The inability of a couple to get pregnant after a minimum period of one year of unprotected (without using any form of contraception) regular sexual intercourse, (minimum 3-4 times per week) with due attention to the fertile period.

  • Male factors 40% and rising
  • Female factors 30%
  • No identifiable cause in either male or female 30-40%
  • Both male and female factors 40-60%
  • Pain during sexual intercourse (Dyspareunia) or pelvic muscle spasm (Vaginismus) during intercourse.
  • Impotence (no adequate erection or cannot sustain erection)
  • Maintain body weight within normal range.
  • Stop unhealthy habits- smoking, heavy alcohol consumption, consuming recreational drugs.
  • Attention to hygiene specially around genital area. Learn to mange stress-in family, society and at work place.
  • Regular unprotected intercourse (without contraception) at least 3-4 times per week, with attention to fertile period.
  • The pregnancy should be wanted by both partners.
  • Make sure to take Rubella vaccination prior to getting pregnant.
  • Have regular unprotected sexual intercourse.
  • Awareness about the fertile period.
  • Control other diseases as much as possible. eg; diabetes (high blood sugar), hypertension (high blood pressure), dyslipidemia (high blood cholesterol levels) etc.
  • If there are any doubts, talk to a health care professional (public health midwife, nurse, doctor).

Optimum age for a pregnancy is between 22-24 years.

It is advisable to complete the family before 35 years.

Seminal fluid analysis- tests your semen quality and quantity Ultra sound scan of the genital tract.

Hormones tests- eg: testosterone.

Temperature chart- to check the ovulation.
Ultra sound scan of genital tract- checks whether you have mature ova (egg cells), abnormalities in the uterus, checks patency of tubes.
HSG Laparoscopy dye test.

  • Medicines to induce ovulation- for women those who have defects in egg cell maturation.
  • IUI- intra uterine insemination (processed sperm will be deposited in your womb).
  • In vitro fertilization- (artificial fertilization of you partner/donors’ sperm with your/donors’ egg cells.
  • CSI- intra cytoplasmic sperm injection (injection of sperms into an ovum/egg cell) Egg donation.
  • Deposition of a fertilized egg in a womb of a willing women.Sperm donations
  • Clinics at Goverment Hospitals.
  • Subfertility clinics at the family health bureau(FHB).
  • Center for Family Health clinic at FPA Sri Lanka.
  • Specialists (VOG) at private hospitals.
  • Family doctor.