Causes of Infertility

There are many reasons why a couple may not achieve a successful pregnancy. It is important to understand that, in our opinion, infertility is not the inability to become pregnant, it is the inability to have a baby. Fortunately, for those infertile couples whose problem is recurrent pregnancy loss, the insurance companies do not agree with my definition and these couples have an easier time getting their evaluation paid for than those couples who cannot achieve a pregnancy at all.

The causes of infertility can be separated into several broad categories. Each category will be covered in a separate section of this pamphlet. These categories are: 1) Abnormalities of Ovulation (and other hormonal problems); 2) Male Factor; 3) Pelvic Factors; 4) Cervical Mucus Factors; 5) Genetic Factors; 6) Immune Problems . Some of these problems interfere with a woman’s ability to become pregnant, others will interfere with her ability to stay pregnant, and some may do both.

Please understand that this pamphlet is designed to provide general information. There will always be exceptions to almost everything I say. Human beings are so variable that it is impossible to put people into neat little pigeonholes. Nonetheless, the principles I will discuss in these sections do apply to the vast majority of infertility couples.

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