{"id":26719,"date":"2023-05-16T07:00:18","date_gmt":"2023-05-16T07:00:18","guid":{"rendered":"https:\/\/updates-www.mccdn.io\/vitals\/?p=26719"},"modified":"2025-04-17T19:03:41","modified_gmt":"2025-04-17T19:03:41","slug":"fertility-challenges-when-to-see-doctor","status":"publish","type":"post","link":"https:\/\/updates-www.mccdn.io\/vitals\/fertility-challenges-when-to-see-doctor\/","title":{"rendered":"Fertility: The silent struggle and when to see a doctor","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"

It\u2019s a question many people have heard before \u2014 \u201cWhen are you having kids?\u201d<\/p>\n

While the question is often well-intentioned, the impact can cut deep for those struggling to conceive. Infertility impacts roughly 10 percent of people in the United States, regardless of age, ethnicity or socio-economic background.<\/p>\n

\u201cMany couples and individuals may be going through the struggles of infertility and not sharing that,\u201d says Jaime Ellis, ARNP<\/a>, obstetrics and gynecology provider at MultiCare OB Access Clinic<\/a>. \u201cI encourage everyone to not put pressure on family and friends by frequently asking when they\u2019re going to start a family or when is someone getting grandkids.\u201d<\/p>\n

Even when people do open up, it\u2019s unfortunately hard to know what to say, says Lacey Marks, MD, FACOG<\/a>, obstetrics and gynecology provider at MultiCare Rockwood Clinic – OB\/GYN & Midwifery Center<\/a>.<\/p>\n

But you can do one thing, she adds: Recognize how challenging the journey is \u2014 and how difficult holidays like Mother\u2019s Day can be.<\/p>\n

\u201cThere\u2019s such a huge desire for motherhood, from both couples and single parents by choice, but sometimes there are challenges,\u201d Ellis says. \u201cThere is help available. Procedures such as intrauterine inseminations are significantly less costly than IVF and are successful for many couples\/individuals. I encourage anyone who is concerned about their ability to conceive to reach out to their health care provider for next steps.\u201d<\/p>\n

When to see a doctor<\/h2>\n

Infertility is defined as not achieving pregnancy after 12 months of consistently trying, says Dr. Marks. However, each person\u2019s circumstances are different, and nobody will criticize you for seeking care sooner.<\/p>\n

If you\u2019re trying to conceive but having irregular or no periods, you shouldn\u2019t wait 12 months, she says. If you\u2019re over 35 and have regular periods, she advises seeing your provider at six months. And if you\u2019re having regular periods and doing everything \u201cright,\u201d you\u2019re still only 80 percent likely to conceive in the first four months, she adds.<\/p>\n

Oftentimes, the biggest challenge is determining the cause of infertility, says Ellis. About one-third of cases are female-related, one-third male-related and the remaining are unknown, she says. Some of the more common complications include irregular or no ovulation (25 percent), fallopian tube or uterus abnormalities (35 percent) and male-related factors (30 percent).<\/p>\n

Evaluation begins with an extensive look at your medical history, Dr. Marks explains. That includes whether you\u2019ve been pregnant before, whether your partner has conceived before, as well as menstruation cycle, history of trauma to the pelvis or other pelvic conditions.<\/p>\n

Next, hormone testing, semen analysis, X-rays and a pelvic exam\/ultrasound are conducted.<\/p>\n

\u201cSome women may feel anger, guilt or self-conscious as they\u2019re looking around at sisters and friends who are conceiving without problems.\u201d<\/p><\/blockquote>\n

\u201cTesting can be a lengthy and costly process, and a lot of insurance providers don\u2019t cover it,\u201d says Ellis. \u201c(The patient) has to decide how much time and money they\u2019re willing to put into this process.\u201d<\/p>\n

Sometimes it can be an easy solution. But it\u2019s important to set realistic expectations, be flexible and ensure both partners are on the same page, Dr. Marks says.<\/p>\n

At-home tracking<\/h2>\n

Knowing that cost and access can be a challenge, many patients opt for at-home testing and fertility tracking to begin. Ellis and Dr. Marks say to take those results with a grain of salt and always consult your provider before taking next steps.<\/p>\n

With some at-home fertility tests, you don\u2019t know exactly what you\u2019re getting, Ellis says.\u00a0 They can be a helpful supplement, adds Dr. Marks, but the type you use is important.<\/p>\n

Dr. Marks recommends digital ovulation tests, which are more expensive, but give clearer results compared to analog kits, which can make it easier to miss the conception window.<\/p>\n

Remember: Even if the test says you\u2019re ovulating, it doesn\u2019t mean the egg has been released. Ovulation tests track when your body has released the luteinizing hormone (LH), which tells the ovaries to release an egg, but in many cases it doesn\u2019t do so for another 12 to 24 hours.<\/p>\n

Tracking your cycle and temperature can be a more cost-effective at-home solution. Cycle tracking apps do a decent job of telling you the best windows to conceive, but you have to be diligent in your tracking for an extended period of time.<\/p>\n

Using a basal thermometer can make your tracking even more accurate when done correctly. Before even sitting up or checking your phone in the morning, take your temperature, Dr. Marks says. Even the smallest change in temperature is important in determining ovulation.<\/p>\n

Once your temperature goes up (even if by a fraction of a number) and stays up, it means you\u2019ve likely ovulated. The temperature will stay at those higher levels until you either start your next period or find out you\u2019re pregnant.<\/p>\n

Promoting fertility<\/h2>\n

A healthy lifestyle and caring for your overall well-being are key to promoting fertility.<\/p>\n

Many lifestyle factors can play a role, Ellis says: being under- or overweight, smoking or having an untreated STI. She stresses a holistic approach to self-care for all patients, whether actively trying to conceive or planning to.<\/p>\n

Exercise regularly, maintain a healthy diet, protect yourself from STIs and listen to your body. Additionally, make sure your body is getting adequate vitamins and nutrients, and supplement with prenatal vitamins if you\u2019re trying to conceive.<\/p>\n

If you\u2019ve been on birth control, consult your doctor or other health care provider about stopping and what you should look for as your body reregulates itself.<\/p>\n

Specialty approaches such as acupuncture and infertility yoga can also improve your body\u2019s natural balance and fertility, Dr. Marks adds.<\/p>\n

Be sure to discuss with your provider any family history that could cause complications, such as blood clotting and uterine irregularities, or other health concerns like autoimmune diseases or thyroid imbalances that should be addressed before trying to conceive.<\/p>\n

A long journey<\/h2>\n

Caring for yourself also includes mental health. Whether you\u2019ve just started or are years into treatment, Dr. Marks says it can be hard to stay positive.<\/p>\n

\u201cSome women may feel anger, guilt or self-conscious as they\u2019re looking around at sisters and friends who are conceiving without problems,\u201d Ellis says. \u201cSome people are embarrassed and think it\u2019s their fault. I think the more information we can get out there, the more we can help.\u201d<\/p>\n

Sometimes medications used in treatment can alter your emotions and cause mood swings and other side effects, Ellis adds. Both partners should know what to expect and that there\u2019s a support system available, including behavioral health access.<\/p>\n

\u201cThe whole journey can be very difficult, emotional and stressful,\u201d says Dr. Marks. \u201cI encourage both partners to support and listen to one another. It can be easy to try passing blame, but it\u2019s important to remember it\u2019s not one person\u2019s fault and no one is trying to cause it.\u201d<\/p>\n

To avoid communication breakdowns and find ways to support one another, Dr. Marks always encourages counseling for couples during the process.<\/p>\n

\u201cThere\u2019s going to be highs and lows, but it\u2019s a team effort,\u201d adds Ellis.<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"

It\u2019s a question many people have heard before \u2014 \u201cWhen are you having kids?\u201d While the question is often well-intentioned, the impact can cut deep for those struggling to conceive. Infertility impacts roughly 10 percent of people in the United States, regardless of age, ethnicity or socio-economic background. \u201cMany couples and individuals may be going […]<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"author":115,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[127,99,115],"tags":[],"class_list":["post-26719","post","type-post","status-publish","format-standard","hentry","category-healthy-living","category-primary-care","category-womens-health"],"acf":[],"yoast_head":"\nFertility challenges and when to see a doctor - MultiCare Vitals<\/title>\n<meta name=\"description\" content=\"Discover when to see a doctor for fertility challenges. 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