When to See an Infertility Specialist: A Comprehensive Guide

Question
We're on month 6 of trying to conceive.  When is it time to go to an infertility specialist?  Is a regular ob/gyn trained in infertility to a certain degree?  One last thing--who tests sperm counts and sperm motility--my gynecologist or my husband's general practitioner?  Thanks for clearing the muddy waters.

Answer
Most perinatologists will not see you until you become pregnant. Most general ObGyn or Infertility doctors will not see you until you have been trying to conceive for a full 12 months. When the workup starts after 12 weeks, we usually send your husband to a urologist  to do a semenalysis, which includes a sperm count and a calculting of sperm mobility, motility, and volume.