Family Planning And Infertility

Diego Ramirez, MD

Board Certified Obstetrics & Gynecology located in El Paso, TX

When you’re ready to start a family, you want care from a compassionate, knowledgeable provider who offers medical and emotional support and experience. Board-certified OB/GYN Diego Ramirez, MD, offers family planning, infertility, and prenatal counseling at his office in El Paso, Texas. Call Diego Ramirez OBGYN PLLC or book online to take advantage of his expertise when it comes to starting a family.

Family Planning and Infertility Q & A

What is infertility?

An infertility diagnosis occurs when you’re unable to get pregnant after 12 months of active, unprotected sex. If you’re 35 or older, infertility is diagnosed after just six months. You may also receive an infertility diagnosis if you can get pregnant but have recurrent miscarriages or stillbirths.

In about one-third of cases, problems with the woman are the reason for infertility, and in another third, the man is the cause. In a full one-third of cases, however, the reason for infertility is unspecified – meaning a diagnosable reason isn’t found.

What causes infertility?

Infertility may be caused by:

  • Ovulation disorders, which affect the ability of your ovaries to develop or release an egg
  • Uterine or cervical abnormalities
  • Endometriosis, in which uterine tissue grows outside of the uterus and interferes with the optimal functioning of reproductive organs
  • Early menopause
  • Fallopian tube damage
  • Pelvic adhesions or scar tissue


Inadequate sperm production, overexposure to certain chemicals, sexual dysfunction, and cancer may cause infertility in men.

Correctable causes of infertility include substance use, being under- or overweight, and overexercising. Dr. Ramirez may be able to resolve these risk factors by helping you make some lifestyle changes.

How is infertility and recurrent pregnancy loss diagnosed?

Dr. Ramirez evaluates both the woman and the man in the couple to assess possible reasons for infertility. He recommends specific screening tests to confirm a diagnosis, when possible. 

He may test a woman’s hormone levels to determine if she’s ovulating and have her undergo imaging tests to look for irregularities in the organs. He also tests the quality and quantity of a woman’s eggs, as well as of her partner’s semen. 

Women with unexplained infertility may also undergo a procedure called hysterosalpingography, which looks at the uterus and fallopian tubes for blockages or other issues. In rarer cases, you may need minor surgery to get a better look at your reproductive organs.

How is infertility treated?

Your infertility treatment depends on the specific cause. In many cases, Dr. Ramirez stimulates ovulation with specific drugs. He may also recommend minor surgery to restore your fertility. For example, surgery helps clear out endometrial lesions in women who have endometriosis. You may also be a candidate for intrauterine insemination.

For men, he may prescribe medications, lifestyle changes, or recommend surgery – depending on the specific issue.

How are family planning and infertility related?

Care for the nine months leading up to delivery and birth of your baby is known as prenatal care. Prenatal care can start even earlier, prior to conception, to determine any potential issues you might have with conception (infertility), pregnancy, and delivery with family planning services. 

Family planning includes genetic screening to determine if your baby-to-be is at risk of specific genetic conditions, such as cerebral palsy or Down syndrome. Dr. Ramirez can also help you with spacing pregnancies, so you don’t have children too close together, which can endanger the health of mother and baby.

To learn more about infertility and family planning, call Diego Ramirez OBGYN PLLC, or book an appointment online.