Many individuals and couples have questions about their fertility, especially when pregnancy does not occur as quickly as expected. While it can take time to conceive, certain factors may affect fertility and sometimes additional evaluation is recommended. Understanding when to seek evaluation and what testing may be involved can help you feel more informed and prepared.
The resources below provide information about fertility evaluation, common causes of infertility, diagnostic testing, and factors that can influence fertility. I hope these materials help you better understand the fertility evaluation process and the options available to you.
Most healthy couples do not conceive immediately. Pregnancy often takes time, even when no fertility problems are present.
In general, fertility evaluation may be considered if:
• You are under age 35 and have been trying to conceive for 12 months without success
• You are age 35 or older and have been trying to conceive for 6 months without success
• You have very irregular or absent menstrual cycles
• You have known endometriosis, PCOS, or a history of pelvic infections
• You have experienced recurrent pregnancy loss
• You have concerns about your fertility or reproductive health
Evaluation may be appropriate sooner depending on your age, medical history, and individual circumstances.
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A fertility evaluation is designed to assess ovulation, egg supply, sperm quality, fallopian tube function, and the uterus.
Common components of the evaluation may include:
• Blood work (including hormone testing and ovarian reserve testing)
• Pelvic ultrasound
• Semen analysis
• Hysterosalpingogram (HSG) to evaluate the fallopian tubes and uterine cavity
• Additional testing based on individual circumstances
Not every patient requires every test, and recommendations are individualized based on age, symptoms, and medical history.
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While many aspects of fertility evaluation can be initiated through an OB/GYN office, some patients may benefit from consultation with a reproductive endocrinology and infertility (REI) specialist. Reasons for referral may include advanced fertility treatments, IVF, recurrent pregnancy loss, diminished ovarian reserve, severe male factor infertility, or other complex fertility concerns.
The following fertility centers are commonly used by patients in the Charlotte area:
Reproductive Specialists of the Carolinas
https://fertilitycarolinas.com
1918 Randolph Rd., Suite 410, Charlotte, NC 28207
Phone: (704) 247-2209 Fax: (704) 247-2210
Carolinas Fertility Institute
https://www.carolinasfertilityinstitute.com
2614 E. 7th Street, Ste. C Charlotte, NC 28204
Phone: 980-256-2233 Fax: 980-256-2234
Reproductive Endocrinology Associates of Charlotte (REACH)
https://www.reachfertility.com
1524 East Morehead Street Charlotte, NC 28207
Phone: 704.343.3400 Fax: 704.370.0427
Atrium Health CMC Women's Institute
https://atriumhealth.org/medical-services/prevention-wellness/womens-health/fertility-and-reproduction#location
1025 Morehead Medical Drive Suite 500 Charlotte, NC 28204
Phone: 704-355-3149