Understand when to seek fertility advice, what an initial assessment includes and which factors affect conception.
Understanding the concern
Fertility evaluation considers both partners and should be respectful, confidential and stepwise. Age, cycle regularity, previous pregnancies, medical conditions and duration of trying all influence timing.
How it may be assessed
Initial assessment may review ovulation, ovarian reserve where appropriate, ultrasound findings, tubal factors and semen analysis. Tests are selected according to the couple’s history rather than ordered identically for everyone.
Treatment and care options
Management can include timing guidance, lifestyle optimisation, treatment of ovulation problems and referral for advanced fertility treatment when indicated.
When to seek urgent help
Severe pelvic pain, heavy bleeding or a possible ectopic pregnancy is an urgent issue and should not wait for a routine fertility appointment.
Frequently asked questions
When should a couple seek help?
Common guidance is after 12 months when the woman is under 35, or after 6 months at 35 or older; earlier assessment may be suitable with irregular cycles or known concerns.
Is infertility only a female issue?
No. Male, female, combined and unexplained factors all occur, so both partners may need evaluation.