The lack of a pregnancy after a long period of unprotected intercourses configures a problem of couple infertility. From a statistical point of view the chances that the lower fertility is of male or female origin are substantially equal and in almost half the cases both coexist. Yet we still live an era of frequent aggressive diagnosis and therapy on the female side, partly the result of cultural heritage, while a male problem is sometimes considered as a last resort. So, the first thing a woman unable to obtain pregnancies must do is convince her doctor and her partner to immediately face also the other side of the problem.
On the female side, the doctor will check if the patient ovulates regularly if there are endocrine or adnexal problems and will possibly investigate chromosomal and / or genetic status. These tests might highlight a problem suitable for surgical or medical therapy. In other cases, they will individuate some concomitant conditions having an adverse effect on fertility, typical examples are the polycystic ovary syndrome and endometriosis. Even if these conditions are not always “curable”, the awareness of the problem will direct to the most appropriate treatment strategies.