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Infertility

In general, infertility is defined as not being able to get pregnant (conceive) after one year (or longer) of unprotected sex. Because fertility in women is known to decline steadily with age, some providers evaluate and treat women aged 35 years or older after 6 months of unprotected sex. Women with infertility should consider making an appointment with a reproductive endocrinologist—a doctor who specializes in managing infertility. Reproductive endocrinologists may also be able to help women with recurrent pregnancy loss, defined as having two or more spontaneous miscarriages.

Pregnancy is the result of a process that has many steps. To get pregnant:

  • A woman’s body must release an egg from one of her ovaries
  • A man’s sperm must join with the egg along the way (fertilize).
  • The fertilized egg must go through a fallopian
  •  toward the uterus
  • The embryo must attach to the inside of the uterus (implantation).

Infertility may result from a problem with any or several of these steps.

Impaired fecundity is a condition related to infertility and refers to women who have difficulty getting pregnant or carrying a pregnancy to term.

How long should couples try to get pregnant before seeing a doctor?

A woman’s chances of having a baby decrease rapidly every year after the age of 30. Most experts suggest women younger than age 35 with no apparent health or fertility problems and regular menstrual cycles should try to conceive for at least one year before seeing a doctor. However, for women aged 35 years or older, couples should see a health care provider after 6 months of trying unsuccessfully. Women over 40 years may consider seeking more immediate evaluation and treatment.Some health problems also increase the risk of infertility. So, couples with the following signs or symptoms should not delay seeing their health care provider when they are trying to become pregnant:

For women:

  • Irregular periods or no menstrual periods
  • Endometriosis
  • A history of pelvic inflammatory disease
  • Known or suspected uterine or tubal disease
  • A history of more than one miscarriage
  • Genetic or acquired conditions that predispose to diminished ovarian reserve (chemotherapy, radiation)

 

For men:

  • A history of testicular trauma
  • Prior hernia surgery
  • Prior use of chemotherapy
  • A history of infertility with another partner
  • Sexual dysfunction

 

 

It is a good idea for any woman and her partner to talk to a health care provider before trying to get pregnant. They can help you get your body ready for a healthy baby, and can also answer questions on fertility and give tips on conceiving. Infertility can be treated with medicine, surgery, intrauterine insemination, or assisted reproductive technology.

Often, medication and intrauterine insemination are used at the same time. Doctors recommend specific treatments for infertility on the basis of:

  • The factors contributing to the infertility.
  • The duration of the infertility.
  • The age of the female.
  • The couple’s treatment preference after counseling about success rates, risks, and benefits of each treatment option.

Best Fertility Institutes and Specialists

Dr. Sam Najmabadi

The Fertility Expert

Experience :    25+ years

Address      :     Beverly Hills, USA

About         :     Dr. Najmabadi is board-certified in Reproductive Endocrinology and Infertility (RE/I). He is a past Assistant Clinical Professor in the Department of OB/GYN at the University of Southern California (USC) School of Medicine. Read More

Dr. Linnea I. Chap

Hematology / Women’s Oncology

Experience :  23+ Years 

Address      :  Beverly Hills,USA

About         :   Dr. Alexander is board-certified in Reproductive Endocrinology and Infertility. She is an expert at egg freezing and treatment of infertility, has conducted extensive research on Polycystic Ovary Syndrome (PCOS). Read More

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