Shiva Krupa Polyclinic & LaboratoryWomen’s Health, Fertility & Family MedicineBook an appointmentFertility
Knowing when to seek advice can reduce uncertainty and help identify simple, treatable factors early.
July 2026 · Doctor-reviewed patient education
IN A NUTSHELL
Most couples under 35 can seek advice after twelve months of trying; consult after six months when the woman is 35 or older, and earlier when cycles are irregular or a known condition exists.
A fertility evaluation is not an automatic path to IVF. It is a structured review of both partners so that the next step is based on evidence rather than guesswork.
SECTION 1
Couples may seek advice after twelve months of regular unprotected intercourse when the woman is under 35, or after six months when she is 35 or older. Earlier review is appropriate when periods are irregular, pelvic pain is persistent, surgery or cancer treatment has occurred, or either partner has a known fertility concern.
The right time depends on age, cycle pattern, health history and how long you have been trying.
SECTION 2
Fertility depends on factors affecting either or both partners. Assessing both at the beginning avoids months of unnecessary treatment and creates a more complete plan.
A fertility evaluation is a couple’s assessment—not only a woman’s test.
SECTION 3
Depending on the history, assessment may include menstrual and ovulation review, ultrasound, ovarian reserve testing and evaluation of the uterus or fallopian tubes. Tests are selected because they can change management, not simply ordered as a standard package.
Not every patient needs every fertility test.
SECTION 4
Semen analysis is usually the starting point. If a result is abnormal, it may need to be repeated under correct collection conditions before targeted hormonal, genetic or specialist evaluation is considered.
One abnormal semen report is important, but it is not always the final conclusion.
SECTION 5
No. The outcome may be reassurance, cycle guidance, treatment of an underlying condition, ovulation support, IUI, surgery in selected cases or IVF when clinically appropriate.
The purpose of evaluation is to choose the simplest effective next step.
COMMON QUESTIONS
Yes. Bring prior scans, blood tests, semen analyses, treatment records and medicine lists. They can prevent unnecessary repetition and help the doctor understand the full timeline.
The first consultation can organise the plan, but some tests depend on menstrual-cycle timing and may be completed over several days or one cycle.
Usually not unless your doctor advises otherwise for a specific procedure or medical reason. The consultation can clarify timing and any precautions.
Yes. Very irregular or absent periods may indicate inconsistent ovulation and are a reason to seek advice earlier rather than waiting a full year.
Consult earlier for irregular periods, severe pelvic pain, previous pelvic surgery, recurrent pregnancy loss or known male-factor concerns.
AT SHIVA KRUPA POLYCLINIC
Dr Aishwarya offers clear fertility assessment and discusses simpler options before advanced treatment is considered.
Book an appointmentFINAL TAKEAWAY
Early clarity can save time, reduce anxiety and lead to the most appropriate next step.