Fertility Specialist

Capital Women's Care

OB-GYNs located in Arlington, VA & McLean, VA

Fertility means being able to bear children, something many people dream about most of their lives, but it’s not always easy. That’s why the OB/GYN specialists at Capital Women’s Care in Arlington and McLean, Virginia provide fertility counseling to their patients. It might be as simple as changing birth control for a woman who might want to get pregnant in a few months or be more complex (such as diagnosing an infertility problem). If you have questions about fertility, make an appointment at Capital Women’s Care to meet with some of the top specialists in the country.

Fertility Q&A

What exactly does fertility mean?

Medically, fertility refers to the natural ability to have a baby. Procreation seems like it should be something each woman can do without the help of specialists like Dr. Cobbs or Dr. Caskie, but it doesn’t always happen that way. Around 18% of couples struggle to get pregnant.

What causes infertility?

There’s no easy answer to this question, which is why it’s important to get help from a specialist in the field such as Dr. Williams or Dr. Shah. Pregnancy requires several things, such as ovulation, to happen exactly right. It just takes one thing to go wrong to lead to infertility.

During a fertility exam, Dr. Espino will look at each patient’s menstrual cycles and confirm successful ovulation. A woman also needs a healthy uterus to grow the egg in, so evaluations will include tests such as:

  • Blood tests
  • Ultrasound
  • Hysterosalpingogram
  • Semen analysis


Testing provides clues to what may be causing the delay in pregnancy and how to resolve the problem.

What are some causes of female infertility?

Ovulation disorders are a real concern for a woman looking to conceive. Without successful ovulation, there is no egg to fertilize. Some common ovulation disorders include:

  • Polycystic ovary syndrome
  • Hypothalamic dysfunction
  • Premature ovarian failure
  • Excessive prolactin


Damage to the fallopian tubes can prevent ovulation, too. Infections cause scarring to the tubes, blocking the passage of the egg.

Endometriosis is another potential cause of infertility. With this condition, the tissue that usually grows only in the uterus appears outside of it. Other possible infertility issues include:

  • Benign polyps or tumors
  • Uterine abnormalities
  • Cervical stenosis


Sometimes the exact cause of infertility is unknown.

What can women do to prevent infertility problems?

This is something the specialists at Capital Women’s Care discuss with their patients looking to get pregnant in the future. Actions such as managing weight and reducing stress can have an impact. Other recommended lifestyle changes include:

  • Stopping smoking
  • Reducing caffeine intake
  • Avoiding alcohol


The most proactive way to maintain fertility is to get regular wellness exams along with screening tests to rule out conditions that may affect pregnancy.