Fertility & your first steps
4-minute read

Fertility & your first steps
4-minute read

Investigating fertility is not about assuming "something is wrong." Rather, it is about gaining clarity and understanding your path forward. For women under 35, we generally suggest beginning an assessment after 12 months of regular, unprotected intercourse. From the age of 35, it is advisable to start this conversation a little sooner, typically after 6 months. For women over 40, or where there is a known medical history that may influence fertility, we welcome an earlier evaluation without delay.
We also recommend a proactive approach in specific instances, such as irregular or absent menstrual cycles, diagnosed endometriosis, a history of ovarian or tubal surgery, recurrent pregnancy loss, previous medical treatments that may impact fertility, or a known male factor issue.
An initial consultation is simply a starting point; it does not automatically lead to IVF. Our focus is on taking a thorough clinical history, reviewing any existing documentation, and recommending only the investigations that are clinically relevant to you. Fertility is multifaceted—it cannot be measured by a single test, nor is it solely a female consideration. Where there is a partner, it is essential that both individuals are evaluated in parallel.
A common question we hear is: "If my cycle is regular, does that mean everything is fine?" While a regular menstrual cycle is a reassuring sign of ovulation, it does not provide a complete picture on its own.
Ultimately, a timely assessment is never a cause for concern. It is simply a practical way to replace uncertainty with a clear, supportive and personalised plan.
Each test represents just one part of a broader picture and should always be interpreted alongside your personal medical history, age, and other clinical findings.
Obstetrician – Gynaecologist, PhD, School of Medicine, National and Kapodistrian University of Athens
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