General Timing Guidance
Professional societies commonly suggest a fertility evaluation after 12 months of regular unprotected intercourse without pregnancy, or after 6 months if the female partner is 35 or older. Evaluation sooner is reasonable when there is a known clinical reason to expect difficulty.
Patterns That Often Prompt Evaluation
- Irregular, very light, very heavy, or absent menstrual cycles.
- History of pelvic infection, endometriosis, fibroids, or ovarian surgery.
- Two or more consecutive pregnancy losses.
- Known male-factor concerns, prior chemotherapy, or testicular issues.
- Prior cancer treatment in either partner.
- Family history of early menopause or genetic conditions.
- Same-sex couples and single individuals planning family building.
- Considering elective egg or embryo freezing before age-related decline.
What Evaluation Typically Involves
A first evaluation usually includes a medical history, ovarian reserve testing (AMH, antral follicle count), hormonal panels, uterine/tubal imaging, and a semen analysis. Results guide whether additional testing or treatment is appropriate.
Important Limits
This page cannot tell you whether you are infertile or predict any outcome. Only a qualified specialist with access to your full history and test results can provide clinical guidance.