When to see a doctor
- After 12 months of trying, if you are under 35
- After 6 months of trying, if you are 35 or older
- Sooner if your periods are irregular or absent, or you have had pelvic infections, endometriosis or previous surgery
The assessment
- A detailed history and examination
- Blood tests to check hormones and ovulation
- An ultrasound of the womb and ovaries
- A test of the fallopian tubes when needed
- A semen analysis for the husband, because male factors are involved in around a third of cases
Treatment
Depending on the cause, treatment may include advice on timing and lifestyle, medicines to help ovulation, treatment of PCOS, thyroid or infections, or surgery. If you need IVF or other advanced treatment, Dr. Maryam will refer you to a specialist centre.
Common questions
Should my husband come to the appointment?+
Yes, if possible. Fertility is a couple's issue and both partners need to be checked.
Can I start with an online consultation?+
Yes. Share your previous reports on WhatsApp and Dr. Maryam can advise which tests to do first.
General information for patients of Dr Maryam's Clinic. It does not replace a consultation. Last updated October 2026.
