Seeking Pregnancy: When to Consult a Doctor for Fertility Issues?

I also want to get pregnant?

Hello! It's been almost six months since I got married, and I've been wanting to get pregnant, but every time we try during my ovulation period, it hasn't worked out.
I just got my period and am considering getting checked.
The doctor suggested that I have a blood test to check if my eggs are normal while I'm on my period (I had a check-up a long time ago and everything was fine).
Should I go for the blood test now, or should I wait until my period ends and then see a specialist in obstetrics and gynecology for assistance? I'm eager to consult a doctor, but I'm unsure about the best timing to do so.

Xiao Kui, 30~39 year old female. Ask Date: 2016/04/29

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, you are not considered an infertility patient at this stage; observation is sufficient for now.
The general definition of infertility is the inability to conceive after one year of regular sexual intercourse.
In cases of infertility, both partners should undergo evaluations at a gynecology clinic, which may include semen analysis, hysterosalpingography, ovulation testing, and hormone blood tests, among others.
If there are still concerns, you may consult your regular gynecologist.
Wishing you good health.

Reply Date: 2016/04/29

More Info

When it comes to seeking medical advice for fertility issues, timing and the type of consultation are crucial. Given your situation of trying to conceive for nearly six months without success, it is advisable to consult a fertility specialist sooner rather than later. The general recommendation is to seek medical advice after one year of unsuccessful attempts if you are under 35 years old, or after six months if you are 35 or older. However, since you are already feeling concerned and have been trying for half a year, it is perfectly reasonable to reach out to a healthcare provider now.

In terms of what to do next, here are some steps you can consider:
1. Initial Consultation: Schedule an appointment with a gynecologist or a fertility specialist. During this initial visit, you can discuss your history, any previous tests you may have had, and your current concerns. Be prepared to provide details about your menstrual cycle, any medications you are taking, and your partner's health history as well.

2. Testing: Your doctor may recommend a series of tests to evaluate both you and your partner's fertility. This can include blood tests to check hormone levels, an ultrasound to assess your ovaries and uterus, and possibly a hysterosalpingogram (HSG) to check for blockages in the fallopian tubes. Since you mentioned that you had previous tests that were normal, it may be beneficial to repeat some of these tests to ensure that nothing has changed.

3. Timing of Tests: If your doctor suggests blood tests to check hormone levels, it is often best to do this early in your menstrual cycle, typically on day 3 of your cycle. This is when hormone levels can provide the most accurate information regarding ovarian reserve and function. If you are considering tests like an HSG, this is usually performed after your period and before ovulation to avoid any potential complications.

4. Ovulation Tracking: In addition to medical tests, tracking your ovulation can be beneficial. You can use ovulation predictor kits, monitor changes in cervical mucus, or track your basal body temperature. This information can help your doctor understand your ovulation patterns and timing for intercourse.

5. Discuss Treatment Options: Depending on the results of your tests, your doctor may discuss various treatment options. These can range from lifestyle changes, medication to induce ovulation, to assisted reproductive technologies such as intrauterine insemination (IUI) or in vitro fertilization (IVF).
6. Consider a Second Opinion: If you feel that your current healthcare provider is not addressing your concerns adequately or if you feel rushed, it is entirely appropriate to seek a second opinion. Fertility is a sensitive and often emotional journey, and you deserve to feel supported and informed throughout the process.

7. Emotional Support: Lastly, don't underestimate the emotional toll that fertility issues can take. Consider seeking support from counseling or support groups where you can share experiences and feelings with others who are going through similar challenges.

In summary, it is advisable to consult a fertility specialist now, especially since you are feeling anxious about your attempts to conceive. Be proactive in discussing your concerns and the appropriate tests and treatments available to you. Remember, you are not alone in this journey, and there are many resources and professionals available to help you navigate your path to parenthood.

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