A couple presents to the clinic with concerns about infertility after trying to conceive for 14 months without success. The nurse knows which of the following is the most appropriate initial response?

Recommend the woman undergo immediate in vitro fertilization (IVF)

Explain that infertility is defined as the inability to conceive after 1 year of regular unprotected intercourse

Advise the man to begin testosterone supplementation

Suggest the couple consider adoption as a primary alternative