What Are The Types of Infertiltiy? Infertility can be primary or secondary. Primary infertility is when a couple has not conceived after trying for at least 12 months without using birth control Secondary infertility is when they have previously conceived but are no longer able to. Diagnosis Most people will visit a physician if there is no pregnancy after 12 months of trying. If the woman is aged over 35 years, the couple may wish to see a doctor earlier, because fertility testing can take time, and female fertility starts to drop when a woman is in her 30s. Infographic of baby conception and infertility Some facts about conception and fertility A doctor can give advice and carry out some preliminary assessments. It is better for a couple to see the doctor together. The doctor may ask about the couple's sexual habits and make recommendations regarding these. Tests and trials are available, but testing does not always reveal a specific cause. Infertility tests for men The doctor will ask the man about his medical history, medications, and sexual habits and carry out a physical examination. The testicles will be checked for lumps or deformities, and the shape and structure of the penis will be examined for abnormalities. Semen analysis: A sample may be taken to test for sperm concentration, motility, color, quality, any infections, and whether any blood is present. Sperm counts can fluctuate, so that several samples may be necessary. Blood test: The lab will test for levels of testosterone and other hormones. Ultrasound: This may reveal issues such as ejaculatory duct obstruction or retrograde ejaculation. Chlamydia test: Chlamydia can affect fertility, but antibiotics can treat it. Infertility tests for women A woman will undergo a general physical examination, and the doctor will ask about her medical history, medications, menstruation cycle, and sexual habits. She will also undergo a gynecologic examination and a number of tests: A surgeon performs a laparoscopy Laparoscopy involves inserting a thin tube with a camera on to investigate and possibly remove unwanted tissue. Blood test: This can assess hormone levels and whether a woman is ovulating. Hysterosalpingography: Fluid is injected into the woman's uterus and X-rays are taken to determine whether the fluid travels properly out of the uterus and into the fallopian tubes. If a blockage is present, surgery may be necessary. Laparoscopy: A thin, flexible tube with a camera at the end is inserted into the abdomen and pelvis, allowing a doctor to look at the fallopian tubes, uterus, and ovaries. This can reveal signs of endometriosis, scarring, blockages, and some irregularities of the uterus and fallopian tubes. Other tests include: ovarian reserve testing, to find out how effective the eggs are after ovulation genetic testing, to see if a genetic abnormality is interfering with fertility pelvic ultrasound, to produce an image of the uterus, fallopian tubes, and ovaries Chlamydia test, which may indicate the need for antibiotic treatment thyroid function test, as this may affect the hormonal balance. Best Fertility Care Center, Ashwini Hospital Moondrumavadi Madurai-07 , Advanced Fertility Care Center., Multi Speciality Hospital . Mother and Child well being..