To evaluate infertility, Mayo Clinic doctors give you and your partner a physical examination and thoroughly review your medical histories. Your doctor will ask about your general health and how often you have intercourse. If you're a woman, the doctor will ask about your periods and any pelvic infections, endometriosis, surgeries, ectopic pregnancies and personal habits, such as smoking, that can negatively affect fertility. If you're a man, the doctor will ask about any history of genital infections, trauma or exposure to toxins.
Based on your physical examination and medical history, your doctor may order tests to find structural or endocrine disorders. Even after testing, no cause can be found in 10 percent of people who have infertility.