Infertility can be very simply defined as the inability of a couple to conceive after trying for at least one year. According to scientific evidence more than 90% of couples will conceive within 1 year of attempting pregnancy. However since the probability of conception decreases with the woman’s age, women over 35 years of age should consider seeking an expert opinion within 6 months of attempting pregnancy. We suggest that women over 40 years of age should seek fertility advice as soon as they have decided to pursue pregnancy.
Much against the common belief that the female partner is responsible for infertility in most of the cases, male factor is as much responsible for infertility as the female factor. In up to one third cases, infertility is primarily due to female factor; in another one third cases it is primarily due to male factors; whereas in the remaining cases it is caused either by combined male- female factor or the cause is unexplained. This clearly implies that both the partners should be evaluated simultaneously for a more effective management.