You may have fertility problems if you haven't been able to get pregnant after trying for at least 1 year. It doesn't necessarily mean you will never get pregnant. Often, couples conceive without help in their second year of trying. Some don't succeed. But medical treatments do help many couples.

Age is an important factor if you are trying to decide whether to get testing and treatment for fertility problems. A woman is most fertile in her late 20s. After age 35, fertility decreases and the risk of miscarriage goes up.

  • If you are younger than 35, you may want to give yourself more time to get pregnant.
  • If you are 35 or older, you may want to get help soon.

In cases of fertility problems:

  • About 50 out of 100 are caused by a problem with the woman's reproductive system . These may be problems with her fallopian tubes or uterus or her ability to ovulate (release an egg).
  • About 35 out of 100 are caused by a problem with the man's reproductive system . The most common is low sperm count.
  • In about 10 out of 100, no cause can be found in spite of testing.
  • About 5 out of 100 are caused by an uncommon problem.