In order to hopefully treat and prevent recurrence of difficulty conceiving children we need to understand and — if possible — remove the underlying causes and risk factors. We need to ask: "What else is going on inside the body that might allow difficulty conceiving children to develop?"
Accurate diagnosis of the factors behind difficulty conceiving children consists of three steps:
|An Underweight Problem||92%||Confirm|
|A Weight Problem||5%||Ruled out|
|Low Progesterone||3%||Ruled out|
|Anorexia/Starvation Tendency||0%||Ruled out|
When you have tried, how difficult in general has it been for you to conceive children?
Possible responses:→ Not applicable / I have not tried / don't know
→ It has not been difficult
→ There was some difficulty
→ It was very difficult
→ I am infertile / unable to have children
In very rare cases, a brain tumor can cause infertility.
It has been estimated that some 25-50% of infertile women suffer from endometriosis. The cause of infertility is believed to result from the scarring and adhesions that form in the reproductive tract as a result of inflammation. Scar tissue and adhesions may reduce fertility by either obstructing or distorting the shape of the fallopian tubes, which in turn impedes the passage of sperm to the egg. In the event that sperm do reach the egg, they may encounter a hostile environment unfavorable to fertilization. Finally, scarring from endometriosis may obstruct the fallopian tubes so that if an egg is fertilized, it may be unable to travel to the uterus for implantation.
Folic acid deficiency can lead to infertility.
Hypothyroidism in women sometimes causes ovarian problems; ovulation may become less frequent or disappear altogether.
Impaired fertility is a prominent feature of PCOS. This is believed to result from elevated insulin levels that stimulate excess androgen production by the ovaries. The androgens cause premature follicular wasting which causes inconsistent or absent ovulation, which in turn is associated with infertility.
Vitamin A is involved in steroid hormone synthesis and cell differentiation. It is important for healthy growth, normal reproduction and lactation.
Chronically elevated cortisol levels can stop a woman from ovulating and may lead to infertility.
Submucous fibroids are the type that most commonly cause significant problems; even small tumors located in or bulging into the uterine cavity may cause heavy bleeding, anemia, pain, infertility or miscarriage.
As many as 40% of women with untreated chlamydia will develop pelvic inflammatory disease (PID). Undiagnosed PID caused by chlamydia is common, resulting in a 20% infertility rate.