In roughly a third of couples the difficulty lies with the husband, in a third with the wife, and in the rest with both or with no cause that testing can find. That is why the first step is to assess both partners rather than starting treatment on the wife alone.
Assessment usually covers ovulation, the condition of the tubes and uterus, hormone levels and a semen analysis. Treatment depends entirely on what is found — for many couples it is medicine and timing, for some it is surgery, and for others a referral for assisted conception.
Both husband and wife are welcome at the consultation, and it helps if they come together for the first visit.
When to see the doctor
- No pregnancy after a year of trying (six months if over 35)
- Irregular or absent periods
- Repeated miscarriage
- Known PCOS, endometriosis or blocked tubes
- Previous pelvic surgery or infection
Frequently Asked Questions
Should my husband come to the first appointment?
Yes, if possible. A large share of infertility involves the husband, and a semen analysis is one of the simplest and most useful early tests. Coming together saves months.