Infertility is the in ability to conceiver after a year of unprotected enter course. There can be multiple reasons why a couple fails to get pregnant. It could be advanced female age (>35years) fallopian tubal blockage, low egg reserve, low egg quality, uterine fibroids, difficulties during enter course or poor semen quality. Usually one must consult a specialist after one year of trying to conceive without using any contraception. It must be earlier (within 6 month of trying) if:

1. The couple got married late female >35 years.
2. History of irregular cycles with acne and excessive body and facial hair or other menstrual problems like painful periods.
3. Known case of hormonal disturbance like uncontrolled typhoid, hormonal problems proactive hormones problem.
4. Known to have low egg reserve.
5. Known to have low sperm or nil sperm count.
6. Sexual problems in the couple
7. Known to leave

Infertility is the in ability to conceiver after a year of unprotected enter course. There can be multiple reasons why a couple fails to get pregnant. It could be advanced female age (>35years) fallopian tubal blockage, low egg reserve, low egg quality, uterine fibroids, difficulties during enter course or poor semen quality. Usually one must consult a specialist after one year of trying to conceive without using any contraception. It must be earlier (within 6 month of trying) if:

1. The couple got married late female >35 years.
2. History of irregular cycles with acne and excessive body and facial hair or other menstrual problems like painful periods.
3. Known case of hormonal disturbance like uncontrolled typhoid, hormonal problems proactive hormones problem.
4. Known to have low egg reserve.
5. Known to have low sperm or nil sperm count.
6. Sexual problems in the couple
7. Known to leave