They will do an infertility checkup. This involves a physical exam. The doctor will also ask for both partners' health and sexual histories.
In men, doctors usually begin by testing the semen. They look at the number, shape, and movement of the sperm. Sometimes doctors also suggest testing the level of a man's hormones.
In women, the first step is to find out if she is ovulating each month. There are a few ways to do this. A woman can track her ovulation at home by:
Writing down changes in her morning body temperature for several months
Writing down how her cervical mucus looks for several months
Using a home ovulation test kit (available at drug stores)
Doctors can also check ovulation with blood tests or with the help of an ultrasound.
If ovulation is normal, there are other fertility tests available
Hysterosalpingography: This is an x-ray of the uterus and fallopian tubes. A special dye is injected into the uterus through vagina . If the tube moves freely, then there is no problem but if it doesn’t then it means that there are physical blocks present inside and prevents the egg from moving. And therefore, it can’t even reach the sperm.
Laparoscopy : A minor surgery to see inside the abdomen. The doctor uses a small tool with a light called a laparoscope (LAP-uh-roh-skohp). She or he makes a small cut in the lower abdomen and inserts the laparoscope. With the laparoscope, the doctor can check the ovaries, fallopian tubes, and uterus for disease and physical problems.