If you’re trying to conceive over 35, choosing the right fertility specialist can make all the difference. With age-related fertility changes, time is valuable—so working with a doctor who understands your unique needs is crucial. But with so many clinics and specialists out there, how do you find the right one?
Here’s a step-by-step guide to help you make the best choice.
1. Know When to See a Fertility Specialist
If you’re over 35 and have been trying to conceive for six months without success, it’s time to see a fertility specialist.
If you’re over 40 or have any concerns, consider seeing one right away to assess your fertility health.
Reasons to seek help sooner include:
✔ Irregular or absent periods
✔ History of miscarriage(s)
✔ PCOS, endometriosis, or other reproductive conditions
✔ Male factor infertility concerns
2. Choose the Right Type of Fertility Specialist
Not all doctors are the same. You’ll want to look for a Reproductive Endocrinologist (RE)—a specialist in fertility and reproductive hormones.
Here’s a quick breakdown:
🔹 Reproductive Endocrinologist (RE) – Expert in fertility treatments, including IVF, IUI, and hormonal imbalances.
🔹 OB-GYN with Fertility Focus – May help with basic treatments like ovulation tracking and Clomid but not advanced fertility care.
🔹 Urologist (for Male Fertility Issues) – If male factor infertility is a concern, a urologist specializing in reproductive health is essential.
For more complex fertility issues, a Reproductive Endocrinologist is usually the best choice.
Your primary care provider should be able to advise you on the best type of specialist to see.
3. Research Clinics & Success Rates
Not all fertility clinics are equal, so it’s essential to do your research.
📊 Check Success Rates:
Look at live birth rates per cycle for women in your age group. You can find this data on:
✅ Look for Clinics Experienced with 35+ and 40+ Women:
Some clinics specialize in women over 35 and low ovarian reserve cases.
Their expertise can significantly impact your chances.
📝 Read Reviews & Patient Stories:
Check Google reviews, fertility forums, and social media groups to hear real patient experiences.
4. Ask the Right Questions
Before committing to a clinic, schedule a consultation and ask these key questions:
🔹 How do you approach fertility treatment for women over 35?
🔹 What are your success rates for my age group?
🔹 Do you have experience treating low AMH, high FSH, or other age-related fertility issues?
🔹 What fertility tests will you recommend first?
🔹 What treatment options do you specialize in (IVF, IUI, egg freezing, etc.)?
🔹 What is your stance on personalized treatment plans vs. standard protocols?
Their answers will help you gauge their expertise and treatment philosophy.
5. Understand Costs & Insurance Coverage
Fertility treatments can be expensive, so it’s important to ask about:
-Consultation fees and testing costs
-Treatment costs (IUI, IVF, medications, genetic testing, etc.)
-Payment plans & financing options
-Insurance coverage (ask what’s included and what’s not)
If cost is a concern, check if the clinic offers grants, clinical trials, or discount programs.
More on paying for treatments here.
6. Trust Your Instincts
Finally, listen to your gut. The right fertility specialist should make you feel:
✔ Heard and respected
✔ Supported with personalized treatment options
✔ Confident that they understand fertility over 35
If a doctor rushes you, dismisses your concerns, or pushes treatments without explanation, it may be time to look elsewhere.
Final Thoughts
Choosing a fertility specialist is one of the most important steps in your TTC journey. Take your time, do your research, and don’t settle until you find a doctor who aligns with your needs. With the right specialist, you’ll have the best chance of making your dream of motherhood a reality.
Have you worked with a fertility specialist before? What was your experience like? Let’s discuss in the comments!