Seek care urgently if you have any of these
- No periods at all
- Periods more than 35 days apart, or fewer than 21
- Severe period pain suggesting endometriosis
- Previous pelvic infection or surgery
- Being over 35 and trying more than 6 months
- Known testicular injury or undescended testis
If any of the above applies, do not wait for an appointment — go to the nearest emergency department.
Not sure how serious it is?
Answer three quick questions. We will open WhatsApp with your answers written out, so you do not have to explain twice.
How long have you been trying?
Are your periods regular?
Has your partner been tested?
Nothing is saved on this website. Your answers only go into the WhatsApp message you send.
What usually causes this
Ovulation problems
Including PCOS. Irregular or absent periods are the main clue.
Tubal or uterine factors
Fibroids, adhesions or blocked tubes. A pelvic scan is the starting point.
Male factor
Around a third of cases. A semen analysis is quick and should be done early, not last.
Age-related egg reserve
AMH testing gives an indication of remaining ovarian reserve.
Unexplained
In a proportion of couples no cause is found, which is itself useful information.
What we would check
AMH (Ovarian Reserve)Indicates remaining egg reserve Pelvic UltrasoundAssesses the uterus and ovaries, including fibroids and PCOS Follicular TrackingConfirms whether and when you are ovulatingOther symptoms people ask about
This page is general health information, not a diagnosis. It cannot replace being examined. All visits to Mascot Healthcare are by appointment — Mon–Sat, 9AM–5PM, 52 Sholanke Street, Akoka, Yaba, Lagos.