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The second thing you must consider is the health of the mother-to-be, particularly if she has conditions that are known to affect the ability to conceive. These include irregular periods, endometriosis, polycystic ovarian syndrome (PCOS), amenorrhea, and fibroids. If you have any known or suspected fertility issues, you should consult your doctor as soon as possible.
Men are generally fertile throughout their lives; however, if the father-to-be has any issues that are known to affect his fertility, you should consult your doctor as soon as possible. These issues could include a variocele, prostate gland abnormalities, or unusually small or soft testicles.
The other key here is “actively trying to conceive.” One of the first things your doctor will need to know is whether or not ovulation is taking place, and whether or not you are having sexual intercourse that culminates in male ejaculation inside the woman's vagina during the period of her fertility. The window of fertility every month for a woman is small – only a few days at most. Sexual intercourse should be timed to coincide with that window of opportunity.
To determine when you’re fertile, you can buy an ovulation prediction kits or chart your basal body temperature. Ovulation prediction kits are available for purchase without a prescription, as are basal body thermometers. In addition, there are a number of online websites that will help you track your temperature changes and understand what the changes mean in terms of when you’re fertile.
If you’ve been unable to conceive after trying on your own for the appropriate period of time, it’s time for a visit to your doctor. Both partners should be evaluated for health conditions that could interfere with fertility to determine whether or not, in fact, both partners are fertile, as the difficulty could be with one partner or both. Sometimes all that’s required is for the couple to keep trying for an additional period of time. However, sometimes it’s necessary to augment the natural process with medical assistance.
Whatever path you decide to choose, the first step is a thorough evaluation of your fertility, which can only be accomplished by a doctor. Don’t be embarrassed about going in for this check up – it may be a simple matter to resolve the issues you’re having. Before you know it, you could be on your way to the family of your dreams.

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