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Female Infertility - When Should You Be Worried?

Dr. Apoorva Pallam Reddy 94% (226 ratings)
MBBS, MS - Obstetrics and Gynaecology, DNB (Obstetrics and Gynecology)
Gynaecologist, Bangalore  •  8 years experience
Female Infertility - When Should You Be Worried?

Trying to get pregnant can go either ways for most couples that is it can be a breeze, or it can be a difficult process that ends up with lots of fertility clinic visits. While in some cases, the reasons for not being able to conceive may come down to male infertility, there are many cases where the reason may be female infertility too. In many other cases, both male and female infertility may be the cause.

Let us discuss female infertility in more details here.
When can it be called Infertility?

When a couple is not being able to conceive even after trying for a period of over a year, then a case can be made in favour of infertility. Infertility can result from females in at least one third of the cases, as per various medical studies. While the actual cause may be difficult to diagnose, there are many available treatments that one can use in order to fix the underlying issues.

When to Start Worrying? 

Female infertility comes with many symptoms, while the main symptom may be the inability to conceive, the other symptoms include excessively long menstrual cycles that show signs of slowing down only after 35 days or so, or even cycles that are too short where they appear within 21 days. Irregular and absent periods can point at the lack of ovulation which is the main sign of infertility. Other than that, there are no outward signs of infertility as such apart from pelvic pain and cramping or heavy bleeding during periods. If you are 30 years of age, or younger, then you may want to see a doctor regarding irregular and absent periods, or the lack of conception even after trying for a year. Also, if you are between 35 and 40 years of age, you can discuss the inability to conceive with your doctor, after efforts for six months. If you have been trying to conceive and you are over 40 years of age, then the doctor will put you through tests on an immediate basis.

The Requirements for Conception? 

In order to conceive, you will need to ovulate on a normal basis and have regular menstrual cycles as well as intercourse. Also, your fallopian tubes and uterus must be in normal working condition without any infections and other conditions.

Causes

There may be many causes for female infertility including ovarian faults like polycystic ovary syndrome (PCOS), hypothalamic dysfunction, premature ovarian insufficiency and excessive prolactin in the ovaries. Also, pelvic inflammation disorders that lead to damage of the fallopian tubes and other uterus related issues like endometriosis can lead to female infertility.

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