How long it usually takes
Many couples conceive within a year of trying. As a general guide, it is worth seeing a doctor if:
- you are under 35 and have been trying for more than 12 months, or
- you are 35 or older and have been trying for more than 6 months.
Come sooner if your periods are very irregular or absent, if you have endometriosis or a previous pelvic infection or operation, if sex is painful, or if your partner has a known health issue.
Timing and everyday steps
You are most likely to conceive in the few days leading up to and including ovulation. Having sex every two to three days through your cycle covers this window without the pressure of exact timing.
- Start folic acid before you conceive.
- Aim for a healthy weight.
- Stop smoking and keep alcohol and caffeine low. This applies to both partners.
What a fertility assessment involves
Both partners are assessed. The first visit covers a detailed history and examination, followed by tests chosen for your situation. These may include blood tests to check ovulation and hormones, a pelvic ultrasound, a semen analysis and, in some cases, a test to check the fallopian tubes.
Treatment options
- Medicines to help ovulation: for some women, a tablet to help ovulation may be enough.
- Surgery: removal of womb lining polyps, ovarian cysts or endometriosis.
- Intrauterine insemination (IUI): carefully timed placement of prepared sperm into the womb.
- Referral: if more advanced treatment such as IVF is needed, you will be guided to the right next step.
This article is general information and does not replace a consultation with a doctor. If you are worried about your health, please book a visit or, in an emergency, call +65 6535 8833.
