Consultation with an obstetrician-gynaecologist about infertility

What Is Infertility?

Infertility is defined as the inability to achieve pregnancy after 12 months of regular, unprotected sexual intercourse. If the woman is over 35 years of age, this period is reduced to 6 months. Infertility may be related to health issues affecting the woman, the man, or both partners, and, in some cases, the underlying cause cannot be identified.

Why Is an Infertility Consultation with an Obstetrician-Gynecologist Important?

Addressing infertility requires a professional and comprehensive approach. An obstetrician-gynecologist is a specialist with expertise in reproductive health and can:

• Provide an accurate diagnosis: Identify potential causes of infertility using various diagnostic methods.
• Develop an individualized plan: Create a personalized diagnostic and treatment plan based on the couple's specific circumstances and needs.
• Provide information and guidance: Explain the current situation, available treatment options, and their expected outcomes in detail.
• Offer support and referrals: Provide emotional support and refer patients to other specialists, such as an andrologist, geneticist, or psychologist, when necessary.

Early and accurate diagnosis is essential for successful infertility treatment.

When Should You Consult an Obstetrician-Gynecologist About Infertility?

An infertility consultation is recommended in the following situations:

• After 12 months of unsuccessful attempts to conceive: If the woman is under 35 years of age.
• After 6 months of unsuccessful attempts to conceive: If the woman is 35 years of age or older.
• If known risk factors are present: Such as irregular menstrual cycles, a history of pelvic inflammatory disease, endometriosis, miscarriages, testicular injuries or surgeries in men, chemotherapy, or radiotherapy.
• If the woman is over 40 years old: Immediate consultation is recommended.
• If genetic disorders are suspected: Or if there are other chronic conditions that may affect fertility.

What to Expect During the Consultation

An infertility consultation with an obstetrician-gynecologist typically includes the following stages:

1. Detailed Medical History (Consultation)

The doctor will review both partners' medical histories and ask about:

• Frequency of sexual intercourse
• Menstrual cycle patterns
• Previous illnesses and surgeries
• Current medications
• Lifestyle factors
• Other circumstances that may affect fertility

2. Physical Examination

• For women: A gynecological examination will be performed, and overall health status will be assessed.
• For men: Referral to an andrologist may be recommended for further evaluation.

3. Initial Investigations

The physician may recommend:

• Blood tests (including hormone testing for women)
• Semen analysis for men
• Pelvic ultrasound examination for women

4. Development of a Diagnostic Plan

Based on the information gathered and the results of the initial investigations, the physician will create an individualized diagnostic plan, which may include:

For Women:

• Fallopian tube patency testing (e.g., hysterosalpingography)
• Ovarian reserve assessment (AMH testing)
• Laparoscopy
• Hysteroscopy

For Men:

• Advanced semen analysis
• Hormonal testing
• Genetic testing

5. Discussion of Treatment Options

Once the cause of infertility has been identified, the physician will discuss appropriate treatment strategies, which may include:

• Ovulation induction
• Intrauterine insemination (IUI)
• In vitro fertilization (IVF)
• Other fertility treatment methods tailored to the individual situation

Important Information

This information is provided for educational purposes only. Decisions regarding infertility diagnosis and treatment should be made by the individual or couple in consultation with an obstetrician-gynecologist. Always follow your physician's recommendations and rely on official medical guidance.