Some couples don’t meet the strict definition of infertility but have a known issue that leads to a decreased chance of having a baby. These include conditions such as menstrual cycle problems (irregular or absent menstrual cycles); fallopian tube problems including tubal surgery, ectopic pregnancy, tubal ligation (tubes tied), pelvic infections, pelvic adhesions, endometriosis; known sperm problems; a history of having trouble getting pregnant; and history of treatment with chemo or radiation therapy. If you have one of these issues or any other issue that is associated with infertility, you should see a fertility specialist sooner rather than later. It does not make sense to wait a year, or even six months, before seeing a doctor because the possibility of conception may be very low.
Trying to have a child and not succeeding is very stressful. Sometimes we see patients who have made appointments just because they have general questions about their fertility. If you have concerns, then seeing a fertility doctor is a good idea. For most of these patients, we never need to start formal fertility treatment. Often just seeing a specialist and knowing that there is no major issue can give couples the confidence to try and succeed on their own!