Fertility Assessments

15 in 100 couples
in Australia are affected by infertility

Infertility usually refers to when a couple have been unable to get pregnant after 12 months of unprotected sex

If you are having trouble getting pregnant, or it is taking longer than you expected, your local rural GP can provide expert advice and work out if there is anything that may be affecting your chances of having a baby.


If you and your partner are thinking of starting a family, it is important to make an appointment with your local rural GP.


Your doctor will perform a general health check before looking at specific factors that can affect your fertility. For women, they will make sure that you are up to date with your cervical screening and assess any medications that you are currently on.


They will screen for infectious diseases such as rubella, chicken pox, Hepatitis B and C, and HIV. 


Sexually transmitted diseases can affect male and female fertility, so it is important to test both you and your partner before you start trying to conceive.

Your local rural GP can also recommend any lifestyle changes that may increase your chances of falling pregnant, such as quitting smoking, diet, fitness, and reducing alcohol intake.  There are also steps that you can take to reduce the risk of your baby developing an illness such as taking folate and iodine.  A healthy lifestyle is important for both partners.


When it comes to getting pregnant, timing is everything. Your local rural GP can help identify the best time for you to have sexual intercourse every month to maximise your chances of conceiving.


If your period is quite regular, count back 14 days from your cycles usual first day to calculate your ovulation day.


You and your partner should aim to have unprotected sex every second day during your fertile window, focusing on the two days prior to ovulation. 


For both men and women there are many causes of infertility. We are born with some, such as abnormal anatomy and testicular obstruction.


Others are acquired over time. In 40% of cases the cause of infertility is caused by a sperm factor, in another 40% the cause is the female reproductive system. A third will have a combination of both male a female factors. The first step to helping you conceive is finding out what the problem is.

Some common fertility issues for women and men include:



  • Age

  • Irregular periods that may be related to ovulation disorders

  • Gynaecological conditions PCOS and endometriosis

  • Fibroids

  • Blocked fallopian tubes

  • Sexually transmitted infections

  • weight and general health



  • Abnormal sperm production

  • Blocked/absent vas deferens (tubes)

  • The presence of sperm antibodies

  • Genetic diseases



If you have been trying to conceive for some time your local rural GP will look for any signs of the health issues above, and may request some additional tests such as:



  • Ovulation test

  • Egg count (AMH) test

  • Full blood count to determine blood group



  • A semen analysis which measures the number of sperm in a sample.



Your local rural GP is ready for any fertility concerns you may have. There is no time too early to be examined in your fertility journey.

It is particularly important to consult your GP if you are under 35 years old and haven’t fallen pregnant after 12 months of trying, over 35 years old and haven’t fallen pregnant after 6 months of trying or have a history of conditions which may affect fertility such endometriosis or pelvic infection.

The information contained on the Rural and Remote Doctor Portal is designed to assist rural and remote people to improve their understanding and management of their health and access to health services.  The Rural and Remote Doctor Portal is for information purposes only and is NOT a substitute for talking to a qualified local GP, doctor or health practitioner about your needs.  By using this service you agree to these terms.  Any links provided to other web sites on the Portal should not be interpreted as an endorsement of RARMS or any of the services of doctors or staff that work at RARMS practices. Users should always consult with their local GP, doctor or health service if they feel unwell and to clarify their condition and needs.  In the case of an emergency, users should call 000.


We pay our respects to all Aboriginal and Torres Strait Islander Elders past, present and future from the lands and waters where RARMS works and that it serves.  We acknowledge the Wiradjuri (Gilgandra, Warren, Orange), Gamilaraay (Walgett, Collarenebri, Lightning Ridge, Goodooga, Inverell), Ngarabal (Tenterfield), Awabakal (Hamilton), Eora (Sydney) and Ngunawal (Braidwood) as the historic sovereigns and traditional owners of the land and water on which we work, and the Barundji, Wongaibon, Wailwan, Barranbinya, Muruwari, Barindji, Gunu, Nganyaywaa, Gundungarra, Ngarigo, Wandjiwalgu, Bandjigali, Bundjalong and other Aboriginal and Torres Strait Islander peoples who use our health and social services.


Suite 2, 53 Cleary Street,

Hamilton NSW 2303


Tel: 02 4062 8900

Email: info@rarms.org.au

ABN: 29 097 201 020

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