It’s harder to get pregnant than people think. But for many couples trying to conceive, the reality of infertility is daunting, stressful, and extremely life-interrupting.
People are always surprised to find out how bad humans are at reproduction. Not all eggs are normal, not all normal eggs implant. There’s actually only about a 15 to 20 percent chance in any given month that a couple will conceive.
In the U.S., 6.7 million women between the ages of 15 and 44 have an impaired ability to get pregnant or carry a baby to term, according to the CDC. About 6 percent of married women 15 to 44 years of age are unable to get pregnant after one year of trying which is when the “i” word starts to get thrown around, and doctors begin to ask questions and run tests to check the woman’s reproductive system and the man’s sperm count. If we look at all causes of infertility, we would attribute the largest cause to male, 40 percent. Sometimes, it can be the sole cause; other times, it’s just one out of a few factors affecting a couple’s ability to conceive.
So what else could be going on? For women, these are the most common causes of infertility
Inconsistent menstrual periods:
When a women has ordinary menstrual periods, characterized as customary cycles happening each 21 to 35 days, this quite often shows that she ovulates routinely. Ovulation of the egg happens around about fourteen days before the beginning of the following time frame. In the event that a woman has cycles at interims of more noteworthy than 35 days, it might demonstrate that she isn’t ovulating an egg typically, or even by any stretch of the imagination. Ovulation of the egg is basic for pregnancy. In this way, we suggest an assessment if menstrual cycles are rare or sporadic in a couple endeavoring pregnancy.
Female age of 35 years or more seasoned: For hazy reasons, egg numbers decline at a fast rate as ladies age. Moreover, as maturing happens, egg quality, or the probability of an egg being hereditarily ordinary, diminishes. Subsequently we prescribe a ripeness assessment if a few has been endeavoring pregnancy for a half year or more when the lady is 35 years old or more seasoned.
Other hormonal factors that impact ovulation
Irregular ovulation is the main cause of infertility cases,. While PCOS is the most common of these, causing 70 percent of irregular ovulation-related infertility cases, hormonal imbalances can impact or interrupt ovulation in other ways and lessen your chance of conceiving.
In most of these scenarios, the main culprit is dysfunction of the hypothalamus in the brain and its attached pituitary gland, which is responsible for secreting reproductive hormones. Changes in the levels of follicle-stimulating hormone, luteinizing hormone, and the hormone prolactin, can all impact ovulation.
One of these disorders is called primary ovarian insufficiency (previously called premature ovarian failure), which is when a woman’s ovaries stop functioning normally or become depleted before they reach forty years old. It’s less common than PCOS, affecting 1 in 100 women younger than forty, and can also be caused by genetics or an autoimmune factor.
Fallopian tube blockage
Fallopian tubes, which connect the ovaries to the uterus, can become inflamed or blocked as a result of endometriosis scarring, infection, pelvic inflammatory disease, and other reasons. Since most eggs are fertilized in the fallopian tubes, the condition can interfere with conception.
Other causes of female infertility include autoimmune diseases and certain types of cancer, especially if the cancer is treated with chemotherapy or radiation.
It’s important to know, however, that the inability to conceive a child can be due to a condition in either partner.