When to see a doctor
- You have been trying for 12 months without success
- You are over 35 and have been trying for 6 months
- Sooner if you have irregular periods, PCOS, very painful periods or previous miscarriages
Evaluation for both partners
Difficulty conceiving can come from either partner, or both, so both are evaluated.
- For the woman: cycle history, examination, hormone and thyroid tests, ultrasound and ovulation tracking (follicular study), and tests of the fallopian tubes when needed.
- For the man: a semen analysis, a simple test that gives important information early.
Treatment and guidance
- Timing intercourse around ovulation
- Treating conditions such as PCOS or thyroid problems that affect ovulation
- Treatment to support ovulation where it is suitable
- Advice on weight, diet, smoking, alcohol and stress for both partners
- Referral to an advanced fertility centre for IUI or IVF when it is the right next step
Every couple's situation is different. Dr. Surabhi explains each option and its chances honestly so you can decide together.
Written and reviewed by Dr. Surabhi Waman-Ghaisas, MS OBGY (ISM), Dr. Surabhi's Gynocare Clinic, Bhugaon. This page is general information and does not replace a consultation.