Evaluation of Infertility

In order to treat a couple who is having difficulty conceiving a child, it is important to determine the cause of the problem. Evaluation generally begins with a thorough medical history and physical examination of both husband and wife, followed by a series of diagnostic tests.

In the general population, the examination usually begins simultaneously with both the husband and the wife, as the problem may originate with either or both of them. Evaluation of the male factors, however, raises serious halachic problems; therefore, a couple should consult with a rabbi before embarking on a medical evaluation. Often, the rabbis will require that the basic, non-invasive tests be performed on the wife first and that the husband be evaluated only if these tests do not produce a diagnosis. They may also stipulate that a minimum time of marriage without children elapse before permitting such testing.

Two situations, which are often not addressed in the medical literature, need to be taken into consideration when evaluating couples who observe Jewish law. These are effective marital relations and halachic infertility.

Information for your Health Care Provider

Click on the link(s) below for related articles from Jewish Women's Health, Nishmat's website for medical professionals. You may find it helpful to share this information with your physician by printing or emailing relevant articles, or by accessing the site during your appointment.   Halachic Issues in Infertility Diagnosis Special Considerations in Treating the Halacha Observant Infertile Couple