There are many “factors” that can cause infertility
We know that infertility can be one of the most devastating experiences in a person’s life. The thought of losing the ability to have a baby can bring hopelessness and despair to the strongest of people. By learning the causes of infertility, we can pinpoint the barrier and customize the treatment to achieve a successful pregnancy.
The causes of infertility are generally divided into male factors (40%), female factors (40%) and unexplained factors (20%). The barriers that limit a man’s ability to procreate usually involve factors that affect his sperm count. These are discussed under “male infertility.”The following “factors” help to characterize the causes of female infertility
The following “factors” help to characterize the causes of female infertility:
- Egg factors such as disorders of ovulation and barriers related to age or the “biological clock.”
- Pelvic factors such as endometriosis and adhesions.
- Tubal factors such as blocked or obstructed fallopian tubes and damaged tubes like hydrosalpinges.
- Uterine factors like fibroids, polyps, scarring or uterine malformations.
- Cervical factors that limit the passage of sperm.
- Vaginal factors like bacterial or recurrent yeast infections.
The most common cause of infertility in women is polycystic ovarian syndrome, and it is one of the most treatable. In fact, for every cause of infertility, there is a very effective treatment designed to overcome it.
Unexplained infertility can be frustrating because there is no obvious reason, but there is an approach to treatment that may overcome the infertility and perhaps reveal the cause.
An example is when all the tests are normal including the HSG, but the tubes do not function properly. Endometriosis is a common underlying reason for tubal dysfunction. Unexplained infertility can be frustrating because there is no direct reason, but there is a proper algorithm or treatment plan that will overcome or find the reason over time.
Recurrent pregnancy loss or miscarriages can be a heartbreaking and a frustrating cause of infertility. Fortunately, there is a diagnostic and treatment plan that effectively addresses the reasons that lead to miscarriages. It is critically important to see a knowledgable physician skilled at treating these losses in order to find success. Some of the greatest advances recently in our field deal with overcoming genetic causes for repeated miscarriages.
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