When Should I Consider a Fertility Assessment?
It’s normal to take some time to get pregnant. Fertility is a common concern for many couples when they want to have a child. However, if you’ve been trying for over a year, it may be time to talk to your provider about a fertility assessment.
Many factors can impact fertility, including age, health conditions, and even previous pregnancies. If you’re over 35, it’s recommended you seek a fertility assessment after trying for about six months. If you’re over 40, talk with your provider about a fertility assessment when you’re ready to conceive.
What’s Involved in a Fertility Assessment?
Fertility assessments are often a combination of tests, imaging, and exams conducted to determine why you may be struggling to get pregnant. Your fertility assessment will include a thorough medical history and physical exam. Some questions may feel uncomfortable, but we foster a judgment-free space where you can trust your provider.
In addition, you’ll likely have to provide blood for the following tests:
- Ovulation and ovarian reserve testing
- Thyroid function testing
- Progesterone level testing
- Other hormone level testing
These tests tell your provider if your hormone levels are at the right place and if you’re ovulating. If your provider needs additional information, they may recommend imaging like an ultrasound or a hysterosalpingogram (HSG), which is an x-ray that can tell us if your fallopian tubes are open.
Your provider may also recommend that your partner completes a semen analysis to determine the mobility, number, and quality of his sperm.
What to Expect During Your First Fertility Visit
During your first visit about fertility, you and your provider will tackle a number of things. You’ll likely discuss your health history to determine if there may be a condition that could affect your fertility. This may include an already diagnosed disorder or illness. You will also review your attempts at conception prior to your appointment with your provider. You can bring a support person or your partner to the appointment. Questions will likely include:
- Methods of birth control
- How long you’ve been trying to get pregnant
- If there are difficulties during sex
Your provider may conduct a pelvic exam during this appointment. This is a good starting point for your provider to identify potential causes of infertility.
Take some time with your provider during this appointment to ask questions you have about fertility, pregnancy, and potential treatments. It’s normal to feel anxious and have questions about the process. We’re here to support you and guide you through your fertility assessment.
Schedule a Fertility Assessment With Your Provider
If you’re ready to discuss fertility with your UWH of Michigan provider, schedule an appointment. We will get started on your fertility assessment and begin the family planning process.