Are you infertile? Medical professionals use that word to label the condition of failure to conceive after 12 months of concentrated trying to become pregnant. By trying, they mean intercourse at least once daily during your days of ovulation and two to three days before ovulation.
Ovulation and Fertility
So not knowing when ovulation occurs could be one of the first signs of infertility. For women on normal 29 day menstrual cycles, ovulation occurs during days 14 through 17 of their cycle (counting the first day of the previous period as day number 1). If, for example, July 11 is the first day of your period, you would normally ovulate July 24 – 27.However, your time of fertility begins sooner so your fertile days would be July 21 – 27, seven full days when intercourse is most likely to lead to pregnancy.
For periods that are regular but always shorter or always longer than 29 days, check with your doctor.. You can also use ovulation detection kits, such as Clearblue or Accu-clear, sold in drug stores to help you track your ovulations and best the days to conceive.
Irregular Periods
Irregular periods, missing periods, or irregular bleeding are symptoms of infertility in 30% to 40% of cases. Discussing these conditions with your doctor may lead to diagnosis and treatment of the underlying condition which could help you avoid the disappointment of several months of trying to become pregnant without success.
Age
Age is a very important factor in many cases of infertility, because ovulation declines over the years. Statistics show a high correlation of age to infertility, beginning at age 30. In their early to mid 20s, 85% of women trying to become pregnant can be successful within 12 months. At 30 that number is 75%; at 35 it is 66%; and at 40 it declines to 44%.
While you cannot turn back the clock on aging of your reproductive capacity, you can respond more proactively when you have difficulty becoming pregnant. For example, after age 35, don’t wait a full 12 months before seeing a doctor for diagnostic tests to determine if you have treatable conditions. Also you can urge your partner to be checked out sooner to be sure he is contributing sperm of sufficient quantity and quality.
Other Women’s Issues
Beyond irregular periods and age, there are other conditions that may affect your fertility, including cysts on the ovaries (PCOS), endometriosis, blocked fallopian tubes (PID), and hormones that are out of balance. All of these reasons for infertility can be diagnosed by your gynecologist analyzing blood tests and using common procedures such as ultrasound examinations.
Male Infertility
Your partner may resist, but he should be encouraged to get the male infertility test if you are having difficulty getting pregnant. Inadequate or low quality sperm is the reason for 30% to 40% of all infertility cases. For men, sperm analysis is of primary importance, so your partner may be able to get it done without a physical examination. Sperm in his lab-collected semen sample will be tested for quantity and quality. If any abnormalities are found, follow-up treatment by a urologist will be needed.
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Whatever issues are reasons for infertility for you and your partner, remember infertility does not equate to being sterile. Almost all infertility conditions can be treated successfully.
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