Medical care has evolved to allow patients with the most challenging issues to receive care by the most highly trained doctors. This has rapidly advanced care and improved patient outcomes. With an understanding that age is THE most challenging fertility factor, delays and lost time are the most hazardous impediments to a successful pregnancy.
Experience with current fertility treatments suggests that the following are situations where patients should be immediately referred to a Fellowship-trained, Board Eligible/Certified Reproductive Endocrinologist (REI):
- Women who are ≥ 35 years old
- Low ovarian reserve
- Failed conception after 3 months of fertility pills
- Women experiencing repeated miscarriage
- Damaged fallopian tubes
- Known endometriosis, or suspected by menstrual pain and other symptoms
- Men with persistently abnormal semen analysis
- Any combination of fertility problems
Other special situations include:
- Patient anxiety and concerns
- Couples whose time together is or will be limited
