Thursday, February 9, 2012

Question: I am growing facial hair and can't have a baby. What gives?


I wish I could tell you what gives, but I think a couple things stick out.  One is that although the question holds a clue, I assume you are female, and two, that you have tried at least for a year to have a baby. 

Infertility is the failure to conceive after a year of trying.  A lot of things need to be looked at to determine why this may be happening.  The first thing to do is to make sure that the male spouse has sperm that work.

Sperm are supposed to do one thing and that is to swim in a straight line.  However, when observed under a microscope, doctors can see if there is possible insufficient sperm that cannot swim straight, but instead swim in circles or look like they seem to not care to swim at all.  The sperm count must be adequate as well.

The next step would be to have a doctor do a physical exam and make sure structurally all is well, and then order labs.  Hormone irregularities can cause a host of issues. 

Imaging the pelvis can tell us if you have any deeper structural issues.  One that comes to mind is possibly Polycystic Ovarian Syndrome (PCOS).  Diabetes will have to be ruled out, as well as uterine cancer, or endometrial hyperplasia.

Usually a doctor can diagnose this disease in the clinic, however, most PCOS show changes in menstruation, increased androgen hormones --hence the hair (hirsutism), or acne, obesity, and infertility.  1 in 5 women with PCOS have no symptoms at all. 

If a doctor suspects PCOS, labs will need to be done, a vaginal ultrasound to look at the ovaries will have to be done, and a treatment plan instituted.

If this is a problem you think you might have, call your doctor ASAP.  We would be glad to help in anyway. 


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