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Learn how to recognise signs of infertility, when to seek help, diagnostic tests, and prevention tips for both women and men.

Wondering if you might be infertile? While often silent, there are subtle clues—especially in your body and menstrual cycle—that could signal underlying reproductive issues.

📌 What is Infertility?

Infertility is defined as not conceiving after one year of regular, unprotected sex (or after six months if you're 35 or older) :contentReference[oaicite:1]{index=1}.

🚨 Key Signs of Infertility

In Women:

  • Irregular menstrual cycles (longer than 35 days, shorter than 21, or missing periods) :contentReference[oaicite:2]{index=2}.
  • Painful periods or intercourse, possibly indicating conditions like endometriosis :contentReference[oaicite:3]{index=3}.
  • Hormonal imbalance symptoms – acne, mood swings, sudden weight changes, hair loss :contentReference[oaicite:4]{index=4}.

In Men:

  • Low libido or erectile difficulties—these can signal underlying fertility issues :contentReference[oaicite:5]{index=5}.
  • Testicular issues: pain, swelling, hardness, or unusually small testicles :contentReference[oaicite:6]{index=6}.
  • Ejaculatory problems: difficulties with ejaculation, including early or retrograde ejaculation :contentReference[oaicite:7]{index=7}.

🧪 When to Seek Medical Help

See a doctor if, after trying for:

  • 12 months (if under 35)
  • 6 months (if 35 or older)

Seek help sooner if you have known risk factors like endometriosis, pelvic infections, previous miscarriages, or cancer treatments :contentReference[oaicite:8]{index=8}.

🔍 How Doctors Diagnose Infertility

Fertility evaluations typically include:

  • Hormone blood tests to check ovulation, ovarian reserve, or male levels :contentReference[oaicite:9]{index=9}.
  • Pelvic/transvaginal ultrasound for structural evaluation in women :contentReference[oaicite:10]{index=10}.
  • Hysterosalpingogram (HSG) to assess fallopian tubes :contentReference[oaicite:11]{index=11}.
  • Physical evaluations and semen analysis for men :contentReference[oaicite:12]{index=12}.

🌿 Can You Prevent Infertility?

While not always preventable, here are ways to support reproductive health:

  • Track ovulation and cycle regularity.
  • Limit smoking, alcohol, and excessive caffeine :contentReference[oaicite:13]{index=13}.
  • Maintain a healthy weight and balanced diet.
  • Avoid extreme exercise or prolonged stress.
  • Protect against STIs to prevent pelvic infections.

💡 Final Takeaway

Infertility often shows minimal outward signs. Paying attention to your cycle, symptoms like pain or hormonal changes, and consulting a specialist early on can make a major difference. With accurate diagnosis and treatment, many couples go on to conceive successfully.

🔗 Related & Next Steps

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