The first place that most couples seek advice regarding the fertility issues (after Google) is their General Practitioner.  Your GP can help with the majority of problems that couples have.  After hearing your story, he or she will commonly give general advice for you and your partner.  These will include getting yourself fit.  This does not mean you need to join and gym and start running marathons, but if you are over weight and un-fit, then remember that a pregnancy will be a tremendous strain on your body.  Being under weight is also an issue.  If a woman is very under weight, she will commonly stop ovulating.  As a general rule your Body Mass Index (there are many websites that will help you find your BMI), should be between 20 and 30, and many local NHS facilities will not fund treatment for a woman outside these ranges.

Your GP will also tell you and your partner to stop smoking immediately, and again it is unlikely that you will qualify for NHS funding if either partner is smoking. He or she will remind you to take Folic Acid supplements, which can be bought from any pharmacy.  These help reduce the risk of your baby developing a neural tube defect (spina bifida).

Some investigations can also be arranged.  These will commonly include a test to confirm that you have immunity to rubella.  This is important because a rubella infection in early pregnancy can lead to serious congenital problems for your baby.  Most women were immunised as a young teenager, or for those under 25 or so it would probably have been as the MMR vaccination when you were a baby.  For all sorts of reasons, some women find they are not immune.  Your GP can easily give you the MMR vaccination straight away, but will advice you to not try and conceive for a month after the injection.

Other test would usually include a progesterone hormone blood test a week or so before your period is due.  This will confirm that you are ovulating.  If it comes back as negative your GP may arrange further blood tests to try and find the cause of the problem.  A sperm test will also be organised for your partner, though if he has his own GP, he made need to make an appointment there.

With the information gathered, many couples will be greatly reassured and go on to conceive naturally.  If there is a problem or things don’t seem to be happening despite normal tests, your GP might want to refer you to see a specialist.