Sometimes the problem is a natural decline in fertility that comes with aging. The decline occurs more rapidly after age 40. A couple's failure to become pregnant can be due to male or female problems, or both. At first, the couple usually sees a primary care physician together. Specialists are often consulted to investigate and treat infertility.
Men usually see a urologist.
The doctor will give you a physical exam. You may have to give the doctor more information to help determine why pregnancy doesn't occur. The doctor will ask both you and your partner questions during joint and separate interviews. Knowing if the man or woman has had children with another partner will help the doctor make a diagnosis. Some of the questions usually asked are about previous medical conditions such as illnesses and infections, use of drugs and alcohol, sexual intercourse practices, detailed sexual history, genital surgery, circumcision, and normal genital development.