Table of Contents
Endometriosis
Endometriosis is a relatively common disorder in women, and it can affect fertility. Women who already know they suffer from endometriosis when they decide they would like to become pregnant should talk to their healthcare provider about a treatment plan, where relevant. Symptoms that may point to endometriosis include pelvic pain, severe menstrual cramps, pain during and after intercourse, heavy menstrual periods and even bleeding in between two periods. Infertility — the inability to conceive — is yet another symptom of endometriosis.

PCOS
Polycystic Ovary Syndrome is another female reproductive disorder that can affect fertility. Its symptoms include excessive weight gain regardless of diet, very irregular and sometimes absent menstrual periods, excessive hair growth, and skin problems such as acne, oily skin and even dandruff.
Being overweight or underweight can affect fertility in box sexes as well, something that deserves to be mentioned in its own right. Women who have repeatedly tried to get their overweight under control without success despite taking adequate measures should definitely see their doctor about the possibility they may have PCOS, particularly if they also have other symptoms.
Age
Age is still the Number One cause of infertility. Rather than being a medical disorder, it simply represents the gradual tapering off of fertility in all women. While women have around a 20 percent chance of getting pregnant during each cycle at age 30, that drops to around five percent a decade later. This is why women older than 35 are encouraged to seek medical help after trying to conceive unsuccessfully for six months. Though men have the reputation of being fertile till the day they die, fertility can and does decrease with age for them as well.
Male Infertility
Though erectile dysfunction is one obvious sign of infertility (a man's inability to get his partner pregnant), most cases of male infertility are much subtler. It tends to be the result of sperm problems like a low sperm count, or problems with the sperm cells' movement or shape. Sperm production or delivery problems can also lead to male infertility. Physical obstructions can be the cause, but less obvious hormonal disorders can be to blame as well.
Though many people still automatically think the woman must have fertility problems if a couple is unable to achieve pregnancy, male infertility is as common as female infertility. Around a third of all cases of infertility can be attributed to male infertility, and the same figure goes for female infertility. The cause of infertility can either be attributed to both partners, or it remains unexplained, in the remaining third of cases.
See Also: Infertility Medical Conditions in Men
When To See A Doctor?
The warning signs we described here can point to infertility, as can a few other things like a history of sexually transmitted diseases or not eating a very healthy diet. People who recognize themselves in these warning signs have a good reason to seek medical help even before their 12 or six months of trying to conceive are up. However, it is worth repeating that a lack of symptoms does not necessarily mean infertility is not a factor — and couples who have been trying to conceive without success should certainly see a doctor if they would like to find out what is going on and are comfortable with the idea of pursuing artificial reproductive technologies.
Which doctor you'll see depends on where you live. Generally speaking, you have three different options. Seeing your family doctor (or general practitioner) for a referral is one possibility. You can also go to a good gynecologist, or see an infertility specialist right away. These are called reproductive endocrinologists.
- Photo courtesy of Pedro Ribeiro Simões by Flickr : www.flickr.com/photos/pedrosimoes7/8261878382
- Photo courtesy of Sergio Vassio Photography by Flickr : www.flickr.com/photos/expose_switch/4658827080
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