At Cary OBGYN, we understand that the fertility journey can be both physically and emotionally challenging. Our providers are committed to helping you understand the potential causes of infertility and developing a personalized plan to help you achieve your family-building goals.

An infertility evaluation typically begins with a thorough review of your medical history, menstrual cycles, lifestyle factors, and reproductive health. Depending on your individual needs, we may recommend diagnostic testing such as blood work to evaluate hormone levels, ovulation assessment, pelvic ultrasound, or other imaging studies to identify conditions that may be affecting fertility. We also discuss the importance of evaluating both partners, as male and female factors can each contribute to infertility.

Based on your evaluation, we offer individualized treatment options that may include ovulation management, medication, lifestyle recommendations, or treatment for underlying gynecologic conditions, such as endometriosis, uterine fibroids, ovarian cysts, or polycystic ovary syndrome (PCOS), that may affect fertility. Throughout the process, our team provides education, guidance, and ongoing support to help you make informed decisions about your care.

When advanced reproductive technologies such as intrauterine insemination (IUI) or in vitro fertilization (IVF) are appropriate, we work closely with trusted reproductive endocrinologists and fertility specialists to ensure a seamless transition of care. Our goal is to provide comprehensive support from your initial evaluation through every step of your fertility journey, helping you feel informed, empowered, and cared for along the way.

Laparoscopy is a minimally invasive surgical technique used to diagnose and treat a variety of gynecologic conditions through small incisions. Compared to traditional open surgery, laparoscopic procedures often result in less pain, smaller scars, shorter hospital stays, and faster recovery times. Our experienced physicians utilize advanced laparoscopic techniques whenever appropriate to provide safe, effective care.

Laparoscopic procedures have many advantages compared with traditional abdominal surgery. Traditional abdominal surgery requires large incisions that sometimes span your whole abdomen. Large incisions mean longer procedures, more pain, and a longer healing period.

Laparoscopic procedures offer the following advantages.

• Outpatient (you go home the same day)
• Tiny incisions
• Smaller scars
• Less pain
• Minimal bleeding
• Shorter recovery overall

Ovarian cysts are fluid-filled sacs that commonly develop on the ovaries. While many cysts resolve on their own, some may cause pain, irregular bleeding, or other complications. Our providers carefully evaluate ovarian cysts and recommend the most appropriate treatment, ranging from observation and monitoring to minimally invasive surgical removal when necessary.

Pelvic organ prolapse occurs when the muscles and tissues supporting the pelvic organs weaken, allowing the bladder, uterus, or rectum to shift downward. Symptoms may include pelvic pressure, urinary concerns, or discomfort. Our providers offer both conservative and surgical treatment options to restore pelvic support, relieve symptoms, and improve your comfort and quality of life.

Tubal ligation is a safe, effective, and permanent form of birth control for women who have completed their families or no longer wish to become pregnant. During this procedure, the fallopian tubes are blocked, sealed, or removed to prevent pregnancy. Our providers will discuss your reproductive goals, explain the procedure in detail, and help you determine whether permanent contraception is the right choice for you.

Uterine fibroids are common, noncancerous growths that can cause heavy menstrual bleeding, pelvic pressure, pain, and fertility concerns. We provide individualized treatment plans based on your symptoms, the size and location of your fibroids, and your future pregnancy goals, offering both medical and surgical treatment options.