If you are under 35, consider an evaluation after 12 months of trying. If you are 35–39, seek help after 6 months, while women aged 40 or older may benefit from an earlier assessment.

If you or your partner have a medical condition or history that may affect fertility, you may benefit from consulting a fertility specialist earlier rather than waiting 6 or 12 months. An early fertility assessment can help identify potential factors affecting conception and determine whether further testing or treatment may be appropriate.

Conditions or circumstances that may warrant an earlier fertility consultation include:

• Certain reproductive or medical conditions may affect fertility and may warrant an earlier consultation with a fertility specialist:
• Irregular periods: Menstrual cycles that are consistently irregular, unpredictable, or absent may indicate problems with ovulation.
• Polycystic Ovary Syndrome (PCOS): A common hormonal condition that can affect ovulation and make it more difficult to conceive.
• Endometriosis: A condition in which tissue similar to the lining of the uterus grows outside the uterus and may affect fertility.
• Fallopian tube problems: Blocked or damaged fallopian tubes can interfere with the sperm and egg meeting and may make natural conception more difficult.
• Recurrent miscarriage: Experiencing repeated pregnancy losses may warrant an assessment to identify possible underlying causes.
• Premature ovarian insufficiency (POI): A condition in which the ovaries stop functioning normally before the age of 40, which can affect fertility.
• Genetic concerns: A personal or family history of genetic conditions may warrant genetic counselling or fertility assessment when planning a pregnancy.
• Pelvic inflammatory disease (PID): An infection of the female reproductive organs that can cause inflammation and scarring of the reproductive tract, potentially affecting fertility.
• Uterine fibroids: Non-cancerous growths in or around the uterus that may affect fertility depending on their size and location.
• Adenomyosis: A condition in which tissue similar to the uterine lining grows into the muscular wall of the uterus and may be associated with reduced fertility.

• Certain male reproductive or medical conditions may affect fertility and may warrant an earlier consultation with a fertility specialist:
• Low sperm count: A lower-than-normal number of sperm in the semen, which may reduce the likelihood of fertilization.
• Abnormal sperm morphology or motility: Changes in sperm shape, size, or movement that may affect the sperm's ability to reach and fertilize an egg.
• Anti-sperm antibodies: Antibodies produced by the immune system that mistakenly target sperm and may interfere with sperm movement or fertilization.
• Ejaculatory or erectile difficulties: Problems with ejaculation or achieving or maintaining an erection that may make intercourse and natural conception more difficult.
• Azoospermia: A condition in which no sperm are found in the semen, which may require further investigation to determine the underlying cause.
• Genetic concerns: Genetic conditions or chromosomal abnormalities that may affect sperm production, fertility, or the risk of passing certain conditions to a child.
• Previous vasectomy: Men who have previously undergone a vasectomy and wish to conceive may benefit from a fertility consultation to discuss options such as vasectomy reversal or surgical sperm retrieval.

Genea Thailand provides egg freezing and IVF treatment options supported by Genea's expertise in fertility care. Our fertility specialists can assess your individual circumstances and help you understand which treatment approach may be appropriate for your reproductive goals.

Our Fertility Concierge team is here to support you throughout your fertility journey, from your initial enquiry to your consultation and treatment. Here’s how you can get started:

1. Understand the Process: During your initial fertility consultation, your fertility specialist will review your medical and reproductive history and discuss your fertility goals. Depending on your individual circumstances, further fertility testing may be recommended.
2. Book Your Appointment: Contact our Fertility Concierge team to discuss your needs and arrange a consultation with a fertility specialist. If a GP referral is required for your appointment or treatment, our team can guide you on the necessary documentation and information for you and your partner.

Reach out to our Fertility team for personalized assistance and to begin planning your fertility journey immediately.