Causes of infertility in Women
Statistics shows that 1 in 8 couples will suffer infertility. Infertility is the inability to conceive. In some cultures, infertility is often viewed as a woman’s fault, although this is not true. In a 3rd of cases it is due to low sperm count.
Damage to the Fallopian tubes
The fallopian tubes are the tubes along which an egg travels from the ovary to the womb. The egg is fertilised as it travels down the fallopian tubes. When it reaches the womb, it is implanted into the womb’s lining, where it continues to grow.
If the womb or the fallopian tubes are damaged, or stop working, it may be difficult to conceive naturally.
infertility is most commonly caused by problems with ovulation (the monthly release of an egg). Some problems stop women releasing eggs at all, and some cause an egg to be released during some cycles, but not others.
Endometriosis is a condition where small pieces of the womb lining, known as the endometrium, start growing in other places, such as the ovaries.
This can cause infertility because the new growths form adhesions (sticky areas of tissue) or cysts (fluid-filled sacs) that can block or distort the pelvis. These make it difficult for an egg to be released and become implanted into the womb.
It can disturb the way that a follicle (fluid-filled space in which an egg develops) matures and releases an egg.
Scarring From Surgery
Pelvic surgery can sometimes cause damage and scarring to the fallopian tube or shorten the cervix (the neck of the womb).
Cervical mucus defect
When you are ovulating, mucus in your cervix becomes thinner so that sperm can swim through it more easily. If there is a problem with your mucus, it can make it harder to conceive.
Fibroids are benign (non-cancerous) tumours that grow in, or around, the womb. Submucosal fibroids develop in the muscle beneath the inner lining of the womb wall and grow into the middle of the womb.
Submucosal fibroids can reduce fertility, although exactly how they do this is not yet known. It is possible that a fibroid may prevent an embryo from implanting itself into your womb.
Pelvic inflammatory disease
Pelvic inflammatory disease (PID) is an infection of the upper female genital tract, which includes the womb, fallopian tubes and ovaries. It is often the result of a sexually transmitted infection (STI). PID can damage and scar the fallopian tubes, making it virtually impossible for an egg to travel down into the womb.
Medicines and drugs
The side effects of some types of medication and drugs can affect your fertility. These medicines are outlined below.
Non-steroidal anti-inflammatory drugs (NSAIDs). Long-term use or a high dosage of NSAIDs, such as ibuprofen or aspirin, can make it more difficult for you to conceive.
Chemotherapy. Medicines used for chemotherapy (a treatment for cancer) can sometimes cause ovarian failure, which means your ovaries will no longer be able to function properly. Ovarian failure can be permanent.
Neuroleptic medicines are antipsychotic medicines often used to treat psychosis. They can sometimes cause missed periods or infertility.
Spironolactone – this is a type of medicine used to treat fluid retention (oedema). Fertility should recover around two months after you stop taking spironolactone.
Infertility in women is also linked to age. The biggest decrease in fertility begins during the mid-thirties. Among women who are 35, 95% will get pregnant after three years of having regular unprotected sex. For women who are 38, only 75% will get pregnant after three years of having regular unprotected sex.
No Identifiable Reason or Unexplainable
if after carrying out all the above test and your results come out normal, you may be classed as unexplained, this was where I found myself.
We were told there is no reason why I should not fall pregnant with a year of trying.
It was not until two failed IVE cycle, 2 miscarriages several other treatments we fell pregnant.
The causes of infertility are numerous and differs for men and women. It is important to seek help if you have been trying for a year without success.
The writer is not a medical doctor. The views expressed here are from her personal experiences and research from the various medical resources like the NHS, infertility net work U.K. Please consult your Doctor if you need help with your diagnosis.