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By: Ovation Obstetrics & Gynecology:

Trying to conceive can be an exciting and hopeful time, but for many individuals and couples, the journey is not as straightforward as expected. If pregnancy does not happen as planned, it can bring feelings of frustration, worry, or isolation. Infertility is more common than many people realize, and having an open, informed conversation with your OB/GYN is often the first step toward answers and support.

At Ovation OB/GYN, we believe that no concern about fertility is too small to discuss. Early conversations allow your provider to understand your goals, identify potential factors, and guide you through appropriate next steps with compassion and clarity.

Dr,Bradley is a very caring person and the off staff are very professional.”
Ovation OB/GYN Patient Review

What Is Infertility?

Infertility is typically defined as the inability to become pregnant after:

  • 12 months of regular, unprotected intercourse for individuals under age 35
  • 6 months for individuals age 35 and older

However, these timelines are general guidelines. Certain symptoms, medical conditions, or life circumstances may warrant an earlier evaluation.

Infertility can affect individuals of all backgrounds and may involve factors related to ovulation, reproductive anatomy, hormones, sperm health, or overall medical conditions.

When Should You Talk to Your OB/GYN About Infertility?

You do not need to wait until a year has passed to start the conversation. Speaking with your OB/GYN earlier may be helpful if you:

  • Have irregular or absent menstrual cycles
  • Have been diagnosed with conditions such as PCOS or endometriosis
  • Have a history of pelvic infections or reproductive surgery
  • Are over age 35 and trying to conceive
  • Have experienced multiple pregnancy losses
  • Have concerns about your partner’s fertility
  • Are planning pregnancy with known medical conditions

Even if you are just beginning to think about starting a family, your OB/GYN can provide valuable guidance.

Why Talking to Your OB/GYN Matters

Your OB/GYN is often your first point of contact for fertility concerns. These providers are trained to evaluate reproductive health, identify potential barriers to conception, and coordinate care when additional specialists are needed.

Early discussions can help:

  • Identify ovulation or hormonal issues
  • Review lifestyle or health factors that may affect fertility
  • Assess timing and frequency of intercourse
  • Order appropriate initial testing
  • Provide reassurance or education

Open communication allows your care team to support you more effectively.

Preparing for the Conversation

Talking about infertility can feel emotional or intimidating. Preparing in advance can help you feel more confident and make the appointment more productive.

Consider bringing information such as:

  • Length of time you’ve been trying to conceive
  • Menstrual cycle regularity and symptoms
  • Previous pregnancies or miscarriages
  • Medical conditions or surgeries
  • Medications or supplements
  • Lifestyle factors such as stress, exercise, or nutrition

Writing down questions or concerns ahead of time can also help ensure nothing is overlooked.

What Questions Might Your OB/GYN Ask?

To understand your fertility health, your OB/GYN may ask about:

  • Menstrual cycle length and regularity
  • Ovulation signs or tracking methods
  • Sexual health and frequency of intercourse
  • Past gynecologic or obstetric history
  • Family history of fertility issues
  • General health and lifestyle habits

These questions help guide the evaluation and determine whether further testing is appropriate.

Initial Fertility Evaluation: What to Expect

If your OB/GYN determines that an evaluation is needed, initial testing may include:

  • Blood tests to assess hormone levels
  • Ovulation tracking or confirmation
  • Pelvic ultrasound to evaluate reproductive organs
  • Review of partner factors or referral for semen analysis

Not all tests are done at once. Your provider will tailor the evaluation to your specific situation.

Common Causes of Infertility

Infertility can result from many factors, and in some cases, no single cause is identified. Common contributors include:

  • Ovulation disorders
  • Hormonal imbalances
  • Structural concerns such as fibroids or blocked fallopian tubes
  • Endometriosis
  • Age-related fertility decline
  • Male factor infertility

Understanding that infertility is often multifactorial can help reduce feelings of self-blame.

Treatment and Next Steps

Depending on the findings, your OB/GYN may recommend:

  • Lifestyle modifications to support fertility
  • Ovulation-inducing medications
  • Cycle tracking guidance
  • Further diagnostic testing
  • Referral to a reproductive endocrinologist

Your OB/GYN remains an important part of your care team throughout the process, helping coordinate care and provide ongoing support.

The Emotional Side of Infertility

Infertility can take a significant emotional toll. Feelings of grief, anxiety, or isolation are common, even while undergoing evaluation or treatment.

It is important to acknowledge these emotions and seek support when needed. Your OB/GYN can help connect you with counseling resources or support networks if desired. Addressing emotional well-being is an essential part of fertility care.

You Are Not Alone

One of the most important things to remember is that infertility is not uncommon, and help is available. Starting the conversation with your OB/GYN can bring clarity, reassurance, and direction during an uncertain time.

At Ovation OB/GYN, we approach fertility concerns with empathy, respect, and individualized care. Our goal is to help patients feel heard, supported, and informed as they explore their options.

Never rushed, always willing to stay and answer any questions, gets to know her patients.”
Ovation OB/GYN Patient Review

Taking the First Step

If you have concerns about fertility or have been trying to conceive without success, scheduling an appointment with your OB/GYN is an important first step. Early evaluation can provide answers and open the door to appropriate care.

To learn more or request an appointment, visit https://www.ovationobgyn.com/ or contact Ovation OB/GYN today.