The other factor is at what point should you start to go for treatment. Age and time play a big role. My friend and I are both married a little over a year and neither of us have children, nor are we expecting yet. It’s frustrating, to be sure, but she is freaking out and starting to consult doctors about hormonal treatments and IVF- I don’t want to put myself through that now, being that I’m only 21. I feel like I could give it another year, maybe two before messing around with all that stuff, as I b’h have the time to continue to wait and see- hopefully, Hashem will allow everything to happen naturally and soon!
For now, I asked my doctor if there are any natural things I can do to up my chances- he recommended a very particular diet, certain vitamin supplements, and a certain exercise regimen; he agrees that at my age I should wait and see before playing around with hormones and the like. The treatments can have some pretty heavy side-effects, so it’s not something to take lightly. He said his general advice is that early 20’s should wait at least 2 years before seeking treatment, whereas over 35 should seek help after 4 months.
We should do everything in our power to bring children into the world, but we also have to keep things in perspective. Also, don’t underestimate the power of tefilla! It was good enough for our Imahos, so it’s certainly good enough for us.