Who's Who in the Infertility World?

An Infertility Starting Lineup

By Neilia Sherman

Women 35 and older have half the probability of getting pregnant than women 27 or younger, according to a recent study published in the Journal of Human Reproduction. Fertility declines with age and can never be taken for granted.

Nearly five million American couples experience infertility, and many of these people enter the world of infertility treatment. Infertility affects people of all ages and for a multitude of reasons. Some couples try on their own for years, whereas others seek out medical assistance early on.

But where to start? How do you know when to consider talking to a medical professional? Infertility is defined as the inability to conceive after at least one year of unprotected intercourse. Since most couples will conceive during this year, physicians recommend that people unable to do so be assessed for fertility problems.

Let's look at the route taken by a fictional couple, Bethany and Daniel. They are both 30 years old and started trying to get pregnant one year into their marriage. A year later, Bethany is concerned and upset by the sight of her period every month. Daniel doesn't show his emotions as much, but is struggling with his own fears of being "not enough of a man" to get his wife pregnant.

Bethany finally decides to discuss her concerns with a medical professional. She wants a midwife to guide her through pregnancy and childbirth. However, most midwives don't get involved with preconception issues unless they are part of a practice that provides routine women's health examinations or family planning services. In addition, the ability of a midwife to order tests or medications is limited, depending on where she practices. As a result, Bethany decides to talk with her family physician.

Want to see more?

• The Infertility Marketplace: What to Ask a Healthcare Provider
• Trouble Conceiving? Get the Right Medical Care!
• Preconception Visits: Working With Your Doctor
• Talk about it!