Medical conditions: A variety of medical conditions can affect the female reproductive system and cause infertility in women. Examples include: ovulation disorders, which can be caused by polycystic ovary syndrome (PCOS) or hormonal imbalances pelvic inflammatory disease (PID) endometriosis uterine fibroids premature ovarian failure scarring from a previous surgery Medications and drugs Certain medications and drugs that can affect female infertility include: chemotherapy or radiation therapy long-term use of high-dosage nonsteroidal anti-inflammatory drugs (NSAIDS) such as aspirin (Bayer) and ibuprofen (Advil, Motrin) antipsychotic medications recreational drugs such as marijuana and cocaine The bottom line Ovulation problems cause around one-quarter of the infertility issues seen in couples. An irregular or absent period are two signs that a woman may not be ovulating Find out more information about the signs of female infertility. Infertility testing If you’ve been trying to conceive and haven’t been able to, you’re likely wondering when you should plan to see a doctor. Read on to discover which tests they’ll perform to assess the fertility of you and your partner. Men Men should plan to see a doctor after one year of trying to conceive or if any of the following apply: erectile dysfunction (ED) problems with ejaculation, such as delayed ejaculation or retrograde ejaculation low sex drive pain or swelling in the genital area having undergone a previous surgery in the genital area Your doctor will first take your medical history. During this time, they’ll ask about your overall health, your sexual history, and factors that could affect your fertility. They’ll also perform a physical examination where they check your genitals for any structural abnormalities or lumps. A semen analysis will likely then be performed. Your doctor will ask you to provide a sample of semen. This sample will then be checked in a laboratory to see how many sperm are present and whether the sperm are shaped normally and moving properly. Depending on the results of your initial exam and semen analysis, your doctor may want to perform additional tests. These tests may include: hormone testing genital ultrasound genetic testing Women A woman’s fertility begins to decrease following age 30. Women under 35 should visit a doctor after one year of trying to get pregnant while women 35 and over should visit a doctor after 6 months of trying. Your doctor will first take your medical history. They’ll ask about the current state of your health, your sexual history, and any conditions or illnesses that could contribute to infertility. Then they’ll perform an examination of your pelvic area to check for abnormalities such as fibroids or conditions such as endometriosis or PID. Your doctor will want to see if you’re ovulating every month. This can be determined with an at-home ovulation testing kit or through blood testing at the doctor’s office. An ultrasound may also be used to examine the ovaries and uterus. Other common tests for women include: hysterosalpingography, which is a type of X-ray used to evaluate the fallopian tubes and uterus laparoscopy, which uses a camera to examine the internal organs ovarian reserve testing, which uses a combination of hormone tests to determine a woman’s potential for conceiving — relevant tests include the follicle-stimulating hormone (FSH) test Best Fertility Care Centre , Maternal & amp;Child Health Care Centre , Advanced Fertility Care Centre , Ashwini Hospital & amp; Fertility Centre Moondrumavadi K.Pudur Madurai -07 , Low Cost IVF & amp; ICSI Centre , Normal Vaginal Delivery Rs.35000/-(including medicines) , LSCS Rs. 50000/- (including medicines).