Infertility is a complex and private subject that often goes undiscussed, yet it affects millions of people yearly. The first step when you’re struggling with conceiving is to consult your OB/GYN. Your gynecologist is equipped to perform a fertility evaluation and make further recommendations. Some common reasons for infertility include age, your partner’s fertility, sexually transmitted diseases, being underweight or overweight, and other lifestyle factors.
When To Speak To Your OB/GYN About Infertility
According to the American Society for Reproductive Medicine, irregular or abnormal ovulation accounts for approximately 25 percent of all female infertility problems. Here at Raleigh OB/GYN, we know infertility is a complicated topic and can be easily misconstrued — luckily, we are here to help you through this journey.
1. Endometriosis
Endometriosis is a disease in which the presence of tissue resembling the lining of the uterus (endometrium) grows outside the uterus. Signs of endometriosis include painful periods, abnormal bleeding, pain with intercourse, pain with bowel movements, changes in urination, and infertility. An estimated 40% of women with infertility have endometriosis. Seeking treatment for infertility is often how many women are first diagnosed with endometriosis. If you have any of the symptoms above or are diagnosed with endometriosis and trying to conceive, it is recommended that you set up an appointment with your OB/GYN.
2. Irregular Menstrual Cycles
Irregular periods do not directly cause infertility, however, the lack of these cycles can make it difficult to fall pregnant. Irregular or abnormal ovulation accounts for 30% to 40% of all infertility cases. This condition is known as anovulation and includes irregular periods, abnormal bleeding, or no period at all. Any signs or symptoms of irregular menstrual cycles warrant a visit to your OB/GYN.
3. Sexually Transmitted Diseases (STDs)
Sexually transmitted diseases have been associated with directly or indirectly causing infertility in both men and women. Specifically, chlamydia and gonorrhea can affect fertility as they can turn into pelvic inflammatory disease (PID) in women. STDs often present with no symptoms and, when left untreated, can result in more damage. Getting regular STD screening through your OB/GYN can help prevent complications, including infertility.
4. Uterine Fibroids
Uterine fibroids are growths in the uterus made of uterine muscles. Fibroids can cause infertility due to a blockage of the uterus and fallopian tubes. Symptoms of uterine fibroids include
- Pelvic pressure or pain
- Constipation
- Heavy menstrual bleeding
- Menstrual periods lasting more than seven days
- Frequent urination
Fibroids have been linked to infertility and pregnancy complications such as placental abruption, preterm delivery, and growth restriction. Luckily, a procedure known as a myomectomy can be performed to remove fibroids while preserving the uterus.
5. Failure To Achieve Pregnancy After 12 Months Of Unprotected Sex
According to the Centers for Disease Control and Prevention, the medical definition of infertility is the inability to get pregnant after one year or longer of unprotected sex. If you are having trouble conceiving, the first step is to visit your OB/GYN. From there, your provider will go through your medical history, vaccinations, dietary guidance, lifestyle and behaviors, and exam health screenings.
At Raleigh OB/GYN, we believe that patient education is an invaluable tool. For that reason, our doctors and staff provide patients with the information necessary to make informed decisions about their health and body, along with screenings and tests that can help detect underlying causes of infertility. We want to ensure you understand everything about your fertility journey and how having a healthy cycle impacts your overall well-being. If you have been struggling with infertility, set up an appointment to talk to your doctor. You can schedule an appointment through our website or give us a call at (919) 876-8225.
