Gagua clinic

Infertility has significant psychological, economic, demographic, and medical consequences. Although the overall prevalence of infertility has remained relatively stable, the demand for fertility services has increased substantially. This trend likely reflects greater public awareness of infertility, improved access to fertility care, and the continued advancement and success of assisted reproductive technologies (ART).

Approximately one-third of infertility cases are attributed to male factors, one-third to female factors, and one-third involve both partners. Therefore, it is recommended that both partners attend the initial consultation with a reproductive endocrinologist (fertility specialist).

When Should You See a Doctor?

Timely consultation with a fertility specialist is essential. The earlier potential fertility issues are identified, the sooner an individualized treatment plan can be developed to improve the chances of achieving pregnancy.

The timing of an infertility evaluation depends primarily on the woman's age and the presence of known infertility risk factors.

Fertility Evaluation Should Generally Begin:

• After 12 months of regular, unprotected intercourse without pregnancy in women younger than 35 years.
• After 6 months of regular, unprotected intercourse without pregnancy in women 35 years of age or older.
• Immediately or as early as possible in women 40 years of age or older, as fertility declines significantly with advancing maternal age.

Women of any age should seek evaluation earlier if they have irregular menstrual cycles or known infertility risk factors, including:

• Endometriosis
• A history of pelvic inflammatory disease (PID)
• Previous pelvic or reproductive surgery
• Congenital abnormalities of the reproductive tract

An Earlier Consultation Is Also Recommended If:

• You have a history of sexually transmitted infections (STIs).
• You have undergone cancer treatment, including chemotherapy or radiotherapy.
• You experience severe menstrual pain.
• You have had recurrent miscarriages.
• The male partner has sexual dysfunction, such as difficulty achieving or maintaining an erection.
• The semen analysis shows abnormal findings.