Female Infertility

 

Infertility affects 10-15% of couples. Normally, 75% of couples become pregnant within 6 months, 85% within one year, and 90% within two years.

Infertility investigations must include both female and male.

Infertility is the

50% female, 35% male, 15% unexplained

 

Causes of Female Infertility

Ovulatory dysfunction is responsible for 15-20% of infertility. Causes include:

Outflow tract abnormality can include:

uterus

cervix

Endometriosis

Multiple factors (30%)

idiopathic (10-15%)

 

 

Investigations

Ovulatory investigations include:

Outflow tract investigations include:

Karyotype analysis may also be considered

 

Lubricants can be detrimental for fertility (but not adequate for conception)

 

Treatments

Education should be provided regarding monthly cycles and ovulation.

Ovulation may be induced using various medications.

Procedures include: