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    fertility basics

    When should one visit a Gynecologist or Fertility Specialist?

    • 41968 views
    • 4.8   (7 Votes)
    Medically Reviewed by Dr. Deepika Tiwari - MS, MBBS on 05 Oct 2018 - Written by Dr. Anupama Rao - MD, DGO - Grammatically Approved by Dr. Kavita Jaggi Agrawal - MS, MBBS

    You need to visit gynecologist in case of PCOS, endometriosis, blocked fallopian tubes, irregular periods, vaginal infection, pain during sex, painful urination, and miscarriages. You can see a infertility specialist, if your semen analysis is abnormal, thyroid, early menopause and if you seek ART.

    It is of utmost importance to identify gynecological issues and their symptoms so that you know when is the time to see a Gynecologist or a Fertility Specialist. Let’s find the difference between two disciplines Gynecology and Infertility to end up in consulting the best specialist for your treatment or medical problem. Gynecology is a discipline that deals with the female reproductive system and overall health. A gynecologist is a primary health care medical expert who takes care of problems concerning women including hormonal issues, pelvic disorders, breasts, UTI (Urinary Tract Infection), and cervical cancer.

    Fertility Specialist (Reproductive Endocrinologist), on the other hand, is a doctor that takes care of the issues specific to infertility, its evaluation and treatment. Fertility doctors are specially trained in reproductive endocrinology and assisted conception techniques. They study and practice fertility treatments for many years after completing their graduation and post graduation in gynecology and obstetrics.

    Shall I visit a gynecologist or fertility specialist for my problem? Confused! Don’t worry and go through this article to know when to visit a gynecologist or fertility doctor.

    Here is the list of the reasons you need to understand so that you know why you should visit a nearby gynecologist or infertility expert.

    When is the time to visit a gynecologist?

    Gynecologists can be approached if you experience issues such as diseases, malfunctioning, or other problematic conditions of female reproductive organs like uterus, ovaries, fallopian tubes, vulva vaginal region, cervix or breasts.

    1. An infection

    It is normal to have a certain odor around the vaginal area, which is caused by the vaginal discharge. Fishy smell could be an outcome of bacterial vaginosis. Some other conditions that may lead the intimate area to smell foul are yeast infections or STDs (sexually transmitted disease). Gynecologists help in identifying the cause of the foul smell and provide appropriate treatment to treat vaginal infections.

    infection in vagina

    2. Sores around private area

    If you happen to see sores around the vaginal flora, you have to get it checked for it could be an infection caught from your partner. Apart from the sexually transmitted ones, Bartholin's cysts, as well as ingrown hair cysts, can be the other reason that cannot be counted as sexual.

    3. Discharge that is yellow, green or cloudy in color

    If you are getting a discharge, which is of different colors other than white or clear, then it could be an indicator of a bacterial infection or an STI. Your lady doctor can easily identify this and help you in getting relief.

    4. Pain during sex

    Pain during sex is referred to as dyspareunia. It can be a result of Vaginismus (spasm in the vaginal muscle) or infections in the vagina and cervix. So if you are experiencing pain during intimate moments make sure you have an appointment fixed with your gynecologist.

    5. Burning sensation while urinating

    Dysuria is the medical term for painful urination that can indicate a urinary tract infection. Accompanying signs could include foul-smelling urine, blood in urine or fever. Sexually transmitted infections or in some cases kidney stones can also be the reason making it inevitable to see a gynecologist.

    burning sensation while urination

    6. Abnormal uterine growths

    Fibroids or polyps can be the cause of those frequent heavy periods, reason enough to rush to your doctor.

    7. Medical conditions

    Endometriosis, PCOS etc. are some of the major reasons that cause irregular periods or no ovulation in addition to other related symptoms. A Gynecologist will examine them thoroughly and take the decision if it has to be managed with medication or require surgery for correction.

    8. Multiple miscarriages

    Miscarriages can be normal with no serious implications but in some cases, it may become necessary to get immediate medical attention. For those experiencing multiple miscarriages, a uterine condition, fibroids, polyps could be the possible cause hence it is recommended to see a gynecologist.

    9. Irregular periods / Menstruation

    While planning for a baby, if you see a long gap between your periods or don’t get them at all then you should head to a fertility expert. A number of conditions mainly PCOS can be held responsible for it and needs to be taken care of.

    10. Birth Control

    Family planning is an important step in one’s life. If you want to be on birth control be it the intrauterine device or oral contraceptive pills, you should visit a gynecologist for proper guidance.

    birth control

    When should you see a Fertility Specialist / Doctor?

    Fertility doctors are well-trained in Assisted Reproductive Technology (ART) that include mainly In-Vitro Fertilization (IVF)- Intracytoplasmic Sperm Injection (ICSI), Testicular Epididymal Sperm Aspiration (TESA), Micro Epididymal Sperm Aspiration (MESA), and Intrauterine Insemination (IUI) etc. Following are the situations when you should pay a visit to an infertility doctor.

    1- Treatment doesn’t work

    If you are under any fertility treatment from a gynecologist and you think it is not working, then you may want to go to a specialist.

    2. Semen analysis is abnormal

    If after the test reports, you find semen analysis to be abnormal; you need to see a fertility specialist. For minor abnormalities, your fertility doctor may prescribe you medication that can set it all right back to the normal.

    3. Trying to conceive for more than 1 year

    If you are trying to conceive from a long time and still unsuccessful then it is a right time to visit a fertility specialist. For those trying to conceive, it is important to know that it is normal that the process may take a time of few months. Yet, it has to be clear that if a woman under the age of 30 has not been able to get pregnant on her own even after a year of trying then there are fair chances that she might have a medical condition that needs to be addressed by an expert. Same goes for a woman across the age of 35 who finds herself unable to conceive for a period of 6 months or more. Sometimes high BMI can also come in your way of getting pregnant.

    A healthy BMI is crucial to the efforts to get pregnant. A BMI value lower than 18 and higher than 30 is considered to be detrimental for conceiving whereas a value close to 25 is deemed suitable for the same. So if you feel that your BMI lies on a higher or a lower side do consult a fertility doctor.

    4. Uncontrolled thyroid condition

    When you have a thyroid that is abnormally high or low, it can lead to infertility, miscarriage, and abnormal development of the brain in fetus. A fertility specialist will analyze your thyroid health status and prescribe medicine to keep it under control.

    uncontrolled thyroid condition

    5. Multiple pregnancy loss

    A septate uterus or scar tissues contribute to multiple miscarriages in many cases. So if you have faced pregnancy loss more than twice then it is the time to check with a fertility doctor.

    6. When you are above 40 years

    For women who have crossed the age of 40 should seek advise from a fertility doctor. This is due to the fact that the quality of eggs deteriorates at a faster pace whereas the possibility of miscarriage goes up to a greater extent. Eggs formed in women who are over the age of 40 years have a greater number of abnormal chromosomes. Hence getting advised by a fertility specialist at this age should be considered seriously.

    7. Early menopause

    If you experience early menopause or if your mother has a history of perimenopause then it is a necessity for you to see a reproductive endocrinologist to assess your chances.

    8. If you seek ART assistance

    You have tried all the means and methods to conceive naturally and now have finally been advised by your gynecologist to take help of a fertility doctor for Assisted Reproductive Technology (ART).

    If you require treatments like IUI, IVF and other related treatments, it is a fertility specialist that you will have to get in touch with.

    ElaWoman will help you in finding the best gynecologist or fertility specialist in your location and getting a prior-appointment. In case you have any problem related to your reproductive health, pick your phone and call us at +917899912611.

    Dr. Anupama Rao

    Written by

    MD, DGO
    Gynecologic Surgeon, Obstetrician
    Mumbai
    Dr. Anupama Rao is a consultant Obstetrician, Gynaecologist and Infertility specialist with over 2 decades of experience. She is highly experienced in treating infertility cases. The doctor is currently pursuing her expertise at Dr L H Hiranandani Hospital located in Mumbai and Fortis Hospitals located in Mulund west, Mumbai. She holds expertise in Hysterectomy (Abdominal/Vaginal), Intrauterine Insemination (IUI), Normal Vaginal Delivery (NVD) etc. She got comprehensive training in IVF from the highly experienced IVF experts. Dr. Anupama has also been an Associate Medical Director of Hope infertility clinic in Bangalore. For more information and contact details visit elawoman.com

    SOURCES AND REFERENCES:

    • 6 best gynecologists in delhi ncr - best gynecologist hospital in delhi ncr  Gynecologist, Elawoman - 2017
    • Laparoscopic surgery - laparoscopy cost, best laparoscopy surgeon, clinics in india  female reproductive system, Elawoman - 2018
    • Fallopian tube blockage - symptoms of blocked fallopian tubes, causes, and treatment  fallopian tubes, Elawoman - 2017
    • Abnormal vaginal discharge - causes, types, and treatment  vaginal infections, Elawoman - 2018
    • Safe sex after period calculator - know about the measures of safe sex  Pain during sex, Elawoman - 2017
    • Steps to check cervical position and cervical mucus  cervix, Elawoman - 2017
    • Azithral 500 mg tablet - know about uses, side effects, and precautions  painful urination, Elawoman - 2018
    • Fallopian tube blockage affect on pregnancy - diagnostic tests and symptoms  heavy periods, Elawoman - 2018
    • Polycystic ovary syndrome (pcos): problems, causes, symptoms and treatment  PCOS, Elawoman - 2017
    more

    7 Comments

    user_img

    Varun Kapadia

    Women with PCOS causing infertility should opt healthy living habits along with medicine like Clomid, Letrozole and many. IVF and surrogacy are also good options for PCOS patients.

    Oct. 12, 2018, 11:34 p.m. 4.5

    user_img

    Tanya Maan

    Thanks for sharing this piece, I was looking forward to having regular checkup as I want to conceive. It was really knowledgeable.

    Sept. 29, 2018, 1:12 a.m. 5.0

    user_img

    Sanjana Rana

    My thyroid got treated by medicine. But still, I am unable to conceive. Does thyroid cause infertility?

    Sept. 12, 2018, 11:12 p.m. 5.0

    user_img

    Sikha Upadhaya

    I have pain during sex due to my dryness problem. Is it normal or I should have any treatment?

    Sept. 12, 2018, 10:49 a.m. 4.5

    user_img

    Anandita Das

    I am looking for IVF treatment. Do I need to visit fertility specialist?

    Aug. 30, 2018, 12:56 p.m. 5.0

    user_img

    Megah Rani

    I am trying to conceive for the last 1 year, should I visit an Infertility specialist?

    Aug. 30, 2018, 11:47 a.m. 5.0

    user_img

    Som Praveen

    Aug. 24, 2018, 3:58 p.m. 4.5

    View all comments

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    The information displayed on this webpage covers general information on several medical conditions, fertility treatments, IVF ICSI, surrogacy procedure, home remedies, and their respective treatments. The exclusive purpose of the displayed information is for the sake of general understanding and it has been collected from open sources which heavily rely on research and laboratory tests. However, the information shared here should not be considered as a medical advice or an alternative to consultation with a registered medical practitioner or licensed healthcare professional.

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