# Trouble Conceiving? When to Seek a Fertility Evaluation
Many healthy couples conceive within a year of regular unprotected intercourse. About eight out of ten do so in that time. When pregnancy does not happen, it can be stressful, and knowing when to seek advice avoids unnecessary waiting.
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# General guidance on timing
- Under 35 years: consider an evaluation after 12 months of trying
- 35 years or older: after about 6 months
- Earlier, if cycles are very irregular or absent, or if there is a known condition such as endometriosis, PCOS, fibroids or a history of pelvic infection
# What an evaluation looks at
Fertility involves both partners. For the woman, doctors check ovulation through cycle history and hormone tests, the uterus and ovaries through ultrasound, and sometimes the fallopian tubes by a dye test or laparoscopy. For the man, a semen analysis is the starting point. Often a cause is found that can be treated, and sometimes no single cause is identified.
# Treatment ranges
Options vary from timed intercourse and medicines that help ovulation, to surgical correction of fibroids, polyps or adhesions, and assisted reproduction when needed.
Infertility management is listed among the services for Dr. Sambit Nanda in Andheri West, including hysteroscopic procedures for uterine problems. Couples searching for a Gynecologist in Andheri West can read about the approach on the clinic website and phone +91 8879147158 to ask about timings.
Stress about conception can strain relationships, and talking with a counsellor or a close friend can help. Both partners should attend if possible. Tests are not painful for most people, and early findings, such as low sperm count or blocked tubes, often point to a clear plan instead of continued uncertainty.
Starting folic acid, keeping a healthy weight and reducing smoking and alcohol are sensible steps while you plan.
This article is general information for readers and does not replace a consultation. Please see a qualified doctor for advice about your own situation.