When Is it Time to Make an Infertility Consultation?So you've been trying to conceive. And it's not been working, you're still not pregnant. When is it time to make a fertility consultation?

You're off all forms of birth control and you're having sexual intercourse at the right time of the month (if you're a LGBT person, take a look at our Gay Parents To Be website for detailed information specific to you). The right time of the month is crucial and that can take a month or two to figure out if the woman's menstrual cycle is regular (comes approximately once month). 

How long should you wait to make a fertility consultation with an infertility expert?

The guidelines from reliable medical sources (American Society of Reproductive Medicine, The American College of Obstetricians and Gynecologists, World Health Organization) all say that one should become pregnant within one year of trying to conceive. 

American Society of Reproductive Medicine (ASRM) goes further and states that you should seek a consultation after six months if you are over thirty five. 

The reasons for this are simple. Women are born with all the eggs (ovum, oocytes) that they will ever have. From the onset of menstruation, many eggs are lost to the process of ovulation. Over the age of 35, women have less eggs and just as importantly, we have less viable eggs. As fit and healthy as we may be, our eggs are continuing to age. As our eggs age, it is harder to become and stay pregnant successfully. 

Why make an appointment with a board certified Reproductive Endocrinologist?

Making an appointment with a fertility specialist, also known as a board certified Reproductive Endocrinologist, is the best way to find out the status of your fertility. There are simple blood tests to determine how "fertile" you are. 

There are also many fertility treatment protocols that are very non-invasive, so don't jump to the idea that you will need high technology fertility treatment cycles. 

Bottom line? 

If you're not getting pregnant, find out why. Knowledge is power. And if becoming pregnant is your goal, make the appointment and find out what's going on so that you can move ahead with your family building. 

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Topics: First Infertility Visit, Fertility Treatment

Lisa Rosenthal

Lisa has over thirty years of experience in the fertility field. After her personal infertility journey, she felt dissatisfied with the lack of comprehensive services available to support her. She was determined to help others undergoing fertility treatment. Lisa has been with RMACT for eleven years and serves as Patient Advocate and the Strategic Content Lead.

Lisa is the teacher and founder of Fertile Yoga, a program designed to support men and women on their quest for their families through gentle movement and meditation.

Lisa’s true passion is supporting patients getting into treatment, being able to stay in treatment and staying whole and complete throughout the process. Lisa is also a Certified Grief Recovery Specialist, which is helpful in her work with fertility patients.

Her experience also includes working with RESOLVE: The National Infertility Association and The American Fertility Association (now Path2Parenthood), where she was Educational Coordinator, Conference Director and Assistant Executive Director.

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