When to Talk to a Provider
If you’ve been trying to get pregnant for 12 months or longer without success—or six months if you’re over the age of 35—it may be time to schedule an infertility consultation. You should also reach out if you’ve experienced multiple miscarriages or stillbirths. While miscarriage doesn’t always indicate infertility, it can sometimes signal a deeper issue.
Early consultation gives you and your provider time to evaluate any contributing factors and create a treatment plan that works for you.
Understanding the Causes
Infertility is a shared issue, and both partners may be asked to participate in the evaluation process. Some common causes include:
- Hormonal imbalances
- Lifestyle
- Ovulation disorders (like PCOS)
- Blocked fallopian tubes
- Endometriosis
- Male factor infertility
- Thyroid problems
- Unexplained infertility
A comprehensive exam often includes bloodwork, imaging, ovulation tracking, and semen analysis. Your provider may also ask about your reproductive history, menstrual cycle, lifestyle habits, and any symptoms that may indicate a condition like endometriosis or fibroids.
What Happens Next?
Following thorough testing, you’ll have an in-depth conversation with your provider about your treatment options. These may include:
Medications
Fertility medications can stimulate ovulation or regulate hormone levels. These are often the first step in treatment for conditions like PCOS or irregular cycles.
Intrauterine Insemination (IUI)
This process places sperm directly into the uterus during ovulation to increase the chances of fertilization. IUI is often used in conjunction with ovulation-stimulating medications.
Surgery
For some individuals, minimally invasive surgery can address structural issues like fibroids, scar tissue, or blocked fallopian tubes.
Assisted Reproductive Technology (ART)
In vitro fertilization (IVF) and related techniques may be recommended for more complex fertility challenges or if previous treatments haven’t worked.
Start a Conversation with Your Provider
Many patients begin by speaking with their trusted provider, who can perform a thorough initial evaluation and refer you to a reproductive endocrinologist if needed. Through every phase of your journey, you’ll be supported by a team that understands the emotional weight of infertility and offers solutions grounded in both science and compassion.