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When Should You See a Fertility Specialist

Raghad Altoubah- Reproductive & Fertility Medical Writer

 You’ve built your career. You’ve found your partner, or you’re planning solo parenthood. You’re ready.

And then… nothing happens.

Month after month, you tell yourself:

  • “Maybe we just need more time.”
  • “Maybe it’s stress.”
  • “Maybe next cycle.”

The truth is: sometimes waiting is wise. But sometimes waiting is exactly what reduces your chances.

➤ First, What Is “Infertility”?

According to the World Health Organization and the American Society for Reproductive Medicine:

If you are under 35 → See a specialist after 12 months of regular, unprotected intercourse without pregnancy.

If you are 35 or older → Seek evaluation after 6 months.

If you are 40 or older → Consider evaluation immediately.

➤ Why the difference?

Because Female Fertility declines gradually after 30 and more sharply after 35.

Time matters biologically, even if you feel young and healthy.

The Biggest Myth: “Infertility Is a Women’s Problem” …. It’s not.

Globally, infertility is:

➜ ~30–40% female factor

➜ ~30–40% male factor

➜ The rest: combined or unexplained

That means men should be evaluated early too. A simple semen analysis can provide crucial information within days.

Delaying male testing wastes time and time is Ovarian reserve

➤ See a Specialist Sooner If You Have:

Even if you’ve been trying for only a few months, seek evaluation early if you have:

➜ For Women:

  • Irregular or absent periods
  • Very painful periods (possible endometriosis)
  • History of pelvic infection
  • Previous ovarian surgery
  • Recurrent miscarriage (2 or more losses)
  • Known PCOS
  • Thyroid disorders

➜ For Men:

  • History of undescended testicles
  • Testicular surgery
  • Erectile or ejaculation problems
  • Previous chemotherapy
  • Varicocele diagnosis

If any of these apply, waiting a full year is not strategic.

➤ Age: The Factor People Underestimate

Here’s the uncomfortable reality:

  • Egg quantity and quality decline with age.
  • Miscarriage risk increases after 35.
  • Chromosomal abnormalities increase with age.

This is biology, not pessimism.

Many couples lose 1–2 critical years assuming conception will happen “naturally soon.” Sometimes it does. Sometimes it doesn’t. The earlier you assess, the more options you preserve.

➤ What Happens at the First Appointment?

Many people avoid seeing a specialist because they fear invasive treatments immediately.

That’s not how it works.

➜ A fertility evaluation usually includes:

  • Medical history review
  • Hormone blood tests
  • Ultrasound
  • Semen analysis
  • Possibly tubal evaluation

Most couples start with basic diagnostics, not IVF.

And here’s another truth: Some couples simply need cycle timing guidance.

Emotional Signals Matter Too

➤ You should also consider seeing a specialist if:

  • You feel increasing anxiety every month
  • Your relationship is under strain
  • You’re obsessively tracking without clarity
  • You feel stuck in uncertainty

Clarity reduces stress even if the answer isn’t immediate.

➜ If you’re 30+ and unsure about timing, a fertility assessment can give you:

  • Ovarian reserve testing (AMH)
  • Reproductive timeline planning
  • Information about egg or sperm freezing

Knowledge is not pressure. It’s power.

➜ If you are: Under 35

  • Have regular cycles
  • Have no known medical issues
  • Have been trying for less than 12 months

It’s still normal for conception to take time. Roughly 80–85% of couples conceive within one year of trying.

➤ The Cost of Waiting Too Long

  • Fertility treatments are more effective at younger ages.
  • Early diagnosis may prevent invasive interventions.
  • Some conditions worsen with time (endometriosis, diminished ovarian reserve).

Waiting blindly is different from waiting intentionally.

 ★ Seeing a fertility specialist does not mean:

  •  You have failed.
  •  You will need IVF.
  •  You cannot conceive naturally.

It means you are choosing information over uncertainty.

If you’ve reached the recommended timeline, or you have risk factors! book the consultation.

Time is the only Fertility factor no one can reverse.

Your future family deserves informed decisions

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