Specialist expertise: Recurrent Miscarriage, Uterine Fibroids, General Gynaecology, Gynaecology, Obstetrics, Early Pregnancy Care, Early Pregnancy Assessment, Menopause.
The commonest causes for delay in conception are summarised below and as many as 1 in 6 couples are affected.
- Ovulatory causes (e.g. polycystic ovarian syndrome)
- Male factor (e.g. low sperm count)
- Tubal disease (e.g. from scarring due to infection or endometriosis)
However there are some cases in which infertility is unexplained. Couples having regular intercourse where the woman has regular periods and no obvious risk factors should be reassured that it is normal to take up to a year to conceive. This advice is clearly not appropriate for older women or for those with symptoms and this group should consider tests to investigate potential problems.
A fertility check up includes taking a detailed medical history and examination where appropriate.