Couples having trouble with conception are certainly not alone; approximately 1 in 6 couples are thought to have issues with infertility. An infertility evaluation is warranted after one year of trying if the woman is under age 35. For women over age 35 an evaluation is recommended if they have been trying for 6 months without success. Natural fertility in a young, healthy couple with no fertility issues is approximately 15-20 % chance of conception per menstrual cycle. By the end of one year of trying, 85% of couples with no fertility issues will have successfully achieved a pregnancy. The key to treatment of infertility is early diagnosis of the cause and targeted treatment. A woman’s age has a profound impact on chances of success, for this reason couples are encouraged to seek timely evaluation if they are having difficulty conceiving. Treatment for fertility does not necessary mean In-vitro fertilization (IVF). For most couples, use of much easier treatments or surgery will help them successfully achieve pregnancy. In the spirit of National Infertility Awareness week, we at Texas Fertility Center encourage couples struggling with infertility to take the first step and seek and evaluation. Whether to pursue treatment or not is a personal choice, but it is a choice you have if you know what the options are.