As infertility itself is a symptom, there is no need to wait for any other signs to realize the issue. However, it is advisable to check if your ovulation is proper or not.
Too long a menstrual cycle, say 35 days or more or too short a cycle, say less than 21 days, could be a sign of improper ovulation. Irregular or absence of menstrual cycle is also the sign of being infertile, though there may be no other outward symptoms.
How does fertility happen?
Every step in the human reproductive system has to work like a well-oiled machine for fertility to happen. The steps in this process involve the following:
- A mature egg being released by one of the two ovaries
- Fallopian tube picking up that egg
- Sperm reaching the cervix, through the uterus and into the fallopian tube to reach the egg and subsequently fertilization happens
- Through the fallopian tube, the fertilized egg reaches the uterus
- The fertilized egg implants in the uterus
- Growth of the fertilized egg takes place in the uterus
It is time to see a doctor…
Here age is the principal factor that determines if you have to go and seek the opinion of a fertility specialist. As a rule of thumb, up to age 35 infertility tests and treatments are not started before one year of active sex. For women between the age bracket of 35 and 40, at least six months of active intercourse are recommended before disclosing your concerns with the doctor. For ladies who are older than 40, your doctor may go for tests and treatments without losing any further time.
However, if you are suffering from any known fertility issues, for example, past medical history of erratic or painful menstruation, endometriosis, chemotherapy or radiation therapy, repeated miscarriages, pelvic inflammatory disease etc., your doctor may go against the age-linked guidelines and begin testing and treatments straight away.
It is high time you contacted your healthcare provider, if you are suffering from any one of the following symptoms:
- Abnormal bleeding
- Abdominal pain
- Fever
- Unusual discharge
- Pain or discomfort during intercourse
- Soreness or itching in the vaginal area