Body · Pathway
Many couples enter IVF or IUI without a complete evaluation — and pay for it in money, months, and heartbreak. This pathway is independent counsel for the assessment stage: which tests matter, what the numbers mean, and what your results say together, as one picture.
The clinical convention is clear: evaluation is warranted after 12 months of regular attempts without conception — or after 6 months when the woman is 35 or older. It should begin immediately when there are known signals: very irregular or absent cycles, known tubal disease or endometriosis, prior pelvic surgery or infection, chemotherapy history, or a partner's known sperm issue.
Age is the one variable no treatment resets. That is not a reason for panic; it is a reason for timeliness. The most expensive advice in fertility is a comfortable "just relax and keep trying" given to the wrong couple for two more years.
And one rule this pathway never bends: fertility assessment evaluates the couple, not the woman. The male factor contributes in roughly half of cases; a semen analysis is a first-line test, not an afterthought when everything else is "fine."
For her: cycle history read properly (length, regularity, pain, bleeding pattern); AMH and an antral follicle count by ultrasound as the two main reserve markers; confirmation of ovulation (mid-luteal progesterone); thyroid (TSH) and prolactin where indicated; and assessment of the tubes and uterus — typically an HSG (dye X-ray) or saline sonogram — because open tubes are a precondition for everything except IVF.
For him: a semen analysis by WHO standards — volume, concentration, motility, morphology — repeated once if abnormal, since values swing; DNA fragmentation testing in specific situations (we cover the depth of this in the Sperm Analysis pathway).
The consultation's real value is reading these together: an AMH result means one thing at 29 and another at 41; a borderline morphology means little alone and much beside a low count; "unexplained" is a real category with its own decision tree, not a dead end.
In depth
Asked quietly, answered plainly
No. AMH estimates the size of the remaining egg pool and predicts response to ovarian stimulation — it does not, by itself, measure your chance of conceiving naturally this month. Context is everything: age, cycle regularity, and the rest of the picture. That context is exactly what a consultation builds.
Yes — first-line, not last. The male factor contributes in roughly half of couples, usually with no symptoms whatsoever. A semen analysis is simple, inexpensive, and skipping it is the single most common way couples lose a year.
Unexplained infertility is a real category — and it has structure: reviewing whether the work-up was truly complete, whether timing and frequency actually align with ovulation, and then a staged decision tree by age and duration. "Unexplained" is where independent counsel prevents both premature IVF and endless waiting.
Yes. Send the values with their units and reference ranges — labs differ, medicine doesn't. We are comfortable with reports in Persian and Arabic exactly as issued.
We sell no treatment, so we have nothing to push you toward. Sometimes the honest reading is "you likely don't need IVF yet"; sometimes it is "don't lose another year — go." Both sentences have been said here, and both are said with reasons you can check.
Bring your story and your results — in English, Persian, or Arabic. We will turn them into one clear picture with next steps you own.