How to Assess Fertility Concerns Before Starting a Family

Inquiring about how to diagnose infertility?

Hello, I am about to turn 25 this year! In my younger and less informed days, I underwent an abortion.
Currently, my relationship with my boyfriend is relatively stable, but we have no plans to get married yet, so I am consistently taking oral contraceptives.
My boyfriend is the only child in his family, and I can tell that he really loves children.
If we do get married in the future, it is likely that we will plan to have children right away.
Given my current situation of taking contraceptive pills, is it possible to undergo infertility testing? I am very concerned that my past abortion may affect my ability to conceive in the future.
Although we do not have plans for marriage and children at the moment, knowing in advance if I am truly infertile would allow me to prepare for this relationship.

Zhen, 20~29 year old female. Ask Date: 2016/02/18

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description, I recommend that you consult with an obstetrician-gynecologist to arrange for preconception and infertility evaluations.
Thank you! Wishing you safety and health.
Dr.
Chang

Reply Date: 2016/02/18

More Info

Assessing fertility concerns before starting a family is a crucial step for anyone considering parenthood, especially if there are past medical histories that could impact fertility, such as a history of abortion. Here’s a comprehensive guide on how to approach this sensitive topic.

Understanding Fertility
Fertility is influenced by various factors, including age, medical history, lifestyle choices, and overall health. For women, fertility typically begins to decline in their late 20s to early 30s, with a more significant decrease after age 35. Since you are approaching 25, you are still within a relatively fertile age range, but it’s wise to be proactive about your reproductive health.

Medical History Review
1. Past Procedures: Since you mentioned having undergone an abortion, it’s essential to understand how this might affect your fertility. Generally, a single abortion does not significantly impact future fertility, but complications can arise from multiple procedures or if there were any complications during the procedure. It’s advisable to discuss your past medical history with a healthcare provider who can assess any potential risks.

2. Current Medications: You are currently taking birth control pills. While these are effective for preventing pregnancy, they do not affect your long-term fertility. Once you stop taking them, your fertility should return to normal, usually within a few months. However, it’s essential to consult with your healthcare provider about any concerns regarding the pill and its effects on your body.

Fertility Testing
Even if you are currently on birth control, there are ways to assess your fertility:
1. Consult a Healthcare Provider: Schedule an appointment with a gynecologist or a fertility specialist. They can provide a thorough evaluation, including a physical examination and a review of your medical history.

2. Fertility Tests: Common tests include:
- Hormonal Testing: Blood tests can measure hormone levels, including Follicle Stimulating Hormone (FSH), Luteinizing Hormone (LH), and progesterone, which are crucial for ovulation.

- Ultrasound: A pelvic ultrasound can check for any abnormalities in the reproductive organs, such as cysts or fibroids.

- Hysterosalpingography (HSG): This X-ray procedure assesses the condition of the uterus and fallopian tubes, checking for blockages that could affect fertility.

3. Semen Analysis: If you and your partner are considering starting a family soon, it might also be beneficial for your partner to undergo a semen analysis to evaluate sperm health.

Lifestyle Considerations
While assessing your fertility, consider making lifestyle changes that can enhance your reproductive health:
- Nutrition: A balanced diet rich in vitamins and minerals can improve fertility. Focus on whole foods, fruits, vegetables, lean proteins, and healthy fats.

- Exercise: Regular physical activity can help maintain a healthy weight, which is crucial for fertility.

- Avoiding Toxins: Limit exposure to environmental toxins and substances that can affect fertility, such as smoking, excessive alcohol, and recreational drugs.

Emotional Preparedness
It’s also essential to consider the emotional aspects of starting a family. If you have concerns about your fertility, it can be helpful to talk to a counselor or therapist who specializes in reproductive health. They can help you navigate your feelings and prepare for potential outcomes.

Conclusion
While you are currently using birth control and not planning for children immediately, it’s wise to be informed about your fertility status. Consulting with a healthcare provider can provide clarity and peace of mind. Early assessment can help you make informed decisions about your future family planning, ensuring you are prepared for whatever path lies ahead. Remember, being proactive about your reproductive health is a positive step toward a healthy future, whether that includes children or not.

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