What is the first treatment for female infertility?

Infertility can involve irregular ovulation, blocked or damaged tubes, reduced ovarian reserve, endometriosis, or factors affecting sperm. A clinician may use an AMH test as one part of ovarian assessment and a tubal dye test to check whether the fallopian tubes are open. Your partner may need assessment too.

When ovulation is infrequent and the tubes and sperm assessment are suitable, ovulation induction may be an early treatment. IUI or IVF may be considered when the findings, age, duration of trying, or previous treatment make them more appropriate.

Bring menstrual dates, previous pregnancies, pelvic surgery history, medicines, and relevant test results. Ask which tests are needed before treatment and how the plan changes if ovulation, tubes, ovarian reserve, or sperm results differ. A fertility clinician can link the treatment choice to your goals and timeline.

Arrange a fertility assessment if pregnancy has not occurred despite regular attempts, or sooner if periods are very irregular, there is a history of pelvic infection or surgery, or you have concerns about ovarian reserve. Seek urgent care for severe pelvic pain, faintness, or heavy bleeding, particularly during fertility treatment.

What may be affecting fertility in my situation, which tests should come first, and is ovulation induction suitable? When would IUI or IVF be considered, and how will treatment be adjusted if the first plan does not work?