Is It Time for Fertility Testing After Two Months of Trying?

Q: Is It Time for Fertility Testing After Two Months of Trying?

Dear Peggy： Hello, the timing of your first visit for infertility counseling in relation to your menstrual cycle is not crucial. <br>What is important is that you provide detailed information about the timing and flow of your menstrual periods over the past few months, as well as

Is it possible to become infertile?

My eldest child is already six years old.
I conceived naturally the first time, but since then, we have been using contraception.
Recently, we have been trying to conceive a second child for two months without success.
Should we consider undergoing infertility testing? For the first visit, is there a specific time I should choose (before or after my menstrual cycle)? I estimate that my next menstrual cycle will start around April 4th.
When would be the most suitable time for my first appointment?

peggy, 30~39 year old female. Ask Date: 2009/04/07

Dr. Huang Jianxun reply Obstetrics and Gynecology

Dear Peggy: Hello, the timing of your first visit for infertility counseling in relation to your menstrual cycle is not crucial.
What is important is that you provide detailed information about the timing and flow of your menstrual periods over the past few months, as well as your basal body temperature.
This information will greatly assist the physician in making an assessment and can help save you valuable time and money.
Wishing you peace and health.
Sincerely, Dr.
Huang Chien-Hsun, Director of the Department of Obstetrics and Gynecology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2009/04/07

More Info

When considering whether it's time for fertility testing after two months of trying to conceive, it's important to take into account several factors, including your age, medical history, and any previous fertility issues. In your case, since you have successfully conceived naturally in the past, this can provide some reassurance, but it doesn't guarantee that the same will happen again without any challenges.

Generally, for couples under the age of 35, it is recommended to try for at least one year before seeking fertility testing. However, if you are over 35, it is advisable to seek help after six months of trying, as fertility can decline with age. Since you mentioned that you have a six-year-old and have been using contraception since then, it may be prudent to consult with a fertility specialist sooner rather than later, especially if you have concerns or if there are any underlying health issues.

In your situation, having tried for two months without success is not uncommon, and many couples experience similar challenges. However, if you have irregular menstrual cycles, a history of reproductive health issues, or if you are over 35, it may be beneficial to seek an evaluation sooner.
As for the timing of your first appointment, it is generally not crucial whether you go before or after your menstrual cycle (MC). However, tracking your menstrual cycle and providing detailed information about its regularity, flow, and any other symptoms can be very helpful for your healthcare provider. If your next expected period is around early April, scheduling an appointment shortly after that could be beneficial, as it allows your doctor to assess your cycle and any potential ovulation issues.

During your initial consultation, your doctor may recommend various tests, including blood tests to check hormone levels, an ultrasound to evaluate your reproductive organs, and possibly a semen analysis for your partner if applicable. These tests can help identify any underlying issues that may be affecting your ability to conceive.

In summary, while two months of trying may not seem like a long time, if you have specific concerns or if you fall into a higher-risk category, it may be worth consulting with a fertility specialist. They can provide personalized advice and help you understand your options moving forward. Remember, fertility can be a complex issue, and seeking guidance early can often lead to better outcomes.

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