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If a couple is unable to conceive after a year (if the woman is under 35) and six months, infertility is typically considered (if the woman is over 35). A visit to the woman’s gynaecologist for an evaluation is typically the initial step when a couple is concerned about infertility.
The couple will be directed to a reproductive endocrinologist, who is the most common kind of fertility doctor, after this initial evaluation. Due to the disease’s tremendous complexity, successful therapy for infertility calls for specific knowledge.
What is a Reproductive Endocrinologist?
Reproductive endocrinologists (REs) are specifically educated gynaecologists who concentrate on issues relating to infertility in both men and women. They have extensive understanding of conditions and issues such endometriosis, uterine anomalies, fallopian tube issues, and polycystic ovarian syndrome (PCOS). They will also be the ones to oversee fertility treatments like intrauterine insemination (IUI) and in vitro fertilisation. They are often the main advisors throughout the entire fertility testing and treatment processes (IVF).
As a person is being evaluated and treated for infertility, REs will typically recommend and coordinate the various types of treatments and specialists that a person may need. This can entail getting in touch with and communicating with other pertinent experts including oncologists, andrologists, as well as lab personnel like embryologists.
Although REs treat both men and women, they typically take the lead on issues relating to female fertility. Patients may be directed to an andrologist, a specialised sort of urologist, if they require a male fertility specialist.
What is an Andrologist?
The experts in male fertility are known as andrologists. They are comparable to REs in terms of gynaecologists, at least inasmuch as they begin as urologists before spending years furthering their specialisation in male reproductive health. An andrologist will normally be in charge of looking at reproductive issues in more detail, whereas a reproductive endocrinologist will likely be in charge of the initial examination, which will likely involve a full physical, DNA testing, initial semen analysis, and tests for sperm health.
In order to find solutions to fertility challenges, andrologists and REs may collaborate to examine problems like infections and erectile dysfunction. Additionally, they could be in charge of complex procedures like testicular sperm extraction (TESE).
Additional Fertility Care Roles
The following other health professionals collaborate with fertility specialists:
- Embryologists. They participate in IVF and other forms of assisted reproduction while also collaborating with REs and other fertility specialists to help solve issues at the embryonic level.
- Experts in reproductive immunology. They have exceptional expertise in both immunology and reproduction. They might look at cases of recurrent miscarriage or work with patients who have autoimmune disorders like lupus.
- Reproductive doctors. If highly specialised reproductive surgery is required, such as a vasectomy or the removal of fibroids, they might collaborate with REs.
- Counsellors. The majority of fertility clinics have counsellors on staff to assist with the psychological aspects of reproductive issues.