Infertility is inability to achieve pregnancy in a sexually active couple, who is not using any contraception. Primary infertility is when a woman is unable to bear a child after trying for at least a year. Secondary infertility is when a woman who has had a previous child is not getting pregnant in 6 months – 1 year of trying. Infertility affects around 10 to 15 % of population
Normally if a couple, in whom the wife is < 35 years, doesn’t achieve pregnancy in 1 to 2 years after trying for pregnancy, the couple should visit a gynecologist, get investigated and start treatment. On the other hand, if the woman’s age is > 35 years, she should start getting investigated within 6 months to one year of trying for a child. A simple semen test after 3 days of abstinence will lets us know either there is any major problem in the husband. An clinical examination, BMI calculation, pelvic sonography to rule out any pathology & for calculating AFC count and blood tests for AMH, prolactin & TSH will give us adequate information about whether the woman is contributing to infertility.