Infertility : When to see a doctor ?

What should I Know before meeting a Fertility Specialist?

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WOMEN – A woman’s fertility gradually declines with age, especially in her mid-30s, and it drops rapidly after age 37. Infertility in older women may be due to the number and quality of eggs, or to health problems that affect fertility.

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When to see a doctor if you are a female patient?


You probably don’t need to see a doctor about infertility unless you have been trying regularly to conceive for at least one year. Talk with your doctor earlier, however, if you’re a woman and:

  • You’re age 35 to 40 and have been trying to conceive for six months or longer
  • You’re over age 40
  • You menstruate irregularly or not at all
  • Your periods are very painful
  • You’ve been diagnosed with endometriosis or pelvic inflammatory disease
  • You’ve had multiple miscarriages
  • You’ve undergone treatment for cancer

When to see a doctor if you are a male patient?


  • You have a low sperm count or other problems with sperm
  • You have a history of testicular, prostate or sexual problems
  • You’ve undergone treatment for cancer
  • You have testicles that are small in size or swelling in the scrotum known as a varicocele
  • You have others in your family with infertility problems

What are General factors responsible for infertility?


  • Diabetes mellitus,
  • thyroid disorders,
  • undiagnosed and untreated coeliac disease,
  • adrenal disease

What are environmental factors responsible for infertility?


Environmental factors

  • Glues,
  • Volatile organic solvents
  • Pesticides.
  • Tobacco smokers are 60% more likely to be infertile than non-smokers.

 What is the effect of age on fertility? 


  • Age.
    • WOMEN – A woman’s fertility gradually declines with age, especially in her mid-30s, and it drops rapidly after age 37. Infertility in older women may be due to the number and quality of eggs, or to health problems that affect fertility.
    • MEN -Men over age 40 may be less fertile than younger men .
  •  What is the effect of tobacco on fertility? 


    Smoking tobacco –

    • reduces the chances of pregnancy.
    • reduces the possible benefit of fertility treatment.
    • Miscarriages are more frequent in women who smoke.
    • Smoking can increase the risk of erectile dysfunction
    • low sperm count in men is common in tobacco use.

 What is the effect of tobacco on fertility? 


  • WOMEN -Avoid alcohol if you’re planning to become pregnant. Alcohol use increases the risk of birth defects, and may contribute to infertility.
  • MEN – Heavy alcohol use can decrease sperm count and motility.

 What is the effect of Weight on fertility? 


  • Overweight- Inactive lifestyle and being overweight may increase the risk of infertility.
    • WOMEN -Ovulation Disorders .
    • MEN – A man’s sperm count may also be affected if he is overweight.
  • Underweight. Women at risk of fertility who follow a very low calorie or restrictive diet.So eat healthy foods and develop healthy habits .

What is the effect of Exercise on fertility? 


  • Exercise- Insufficient exercise contributes to obesity, which increases the risk of infertility.
  • Heavy Exercise – Ovulation problems are associated with frequent strenuous, intense exercise in women who are not overweight.

What are infections associated with infertility?


  • Sexually transmitted infections 
  • chlamydia,
  • gonorrhea
  • Adeno-associated virus might have a role in male infertility


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  • WOMEN – A woman’s fertility gradually declines with age, especially in her mid-30s, and it drops rapidly after age 37. 
  • MEN -Men over age 40 may be less fertile than younger men .

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