Dr. Lucky Sekhon

But guess what?

When I was trying for baby number two, I was 37.

And it was a harder time to ovulate a healthy egg.

And I ended up relying on IVF to have baby number two.

And that's called secondary infertility.

And sometimes it's because of age.

Sometimes it's because of issues that can crop up over time.

Like your partner might start to have issues with sperm quality that they never had before, right?

So all of this is in flux and it's dynamic.

And what's true at one time point might not be true at another.

And that's why it's really important to always kind of look at everything with a fresh lens and make sure you're being really complete with testing.

Like if it hasn't happened after a year of trying and you're under 35, give it up to a year if you want.

If you're feeling anxious or you have, you know, things that are making you worried based on your family history or your cycles are irregular and you have no idea what's going on, don't wait a whole year.

Go see someone sooner.

But if you're 35 and older, because of everything I just explained about how things change more rapidly as we get older with our egg quality, we also tend to have less eggs available for treatments like IVF to be as successful as we get older, then you shouldn't wait longer than six months, right?

And at 40, we say try for like three months and then go seek help.

Depending on your age, that's going to change the threshold at which time you decide, hey, I need to go see an expert.

and when someone comes to see me in that context i think about those four components that i laid out the sperm the eggs the fallopian tubes and the uterus and i think okay where can i find a barrier or a target to treat and you're not always going to find a cause sometimes it's just it's inefficient right but we have to make sure could the tubes be blocked there's a test that we can do it's like an x-ray or

There's imaging in the form of an ultrasound.

You can look for barriers like that.