Female Infertility


Understanding the Causes of Female Infertility

Female causes of infertility are involved in more than half of cases at IVFMD. Through a time efficient evaluation pathway, the causes of female infertility can often be determined within a couple of cycles. Our experienced fertility specialists at IVFMD carefully assess your history and along with findings from physical exam and diagnostic tests, devise a treatment plan that is best suited for you.

Age-related infertility is a one of the biggest challenges that our patients have to face. A woman’s fertility declines rapidly after age 34 due to a combination of lower egg quality and quantity. One of the early signs of low ovarian reserve is a tendency to have short cycles. A cycle length of 25 days or shorter should alert a woman of a decreasing egg reserve and prompt her to seek help early.

At IVFMD we prefer a proactive approach in solving infertility problems. Since your egg reserve plays an important role in determining your treatment protocol, we take great care to assess your ovarian reserve through special testing. If it turns out that your egg reserve is low, we have special treatment protocols that can be tailored to your unique situation to help you to conceive. We have found that the best way to deal with age-related infertility is to address it early and aggressively, but also to leave some room for flexibility.

Anatomical causes of female infertility can be easily detected by our time efficient diagnostic pathway. A history of heavy menses with passage of large clots can suggest the presence of growths that distort the uterine cavity such as fibroids or polyps, while a history of STD or pelvic surgery can increase the risk of having tubal disease or pelvic adhesions. The hysterosalpingogram (HSG), a test in which a special dye is injected into the cervix to outline the contour of the uterine cavity and perfuse the tubes, can help to detect benign growths of the uterus, such as fibroids and polyps, and blocked tubes.

Hormonal causes of female infertility are suspected whenever the menstrual cycles are irregular. Cycles that are longer than 32 days have been associated with implantation failure and miscarriages caused by suboptimal progesterone production. Common causes of abnormal ovulation include stress, thyroid problems, and polycystic ovaries syndrome or PCOS. There are blood tests that can help pinpoint and correct hormonal abnormality. Fortunately, hormonal causes of female infertility can be easily treated with medications.

Endometriosis is one of the common causes of female infertility. While the classic signs of endometriosis are painful periods and painful intercourse, these symptoms can be absent in many women with endometriosis. Endometriosis lesions can cause pelvic adhesions and blocked tubes, and their secretions have been shown to impair fertilization. Endometriosis is most reliably detected by laparoscopy, an outpatient operation in which a scope is introduced into the abdominal cavity under general anesthesia to examine the pelvis.

Do you suspect that one of the following causes of female infertility is preventing you from getting pregnant?

• Age related infertility
• Blocked tubes
• Ovulation problem
• Endometriosis

Please talk with your doctor about your infertility concern. Also feel free to give us a call or visit us at one of our two Dallas-area infertility clinics.

IVFMD is a Dallas-area infertility clinic with a long tradition of excellence and affordability. We would be delighted to initiate the investigation and formulate a treatment plan that is both cost effective and time efficient.

Our team of board-certified physicians, experienced nurses, and skilled laboratory professionals at the Irving and Arlington infertility clinics will put forth the best effort to help you achieve your ultimate goal.

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