Infertility

A helping hand when starting a family doesn't go as planned

Starting a family is a deep-rooted desire for many people. If you have difficulty getting pregnant on your own, the team at Generations Fertility Care is here to help. Our fertility specialists offer a wide range of testing and assisted reproductive treatments for all individuals and couples.
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Programs

Supportive programs to build your family

We work hard to help you achieve one of life’s greatest joys – having a baby.

At Generations Fertility Care, we support you on your journey to become a parent. Our specialized programs include:

  • Couples — Infertility affects couples, not just individuals. We provide infertility testing for men and women. If necessary, we also offer couples counseling.

  • LGBTQ+ family-building — We provide personalized fertility options so you can start a family. We guide you through the process, answer your questions and support your goals along the way. We work with all people and couples. Learn more

Common fertility issues

Fertility issues are common. If getting pregnant is difficult, our testing options help identify the problem. We offer fertility testing to help identify any potential underlying conditions. Some of the common fertility issues we help manage are:

  • Couples who have been trying for more than a year to conceive

  • Same-sex couples and transgender individuals who want to have children

  • Women older than 35 who do not get pregnant after trying for at least six months

  • Women who have had more than one miscarriage



Conditions

UW Health infertility specialists work with you to determine the underlying cause of your fertility challenges and offer the most effective treatment options for your condition.

If you and your partner have tried to get pregnant for more than a year - or if you are a woman over 35 who has tried for more than six months - you may want to consider seeing a doctor for fertility testing.

We may also recommend infertility testing if you've been able to get pregnant, but have had more than one miscarriage.

Learn more

If you and your partner have had trouble getting pregnant, it's natural to feel concerned. Many couples don't expect fertility problems when they decide to have a baby. And wondering if you're infertile can cause added stress and worry. The good news is, countless men who faced infertility have been treated for their underlying problem. Many eventually father children.

We specialize in all aspects of male infertility, including testing and medical or surgical treatment. Among the conditions we test for include:

  • Absence of sperm

  • Developmental conditions, such as undescended testes

  • Ejaculatory dysfunction

  • Erectile dysfunction

  • Exposure to environmental toxins

  • Hormone imbalance, such as low testosterone

  • Infections, including sexually transmitted disease

  • Low sperm count

  • Oddly shaped sperm

  • Side effects from prostate or testicular surgery

  • Slow sperm/sperm that can’t travel

  • Swollen veins in that scrotum that cause low sperm counts (varicocele

  • Unexplained infertility



Learn more

Approximately 3 million women in the United States are affected by secondary infertility, which is defined as the inability to become pregnant or to carry a pregnancy successfully after previous success in delivering a child.

Individuals experiencing secondary infertility are less likely to seek treatment than those who experience primary infertility. This is due in part to the perception that because they were able to conceive before, they should be able to again. However, several changes can occur that may alter a woman's ability to conceive.

Causes of secondary infertility

The causes for secondary infertility are often the same as for primary infertility, including:

  • Ovulation problems, including Polycystic Ovary Syndrome (PCOS)

  • Endometriosis

  • Pelvic adhesions

  • Uterine fibroids or polyps

  • Diminished ovarian reserve

  • Low sperm count

  • Ejaculatory problems

These underlying medical conditions may develop for a number of reasons. A previous C-section, infection, weight gain, and even age may adversely affect a woman's reproductive health. Men too may experience difficulties as a result of stress, age or other similar issues.

Treatment for Secondary Infertility

Generally, it is recommended that individuals see fertility specialists after trying unsuccessfully to conceive for 8-12 months. For people over age 35 or who have known medical conditions, it is generally recommended they see a specialist much sooner.

Treating secondary infertility, like primary infertility, will depend largely on any underlying medical conditions. Through the Couples Clinic at UW Health's Generations Fertility Care, both members of the couple undergo a routine evaluation. Since infertility is not simply a woman's problem, evaluating both members ensures the most effective treatments can be recommended.

Treatments & finance

Treatments for all types of fertility problems

Our specialists personalize treatment to your unique needs.

 If you need surgery to help you get pregnant, we provide several surgical options, including:

  • Anastomosis (reconnection) of fallopian tubes previously cut or tied for contraceptive purposes

  • Correction of conditions present at birth affecting the uterus and vagina

  • Laparoscopic excision of endometriosis

  • Laparoscopic robot-assisted myomectomy

We provide surgical options for male infertility, including:

  • Microsurgical varicocelectomy 

    • Electroejaculation

    • Microscopic epididymal sperm aspiration 

    • Percutaneous epididymal sperm aspiration

    • Sperm retrieval

    • Testicular sperm extraction/aspiration

  • Transurethral resection of the ejaculatory duct 

  • Vasectomy reversal

Financial information

At Generations Fertility Care, we respect how important the financial aspects of treatment are for many people. We are committed to providing not only competitive pricing, but also excellent value when caring for patients.

Financial counselor

For financial questions, please contact our financial counselor at:
(608) 824-6188 or (888) 474-3933

Request financial information

Three steps to begin planning for treatment

As you begin planning for your fertility care, we recommend these three steps:

  1. Contact your insurance provider and ask about your plan's coverage.

  2. Meet with one of our fertility care specialists for an initial consultation. He or she will determine whether any diagnostic testing is needed and advise you of treatment options that may be appropriate for your situation. If you have already had some testing or treatment, bring the results along to your appointment so we avoid repeating any unnecessary steps.

  3. Meet with one of our financial counselors. He or she will review costs for the tests and treatments you are considering and help you make the most of insurance coverage if it is available to you.

Average price range when no insurance coverage (not including medications, subject to change without notice):

  • $295-$397: Initial consultation with specialist

  • $1,550: Diagnostic hysteroscopy w/saline infusion sonogram*

  • $75: Semen testing, count and motility

  • $200: Semen testing, complete analysis

  • $305: Ultrasound

  • $510-$1,500: Intra Uterine Insemination (IUI), includes monitoring ultrasounds, if required

  • $12,325-$13,825: In Vitro Fertilization (IVF)

  • $10,500: Vasectomy reversal

*If you wish to have certain diagnostic or monitoring procedures completed by your primary care provider, just let us know. We are happy to coordinate this on your behalf to make the process easy, convenient and seamless for all involved.

Insurance and fertility treatments

Unfortunately, many insurance companies do not cover the cost of fertility treatments. Prior to beginning any services, we recommend you check with your insurance provider to determine coverage and whether any prior authorizations are required.

Once you have established fertility care with one of our physicians, our Financial Counselor can assist you with any necessary authorizations you may need.

Competitive pricing

The cost of fertility treatments can be challenging. We are committed to providing not only competitive pricing, but also excellent value when caring for patients. Generations Fertility Care offers options to help you manage the financial aspects of treatment.

Financial assistance for cancer patients

Generations partners with LIVESTRONG Fertility to provide cancer patients with discounted fertility care options. An online application and other details are available on the LIVESTRONG website. If you have questions, please contact LIVESTRONG at (855) 220-7777.

Some fertility treatments include self-administered, prescription medications that can be ordered online or through the mail. Here are a few reliable, reasonably priced sources you might want to consider in addition to your local pharmacy. This is neither a comprehensive list nor an endorsement. You might find it helpful to contact several pharmacies and compare prices prior to your treatment.

  • Costco. Phone - (608) 824-3959. Website

  • Freedom. Phone - (800) 660-4283. Website

  • Mandell's. Phone - (877) 252-0553. Website

  • Walgreens Specialty. Phone - (800) 424-9002. Website

Locations

All the fertility care you need, at one location

Generations Fertility Care is a specialized fertility clinic located in Middleton, near the far west side of Madison, Wisconsin.

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  • Generations Fertility Care
    Generations Fertility Care
    Generations Fertility Care
    • 2365 Deming Way / Middleton, WI
    • (608) 824-6160
    • Closed now
    • At Generations Fertility Clinic, our reproductive endocrinology and infertility specialists combine state-of-the art technology and compassionate, personalized care to serve couples who wish to become parents.

    •  
      View hours, services and more

Meet our team

An expert team by your side

The fertility specialists at UW Health and Generations Fertility Care include experts in endocrinology, embryology, clinical psychology and advanced pelvic surgery.

Resources

Handouts and resources

You and your health care team are working toward the same goal of parenthood.

We recognize the sometimes difficult and emotional choices that can be involved in your care. You can use your visits with your doctor to gather as much information as you need to become a partner in your care.

We will provide advice based on our experience and knowledge to help you make the best decisions for your situation.

In order to make the most of each doctor visit, you should prepare in advance.

Following are a few suggestions to help you prepare:

  • Write down what you want to tell your doctor and any questions

  • Consider bringing your partner or another person with you so that more than one person hears the information and can ask questions

  • Be clear and direct when you describe your infertility problem. These are some things you should be prepared to discuss:

    • How long you have had the problem

    • The tests you have had

    • What you expect from us

    • What options you are comfortable trying. Think in terms of: time commitment, financial burden and ethical issues based on your family's circumstances.

  • Ask questions - Ask your doctor what is causing your problem and what you can do about it.

  • Make sure you understand the plan. Repeat what you have heard to make sure you know what was said.

  • Make sure that the plan is right for you. If it is not, let us know. We may be able to alter the plan to better meet your needs.

  • Ask for more information if you need it

  • Take notes

There is extensive information about infertility available through the Internet. The following Web sites are reliable resources that may help provide additional information.

University of Wisconsin Department of Obstetrics and Gynecology 

The Reproductive Endocrinology and Infertility Program information can be found under Specialties – Reproductive Endocrinology. You will find out most recent outcome data (pregnancy rates) here as well as program information.

The Society for Assisted Reproductive Technology (SART) 

SART is responsible for collection and standardization of In Vitro Fertility treatment patient outcomes (pregnancy) and other data. The data is reported by clinic site. The website also has patient information on a wide variety of infertility issues.

RESOLVE 

ESOLVE is a national non-profit organization that for more than 20 years has assisted people in resolving their infertility by providing information, support and advocacy. 

The American Society for Reproductive Medicine (ASRM) 

The American Society for Reproductive Medicine (ASRM) is a nationally and internationally recognized leader for education and standards in reproductive medicine that produces comprehensive, easily downloadable fact sheets for the public.

ASRM is a resource to reproductive endocrinologists, obstetricians, gynecologists, urologists and basic scientists who treat and investigate problems of fertility, sterility and the physiology of reproduction. There are links to clinic locations and annual clinical outcomes are reported to the CDC (Centers for Disease Control). The website also offers information for patients on a variety of topics related to infertility. ASRM also operates ReproductiveFacts.org, a website with comprehensive, easily downloadable fact sheets for the public.  

The American Fertility Association (AFA) 

The American Fertility Association is a national advocacy organization. They offer online information on a wide variety of subjects related to fertility and reproductive endocrinology issues. A monthly newsletter is also published on the website. 

The American College of Obstetrics and Gynecology (ACOG) 

ACOG offers patient education pamphlets on common conditions affecting women's health. 

The International Premature Ovarian Failure Association The International Premature Ovarian Failure Association provides a wealth of information, helps you stay up to date with the latest research, and guides you through the various aspects of living with premature ovarian failure. In addition, you can meet other women in your situation through this website. 

The Polycystic Ovarian Syndrome Association 

The Polycystic Ovarian Syndrome Association is designed to help people prevent diabetes, heart disease and reproductive health issues among their constituency. This website provides up-to-date educational resources which is available and accessible to women and girls with PCOS. It also provides online discussion forums, periodical newsletters, stock publications, conferences, symposia, local chapters and support groups.

The Endometriosis Association 

The Endometriosis Association is an organization for women living with endometriosis. Its goal is to provide education, support and research. 

The North American Council on Adoptable Children 

The North American Council on Adoptable Children is committed to meeting the needs of waiting children and the families who adopt them. This association provides resources, information and supports adoptive families and prospective adopters through their quarterly newsletter Adoptalk.

The Adoption Network 

The Adoption Network is a website that provides links to many other adoption websites.


Patients undergoing infertility appointments may encounter a lot of unfamiliar terminology. Check out our glossary of terms to learn more.

Glossary of terms