When to seek a fertility assessment
If you are having regular sex without contraception, consider a fertility assessment:
- Under 35: after 12 months of trying.
- 35–40: after 6 months.
- Over 40: seek advice promptly rather than waiting.
Sometimes, it is better to come earlier
You do not need to wait for these time limits if your periods are irregular or absent, you have known or suspected endometriosis or fallopian-tube problems, or either partner has a condition that may affect fertility.
Both partners matter
Where applicable, assessment should begin for both partners together. It may include reviewing ovulation, assessing the uterus and fallopian tubes, and a semen analysis. Tests are selected according to your history.
What about AMH?
AMH helps assess ovarian reserve. It cannot, by itself, tell you whether you can conceive naturally. A low result does not mean pregnancy is impossible.
Bring any previous reports and your questions. The aim of the first consultation is to understand your situation and agree on a sensible next step.
Seek urgent assessment for severe one-sided pelvic pain, fainting, shoulder-tip pain or heavy bleeding—especially with a positive pregnancy test. Do not wait for a routine appointment reply.
Clinical references · Sources checked 3 October 2026
- ASRM: Fertility evaluation of infertile women (2021)
- ACOG: Evaluating infertility
- ASRM: Testing and interpreting measures of ovarian reserve (2020)
This information is educational; individual assessment may change the advice.
What else do patients ask?
When should I seek fertility advice?
Usually after 12 months of trying if under 35, or six months at 35 or older. Seek advice sooner with known concerns; over 40, seek prompt advice.
Should both partners be assessed?
Yes. Fertility can involve either or both partners, so the assessment should consider both.
Should I wait if my cycles are irregular?
No. Irregular cycles can justify earlier evaluation.
What should I bring?
Bring previous reports, medicine details and a summary of menstrual and pregnancy history.