Fertility Specialist or Gynaecologist: When and Why to Seek Help

A Fertility Specialist or a Gynaecologist – Who Should You Consult?

Women often experience changes in their bodies, especially around their monthly cycles. Many also face reproductive health issues, which may first show up through menstrual irregularities. Addressing these problems early can help prevent future complications. The key is to consult the right doctor at the right time—either a gynaecologist or a fertility specialist—depending on your specific concerns.

Here are the important factors to consider:

Factors That Influence Your Choice Between Gynaecologist and Fertility Specialists

1. Medical History

If you have a history of repeated miscarriages, sexually transmitted infections (STIs), or conditions like obesity, this plays a major role in deciding whom to consult.

2. Age

For couples above 35 struggling to conceive, it’s often better to consult a fertility specialist rather than only relying on a gynaecologist.

3. Duration of Trying to Conceive

If you’ve been trying to conceive for a year (or six months if over 35) without success, it may be time to see a fertility specialist.

4. Partner’s Fertility Health

Low sperm count, erectile dysfunction, or other male fertility issues are also deciding factors when choosing the right doctor.

When to Consult a Gynaecologist

A gynaecologist (OB-GYN) specialises in women’s overall reproductive health. They treat conditions such as menstrual irregularities, PCOD, fibroids, and uterine issues. Gynaecologists also manage pregnancy, contraception, menopause, and certain fertility-related concerns. While they can prescribe basic fertility treatments (like ovulation-inducing medications), they are not specialised in advanced fertility procedures unless they have undergone additional training.

You should see a gynaecologist if:

• You’re planning a pregnancy or have just started trying (preconception counselling).
• You are pregnant and need regular checkups.
• You have irregular cycles, PCOD, or other menstrual issues.
• You need contraception or family planning advice.
• You want guidance in tracking your ovulation cycle.

When to Consult a Fertility Specialist

Fertility specialists are doctors trained in reproductive medicine and infertility. They undergo advanced training in reproductive endocrinology and infertility management. Their expertise lies in diagnosing and treating causes of infertility in both men and women through advanced treatments like IVF, IUI, and other assisted reproductive techniques.

You should see a fertility specialist if:

• You’ve experienced multiple miscarriages.
• You’ve been trying to conceive for more than a year (or six months if over 35).
• You’re above 35 years of age with fertility concerns.
• You have reproductive conditions such as PCOD, anovulation, pelvic inflammatory disease, endometriosis, fibroids, tubal blockages, or low ovarian reserve.
• Your partner has problems such as low sperm count, erectile dysfunction, poor motility, varicocele, or azoospermia.
• You’ve had failed IUI or IVF cycles and want to explore further options.
• You’re considering assisted reproductive techniques like IVF, IUI, or donor programs.

Choosing the Right Specialist

Deciding between a gynaecologist and a fertility doctor is crucial for your reproductive health. A gynaecologist is best for routine reproductive care and early fertility management, while a fertility specialist is essential when advanced treatments or deeper investigations are needed. Consulting the right expert ensures personalised care tailored to your unique situation.

FAQs

1. Why should I see a fertility specialist?

A fertility specialist helps identify the exact cause of infertility and provides advanced treatments such as IUI or IVF to improve your chances of conception.

2. Who is a fertility specialist?

A fertility specialist is a doctor with advanced training in reproductive medicine and infertility, focusing on both medical and surgical fertility treatments.

3. What is the difference between a gynaecologist and a fertility specialist?

A gynaecologist looks after overall reproductive health (menstruation, pregnancy, menopause), while a fertility specialist focuses exclusively on infertility and conception-related treatments.

4. Can a gynaecologist help with fertility?

Yes, to some extent. A gynaecologist can prescribe fertility medications and provide basic treatments. However, for advanced procedures like IVF or IUI, a fertility specialist is the right choice.