When should you see a fertility specialist?
How long to keep trying, which signs mean you should go sooner, and what a first visit involves.
By Dr. Nimisha Pandya · 20 October 2026 · 4 min read
Many couples wonder when to stop “just trying” and get advice. The honest answer is: sooner than most people think, and without needing to feel worried or embarrassed.
The general guideline
- Under 35: see a specialist if you haven’t conceived after 12 months of regular unprotected intercourse.
- 35 or older: see one after 6 months.
- Over 40: it’s reasonable to get checked straight away.
These timelines exist because fertility gradually falls with age. Starting early gives you more options.
Reasons to come in sooner
You don’t need to wait a full year if any of these apply:
- Irregular, very painful or absent periods
- A known diagnosis of PCOS, endometriosis or fibroids
- Two or more miscarriages
- Previous pelvic infection or surgery
- A partner with known sperm problems, or a history of testicular surgery
- Cancer treatment in the past, or coming up
What happens at the first visit?
A first consultation is mostly a conversation. We go through your history, talk about what you’ve already tried and plan a few focused tests for both partners. There’s no pressure to start treatment that day.
Read more on our First Visit page.
The bottom line
Seeing a specialist doesn’t mean you’ll need IVF. Often it simply means getting clear answers and a sensible plan, and that alone can take a great deal of stress away.
This article is for general information and isn't a substitute for personal medical advice. Please consult a specialist about your own situation.
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