Is it Time for You to See a Fertility Doctor?

shutterstock_192934715If you are under 35 and have not been able to get pregnant after having regular, unprotected sexual intercourse for at one year, you should see a fertility doctor. For women over 35, the time period for trying to get pregnant naturally is shortened to six months. Look: A woman’s fertility is dependent upon her overall health, wellness and lifestyle choices. Many women suffering from infertility use up too much valuable time trying to conceive naturally when there is a simple medical solution to their problem. Bottom Line: Don’t delay treatment.

When to See a Fertility Doctor

Infertility can be difficult to diagnose. The sooner you seek help from a fertility doctor, the less time you will waste trying to get pregnant.

  • A woman’s peak fertility years are in her 20s to mid-30s
  • Women in their peak fertility years have a 20 percent chance of pregnancy every month
  • A woman’s fertility level begins to decline after 30 and there is a precipitous drop after she turns 35
  • Women over 40 only have about a 5 percent chance of getting pregnant during any given month

Symptoms of Infertility

Are you experiencing any of these symptoms?

  • Inability to get pregnant
  • Menstrual cycle lasting too long – over 35 days
  • Too short of a menstrual cycle – under 21 days
  • Irregular menstrual cycle
  • Absent menstrual cycle

Common Causes of Female-Factor Infertility

You may be suffering from one of these medical conditions:

  • Failure to ovulate
  • Irregular ovulation
  • Uterine fibroids
  • Ovarian cysts
  • Endometriosis
  • Polycystic Ovarian Syndrome (PCOS)
  • Blocked Fallopian tubes
  • Abnormally shaped uterus or cervix
  • Hormonal imbalance

Diagnostic Testing for Female-Factor Infertility

You may benefit from one or more of these diagnostic tests:

  • Blood work to evaluate hormone levels
  • Ultrasound to examine reproductive organs
  • Hysteroscopy to examine the uterine cavity
  • Laparoscopy to examine the uterus, Fallopian tubes, and ovaries

Ovulation Disorders

An ovulation disorder is diagnosed when a woman ovulates irregularly – or – not at all. Problems with the regulation of reproductive hormones cause ovulation disorders.

  • Hypothalamus
  • Pituitary gland
  • Ovary non-function

Polycystic Ovarian Syndrome (PCOS)

PCOS causes a hormone imbalance and adversely affects a woman’s ovulation. PCOS is detected by:

  • Insulin resistance
  • Obesity
  • Abnormal hair growth
  • Acne

Hypothalamic Dysfunction

When the production of Follicle Stimulating Hormone (FSH) and Luteinizing Hormone (LH) are disrupted by the following events, a woman’s ovulation is affected and irregular or absent periods occur.

  • Excessive emotional stress
  • Excessive physical stress
  • High BMI
  • Low BMI
  • Sudden weight loss
  • Sudden weight gain

Premature Ovarian Failure (POF)

Also known as Primary Ovarian Insufficiency, this condition is caused by an autoimmune response. Premature loss of eggs from a woman’s ovary can be due to genetics or chemotherapy treatment.

  • A women under 40 is no longer able to produce eggs
  • Estrogen levels are lowered in women under the age of 40

Too Much Prolactin

The pituitary gland may cause excess production of prolactin – hyperprolactinemia. This reduces estrogen production and causes infertility. Medications may also cause a pituitary gland problem.

Damaged Fallopian Tubes

Known as tubal infertility, damaged or blocked Fallopian tubes prevent sperm from reaching a woman’s egg – or – block the passage of a fertilized into the uterus.


  • Pelvic inflammatory disease
  • Uterine infection
  • Fallopian tube infection caused by STD – chlamydia, gonorrhea
  • Ectopic pregnancy surgery
  • Abdomen or pelvic surgery


When tissue that normally grows within a woman’s uterus grows in other areas of the reproductive system, endometriosis is diagnosed. This extra tissue growth causes scarring and blocks the Fallopian tubes.

  • Adversely affects the lining of the uterus
  • Disrupts the implantation of a fertilized egg
  • Damages egg
  • Damages sperm
  • Blocks sperm from traveling toward egg
  • Block a fertilized egg from traveling into the uterus

Uterine or Cervical Conditions

Uterine or cervical conditions can cause infertility.

  • Interference with implantation of an embryo
  • Increase of a miscarriage should an embryo implant in the uterine lining and then fail to thrive

What are the causes?

  • Benign polyps (fibroids) in the uterus
  • Benign tumors (myomas) in the uterus

These conditions can block Fallopian tube passage or interfere with implantation in the uterine lining.

Other conditions:

  • Abnormally shaped uterus
  • Narrowing of the cervix
  • Insufficient production of cervical mucus

Call a World Renowned Fertility Doctor Today

Contact the Dr. John Zhang at New Hope Fertility Center and discover the reason you can’t get pregnant. Then, let the Doctor design a customized fertility treatment plan to help you have a baby. To schedule your initial consultation, click the icon below – or – call 917.525.5496.

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