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Life stages

Trying to conceive

Most couples conceive within a year. Knowing your fertile window and getting early review when there are risk factors makes a real difference.

Common symptoms

  • Cycle length variation
  • Clear stretchy discharge around ovulation
  • Mid-cycle twinge
  • Breast tenderness in the second half of the cycle

Useful to track

  • Period start dates
  • Cervical mucus changes
  • Ovulation test results
  • Intercourse timing, without pressure

Tests and conversations that may be relevant

  • Preconception check: blood pressure, iron, rubella, vitamin D
  • You can ask a GP for blood tests for:
  • LH (luteinising hormone) — the hormone that triggers ovulation; low or high levels can affect whether you ovulate
  • FSH (follicle-stimulating hormone) — tells the ovaries to grow eggs each cycle; usually checked early in the cycle
  • E2 (oestradiol) — the main oestrogen; gives context to FSH results
  • AMH (anti-Müllerian hormone) — a rough picture of egg supply; it cannot predict pregnancy on its own
  • HbA1c — your average blood sugar over recent months, often checked with PCOS or irregular cycles
  • Prolactin — the milk hormone; raised levels can stop ovulation
  • Progesterone — checked about a week after ovulation to confirm it happened
  • Thyroid function tests (TFT) — thyroid hormones affect your cycle and conception
  • Cycle tracking review
  • Semen analysis for a male partner
  • Ultrasound when indicated

When to see a GP or specialist

  • Trying for 12 months, or 6 months if you are over 35
  • Known endometriosis, PCOS or pelvic surgery
  • Irregular or absent periods
  • Two or more miscarriages

Urgent warning signs

  • Severe one-sided pain or shoulder tip pain with a positive test — possible ectopic pregnancy, go to emergency

In Australia, call 000 or healthdirect on 1800 022 222.

Questions to take to a clinician

  • What tests make sense for us now?
  • How does my history affect timing?
  • When would you refer to a fertility specialist?

Related

eophi shares general information reviewed against Australian guidance. It never diagnoses. If something feels urgent, call 000 or healthdirect on 1800 022 222.