Infertility Evaluation at Lapeer Women’s Health
Lapeer Women’s Health does not perform IVF, IUI, or assisted reproductive technology. What Dr. Andrei does provide is a thorough evaluation of the gynecologic contributors to infertility — identifying and treating the structural, hormonal, and cycle-related factors on the female side before or alongside a referral to reproductive endocrinology.
Many infertility patients benefit from gynecologic evaluation and treatment before proceeding to IVF. Conditions including endometriosis, uterine fibroids, endometrial polyps, ovulatory dysfunction from PCOS, and structural abnormalities of the uterus or tubes are all identifiable and frequently treatable through gynecologic evaluation and surgery — sometimes restoring natural fertility, sometimes significantly improving ART outcomes.
Dr. Andrei approaches infertility evaluation with the same systematic rigor she applies to all clinical problems: reviewing the history, ordering targeted testing, identifying the specific contributing factors, and presenting the patient with clear options and realistic expectations. She then provides the appropriate treatment or referral based on the findings.
What Dr. Andrei Evaluates
These are the female-side infertility contributors evaluated at Lapeer Women’s Health.
PCOS and anovulatory infertility
The most common cause of female infertility — irregular or absent ovulation from PCOS means conception cannot occur predictably without intervention. Dr. Andrei evaluates, diagnoses, and manages PCOS as part of the infertility workup.
Endometriosis
Endometriosis reduces fertility through multiple mechanisms — inflammatory cytokines, adhesions affecting tubal function, and endometriomas affecting ovarian reserve. Excision surgery may improve both natural fertility and ART outcomes.
Uterine fibroids
Submucosal fibroids that intrude into the uterine cavity can mechanically interfere with implantation. Evaluation of fibroid location and management of cavity-distorting fibroids is part of the infertility workup.
Endometrial polyps
Polyps within the uterine cavity are associated with reduced implantation rates in IVF cycles. Hysteroscopic removal of polyps before ART is standard practice and improves outcomes.
Structural uterine abnormalities
A uterine septum, bicornuate uterus, or intrauterine adhesions — evaluated by hysteroscopy and corrected surgically when indicated — can affect implantation and increase miscarriage risk.
Ovarian reserve assessment
AMH and antral follicle count provide an estimate of remaining egg supply — an essential part of the infertility workup and fertility treatment planning.
What a Gynecologic Infertility Evaluation Includes
Dr. Andrei’s infertility evaluation covers the gynecologic contributors systematically — with referral to reproductive endocrinology when ART is indicated or when the gynecologic evaluation is complete.
- Complete menstrual history: cycle regularity, ovulatory signs, duration and flow
- Hormonal panel: FSH, LH, estradiol, AMH (ovarian reserve), progesterone, prolactin
- PCOS evaluation: testosterone, DHEA-S, fasting insulin, pelvic ultrasound
- Thyroid function: TSH and free T4 — thyroid disease affects both fertility and pregnancy
- Transvaginal ultrasound: uterine anatomy, ovarian morphology, antral follicle count
- Hysteroscopy when uterine cavity abnormality is suspected
“Before a patient goes to IVF, I want to make sure we have identified and addressed everything on the gynecologic side that might be affecting her chances — because fixing a structural or hormonal problem first can make a significant difference in outcomes.”
- Ovulation induction with letrozole for PCOS-related anovulatory infertility
- Laparoscopic endometriosis excision for endo-associated infertility
- Hysteroscopic polyp removal before IVF cycle
- Surgical correction of uterine septum or intrauterine adhesions
- Referral to reproductive endocrinology (REI) for IUI, IVF, or cases requiring ART
- Coordinated care between Dr. Andrei and the REI practice when both gynecologic and ART services are needed
What Patients Ask
Not Sure What’s Preventing Conception?
Start With the Gynecologic Side.
Dr. Andrei evaluates structural, hormonal, and cycle-related causes of infertility — and treats what is treatable before or alongside an ART referral.
The information on this page is intended for educational purposes only and does not constitute medical advice. Individual symptoms, diagnoses, and treatment options vary significantly. Reading this content does not establish a physician-patient relationship with Dr. Ramona D. Andrei or Lapeer Women’s Health. If you are experiencing a medical emergency, call 911 or go to the nearest emergency room immediately. Please consult a qualified healthcare provider for advice specific to your situation. Content reviewed by Dr. Ramona D. Andrei, MD PhD FACOG.
Gynecologic care for women of every age
Lapeer Women’s Health — Rochester Hills
2710 S Rochester Rd, Suite 2
Rochester Hills, MI 48307
Serving patients in Lapeer, Rochester Hills, and surrounding communities throughout Southeast Michigan.