In which situation should an earlier workup for infertility be considered?

An earlier workup for infertility should be considered for females age 35 and older or those with known anovulation due to several important factors. As women age, fertility typically declines, particularly after the age of 35. This decline can significantly impact the likelihood of conception, making it essential to initiate an evaluation for infertility sooner rather than later. Additionally, women with known anovulation are at a higher risk of infertility because ovulation is a critical component of conception. Identifying and addressing any issues related to ovulation and age early can allow for timely interventions, potentially improving outcomes.

In contrast, while having a history of prior pregnancies can indicate fertility potential, it does not necessarily mean infertility is not a concern. Patients who are underweight may have fertility issues, but the decision to investigate infertility often depends on various other factors, including overall health and menstrual regularity. Regular menstrual cycles typically suggest normal ovulation, which may lower the likelihood of infertility and could delay the need for a workup. Thus, the combination of age and anovulation highlights the urgency for an earlier infertility workup in these specific cases.