Some general gynecologists are very good at the initial infertility evaluation and treatment .
However, you should know about your doctor's training and experience. Make sure that you know whether your doctor is a trained infertility specialist. In general, you should be referred to a reproductive endocrinologist either immediately or after up to 6-12 months of treatment with your gynecologist. This will also vary depending on the cause of the infertility - some cases should be referred to a specialist immediately. It does not have to be expensive to be treated by an infertility specialist.