If you’ve been trying to conceive and you’ve been doing all the right things—like ovulation tracking and frequent intercourse—for a reasonable amount of time, you might be wondering: when is it time to ask for extra help?
Today, when infertility reaches epidemic levels, the investigation of infertility in a couple trying for a child should be done as early as possible and by a specialist fertility gynecologist, points out Dr Marinakis.
In particular you should seek help from a fertility specialist if:
You are under 35 and have been trying to get pregnant for more than 12 months.
You are over 35 and have been trying to get pregnant for more than 6 months.
You have experienced recurrent pregnancy loss in the first trimester
You have a known fertility problem, such as polycystic ovaries or endometriosis, or anatomical abnormalities (eg, fibroids, endometrial polyps).
If you have cycles that are either shorter than 24 days or longer than 35 days, or you skip cycles altogether.
If your partner has a history consistent with a suspected male factor in infertility, such as a history of varicocele, testicular cancer, taking harmful medication, an unhealthy lifestyle (smoking, poor diet), or exposure to harmful chemicals.
When do you need to see a fertility specialist right away?
Some patients know from the start that they will not be able to conceive naturally and need to see a fertility specialist right away.
Women with a history of tubal ligation or previous tubal removal.
Presence of blocked fallopian tubes.
Couples with certain congenital or genetic disorders.
Same-sex couples will need the help of a third party (such as a sperm donor)
In what cases would it be wise to see a fertility gynecologist even if you are not trying to conceive?
Some patients visit a fertility doctor not because they want to have a baby right away, but because they want to preserve their fertility options for later.
Egg freezing or embryo freezing (if there is a partner) are the best options for those concerned regarding age-related infertility. If family planning is postponed for a reproductively advanced age then egg cryopreservation is the solution.
Also for those women who are going to undergo medical treatment that may affect their fertility, such as cancer treatment or cryopreservation of eggs or embryos can ensure a future pregnancy.
At the same time, sperm cryopreservation can be a lifesaver for men who are either going to undergo a treatment that can damage the sperm, or who see the parameters of the sperm diagram develop more and more negatively over time.
For more information contact fertility and assisted reproduction gynecologist Dr Marinakis.
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