Under 35
After 12 months
Consider an evaluation after one year of regular attempts to conceive without pregnancy.
First steps for fertility concerns · Libertyville, IL
Wondering if it may be time for an infertility evaluation?
Our team at Alliance OB/GYN helps you take the first steps — listening to your concerns, reviewing your health history, considering an initial evaluation, and connecting you with a fertility specialist when advanced care is needed.
Our role in your care
A familiar place to begin
We can begin with an OB/GYN assessment for suspected infertility. If advanced testing or treatment may be helpful, we will explain the next step and discuss a referral to a fertility specialist.
Your questions are valid
You do not need to diagnose infertility yourself
If pregnancy is taking longer than expected, your periods are irregular, or your history raises concerns, an OB/GYN visit can be a sensible first step.
Preconception PlanningWhen to talk with us
You can reach out whenever you are concerned
General timing guidelines can help, but your history matters. You do not need to wait if something feels off or you already know of a condition that may affect fertility.
Ages 35–40
After 6 months
Because fertility changes with age, an earlier evaluation is generally recommended.
Over 40
Talk with us now
A more immediate conversation may help you understand your options and timeline.
Reach out sooner if you have:
- Irregular or absent periods
- Known or suspected PCOS or endometriosis
- Prior pelvic surgery or infection
- Recurrent pregnancy loss
- Known concerns affecting either partner
What to expect
The first steps at your OB/GYN office
Not every patient needs every test. The exact starting point depends on your age, cycle history, health history, how long you have been trying, and any known concerns.
1
Listen & understand
We discuss cycle patterns, pregnancy history, medical conditions, medications, prior testing, and your family-building goals.
2
Consider an initial evaluation
When appropriate, first steps may include an exam, cycle or ovulation review, selected bloodwork, ultrasound, or discussion of evaluation for both partners.
3
Review what we know
We explain the findings, what they may mean, and whether more specialized testing is recommended.
4
Refer when specialty care is needed
If the concern requires advanced testing or treatment, we discuss referral to a reproductive endocrinology and infertility specialist.
Knowing when to refer
We help you reach the right level of care
Some possible causes of infertility can be considered during an initial OB/GYN evaluation. Other situations are best evaluated by a reproductive endocrinology and infertility specialist. We will be clear about which path fits your situation.
✓ Plain-language explanations
We slow down and make room for your questions.
✓ Both partners may need evaluation
When applicable, we may recommend that a partner seek evaluation through an appropriate clinician.
✓ Honest guidance
We explain what can reasonably begin in our office and what requires specialty care.
✓ A supported referral
If an infertility clinic is needed, we help you understand why and what to expect next.
Answers before your first visit
How can Alliance OB/GYN help with fertility concerns?+
We can begin with an OB/GYN evaluation when infertility is suspected. If more advanced testing or treatment is appropriate, we will explain why and discuss referral to a reproductive endocrinology and infertility specialist.
Does an initial evaluation mean I will need IVF?+
No. The purpose of the first evaluation is to review possible contributing factors and decide on the appropriate next step. IUI and IVF are advanced treatments provided through infertility specialists, not automatically required after a first visit.
Should my partner be evaluated too?+
When applicable, fertility evaluation often considers both partners because pregnancy can be affected by female, male, combined, or unexplained factors.
What should I bring to my appointment?+
Bring a medication list, relevant records or test results, menstrual-cycle information if available, and your questions. You do not need perfectly tracked data to begin.
Will insurance cover the initial evaluation?+
Coverage varies by plan and service. Contact your insurer about diagnostic infertility benefits. Some testing or specialist referrals may require approval.
Let’s decide whether an initial evaluation is the right next step
Our OB/GYN team can listen to your concerns and discuss whether evaluation in our Libertyville office or referral to an infertility specialist is appropriate.