When to Seek an Infertility Specialist

Couples without fertility issues usually will conceive after four months of unprotected intercourse. Couples that have not achieved conception after unprotected intercourse for six months should seek a physician. Women over the age of 40 years should seek help immediately.

One out of every six couples in the United States now experience infertility. Addressing your concerns as soon as possible will dramatically increase your chances of conception.

Infertility Evaluation

The initial evaluation can be performed by an obstetrician/gynecologist; however, a Board-Certified Reproductive Endocrinologist will also offer these tests, as well as advanced therapy.

The most common forms of testing include:

  • A hysterosalpingogram (an x-ray of the uterus and fallopian tubes) is usually performed after a women’s menstrual cycle and before day 12.
  • Tests of blood hormone levels: Antimullarian Hormone (AMH), Thyroid Stimulating Hormone (TSH), Prolactin, and other hormones specific for the patient.
  • Semen analysis (a test to check the male’s sperm) is usually performed after two to four days without intercourse.
  • Ovulation test (using an ovulation predictor kit, ultrasound, or blood test)

When Women Should Seek a Specialist

Women should seek a specialist for the following reasons:

  • Lack of a menstrual cycle for longer than a month
  • Periods that last longer than a week
  • Menstrual cycles that vary in length by more than 2 weeks
  • Menstrual cycles more than 38 days in length
  • Menstrual spotting between periods
  • Heavy menstrual bleeding
  • Experiencing pain during menstruation or intercourse
  • Previous miscarriages
  • PCOS
  • Thyroid issues
  • Endometriosis
  • Family history of early menopause
  • A change in sex drive
  • Vaginismus
  • Preparing to undergo treatment for cancer

When Men Should Seek a Specialist

Men should seek a specialist for the following reasons:

  • Concern about fertility with current or past use of testosterone supplementation
  • Female partner is experiencing infertility
  • Difficulty ejaculating
  • Erectile dysfunction
  • A change in sex drive
  • Preparing to undergo treatment for cancer
  • Undescended testes
  • Hormonal problems
  • Varicocele in the testes
  • Genetic problems
  • Previous testicular injury
  • Previous or current use of steroids
  • STD’s
  • Low semen motility (movement)
  • Low sperm counts
  • Poor semen morphology (shape)
  • Frequent urinary tract infections