An In Depth Understanding Of Female Infertility From An Expert's Point Of View

Sep 18, 2017

Common reasons for infertility in women include :

Tubal Blockage

The egg from the ovary travels through the fallopian tubes to the womb. The egg gets fertilised during its travel through the fallopian tubes. The fertilised egg gets implanted into the womb's lining and the pregnancy continues to grow there.

If the womb or the fallopian tubes are damaged, it becomes difficult to conceive naturally. Some tubal blocks can be treated by micro-surgical techniques, but not all. Pregnancy can then only be achieved with IVF.


Is a condition where the tissue of the womb lining i.e. endometrium starts growing in other places, such as the ovaries or behing the uterus. The tissue lying outside will bleed during periods causing pain. It can also cause painful intercourse.

Endometriosis can cause adhesions (scar tissue) around the fallopian tubes or cysts in the ovary, thus distorting the pelvis and causing infertility. It can also affect the egg formation process in the ovary.

Ovulatory Problems

Ovulatory problems are commonest cause of female infertility and occur due to hormonal imbalance. Stress, weight loss or gain, polycystic ovarian disease and problems of the pituitary gland may contribute to ovulatory dysfunction.

Polycystic Ovaries

Polycystic ovaries (PCO) is very common women of Indian origin. About 20% of these women will suffer from infertility.

On an ultrasound scan, the ovaries in PCO will look like tiny cysts in the ovary. Some with PCO will have the polycystic ovarian syndrome or PCOS. This syndrome is associated with hormone imbalance, irregular or absent periods and difficulty to conceive because they are not ovulating regularly.

Medical and surgical treatments are available for this condition. Where these fail, pregnancy can be achieved with IVF


When it comes to fertility, age matters. Many people today wait until they're older to have children, but fertility declines over time. Both women and men are at their most fertile in their early twenties. In women, fertility declines more quickly with age. The decline is rapid after the age of 35. 1 in 3 couples over 35yrs and over 2 in 3 over 40 years will have reduced fertility. As age increases need for IVF treatment to have a baby also increases.

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