Aspire Blog

When should I consider seeing a fertility specialist?

October 23rd, 2017

I've been struggling to get pregnant. When should I consider seeing a fertility specialist?

Recommendations for when to see a fertility specialist are very age related. For example, the usual dogma has been to try “for a year” and then go see your personal doctor and possibly get a referral to a specialist. This is not a realistic plan for many patients because precious time for the couple, especially the woman, can be wasted.

If a woman is under 35 her monthly chance to conceive should be at least 20% per monthly cycle; so if a woman tries for at least 6 months to conceive without success she might want to consider a self-referral to a specialist. If a woman is 35 or over, the monthly chance for conception is lower and approaches only 10% before age 40. However, the chances for a spontaneous miscarriage are also changing with age. If anyone in that age group has also tried for up to six months, she should directly seek care with a specialist because time is closing in and other genetic issues related to miscarriage or problems with the child are increasing.
Any woman who has had two miscarriages in a row may also seek a specialist's care to make sure that factors that may cause these are not present beyond random chances for the age of the woman involved.

Frequently as a specialist, we see patients who have been trying through their own generalist or general ob/gyn for over two years and then come for consultation; this can be wasteful time and can put the woman into a more precarious position now due to advanced age.

Lastly, at any age, if a woman's cycles are not regular across time, and is trying to actively conceive, she may consider a specialist's consultation as well to maximize her chances per month. This last statement would be even more important in any woman close to 35 or older.

Building Beautiful Families

We’re inspiring hope and building beautiful families. Contact Aspire Fertility today!

Request A Consult