Dr. Ritika Gupta

Consultant Obstetrician & Gynaecologist
Laparoscopic & Robotic Surgeon
MBBS, MS (Obs & Gyn), FMAS, DMAS, Dip. USG

INFERTILITY – WHEN TO SEEK HELP

Understanding timelines. Reducing anxiety. Knowing when guidance matters. Difficulty in conceiving can be one of the most emotionally challenging experiences for a couple. Questions, self-doubt, pressure from family, and conflicting advice often add to the stress. It is important to understand that infertility is common, often treatable, and rarely anyone’s fault. Knowing when to seek medical guidance helps avoid unnecessary delay, anxiety, and inappropriate treatment. WHAT IS CONSIDERED NORMAL WHEN TRYING TO CONCEIVE? For most healthy couples: In general: This does not mean something is wrong — it simply helps ensure timely evaluation if needed. WHEN SHOULD A COUPLE SEEK HELP FOR INFERTILITY? It is advisable to consult if: Seeking guidance early does not mean starting treatment immediately — it means understanding the situation better. INFERTILITY IS A COUPLE’S CONCERN One of the most important principles in infertility care is recognising that:Infertility involves both partners. Evaluation is always done as a couple, because: Focusing on only one partner delays diagnosis and increases frustration. COMMON CAUSES OF INFERTILITY In Women In Men In many cases, causes are correctable or manageable once identified. WHAT DOES INITIAL INFERTILITY EVALUATION INVOLVE? A proper evaluation is structured, not excessive. For the Female Partner For the Male Partner Unnecessary investigations are avoided. The goal is clarity, not complexity. DOES SEEKING HELP MEAN IVF IS REQUIRED? No. This is one of the most common and most distressing misconceptions. Many couples conceive with: Advanced treatments such as IVF are considered only when indicated, and after discussing alternatives, expectations, and timelines clearly. THE ROLE OF AGE IN INFERTILITY Age influences fertility, particularly egg quality and quantity. However: Understanding age-related changes allows timely and appropriate decisions, not panic. ROLE OF SURGERY IN INFERTILITY Sometimes, anatomical factors affect fertility. Minimally invasive surgery may help in selected cases, such as: Surgery is recommended only when it improves the chance of conception, not as a routine step. EMOTIONAL ASPECTS OF INFERTILITY Infertility affects emotional well-being as much as physical health. Couples may experience: Compassionate counselling, honest communication, and realistic expectations are central to infertility care. Taking breaks, seeking support, and focusing on emotional health are equally important. COMMON MYTHS ABOUT INFERTILITY Myth: Infertility always means permanent inability to conceiveFact: Many causes are temporary or treatable Myth: Treatment must be aggressiveFact: Step-wise care is often effective Myth: Only women are responsibleFact: Male factors are equally important Accurate information prevents unnecessary fear. FREQUENTLY ASKED QUESTIONS Should we consult even if periods are regular? Yes, if pregnancy has not occurred within the recommended time frame. Is stress the main cause of infertility? Stress can affect cycles, but medical factors should be evaluated properly. Is infertility treatment always long and expensive? Not necessarily. Many couples conceive with simple interventions. Should treatment be started immediately after evaluation? Only if clinically indicated. Sometimes reassurance and guidance are enough. A REASSURING FINAL NOTE Seeking help for infertility is not a sign of failure — it is a step toward understanding. Early, ethical evaluation allows: If you are unsure whether it is time to seek guidance, a consultation provides clarity without obligation.