Contrary to common belief, the possibility of getting pregnant through unprotected sex without any apparent fertility problem is less than a 20% chance per month. If the woman is over 35 years old, chances are even lower. In general, young couples have a 60-70% chance of getting pregnant after 6 months of having unprotected sex. The percentage may rise up to 80-85% after a year. Therefore, natural reproduction may require some patience, as it could take months to get pregnant.
Those couples who have been trying to get pregnant for over a year should resort to an assisted reproduction specialist. This does not imply that the couple is infertile. But, their chances of getting pregnant through natural reproduction may be below average. Thus, a diagnostic evaluation should be carried out to assess chances of pregnancy through other assisted reproduction methods.
However, there are certain situations in which you should not wait a whole year before going to a specialist. These would be the cases of couples who have less monthly chances of getting pregnant through natural reproduction. For instance, we recommend women over the age of 35 to see a specialist if they have not achieve a pregnancy after 6 months. In this case, starting treatment as soon as possible is of paramount importance.
This group would also include women who have been diagnosed with endometriosis, uterine fibroids, who have been operated on for various gynecological pathologies (complex ovarian cysts, gynecological infectious diseases) or surgical pathologies (women who have suffered from a process of peritonitis due to an appendicitis).
Regarding male, if some pathologies, such as cryptorchidism, hydrocele, should encourage to start diagnostic work-up after six months of unprotected sexual intercourse.
An early visit is also recommended if there are genetic diseases, recurrent pregnancy loss, a family history of premature menopause or any other situation that may be related to low ovarian reserve.