On average, most healthy couples will conceive after about eight months of timed intercourse. If you have tried to get pregnant for at least 12 months (six months if over 35) without any luck, you should consider talking with a fertility specialist, also referred to as a reproductive endocrinologist (RE). The doctors at Dallas-Fort Worth Fertility Associates have advanced training in the diagnosis and treatment of infertility.

What Goes Wrong?

Usually, your reproductive endocrinologist will begin with a complete fertility evaluation, which includes a sperm analysis for the male partner and extensive testing for the female partner. Various factors can impact female fertility, including:

Hormonal imbalances

Inconsistent or the absence of ovulation as well as problems such as luteal phase defect (LPD), premature ovarian failure or elevated FSH levels can disrupt the normal menstrual cycle, which can negatively impact your ability to conceive.

Physical abnormalities

Fibroids, polyps, endometriosis, blocked tubes and other structural issues can prevent pregnancy from occurring. If your RE identifies a physical problem, your doctor can recommend the appropriate therapy to correct the issue. In some cases, treatments such as in-vitro fertilization (IVF) may provide the best chances for success.

Maternal age

For women, fertility peaks in your 20s and early 30s. By age 40, you only have a 5 percent chance of conceiving without assistance and at least 50 percent of your eggs may have chromosomal abnormalities. Often, donor eggs provide another option so that you can still achieve a healthy pregnancy.

Underlying medical conditions

Certain problems including polycystic ovarian syndrome (PCOS) or issues related to your thyroid can make conception more difficult. The blood tests included in your fertility work-up will look for anything out of the ordinary.

Don’t give up on your plans for parenthood. Understanding potential causes of female infertility can provide you with basic knowledge as you begin to explore fertility treatment to build or expand your family.

The team at Dallas-Fort Worth Fertility Associates can offer the expertise, guidance and support you need. Please visit www.dallasfertility.com for more information. To schedule a consultation with one of the doctors at Dallas-Fort Worth Fertility Associates, contact our office.


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