What can we consider normal fertility?
We consider it to be normal if a woman takes up to one year to get pregnant. This may seem a long time, but this is the reality as seen in fertility studies.
One of the determining factors in women’s fertility is age. At the end of the first year, between 80% and 90% of women under 35 has achieved pregnancy. However, between 35 and 40 years, at the end of the first year, the percentage of pregnant women does not exceed 70%. When the woman is over 40, this percentage further decreases to 20%. When a woman exceeds the amount of time mentioned above, we can speak of the existence of feminine infertility and a specialist should be consulted.
What is the difference between ‘sterility’ and ‘infertility’?
The difference between ‘sterility’ and ‘fertility’ can be explained by the fact that in the first case, the woman has never achieved pregnancy. On the contrary, a patient suffering from infertility can or cannot achieve pregancy, but this pregnancy has not ended in a live child being born (as is the case for example with repeated miscarriages).
Infertility and sterility are two terms that even thoughthey might have the same result -the couple is unable to have a baby- they are completely different and the causes and treatments are, too..
Is it the same problem when I don’t get pregnant as when I do, but I have a miscarriage?
This is not the same problem, and although in both cases you do not have a baby, the causes are different. In fact, the studies and treatments for each case are completely different.
When should I be worried?
Generally, a couple has a 25% chance of achieving pregnancy each month they try. After 6 months, 60% of couples has achieved pregnancy and this percentage increases to 80% after a year.
Therefore, it is recommended to consult a specialist in assisted reproduction if pregnancy is not achieved after one year of unprotected sexual intercourse.
When should I see a specialist in assisted reproduction?
In general, a woman who has tried to get pregnant during one year (obviously, having sexual intercourse with a certain regularity) without achieving this, should initially ask her gynaecologist for advice. If the woman is over 35, it is recommended to see her gynaecologist after 6 months of trying to achieve pregnancy.
The causes of infertility vary greatly; it is estimated that approximately 40% is due to a fertility issue in women, another 40% to infertility issues in men, and the final 20% to mixed issues.
Which specialist is the right one for my fertility problem?
The right doctor to assess, diagnose and treat infertility is a gynaecologist specialised in Reproductive Medicine. After a detailed clinical history, in the majority of cases a basic fertility study is carried out, or if the diagnosis can be clearly deducted from the clinical history, other complementary tests can be done.
A physician specialised in Reproductive Medicine will be the indicated person to determine the causes of the infertility or sterility and conclude if this is a problem of the woman, the man or a mixed problem. Once diagnosed, he will prescribe the most adequate treatment, based on the detected causes of infertility or sterility.