Couples or individuals may consider seeing a fertility doctor, also known as a reproductive endocrinologist, in the following situations:
Difficulty Conceiving: If you have been actively trying to conceive for a significant period of time (usually around one year for individuals under 35 years old or six months for individuals 35 years old and older) without success, it is advisable to consult a fertility specialist. They can help identify potential underlying causes and provide appropriate guidance.
Advanced Age: If you are a woman over the age of 35, it may be beneficial to seek the assistance of a fertility doctor earlier than the standard timeline for seeking help. Fertility declines with age, and the chance of conceiving naturally decreases so that a consultation can provide valuable insights and options.
Previous Medical Conditions or Treatments: If you have a history of medical conditions that could potentially affect fertility, such as polycystic ovary syndrome (PCOS), endometriosis, or previous cancer treatments, it is advisable to consult a fertility specialist to assess your fertility status and discuss appropriate options.
Repeated Pregnancy Loss: If you have experienced multiple miscarriages or pregnancy losses, a fertility doctor can help investigate potential causes and provide specialized care to increase the chances of a successful pregnancy.
Irregular Menstrual Cycles: If your menstrual cycles are consistently irregular or absent, it may indicate an underlying hormonal or reproductive issue. A fertility specialist can evaluate and provide appropriate treatment options.
Male Factor Infertility: If you suspect or have confirmed male factor infertility, it is recommended to seek a fertility evaluation. A fertility doctor can conduct tests to assess sperm quality and provide guidance on potential treatments or assisted reproductive techniques.
Personal Choice: You may choose to consult a fertility doctor even if you have no specific indications or concerns. They can provide information about your fertility status, answer questions, and offer guidance based on your individual circumstances and goals.
Remember, each individual and couple is unique, and the decision to see a fertility doctor is a personal one. Consulting a specialist can provide valuable insights, personalized guidance, and potential treatment options to help you navigate your fertility journey. It is recommended to consult with a healthcare professional to discuss your specific situation and determine the most appropriate course of action.
There are some specific health issues that can impact fertility. Here’s some information regarding these conditions and their potential effects on fertility:
Cancer and Chemotherapy/Radiation Therapy: Cancer treatments, such as chemotherapy and radiation therapy, can potentially affect fertility. These treatments may damage or impair the functioning of the ovaries, leading to a temporary or permanent decrease in fertility. In such cases, fertility preservation options like egg or embryo freezing before cancer treatment can be considered to preserve future fertility.
Autoimmune Diseases and Treatment: Certain autoimmune diseases and their treatments, such as systemic lupus erythematosus (SLE) or rheumatoid arthritis, can have an impact on fertility. Some medications used to manage autoimmune diseases may have potential side effects on reproductive health. It is important to consult with both a fertility specialist and your treating physician to discuss the potential impact on fertility and explore appropriate options.
Endometriosis: Endometriosis is a condition where the tissue similar to the lining of the uterus grows outside the uterus. Endometriosis can cause fertility issues due to the formation of scar tissue, pelvic adhesions, and changes in the reproductive organs. Fertility preservation options, such as egg freezing, may be considered if there is a concern about the potential impact of endometriosis on future fertility.
Diminished Ovarian Reserve: Premature diminished ovarian reserve refers to a condition where a woman’s ovaries have a reduced number of eggs or decreased egg quality at a younger age than expected. This can have an impact on fertility and may require consultation with a fertility specialist to understand the options available, including egg freezing or other assisted reproductive technologies.
Diabetes and Obesity: Both diabetes and obesity can affect fertility. Women with uncontrolled diabetes may have irregular menstrual cycles or hormonal imbalances that can impact fertility. Obesity can also interfere with hormone regulation and ovulation. Lifestyle modifications, such as managing blood sugar levels, achieving a healthy weight, and adopting a balanced diet and exercise routine, may help improve fertility outcomes.
Excessive Alcohol Consumption and Smoking: Excessive alcohol consumption and smoking have been associated with decreased fertility in both men and women. These habits can negatively affect sperm quality, egg quality, hormone levels, and overall reproductive health. Reducing or eliminating alcohol consumption and quitting smoking can improve fertility prospects.
It’s important to note that the impact of these health conditions on fertility can vary from person to person. Consulting with a fertility specialist or reproductive endocrinologist is recommended to assess individual circumstances, discuss potential risks, and explore appropriate fertility preservation or treatment options.
