The family history does not affect fertility per se but it could play role in diseases that tend to run in families and also could be harmful to fertility.
Family history risk assessment in an infertility setting allows couples to learn about their genetic risks prior to pregnancy. For some couples it provides information about the causes of their infertility. Armed with this knowledge, couples at risk of transmitting genetic conditions may choose to take full advantage of technology such as prenatal genetic diagnosis (PGD). The standard model of providing these couples genetic counseling only at the time of prenatal diagnosis should be examined.