Overview
Common causes include ovulation problems, blocked tubes, and low sperm count.
About a third of cases involve the male partner.
Symptoms
Common signs:
- Trouble getting pregnant
- Trying to get pregnant without success
Less common
- Irregular periods
When to get medical care
Call 911This isn't an emergency by itself. Call 911 for trouble breathing, chest pain, or fainting.
Get care todayPelvic pain with fever.
See a doctor soonTrying a year (or 6 months if 35+).
Causes
Ovulation, tubes, sperm, age.
Does it spread or run in families?
- It isn't contagious. You can't catch it from someone else.
Who is more likely to get it
- Age over 35
- PCOS
- Smoking
Possible complications
Diagnosis
Both partners are evaluated.
Questions you may be asked
- Periods, past infections
Tests
Tests, if needed:
- Ovulation tests:
- Semen analysis:
- Tube X-ray:
Treatment
Boost your chances.
Self-care
- Have sex every 1 to 2 days around ovulation
- Don't smoke
- Keep a healthy weight
- Take folic acid
Medicines
Medicines that may help:
| Medicine | Helps with | Good to know |
|---|---|---|
| Ovulation medicines | Ovulation |
OwieClear doesn't give doses: follow the label or your healthcare professional. Medicine names here are examples, not a full list.
Which doctor treats this
- Start with your primary care provider (family doctor or internist).
- They may send you to an OB-GYN or midwife; high-risk pregnancies may see a maternal-fetal medicine doctor.
Outlook
Many couples succeed.
Getting ready for your visit
Bring a list of your symptoms and medicines.
Questions to ask
- What tests do we need?
Research studies
Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.
Search ClinicalTrials.gov for studies on Trouble getting pregnant (infertility)
Sources
Last updated 2026-11-12.