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Infertility is the inability to get pregnant. Healthcare providers diagnose it after a person or couple has had unprotected sex for 12 months without a pregnancy. There are many treatment options for infertility, including medications to correct hormonal issues, surgery and fertility treatments like in vitro fertilization (IVF).

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What is female infertility?

Infertility is a disease that means you’re unable to get pregnant. For females, an infertility diagnosis comes after:

  • Six months of trying to get pregnant if you’re older than 35.
  • One year of trying to get pregnant if you’re younger than 35.

Trying to get pregnant means you’re regularly having sex without birth control. Some people receive a diagnosis sooner if they have a medical condition or uterine factor infertility.

Causes of infertility can be due to either partner. In fact, infertility occurs due to a problem with the male reproductive system just as frequently as it occurs due to a problem with the female reproductive system.

Infertility in females can result from age, hormone conditions, medical conditions, and lifestyle or environmental factors.

Another name for it is “female factor” infertility.

What are the types of female infertility?

Infertility can be either primary or secondary:

Primary infertility means you’ve never been pregnant and can’t get pregnant after six months (older than 35) or one year (younger than 35) of trying.

Secondary infertility occurs when you can’t get pregnant again after having at least one successful pregnancy and birth.

How common is female infertility?

nfertility is a common disease. At least 10% of females deal with infertility of some kind. The chances of infertility increase with age.

Symptoms and Causes

What are the signs of infertility in women?

The most common sign of infertility is being unable to get pregnant despite having regular, unprotected sex. Other signs may include absent or irregular periods.

What is the leading cause of female infertility?

Most cases of infertility in people with a uterus involve problems with producing and releasing eggs (ovulation). It can be due to a condition like polycystic ovary syndrome (PCOS) or other conditions like primary ovarian insufficiency (POI), a condition in which an extremely low egg supply makes your ovaries stop functioning before the age of 40.

How does age impact female infertility?

Your chances of becoming pregnant decrease with age. Research shows that age is becoming a more common factor in infertility because many couples are waiting to have children until their 30s or 40s. People over age 35 have a higher risk of having fertility issues. The reasons for this include:

  • Overall number of eggs is lower.
  • More eggs have an abnormal number of chromosomes.
  • An increased risk of other health conditions. The older a person gets, the greater their chance of acquiring a health condition.

How is female infertility treated?

Once your healthcare provider diagnoses infertility and determines a cause, they’ll suggest possible treatment options. Treatment options depend on the cause. Some of the treatments are:

  • Surgery:When a structural issue, blockage or scarring is the cause of infertility, your provider may be able to treat it with surgery.
  • Fertility medication: Taking fertility medications can help with hormonal imbalances or ovulation disorders. Certain hormonal medications can also stimulate ovulation and help you to release an egg.
  • AntibioticsAntibiotics can help remove an infection from your reproductive organs.
  • Fertility awareness: Tracking ovulation by assessing your cervical mucus or measuring your basal body temperature are other ways your provider may assess your fertility. Many trying to conceive also use home ovulation predictor kits and smartphone apps that track their menstrual cycle to determine the best time at attempting to conceive.

Some people will require special treatments like intrauterine insemination (IUI) or assisted reproductive technologies (ART) like in vitro fertilization (IVF). Adoption and gestational surrogacy may also be options for people with infertility who wish to start a family.

Complications of treatment

Complications of fertility treatment mainly involve complications with using medications to stimulate ovulation. These complications include:

  • Higher chance of becoming pregnant with multiples (twins, triplets, etc.).
  • Ovarian hyperstimulation syndrome (OHSS). A condition that causes painful and swollen ovaries as a result of fertility medications.

Can female infertility be prevented?

You can’t predict or prevent most types of female infertility. However, you may be able to control some of the risk factors that contribute to infertility with lifestyle modifications. Examples include:

  • Reducing alcohol consumption.
  • Quitting smoking.
  • Maintaining a healthy weight for you.
  • Developing a good exercise routine.
  • Eating a diet rich in fruits and vegetables.
  • Trying to sleep at least seven hours per night.

It’s important to regularly visit your healthcare provider and discuss any other risks you may have for infertility. You should also schedule annual checkups with a gynecologist once you begin having sex, so your healthcare provider can better detect conditions that may affect your future fertility.

When should I see my healthcare provider about female infertility?

  • If you have regular intercourse and predictable menstrual cycles, you should see your healthcare provider after 12 months of trying to conceive, or six months if you’re over the age of 35. They can help determine why getting pregnant is difficult and recommend treatment to help you conceive.

What makes a woman more fertile?

Many factors that affect fertility, like medical conditions and congenital anomalies (things you’re born with), are beyond your control. Lifestyle factors, however, are within your control. Taking some of the following steps can help promote fertility:

  • Prevent STIs by using a condom during sexual activities.
  • Get tested regularly for STIs like gonorrhea and chlamydia.
  • Avoid exposure to chemicals, pesticides and other pollutants.

It’s also important to visit your healthcare provider annually once you become sexually active. Regular visits and preventive screenings are the best ways to take control of your sexual health.

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