A routine infertility evaluation is valuable in determining the cause of infertility, and provides key information when designing your personalized treatment plan. This section covers information on when to test for infertility and the three basic areas of concern when a couple has not conceived within 6–12 months of discontinuing contraception.
Though sometimes you want a glimpse of your future fertility to help guide important life decisions and family planning. At SRM, our fertility assessment program is designed to be convenient and informative, and will give you just the information you need to plan accordingly.
When to Test for Infertility
Evaluation of infertility is warranted when a woman is older than 35 and has been trying to conceive for 6 months without success, and when a woman is 35 or younger and has been trying to conceive for one year. Immediate evaluation and treatment is suggested in cases of known anovulation, bilateral tubal occlusion, or severe male factor infertility. We also recommend a more aggressive timetable to evaluate and treat women 40 years and older. This is because of the increased potential for significant loss of ovarian reserve in this age group. Ovarian reserve is the “rate limiting step” in treatment since any treatment we have depends on the quality and number of eggs available.
With a streamlined work-up, a couple can be efficiently evaluated, specific major causes of infertility identified, and treatment options considered. As with all medical assessments, infertility evaluation and treatment must be tailored to each couple’s individual situation.
Assessing Your Future Fertility
Two main features of reproductive aging in women are the decline in the number of eggs and a decline in egg quality. Women in their 30’s may benefit from a fertility assessment in order to have an understanding of their reproductive potential – Fertility Assessment Process