Since this situation can involve one or both partners in a relationship, the symptoms may not be present until the couple tries for a baby. Therefore, the primary indication is the woman not getting pregnant. If pregnancy does not happen after a year of sex with no protection, pursuing medical help is advised. However, there are some reasons people should seek help as soon as they know they want a baby.
Women over 35 years old may experience fewer egg releases each month. If pregnancy does not happen for these individuals within six months, it is important to get help. Men who know they have experience with no pregnancies in relationships longer than six months with no protection should talk with someone about the issue. Women who do not have regular periods can have problems with conception and pregnancy. Going longer than 35 days before having a menstrual cycle can signal the woman is not ovulating. Without ovulation, there is no chance of getting pregnant through sex.
Another thing that may signal an issue with pregnancy is the presence of polyps or fibroids in the uterus. These growths can inhibit the ability of the egg to penetrate the uterine wall. They can also cause premature shedding of the lining, interfering with pregnancy. Women with a history of infections in the uterus or pelvic region may develop issues conceiving. Sexually transmitted diseases are included in this category. Scarring of the uterus stops the egg from penetrating the lining.