• If you had multiple treatments and have not achieved a pregnancy, consider the In Vitro Fertilization as the correct option
• Couples that have consider IVF procedures in the past.
• Women older than 35.
• Patients that have had miscarriages.
• Patients that have had three or more intrauterine inseminations.
• Patients with an irregular menstrual cycle and who do not respond to the ovulation treatments.
• Male patients with low sperm count, as well as those with mobility and morphology problems.
• Patients that need microsurgery or treatment due to endometriosis or who present damage to the Fallopian Tubes.

Like in any medical situation, patients should evaluate the kind of care that they are receiving. Collect information regarding the infertility process and the professionals that will be in charge of them, and get to know them well, these are important tools to be used when the patients evaluate the medical attention they are looking for, as well as the one they are receiving.

Some aspects that will determine if it is time to seek a new physician or a second opinion are:

• The doctor does not have another treatment or wants to continue with the same methods after three or four menstrual cycles without any success.
• The communication with him is not optimal.
• You are not confident enough to ask questions or feel your doubts are meaningless.
• The doctor seems confused with your case and you have to remind him of the tests that have been done previously. 
• The doctor seems to be busy all the time and does not have time for you.
• The hormonal treatments are not being monitored with blood exams and ultrasounds. 

The infertility may give you a feeling of frustration and impotence. The best thing to do to avoid these feelings is to select the best medical care. When you find a specialist that allows you to participate actively in your own medical care, you will be confident and will feel the satisfaction that you are taking the right steps towards your infertility treatment.
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We encourage couples to come together to the first appointment; remember infertility affects men as well as women.