Infertility Help is Here

Male problems leading to infertility are the most common and affect 40-50% of infertile couples. A semen analysis collected with the right timing will offer information about total count, volume, motility, normal-appearing sperm, viscosity, and potentially infections that may lead to problems fathering children. Abnormal semen analysis for fertility is interpreted differently than the normal ranges given in the report. Medication changes as well as lifestyle changes and nutritional supplementation may improve the semen analysis as well as help with fertility. Medical treatments are also prescribed to men to enhance fertility. Although rare, major abnormalities may require a visit to a urologist who specializes and is knowledgeable about male fertility. Dr. Coussons can recommend treatments based on prior semen analysis or order semen analysis in your location and review the results with you. Urology referrals or treatment recommendations can also be made with telemedicine.

Uterine fibroids, malformations of the uterus such as uterine septum, cervical and endometrial polyps, tubal scarring, and other anatomic problems can lead to problems conceiving. These can lead to an increased risk of miscarriage also. Up to 20-25% of women may find tubal or anatomic problems that lead to infertility. Most of these can be corrected with outpatient procedures that improve the outcome including higher pregnancy rates and lower miscarriage rates. Imaging, such as hysterosalpingogram (tubal dye test), or ultrasound with saline in the office is scheduled to evaluate the anatomy and the tubes. This can be ordered remotely, Dr. Coussons can review existing records and make recommendations for treatment. He also offers treatments using expert minimally invasive surgery in Green Bay to repair the tubes, or remove the uterine septum. 

Infertility testing can seem overwhelming. It can be confusing to patients because of the many tests for both partners. An accurate history, prior test results and prior  treatment record availability help to lower the cost of testing. Most infertility testing can be ordered remotely such as baseline labs including: AMH, FSH, PCOS labs, and male testing. Imaging such as ultrasound or MRI can al be ordered prior to the consult and then reviewed online or in person with Dr. Coussons.

Treatment option for infertility can be confusing. After a consult and testing, Dr. Coussons recommends a treatment plan including a timeline. Most plans are successful within 6 months. If success is delayed or new testing comes to light, then the plan is discussed together, and a decision is made to change course. Many couples can conceive without IVF, but if IVF is needed, Dr. Coussons works closely with reproductive endocrinologists and IVF specialists across the country and international.   

Many infertility treatments do not require a hands-on approach. Counseling and education with prescription of the right medications for ovulation can be managed with telemedicine and follow-up consults with Dr. Coussons. If in person consults are needed, these can be scheduled in Green Bay.

After delivering over 5000 babies, he stopped performing deliveries to focus on gynecology for complex patients. His practice is 100% devoted to the patient experience and successful outcomes for infertility, pelvic pain and abnormal uterine bleeding. He has been listed as a Center of Excellency in minimally invasive surgery and recently completed the new American Board specialty designation in minimally invasive surgery. Because of his skills, he has been a surgical instructor since 2007 and has travelled the US and also internationally while speaking about the best practice of minimally invasive surgery. He is a published author and continues to contribute time to medical education at the Medical College of Wisconsin. He has earned the reputation as an expert in this field by offering patients the very best care and by also providing treatment options which help achieve outcomes other providers cannot give.