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When pregnancy doesn't happen, every monthly period comes as bitter disappointment. The infertility seems to be staring people in the face, it becomes very important to understand why pregnancy is not happening, and what, if anything, can be done about it.

Major causes of Infertilty in Women

The conditions listed below include the most common reasons for female infertility. However, we have to remember that with every day advancement of medical science, treatment is an option in the case of most disorders.


Ovulation Problems

There can be several explanations for a lack of ovulation. Sometimes the situation is very stark- there are no eggs in the ovaries. However, this is relatively rare. In this situation, IVF can help the woman by finding egg donors.
There can be some other reasons for not to ovulate. Some women don't make enough FSH to stimulate the release of the mature eggs from the ovary and others don't any make at all
Synthetic hormones can be used that will replace natural FSH, bringing about ovulation and so, hopefully pregnancy.

Tangled Tubes

The most common female physical problem preventing pregnancy is that the Fallopian tubes are twisted, scarred or blocked in some way.

Polycystic Ovaries

This is a condition in which many small cysts form in the ovaries. Women with polycystic ovaries may have no- symptons- with the result that they only know when the fertility tests are done.


In this condition, cells similar to those of the lining of the uterus( the endometrium) become established outside it. They can grow anywhere in the pelvic area- for example, on the ovaries, in the fallopian tubes or uterus. Because these cells are trapped inside the pelvic area, they cannnot leave body. Instead they become inflamed and cause adhesins, which can cause internal organ to become stuck to another.
This condition is usually treated by hormone therapy or by surgery.

Fibroids and Polyps

Fibroids are bundle of muscles fibres that develop in the muscular wall of the uterus. They can vary in size from a small marble to a large ball.
Polyps have a stalk by which they attach themselves to the membrane lining the cervix or uterus.
Polyps and fibroids both are diagnosed by internal examination,ultrasound scan or laproscopy.


How to stay sane in this course of fertility treatment

  • It can be difficult to maintain a happy, balanced attitude to life while trying to deal with your feelings about delayed conception. However, do whatever you can to relax and have fun with your partner by focussing on those that you normally enjoy together.
  • Keep your sex life seperate from reproductive life. If the fun has disappeared from sex, consider taking a brief vacation from fertility treatment so that you can keep your relationship with your partner on track.
  • Don't let your emotions overtake your general health state. There is no excuse for over drinking, smoking or any other hazardous habits.
  • Talk about how you're feeling with someone who truly understands. Don't hesitate in seeking a help of professional counsellors or contacting fertility support group.
  • Don't put entire life on hold, until you become pregnant. Turning down job oppurtunities or postponing holidays will not help you, on the other hand will add to your stress level
  • You may consider seeing more than one doctor depending upon how you feel about it.
  • Be open in your mind about adoption, without giving up your treatment.
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