of hormone medications to help you conceive. You may need to continue taking some of these medications throughout your pregnancy

Surgery can also treat many causes of infertility. If you have tissue blocking your fallopian tubes or uterus, for example, an operation may increase your chances of conceiving.

Your OBGYN physician can help you understand the causes and contributors to your fertility concerns. We offer a wide range of diagnostic tools, including blood tests, ultrasound, hysteroscopy, and laparoscopy. When appropriate, we are able to prescribe oral ovulation-stimulating drugs and follow your progress with ultrasound. We offer intrauterine insemination when necessary. We will also help you decide when it makes sense to consult a reproductive endocrinologist and make referrals for invetro fertilization(IVF). For patients seeking donor insemination, we will help you assess the ideal timing for delivery of your cryotank and the timing for your insemination.

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