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All about fertility

Dr Irfana Koita
Written in association with: Dr Irfana Koita Fertility Specialist in W1G Marylebone London
5.0 |

82 reviews

Published: 30/05/2025 Edited by: Conor Lynch on 30/05/2025

Fertility is a complex aspect of health influenced by age, lifestyle, and underlying medical conditions. For many individuals and couples, delaying medical treatment when facing fertility issues can significantly reduce the chances of conception over time.


One of the most critical factors affecting fertility is age. In women, fertility starts to decline in the early 30s and drops more sharply after 35. This is due to a natural decrease in both the quantity and quality of eggs. For men, although the decline is more gradual, age can still affect sperm quality and genetic health. Delaying treatment means losing valuable time during peak reproductive years, which can make later interventions less effective.


Underlying health conditions also play a major role. Issues such as polycystic ovary syndrome (PCOS), endometriosis, and thyroid disorders can worsen without timely medical intervention, making conception more difficult. In men, untreated conditions like varicocele or hormonal imbalances can impair sperm production. Early diagnosis and treatment of these issues can prevent long-term complications and preserve fertility.


Moreover, waiting too long can limit the effectiveness of assisted reproductive technologies (ART) such as in vitro fertilisation (IVF). Success rates for ART decline with age, and some treatments may no longer be viable options if fertility has diminished too much.


Emotional and psychological stress also tend to increase with time, which may impact hormonal balance and further complicate fertility. Prompt consultation with a fertility specialist can help identify problems early and create a proactive treatment plan.


In summary, delaying treatment when experiencing fertility concerns can significantly reduce the likelihood of successful conception. Taking early action not only improves outcomes but also provides more options and peace of mind during a challenging time.

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