Infertility solutions — clear steps, tests, and treatments

Facing infertility can feel overwhelming. The good news: many clear tests and treatments exist, and you don’t need to guess the next step. This page gives practical options you can discuss with your doctor, plus things you can try today to improve odds.

Quick tests and when to see a specialist

Start simple. For women, common tests are cycle tracking, daytime hormone checks (FSH, LH, estradiol), AMH for ovarian reserve, and a hysterosalpingogram to check fallopian tube patency. For men, the first test is a semen analysis. If you’re under 35, try 12 months of regular, timed attempts before a full fertility workup. If you’re 35 or older, start testing after 6 months. If tests show issues — low sperm count, blocked tubes, or poor ovarian reserve — your doctor will recommend treatments.

Medical treatments and practical options

Oral meds: Letrozole and clomiphene are common first-line drugs to help ovulation. Letrozole often works better for women with PCOS. For men, enclomiphene (sold as Enclomisign in some places) can boost sperm production by raising natural testosterone and supporting fertility without the sperm-suppressing effect of external testosterone. That article on our site explains how enclomiphene compares to other hormonal options.

Injectable meds: Gonadotropins stimulate the ovaries more directly and are used when oral drugs don’t work. These need monitoring with ultrasound and blood tests to avoid overstimulation.

Procedures: Intrauterine insemination (IUI) is a low‑invasion next step that places washed sperm into the uterus around ovulation. In vitro fertilization (IVF) and ICSI are more advanced: IVF fertilizes eggs in the lab; ICSI injects a single sperm into an egg and helps with severe male factor infertility.

Lifestyle changes that actually help: stop smoking, limit alcohol, reach a healthy weight, and manage blood sugar if you have insulin resistance. Men should avoid hot baths and tight underwear. Supplements with evidence: folic acid for women, vitamin D if deficient, and zinc for men with low levels — but check labs and ask your clinician before starting anything.

Timing matters: use ovulation predictor kits or fertility apps that track basal body temperature and LH surge. Aim for intercourse in the 48 hours before ovulation for the best chance of conception.

Medication safety and buying tips: If you need prescriptions, talk to your provider about legitimate pharmacies. We have guides on how to buy meds safely online and how to spot fake pharmacies. Don’t start hormonal treatments without monitoring — doses and follow-up matter.

Want next steps? Get basic tests done, try targeted lifestyle fixes, and talk to a fertility specialist if tests show issues or if timed attempts don’t work in the recommended time frame. Read our Enclomisign piece to learn more about male-focused medical options and check other guides for safe medication sources on Nurx Pharmaceuticals SU.