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When to seek
help?

Did you know, while a fertile 30-year-old woman has about a 20% chance of getting pregnant during each cycle, by age 40 those chances have dropped to about 5%.1

For couples below 35 years old, you should seek advice from fertility specialist after 1 year of trying.1

For women who are older than 35 years old, you should seek advice from fertility specialist after 6 months of trying as age-related decline in fertility is more rapid in the mid to late 30s and 40s.1

For couples who has the below history, you should seek advice from fertility specialist sooner than a year2:

Women

  1. Irregular menses
  2. History of endometriosis
  3. History of tubal ligation, ectopic pregnancy and pelvic infection
  4. Recurring miscarriages

Men

  1. Abnormal semem analysis, erectile or ejaculatory problems
  2. History of vasectomy

References:

  1. European Society of Human Reproduction and Embryology (ESHRE). ART fact sheet. Press information. Available at: new.eshre.eu/~/media/sitecore-files/Annual-meeting/Lisbon/ART-fact-sheet.pdf?la=en. Accessed: February 2018.
  2. American Society for Reproductive Medicine (ASRM). Age and fertility. A guide for patients. 2012. Available at:
    http://www.reproductivefacts.org/globalassets/rf/news-and-publications/bookletsfact-sheets/english-fact-sheets-and-info-booklets/Age_and_Fertility.pdf. Accessed: February 2018.
  3. Chandra, A., Copen, C.E., & Stephen, E.H. (2013). Infertility and Impaired Fecundity in the United States, 1982-2010: Data From the National Survey of Family Growth. National Health Statistics Reports, 67, 1-19. Retrieved February 7, 2018, from https://www.cdc.gov/nchs/data/nhsr/nhsr067.pdf
  4. American Society for Reproductive Medicine (ASRM). Prevalence of infertility in the United States as estimated by the current duration approach and a traditional constructed approach. 2013. Available at:
    https://www.fertstert.org/action/showPdf?pii=S0015-0282%2812%2902449-1
  5. American Society for Reproductive Medicine (ASRM). Age and fertility. A guide for patients. 2012. Available at:
    http://www.reproductivefacts.org/globalassets/rf/news-and-publications/bookletsfact-sheets/english-fact-sheets-and-info-booklets/Age_and_Fertility.pdf. Accessed: February 2018.
  6. Department of Statistics Malaysia. (n.d.). Department of Statistics Malaysia.
    https://www.dosm.gov.my/v1/index.php?r=column/cthemeByCat&cat=165&bul_id=UDlnQ05GMittVXJWZUVDYUFDcjVTZz09&menu_id=L0pheU43NWJwRWVSZklWdzQ4TlhUUT09
  7. ‘Population Trends’ publication, the Infographics on ‘Total Fertility Rate’ https://www.singstat.gov.sg/-/media/files/publications/population/population2021.pdf
  8. Infertility FAQs. (n.d.). Centers for Disease Control and Prevention.
    https://www.cdc.gov/reproductivehealth/infertility/index.htm#:~:text=In%20general%2C%20infertility%20is%20defined,6%20months%20of%20unprotected%20sex.
  9. Dunson D, et al. Hum Reprod 2002;17(5):1399–1403.
  10. Harris I, et al. Rev Urol 2011;13(4):e184–e190
  11. The American College of Obstetricians and Gynecologists Committee on Gynecologic Practice and The Practice Committee of the American Society for Reproductive Medicine. Fertil Steril 2014;101(3):633–634.
  12. The American College of Obstetricians and Gynecologists Committee on Gynecologic Practice and The Practice Committee of the American Society for Reproductive Medicine. Fertil Steril 2014;101(3):633–634.
  13. American Society for Reproductive Medicine (ASRM). Age and fertility. A guide for patients. 2012. Available at
    http://www.reproductivefacts.org/globalassets/rf/news-and-publications/bookletsfact-sheets/english-fact-sheets-and-info-booklets/Age_and_Fertility.pdf. Accessed: February 2018.
  14. American Society for Reproductive Medicine (ASRM). Age and fertility. A guide for patients. 2012. Available at
    http://www.reproductivefacts.org/globalassets/rf/news-and-publications/bookletsfact-sheets/english-fact-sheets-and-info-booklets/Age_and_Fertility.pdf. Accessed: February 2018.
  15. The American College of Obstetricians and Gynecologists Committee on Gynecologic Practice and The Practice Committee of the American Society for Reproductive Medicine. Fertil Steril 2014;101(3):633–634.
  16. The American College of Obstetricians and Gynecologists Committee on Gynecologic Practice and The Practice Committee of the American Society for Reproductive Medicine. Fertil Steril 2014;101(3):633–634.
  17. George K and Kamath M. J Hum Reprod Sci 2010;3:121–123.
  18. American Society for Reproductive Medicine (ASRM). Age and fertility. A guide for patients. 2012. Available at
    http://www.reproductivefacts.org/globalassets/rf/news-and-publications/bookletsfact-sheets/english-fact-sheets-and-info-booklets/Age_and_Fertility.pdf. Accessed: February 2018.
  19. George K and Kamath M. J Hum Reprod Sci 2010;3:121–123.
  20. American Society for Reproductive Medicine (ASRM). Age and fertility. A guide for patients. 2012. Available at
    http://www.reproductivefacts.org/globalassets/rf/news-and-publications/bookletsfact-sheets/english-fact-sheets-and-info-booklets/Age_and_Fertility.pdf. Accessed: February 2018.
  21. US Department of Health & Human Services. Female Infertility. Available at: https://www.hhs.gov/opa/reproductive-health/female-infertility/index.html. Accessed: January 2018.
  22. American Society for Reproductive Medicine (ASRM). Fibroids and fertility. Fact sheet. 2015. Available at:
    http://www.reproductivefacts.org/globalassets/rf/news-and-publications/bookletsfact-sheets/english-fact-sheets-and-info-booklets/fibroids_and_fertility_factsheet.pdf. Accessed: February 2018.
  23. American Society for Reproductive Medicine (ASRM). Endometriosis and infertility: A committee opinion. 2012. http://www.fertstert.org/article/S0015-0282(12)00585-7/pdf. Accessed: March 2018.
  24. American Society for Reproductive Medicine (ASRM). Age and fertility. A guide for patients. 2012. Available at:
    http://www.reproductivefacts.org/globalassets/rf/news-and-publications/bookletsfact-sheets/english-fact-sheets-and-info-booklets/Age_and_Fertility.pdf. Accessed: February 2018.
  25. American Society for Reproductive Medicine (ASRM). Age and fertility. A guide for patients. 2012. Available at:
    http://www.reproductivefacts.org/globalassets/rf/news-and-publications/bookletsfact-sheets/english-fact-sheets-and-info-booklets/Age_and_Fertility.pdf. Accessed: February 2018.
  26. American Society for Reproductive Medicine (ASRM). Medications for inducing ovulation. A guide for patients. 2016. Available at:
    http://www.reproductivefacts.org/globalassets/rf/news-and-publications/bookletsfact-sheets/english-fact-sheets-and-info-booklets/booklet_medications_for_inducing_ovulation.pdf. 2014. Accessed: February 2018.
  27. Melo A, et al. Clinics (Sao Paulo) 2015;70:765–769.
  28. Martyn F, et al. Human Reproduction 2014;29:2092–2098.
  29. Khalaf Y. BMJ 2003;327(7415):610–613.
  30. American Society for Reproductive Medicine (ASRM). Role of tubal surgery in the era of assisted reproductive technology: a committee opinion. 2015. Available at:
    http://www.asrm.org/globalassets/asrm/asrm-content/news-and-publications/practice-guidelines/for-non-members/role_of_tubal_surgery_in_the_era_of_assisted_reproductive_technology-noprint.pdf. Accessed: March 2018.
  31. American Society for Reproductive Medicine (ASRM). Endometriosis and infertility: A committee opinion. 2012. http://www.fertstert.org/article/S0015-0282(12)00585-7/pdf. Accessed: March 2018.
  32. American Society for Reproductive Medicine (ASRM). Age and fertility. A guide for patients. 2012. Available at:
    http://www.reproductivefacts.org/globalassets/rf/news-and-publications/bookletsfact-sheets/english-fact-sheets-and-info-booklets/Age_and_Fertility.pdf. Accessed: February 2018.

Disclaimer : The information provided by Merck is not a substitute for professional medical care or advice and intended for educational purposes only and should be used only as an aid in understanding the medical condition and treatment. A physician or another healthcare professional should always be consulted for any health problem or medical condition.

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