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5 Sure Signs You Need to See a Reproductive Specialist Now

bromer-button_200px-wideFor the most part, there’s no need to get too concerned if it’s taking more than a few months to get pregnant. Physicians often suggest seeking a complete fertility evaluation from a reproductive specialist or your OBGYN after 6-12 months of trying to conceive with no success. It is important to understand the medical indications for seeing a fertility specialist sooner, since the occurrence of female infertility increases with age – but time isn’t necessarily on everyone’s side.  If any of the following conditions apply to you, it is probably time to make an appointment with a reproductive specialist in a fertility center, sooner rather than later.

 1. You have been trying…kinda

“ During initial consultation with patients, I have many who say  “We haven’t used any Reproductive Specialistforms of contraception in past three years, but we have only really been trying to conceive for about a six months,” which begs the question – What does “trying” really mean?” explains Dr. Jason Bromer. “No matter if you have been actively trying or not, couples having unprotected sexual intercourse for more than 6 or 12 months, depending on age, without conceiving should seek a fertility evaluation.”

“We can  order specialized testing to detect subtle causes of infertility.” says Dr. Bromer. Based on the information learned through testing, reproductive specialists can offer several low-tech treatment options in addition to the widely known In Vitro Fertilization (IVF).  Evaluation and treatment may begin directly with a specialist, if insurance allows. All women over age forty who have been trying to have a baby without success should go directly to a specialist.

2. Your period is here, there, and nowhere –

Irregular periods usually mean irregular ovulation and worse yet, no periods may mean no ovulation, making conception feel like an uphill battle. No matter your age, if ovulation is random or never occurring, seeking the help of a specialist can help get everything back on track.

“Ovulatory disorders broadly break down into two groups: no ovulation and oligo-ovulation (frequently due to PCOS) – when ovulation occurs infrequently or irregularly.” explains Dr. Bromer.  Medications such as Clomid and treatment options such as Intrauterine Insemination can induce ovulation and help patients conceive faster.

3. The Semen Analysis in your fertility work-up came back abnormal –

If you have received abnormal semen analysis results, you should see a reproductive specialist, unless your doctor offers Intrauterine Insemination (IUI), which in mild cases can help Semenovercome male factor infertility. When the male partner’s sperm count is low or of poor quality, it can make conception significantly more difficult. Seeing a reproductive specialist can help to determine the severity of a potential male factor diagnosis and offer simple to advanced solutions to help you conceive. “The good news if you have a low sperm count, explains Dr Bromer, is that it only takes one egg and one sperm to make a great embryo.” Technology today like IVF and Intra-cytoplasmic sperm injection (ICSI) help patients with even the lowest sperm counts overcome infertility.

4. You have experienced two or more miscarriages.

It is a common misconception that women who have miscarriages are just fine because “they can get pregnant.” “In fact, having multiple miscarriages is a very specific type of fertility problem that affects 1-3% of all couples.” explains Dr Bromer. “The majority of miscarriages can be attributed to genetic abnormalities in the embryo, while other causes include hormonal problems like diabetes, thyroid disease, undetected structural problems in the uterus, and advanced reproductive age.”  Anyone who has experienced two or more miscarriages should see a reproductive specialist.

5. Treatment at the primary care or OBGYN isn’t working –

The very first thing your primary care physician will do is review your medical history and initiate fertility testing for both partners.  It is very important that each of the following  tests be performed prior to initiating any kind of fertility treatment, because each one evaluates male and female reproductive functions that are required to conceive.

These basic tests include:

  • Day 3 blood work – Are my reproductive hormones functioning normally?
  • Anti Mullarian Hormone Test – How many eggs do I have?
  • Hysterosalpingogram – Is my uterus shaped normally and are my tubes open?
  • Semen Analysis – Does my partner have enough sperm and are they healthy?

 It’s Time to See a Reproductive Specialist

Making the move to see a specialist is a big step for many people. Patients often second-guess themselves about the need to see a specialist. Or they worry that it won’t work or how much it’s going to cost. It’s best to take it one step at a time. By scheduling a new patient consultation, which is covered by insurance in 90% of cases, you will get the answers you need to continue walking forward.

To schedule a new patient consultation or to ask questions, we encourage you to call our New Patient Call Center at 1-877-971-7755 or click here.


  1. Kaylie

    May 14, 2018 - 2:14 am

    I’m trying to get percent but I can’t what should I do?

  2. Ben Allen

    November 29, 2016 - 7:59 pm

    I appreciate the tips on whether or not seeing a fertility clinic is good. Infertility is an unfortunate problem for a lot of people who want to have children, it makes me sad to hear about problems that people have. My sister and her husband are having some fertility problems and they have been debating on whether or not they should go see a fertility specialist, I will be sure to share this information with her.

  3. Linda Hudson

    August 11, 2016 - 10:44 am

    Many couples doesn’t know the actual reason behind the delay in having child. But due to social fear they ignore consulting a fertility expert, Which I think is an inevitable decision in such cases. You share such an informative post, its really useful for many couple. Seeking an expert advice is no harm, but infact the earlier you get to know the problem the earlier you get the solutions. I remember when we were trying for a baby but failed to do so. Then our Cloudnine fertility experts point out the reason of our hectic schedule & unbalanced lifestyle to root cause for us to not having child. We work on it & now we are a proud parents.

  4. Alex Trodder

    March 7, 2016 - 11:48 pm

    Having an exceptionally irregular or absent menstrual cycle can be a sign of a serious health problems. It could be caused by nutritional concerns, obesity, hormone deficiencies, or other health risks. Even if you aren’t trying to conceive, if you are experiencing highly unusual menstrual cycles be sure to visit a gynecologist.

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    September 13, 2014 - 5:16 am

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  6. Anthony

    November 23, 2013 - 6:33 am

    You have touched some good points here, and I found it quite useful. Maybe you can elaborate those ideas you shared in a future post. Anyway, keep up with your writing! I’m sure more people will be more interested in your website in the future.

  7. Tonia Peach

    August 8, 2013 - 6:43 pm

    Dr.Bromer is our fertility Dr.we love him and everyone at shady grove it is a very emotional time and everyone there is wonderful and very understanding to your emotions and stress

  8. Lucy E. Aguilar

    August 7, 2013 - 10:29 pm

    Hi my name Lucy and I’m 42 yrs old. I had my tubes tied 1993 & untied in 2001. I have 4 beautiful children all vaginal births. And since then I have remarried in 2005 and been trying to conceive with no success. I had an exploratory, hystrosalpengram, and other testings done. I am still ovalating and have regular 7 day periods every month. But after test came back, results stated I only have one working fallopen tube with minimal flow, there was a lot of scar tissue left after surgery. My OB-gyn tried a 2nd time thru an explorary to remove of the scarring around the good fallopen tube but was not successful removing all of it, but manage to get some flow going thru tube. But it’s been a whole year since the last operation and no signs of pregnancy til this point in time. I would like an experts/ specialist opinion in this matter. There’s nothing more in life that matters to us then being able to conceive precious life. Oh, my husband was proven to conceive a child from a past one night stand. So we are confident he’s not the problem, I am! Please help, thank you for taking the time to read this email.

    Lucy E. Aguilar

    • Shady Grove Fertility

      August 8, 2013 - 12:03 pm

      Hi Lucy – Thank you for reaching out to us. It is common that even after perfectly healthy pregnancies, that women may have trouble conceiving again. It sounds as though you have made all the right steps, and the next step would be to see a specialist. Whether it is attempting to remove the scar tissue or deciding to go ahead with other treatment that we wouldn’t need a fallopian tube, our physicians will be able to help you. Please call our New Patient Center at 1-877-971-7755 or click here to request a consultation: http://bit.ly/SGFappt. Thank you.

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