Hera Healthcare -  - Integrative and Holistic Women's Health

Mirela Cernaianu, MD

Integrative and Holistic Women's Health & Minimally Invasive Aesthetic Center located in Westlake Village, Thousand Oaks, CA

Infertility Specialist

When you decide it’s time to have a baby, there’s nothing more heartbreaking than discovering you can’t get pregnant. This is an agonizing and stressful time for couples, and it’s one you may be able to prevent if you anticipate risk factors like age, and consider getting infertility counseling from Dr. Mirela Cernaianu at Hera Healthcare. Contact her office in the Westlake Village area of Thousand Oaks, California, or schedule an appointment online for infertility screening.

Infertility Q & A

What is the definition of infertility?

About 12-15% of couples are infertile, which means they can’t get pregnant after one year of regular, unprotected sex. At least, that’s the definition if you’re younger than 35. If you’re older than 35, you’re considered infertile if you can’t get pregnant after six months of unprotected intercourse.

Why is age so important for getting pregnant?

While there are many possible causes of infertility, such as endometriosis, hormone imbalances, and diminished ovarian reserve, to name a few, age is the biggest risk factor. Fertility peaks between the ages of 20-30 for women.

The ability to get pregnant starts to decline after 30. In fact, women are half as fertile in their 30s as they were in their 20s. Then fertility significantly drops after the age of 35. By the time you reach 40, your chance of conceiving gets lower with every passing month.

How does ovarian reserve predict your ability to get pregnant?

When women are born, their ovaries contain a specific number of immature egg follicles. Every month a follicle matures into an egg, which is released into the fallopian tube. But you lose a lot more than one egg each month.

Follicles (eggs) die naturally over time. Additionally, multiple follicles may try to mature every month but fail and die. As a result, the one to two million eggs women have at birth, drops to 300,000-500,000 by the time they reach puberty.

Ovarian reserve refers to the number of follicles in your ovaries. Diminished ovarian reserve affects your ability to get pregnant, because it means you have fewer eggs remaining than normal. The number of eggs in your ovarian reserves depends on age, genetics, health conditions that affect your ovaries, and exposure to environmental toxins like cigarette smoke.

Several types of ovarian reserve tests are available that estimate the number of eggs and their quality. The results of these tests indicate whether you’ll be able to have children. The tests are also used to determine whether your eggs are viable enough for in vitro fertilization.

What is the role of polycystic ovary syndrome in infertility?

Polycystic ovary syndrome (PCOS) refers to a group of symptoms caused by a hormonal imbalance. PCOS is one of the most common causes of infertility because it stops the ovaries from releasing eggs.

Women with PCOS have symptoms such as:

  • Irregular or absent menstrual periods
  • Obesity
  • High male hormones causing excess hair growth on the face, chest, abdomen
  • Multiple fluid-filled sacs, called cysts, in the ovaries
  • Oily skin and acne


We accept all major insurance PPO plans and Medicare. Please contact the office for any additional insurance information.

Anthem Blue Cross PPO
Blue Shield PPO
Cigna PPO
Health Net PPO
United Healthcare PPO

Words from our patients

  • Healthgrades

    "Dr. C is the best OBGYN I've ever had! She really knows her stuff, and beyond! I'm forever thankful for her expertise."

    Michelle H.
  • RateMDs

    "I'd recommend Dr. C to anyone looking for a smart, personable and trustworthy MD."

    Verified Patient
  • RateMDs

    "If you are looking for a Dr that is courteous, thorough and genuinely cares about her patients, then Dr. C is the one for you!"

    Verified Patient
  • RateMDs

    "Dr. Cernaianu has been my OBGyn for 2 of my pregnancies and she has always taken her time to answer all my questions. I recommend her to all my family and friends."

    Verified Patient
Hera Healthcare
910 Hampshire Road, Suite A
Westlake Village

Thousand Oaks, CA 91361
Phone: 805-225-4237
Fax: 888-972-9656
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