At a glance
Understand the training and roles of OB-GYNs and fertility specialists (reproductive endocrinologists) in Thailand, and when to seek specialized fertility care.
If you’re trying to conceive and wondering whether to see an OB-GYN or a fertility specialist in Thailand, the short answer is: an OB-GYN provides general reproductive health care, while a fertility specialist (often a reproductive endocrinologist) has additional training focused on diagnosing and treating infertility. For most couples, starting with an OB-GYN is reasonable, but if you have known risk factors or have been trying for a while without success, a fertility specialist can offer more advanced evaluation and treatment options.
At a Glance
- OB-GYN: General women’s health, including routine exams, contraception, and basic fertility evaluations.
- Fertility Specialist: Advanced training in reproductive endocrinology and infertility, offering specialized testing and treatments like IVF.
- When to see a specialist: If you’re over 35 and have been trying for 6 months, or under 35 and trying for 12 months, or if you have known fertility issues.
Training and Expertise
An OB-GYN (obstetrician-gynecologist) in Thailand completes medical school and a residency in obstetrics and gynecology. They are trained to manage pregnancy, childbirth, and a wide range of reproductive health issues, including menstrual disorders, fibroids, and basic infertility workups.
A fertility specialist, also known as a reproductive endocrinologist (RE), is an OB-GYN who has completed additional fellowship training in reproductive endocrinology and infertility. This extra training focuses on the hormonal and physiological aspects of reproduction, including ovulation disorders, tubal factors, male factor infertility, and assisted reproductive technologies like in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI).
When to See a Fertility Specialist
While an OB-GYN can perform initial fertility testing and provide basic advice, a fertility specialist is better equipped for complex cases. Consider seeing a specialist if:
- You are over 35 and have been trying to conceive for 6 months or more.
- You are under 35 and have been trying for 12 months or more.
- You have irregular or absent periods, which may indicate ovulation problems.
- You have been diagnosed with conditions like polycystic ovary syndrome (PCOS), endometriosis, or uterine fibroids.
- You have had multiple miscarriages.
- Your partner has known male factor infertility, such as low sperm count or motility.
- You are considering advanced treatments like IVF or ICSI.
What to Expect from Each
An OB-GYN can offer initial evaluations, such as blood tests to check hormone levels, an ultrasound to assess ovarian reserve, and a semen analysis for your partner. They can also provide lifestyle advice and prescribe ovulation induction medications like clomiphene citrate.
A fertility specialist will conduct a more comprehensive workup, including detailed imaging (like hysterosalpingography to check fallopian tubes), advanced hormonal testing, and may recommend surgical interventions if needed. They are also the professionals who perform IVF and other assisted reproductive technologies.
Questions to Ask a Clinic
When choosing between an OB-GYN and a fertility specialist in Thailand, consider asking:
- What is your training and experience in fertility treatment?
- Do you have a subspecialty certification in reproductive endocrinology?
- What diagnostic tests do you typically recommend for unexplained infertility?
- What fertility treatments do you offer on-site?
- How do you communicate with patients who are from abroad?
Next Steps
If you’re unsure where to start, begin with an OB-GYN for a basic check-up. They can refer you to a fertility specialist if needed. Alternatively, you can directly seek a fertility specialist if you have known risk factors or have been trying for a while.
For more information, explore our FAQ and guides. If you have specific questions, feel free to contact us.
Frequently asked questions
Can an OB-GYN perform IVF in Thailand?
In Thailand, IVF is typically performed by fertility specialists who have additional training in reproductive endocrinology. While some OB-GYNs may have experience in fertility treatments, it's important to confirm the doctor's qualifications and experience before undergoing IVF.
How long should I try before seeing a fertility specialist?
General guidelines suggest trying for 12 months if you are under 35, and 6 months if you are 35 or older. However, if you have known fertility issues or risk factors, you may want to see a specialist sooner.
What is the difference in cost between an OB-GYN and a fertility specialist in Thailand?
Costs can vary widely depending on the clinic and the specific services. Fertility specialist consultations and treatments like IVF are generally more expensive than standard OB-GYN visits. It's best to inquire directly with clinics for accurate pricing.
Do I need a referral to see a fertility specialist in Thailand?
In Thailand, you can often see a fertility specialist directly without a referral. However, some insurance plans may require a referral for coverage. It's advisable to check with your insurance provider.
Continue your research
Medical information notice: This article is educational and does not replace individual assessment, diagnosis, genetic counselling or treatment advice from a licensed clinician. Provider services, availability, fees and policies should be verified directly before booking.
Need help turning research into a shortlist?
