When to See a Fertility Doctor

Fertility can be like a puzzle.

It seems simple enough when you see someone else’s completed picture – but when you look closer, so many pieces have come together perfectly to create the final product.

For the 1 in 8 couples experiencing infertility, some pieces of the puzzle may be mismatched, or missing — several systems of the body must work together to pave the way for a successful pregnancy. Even one minor issue can disrupt this intricate series of events.

It’s natural to feel heartbroken, stressed, and frustrated when you experience challenges along your journey to parenthood. Though easier said than done, it’s not only crucial to maintain hope – it’s realistic.

Sometimes, all you need is an objective set of eyes to examine the puzzle and put it together again. That’s where we can help.

pinkbubbleladyWE CAN HELP

At Boston IVF – The Albany Center, our goal is to help you achieve a healthy pregnancy in the shortest time possible.

Success Rates
Our Boston IVF fertility network has supported 75,000+ success stories, and continues to support over 4,000 IVF cycles per year

Our fertility experts perform over 4,000 IVF cycles per year. Our practice is the only fertility provider in Central New York to be selected as an Optum Center of Excellence. This designation recognizes our promotion of best care clinical practice and cost efficacy.

We offer patients access to clinical studies that often offer significant discounts on treatments and medications


Reproductive Endocrinologists are fertility specialist doctors. Their expertise differs from that of an OB/GYN or Family Physician because they are specially trained: after completing four years of OB/GYN training, they continue their education for another three years of advanced training in reproductive endocrinology and infertility. This includes training in assisted reproductive technologies and advanced surgical techniques that give them the knowledge and skills to provide specialty care for infertile men, women, and couples.

At Boston IVF – The Albany Center, our reproductive endocrinologists are committed to educating and empowering patients to make the best choices for their fertility health. Our fertility experts are among the best in their field, and are committed to helping each patient overcome their infertility.


Age is the number one factor in your ability to become and stay pregnant. It has such a big impact on your fertility, that age relative to time trying to conceive is the guiding factor in when to see a fertility specialist.

If you are a woman under age 35, physicians often suggest seeing reproductive endocrinologist if you’ve been trying to conceive for at least one year without success. Women ages 35+ should consider coming in after 6 months of trying. If you are over 40, you should consider a complete fertility evaluation even sooner.

This is because the older you get, the more challenging it can be to get pregnant on your own. Female fertility begins to decline around age 30, with a steeper decrease after age 35. Regardless of your quality of health, the quality and quantity of your eggs decreases naturally over time.
Seeking treatment in a timely manner is one way you can take control of your fertility health, so that time is not lost in your path to starting a family.


Beyond age, it’s important to be aware of medical conditions and situations that warrant seeing a fertility specialist sooner. If any of the following conditions apply to you or your partner, it’s time to schedule an initial consultation with a reproductive endocrinologist:

Is your period irregular, painful, or absent?
Changes in your menstrual cycle, including a lack thereof, or painful periods, can serve as early warning signs for infertility. Periods that last longer than a week, and cycles that are over 38 days in length, are signs of ovulation issues. Irregular ovulation can be a sign of an underlying condition, such as PCOS or endometriosis. A fertility specialist will help be able to diagnose and help manage either condition.

Have you had unsuccessful fertility treatment in the past?
We routinely offer second opinions for patients who have undergone fertility treatment elsewhere in the past. In addition to running a full fertility audit, reviewing your family history and past fertility treatment, your doctor will fill in the gaps with your previous diagnostic testing. This creates a more comprehensive diagnostic picture of your fertility, so your doctor can accurately diagnose and treat your fertility challenges.

Do you have abnormal semen analysis results?
40 percent of all infertility cases are in part due to male-factor infertility. Abnormal semen analysis results are often the result of low or poor quality sperm count, which makes conceiving difficult on your own. A fertility specialist can help you determine the severity of a potential male-factor diagnosis, and offer a range of solutions, such as IVF and ICSI, to help you conceive.

Have you miscarried more than once?
Recurrent miscarriage affects 1-3% of all couples. The majority of miscarriages are caused by chromosomal abnormalities. Abnormalities in an embryo may be caused by age or genetic family history. Hormonal problems, such as diabetes, thyroid disease or thyroid disease are also common causes of recurrent miscarriage. Your reproductive endocrinologist will be able to use diagnostic testing to identify and treat the cause of your miscarriages.

Do I have an STD?
Sexually transmitted diseases can cause blocked or damaged fallopian tubes. Your fallopian tubes must be open and clear for successful pregnancy. Five percent of all infertility cases are caused by STD’s. Our reproductive endocrinologists may recommend IVF or IUI as an effective treatment.

Am I under stress?
Studies link higher stress levels with lower chances of conception. Your stress level, or your partner’s stress level, may play a part in your ability to become pregnant on your own. We have resources available to assist couples with stress management, including individual and couples counseling at our Domar Center for Mind/Body Health.


If you’re able to answer yes to one or more of these questions, it could signal treatable challenges to becoming pregnant, and we strongly suggest meeting with a fertility specialist.


  • Do you have erectile dysfunction?
  • Do you have general concerns about your fertility?
  • Do you have difficulty ejaculating?
  • Are you about to undergo cancer treatment?
  • Have you noticed a change in your sex drive?
  • Do you have a history of undescended testes at birth?
  • Do you have a history of steroid use?
  • Do you have known issues with semen (low motility, low count, poor morphology)?
  • Do you have low semen count?
  • Do you have poor semen morphology?
  • Do you have frequent urinary tract infections?



  • Do you have general concerns about your fertility?
  • Are you under age 35 and have you been trying for a year?
  • Are you age 35-39 and have you been trying for 6 months?
  • Are you age 40+?
  • Are you about to undergo cancer treatment?
  • Do you have irregular periods?
  • Have you had a miscarriage?
  • Do you have PCOS?
  • Do you have endometriosis?
  • Do you have a family history of early menopause?
  • Do you have cycles that vary in length by more than 2 weeks?
  • Do you have cycles that are more than 38 days in length?
  • Do you have periods that last longer than a week?
  • Do you have heavy menstrual bleeding?
  • Do you experience pain during menstruation?
  • Do you have spotting between periods?
  • Are you experiencing a change in your sex drive?



Making the move to see a fertility specialist is a big step for many couples. We’re here to meet you where you’re at, to help you take this journey one step at a time, always forward.

Whether you are ready to set up an initial consultation with a fertility doctor, or would just like some clear answers to your fertility questions, connecting with us via phone or email.

The sooner you meet with a fertility specialist, the sooner we can identify the reasons you’re having a hard time becoming pregnant, and the higher your chance of achieving your dream of parenthood. We are here to help you find your fertility solution.