What are fertility problems?
You may have fertility problems if you haven't been able to get pregnant after trying for at least 1 year. It doesn't necessarily mean you will never get pregnant. Often, couples conceive without help in their second year of trying. Some don't succeed. But medical treatments do help many couples.
Age is an important factor if you are trying to decide whether to get testing and treatment for fertility problems. A woman is most fertile in her late 20s. After age 35, fertility decreases and the risk of miscarriage goes up.
What causes fertility problems?
In cases of fertility problems:1
Should you be tested for fertility problems?
Before you have fertility tests, try fertility awareness. A woman can learn when she is likely to ovulate and be fertile by charting her basal body temperature and using home tests. Some couples find that they simply have been missing their most fertile days when trying to conceive.
If you aren't sure when you ovulate, try this Interactive Tool: When Are You Most Fertile?
If these methods don't help, the first step is for both partners to have some simple tests. A doctor can:
Your family doctor can do these tests. For more complete testing, you may need to see a fertility specialist.
How are fertility problems treated?
A wide range of treatments is available. Depending on what is causing the problem, a couple may be able to:
If these options aren't possible or don't work for you, you may want to think about in vitro fertilization (IVF). During an IVF, eggs and sperm are mixed in a lab so the sperm can fertilize the eggs. Then the doctor puts one or more fertilized eggs into the woman's uterus. Many couples try IVF more than once.
Treatment for fertility problems can be stressful, costly, and hard on your body. Before you start testing, make some decisions about how far you are willing to go with treatment. You may change your mind later, but it's a good idea to start with a plan.
Treatments for fertility problems can increase your chances of getting pregnant. But they also increase your chance of having twins, triplets, or more. Be sure to discuss the risks with your doctor.
Fertility problems can put a lot of strain on a couple. It may help to see a counselor with experience in fertility problems. Think about joining a support group. Talking with other people who are going through the same thing can help you feel less alone.
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