Hear both histories
The consultation considers time spent trying, menstrual history, previous pregnancies, health conditions and prior treatment. Fertility concerns may involve either or both partners.
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Infertility Evaluation
When pregnancy is taking longer than expected, a thoughtful evaluation can help couples understand possible factors and discuss their options without blame.
Plan your consultation →WHEN TO CONSULT
Let’s understand
what matters to you.
Questions about time spent trying
Irregular cycles while planning pregnancy
Review of previous fertility reports
Previous pregnancies and treatment history
Factors involving either partner
Understanding suitable next steps
OUR APPROACH
Thoughtful assessment.
Personalised next steps.
Discuss relevant evaluation
Possible assessments include ovulation-related evaluation, semen analysis and assessment of the uterus or fallopian tubes when indicated. Not every couple needs every test.
Understand your options
Results help guide counselling, treatment discussions or referral. Evaluation does not automatically mean IVF, and no outcome can be guaranteed.
UNDERSTANDING YOUR CARE
A clearer understanding of your fertility, together.
Your history and pregnancy goals
The consultation can review how long you have been trying, cycle patterns, previous pregnancies, medicines and any past pelvic infections or surgery. Your age and medical history help guide when and how to investigate.
Discuss any concerns about intercourse, timing or previous treatment in a private consultation.
Considering both partners
Fertility concerns can involve either partner or both. A semen analysis and relevant partner history may be recommended alongside the woman’s assessment.
Bring reports for both partners where available; this helps avoid repeating investigations unnecessarily.
Ovulation, uterus and fallopian tubes
Depending on the history, investigations may look at ovulation, the uterus or the fallopian tubes. Blood tests, ultrasound or other assessments are selected for a specific question rather than automatically prescribed together.
The doctor can explain preparation, timing and where any recommended investigation can be arranged.
Making sense of the results
Results are considered together with your history. Discuss what has been identified, what remains uncertain and whether more information is needed.
Evaluation does not automatically mean IVF. Options or specialist referrals depend on the findings and your circumstances.
Deciding the next step
Ask about the proposed plan, likely review points, costs of recommended investigations and whether referral to a fertility centre would be useful. Your preferences and emotional wellbeing belong in that discussion.
Bring previous treatment summaries, including medicines and procedures, to follow-up visits.
YOUR CONSULTATION
From your questions
to a clearer plan.
Share your concerns
Discuss your symptoms, priorities and previous care. You can ask questions and explain what matters most to you.
Review and assess
Your history and relevant reports guide the assessment. Any recommended examination or investigation is discussed with you.
Understand the next steps
Discuss the advice, treatment options or referrals appropriate to your situation and clarify any questions.
Plan follow-up
Ask when to return, which reports to bring and what changes should prompt further advice.
What to bring
Relevant records for both partners, previous treatment details and questions about pregnancy planning.
Read the first-visit guide →YOUR QUESTIONS, ANSWERED
A little more clarity.
When should we ask for an evaluation?
Evaluation is generally recommended after 12 months of trying, or after 6 months if the woman is older than 35. Earlier advice may be appropriate with irregular cycles or known concerns.
Should both partners be involved?
Where applicable, yes. Both partners’ histories and relevant investigations can help identify factors affecting conception.
Does a consultation mean we need IVF?
No. The first step is assessment and counselling. The suitable next steps depend on the findings and your circumstances.
Should both partners attend?
Both partners’ histories can be helpful. Ask the clinic about attending together and bring any semen analysis or previous fertility reports. A private discussion is also possible when needed.
Will I need every fertility test?
No. Investigations depend on the history and findings. Ask how each proposed test will help guide the next step.
What happens if specialist treatment is recommended?
The doctor can discuss why a referral may be useful and what information to take. Confirm the provider, arrangements and costs directly before proceeding.
Related reading in our health library →
Further information: ACOG · Evaluating Infertility ↗