Most couples who have unprotected sex at least twice per week are able to become pregnant within one year. If pregnancy does not occur after one year, the man and woman are diagnosed as having an infertility problem. Infertility can result from problems in the man, the woman or both partners. In some couples, no cause of infertility can be found. In other couples, more than one cause exists. Normal aging reduces a woman's ability to become pregnant. As a woman grows older, ovulation—the process of forming and releasing an egg—becomes slower and less effective. Aging begins to reduce fertility as early as age 30. Pregnancy rates are very low after age 44. This is true even when fertility medications are used.
The most common causes of female infertility include problems with ovulation, damage to fallopian tubes or uterus, or problems with the cervix. Age can contribute to infertility because as a woman ages, her fertility naturally tends to decrease.
Infertility treatment depends on the cause, your age, how long you've been infertile and personal preferences. Because infertility is a complex disorder, treatment involves significant financial, physical, psychological and time commitments. Although some women need just one or two therapies to restore fertility, it's possible that several different types of treatment may be needed. Treatments can either attempt to restore fertility through medication or surgery, or help you get pregnant with sophisticated techniques. Gynecological experts say that the share of tubal-peritoneal infertility (uterine tubal obstruction) accounts for about 40% of the total number of reproductive pathologies. Ovulation occurs on time, but due to mechanical obstruction the ovum does not reach the uterus. This condition is often a consequence of infectious diseases of the urogenital system, which can be asymptomatic. Infection is a long time in the body, gradually creating conditions for the formation of adhesions in the fallopian tubes. Translated with www.DeepL.com/Translator
The cause of infertility in women is often inflammatory diseases of the pelvic organs (uterus, fallopian tubes and ovaries), tumor process in these organs, inflammatory changes in the pelvic peritoneum. The so-called uterine infertility factor, which combines pathological changes in the uterus and its inner layer (endometrium), leading to infertility, is important. The most common cause of female infertility is polycystic ovaries. Endocrine infertility is infertility caused by disturbances in the ovulation process (the release of a mature ovum from the ovary), the inability of the ovary to fertilize or the implantation of an embryo as a result of hormonal dysfunction.