You have been trying to conceive for 12 months without success if you are under 35
You have been trying to conceive for 6 months without success if you are 35 or older
You have irregular, very infrequent, or absent periods
You have painful periods or severe pelvic pain
You have a history of pelvic inflammatory disease, endometriosis, polycystic ovary syndrome, or uterine fibroids
You have had multiple miscarriages
You have had surgery on your reproductive organs
You have had chemotherapy or radiation treatment
You have a history of sexually transmitted infections
You have trouble getting or maintaining erections
You have low sperm count or abnormal semen test results
You have testicular pain, swelling, or a history of undescended testicles
You have a hormone disorder, thyroid problem, or diabetes
You have a family history of infertility or early menopause
A fertility evaluation by a doctor shows abnormal ovulation, blocked tubes, low ovarian reserve, or sperm problems
Only a medical professional can confirm infertility with testing