Infertility is often diagnosed based on how long you have been trying to get pregnant without seeing the results you are hoping for.

Diagnosing Infertility

It’s normal to take up to a year to get pregnant. However, there are two key time frames you should keep in mind.

More than12 months Under 35

If you are under 35 and have been trying to get pregnant for more than 12 months, you may want to seek expert help.

If you are over 35 and have been trying to start a family for the last 6 months, do consult your doctor for fertility advice.

More than6 months Over 35
What tests do you need?
The first step towards treating infertility is a correct diagnosis.
Fertility tests are the accurate way to know whether you are infertile, and its causes.
Infertility tests for couples1

Your doctor will need to delve into both of your medical histories, while conducting some diagnostic tests.

1
Medical history
2
Physical examination
3
Blood tests – to measure hormone levels
4
Ultrasound – to measure ovarian reserves, and check for uterine or ovarian diseases
5
Hysterosalpingography – to check your uterus and fallopian tubes
6
Biopsy – to check for abnormalities resulting in infertility
7
Semen analysis – to check health and viability of sperm

On average, 100 million sperm cells are released during ejaculation. Of these, only 1 sperm is needed to fertilise the egg.2

Why you should know about infertility tests?3
  • Sometimes, the results of the fertility tests done by you and your partner can turn out to be normal, and may come back without a definitive reason behind your fertility problems.
  • In this case, you have what is medically termed as ‘unexplained infertility'.
  • Approximately 8% of couples will be diagnosed with unexplained infertility after their diagnostic work-up.
  • Unexplained infertility is not a reason to despair; your doctor will advise you on the available fertility treatment options to help you start a family.
  1. Mayo Clinic. Infertility. Diagnosis and treatment. Available at: https://www.mayoclinic.org/diseases-conditions/infertility/diagnosis-treatment/drc-20354322. Accessed April 2020.
  2. Urology Care Foundation. Infertility by the numbers. Available at:  https://www.urologyhealth.org/educational-materials/infertility- infographic. Accessed: April 2020.
  3. Patrick Thonneau, Sophie Marchand, Anne Tallec, Marie-Laure Ferial, Béatrice Ducot, Jacques Lansac, Patrice Lopes, Jean-Marie Tabaste, Alfred Spira, Incidence and main causes of infertility in a resident population (1 850 000) of three French regions (1988–1989) * , Human Reproduction, Volume 6, Issue 6, July 1991, Pages 811–816, https://doi.org/10.1093/oxfordjournals.humrep.a137433.