If pregnancy is taking longer than expected, you may be offered a fertility investigation. This helps identify possible reasons and next steps for support or treatment.

The process usually begins with questions about your menstrual cycle, health, lifestyle, and how long you’ve been trying. Blood tests may be taken to check hormone levels, and ultrasound is often used to examine the ovaries and uterus. For men, a semen analysis measures the number, shape, and movement of sperm.

It’s normal to feel nervous, but healthcare staff are used to meeting people with questions and concerns. The results often lead to specific advice or treatment — and sometimes no clear cause is found, which is common too.

Alma’s tips:

  • Write down your questions beforehand so you don’t forget them.

  • Bring someone along for support if you’d like.

  • Remember, you’re not alone — many people go through this.

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