When to investigate fertility

Learn when to consider fertility testing, which signs may warrant earlier assessment, and how a timely check can help you understand your reproductive health and next steps.

Our team of fertility specialists is led by Professor Tim Child, a globally recognised expert.

Led By

Professor Tim Child

A globally recognised fertility specialist.

Clinical team

Specialist Fertility Expertise

Our team includes clinicians trained at Oxford University, alongside experts across fertility care.

Our clinicians bring world-class expertise and advanced diagnostic capabilities to Saudi Arabia, supporting couples to understand their fertility health in a confidential and respectful environment.

When should you consider a fertility check?

Crucially, if you have concerns at any point, expert advice can be sought earlier, you do not need to wait. Fertility investigations are not solely reactive; they can also be proactive. Seeking guidance earlier can help you better understand your options.

While every journey is deeply personal, medical guidance recommends fertility evaluation if:

You are under 35 and have been trying to conceive for 6 to 12 months or more without pregnancy

You are aged 35 to 39 and have been trying for 6 months

You are aged 40 or over and would like guidance before trying, or after 3 to 6 months of trying

You have irregular, infrequent or absent periods

You have been diagnosed with a condition that may affect fertility, such as PMOS (formerly PCOS), endometriosis, or certain hormonal imbalances

You have experienced two or more miscarriages

You are planning to delay pregnancy and want to understand your current fertility status, including ovarian reserve

For men, fertility assessment may be appropriate if:

You are part of a couple struggling to conceive

You have a history of testicular injury, surgery, or undescended testes

You have experienced infections that may affect fertility

You have been diagnosed with varicocele

You have concerns about overall reproductive health

There are known issues with sperm quality or count

Why early fertility assessment matters

Seeking fertility advice does not mean something is wrong. In many cases, it simply provides peace of mind.

A fertility check may help:

Identify any underlying issues that may affect conception

Clarify your current fertility health

Allow for timely and appropriate treatment if needed

Improve planning for future family-building options, including natural conception, fertility preservation or assisted reproductive treatments

What happens during a fertility assessment?

A fertility evaluation is usually straightfoward and tailored to your situation.

Depending on initial findings, additional testing may be recommended, but many patients simply gain reassurance and practical guidance.

For women, this may include:

Medical history review

Hormone blood tests

Ultrasound scans to assess reproductive anatomy and ovarian reserve

Ovulation assessment

For men, this typically involves:

Medical history review

Semen analysis to assess sperm count, movement, and shape

What happens after testing?

Following assessment, your specialist will walk you through your results and discuss your options.

This may include:

Optimising natural conception through cycle timing

Lifestyle adjustments to support fertility

Further diagnostic investigations

Treatment options such as ovulation induction, fertility preservation options, assisted reproductive treatments such as IVF or ICSI

Should you test before trying to conceive?

Increasingly, many couples are choosing fertility testing before actively trying for pregnancy.

This can be especially helpful if you are:

Planning to delay parenthood
Considering egg freezing
Seeking greater understanding of your reproductive health
Building a long-term family plan

Rather than waiting for difficulties to arise, early testing can provide a clearer picture of your current fertility and help guide future decisions with confidence.

Personalised guidance for your fertility journey

If you are unsure whether it is the right time to investigate fertility, speaking with a specialist can help you make an informed decision.

Whether you are planning ahead or actively trying to conceive, early guidance can provide reassurance and a clear path forward.

At Child Fertility, our team is here to support you with expert care, clear communication, and a compassionate approach at every stage of your journey.

Join waiting list

Frequently asked questions

When should I consider a fertility check?

If you have been trying for 6 to 12 months (or 6 months if over 35) without success, fertility evaluation is recommended.

Can I check my fertility even if I’m not trying yet?

Yes. Many people choose to assess their fertility early to better understand their reproductive timeline and future options.

Is fertility testing complicated?

No. Initial tests are simple, and may include blood tests, ultrasound scans, and semen analysis.

Should both partners be tested?

Yes. Fertility challenges can involve male, female or combined factors, so assessing both partners often provides the clearest picture.

Does needing a fertility check mean I’m infertile?

Not at all. Many people who seek testing go on to conceive naturally or with minimal support.