The Causes Of Infertility In Women

INFERTILITY CAUSES

The causes of infertility 

There could be many causes of infertility. Medical research shows that if you are a healthy young couple who have sex two or more times a week, you have a 20% chance of becoming pregnant during any menstrual cycle. This figure declines in women’s late 20s and early 30s and further beyond 35. Age reduces men’s fertility, but not as early. 

Many women delay motherhood for career, financial, or other reasons. Unfortunately, people may have trouble conceiving due to their age. Regardless of your age or condition, current diagnoses and therapies give high hopes for parenthood. 

Medically, infertility is not being able to conceive after 12 months of heterosexual activity without birth control. If you and your partner cannot conceive after one year of unprotected sex, discuss an infertility evaluation with your doctor.

Possible Causes for Infertility

Finding out you or your partner have fertility issues can be emotionally difficult. Depression and discouragement are typical. Many factors can cause to reduce fertility. Fertility issues may involve the woman, man, relationship, or lifestyle.
About one-third of infertility cases are caused by the woman, another third by the man, and the last third by issues involving both partners or is unexplained. 

Infertility in women may be caused by various factors, including: 

  • Lifestyle decisions and health
  • Issues with ovulation
  • Hormonal abnormalities
  • Physical issues in anatomy
  • Genetic mistakes
  • Critical infections
Male infertility problems include:
  • Medical and lifestyle choices
  • Physical anomalies and obstructions
  • Hormonal and genetic variables

Your treatment will vary depending on what might be causing the infertility.

The Causes Of Infertility: Health and Lifestyle Issues for Women

Several medical diseases and lifestyle factors can lead to infertility. You can sometimes adjust your lifestyle and increase your own fertility.

GETTING OLDER 

Socially, women are delaying family formation. Waiting to start a family comes with career, financial, and maturity benefits. However, delayed childbearing may cost. Pregnancy is harder than expected for many women. Due to hormones, most women reach their reproductive peak between 20 and 25. Age-related reproductive system alterations may diminish fertility. 

SMOKING

Almost all research studies find that smoking reduces your fertility. According to the American Society for Reproductive Medicine, the greatest current scientific evidence shows that smoking greatly increases infertility and should be discouraged for both male and female spouses.

ALCOLHOOL

Heavy drinking can alter the menstrual cycle and reproductive function, causing infertility, miscarriage, and decreased fetal growth and development, according to a 1993 National Institutes of Health research. 

Another source, the National Institute on Alcohol Abuse and Alcoholism (NIAAA), highlights similar findings, indicating that alcohol can impact hormonal regulation and reproductive health in women​ (BioMed Central)​.

For further detailed information, you can explore these sources:

  1. Alcohol’s Effects on Female Reproductive Function – Early Human Development
  2. Alcohol and Hormones – National Institute on Alcohol Abuse and Alcoholism (NIAAA)
ILLICIT DRUG USE

In women, marijuana can prevent ovulation. Other street drugs, including cocaine, heroin, and ecstasy, have also been demonstrated to sharply lower female fertility. Drug users may have irregular menstrual periods and aberrant ovulation.

PRESCRIPTION MEDICATIONS

The causes of infertility resulting from certain pharmacological medicines. High dosages of steroids, including cortisone or prednisone, can, for instance, stop your pituitary gland from releasing appropriate levels of hormones. The resultant hormonal imbalance might affect your ovulation. It can also throw off your usual menstrual cycle.

Furthermore shown to increase a woman’s prolactin hormone level include some tranquilizers and some older forms of blood pressure meds like Largactil. Prolactin is the hormone that suppresses ovulation and increases the synthesis of breast milk. This change in prolactin hormone can so affect your usual ovulation ability.

RECENT OR PAST USE OF CONTRACEPTION

Birth control tablets suppress ovulation, so preventing conception. Birth control pills virtually always have no effect on your future fertility. That is particularly true if your monthly cycles were normal before starting the pill. A small number of women who stop using birth control pills, however, find it difficult to conceive. If you have stopped using birth control pills and still lack normal menstrual cycles within six months, a medical inquiry could be a good choice.

Another kind of contraception is the Depo-Provera hormone injection, which stops ovulation. One shot is meant to stop pregnancy three months in duration. Sadly, many women who want to conceive discover that their menstrual cycle and ovulation process takes six to sixteen months to return to normal.

NUTRITION

Your menstrual cycle, ovulation, and whole hormonal balance could all change depending on what you consume. You should so have a good and balanced diet. Moreover, diets either excessively high or low in calories can greatly influence your total body weight. Extreme weight loss or weight increase could interfere with your fertility and menstrual cycle.

ACTIVITY

Regular, intense exercise can alter your menstrual cycle. Under severe circumstances, your menstrual cycle could halt entirely. Long-distance runners tend to have especially this issue. On the other hand, women who overindulge in exercise and drastically cut their body weight and fat content could potentially miss menstruation cycles. Furthermore absent from your menstrual cycle will be ovulation and conception.

BODYWEIGHT

Estrogen excess can occur with even a 10% to 15% overweight physique. The excess estrogen produced by adipose tissue might drastically alter your hormone balance. Fat women often ovulate sporadically. 

Infertility and irregular periods can come from low body fat. A woman who is 10 to 15% underweight has less fat storage and less estrogen. Most medical experts agree that a woman needs 22 percent body fat to maintain hormonal balance and ovulation.

CHRONIC DISEASE

Your fertility has been demonstrated to be lower in medical disorders including lupus, diabetes, thyroid disease, and rheumatoid arthritis. If you have one of these medical disorders, you must follow your recommended medication schedule and be under the direction of a licenced healthcare expert. This is especially valid while you are attempting to conceive.

Either cancer may or may not compromise fertility. The cancer treatments, including radiation or chemotherapy, nevertheless virtually invariably will. Talk, if at all possible, with a fertility specialist before beginning your radiation or chemotherapy. Working with your team of doctors can frequently help you develop a strategy to protect or at least increase your future fertility.

ENVIRONMENTAL AND OCCUPATIONAL FACTORS

Extended emotional stress, extreme temperatures, toxins, radiation, or electromagnetic or microwave emissions can all lower your fertility. Furthermore present in some work contexts are several occupational dangers. The solvent benzene used in the rubber, leather, and dry-cleaning industries, for instance, could compromise your fertility. High altitudes and radiation exposure flight attendants experience could lower fertility. Anesthesia, chemicals, and radiation can all be hazards to doctors, nurses, and other medical staff members. Changes in their internal clock and natural biorhythms might cause even those who work evenings or irregular shifts to have negative effects in their fertility.

PITUITARY GLAND TUMORS

Because it coordinates all of the hormones in your body, the pituitary gland is regarded as your body’s master gland. Therefore, it makes sense that aberrant hormone production could be related to a pituitary gland tumor. For instance, pituitary tumors often produce high prolactin hormone levels. Furthermore occasionally leading to other hormonal abnormalities include pituitary gland tumors, which can disrupt the luteinizing hormone (LH) and follicle-stimulating hormone (FSH) secretion. Made by the pituitary gland, hormones FSH and LH both assist in the formation and development of your eggs and ovulation process. These hormones’ change could cause your ovulation and fertility to drop.

ADRENAL GLAND PROBLEMS

There are two adrenal glands in your body; one on top of every kidney. Their job is to generate hormones regulating your heart rate, blood pressure, metabolism, and other vital body processes. Adrenal glandular problems can raise male hormone levels—also referred to as androgen levels. Male hormone levels even slightly raised can interfere with the ovulation process and hence affect fertility. Excessive facial hair, hair on the lower abdomen, hair on the big toe, and extra hair around the anus indicate raised male hormone levels. Additionally linked with too high male hormones could be acne and oily skin.

LIFE’S NOT FAIR

You most certainly already realize that life is not always fair. Here is just one more item you could put on your list though. Born with her lifelong supply of eggs already inside her ovaries, a female is But every three months a male produces fresh sperm supplies. Therefore, whatever drugs, alcohol, or medications you use, or environmental elements you are exposed to, can possibly destroy all the eggs you will ever make. By contrast, a man produces fresh sperm roughly every three months; his possibly damaged sperm are replaced every few months with healthy new sperm. Disease and harmful drugs clearly have a far more severe and long-lasting effect on a woman than on a male. Not Fair!

Particular Causes of Infertility in Female

Many medical disorders can cause infertility. Correct diagnosis and treatment could help you to either regain or increase your fertility.

POLYCYSTIC OVARY SYNDROSE (PCOS)

PCOS causes irregular or nonexistent menstrual cycles, abnormal or absent ovulation, and infertility. PCOS affects 5–10% of reproductive-age women and causes infertility. 

Some women experience hormonal shifts from their first period. Most women with PCOS change gradually.

Symptoms of PCOS may include:

  • More facial and body hair, sometimes referred to as hirsutism
  • Acne
  • Skin darkened over the neck, underarms, groin, and inner thighs.
  • Overweight
  • Unregular menstrual cycles or absent cycles
  • Vaginal yeast infections
ENDOMETRIOSIS

The normal endometrial tissue location is Usually, endometrial tissue exists just in the uterus. Shed during menstruation, it lines the uterus.

Endometriosis is the condition whereby endometrial tissue grows outside the uterus, therefore influencing several areas of the pelvis, including:

  • Ovaries
  • Fallopian tubes
  • Exterior surface of the uterus
  • Area behind the uterus
  • Intestine and rectum
  • Bladder
  • Rarely, other distant parts of the body

Function of Endometrial Tissue Whichever its location, endometrial tissue responds to hormonal changes and acts similarly to tissue inside the uterus. During the menstrual cycle, it breaks down and bleeds, which causes pain—particularly before and during menstruation.

Scar Tissue and Adhesions can develop from endometrial tissue hemorrhage and breakdown. These can unite pelvic organs, therefore changing the usual pelvic structure and function.

For more detailed information on endometriosis and its effects on fertility, try following resources:

PELVIC INFLAMMATORY DISEASE (PID)

A major infection of your pelvic reproductive organs—fallopian tubes and ovaries—Pelvic inflammatory disease (PID) is Most usually, a sexually transmitted disease (STD) such gonorrhea or chlamydia causes the infection.

Regretfully, PID is somewhat frequent in the United States; it is diagnosed in around a million women annually. Actually, PID is thought to be the root cause of roughly 20% of all infertility issues; the incidence appears to be rising.

PID can cause quite different symptoms from severe pain, fever, and discomfort to none at all. PID’s more often occurring symptoms are as follows:

    • Pain in the pelvis or abdomen
    • Abnormal vaginal discharge
    • Abnormal menstrual bleeding
    • Fever and chills
    • Painful urination
    • Nausea and vomiting
    • Painful sexual intercourse

    Given PID. You should see your doctor, nevertheless, for an examination. PID can seriously damage a woman’s reproductive organs even in cases of no symptoms. Most cases of PID are sadly unnoticed until a woman shows up for an infertility check-up.

    The causes of infertility, including causes, symptoms, diagnosis, and treatment. CDC – Pelvic Inflammatory Disease (PID)

    Detailed overview of PID, its risk factors, complications, and prevention. Mayo Clinic – Pelvic Inflammatory Disease

    DIETHYLSTILBESTROL (DES) ABNORMALITIES

    Background: Diethylstilbestrol (DES) is a man-made form of estrogen that was given to pregnant women between the late 1930s and early 1970s to keep them from having problems like miscarriages, early labor, and other pregnancy-related problems. Subsequently, it was revealed that exposure to DES might result in substantial health complications.

    Effects on Women Exposed to DES (Mothers): Women who were administered DES during pregnancy had a slightly elevated likelihood of getting breast cancer in comparison to women who did not receive DES.

    Effects on Daughters Exposed to DES in the Womb (DES Daughters):

    Structural abnormalities can be observed in the reproductive tract of DES daughters, such as the presence of T-shaped uteruses. These abnormalities have the potential to impact fertility and the consequences of pregnancy.
    Elevated Cancer Susceptibility: They possess an increased susceptibility to developing clear cell adenocarcinoma of the vagina and cervix.

    Women experiencing pregnancy complications may be at a heightened risk of infertility, ectopic pregnancy, miscarriage, and premature delivery.
    Effects on Male Offspring Exposed to DES In Utero (DES Sons):

    DES boys may encounter reproductive tract abnormalities such as non-cancerous epididymal cysts, which are benign growths seen on the testicles. Several studies indicate a possible elevation in the likelihood of testicular abnormalities and infertility.
    Cancer Risk: There is no conclusive evidence indicating a heightened cancer risk in individuals who are sons of mothers who used DES.

    Asherman’s Syndrome

    Asherman’s Syndrome is a rare uterine condition characterized by the formation of scar tissue within the endometrial lining, which can lead to reduced fertility and menstrual irregularities. It often results from trauma to the uterus, such as from surgeries like dilation and curettage (D&C) or cesarean sections. Symptoms may include heavy or irregular menstrual bleeding, pelvic pain, and difficulty conceiving. Diagnosis typically involves hysteroscopy, and treatment often requires surgical intervention to remove the scar tissue and restore normal uterine function. Early detection and treatment are crucial for improving reproductive outcomes

    Conclusion 

    Now is the greatest time to start your fertility and parenting journey. You have many possibilities because medical technology is always improving. If possible, try a natural fertility approach using nutrition, lifestyle, and alternative methods.

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