When to Seek an Infertility Specialist
  • Healthy women in their 20’s or early 30’s have about a 25% chance of conception each month.
  • Women should seek an infertility specialist (Board Certified in Reproductive Endocrinology and Infertility) if they are unable to conceive after 12 months of unprotected intercourse if they are less than 35 years of age
  • Women should seek an infertility specialist after 6 months of unprotected intercourse if they are over 35 years of age.
  • Women over the age of 40 years should seek help immediately.
  • Women should seek an infertility specialist if they have irregular menstrual cycles, including cycles that vary by more than 5 days, no cycles, spotting prior to and between menses, heavy or painful menstrual cycle.
  • Women with Polycystic Ovarian Syndrome, which may include irregular or absent menstrual cycles, excess body hair, and several ovarian follicles seen on pelvic ultrasound, should seek infertility treatment.
  • Women with recurrent miscarriages
  • Women with a history of ovarian surgery
  • Women with a history of Endometriosis
  • Women who will undergo treatment for cancer
  • Women with hormonal problems like thyroid issues or glucose intolerance
  • Women with a family history of early menopause or any previous ovarian surgery or history of endometriosis

The Basics

Infertility affects one out of six couples. You don’t have to feel alone or frustrated and try months of using the ovulation predictor kit without success. The earlier you seek a fertility specialist, the faster we can find and resolve the etiology of infertility and the greater your chances to conceive.

At your first visit, we will review you medical, surgical, and family history and other pertinent gynecological history. We will also review your partner’s medical and surgical history. Once we obtain all the pertinent information, we may ask you to undergo the following tests to determine the underlying etiology of infertility.

  • Men with a history of medical problems like diabetes mellitus, hypertension, and hyperlipidemia
  • Men with low libido
  • Men with previous or current testosterone therapy
  • Men with a history of cancer treatment
  • Men who are going to have treatment for cancer
  • Men with a history of high fevers
  • Men with a family history of infertility
  • Men with female partners who are experiencing infertility
  • Men with difficulty ejaculating
  • Men with erectile dysfunction
  • Men with undescendent testis
  • Men with a history of varicocele or testicular surgery
  • Men with low sperm count, motility (movement), or morphology (shape)
  • Men with frequent urinary tract infections

The Basics

Infertility effects one out of six couples. You don’t have to feel alone or frustrated and try months of using the ovulation predictor kit without success. The earlier you seek a fertility specialist, the faster we can find and resolve the etiology of infertility and the greater your chances to conceive.

At your first visit, we will review you medical, surgical, and family history and other pertinent gynecological history. We will also review your partner’s medical and surgical history. Once we obtain all the pertinent information, we may ask you to undergo the following tests to determine the underlying etiology of infertility.

QUESTIONS YOU SHOULD REVIEW

If you have been trying to conceive and have or used the basal body temperature or ovulation predictor kit without success, you may be experiencing infertility.

You should ask yourself if you have any of the following.

 Problems with the menstrual cycle

  • Is your menstrual cycle regular or do you have spotting or bleeding between your regular menses?
  • Do you ever have months without menses?
  • Do you have cycles that are more than 35 days apart or last more than 5 days?
  • Is your cycle on time or can you have more than 5 days variation in that time?
  • Is your cycle very painful?

Age

If you are over the age of 35, you may have an increased risk of infertility and an increased risk of miscarriages


Irregular hormone levels and PCOS often hinder ovulation.

Are you ovulating?

  • You may have a normal menstrual cycle and lack ovulation
  • If you are using an ovulation kit but it does not turn positive
  • If you are measuring your basal body temperature and there is no change

Did you experience more than one miscarriage?

  • Miscarriages can have different etiologies, like genetic, uterine abnormality, age, poor egg quality, autoimmune, and hormonal factors.

Do you have a history of sexually transmitted disease?

  • If you had a history of sexually transmitted diseases or have been treated in the past, you may have an increased risk of infertility, as STDs may lead to damaged fallopian tubes.

Do you have a history of ovarian surgery or endometriosis?

  • Previous ovarian surgery or endometriosis may lead to a decrease in ovarian reserve (egg count) and contribute significantly to infertility

Were you ever diagnosed with ovarian cysts, or polycystic ovarian syndrome?

  • Women with the diagnosis of polycystic ovarian syndrome may experience lack of ovulation and infertility

Do you suspect the problem could be your partner?

  • Male factors can cause about 40% of infertility cases, and men who are taking testosterone supplements may be at an increased risk

Are you experiencing high amounts of stress?

  • Stress contributes to about 30% to infertility cases, but most often it is associated with other factors.
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Advanced Fertility Center of Texas
The Advanced Fertility Center of Texas (AFCT) has several fertility treatment centers located throughout Houston metropolitan area. We offer the most comprehensive list of state-of-the-art fertility services.

TEL: 1.713.467.4488
FAX: 1.713.467.9499
info@afctexas.com