Fertility FAQs

Infertility is defined as not being able to get pregnant after at least one year of trying. Women who are able to get pregnant but then have repeat miscarriages are also said to be infertile. Pregnancy is the result of a complex chain of events, in order to get pregnant.

No, Infertility is a medical problem that affects both men and women. About one-third cases of infertility are due to the female factors. In other third cases of infertility are due to the male factors. The remaining infertility is caused by a fusion of male and female factors or by unknown factors.

In female most common causes of infertility include problems with ovulation some signs that a woman is not ovulating are irregular or absent menstrual periods, damage to Fallopian tubes/uterus or problems with the cervix. Age can also be the reason, because as a woman ages, her fertility begins to decline.

Infertility in men is most caused by:

  • Problems making sperm producing too few sperm or none at all
  • Problems with the sperm’s ability to reach the egg and fertilize it

Sometimes a man is born with the problems that affect his sperm. Other times problems start later in life due to illness or injury. For example, cystic fibrosis often causes infertility in men.

The number and quality of a man’s sperm can be affected by his overall health and lifestyle. Some things that may reduce sperm number and/or quality include:

  • Alcohol and Drugs
  • Smoking cigarettes
  • Health problems
  • Medicines
  • Radiation treatment and chemotherapy for cancer
  • Age
  • Poor diet
  • Sports activity
  • overweight or underweight
  • Smoking and Alcohol
  • Hormonal changes due to Health problems
  • Sexually transmitted diseases (STDs)

Age is an increasingly common cause of fertility problems. About one-third of couples in which the woman is over 35 have fertility problems. Some reasons are:-

  • The health of a woman’s eggs and its fertilization declines with age.
  • As a woman ages health problems increase that can interfere with fertility.
  • As a women ages, risk of having a miscarriage increases.

Women under the age of 30 are mostly healthy and shouldn’t worry about infertility, unless, at least a year they’ve been trying to get pregnant. At this point, women & Men should consult and talk to their doctors about a fertility evaluation. Women in their 30s and they have been trying to get pregnant for six months should consult doctors as soon as possible for getting a complete and timely fertility evaluation. A woman’s chances of having a baby decline rapidly every year after the age of 30. Also, women with the following issues should consult doctors:-

  • More than one miscarriage
  • Irregular periods or no menstrual periods
  • Very painful periods
  • Pelvic inflammatory disease
  • Endometriosis

No matter how old you are, it’s always a good decision to talk to a doctor before you start trying to have a baby.

The most fertile time of a woman’s cycle has been just before or on the day of ovulation. Ovulation usually occurs two weeks before a period starts, that would mean days 12, 14 and 16 for women with 28 days cycles. Take the number of days in the usual cycle (from the beginning of one period to the beginning of the next) and subtract 14. Most doctors recommend every other day intercourse around the day of ovulation.

Sometimes doctors can find the cause of a couple’s infertility by doing a complete fertility evaluation like physical exams and health and sexual histories. For a man, doctors usually beDgin by testing his semen. They look at the number, shape, and movement of the sperm and the level of a man’s hormones. For a woman, the first step in testing is to find out if she is ovulating each month. There are several ways to do this. A woman can track her ovulation at home by:

  • Recording changes in her morning body temperature
  • Recording the texture of her cervical mucus for several months
  • Doctors can also check if a woman is ovulating by doing blood tests and an ultrasound of the ovaries.

Some common tests of fertility in women include:

  • Hysterosalpingography
  • Laparoscopy:

Assisted reproductive technology (ART) is a term that describes several different methods used to help infertile couples. ART helps in removing eggs from a woman’s body, mixing them with sperm in the laboratory, and putting the embryos back into a woman’s body.

Success rates vary and depend on many factors. Some things that affect the success rate of ART include:

  • Reason for infertility
  • Age of the partners
  • Fertility clinic
  • If the egg and embryo is fresh or frozen

ART can be very expensive and time-consuming. But it has helped many couples to have children that otherwise would not have been conceived. The most common complication of ART is multiple fetuses. But this is a problem that can be prevented or minimized in several different ways.