Dr. Rupa Pandra

Understanding Female Infertility: Common Causes

Infertility is a challenge that affects many women and couples trying to have a baby. Female infertility means not being able to get pregnant after a year of trying (or six months if you’re over 35). Knowing the common causes can help you seek the proper treatment and support. Here are some of the main causes of female infertility.

  1. Ovulation Disorders

Ovulation is essential for becoming pregnant. Problems with ovulation are one of the most frequent causes of infertility in women. These issues include:

  • Polycystic Ovary Syndrome (PCOS): This hormonal disorder can disrupt regular ovulation.
  • Hypothalamic Dysfunction: Stress, significant weight loss, or excessive exercise can affect the hormones that control ovulation.
  • Premature Ovarian Insufficiency: This happens when the ovaries stop working, usually before age 40.
  • Fallopian Tube Damage

The fallopian tubes carry eggs from the ovaries to the uterus. Damage or blockages can prevent fertilization. Common causes include:

  • Pelvic Inflammatory Disease (PID): This infection of the reproductive organs can lead to scarring and blockages.
  • Endometriosis: It occurs when tissue like uterus lining grows outside it, possibly affecting the fallopian tubes.
  • Uterine Abnormalities

Problems with the uterus can also affect fertility. Some common issues include:

  • Fibroids: These non-cancerous growths can interfere with implantation or lead to miscarriage.
  • Uterine Polyps: Small growths on the uterine lining may also impact fertility.
  • Congenital Abnormalities: Some women are born with uterine issues that can make it hard to conceive.
  • Age

Age is a key factor in female fertility. As women age, the number and quality of eggs decline. Women over 35 may find it harder to conceive and may have a higher risk of complications during pregnancy.

  • Hormonal Imbalances

Hormones are vital for the reproductive cycle. Imbalances can affect ovulation. Conditions like thyroid disorders or high levels of prolactin can disrupt menstrual cycles.

  • Lifestyle Factors

Certain lifestyle choices can also impact fertility:

  • Weight: Being underweight or overweight can affect hormone levels and ovulation.
  • Smoking: Tobacco use can harm fertility and increase the risk of miscarriage.
  • Alcohol and Drug Use: Excessive alcohol and recreational drugs can impair fertility.
  • Medical Conditions

Chronic medical issues can also affect fertility:

  • Diabetes: Poorly controlled diabetes can impact hormone levels and reproductive health.
  • Autoimmune Disorders: Conditions like lupus can affect fertility by impacting the immune system.

Knowing the causes of female infertility is the first step to getting the help you need. If you’re having trouble conceiving, talking to your doctor is essential. They can evaluate your situation and suggest treatments or lifestyle changes.

You are not alone, and there are options to help you on your journey to parenthood!