When Should I Visit an Infertility Specialist?

What Does Infertility Really Mean?

As per the World Health Organisation, infertility is described as the inability to achieve pregnancy even after 12 months or more of regular, unprotected sex. For those over the age of 35, infertility can be characterised by the failure of conception despite 6 months of trying. According to the WHO’s estimates, approximately 1 in 6 people around the world are affected by infertility, making it a very common concern among individuals and couples of reproductive age [source].

When to Seek Help?

Generally, an age-based guideline is followed when it comes to seeking medical intervention:

Specific Conditions That Call for an Earlier Visit

• Polycystic Ovary Syndrome: This is a hormone-related disorder which causes hormonal imbalance. It can lead to problems in ovulation and fertility if not addressed.
• Endometriosis: This is a condition in which cells similar to those lining the uterus develop outside the uterus. This condition affects a large proportion of infertile women.
• Fibroids or Polyps: These are non-cancerous tissue growths in the uterus, which prevent the fertilised egg from attaching to the wall of the uterus.
• Premature Ovarian Failure (POF): Can cause failure of the ovaries before the age of 40. It will require a specialist to treat it.
• Male factors: If screening identifies issues with motility, reduced sperm count, or abnormal sperm morphology, it is recommended to consult a specialist.

When Should Men Seek Evaluation?

Unlike the myths you may have been led to believe, infertility does not only affect women. Men should consult a fertility specialist if they notice any of the following symptoms:

• Problems with sexual function or ejaculation
• Swelling and pain in the testes or a mass in the same area
• Prior surgery in the groin, testes, or scrotum areas
• Exposure to hazardous environmental agents, heat, or radiation (in some occupations)
• Mumps infection after puberty, affecting the testes
• Any known hormonal or genetic conditions

Men would have to go through a simple and straightforward semen analysis, which is a non-invasive procedure. It is best for both partners to be evaluated at the same time to avoid confusion and improve planning.

Things to Expect at Your First Consultation

Your first visit to a fertility clinic will probably be daunting; however, once you know what is going to happen, you will be much more prepared. During your first appointment, you may be:

• Asked to give your full medical and reproductive history for both you and your partner
• Asked questions regarding how long you have been trying for a baby, the regularity of your menstrual cycle, and any other pregnancies
• Recommended to take some preliminary tests, including a blood test to measure your hormone levels, an ultrasound examination of your ovaries and uterus and a semen analysis for your partner
• Advised on issues relating to your and your partner's lifestyle that can impact your fertility.

Keep in mind that no action or treatment plan will be decided at this stage; it is simply to establish the situation that you are in.

Conclusion

The timing of visiting an infertility expert may very well be one of the most important choices a person or a couple will need to make throughout their parenthood quest. Although the recommendations mentioned above, based on age, can serve as a general guide, ultimately, it is your personal health profile, symptoms, and experience that determine when it is time to consult an expert.

Early involvement leads to greater access to knowledge, time, and options. If something seems amiss, or even if you just feel that it is time to seek professional advice, despite not being entirely sure why you feel that way, consulting an expert is the right course of action.