Bearing and raising of children are important endeavours in every Woman’s life.It is critically related with completeness, happiness and family integration. Human existence reaches completeness through a child and satisfies the individual’s need for reproduction. Causes of infertility change according to local demographics and thus it’s important to find local causes to direct management strategies. This study was aimed at studying the changing trends in aetiology of infertility, proportion of individual causes and highlighting the growing prevalence of non-communicable diseases in infertile couples. A cross sectional, observational and descriptive study was executed amongst 500 couples attending the infertility clinic at our tertiary hospital. Our study showed that 74.1% of participants had primary infertility. Female factor was nearly 61.9%, male factor was seen in 18.2%,2.2% had both male and female factors and 17.7% had unexplained causes of infertility. Of the study population, 16.2% women had non communicable diseases.