Symptoms
The main symptom of infertility is not getting pregnant. There may be no other obvious symptoms. Sometimes, a woman with infertility may have irregular or absent menstrual periods. In some cases, a man with infertility may have some signs of hormonal problems, such as changes in hair growth or sexual function.

Most couples will eventually conceive, with or without treatment.

When to see a doctor
You probably don't need to see a doctor about infertility unless you have been trying regularly to get pregnant for at least one year. Women should talk with a doctor earlier, however, if they:

Are age 35 or older and have been trying to conceive for six months or longer
Are over age 40
Have irregular or absent periods
Have very painful periods
Have known fertility problems
Have been diagnosed with endometriosis or pelvic inflammatory disease
Have had multiple miscarriages
Have undergone treatment for cancer
Men should talk to a doctor if they have:

A low sperm count or other problems with sperm
A history of testicular, prostate or sexual problems
Undergone treatment for cancer
Small testicles or swelling in the scrotum
Others in your family with infertility problems

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