Couple who had been trying for Conception with unprotected regular intercourse for more than a year. Few couples with any chronic illness or age factor might require early Evaluation. 

In heterosexual couples, one -third of the causes on Infertility are male specific reproductive problems and One-third female specific reproductive problems and One-third are a mix of both or unknown causes 

The Male partner is responsible for One-third of the infertility cause and increased rate of miscarriage.

Male infertilities Can be Caused by inadequate sperm production, defective sperm function or obstruction in the sperm deliver system diseases, trauma, chronic health complication, hormonal imbalance lifestyle habits- Oveno eight, smoking, excessive drinking, age exposure to reductive substances may all lead to male infertility.

 -Basic Semen analysis

 -Tube evaluation by hsg (hysterosalpingogram)

 -detection evaluation – either by mid luteal serum progesterone evaluation or LH surge in urine

ultrasound- follicular monitoring

Advanced / supplementary investigations like laparoscopy, hysteroscopy, post-critical test, endometrial biopsy, sperm function test may be required.

Polycystic ovary syndrome is a complex of endocrine (hormonal) disorder affective 7-10% of women of childbearing age and is the most common cause of infertility. Androgen excess seen in 60-80% of girls and women with pcos is a key problem in disorder, Insulin resistance and high insulin levels worsens androgen excess. very important to know pocs can recur. Any form of treatment is of only team parony relief   and may be required to repeat and varied at various times during her reproductive years.