When should I see a reproductive endocrinology and infertiliy (REI) specialist?
The basic infertility evaluation consists of a semen analysis, test for the fallopian tubes (hysterosalpingogram, HSG), and tests for ovulation (basal body temperature chart, ovulation predictor test, blood level of progesterone). This evaluation can be performed by a general OB/GYN who is adequately trained to evaluate infertility. Short-term treatment with fertility pills (oral ovulation induction) can also be offered by a general OB/GYN. Generally, infertile female patients over age 35 or patients who have not conceived after at most 6 months of simple therapy should be referred to an REI specialist. If a patient has a complex reproductive issue such as absence of sperm or severe edometriosis or long-term infertility (over 3 years), she should be referred to an REI specialist without delay.
