ProcreaWinnipeg, Manitoba

Female Infertility

Infertility is a sensitive and often trying concern for the nearly one in six couples who have trouble conceiving a child. With 40 - 50% of cases caused by female factors and 40% caused by male factors, infertility affects both sexes equally. The remaining 10-20% of cases are categorized as unexplained infertility. However, it is important to note that even if the cause cannot be diagnosed, treatments can still be successful. There are viable options for most causes of infertility. At HEARTLAND we strive to find a solution that will give you the gift you're hoping for.

If you are having problems conceiving a child, there are a few things you should know:

  • You are not alone. Conception difficulties are common. Many are treatable.
  • Treatments are available. Great advances have been made in reproductive diagnostic procedures and treatments over the last 10 years. Improved reproductive techniques have enabled more couples to have a child.
  • The likelihood of conception decreases with age. If you are in your late 20s or older and have been trying unsuccessfully to conceive a child, you are encouraged to seek help now. The sooner the cause of your infertility is diagnosed and treated, the higher the probability that you will be able to conceive a child.

Normal Fertility

Female Reproductive System, Race for LifeAt birth, women have a finite number of eggs and cannot produce new ones. At puberty, the number of eggs is about 450,000. At this point in your life, your body begins to generate hormones that will cause the eggs to mature and be released. The average menstrual cycle is 28 days, at the beginning of which a group of follicles (most containing an egg) begins to grow and develop with the stimulation of a hormone called Follicle Stimulating Hormone (FSH). Only one of the myriads of follicles reaches a dominant stage. The others undergo atresia, or die.

Throughout the second week of your menstrual cycle, the follicles produce estrogen, which in turn stimulates the brain to release another hormone called Luteinizing Hormone (LH). Estrogen helps to thicken the lining of the endometrium (uterus). It also stimulates the cervix to produce mucus making it thin and slippery so that sperm can swim through it. Ovulation occurs when the Luteinizing Hormone surge causes the release of the egg from the dominant follicle. At this point, the follicle becomes known as the corpus luteum. The corpus luteum creates yet another hormone called progesterone which makes the uterus more fit for the fertilized egg to implant and grow.

If the egg goes unfertilized, or if a fertilized egg fails to attach to the uterus, then the corpus luteum shrinks, the progesterone level falls and the uterus will begin to shed as menstruation starts and the cycle begins again.

Infertility Assessment Process

HEARTLAND Fertility & Gynecology Clinic uses the latest diagnostic tools and treatment options. The specifics of your situation will be reviewed with you after each step to enable you to make informed decisions.

There are five steps in our assessment process:

Determine if there is a problem.
Determine the cause of the problem.
Review options to treat the problem.
Determine a course of action.
Commence treatment or discontinue the process.

There are many potential causes of infertility. HEARTLAND offers state-of-the-art reproductive technology in the treatment of fertility problems.


« Today, the percentage of couples who experience problems conceiving is somewhere between 8% and 15%. »