Expectant Management

With expectant management we advise couples to maintain normal and frequent coital activity without treatment. They may add detection of ovulation using commercial ovulation detection kits with timed intercourse.  This option is only suitable for young couples (female partner age < 30 years) with duration of infertility < 2 years and a history of pregnancy in the same relationship and a diagnosis of unexplained infertility (thorough systematic evaluation of both partners with standard diagnostic tests such as semen analysis, evaluation of uterine cavity, tubal patency and ovulation fail to establish a known cause for the infertility).