The inability to get pregnant if you’ve been trying for some time can be heartbreaking. But there are steps you can, and should, take. Sometimes the cause of infertility is easy to diagnose and can be treated.
If you’re under 35 and have been trying to conceive for a year, or if you’re over 35 and have been trying for six months, it’s time to get help. If you’ve had two or more miscarriages back-to-back, you should see a professional. The same goes if you’re having any worrisome symptoms or have risk factors for infertility, even if you haven’t been trying for a baby for an entire year.
Step 1: Make an Appointment with Your OB/GYN
Your first stop should be at your regular gynecologist—no need to go straight to a fertility clinic. In fact, most clinics prefer you have a referral from your primary gynecologist or physician. You may want to bring your partner along, although that’s not necessarily required at this point. To prepare for your appointment, gather the following information:
- The dates of your last six periods, even if you menstruate like clockwork. If you’ve been keeping a fertility calendar or body basal temperature chart, bring the last six months’ information.
- A list of medications you—and your partner—take on a regular basis. Some drugs can interfere with fertility, including certain antidepressants and even over-the-counter allergy treatments.
- A list of any infertility symptoms or risk factors you have.
- Any questions you have. If you write them down, you’re more likely to ask them.
When you discuss your symptoms, make sure to mention the embarrassing ones, such as painful sex, unwanted hair growth, or low libido. These can all be symptoms of a fertility problem. Include any symptoms your male partner may be experiencing as well. Up to 40% of infertile couples face male infertility.
Step 2: Begin Basic Fertility Testing
Fertility testing includes blood work for the woman and a semen analysis for the man. Depending on your symptoms, testing also may include a hysterosalpingogram (HSG), vaginal ultrasound, or diagnostic laparoscopy. Your doctor will also likely perform a basic pelvic exam and Pap smear, and some test for certain sexually transmitted infections or diseases.
