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I never suffered from symptoms until I was in my mid thirties. Thought it was a cold at first. I did the over the counter stuff for a while, but it doesn't help much. Finally, my wife (I'm a man - men don't make doctor appointments) scheduled me to see an allergist. Had the whole scratch test thingy done on my arm and lucky me - if it's outdoors, I'm allergic to it.
I started getting injections and initially, thought it wasn't helping (my allergies are not severe - just annoying), but when I skipped a shot, I noticed a difference. I regret not getting the shots sooner.