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Female Infertility can be a complicated problem but using a systematic approach will help you find out the cause , thus directing you to the right solution as well ! All you need to make a baby is eggs, sperm, uterus and tubes, so please keep this framework in mind.

The truant egg - Disorders Affecting Ovulation

One of the most common causes of female infertility is ovulation disorders. This could cause a woman to ovulate abnormally, infrequently, or not at all. These kinds of disorders affect about 25 percent of women experiencing infertility issues. Some of the conditions that can affect ovulation, include:

  • Polycystic Ovarian Syndrome (PCOS)
  • Dysfunction of the hypothalamus
  • Imbalance in the Follicle Stimulating Hormone (FSH) and Luteinizing Hormone (LH)
  • Excessive stress – either physical or emotional
  • Being over or under weight
  • Substantial weight gain or weight loss                                                                                                                   Irregular or absent periods, are usually the first symptoms of this problem.

Read more- Infertility Because of Sexual Problems
Ovarian Insufficiency

Ovarian insufficiency may be a result of aging; or because of ovarian damage caused by surgery or diseases such as endometriosis. 

Damage to Fallopian Tubes

Tubal infertility is a  common cause of female infertility. If the fallopian tubes are  or damaged, they can prevent the sperms from reaching the eggs.

Some of the causes of damaged fallopian tubes include:

  • Pelvic inflammatory disease
  • Surgeries in the pelvis or abdomen
  • Pelvic tuberculosis

Uterine or Cervical Causes

  • Endometriosis is a condition in which the lining of the uterus begins growing outside of it; this extra tissue can trigger infertility
  • Benign polyps and tumors, such as submucous fibroids may cause infertility. 
Finally, some women are labelled as having  unexplained infertility, where we cannot detect any abnormality.

Read more- Female Fertility : A Complex System


Authored by : Dr Aniruddha Malpani, MD and reviewed by Dr Anjali Malpani.

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