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At Shivam IVF, couples can seek professional guidance to understand the possible causes of infertility and explore suitable fertility solutions. As a trusted option for couples looking for the Best IVF Centre in Delhi NCR, Shivam IVF focuses on personalized fertility care and treatment plans based on each patient's individual needs.

1. Ovulation Problems

Ovulation is the process in which an ovary releases an egg. Regular ovulation is important for natural conception.

Common causes of ovulation problems:

  • Polycystic Ovary Syndrome (PCOS): PCOS can cause irregular or absent ovulation.
  • Hormonal imbalance: Changes in thyroid hormones, prolactin, FSH, or other reproductive hormones may affect ovulation.
  • Low ovarian reserve: A reduced number of available eggs can affect fertility.
  • Excessive stress or significant weight changes: These may sometimes interfere with the menstrual cycle and ovulation.

If periods are very irregular or absent, a fertility evaluation can help identify whether ovulation is occurring normally.

2. Age-Related Decline in Fertility

Age is an important factor affecting fertility, particularly in women.

Why does age matter?

  • The number of eggs gradually decreases with age.
  • Egg quality can decline over time.
  • The risk of chromosomal abnormalities increases with age.
  • The chances of conception may decrease, while the risk of miscarriage may increase.

Fertility also changes with age in men, although the decline is generally more gradual.

If you are concerned about age-related fertility, consulting a fertility specialist early can help you understand your individual situation and available options.

3. Blocked or Damaged Fallopian Tubes

The fallopian tubes provide a pathway for the egg and sperm to meet. If one or both tubes are blocked or damaged, fertilization may become difficult.

Possible causes include:

  • Previous pelvic infections
  • Pelvic inflammatory disease
  • Endometriosis
  • Previous abdominal or pelvic surgery
  • Certain sexually transmitted infections

A test such as an HSG may be recommended to assess whether the fallopian tubes are open.

Depending on the cause and severity of tubal problems, treatment may include medication, surgery, IUI, or IVF.

4. Endometriosis

Endometriosis occurs when tissue similar to the lining of the uterus grows outside the uterus. It can sometimes affect fertility.

How can endometriosis affect conception?

  • It may cause inflammation in the pelvis.
  • It can affect the ovaries or fallopian tubes.
  • It may lead to adhesions or scar tissue.
  • In some women, it can affect ovarian reserve or reproductive function.

Not every woman with endometriosis will experience infertility. However, if conception is taking longer than expected, a fertility assessment can help determine whether endometriosis may be contributing.

5. Male Fertility Problems

Difficulty getting pregnant is not always related to the woman. Male factors can also contribute significantly to infertility.

Common male fertility problems include:

  • Low sperm count
  • Poor sperm motility
  • Abnormal sperm morphology
  • Varicocele
  • Hormonal problems
  • Certain infections
  • Smoking and excessive alcohol consumption
  • Some medications or medical conditions

A semen analysis is commonly used as an initial test to evaluate sperm count, movement, and morphology.

Depending on the findings, treatment may include lifestyle changes, medication, surgery, IUI, IVF, or ICSI.

6. Poor Egg Quality or Reduced Ovarian Reserve

A woman may have difficulty conceiving when the number or quality of available eggs is reduced.

Factors that may affect ovarian reserve or egg quality:

  • Increasing age
  • Certain ovarian conditions
  • Previous ovarian surgery
  • Some medical treatments
  • Genetic or other reproductive factors

Tests such as AMH, antral follicle count, and other hormone assessments may help doctors evaluate ovarian reserve. However, no single test can completely predict whether someone will become pregnant.

7. Uterine or Cervical Problems

Problems involving the uterus or cervix may sometimes interfere with conception or implantation.

Examples include:

  • Uterine fibroids
  • Polyps
  • Certain structural abnormalities
  • Scar tissue inside the uterus
  • Some cervical problems

A doctor may recommend an ultrasound, hysteroscopy, or other investigations depending on symptoms and medical history.

8. Hormonal and Thyroid Imbalances

Hormones play an important role in ovulation, menstrual cycles, implantation, and pregnancy.

Conditions that may affect fertility include:

  • Thyroid disorders
  • High prolactin levels
  • Insulin resistance
  • Hormonal disturbances affecting ovulation
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ritesh kumar

Lvl 7
5d ago

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