Infertility Explained By An Expert Infertility Explained By An Expert

Baby Making + Infertility Explained By An Expert.

Gain insights from a reproductive endocrinologist who debunks myths and provides guidance on ensuring you can become a parent at the right time.

At Mobi Doctor, we understand that our patients have different needs. While many come to us to avoid pregnancy, others may be considering parenthood in the future or want to keep their options open. We are here to support you, whatever your choices may be.

Does fertility decline significantly around the age of 35 for people with ovaries?

Women's decline in ovaries as they age is not a straightforward process. Two factors are at play: the gradual reduction in the number of eggs and the alteration in the quality of eggs. The quality of eggs deteriorates more rapidly after age 35, decreasing the ratio of "good" to "bad" eggs.

It is often observed that infertility problems are not necessarily age-related, as younger individuals may also experience difficulties in conceiving. Conversely, some women in their forties may easily conceive without medical intervention. Nevertheless, age is a significant factor that impacts the success of fertility treatments due to the natural decline in fertility that occurs with age.

Why do some people find it difficult to conceive?

As previously stated, age is a significant factor in fertility. Additionally, one's ovulatory status can also impact their ability to conceive. Individuals who do not release eggs regularly may have a reduced chance of becoming pregnant.

One potential issue that can arise is dysfunction of the fallopian tubes, which may be caused by a pelvic infection, prior surgery, endometriosis, or even occur without any known risk factors. Male factors can also play a role in fertility, such as issues with the quantity and motility of sperm.

Getting pregnant can take longer, depending on the cause of infertility, and several significant reasons exist. These causes can affect the amount of time it takes to conceive.

How do specific birth control methods affect fertility?

There is currently no known birth control method that causes infertility. It may take up to a month or, on rare occasions, a little longer for ovulation to return to normal after discontinuing birth control. However, birth control methods do not impact fertility in the long run.

What about STIs and fertility?

Women with a history of chlamydia or pelvic inflammatory disease may be more likely to have blocked or dysfunctional fallopian tubes, which can also have adverse effects on the uterus and ovaries in certain instances. This history may increase the risk of infertility and ectopic pregnancies, which occur when an embryo implants outside of the uterus, typically in the tube. Therefore, undergoing STI testing with a new partner is essential. When STIs like chlamydia are detected early, they can be treated before any harm is caused.

Which one is more likely to experience infertility in heterosexual couples?

Infertility is divided into three categories: male factor, female factor, and unexplained infertility. Male-factor infertility occurs in one-third of cases, female-factor infertility in another third, and unexplained infertility in the remaining third.

Are there any tips you can give to LGBTQ+ people who may want to become parents someday?

It's important to feel confident in asking questions and exploring options regarding fertility care. Significant advancements have been in this field in recent decades, and many different ways to build a family exist. As a reproductive endocrinologist, I am here to assist you in making your plans a reality.

Some common misconceptions about fertility, infertility, and conception.

There is a common misconception that visiting an REI, also known as an IVF doctor, automatically results in a recommendation for IVF. However, this needs to be more accurate. IVF is just one of the many options available, and it may only be necessary for some. Hormonal medication or a simple procedure to open up fallopian tubes may be sufficient in some cases. Every individual's fertility needs are unique, so it is crucial to consult with a specialist who can tailor treatment to your specific family-building plans.

 

It is commonly believed that if fertility treatment is needed to conceive a baby once, spontaneous pregnancy is no longer possible. This is a myth! Several cases have shown that people who required fertility treatments for their first child have also had a second child without any treatment. It is advisable to consult your doctor about your chances of natural conception.

 

It is commonly believed that if a person's mother or sister is fertile or infertile, they will be too. However, this is not necessarily true. While male factor infertility is common, certain heritable conditions may contribute to infertility. Therefore, it's essential to understand the cause of infertility.

When should a couple seek the help of a fertility specialist after "trying" for a while?

For individuals under the age of 35, it is recommended to wait for 12 months before seeking assistance with fertility. However, if you are 35 or older, it is suggested to wait for six months. If you are over 40 years old, it is acceptable to seek help right away. Keep in mind that these are just general guidelines. If you suspect or experience any fertility issues, it is wise to seek help earlier.

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