In general, a couple below 35 years of age who does not have any obvious problems, for example, irregular periods, is advised to seek specialised medical attention if they do not conceive after one year of regular intercourse without the use of contraceptives.
A couple can go to a gynaecologist or reproductive medicine specialist for fertility checks.
The specialist will have to conduct some tests for the couple, i.e. to evaluate the condition of
sperms and fallopian tubes, ovarian reserves and if the wife is ovulating. Depending on their
conditions, the specialist will recommend the appropriate course of treatment.
It is important to identify the underlying cause of subfertility in each individual case to decide on the
next course of treatment. Although fertility treatment programmes such as IVF (In-Vitro Fertilisation)
and ICSI (Intra-Cytoplasmic Sperm Injection) may offer the highest success rates, in some couples
simple measures like induction of ovulation, intrauterine insemination, surgical correction of
endometriosis, removal of polyps may help them conceive naturally. The success rates also depend
on various factors, such as the age of the woman, the underlying cause of the fertility problem.