Your Fertility Journey

Infertility is defined as a couple's inability to become pregnant after one year of attempting to conceive without using birth control. When considering whether you may have an infertility problem, you need to keep in mind the normal human fertility rate, which is 20-25% per month if the female partner is under the age of 35, but declines rapidly with age.  

Of all couples who have not conceived after one year, many will go on to conceive naturally the following year. Couples without infertility are 85% likely to get pregnant within one year of attempting conception, and 95% after 2 years. If the female partner is under age 35, evaluation of infertility should be initiated after one year of trying. If she is over age 35, evaluation should be considered after 6 months.

A woman's fertility declines constantly, even at a young age, due to constant reduction in egg number and quality. This decline becomes of particular importance after age 35. Not only does the chance of pregnancy decline with age- miscarriages increase in frequency as well. Male fertility is less affected by age, despite some decline in sperm performance over time.

“You've gotta have hope. Without hope life is meaningless. Without hope life is meaning less and less.”

-Author Unknown

couple

When should you see a fertility expert?

An infertility specialist is either a fellowship-trained reproductive endocrinologist or a gynecologist with extensive training and experience in treating complex infertility problems. In either case, special training in all aspects of reproductive disorders is desirable. Most general obstetricians/gynecologists have received some training in infertility during their residency. Most of them deal with many other issues in women’s health care and do not have the time or facilities to diagnose and treat complex infertility problems. 

Basic infertility evaluation and treatment can be rendered by general OB/GYNs. In circumstances where the couple has not been successful in conceiving for at least one year under the care of a general ob/gyn or if the woman is over age 35, it is advisable to be seen by an infertility specialist. Sometimes it is advisable to see an infertility specialist for a second opinion even before these conditions are met in order to learn the available treatment options, their cost, risk, and success rates. If complex infertility therapies such as inseminations, fertility shots, or in-vitro fertilization are considered, they require specialty laboratories and seven-days-a-week service which is usually only offered by infertility specialists. 

The physicians at BFI have more than 100 years of combined experience in infertility treatment. They have undergone extensive specialized training in the field and continually update their training by participating annually in continuing medical education courses, seminars, and specialty society meetings.

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Tips from Former Patients

A Couple's Journey