When You Should Seek a Fertility Evaluation

If you have not been able to get pregnant after trying each month for 6 to 12 months, it is time to seek a fertility evaluation. A woman's age is a very important factor in the decision about when to seek professional guidance (See Age and Fertility). If you are under 35 years of age and ovulating every month, it may be reasonable to wait up to one year before looking into the reason for a delay in getting pregnant. However, if you are 35 years old or older, or have irregular cycles which may mean you are not ovulating, you should request a fertility evaluation after 6 months of unsuccessful trying. Because fertility rapidly declines after age 34, it is especially important for those 35 years old and older to see a specialist after 6 months of trying. The sooner you find out the problem, the sooner you can find the solution. Any problems in conceiving should be quickly diagnosed and treated, to increase your chances of getting pregnant.

Reproductive Endocrinology & Infertility (REI) doctors are Ob/Gyn s that have specialized training and experience in fertility evaluation and treatment. Their knowledge and expertise in the art of fertility is acquired during a three year fellowship which is similar to an apprenticeship. There are only about 1,000 Board Certified REI Specialists in the United States! Choose one in your area (See Find a Doctor), and undergo a comprehensive evaluation if you are not getting pregnant. Many times it is something easily correctable and you can proceed with attempting to conceive on your own, without further treatment. Because a woman s age is so important in getting pregnant, the sooner you get an evaluation, the more likely you will be able to conceive on your own.

If on the other hand, there is a problem that can be remedied with medical intervention, you typically have several options available to you, some simple, some more involved. In every case, you decide which treatment is right for you. You can also choose not to seek treatment. Remember, INFORMATION IS POWER. In the case of fertility, it is important to gather and use that information to make timely decisions and proceed on a course that is right for you.

In summary, the most important factors determining if you will get pregnant are AGE, AGE and AGE. When in doubt, see a specialist for a consultation.