The first step for many couples seeking medical treatment for infertility is to discuss their inability to conceive with an OB/GYN. The OB/GYN will review the couple's medical history and conduct a complete physical on the female. The evaluation of the male's medical history includes a discussion of previous pregnancies, developmental problems, surgeries, testicular trauma or infections and environmental exposure. The female medical history includes review of previous pregnancies, painful periods or pelvic pain, infections and previous surgeries. The age of the patient must be taken into consideration when developing a cost-effective, medically appropriate evaluation and treatment plan. While there is little necessity to initiate aggressive therapy for a 20-year old with unexplained infertility, those over 35 deserve a more aggressive approach.

Based on the results of the medical history evaluation and physical, the OB/GYN will often recommend that the couple see a reproductive endocrinologist for a routine infertility work-up to determine the cause of infertility. After the cause is determined, your physician will work with you to develop a personalized treatment plan that will help you build the family of your dreams.