Reduced Fertility - Gynecology

Reduced fertility, also known as subfertility, refers to a diminished ability to conceive, despite regular, unprotected intercourse over a certain period, typically one year. It is a common issue that affects many couples and can stem from various causes affecting either partner.
Several factors can contribute to reduced fertility in women, including:
Ovulatory disorders: Conditions like polycystic ovary syndrome (PCOS) and hypothyroidism can disrupt ovulation.
Age: Fertility naturally declines with age, particularly after the age of 35.
Tubal factors: Blockages or damage in the fallopian tubes can prevent the egg from meeting the sperm.
Endometriosis: This condition involves the growth of uterine tissue outside the uterus, which can affect fertility.
Uterine abnormalities: Issues such as fibroids, polyps, or congenital anomalies can interfere with implantation or pregnancy maintenance.
Diagnosis typically involves a comprehensive evaluation, including:
Medical history: A detailed history of menstrual cycles, previous pregnancies, and lifestyle factors.
Physical examination: A pelvic exam to check for anatomical abnormalities.
Blood tests: To evaluate hormone levels, including thyroid and reproductive hormones.
Ultrasound: To visualize the ovaries and uterus for structural issues.
Hysterosalpingography (HSG): An X-ray procedure to assess the fallopian tubes and uterine cavity.
Treatment for reduced fertility varies based on the underlying cause and may include:
Lifestyle modifications: Improving diet, exercise, and reducing stress can enhance fertility.
Medications: Drugs like clomiphene citrate can stimulate ovulation.
Surgery: Procedures to correct anatomical issues, such as removing fibroids or treating endometriosis.
Assisted reproductive technology (ART): Techniques like in vitro fertilization (IVF) or intrauterine insemination (IUI).
Yes, lifestyle factors play a significant role in fertility. Factors such as smoking, excessive alcohol consumption, obesity, and high levels of stress can negatively impact reproductive health. Making positive lifestyle changes can significantly improve the chances of conception.
It is advisable to seek medical advice if you have been trying to conceive for over a year without success, or six months if you are over the age of 35. Early intervention can improve the chances of identifying and treating the underlying cause of reduced fertility.



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