If no pregnancy has occurred after a year of no birth control, an evaluation is advised. This will include testing for “ovarian reserve” or the ability to produce a healthy egg, testing to make sure ovulation occurs at the proper time and that the hormones are produced in adequate amounts, tests to make sure the fallopian tubes are open and that the uterine cavity is normal and of course, a semen analysis for the male partner. After the completion of these tests, the doctor will discuss the options for treatment and/or for referral to a specialist in fertility problems.