Infertility impacts nearly 20% of couples trying to conceive. A general definition of infertility is the inability to conceive after one year of unprotected intercourse. However, data have clearly demonstrated that a women’s fertility progressively declines after 30 years of age with rapid declines identified in women 35 to 37 years of age and older. Men have also been shown to have reduced fertility after 40 years of age, with older men taking up to 5 times longer to initiate conception than younger men. With this in mind, many health care providers recommend that women over the age of 35 years seek the assistance of a reproductive expert after 6 months of failed attempts to conceive. The cause of infertility may be complicated or simple, involving the woman, man, or both. Likewise, treatments may be simple or more complex.
Also important to consider are any health/medical problems and personal lifestyle choices that can impact a couples fertility.