Causes of infertility
Reduced fertility or infertility is quite common and the number of infertile couples is constantly increasing.
It doesn’t have to be just your problem, we can help you determine the cause and suggest a method of treatment that has the highest chance of success.
When do we talk about infertility?
After one year of unprotected sex, about 15% of couples are unable to conceive. In 50% of infertile couples, the cause is found on the woman’s side and 40% on the man’s side, but in up to 20% of couples, the problem is in both the man and the woman at the same time.
Doctors speak of infertility if a couple has not succeeded in conceiving a child during regular unprotected intercourse:
- if you are under 35, after 1 year of unprotected intercourse
- if you are 35-39 years old, after 6 months of unprotected intercourse
- if you are 40 years or older, after 3 months of unprotected intercourse
- if you have reason to believe that you have a hidden problem or irregular menstruation
Causes of female infertility
One of the growing factors is that women postpone starting a family until a later age, they want to be financially secure, travel, build a career.
However, it is true that women are most fertile between the ages of 20 and 25. A woman’s fertility declines over the age of 35 because her oocytes (eggs) are as old as she is. Egg aging is a major factor in infertility.
The eggs of older women more often have genetic abnormalities (chromosomes) and if they are fertilized, the embryo may be damaged (the percentage of children with Down syndrome is, for example: 1 in 2000 women in their 20s, 1 in 900 women in their 30s, 1 in 350 women at age 35, 1 in 110 women at age 40 and 1 in 25 women at age 46).
- ovarian factor
- fallopian tube factor
- immunological factor
- genetic causes
- excessively thick cervical mucus
- congenital developmental womb defects
- endometriosis
- idioathic factors
Causes of male infertility
For men, age is much less important. However, an older man has fewer sperm, they are less mobile and may have chromosomal abnormalities. An egg fertilized by such a sperm can be a carrier of genetic diseases or a miscarriage can occur.
- Testicular insufficiency
- Hormonal disease
- Male genital tract obstruction
- Sperm antibodies
What awaits you in the treatment of infertility?
When visiting our clinic, the first step is a consultation with a doctor. Based on your diagnosis, our goal is to determine the most effective type of treatment for you that you will than undergo at our clinic.
It should be noted that visiting a doctor at an assisted reproduction center does not immediately mean that you will undergo in vitro fertilization (IVF). There are other procedures that can solve your problem, it all depends on the cause of your infertility.
Together with our doctors we will create a time schedule with a specific time resolution for individual recommended examinations and further procedures.
Basic examination of women and men
- Woman: Interview with the patient about the course of the menstrual cycle, basic palpation and ultrasound gynecological examination, examination of hormone levels, examination of the ovarian reserve – anti-Müllerian hormone AMH, blood examination for the presence of sexually transmitted diseases, genetic examination (in case of suspected genetic fertility disorders), immunological examination, examination of the patency of the fallopian tubes – hysterosalpingography (HSG)
- Male: Spermiogram, genetic examination, examination of hormonal levels, psychological and sexological examination, urological examination, blood examination for the presence of sexually transmitted diseasesAfter evaluating all of the test results the doctor will explain everything and recommend the most suitable infertility treatment procedure to the infertile couple.
