Infertility

Advanced Care for Women

Gynecology & Urogynecology located in Sanford, NC

Infertility can be frustrating and upsetting, but treatment helps many couples who struggle with this condition to successfully have children. Board-certified OB/GYN Paul Heimbecker, MD, FACOG, provides infertility counseling and treatment at Advanced Care for Women in Sanford, North Carolina. If you’re having trouble getting pregnant, call or book online to schedule your fertility consultation today.

Infertility Q & A

Advanced Care for Women

What is infertility?

Infertility means you’re not able to get pregnant after a year of trying, or six months of trying if you’re over age 35. Women who are able to become pregnant, but have recurrent miscarriages or stillbirths, are also considered infertile.

Who does infertility affect?

Infertility is a common condition that affects about 15% of couples age 15-44, but it’s not only a woman’s health problem.

In approximately one-third of infertility cases, the issue is related to the woman. In another third, it’s because of the man. The remaining infertility cases are due to an issue with both partners, or the underlying cause goes undiscovered.

What causes infertility?

In women, the most common cause of infertility is problems with ovulation. The most common cause of infertility in men is a problem with the way sperm are made or how they behave. Sometimes, men make too few sperm, or none at all.

The following gynecologic conditions may cause female infertility:

  • Endometriosis
  • Polycystic ovary syndrome (PCOS)
  • Sexually transmitted diseases (STDs)
  • Blockages in the fallopian tubes


Other factors, such as age and lifestyle, can also affect fertility. A woman’s ability to get pregnant decreases rapidly every year after 30. Additionally, being underweight, overweight, or exercising too much may cause infertility.

How do you diagnose and treat infertility?

If you’ve been having frequent, unprotected sex for a year without getting pregnant, Advanced Care for Women offers counseling and treatment for you and your partner.

Dr. Heimbecker begins with a physical exam and a thorough review of your medical history. He asks you and your partner questions about a variety of health issues, such as:

  • Medications you take
  • Past pregnancies and their outcomes
  • Use of tobacco, alcohol, or illegal drugs
  • Methods of birth control
  • How often you have sex


He may also take laboratory tests, such as a blood test, to check your hormones, or an ultrasound imaging test to look for problems in your reproductive organs.

Then, he recommends the best fertility treatment depending on your unique situation. This may include fertility medications to stimulate ovulation.

For more information on overcoming infertility, call Advanced Care for Women or book an appointment online today.

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