My husband and I have stopped using protection for over a year


Q: My husband and I have stopped using protection for over a year and I have not become pregnant. We took one of the at home fertility tests and they came out fine. I want to get my fertility tested but I really don't know where to start. Should I go to a regular physician, a gynecologist or do I need to see a fertility specialist right away?


A:   Hi,
Thanks for the query.

I understand your concern.
If couple not able to conceive after one year with regular unprotected intercourse history, that can be considered as primary infertility.
The possible causes of infertility are gonadal hormonal imbalance which can cause irregular menstrual cycles, anovulation etc, fallopian tubal block, uterine causes like endometrial abnormalities, fibroids, adhesions etc, thyroid hormonal or prolactin level abnormalities giving rise to irregular periods etc.
Male factors can also lead to infertility like abnormal seminal parameters like low sperm count, decreased motility etc, genital abnormalities like varicocele, ejaculatory duct obstruction etc.
By examination and by investigations like ultrasound, hysterosalpingography, gonadal hormonal analysis, thyroid profile, prolactin levels estimation for female partner and by physical examination and semen analysis for male partner the possible cause of the problem can be identified and treatment can be planned accordingly.
So, please do consult your doctor or gynecologist and get evaluated. If needed they will refer you to an infertility specialist.

Take care

Related Q&A

Q: I was on amoxicillin for a round of that for a sinus infection and a UTI I've now had a cough With some mucus very an...

Q: Hi, a few days ago i woke up to 2 sets of 2 red inflamed dots under my stomach / in my groin area. To me they looked ...

Q: I am 70 years old and have been suffereing from diarhea for the last few months. Today have got a high reading for ce...

Q: I've spent the the past year or so worrying off and on about lymphoma. Last year, I moved to the Netherlands, by myse...

Q: My 6 year old has a partially white stool. She finished augmentin a week ago for a swollen jaw, which we assumed may ...


Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon