CAUSES
The goals of evaluating infertile couples are to determine the cause of infertility and hence make recommendations about the treatments available and evaluate the chances that such treatments will help. In approximately 30% of infertile couples, the cause is identified only in the female and in 30% the cause is identified only in the male.

In 30% of couples, causes can be detected in both partners. In about 10% of cases, the underlying cause is not yet found by the current diagnostic methods.

INVESTIGATIONS
The investigations now available to a couple who have difficulty in achieving a pregnancy have greatly advanced over the past two decades. Whenever a couple think there is a problem in conceiving, they should seek the advice of their doctor (general practitioner or family doctor). Whenever possible couples who perceive problems in conceiving should be seen together as both partners are affected by decisions surrounding investigation and treatment of infertility.

Your doctor will review your past medical and surgical events, especially any prior investigations or  treatments  for infertility, your current health status, including lifestyle and diet and any occupational risks. Your doctor will ask you about birth control, previous pregnancies and sexual practices within your current relationship.

The history may reveal clues as to the underlying causes of your infertility so that the doctor can select the specific diagnostic tests that will identify your cause of infertility.The basic infertility workup typically takes a couple of months to complete. The stress of being tested and waiting for the results may add extra pressure to your emotions, your relationship with your partner and your sex life.