Support and answers on your path to parenthood.
Trying to get pregnant without success can be stressful and lonely. Infertility is common, and it is often treatable. We’ll help you find answers, explain your options and support you every step of the way.
- How common About 1 in 8 couples
- When to see us After 12 months, or 6 if 35 or older
- Causes Female, male or both
- Treatment Many options, step by step
More common than you might think
Many couples need a little help to get pregnant. Understanding the basics can make the next steps feel less overwhelming.
What it means
Not getting pregnant after 12 months of trying, or after 6 months if you are 35 or older.
It takes two
Infertility can come from the woman, the man, both partners, or sometimes no clear cause is found.
Age matters
Fertility slowly declines in your early 30s and drops faster after 35, so it’s best not to wait to get help.
Don’t wait to get answers
Make an appointment if any of these apply to you. Getting help early gives you the most options.
- Trying for 12 months If you are under 35 and haven’t gotten pregnant.
- Trying for 6 months If you are 35 to 39. At 40 or older, talk with us right away.
- Irregular or missed periods These can mean you aren’t ovulating regularly.
- A known condition Such as PCOS, endometriosis, fibroids or thyroid problems.
- Two or more miscarriages We can look for a cause and help you plan.
- A past pelvic infection Or other history that could affect your tubes, or a partner with known sperm problems.
What can make it harder to get pregnant
Getting pregnant takes many steps working together. A problem at any step can make it harder, and sometimes more than one is involved.
Ovulation problems
The most common cause
- When eggs aren’t released regularly
- Often linked to PCOS, thyroid or prolactin problems
- Weight changes and stress can play a part
Blocked tubes
Fallopian tubes
- Can keep the egg and sperm from meeting
- Often caused by past infections or endometriosis
- Checked with a special x-ray test
Uterine problems
Inside the uterus
- Fibroids, polyps or scar tissue
- Can affect how an embryo implants
- Many can be treated with hysteroscopy
Endometriosis
Tissue outside the uterus
- Can affect the ovaries, tubes and pelvic lining
- Often causes painful periods
- Treatment can improve the chances of pregnancy
Male factors
Part of the picture
- Low sperm count, movement or shape
- A factor in many couples’ infertility
- Checked with a simple semen analysis
Age or unexplained
Sometimes
- Egg number and quality decline with age
- Sometimes tests don’t find a clear cause
- Treatment can still help
Finding the cause, step by step
A fertility evaluation looks at both partners. Most tests are simple and can be done in a few weeks.
Talk
We review your cycles, health history and how long you’ve been trying, and your partner’s history too.
Blood work
Hormone tests check ovulation, thyroid and prolactin, and your egg supply (ovarian reserve).
Imaging
A pelvic ultrasound, and sometimes an x-ray dye test to check that your tubes are open.
Partner testing
A semen analysis checks sperm count, movement and shape.
Before your first visit
A little preparation helps us get started faster.
- Track your cycles Note when your periods start and any signs of ovulation.
- List your medicines For both partners, including vitamins and supplements.
- Bring past records Any earlier test results, ultrasounds or treatments.
- Come together Your partner is welcome at your visit. Infertility is a shared journey.
- Know your history Past pregnancies, miscarriages, surgeries and infections.
- Bring your questions About testing, treatment options and costs.
A plan that fits your journey
Treatment depends on the cause, your age and how long you’ve been trying. Many couples start with simple steps and move on only if needed.
Healthy habits and timing
A good first step
- Track ovulation and time sex for your fertile days
- Reach a healthy weight and stop smoking
- Take a prenatal vitamin with folic acid
Ovulation medicines
Help you release an egg
- Pills such as letrozole or clomiphene
- Often the first treatment for ovulation problems
- We monitor you to see how you respond
Treating the cause
When one is found
- Managing thyroid problems or PCOS
- Removing polyps, fibroids or scar tissue
- Treating endometriosis
IUI
Intrauterine insemination
- Sperm is placed directly in the uterus at ovulation
- Often combined with ovulation medicines
- A simple, quick procedure
IVF
In vitro fertilization
- Eggs are fertilized in a lab and an embryo is placed in the uterus
- For blocked tubes, severe male factor and other causes
- We refer you to a fertility specialist when needed
Emotional support
Whole-person care
- Infertility can be stressful for both partners
- Counseling and support groups can help
- Tell us how you’re feeling. It’s part of your care
We’ll walk you through the benefits, risks and costs of each option, and refer you to a fertility specialist when you need more advanced care.
Small steps that can make a difference.
Whether you’re just starting or already in treatment, these habits support your fertility:
- Take a prenatal vitamin with folic acid every day
- Have sex every 1 to 2 days around ovulation
- Aim for a healthy weight
- Don’t smoke or vape, and limit alcohol
- Keep caffeine under 200 mg a day
- Find ways to manage stress
Your partner’s health matters
Sperm health can be affected by smoking, heavy drinking, some medicines and too much heat.
- A simple test A semen analysis is an early, important step
Fertility specialists
Some couples need advanced testing or treatment like IVF.
- We’ll guide you And refer you to a fertility specialist when it’s the right next step
You’re not alone
Many couples face infertility. Feeling frustrated, sad or anxious is normal.
- Support helps Counseling and support groups can make the journey easier
Frequently asked questions
Don’t see your question here? Call us at 770-451-3100 and we’ll be glad to help.
How long should we try before seeing a doctor?
If you are under 35, see us after 12 months of trying. If you are 35 to 39, see us after 6 months. If you are 40 or older, or have irregular periods or a known condition, talk with us right away.
Is infertility usually the woman’s problem?
No. Infertility can come from the woman, the man or both. That’s why both partners are usually tested.
Does age really affect fertility?
Yes. A woman’s egg supply and egg quality decline with age, especially after 35. Age can also affect male fertility, but more slowly.
Can I improve my fertility on my own?
Healthy habits help. Reach a healthy weight, don’t smoke, limit alcohol and caffeine, take a prenatal vitamin and time sex for your fertile days.
When is my most fertile time?
The 5 days before ovulation and the day of ovulation. Ovulation predictor kits or tracking your cycles can help you find that window.
Is fertility treatment covered by insurance?
Coverage varies widely by plan. Some tests and treatments may be covered while others are not. Check with your insurance company, and we can help you understand your options.
Ready to take the next step?
We’ll listen, find answers and build a plan together. Call us to schedule a visit. We’re here Monday through Friday, 8am to 4pm.
We accept most health insurance plans in Georgia
Visit Us
Contact & Location
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Phone
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Fax
770-451-3343
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Email
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Hours
Mon – Fri, 8am – 4pmClosed for lunch 12:30 – 1:30