As more individuals delay starting a family, understanding fertility options is becoming increasingly important. Whether trying to conceive now or planning for the future, accurate information is vital. In honor of National Infertility Awareness Week (April 20–26), Dr. Bana Kashani, an OB-GYN and Reproductive Endocrinologist, highlights the importance of fertility education and proactive reproductive planning.
“Fertility isn’t always straightforward, and early understanding can make a real difference,” says Dr. Kashani. “Being proactive about your reproductive health allows you to make informed decisions that fit your goals and lifestyle.”
Dr. Kashani shares valuable insights into fertility options, preservation, and how to effectively communicate with healthcare providers.
What Fertility Tests Are Available?
Fertility testing depends on individual needs. At-home tests track ovulation and peak fertility days, while in-office tests help identify infertility causes and guide treatments. For women, tests may include hormone level checks, ovarian reserve, and ultrasounds. For men, common tests are semen analysis, hormone tests, and testicular ultrasounds.
Do Lifestyle Choices Impact Fertility?
Lifestyle factors like diet, exercise, and stress can affect fertility by influencing hormone levels and reproductive health. A balanced, nutrient-rich diet supports reproductive health, while poor nutrition, excessive alcohol, and caffeine can lead to imbalances. Smoking and vaping can also harm fertility. While moderate exercise is beneficial, excessive physical activity can disrupt ovulation or decrease sperm quality. High stress levels can also impact hormone regulation and make conception harder.
Does Birth Control Affect Fertility?
Contrary to common belief, birth control doesn’t cause long-term fertility problems. Hormonal methods like the pill, patch, or IUD prevent ovulation and implantation, but fertility usually returns to normal within a few months of stopping. However, for some, particularly those using birth control long-term, it may take longer for the menstrual cycle to fully regulate.
What’s the Difference Between IUI and IVF?
IUI (Intrauterine Insemination) involves inserting sperm directly into the uterus during ovulation. It’s typically used for mild infertility issues. IVF (In-Vitro Fertilization) involves retrieving and fertilizing eggs in a lab before transferring embryos into the uterus. IVF is often used for more severe infertility issues and typically offers higher success rates than IUI.
When Should Someone Consider Egg Freezing?
Egg freezing is an option for women who wish to preserve fertility for future use, especially if they’re not ready to have children now. The best time to freeze eggs is generally in the late 20s to early 30s, when egg quality is still high. It’s also recommended for women facing medical treatments like chemotherapy, those with reproductive health issues (like endometriosis or PCOS), or those with a family history of early menopause. Women delaying parenthood due to career or personal goals may also consider egg freezing to maintain future fertility options.
How Can You Navigate Fertility Conversations with Healthcare Providers?
Dr. Kashani advises being well-informed before meeting with a healthcare provider. Research your fertility goals and consider how many children you want or any personal preferences for treatments. Share detailed information about your menstrual cycle, including any irregularities or pain that could indicate an underlying issue. It might also be helpful to consult with a fertility specialist and undergo preliminary testing for a more detailed discussion.
Support Resources for Navigating Fertility
Dr. Kashani encourages individuals to utilize the growing range of resources available to those on a fertility journey. “RESOLVE offers free support groups and resources to guide people at every stage of their fertility journey. First Response also provides community support through The Pregnancy Hub, an online platform that connects and inspires individuals facing fertility and parenthood challenges. These resources can provide emotional support and help individuals make informed decisions.”
This National Infertility Awareness Week, Dr. Kashani stresses the importance of understanding fertility, exploring options, and reaching out for support when needed.
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