Unexplained infertility — San Antonio, TX

Unexplained infertility means the standard workup — ovulation, tubes, semen analysis, ovarian reserve — found no cause. It is a diagnosis of exclusion, and it is common. It does not mean nothing is wrong; it means today's tests can't see what is.

The evidence-backed path is usually stepped: a few cycles of ovulation induction with IUI, then IVF if those fail. Reasonable clinics differ on how fast to escalate — what matters is that the plan has a defined number of attempts and a decision point, not open-ended repetition.

Fertility clinics in San Antonio, TX

The share shown for each clinic is the percentage of its cycles with an unexplained-factor diagnosis.

• UT Health San Antonio Reproductive Health and Fertility Center ranked #92 nationally · 16% of cycles: unexplained factor
• Fertility Center of San Antonio ranked #74 nationally · 17% of cycles: unexplained factor
• Aspire Fertility-San Antonio ranked #93 nationally · 12% of cycles: unexplained factor
• Pozitivf Fertility ranked #321 nationally · 5% of cycles: unexplained factor

What to ask at a consult

• What did my workup actually rule out, and what wasn't tested?
• How many IUI cycles before IVF, and what success rate do you expect from each step for my age?
• At what point would you change the plan?

Costs are a first-class question for treatment — see what IVF costs and how to pay less and whether insurance must cover treatment in Texas.

Outcome data: CDC NASS 2022 Final ART Summary. Success rates vary with patient age, diagnosis, and clinic patient-selection practices; comparisons across clinics may not be meaningful (CDC). This page is general information, not medical advice.