Infertility Specialist

John Macey, MD -  - OB/GYN

John Macey, MD

OB/GYN located in Nashville, TN

Infertility affects millions of couples each year. Dr. John Macey is a board-certified OB/GYN physician practicing in the Nashville, Tennessee area. He understands the frustration infertility can cause for individuals who are hoping to have a child. If you live in the Kentucky, Alabama, or mid-central Tennessee area, Dr. Macey encourages you to call his office to schedule a consultation, or book your appointment online. If you have questions or concerns about infertility, he can help you find the answers.

Infertility Q & A

How is infertility diagnosed?

Infertility requires long term observation before there's sufficient evidence for Dr. Macey to diagnose the problem accurately. There are cases where the cause is immediately known, such as lack of sufficient hormones to trigger the release of the egg or problems within the uterus.

In most cases, however, it takes approximately one year to determine if you're infertile. After one year of unsuccessful attempts at conceiving, Dr. Macey can make the diagnosis. Further testing will need to be conducted to determine where the problem lies, and what treatment options are available, helping you conceive, and carry a child to term.

How is infertility treated?

Infertility can be treated in several ways. Dr. Macey first has to determine what's causing the problem. If you have a hormonal imbalance, using a form of hormone replacement therapy may be what's needed to jump start the process, allowing you to conceive naturally.

More in-depth procedures may be needed if the problem involves the fertilization process. In vitro fertilization and in utero insemination are also possible solutions. For the majority of couples, these solutions are unnecessary but are still available if all other options fail. These procedures are normally only considered when all other treatment options have failed.

What are common causes of infertility?

Infertility can have many causes. A few of the most commonly known are:

  • Hormone imbalances
  • Obesity
  • Medications
  • Uterine fibroids
  • Blocked Fallopian tubes
  • Insufficient sperm production

Genetics may also play a key role in how easily you conceive. Each case is different and, over time, Dr. Macey will begin to see indicators that will help him to identify the problem.

Dr. Macey needs to perform a thorough physical examination to determine the exact cause of the problem. In some cases, it may be that the male isn't producing enough viable sperm to fertilize the egg. Close observation and regular tests will eventually uncover the cause of the problem, allowing Dr. Macey to create a treatment plan.

*Individual results may vary