Female infertility

Female In the past 25 years, the percentage of births to women aged 30 or over has doubled as women delay childbirth until career or other lifestyle objectives have been achieved. However, female fertility begins to steeply decline in our early 30s and certainly by the age of 35.

In addition to the age factor, the two main causes of female infertility are ovulation disorder (causes 30% of all infertility) and fallopian tube damage. Endometriosis, fibroids and hostile cervical mucus are additional causes.

CAUSE	INVESTIGATION	TREATMENT OPTION
Failure of ovulation	Hormone assessments	Fertility drugs Egg donation
Blocked or damaged fallopian tubes	Laparoscopy Hysterosalpingogram (HSG)	Tubal surgery IVF
Endometriosis	Ultrasound scan Laparoscopy	Surgical/laser treatment or drug therapy IVF
Fibroids	Laparoscopy Hysteroscopy Ultrasound scan	May not need treatment but can be surgically removed, if necessary
Hostile cervical mucus	Post-coital test	IUI IVF

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