By Maureen O. Khoo, MD, FACOG
Obstetrics & Gynecology | Los Gatos & Mountain View, CA
Infertility can be one of the most emotionally challenging and physically complex journeys a couple may face. At the offices of Maureen O. Khoo, MD, FACOG, we understand the deeply personal nature of this issue and are committed to offering compassionate, evidence-based care to help you explore your fertility options with clarity and confidence.
What Is Infertility?
Infertility is typically defined as the inability to conceive after 12 months of regular, unprotected intercourse (or 6 months if the woman is over 35). It can stem from various causes—some male-related, some female-related, and others unexplained.
The good news? With the right evaluation and treatment plan, many people struggling with infertility go on to have successful pregnancies.
Common Causes of Infertility
In Women:
- Ovulation disorders (e.g., PCOS, thyroid dysfunction)
- Blocked fallopian tubes (often due to pelvic inflammatory disease or endometriosis)
- Uterine abnormalities (e.g., fibroids, polyps)
- Age-related decline in egg quality and quantity
In Men:
- Low sperm count or motility
- Structural issues (e.g., varicocele)
- Hormonal imbalances
- Lifestyle factors like excessive alcohol use, smoking, or obesity
Unexplained Infertility:
In approximately 15–30% of couples, a clear cause cannot be identified, but treatment can still be effective.
Diagnostic Evaluation
At the offices of Dr. Maureen O. Khoo, we conduct a comprehensive fertility evaluation that may include:
- Hormonal blood tests
- Ovulation tracking
- Ultrasound imaging of the uterus and ovaries
- Hysterosalpingography (HSG) to evaluate fallopian tube patency
- Semen analysis for male partners
This thorough work-up helps us develop a personalized and targeted treatment plan for your unique situation.
Treatment Options
We believe in a stepwise approach, beginning with the least invasive options and advancing as needed:
1. Lifestyle Optimization
- Nutritional counseling
- Weight management
- Stress reduction
- Cessation of smoking and alcohol
2. Ovulation Induction
- Medications such as Clomiphene Citrate or Letrozole to stimulate ovulation
3. Intrauterine Insemination (IUI)
- Concentrated sperm is placed directly into the uterus around ovulation to increase chances of fertilization
4. In Vitro Fertilization (IVF)
- Eggs are retrieved, fertilized outside the body, and then transferred to the uterus
5. Surgical Intervention
- Laparoscopy or hysteroscopy to correct anatomical abnormalities like fibroids or endometriosis
We work closely with local reproductive endocrinologists if advanced fertility services like IVF are needed.
Frequently Asked Questions (FAQ)
Q: When should I see a doctor about infertility?
A: If you’ve been trying to conceive for 12 months (or 6 months if you’re over 35), it’s time to seek help. Also, if you have irregular cycles, known reproductive issues, or a history of miscarriages, earlier evaluation is advised.
Q: Is infertility just a woman’s issue?
A: No. In fact, male factors contribute to infertility in about 30–40% of cases. That’s why a thorough assessment of both partners is essential.
Q: Can lifestyle changes really help improve fertility?
A: Absolutely. Addressing weight, nutrition, sleep, and stress levels can have a significant impact on fertility for both men and women.
Q: What are the chances of success with fertility treatment?
A: Success depends on many factors, including age, underlying causes, and type of treatment. Dr. Khoo will help you understand your personal outlook and next steps.
Q: What if I’m not ready to get pregnant now but want children later?
A: Fertility preservation options, such as egg freezing, are increasingly common. We can discuss whether this is right for you.
Compassionate Fertility Support You Can Trust
Dr. Maureen O. Khoo brings decades of experience in OB/GYN care, including infertility diagnosis and management. Known for her warm bedside manner and evidence-based approach, Dr. Khoo works alongside you to create a treatment path aligned with your goals, values, and lifestyle.
Whether you’re just starting to explore your fertility or are ready to move forward with treatment, our team is here to support you every step of the way.
Schedule a Fertility Consultation
📍 Los Gatos Office
320 Dardanelli Lane, Suite 20
Los Gatos, CA 95032
📍 Mountain View Office
2490 Hospital Drive, Suite 209
Melchor Pavilion, Mountain View, CA 94040
📞 Phone: (408) 364-2440
🌐 Website: khoomd.com
Let’s work together to turn your hopes into reality. Call us today to schedule a consultation.