When to See a Reproductive Endocrinologist (Fertility Specialist)

Trouble Conceiving

• Women under 35: If you've been trying to get pregnant for over 12 months without success.
• Women 35 or older: If you haven't conceived after 6 months of trying.
• Women 40 or older: It's smart to consult an RE right away, even if you just started trying.

Known Fertility Issues

If you or your partner have been diagnosed or have experienced any of the conditions listed below:

• Polycystic Ovary Syndrome (PCOS)
• Endometriosis
• Blocked fallopian tubes
• Low sperm count or motility
• Irregular or absent periods
• Recurrent miscarriages (two or more losses)

Menstrual Disorders

Very irregular, absent, or extremely painful periods could signal hormone problems that a reproductive endocrinologist can diagnose and treat.

Certain Medical Conditions - Historical or Newly Diagnosed

If you've had chemotherapy, radiation, or major pelvic surgeries in the past, OR if you have recently been diagnosed with a medical condition that will require chemotherapy or surgery involving the reproductive organs, an RE can assess potential fertility impacts and suggest fertility preservation options. With new diagnoses, time is critical. A referral/consultation with an RE should be made as soon as possible.

Genetic Concerns

If you have a family history of genetic disorders, an RE can guide you through preimplantation genetic testing (PGT) that can be done as a part of in vitro fertilization (IVF) treatment.

Same-Sex Couples or Single Parents by Choice

People who need donor sperm, donor eggs, or gestational carriers usually work with a reproductive endocrinologist.

Hormonal or Developmental Disorders

Issues like premature ovarian failure, Turner syndrome, Klinefelter syndrome, or other endocrine disorders related to reproduction are best handled by a specialist.

Interest in Fertility Preservation

If you're considering egg freezing or sperm freezing for future family planning, an RE is the appropriate doctor to see.

In summary, you should see a reproductive endocrinologist whenever there's a delay in conception, a known reproductive health concern, or a desire to preserve fertility. REs have advanced training in both gynecology and hormone-related fertility problems, offering treatments like in vitro fertilization (IVF), intrauterine insemination (IUI), egg/sperm freezing, and hormonal therapies. REs have established relationships with urologists who specialize in male fertility, and can coordinate treatment plans when both members of a couple require medical intervention.