Couples engaging in regular, unprotected intercourse for two years without conception are classified as infertile and require early examination to identify the cause. At 36 years old, your age is no longer optimal for easy conception and childbirth, making prompt treatment essential. Further delays, especially for women over 38-40, significantly reduce fertility, making treatment more challenging and costly.

Supplements primarily improve overall health and have virtually no effect on treating infertility. It is crucial for couples to identify the correct cause, as infertility can stem from various factors: approximately 40% from the wife, 40% from the husband, and 20% from both partners or unexplained reasons.

Common causes of male infertility include ejaculation problems and sperm abnormalities. These conditions require treatment, such as circumcision (to improve marital relations) or surgical sperm retrieval for in vitro fertilization to achieve conception. Women with ovulation disorders, polycystic ovary syndrome, or ovarian insufficiency need appropriate treatment to restore ovulation and increase their chances of pregnancy.

Dr. Phan Ha Minh Hanh advises young women on infertility treatment. Illustration: Tam Anh General Hospital.

You and your husband should seek an infertility examination as soon as possible. At the Reproductive Support Center, Tam Anh General Hospital, both partners undergo simultaneous examination and treatment by male and female infertility specialists. For the husband, in addition to sperm analysis, the doctor may also require a scrotal ultrasound to assess the condition of the testicles and epididymis, along with tests for sex hormones, genetics, and sperm DNA fragmentation.

For the wife, the doctor will review marital and obstetric history, medical history, menstrual cycles, and may combine this with ovarian reserve testing (AMH), thyroid function assessment, gynecological ultrasound, and hysterosalpingography (uterus and fallopian tubes X-ray).

Depending on the cause of infertility, the doctor will advise on suitable treatment options for your couple, such as medical treatment, simple interventions, or assisted reproductive technologies like intrauterine insemination (IUI) or in vitro fertilization (IVF), helping you conceive sooner with optimal costs.

Dr. Phan Ha Minh Hanh

Reproductive Support Center

Tam Anh General Hospital - District 8