About 10 percent of reproductive-age couples will have difficulty getting pregnant. About 30 percent of cases are due to problems in the woman, 30 percent to problems in the man, and the rest to unexplained causes or multiple factors involving both partners.
If you’ve had regular, unprotected sex for more than a year and you are not conceiving, consult your doctor. Nearly 90 percent of couples with infertility problems can be successfully treated.

Keep in mind that success rates may vary, since one couple can have multiple problems. Here are the common conditions that cause fertility problem:

Endometriosis
Endometriosis is a condition that occurs when tissue found in the uterine fibroids lining (called endometrial tissue) grows outside your uterus, usually in the abdominal-pelvic cavity.
Ovulation problems
An ovulation problem prevents the release of a mature egg from your ovaries.
Poor egg quality
If your eggs are damaged or have chromosomal abnormalities, they can’t sustain a pregnancy. The quality of your eggs declines significantly with age.
Polycystic ovarian syndrome
Polycystic ovarian syndrome (PCOS) is a condition in which small follicles in your ovaries don’t develop into larger, mature follicles. It’s also characterized by hormone imbalances ,hirsutism , acne  and unpredictable ovulation patterns.
Blocked fallopian tubes
Blocked or damaged fallopian tubes prevent your partner’s sperm from getting to your egg, and prevent the fertilized egg from getting to your uterus. Leading causes include pelvic inflammatory disease, sexually transmitted infections such as chlamydia, and previous sterilization surgery.
Sperm allergy
If you have an immune reaction to sperm — surprisingly, less than 2 percent of women do — your body may produce antibodies that kill sperm cells.
Problems within  the uterus
There can be fibroids , polyps or adhesions within the uterus which can also cause infertility
Unexplained fertility problems
If there’s no clear explanation for your infertility, your doctor may diagnose you with an “unexplained fertility problem.” Though, some experts believe that weight problems, excessive exercise, and even environmental toxins may be the contributing factors for those possible problems.
Remember, almost 90 percent of couples with infertility problems can be successfully treated. So, if you’ve had regular, unprotected sex for more than a year and you are not conceiving, it’s the tight time to consult your doctor.
Dr punit s bhojani – Consultant obstetrician & gynecologist
Infertility specialist
Endoscopic surgeon
Sunrise clinic, bandra west
Anand clinic, matunga
Cell: 09869727515

Written by Dr. Punit Bhojani

Dr. Punit S. Bhojani is a medical practitioner, practicing obstetrics and gynecology. He specializes in the practice of cesarean section, fibroid removal (myomectomy), gynecologic endoscopic surgery, hysterectomy, ovarian cystectomy, and tubal ligation reversal. Since 2003, Dr. Bhojani has been helping patients with infertility problems to lead a happier, fulfilled life.

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