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Infertility & Fertility Support
Trying to conceive can bring hope, stress and a lot of questions. Fertility involves both partners, and the right first step is often a clear medical evaluation, with wellness support alongside it.
Fertility is a two-person question
Infertility is commonly defined as not becoming pregnant after 12 months of regular, unprotected intercourse, or after 6 months when the woman is 35 or older. Male factors contribute in a large share of couples, so evaluating both partners early saves time.
Many things influence fertility, including age, ovulation, sperm health, thyroid and other hormones, weight, smoking, alcohol, sleep, stress and certain medical conditions. Some are within your control and some are not.
When to seek a fertility evaluation
- 12 months of trying (6 months if 35 or older)
- Irregular or absent periods
- Known endometriosis, PCOS or pelvic surgery
- History of miscarriage
- Concerns about sperm health, erections or ejaculation
What fertility evaluation usually includes
Fertility testing is performed by your physician or a reproductive specialist. It typically looks at:
- Ovulation and hormone testing for the female partner
- Semen analysis for the male partner
- Thyroid and metabolic health
- Medical, surgical and medication history
- Lifestyle factors such as smoking, alcohol, heat exposure and sleep
- Imaging or specialist testing when indicated
See a physician promptly if you notice severe pelvic pain, very heavy or absent periods, pain or swelling in the testicles, or if you are over 35 and have been trying for six months. Do not delay medical evaluation while exploring wellness options.
Wellness support alongside your medical care
PRIMAL Vitality does not diagnose or treat infertility. We can support the wellness side of your journey while you work with your physician or fertility clinic:
Men’s & Women’s Vitality Services
An overview of our private, non-surgical wellness options for men, women and couples, including fertility-focused wellness guidance.
View the overview →Lifestyle and nutrition guidance
Practical strategies around nutrition, healthy weight, sleep, stress and reducing exposures linked to poorer fertility.
Intimacy and confidence
Support for the strain that trying to conceive can put on desire, performance and connection.
Sexual wellness concerns →Integrative care at PRIMAL Health
Broader integrative wellness support through PRIMAL’s adult health division.
Visit PRIMAL Health →What to keep in mind
No device or wellness service treats infertility, and none of our services replace evaluation by a physician or reproductive specialist. Lifestyle changes can support overall reproductive health, but they cannot overcome every cause of infertility.
If you are undergoing fertility treatment, let your clinic know about any supplements or wellness services before you start them.
Common questions
Should both partners be evaluated?
Yes. Male factors are involved in a large share of couples, and a semen analysis is simple, so testing both partners early is usually recommended.
Can lifestyle changes improve fertility?
Not smoking, limiting alcohol, maintaining a healthy weight, regular activity and good sleep are associated with better reproductive health for both partners. They support, but do not replace, medical care.
Is this the same as your “fertility” services page?
Our Men’s & Women’s Vitality Services overview covers our broader wellness options. This page focuses specifically on fertility education and when to seek evaluation.
Keep exploring
Talk privately about your fertility journey
Start with a private, judgment-free conversation about your goals. We will help you understand your options, including when a medical evaluation should come first.
In-person consultations at our Frisco, Texas clinic. Educational information only. Results vary and no specific outcome is guaranteed.