Irregular or Missing Periods
Irregular or absent periods may indicate that ovulation is not occurring regularly.
FERTILITY JOURNEY
When to Seek Fertility Help
Recognise when fertility concerns may benefit from specialist evaluation early.
TIMING GUIDE
How Long Should You Try Before Seeking Help?
For couples without a known fertility concern, the timing of evaluation generally depends on age and medical history.
- 01
Under 35 Years
Consider fertility evaluation after about 12 months of regular unprotected intercourse without pregnancy.
- 02
Age 35 or Above
Consider speaking with a fertility specialist after about 6 months of trying.
- 03
Over 40 Years
A more immediate fertility discussion may be appropriate rather than waiting.
- 04
Known Fertility Concern
You do not need to wait for the usual timeline when a known medical or reproductive condition may affect fertility.
EARLIER ADVICE
Reasons to Seek Fertility Advice Earlier
02
PCOS or Ovulation Concerns
Known PCOS or persistent cycle irregularity may justify earlier fertility assessment.
03
Endometriosis, Tubal or Pelvic Concerns
Known endometriosis, previous pelvic infection, tubal concerns or selected pelvic surgery may affect fertility.
04
Male Fertility Concerns
Abnormal semen results, testicular history or sexual/ejaculatory difficulties are reasons to evaluate the male partner as well.
05
Medical Treatment Affecting Fertility
Previous chemotherapy, radiation or relevant medical conditions may justify earlier fertility advice.
06
Previous Fertility Treatment
Previous unsuccessful IUI, IVF or fertility investigation should be reviewed before deciding the next treatment step.
FIRST VISIT
What Happens at Your First Fertility Consultation?
A first consultation should help understand why pregnancy may be delayed, not automatically move every couple towards IVF. The doctor may review your duration of trying, menstrual or ovulation history, previous pregnancies, medical conditions, previous fertility treatment, ultrasound or blood reports, semen analysis, medicines, previous surgery and the reproductive health of both partners. Investigations may involve ovulation, uterus or tubes, ovarian reserve where relevant and male semen evaluation. Not every patient needs every available test.
COUPLE CARE
Fertility Is a Couple's Evaluation
Difficulty conceiving may involve female factors, male factors, both, or sometimes no clear cause. Evaluating both partners can reduce unnecessary delay, help interpret previous reports more clearly and support treatment planning based on the couple rather than only one side of the history.
IRENE IVF CENTRE
Start with the Right Fertility Conversation
At Irene IVF Centre in Safdarjung Enclave, New Delhi, couples can discuss fertility concerns and previous reports with Dr. Indira Ganeshan before deciding on further investigation or treatment. Consultation may include infertility evaluation and discussion of IVF, IUI, ICSI, egg freezing and reproductive medicine where relevant.
FAQ
Questions Before a Fertility Consultation
Need personal guidance?Book a consultation to discuss your age, trying timeline, reports and medical history.
View All FAQsShould I visit a fertility specialist before one year of trying?
You may consider earlier advice if you are 35 or above, over 40, or have a known fertility or reproductive-health concern.
Does a fertility consultation mean we will need IVF?
No. A first consultation is meant to understand why pregnancy may be delayed and what evaluation may be relevant. Not every couple is directed to IVF.
Should both partners attend the first fertility consultation?
Yes, where possible. Fertility can involve female factors, male factors, both partners, or no clear cause, so couple evaluation can reduce delay.
What if all our previous fertility tests were normal?
Bring the reports for review. The doctor can look at the trying timeline, both partners history and whether any further or repeated evaluation is actually needed.